Medi-Cal Provider Directory Solano County

CONTACT US (800) 863-4155 | http://www.partnershiphp.org

Revised Date: March 8, 2019 08-85215_CPL_001 04/18/2013 PHC PROVIDERS | SOLANO COUNTY DIRECTORY

TABLE OF CONTENTS

How to use this list: ...... 1 Para usar esta lista: ...... 2 Paano gagamitin ang listahang ito: ...... 3 Glossary of Terms ...... 4 Glosario de términos ...... 7 Talahuluganan ng mga Salita ...... 10 Nondiscrimination Notice ...... 14 Aviso de no discriminación ...... 16 Abiso Tungkol sa Hindi Pagdidiskrimina...... 18 Grievances ...... 15 Quejas ...... 17 Paano Maghain ng Karaingan ...... 19 Language Assistance ...... 20 Asistencia de idiomas ...... 20 Tulong sa Wika ...... 20 Accessibility Standards ...... 23 Estándares de Accesibilidad...... 24 Mga Pamantayan ng Accessibility ...... 25 Timely Access to Care ...... 26 Acceso oportuno a la atención médica ...... 27 Napapanahong Pag-access sa Pangangalaga ...... 28 Physician Listing Information ...... 29 Información del listado de médicos ...... 29 Impormasyon ng Listahan ng Doktor ...... 30 Solano Primary Care Provider ...... 31 Dixon ...... 31 Fairfield ...... 31 Oakley...... 38 Vacaville ...... 38 Vallejo ...... 43 Winters ...... 48 Solano Facilities, Pharmacy, Urgent Care & VSP List ...... 49 Hospitals Primary...... 49 Hospitals Referral ...... 49 Mental Health Services - Outpatient ...... 51 Pharmacy Network List ...... 51 Skilled Nursing Long Term Care Facilities ...... 56 Urgent Care Sites ...... 57 Vision Service Plan (VSP) (1-800-877-7195) ...... 58 Solano Referral/Specialist Providers ...... 61 Acupuncture ...... 61 Allergy ...... 61 Alternative Birthing Centers ...... 62

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page i of iii PHC PROVIDERS | SOLANO COUNTY DIRECTORY

Ambulatory Surgery Centers ...... 62 Audiology ...... 63 Bariatric Surgery ...... 64 Behavioral Health Treatment ...... 64 Cardiovascular Disease ...... 70 Chiropractic ...... 73 Community Based Adult Services CBAS...... 74 Comprehensive Perinatal Services Program CPSP ...... 74 Dermatology ...... 74 Dialysis Centers ...... 77 Durable Medical Equipment ...... 78 Endocrinology ...... 82 Family Planning ...... 82 Foot Ankle Surgery ...... 83 Gastroenterology ...... 84 General Surgery ...... 85 Genetics ...... 87 Gynecology ...... 87 Hand Surgery...... 89 Hearing Aid Dispenser ...... 89 Hematology...... 91 Home Health Agencies ...... 93 Home Infusion Therapy...... 95 Hospice Services ...... 96 Infectious Diseases ...... 97 Laboratory Draw Stations ...... 98 Maternal Fetal Medicine ...... 98 Medical Supplies ...... 98 Neonatology...... 100 Nephrology ...... 101 Neurological Surgery ...... 103 Neurology ...... 103 Obstetrics ...... 105 Occupational Therapy...... 107 Oncology...... 108 Ophthalmology...... 109 Orthopaedic Surgery...... 112 Orthotics Prosthetics ...... 114 Otolaryngology...... 116 Pain Management ...... 116 Palliative Medicine ...... 118 Pediatric Cardiology...... 118 Pediatric Endocrinology ...... 118 Physical Therapy ...... 118 Plastic Reconstructive Surgery ...... 120

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page ii of iii PHC PROVIDERS | SOLANO COUNTY DIRECTORY

Podiatry...... 121 Pulmonary Disease ...... 123 Radiation Oncology ...... 125 Radiology ...... 126 Rheumatology...... 127 Sleep Medicine ...... 128 Speech Therapy...... 128 Suboxone/Buprenorphine Treatment...... 128 Substance Abuse...... 129 TB Chest Clinic ...... 129 Telehealth Services ...... 129 Thoracic Surgery ...... 130 Urology ...... 131 Vascular Surgery...... 132 Wound Care ...... 133 INDEX ...... 134

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page iii of iii PHC PROVIDERS | SOLANO COUNTY DIRECTORY

How to use this list:

1.Pick two primary care providers (PCPs). One will be your first choice and the other will be your second choice. We ask you to pick a second choice in case your first choice is not available.

2.Write the names and the provider numbers of the primary care providers that you picked on the enclosed Primary Care Provider Selection Form. Call our Members Services Department to make sure the doctor or medical group is available.

3.Return the Primary Care Selection Form to PHC using the enclosed postage paid return envelope.

4.You can access some Medi-Cal benefits without an authorization from your PCP. Please refer to your Member Handbook or call the PHC Member Services Department for more information about these services.

5.Some hospitals and\or primary care providers may not provide one or more of the following services that are covered benefits: family planning contraceptive services, including emergency contraception; sterilization, including tubal ligation or abortion. You can obtain more information about these services before you choose your PCP by calling your prospective primary care provider or by calling the PHC’s Member Services Department at (800)863-4155. TTY Users: Call the California Relay Service at (800) 735-2929 or call 711.

6.Members are encouraged to pick a Primary Care Provider (PCP) that is closest to their home. However, members can choose any PCP in their County that is available in this Provider Directory.

7.The telephone number listed under each site in this directory is the same number to call after normal business hours.

If you need help filling out the Primary Care Selection Form or if you have any questions about choosing a primary care provider, please call our Member Services Department at (800) 863-4155. TTY Users: Call the California Relay Service at (800) 735-2929 or call 711.

Your PCP will give you a referral to send you to a specialist if you need one. A specialist is a doctor who has extra education in one area of medicine. Your PCP will work with you to choose a specialist.

For some types of care, your PCP or specialist will need to ask for approval before you get the care. This is called prior authorization or pre-approval. It means that PHC agrees that the care is medically necessary.

If you have any questions concerning handicapped accessibility, please call our Member Services Department at (800)863-4155. TTY Users: Call the California Relay Service at (800) 735-2929 or call 711.

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 1 of 137 PHC PROVIDERS | SOLANO COUNTY DIRECTORY

Para usar esta lista:

1.Escoja dos proveedores de atención primaria (PCP). El primero será el médico que usted prefiere, y el segundo será el que prefiere en segundo lugar. Le pedimos que seleccione dos en caso que el doctor que prefiere no esté disponible.

2.Escriba los nombres y el número de proveedor de cada uno de los dos médicos que escogió en el formulario que se llama "Primary Care Provider Selection Form". Llame a Nuestro Departamento de Servicio al Miembro para asegurarse de que el doctor o el grupo medico está disponible.

3.Regrese el formulario por correo a PHC en el sobre con sello que le incluimos.

4.Usted puede recibir algunos beneficios de Medi-Cal sin ninguna autorización de su doctor primario. Por favor de referir a su Manual para Miembros o llame al departamento de servicios para miembro de PHC para más información sobre estos servicios.

5.Algunos hospitales o proveedores de atención primaria puede que no ofrezcan uno o más de los siguientes beneficios que están cubiertos, como: planificación familiar servicios anticonceptivos, incluyendo anticonceptivo de emergencia, esterilización, incluyendo ligadura de las trompas o aborto. Usted puede recibir más información de estos servicios antes de escoger a su PCP si llama a su prospectivo proveedor de atención primaria o si llama al Departamento de Servicios para Miembros de PHC al (800) 863-4155 (TTY: (800) 735-2929 or 711).

6.Animados a miembros a escoger el proveedor primario (PCP) que esté más cerca de su casa. Sin embargo, miembros pueden escoger cualquier PCP en su condado que esté disponible en este Directorio de Proveedores.

7.El número de teléfono enumerado debajo de cada sitio en el directorio es el mismo número para llamar después de horas normales del negocio.

Si necesita ayuda para completar el formulario que se llama "Primary Care Provider Selection Form", o si tiene preguntas sobre cómo escoger un proveedor de atención primaria, por favor llame a nuestro Departamento de Servicios para Miembros al (800) 863-4155 (TTY: (800) 735-2929 or 711).

Su PCP le dará una referencia para enviarlo a un especialista si lo necesita. Un especialista es un médico que tiene educación adicional en un área de la medicina. Su PCP trabajará con usted para elegir un especialista.

Para algunos tipos de cuidado, su PCP o especialista necesitará pedir autorización antes de que usted obtenga la atención médica. Esto se llama autorización o aprobación previa. Esto significa que PHC esté de acuerdo en que el cuidado es médicamente necesario.

Si tiene cualquier pregunta sobre acceso para incapacitados, por favor llame al Departamento de Servicios para Miembros al ((800) 863-4155 (TTY: (800) 735-2929 or 711).

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 2 of 137 PHC PROVIDERS | SOLANO COUNTY DIRECTORY

Paano gagamitin ang listahang ito:

1.Pumili ng dalawang tagapagbigay ng pangunahing pangangalaga (mga PCP). Ang isa ang pangunahing pinipili ninyo at ang isa naman ay ang magiging pangalawang pinilipi ninyo. Hinihingi namin sa inyo na pumili kayo ng pangalawa kung sakaling hindi maaari ang pangunahing pinili ninyo.

2.Isulat ang mga pangalan at ang mga numero ng tagapagbigay ng pangangalaga ng mga pinili ninyong tagapagbigay ng pangunahing pangangalaga sa nakalakip na Form para sa Pagpili ng Tagapagbigay ng Pangunahing Pangangalaga. Tawagan ang aming Member Services Department upang siguraduhin na available ang doktor o ang medikal na grupo.

3.Ibalik ang Form para sa Pagpili ng Pangunahing Pangangalaga sa PHC gamit ang nakalakip na naselyuhang sobre.

4.Maaari ninyong makuha ang ilang mga benepisyo ng Medi-Cal nang walang awtorisasyon mula sa inyong PCP. Mangyaring sumangguni sa inyong Member Handbook o tawagan ang PHC Member Services Department para sa karagdagang impormasyon tungkol sa mga serbisyong ito.

5.Maaaring hindi ipinagkakaloob ng ilang ospital at\o tagapagbigay ng pangunahing pangangalaga ang isa o higit pa sa mga sumusunod na serbisyo na mga sakop na benepisyo: mga serbisyo sa kontraseptibo para sa pagpaplano ng pamilya, kabilang ang pang-emergency na kontrasepsyon; sterilization, kabilang ang tubal ligation o aborsyon. Maaari kayong makakuha ng karagdagang impormasyon tungkol sa mga serbisyong ito bago ninyo piliin ang inyong PCP sa pamamagitan ng pagtawag sa inyong inaasahang tagapagbigay ng pangunahing pangangalaga o sa pamamagitan ng pagtawag sa Member Services Department ng PHC sa (800) 863-4155 (TTY: (800) 735-2929 or 711).

6.Hinihikayat ang mga miyembro na pumili ng isang Tagapagbigay ng Pangunahing Pangangalaga (PCP) na pinakamalapit sa kanilang tahanan. Gayunpaman, maaaring pumili ang mga miyembro ng sinumang PCP sa kanilang County na available sa Direktoryo ng Tagapagbigay ng Serbisyo na ito.

7.Ang numero ng teleponong nakalista sa ilalim ng bawat site sa direktoryong ito ay parehong numerong tatawagan makalipas ang mga karaniwang oras ng trabaho.

Kung kailangan ninyo ng tulong sa pagsagot sa Form para sa Pagpili ng Pangunahing Pangangalaga o kung mayroon kayong anumang tanong tungkol sa pagpili ng tagapagbigay ng pangunahing pangangalaga, mangyaring tawagan ang aming Member Services Department sa (800) 863-4155.

Bibigyan kayo ng inyong PCP ng rekomendasyon at papupuntahin kayo sa isang espesyalista kung kailangan ninyo ito. Ang espesyalista ay isang doktor na may karagdagang pag-aaral sa isang larangan ng medisina. Makikipagtulungan sa inyo ang inyong PCP upang pumili ng isang espesyalista.

Para sa ilang uri ng pangangalaga, kailangang humingi ang inyong PCP o espesyalista ng pahintulot bago kayo makakuha ng pangangalaga. Ito ay tinatawag na paunang awtorisasyon o nauunang pag-apruba. Ibig sabihin nito na sumasang-ayon ang PHC na ang pangangalaga ay kinakailangan sa dahilang medikal. Kung mayroon kayong anumang mga tanong hinggil sa accessibility o kadaliang mapuntahan para sa mga may kapansanan, mangyaring tawagan ang aming Member Services Department sa (800) 863-4155 (TTY: (800) 735-2929 or 711).

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 3 of 137 PHC PROVIDERS | SOLANO COUNTY DIRECTORY

PHC Provider Directory - Glossary of Terms Here you'll find definitions of basic terms used in the PHC Provider Directory. If you are unable to find an answer to your question, please call Member Services at (800) 863-4155.

Source of Listings Information for the following items is obtained from providers when they complete their application to join PHC and every three years thereafter. We also check with providers to validate this information every year. We count on the providers to tell us if this information has changed. Updates that are not communicated to us by the provider will not be added to the directory until our next scheduled verification. 1. Name 2. Gender 3. Specialty 4. Hospital Privileges 5. Medical Group Affiliations 6. Board Certifications 7. Accepting New Patients 8. Languages spoken by providers or clinical staff 9. Office locations and phone numbers

Ancillary Provider An ancillary provider includes durable medical equipment provider, physical therapist, occupational therapist, etc.

Specialty Specialty means the type of medical care the physician practices. For example, the doctor could specialize in family medicine, dermatology, cardiology, etc. When a physician indicates a specialty on their application to join PHC, we check the providers’ education and training history to ensure they are qualified to provide the type of specialty care indicated. Many physicians will complete additional education and training in their specialty area and receive a certification. Please see Board Certification below.

Board Certification Board certification means the physician completed additional education and training in an area of medicine and passed an examination that certifies he or she has expertise in this area. This information is checked with the American Board of Medical Specialties (ABMS) or other boards when providers complete their application to join PHC and every three years after that. We also check this information every year by asking providers to tell us if the information is still correct. If you would like updated information about a provider’s board certification, visit the ABMS website at www.abms.org. Then click on the “Is Your Doctor Certified?” link.

Education and Training If you have a question about a physician’s education and training, you can find the information on the Medical Board of California website at www.mbc.ca.gov under License Search, or call PHC Member Services (800) 863-4155.

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 4 of 137 PHC PROVIDERS | SOLANO COUNTY DIRECTORY

Community Health Clinic This is a clinic staffed by a group of doctors and nurses located in a community.

Medical Group Affiliations The practice, or medical group, the provider belongs to.

Assigned Hospital The hospital that your provider will send you to when you need inpatient care, unless the care is not available at this hospital.

Hospital Privileges The hospital where the provider has been approved to render or arrange care.

Provider Languages Languages other than English spoken by the provider and other clinical staff.

Staff Languages Languages other than English spoken by nonclinical office staff at the site, not providers.

Provider Address The location where services and care are rendered.

Provider Site Status • Accepting New Patients: The provider site is able to see new patients. • Accepting Existing Patients: The provider site is only able to see patients who are already assigned to the site. • Available by Referral Only: The provider site is only able to see patients who are referred by their primary care physician. • Available only through a hospital or facility: The provider does not see patients in an office setting. The provider only works with patients who are receiving care at a hospital or facility. • Not Accepting New Patients: The provider site is not able to add new patients to their site. Specialty Type Allows searching by the provider’s medical specialty, or the type of facility. For example, if you are looking for a Dermatologist, select Dermatology from the list. Note: Some physicians may have more than one specialty. For facilities, if you are looking for a hospital, for example, select hospital.

Terms Used in Hospital Listings The Provider Directory allows you to search for hospitals, clinics and other facilities in PHC’s network. Below is a list of information you can find in the Provider Directory about a hospital and what they mean. This information is self-reported by the hospital and updated every three years or more frequently as reported by the hospital. We also check with the hospitals to validate this information every year. We count on the hospital to tell us if this information has changed. Updates that are not communicated to us by the hospital will not be added to the directory until our next scheduled validation.

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 5 of 137 PHC PROVIDERS | SOLANO COUNTY DIRECTORY

• Name means the name of a hospital in PHC’s network. • Address means the physical location of a hospital in PHC’s network. • Phone means the telephone number of a hospital in PHC’s network.

Hospital Quality Data Sources Hospital Quality Data means data from recognized nation or state sources about the quality of a hospital in PHC’s network. PHC’s Provider Directory includes links to quality data from The Leapfrog Group and Quality Check. This information is validated with the applicable accreditation entity every three years or more frequently as report by the hospital.

Hospital Accreditation When a hospital goes through a review to assess the quality of its systems and processes by an outside organization. PHC checks with the accrediting body to see if the hospital is accredited every 3 years. The Provider Directory includes a link to the hospital’s accrediting body.

Wheelchair & Accessibility Codes This information is for people with disabilities to help them find an accessible office. Each office is evaluated on the level of access for parking, building, elevator, doctor’s office exam room, and restrooms.

Levels of Access Accessibility Codes (see page 23 for a description of codes: éP EB IB R E T) Basic Access The office meets the standards below for parking, exterior and interior building, restrooms, and exam rooms (P, EB, IB, R, and E). Limited Access The office does not meet one or more of the standards for parking, exterior and interior building, restrooms, and exam rooms (P, EB, IB, R, and E). Medical Equipment Access The office meets the standard below for exam tables and scales (T).

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 6 of 137 PHC PROVIDERS | SOLANO COUNTY DIRECTORY

Directorio de proveedores PHC - Glosario de términos Aquí encontrará las definiciones de términos básicos utilizados en el directorio de proveedores de PHC. Si no puede encontrar una respuesta a su pregunta, por favor llame a servicios al miembro al (800) 863-4155.

Fuente de listados Información para los siguientes artículos se obtiene de parte de los proveedores cuando terminan su solicitud para inscribirse en PHC y cada tres años en lo consiguiente. También verificamos con los proveedores para validar esta información cada año. Confiamos en que los proveedores nos indicarán si esta información ha cambiado. Las actualizaciones que no se nos comuniquen de parte del proveedor no se agregarán al directorio hasta nuestra próxima verificación. 1. Nombre 2. Sexo 3. Especialidad 4. Privilegios en el hospital 5. Afiliaciones con grupos médicos 6. Certificación profesional de la junta 7. Aceptando pacientes nuevos 8. Idiomas que hablan los proveedores o e personal clínico 9. Ubicaciones de las oficinas y números de teléfono

Proveedores de servicios auxiliares Un proveedor de servicios auxiliares incluyen a un proveedor de equipo médico duradero, fisioterapeuta, terapeuta ocupacional, etc.

Especialidad Especialidad significa el tipo de atención médica que los médicos proporcionan en su consultorio. Por ejemplo, el médico podría especializarse en medicina familiar, cardiología, dermatología, etc. Cuando un médico indica una especialidad en su solicitud para inscribirse en PHC, nosotros verificamos la formación educativa del proveedor y el historial de su capacitación para asegurarnos de que estén calificados para proporcionar el tipo de atención especializada que se indica. Muchos médicos terminarán su formación educativa y capacitación en su área de especialidad y recibirán una certificación. Por favor consulte la certificación profesional de la junta a continuación.

Certificación profesional de la junta La certificación profesional de la junta significa que el médico terminó una formación educativa adicional y capacitación en un área de la medicina y pasó un examen que certifica que él o ella tiene experiencia en esta área. Esta información es revisada con la Junta Americana de Especialidades Médicas (ABMS-siglas en inglés) o con otras juntas cuando los proveedores contestan su solicitud para inscribirse en PHC y cada tres años en lo consiguiente. También revisamos esta información cada año al solicitarle a los proveedores que nos indiquen si la información todavía es correcta. Si desea obtener información actualizada acerca de la certificación de un proveedor ante la junta, visite el sitio web ABMS en www.abms.org. Luego, haga clic en el vínculo "Está certificado su médico?”

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 7 of 137 PHC PROVIDERS | SOLANO COUNTY DIRECTORY Formación educativa y capacitación Si tiene alguna pregunta sobre la formación educativa y capacitación de un médico, usted puede encontrar la información en el sitio web de la Junta Médica de California en www.mbc.ca.gov en la sección de Búsqueda de la Licencia o llame a servicios al miembro de PHC al (800) 863-4155. Clínica comunitaria de salud Esta es una clínica que cuenta con un grupo de médicos y enfermeras ubicados en la comunidad.

Afiliaciones con grupos médicos El consultorio o grupo médico al que el proveedor pertenece.

Hospital asignado El hospital al que su proveedor le enviará cuando usted necesite atención de hospitalización, a menos que la atención no esté disponible en ese hospital.

Privilegios en el hospital El hospital en el que el proveedor haya sido aprobado para brindar o coordinar la atención.

Idiomas que habla el proveedor Idiomas que no sean el inglés que el proveedor y otro personal clínico hablan.

Idiomas que habla el personal Idiomas que no sean el inglés que el personal no clínico del consultorio habla en el sitio, no se refiere a los proveedores.

Dirección del proveedor El lugar donde se brindan los servicios y la atención.

Estado del sitio de los proveedores • Aceptando pacientes nuevos: el sitio del proveedor es capaz de atender a pacientes nuevos. • Aceptando pacientes ya existentes: el sitio del proveedor sólo es capaz de atender a los pacientes que ya han sido asignados al sitio. • Disponible con referencia únicamente: el sitio del proveedor solo puede atender a los pacientes que son referidos por su médico de atención primaria. • Disponible únicamente por medio de un hospital o centro de salud: el proveedor no atiende a los pacientes en un entorno de consultorio. El proveedor únicamente trabaja con los pacientes que están recibiendo atención en un hospital o centro de salud. • No acepta nuevos pacientes: el sitio del proveedor no está disponible para atender a nuevos pacientes en su sitio.

Tipo de especialidad Permite la búsqueda del proveedor por especialidad médica o por el tipo de centro de salud. Por ejemplo, si usted está buscando un dermatólogo, seleccione Dermatología en la lista. Nota: Algunos médicos pueden tener más de una especialidad. Para centros de salud, si usted está buscando un hospital, por ejemplo, seleccione hospital.

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 8 of 137 PHC PROVIDERS | SOLANO COUNTY DIRECTORY Términos utilizados en los listados del Hospital El directorio de proveedores le permite buscar hospitales, clínicas y otros centros de salud en la red de PHC. A continuación encontrará una lista de la información sobre un hospital que usted puede encontrar en el directorio de proveedores y lo que significa. Esta información es auto reportada por el hospital y se actualiza cada tres años o con más frecuencia conforme el hospital lo informe. También verificamos con los hospitales para validar esta información cada año. Confiamos en que los hospitales nos indicarán si esta información ha cambiado. Las actualizaciones que no se nos comuniquen de parte del hospital no se agregarán al directorio hasta nuestra próxima validación programada. • Nombre significa el nombre de un hospital de la red de PHC. • Dirección significa la ubicación física de un hospital de la red de PHC. • Teléfono es el número de teléfono de un hospital de la red de PHC.

Fuente de datos de calidad del hospital Los datos sobre la calidad del hospital son los datos de parte de fuentes nacionales o estatales reconocidas sobre la calidad de un hospital de la red de PHC. El directorio de proveedores de PHC incluye vínculos a información sobre la calidad del The Leapfrog Group and Quality Check. Esta información es validada con la entidad de acreditación aplicable cada tres años o con más frecuencia conforme el hospital lo informe.

Acreditación de hospitales Cuando un hospital experimenta una revisión para evaluar la calidad de sus procesos y sistemas por una organización externa. PHC verifica con el organismo de acreditación para determinar si el hospital es acreditado cada 3 años. El directorio de proveedores incluye un enlace al organismo de acreditación del hospital.

Silla de ruedas y los códigos de accesibilidad Esta información es para las personas con discapacidades para ayudarles a encontrar una oficina accesible. Cada clínica se evalúa de acuerdo al nivel de acceso para el estacionamiento, el edificio, el ascensor, el consultorio de examinación del médico y los baños.

Niveles de acceso Los códigos de accesibilidad (vea la página 24 para obtener una descripción de los códigos:éP EB IB R E T ) Acceso básico La oficina cumple con los estándares que se encuentran a continuación para el estacionamiento, el interior y exterior del edificio, baños y los consultorios de examinación (P, EB, IB, R y E). Acceso limitado La oficina no cumple con uno o más de los estándares para el estacionamiento, el interior y exterior del edificio, los baños y los consultorios de examinación (P, EB, IB, R y E). Acceso al equipo médico l consultorio cumple con los siguientes estándares en mesas de examinación y básculas (T).

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 9 of 137 PHC PROVIDERS | SOLANO COUNTY DIRECTORY

Direktoryo ng Tagapagbigay ng Serbisyo ng PHC - Talahuluganan ng mga Salita Makikita ninyo dito ang mga kahulugan ng mga pangunahing salitang ginagamit sa Direktoryo ng Tagapagbigay ng Serbisyo ng PHC. Kung wala kayong makitang sagot sa inyong tanong, mangyaring tawagan ang Mga Serbisyo sa Miyembro sa (800) 863-4155.

Pinagkuhanan ng mga Nakalista Ang impormasyon para sa mga sumusunod na item ay kinukuha mula sa mga tagapagbigay ng serbisyo kapag kinukumpleto nila ang kanilang aplikasyong sumali sa PHC at kada tatlong taon pagkatapos.Nakikipag-ugnayan din kami sa mga tagapagbigay ng serbisyo upang patunayan ang impormasyong ito taun-taon.Umaasa kami sa mga tagapagbigay ng serbisyo na sabihin sa amin kung nagbago ang impormasyong ito.Ang mga update na hindi ipinararating sa amin ng tagapagbigay ng serbisyo ay hindi maidaragdag sa direktoryo hanggang sa susunod na nakatakdang pagbeberipika. 1. Pangalan 2. Kasarian 3. Espesyalidad 4. Mga Pribilehiyo sa Ospital 5. Kinaaanibang Medikal na Grupo 6. Mga Sertipikasyon ng Lupon 7. Tumatanggap ng mga Bagong Pasyente 8. Mga Wikang ginagamit ng mga tagapagbigay ng serbisyo o tauhan ng klinika 9. Mga lokasyon ng opisina at numero ng telepono

Tagapagbigay ng Pansuportang Serbisyo Kabilang sa tagapagbigay ng pansuportang serbisyo ang provider ng matibay na kagamitang medikal, physical therapist, occupational therapist, atbp.

Espesyalidad Ang espesyalidad ay tumutukoy sa uri ng mga medikal na pangangalagang ipinagkakaloob ng doktor.Halimbawa, maaaring espesyalisado ang doktor sa family medicine, dermatology, cardiology, atbp.Kapag inilagay ng doktor ang espesyalidad sa kanilang aplikasyon para sumali sa PHC, sinisiyasat namin ang edukasyon at mga pagsasanay ng mga tagapagbigay ng serbisyo upang tiyakin na kwalipikado silang magkaloob ng pangangalaga sa sinabing espesyalidad.Maraming doktor ang makakatapos ng karagdagang edukasyon at pagsasanay sa kanilang larangan ng espesyalidad at tatanggap ng sertipikasyon.Pakitingnan ang Sertipikasyon ng Lupon sa ibaba.

Sertipikasyon ng Lupon Ang sertipikasyon ng lupon ay nangangahulugan na nakumpleto ng doktor ang karagdagang edukasyon at pagsasanay sa isang larangan ng medisina at nakapasa sa isang eksaminasyon na nagpapatunay na isa siyang eksperto sa larangang ito. Ang impormasyong ito ay sinusuri ng American Board of Medical Specialties (ABMS) o mga iba pang lupon kapag kinukumpleto ng mga tagapagbigay ng serbisyo ang kanilang aplikasyon para sumali sa PHC at kada tatlong taon pagkatapos.Tinitingnan din namin ang impormasyong ito taun-taon sa pamamagitan ng paghiling sa

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 10 of 137 PHC PROVIDERS | SOLANO COUNTY DIRECTORY

mga tagapagbigay ng serbisyo na sabihin sa amin kung tama pa rin ba ang impormasyon.Kung gusto ninyo ng updated na impormasyon tungkol sa sertipikasyon ng lupon ng isang tagapagbigay ng serbisyo, bisitahin ang ABMS website sa www.abms.org.Pagkatapos ay mag-click sa link na “Is Your Doctor Certified? (Sertipikado ba ang Inyong Doktor?)”.

Edukasyon at Pagsasanay Kung mayroon kayong tanong tungkol sa edukasyon at pagsasanay ng isang doktor, makikita ninyo ang impormasyon sa website ng Medical Board of California sa www.mbc.ca.gov sa ilalim ng License Search (Paghahanap ng Lisensiya), o tawagan ang Mga Serbisyo sa Miyembro ng PHC (800) 863-4155.

Klinikang Pangkalusugan sa Komunidad Ito ay isang klinikang may mga tauhan na grupo ng mga doktor at nurse na nasa isang komunidad.

Kinaaanibang Medikal na Grupo Ang panunungkulan, o medikal na grupo, na kinabibilangan ng tagapagbigay ng serbisyo.

Nakatalagang Ospital Ang ospital kung saan kayo ipadadala ng inyong tagapagbigay ng serbisyo kapag kailangan ninyo ng pang-inpatient na pangangalaga, maliban kung hindi available ang pangangalaga sa ospital na ito.

Mga Pribilehiyo sa Ospital Ang ospital kung saan naaprubahang magkaloob o mag-ayos ng pangangalaga ang tagapagbigay ng serbisyo.

Mga Wika ng Tagapagbigay ng Serbisyo Mga wikang bukod sa Ingles na ginagamit ng tagapagbigay ng serbisyo at iba pang tauhan sa klinika.

Mga Wika ng Tauhan Mga wikang bukod sa Ingles na ginagamit ng hindi pangklinikang tauhan sa opisina, hindi mga tagapagbigay ng serbisyo.

Address ng Tagapagbigay ng Serbisyo Ang lokasyon kung saan ipinagkakaloob ang mga serbisyo at pangangalaga.

Site Status ng Tagapagbigay ng Serbisyo • Tumatanggap ng mga Bagong Pasyente: Maaaring tumingin ng mga bagong pasyente ang site ng tagapagbigay ng serbisyo. • Tumatanggap ng mga Kasalukuyang Pasyente: Maaari lamang tumingin ang site ng tagapagbigay ng serbisyo ng mga pasyenteng dati nang nakatalaga sa site. • Available sa pamamagitan Lamang ng Rekomendasyon: Maaari lamang tumingin ang site ng tagapagbigay ng serbisyo ng mga pasyenteng inirekomenda ng kanilang doktor sa pangunahing pangangalaga.

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 11 of 137 PHC PROVIDERS | SOLANO COUNTY DIRECTORY

• Available sa pamamagitan lamang ng ospital o pasilidad: Hindi tumitingin ang tagapagbigay ng serbisyo ng mga pasyente sa loob ng opisina.Inaasikaso lamang ng tagapagbigay ng serbisyo ang mga pasyenteng tumatanggap ng pangangalaga sa isang ospital o pasilidad. • Hindi Tumatanggap ng mga Bagong Pasyente: Hindi tumatanggap ang site ng tagapagbigay ng serbisyo ng mga bagong pasyente sa kanilang site.

Uri ng Espesyalidad Pinahihintulutan ang paghahanap ayon sa medikal na espesyalidad ng tagapagbigay ng serbisyo, o sa uri ng pasilidad.Halimbawa, kung naghahanap kayo ng isang Dermatologist, piliin ang Dermatolohiya sa listahan.Tandaan: Ang ilang doktor ay maaaring may higit sa isang espesyalidad.Para sa mga pasilidad, halimbawa, kung naghahanap kayo ng isang ospital, piliin ang ospital.

Mga Salitang Ginagamit sa mga Listahan ng Ospital Pinahihintulutan kayo ng Direktoryo ng Tagapagbigay ng Serbisyo na maghanap ng mga ospital, klinika at iba pang mga pasilidad sa network ng PHC.Nasa ibaba ang listahan ng impormasyong makikita ninyo sa Direktoryo ng Tagapagbigay ng Serbisyo tungkol sa isang ospital at kung ano ang ibig sabihin ng mga ito.Ang impormasyong ito ay ibinigay mismo ng ospital at ina-update kada tatlong taon o mas madalas ayon sa inire-report ng ospital.Nakikipag-ugnayan din kami sa mga ospital upang i-validate ang impormasyong ito taun-taon.Umaasa kami na sabihin sa amin ng ospital kung nagbago ang impormasyong ito.Ang mga update na hindi ipinararating sa amin ng ospital ay hindi maidaragdag sa direktoryo hanggang sa aming susunod na nakatakdang validation. • Ang Pangalan ay tumutukoy sa pangalan ng ospital sa network ng PHC. • Ang Address ay tumutukoy sa pisikal na lokasyon ng ospital sa network ng PHC. • Ang Telepono ay tumutukoy sa numero ng telepono ng ospital sa network ng PHC. Mga Pinagmumulan ng mga Datos tungkol sa Kalidad ng Ospital Ang mga Datos tungkol sa Kalidad ng Ospital ay tumutukoy sa mga datos galing sa mga pinagmumulang kilala sa bansa o estado tungkol sa kalidad ng isang ospital sa network ng PHC.Kasama sa Direktoryo ng Tagapagbigay ng Serbisyo ng PHC ang mga link sa mga datos tungkol sa kalidad mula sa The Leapfrog Group at Quality Check.Bina-validate ang impormasyong ito sa angkop na akreditadong entidad kada tatlong taon o mas madalas ayon sa report ng ospital.

Akreditasyon ng Ospital Kapag dadaan ang isang ospital sa pagrerepaso upang suriin ng isang taga-labas na organisasyon ang kalidad ng mga sistema at proseso nito. Nakikipag-ugnayan ang PHC sa entidad na nagbibigayakreditasyon upang alamin kung akreditado ang ospital kada 3 taon.Kasama sa Direktoryo ng Tagapagbigay ng Serbisyo ang isang link sa entidad na nagbibigay-akreditasyon sa ospital.

Mga Code para sa Wheelchair at Accessibility Ang impormasyong ito ay para sa mga tao na may mga kapansanan upang tulungan silang maghanap ng opisinang madaling mapuntahan.Bawat opisina ay sinusuri sa lebel ng pag-access

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 12 of 137 PHC PROVIDERS | SOLANO COUNTY DIRECTORY

para sa pagpaparada ng sasakyan, gusali, elevator, silid pang-eksaminasyon ng opisina ng doktor, at mga banyo.

Mga Antas ng Access Mga Accessibility Code (tingnan ang pahina 25 para sa paglalarawan sa mga code: éP EB IB R E T Pangunahing Access Natutugunan ng opisina ang mga pamantayan sa ibaba para sa pagpaparada ng sasakyan, labas at loob ng gusali, mga banyo, mga silid pang-eksaminasyon (P, EB, IB, R, at E). Limitadong Access Hindi natutugunan ng opisina ang isa o higit pa sa mga pamantayan para sa pagpaparada ng sasakyan, labas at loob ng gusali, mga banyo, at silid pang-eksaminasyon (P, EB, IB, R, at E). Access sa Medikal na Kagamitan Natutugunan ng opisina ang pamantayan sa ibaba para sa mga mesang pang-eksaminasyon at timbangan (T).

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 13 of 137 PHC PROVIDERS | SOLANO COUNTY DIRECTORY NONDISCRIMINATION NOTICE Discrimination is against the law. Partnership HealthPlan of California follows Federal civil rights laws. Partnership HealthPlan of California does not discriminate, exclude people, or treat them differently because of race, color, national origin, age, disability, or sex.

Partnership HealthPlan of California provides:

Free aids and services to people with disabilities to help them communicate better, such as:

Qualified sign language interpreters

Written information in other formats (large print, audio, accessible electronic formats, other formats)

Free language services to people whose primary language is not English, such as:

Qualified interpreters

Information written in other languages

If you need these services, contact Partnership HealthPlan of California between 8 a.m. – 5 p.m. by calling (800) 863-4155. Or, if you cannot hear or speak well, please call (800) 735-2929 or 711.

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 14 of 137 PHC PROVIDERS | SOLANO COUNTY DIRECTORY

HOW TO FILE A GRIEVANCE

If you believe that Partnership HealthPlan of California has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with Partnership HealthPlan of California. You can file a grievance by phone, in writing, in person, or electronically: •By phone: Contact Partnership HealthPlan of California between 8 a.m. – 5 p.m. by calling (800) 863-4155. Or, if you cannot hear or speak well, please call (800) 735-2929 or 711. •In writing: Fill out a complaint form or write a letter and send it to: Partnership HealthPlan of California 4665 Business Center Drive Fairfield, CA 94534 OR Partnership HealthPlan of California 3688 Avtech Parkway Redding, CA 96002 •In person: Visit your doctor’s office or Partnership HealthPlan of California and say you want to file a grievance. •Electronically: Visit website Partnership HealthPlan of California at www.partnershiphp.org

OFFICE OF CIVIL RIGHTS You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights by phone, in writing, or electronically: •By phone: Call (800) 368-1019. If you cannot speak or hear well, please call TTY/TDD (800) 537-7697. •In writing: Fill out a complaint form or send a letter to: U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201 Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html. •Electronically: Visit the Office for Civil Rights Complaint Portal at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf.

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 15 of 137 PHC PROVIDERS | SOLANO COUNTY DIRECTORY AVISO DE NO DISCRIMINACIÓN La discriminación está prohibida por ley. Partnership HealthPlan of California cumple las leyes federales de derechos civiles. Partnership HealthPlan of California no discrimina, excluye ni trata a personas de manera diferente debido a la raza, color, nacionalidad, edad, discapacidad o sexo.

Partnership HealthPlan of California proporciona:

Ayuda gratuita y servicios a las personas con discapacidades para comunicarse mejor, como:

Intérpretes de lenguaje de señas calificados

Información escrita en otros formatos (letra grande, audio, formatos electrónicos accesibles, otros formatos)

Servicios gratuitos de idiomas para las personas cuyo idioma primario no es el inglés, como:

Intérpretes calificados

Información escrita en otros idiomas

Si necesita estos servicios, comuníquese a Partnership HealthPlan of California de 8 a. m. a 5 p. m. llamando al (800) 863- 4155. O, si no puede escuchar o hablar bien, por favor llame al (800)735-2929 o 711.

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 16 of 137 PHC PROVIDERS | SOLANO COUNTY DIRECTORY

COMO PRESENTAR UNA QUEJA

Si usted cree que Partnership HealthPlan of California ha fallado en proveer estos servicios o ha discriminado en otra manera basada en raza, color, nacionalidad, edad, discapacidad o sexo, usted puede presentar una queja ante Partnership HealthPlan of California. Usted puede presentar una queja por teléfono, por escrito o por vía electrónica:  Por teléfono: Póngase en contacto con Partnership HealthPlan of California entre 8 a.m. - 5 p.m. llamando al (800) 863-4155. O, si no puede escuchar o hablar bien, por favor llame al (800) 735-2929 o 711.  Por escrito: Llene un formulario de reclamo o escriba una carta y envíela a: Partnership HealthPlan of California 4665 Business Center Drive Fairfield, CA 94534 O Partnership HealthPlan of California 3688 Avtech Parkway Redding, CA 96002  En persona: Visite al consultorio de su médico o Partnership HealthPlan of California y diga que desea presentar una queja.  Por vía electrónica: Visite el sitio web de Partnership HealthPlan of California en www.partnershiphp.org

OFICINA DE DERECHOS CIVILES Usted también puede presentar una queja de derechos civiles ante la Oficina de Derechos Civiles del Departamento de Salud y Servicios Humanos de EE. UU., por teléfono, por escrito o por vía electrónica:  Por teléfono: Llame al (800) 368-1019. Si no puede escuchar o hablar bien, favor de llamar al TTY/TDD (800) 537-7697.  Por escrito: Llene un formulario de reclamo o envíe una carta a: U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201 Los formularios de quejas están disponibles en http://www.hhs.gov/ocr/office/file/index.html.  Por vía electrónica: Visite el Portal de Reclamos de la Oficina de Derechos Civiles, al https://ocrportal.hhs.gov/ocr/portal/lobby.jsf.

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 17 of 137 PHC PROVIDERS | SOLANO COUNTY DIRECTORY ABISO TUNGKOL SA HINDI PAGDIDISKRIMINA Ang diskriminasyon ay labag sa batas. Sinusunod ng Partnership HealthPlan of California ang mga Pederal na batas sa mga karapatang sibil. Ang Partnership HealthPlan of California ay hindi nagdidiskrimina, nagpupuwera ng mga tao o tinatrato sila nang naiiba dahil sa lahi, kulay ng balat, bansang pinagmulan, edad, kapansanan, o kasarian. Ang Partnership HealthPlan of California ay nagkakaloob ng:  Mga libreng tulong at serbisyo sa mga taong may mga kapansanan upang tulungan silang makipag-usap nang mas maayos tulad ng:  Mga kwalipikadong tagapagsalin ng sign language  Nakasulat na impormasyon sa iba pang mga format (malalaking letra, audio, madaling makuhang elektronikong format, iba pang mga format)  Libreng mga serbisyo sa wika sa mga tao na ang kanilang pangunahing wika ay hindi Ingles, tulad ng:  Mga kwalipikadong tagapagsalin  Impormasyon na nakasulat sa iba pang mga wika Kung kailangan ninyo ang mga serbisyong ito, makipag-ugnayan sa Partnership HealthPlan of California sa pagitan ng 8 a.m. – 5 p.m. sa pamamagitan ng pagtawag sa (800) 863-4155. O kung hindi kayo nakakarinig o nakapagsasalita nang mabuti, mangyaring tumawag sa (800) 735-2929 o 711.

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 18 of 137 PHC PROVIDERS | SOLANO COUNTY DIRECTORY

PAANO MAGHAIN NG KARAINGAN Kung naniniwala kayong nabigo ang Partnership HealthPlan of California na ipagkaloob ang mga serbisyong ito o nadiskrimina kayo sa iba pang paraan dahil sa lahi, kulay ng balat, bansang pinagmulan, edad, kapansanan, o kasarian, maaari kayong maghain ng karaingan sa Partnership HealthPlan of California. Maaari kayong maghain ng karaingan sa telepono, sa pamamagitan ng sulat, nang personal, o sa elektronikong paraan:  Sa pamamagitan ng telepono: Makipag-ugnayan sa Partnership HealthPlan of California sa pagitan ng 8 a.m. – 5 p.m. sa pamamagitan ng pagtawag sa (800) 863-4155. O kung hindi kayo nakakarinig o nakapagsasalita nang mabuti, mangyaring tumawag sa (800) 735-2929 o 711.  Sa sulat: Sagutan ang isang form ng reklamo o sumulat sa: Partnership HealthPlan of California 4665 Business Center Drive Fairfield, CA 94534 O Partnership HealthPlan of California 3688 Avtech Parkway Redding, CA 96002  Personal: Bisitahin ang opisina ng inyong doktor o ang Partnership HealthPlan of California at sabihin na gusto ninyong maghain ng karaingan.  Sa elektronikong paraan: Bisitahin ang website ng Partnership HealthPlan of California sa www.partnershiphp.org

OPISINA PARA SA MGA KARAPATANG SIBIL Maaari din kayong maghain ng reklamo kaugnay sa mga karapatang sibil sa U.S. Department of Health and Human Services, Office for Civil Rights sa telepono, sa pamamagitan ng sulat, o sa elektronikong paraan:  Sa telepono: Tumawag sa (800) 368-1019. Kung hindi kayo nakapagsasalita o nakakarinig nang mabuti, mangyaring tumawag sa TTY/TDD (800) 537-7697.  Sa sulat: Sagutan ang form ng reklamo o magpadala ng sulat sa: U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201 May makukuhang mga form ng reklamo sa http://www.hhs.gov/ocr/office/file/index.html.  Sa elektronikong paraan: Bisitahin ang Office for Civil Rights Complaint Portal sa https://ocrportal.hhs.gov/ocr/portal/lobby.jsf.

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 19 of 137 PHC PROVIDERS | SOLANO COUNTY DIRECTORY LANGUAGE ASSISTANCE English ATTENTION: If you speak another language, language assistance services, free of charge, are available to you. Call (800) 863-4155 (TTY: (800) 735-2929 or 711).

Español (Spanish) ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al (800) 863-4155 (TTY: (800) 735-2929 or 711).

Русский (Russian) ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните (800) 863-4155 (TTY: (800) 735-2929 or 711).

Tiếng Việt (Vietnamese) CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số (800) 863-4155 (TTY: (800) 735-2929 or 711).

Tagalog (Tagalog ̶ Filipino) PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa (800) 863-4155 (TTY: (800) 735-2929 or 711).

한국어 (Korean)

주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. (800) 863-4155 (TTY: (800) 735-2929 or 711) 번으로 전화해 주십시오.

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 20 of 137 PHC PROVIDERS | SOLANO COUNTY DIRECTORY

繁體中文(Chinese) 注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電 (800) 863-4155 (TTY: (800) 735-2929 or 711)。

Հայերեն (Armenian) ՈՒՇԱԴՐՈՒԹՅՈՒՆ՝ Եթե խոսում եք հայերեն, ապա ձեզ անվճար կարող են տրամադրվել լեզվական աջակցության ծառայություններ: Զանգահարեք (800) 863-4155 (TTY (հեռատիպ)՝ (800) 735-2929 or 711):

(Farsi) فارسی توجه: اگر به زبان فارسی گفتگو می کنید، تسهی�ت زبانی بصورت رایگان برای شما فراهم می باشد. با (TTY: (800) 735-2929 or 711) 4155-863 (800) تماس بگیرید.

日本語 (Japanese) 注意事項:日本語を話される場合、無料の言語支援をご利用いただ けます。(800) 863-4155 (TTY: (800) 735-2929 or 711) まで、お電話にてご 連絡ください。

Hmoob (Hmong) LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau (800) 863-4155 (TTY: (800) 735-2929 or 711).

ਪੰ ਜਾਬੀ (Punjabi)

ਧਿਆਨ ਧਿਓ :ਜੇ ਤੁਸ �ਪੰਜਾਬ ਬੋਲਿੇ ਹੋ ,ਤਾ� ਭਾਸ਼ਾ ਧ �ਚ ਸਹਾਇਤਾ ਸੇ ਾ ਤੁਹਾਡੇ ਲਈ ਮੁਫਤ ਉਪਲਬਿ ਹੈ। (800) 863-4155 (TTY: (800) 735-2929 or 711) 'ਤੇ ਕਾਲ ਕਰੋ।

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 21 of 137 PHC PROVIDERS | SOLANO COUNTY DIRECTORY

(Arabic) العربية ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل برقم 4155-863 (800) )رقم هاتف الصم والبكم: 711 .)or (800) 735-2929

ह दी� (Hindi) ध्यान दें: यदि आप ह दी� बोलते हैं तो आपके लिए मुफ्त म ें भाषा सहायता सेवाएं उपलब्ध हैं। (800) 863-4155 (TTY: (800) 735-2929 or 711) पर कॉल करें।

ภาษาไทย (Thai) เรียน: ถ้าคุณพูดภาษาไทยคุณสามารถใช้บริการช่วยเหลือทางภาษาได้ฟรี โทร (800) 863-4155 (TTY: (800) 735-2929 or 711).

�មែរ (Cambodian) �រយ័�ន៖ ររ សិនើ ��នកន�ិ យ ���មែ , រស�ជំនួយមននក�� រោយមិនគិ�ួ ្នល គឺ�ច�នសំ� ់ ំររ �ើ នក។ ចូ ទូ ស័�ទ (800) 863-4155 (TTY: (800) 735-2929 or 711) ។

ພາສາລາວ (Laotian) ໂປດຊາບ: ຖ້ າວ່ າ ທ່ ານເ ວ້ າພາສາ ລາວ, ການໍບິລການຊ່ ວຍເຫ� ອດ້ ານພາສາ, ໂດຍບໍ່ ເສັ ຽຄ່ າ, ແມ່ ນມີ ພ້ ອມໃຫ້ ທ່ ານ. ໂທຣ (800) 863-4155 (TTY: (800) 735-2929 or 711)

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 22 of 137 PHC PROVIDERS | SOLANO COUNTY DIRECTORY

Accessibility Standards for Seniors and Persons with Disabilities This directory now lists codes to define “accessibility” standards. These standards are meant to help seniors and persons with disabilities. The intent is that members can get in and around offices safely and without help from others. These codes are not yet listed for all providers. If you do not see these codes listed under a certain provider’s name, just call the office. You can ask if they have the type of access that you need. Levels of Access Basic Access The office meets the standards below for parking, interior and exterior building, exam rooms, and restrooms (P, EB, IB, R, and E). Limited Access The office does not meet one or more of the standards below for parking, interior and exterior building, exam rooms, and restrooms (P, EB, IB, R, and E). Medical Equipment Access The office meets the standard below for exam tables and scales (T). Accessibility Codes = Wheelchair Accessible P = Parking Accessible parking spaces, including van accessible spaces(s), are present. Pathways have curb ramps between the parking lot, office, and at drop off areas. EB = Exterior Building Curb ramps and other ramps to the building are not too long. Ramps are wide enough for a wheelchair or scooter. Handrails are on both sides of the ramp. There is an "accessible" entrance to the building. Doors open wide enough for a wheelchair or scooter, and have handles that are easy to use. IB = Interior Building Pathways are wide enough for a wheelchair or scooter. Stairs, if present, have handrails. If there is an elevator, it can be used at all times the building is open. The elevator has easy to hear sounds and Braille buttons within reach. The elevator has enough room for a wheelchair or scooter to turn around. If there is a platform lift, it can be used without help. R = Restroom The restroom doors are wide enough for a wheelchair or scooter. The restroom has enough room for a wheelchair or scooter to turn around and close the door. There are grab bars which allow easy transfer from wheelchair to toilet. The sink is easy to get to and the faucets, soap, and toilet paper are easy to reach and use. E = Exam Room The doors to the exam rooms open wide enough for a wheelchair or scooter. The exam room has enough room for a wheelchair or scooter to turn around. T = Exam Table/Scale The exam table moves up and down and has space next to it for a wheelchair or scooter. The weight scale can be used by patients with wheelchairs or scooters.

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 23 of 137 PHC PROVIDERS | SOLANO COUNTY DIRECTORY

Normas de Accesibilidad para Personas Mayores y Personas con Discapacidades Este directorio enumera los códigos para definir las normas de “accesibilidad”. Estas normas pretenden ayudar a personas mayores y a personas con discapacidades. La intención es que los miembros puedan entrar y desplazarse por las oficinas de manera segura y sin ayuda de otros. Estos códigos todavía no se encuentran enumerados para todos los proveedores. Si no ve estos códigos enumerados bajo el nombre de cierto proveedor, llame a la oficina del proveedor. Puede preguntar si tienen el tipo de acceso que usted necesita.

Niveles de acceso Acceso básico La oficina cumple con las normas de estacionamiento, interior y exterior del edificio, salas de examen y baños (P, EB, IB, R y E). Acceso limitado La oficina no cumple con una o más de las normas de estacionamiento, interior y exterior del edificio, salas de examen y baños (P, EB, IB, R y E). Acceso de equipo médico La oficina cumple con la norma para camillas de examen y básculas (T).

Códigos de accesibilidad = Accesible a silla de ruedas (Wheelchair Accessible) P = Estacionamiento (Parking) Espacios de estacionamiento accesible, incluyendo espacios accesibles para van, están presente. Las entradas tienen rampas de acceso en las aceras entre el estacionamiento, la oficina y las áreas para dejar a las personas. EB = Exterior del edificio (Exterior Building) Las rampas en las aceras y otras rampas hacia el edificio no son demasiado largas. Las rampas son suficientemente anchas para permitir el acceso de una silla de ruedas o un scooter. Los pasamanos se encuentran en ambos lados de la rampa. El edificio tiene una entrada “accesible”. La abertura de las puertas es suficientemente ancha como para permitir el acceso de una silla de ruedas o un scooter, y tienen agarraderas que son fáciles de usar. IB = Interior del Edificio (Interior Building) Los pasillos son lo suficientemente anchos como para una silla de ruedas o un scooter. Las escaleras, si las hay, tienen pasamanos. Si hay ascensor, puede usarse en todo momento en que el edificio esté abierto. El ascensor tiene sonidos fáciles de oír y botones Braille al alcance. El ascensor tiene espacio suficiente como para que una persona en silla de ruedas o scooter se dé vuelta. Si hay ascensor con plataforma, se puede usar sin ayuda. R = Baño (Restroom) Las puertas del baño son lo suficientemente anchas como para una silla de ruedas o un scooter. El baño tiene suficiente espacio para que una persona en silla de ruedas o scooter se dé vuelta y cierre la puerta. Hay pasamanos que permiten trasladarse fácilmente de la silla de ruedas al inodoro. Es fácil llegar al lavamanos, y las llaves, jabón y papel higiénico son fáciles de alcanzar y usar. E = Sala de Examen (Exam Room) La abertura de las puertas que llevan hacia las salas de examen son lo suficientemente anchas como para una silla de ruedas o un scooter. La sala de examen tiene suficiente espacio como para que una persona en silla de ruedas o scooter se dé vuelta. T = Camilla de Examen/Báscula (Exam Table/Scale) La camilla de examen se mueve hacia arriba y hacia abajo y tiene espacio a un lado como para una silla de ruedas o scooter. Los pacientes en sillas de ruedas o scooters pueden usar la báscula.

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 24 of 137 PHC PROVIDERS | SOLANO COUNTY DIRECTORY

Mga Pamantayan ng Accessibility o Kadalian para sa mga Matatanda at mga Taong may mga Kapansanan Inililista na ngayon ng direktoryong ito ang mga code upang bigyang-kahulugan ang mga pamantayan ng “accessibility”. Ang mga pamantayang ito ay inilaan upang tulungan ang mga matatanda at mga taong may mga kapansanan. Ang layunin ay upang makapasok at makakilos ang mga miyembro sa mga opisina nang ligtas at walang tulong mula sa ibang mga tao. Ang mga code na ito ay hindi pa nakalista para sa lahat ng tagapagbigay ng serbisyo. Kung hindi makita ang mga code na ito na nakalista sa ilalim ng pangalan ng isang partikular na tagapagbigay ng serbisyo, tumawag lamang sa opisina. Maaari ninyong tanungin kung mayroon sila ng uri ng access na kailangan ninyo. Mga Antas ng Access Pinakamahalagang Access Natutugunan ng opisina ang mga pamantayan sa ibaba para sa pagpaparada ng sasakyan, loob at labas ng gusali, mga silid pang-eksaminasyon, at banyo (P, EB, IB, R, at E). Limitadong Access Hindi natutugunan ng opisina ang isa o higit pa sa mga pamantayan sa ibaba para sa pagpaparada ng sasakyan, loob at labas ng gusali, mga silid pang-eksaminasyon, at banyo (P, EB, IB, R, at E). Access sa Medikal na Kagamitan Natutugunan ng opisina ang pamantayan sa ibaba para sa mga mesang pang-eksaminasyon at timbangan (T). Mga Accessibility Code = Madaling mapupuntahan ng Wheelchair P = Pagpaparada ng Sasakyan May madaling mapupuntahang mga paradahan ng sasakyan, kabilang ang (mga) lugar na madaling mapupuntahan ng van. Ang mga daanan ay may mga rampa sa bangketa sa pagitan ng paradahan ng sasakyan, opisina, at mga lugar na pinagbababaan ng pasahero. EB = Labas ng Gusali Ang mga rampa sa bangketa at iba pang mga rampa patungo sa gusali ay hindi masyadong mahaba. Ang mga rampa ay maluwang at kasya para sa wheelchair o scooter. May mga hawakan ng kamay sa parehong tagiliran ng rampa. Mayroong isang "accessible" na pasukan tungo sa gusali. Maluwang na nagbubukas ang mga pinto para magkasya ang wheelchair o scooter, at may mga hawakan na madaling gamitin. IB = Loob ng Gusali Ang mga daanan ay maluwang at kasya ang wheelchair o scooter. Kung may mga hagdan, ang mga ito ay may mga hawakan. Kung may elevator, maaari itong gamitin sa lahat ng oras na nakabukas ang gusali. Madaling marinig ang mga tunog sa elevator at may mga Braille button na madaling maabot. May sapat na espasyo sa elevator upang makaikot ang wheelchair o scooter. Kung may platform lift, magagamit ito nang walang tulong. R = Banyo Maluluwang ang mga pinto ng banyo at kasya ang wheelchair o scooter. Ang banyo ay may sapat na espasyo para makaikot ang wheelchair o scooter at maisara ang pinto. May mga hawakan ng kamay para madaling lumipat mula sa wheelchair tungo sa inidoro. Madaling puntahan ang lababo at madaling maabot ang mga gripo, sabon, at toilet paper para gamitin. E = Silid Pang-eksaminasyon Maluwang na nagbubukas ang mga pinto tungo sa mga silid pang-eksaminasyon para sa wheelchair o scooter. Ang silid pang-eksaminasyon ay may sapat na para makaikot ang wheelchair o scooter. T = Mesang Pang-eksaminasyon/Timbangan Ang mesang pang-eksaminasyon ay naitataas at naibababa at may espasyo sa tabi nito para sa wheelchair o scooter. Ang timbangan ay magagamit ng mga pasyenteng may mga wheelchair o scooter.

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 25 of 137 PHC PROVIDERS | SOLANO COUNTY DIRECTORY

Timely Access to Care

This table shows you the how long it should take you to get an appointment with a PHC provider. If it takes you longer to get an appointment you can call us at (800) 863-4155 for assistance. If you need care outside the normal office hours, you can call the Advice Nurse at no cost to you. The Advice Nurse line is available 7 days a week, 24 hours a day at (866) 778-8873, TTY users call (800)735-2929 or 711.

Appointment Type Must Get Appointment Within Urgent care appointments that do not 48 hours require pre-approval (prior authorization) Non-urgent primary care appointments 10 business days Non-urgent specialist 15 business days Non-urgent mental health provider 10 business days (non-physician) Non-urgent appointment for ancillary 15 business days services for the diagnosis or treatment of injury, illness, or other health condition Telephone wait times during normal 5 minutes business hours Triage – 24/7 services 24/7 services – No more than 30 minutes

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 26 of 137 PHC PROVIDERS | SOLANO COUNTY DIRECTORY

Acceso oportuno a la atención médica

Esta tabla le muestra qué tanto tiempo debería tomarle obtener una cita con un proveedor de PHC. Si llega a tomar más tiempo puede comunicarse con nosotros al (800) 863-4155 para solicitar asistencia. Si necesita atención médica fuera del horario normal del consultorio, puede llamar a la enfermera de asesoría sin costo alguno para usted. La línea de asesoría de enfermeras está disponible los 7 días a la semana, las 24 horas al día al (866) 778-8873, los usuarios de TTY deben llamar al (800) 735-2929 o marcar 711.

Tipo de cita Debe obtener la cita dentro de Citas de atención de urgencia que no 48 horas requieren aprobación previa (autorización previa) Citas de atención médica primaria no 10 días laborales urgentes Especialista no urgente 15 días laborales Proveedor de salud mental no urgente 10 días laborales (profesional de la salud no médico) Cita no urgente para servicios auxiliares 15 días laborales para el diagnóstico o tratamiento de una lesión, enfermedad u otra afección de salud Tiempos de espera al teléfono durante el 5 minutos horario normal de trabajo Triaje - servicios 24/7 Servicios las 24 horas del día, los 7 días de la semana – No más de 30 minutos

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 27 of 137 PHC PROVIDERS | SOLANO COUNTY DIRECTORY

Napapanahong Pag-access sa Pangangalaga

Ipinapakita sa iyo ng talahanayang ito kung gaano katagal kang makakakuha ng appointment sa isang tagapagbigay ng serbisyo ng PHC. Kung mas natagalan kang makakuha ng appointment makakatawag ka sa amin sa (800) 863-4155 para sa tulong. Kung kailangan mo ng tulong sa labas ng karaniwang oras ng opisina, makakatawag ka sa Advice Nurse nang wala kang babayaran.Matatawagan ang linya ng Advice Nurse 7 araw sa isang linggo, 24 na oras sa isang araw sa (866) 778-8873, dapat tumawag ang mga gumagamit ng TTY sa (800) 735-2929 o 711.

Uri ng Appointment Dapat Kumuha ng Appointment sa Loob ng Mga appointment na agarang 48 oras pangangalaga na hindi nangangailangan ng paunang pag-apruba (paunang pahintulot) Mga appointment na hindi agarang 10 araw ng negosyo pangunahing pangangalaga Espesyalista ng hindi agarang 15 araw ng negosyo pangangalaga Tagapagbigay ng serbisyo ng hindi 10 araw ng negosyo agarang kalusugan ng pag-iisip (hindi doktor) Appointment na hindi agaran para sa 15 araw ng negosyo mga pantulong na serbisyo para sa pag-diagnose o paggamot ng pinsala, sakit, o ibang kalagayan ng kalusugan Oras ng paghihintay sa telepono sa 5 minuto karaniwang oras ng negosyo Triage – 24/7 na mga serbisyo 24/7 na mga serbisyo – Hindi hihigit sa 30 minuto

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 28 of 137 PHC PROVIDERS | SOLANO COUNTY DIRECTORY

Physician Listing Information

To report a potential error in the Provider Directory - Email [email protected] or call (800) 863-4155.

How to read the Provider Directory Como leer el Directorio de Proveedores To help you in your selection, the following information Para ayudarle a selecciónar un proveedor, lea la is provided about each personal physician. información siguiente sobre cada proveedor.

Ubicación de Ciudad o Tipo de City Location or Specialty Type Fairfield Especialidad Provider Site Name Family Medical Center Nombre del Sitio del Proveedor

PCP Site Number PCP # 1234-0001 Número de Sitio del PCP Enrollment Status Open to New Patients Estado de Inscribirse Ages Accepted Ages: No Age Limitations Las Edades Aceptadas Hospital Affiliation Hospital(s): NorthBay Afiliación de Hospital Address 1234 Hospital Drive Dirección Fairfield, CA 94534 Accessibility  P EB IB R E T Accesibilidad Phone (707) 555-5555 (phn) Teléfono Fax (707) 555-5556 (fax) Fax URL Website www.abc123.com URL Sitio Web Hours Mon – Fri 8 a.m. – 6 p.m. Horas Medical Specialty Family Practice Especialidad Médica Provider’s Name ♦ Doe, John MD  Nombre del Proveedor Médico NPI 1234567890 NPI License Number A12345 Número de Licencia Languages Spanish, Tagalog Idiomas Special Accommodations and Adj. Exam Tables Alojamiento Especial y Levels of Access Special Scales for Wheelchairs Niveles de Acceso Scales that weigh up to 300lbs Hoyer Lift Gurney Accommodations Hearing Impaired Accommodations Onsite Interpretation Services Basic Access

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 29 of 137 PHC PROVIDERS | SOLANO COUNTY DIRECTORY

Physician Listing Information

To report a potential error in the Provider Directory - Email [email protected] or call (800) 863-4155.

How to read the Provider Directory Paano basahin ang Direktoryo ng Tagapagbigay ng To help you in your selection, the following information Serbisyo is provided about each personal physician. Upang tulungan kayo sa inyong pagpili, ibinibigay ang sumusunod na impormasyon tungkol sa bawat personal na doktor Lungsod Lokasyon o Uri ng City Location or Specialty Type Fairfield Espesyalidad Pangalan ng Lugar ng Provider Site Name Family Medical Center Tagapagbigay ng Serbisyo

PCP Site Number PCP # 1234-0001 Impormasyon tungkol sa Enrollment Status Open to New Patients Katayuan ng Pagpapatala Ages Accepted Ages: No Age Limitations Mga Edad na Tinatanggap Hospital Affiliation Hospital(s): NorthBay Kinasasapiang Ospital Address 1234 Hospital Drive Address Fairfield, CA 94534 Accessibility  P EB IB R E T Kadaliang Mapuntahan Phone (707) 555-5555 (phn) Telepono Fax (707) 555-5556 (fax) Fax URL Website www.abc123.com URL Website Hours Mon – Fri 8 a.m. – 6 p.m. Mga Oras Medical Specialty Family Practice Medikal na Espesyalidad Pangalan ng Tagapagbigay ng Provider’s Name ♦ Doe, John MD  Serbisyo NPI 1234567890 NPI License Number A12345 Numero ng Lisensiya Languages Spanish, Tagalog Mga Wika Special Accommodations and Adj. Exam Tables Mga Espesyal na Akomodasyon at Levels of Access Special Scales for Wheelchairs Antas ng Access Scales that weigh up to 300lbs Hoyer Lift Gurney Accommodations Hearing Impaired Accommodations Onsite Interpretation Services Basic Access

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 30 of 137 PHC PRIMARY CARE PROVIDERS SOLANO COUNTY DIRECTORY

Sutcliffe, Gayle L, MD  ^9^ Dixon Sutter Medical Group Yolo ^5^ PCP PHC#: 3699-0001 NPI: 1932206984 NPI: 1952327256 License: A63673

Community Medical Centers, Inc. ^1^ Family Medicine Gender: Female PCP PHC#: 1004-0002 Closed Enrollment Hospital Privileges: NPI: 1699766519 No Age Limitations NorthBay Medical Center FQHC CHDP Provider Sutter Davis Hospital Family Medicine Open to Residents of Dixon Only Accepting New Patients Special Accommodations: Medical No Age Limitations 125 N Lincoln St Ste G Equipment Access CHDP Provider Dixon, CA 95620 , EB,IB,R,E,T Fairfield 131 W A St Ste 1 Level of Access: Limited Dixon, CA 95620 Primary Phone: (707) 678-1623

, P,EB,IB,R,E Center for Primary Care - Fairfield Primary Fax: (707) 678-0258 ^10^ Level of Access: Limited Mon - Fri 8:00 AM - 5:00 PM a NorthBay Affiliate Primary Phone: (707) 635-1600 PCP PHC#: 17294-0003 Primary Fax: (209) 762-6808 Family Medicine NPI: 1780736736 www.cmcenters.org Family Medicine, Internal Medicine, Koenig, Paul Thomas, MD  ^6^ Mon - Fri 8:00 AM - 6:00 PM NPI: 1457447955 Pediatrics Sat 8:00 AM - 4:30 PM License: A69821 Accepting New Patients Gender: Male 0-6 Months Family Medicine Spanish Accepting Existing Patients

Zhu, Andy Yong-De, MD  ^2^ Hospital Privileges: No Age Limitations NPI: 1548444631 NorthBay Medical Center CHDP Provider License: A104156 Sutter Davis Hospital Assigned Hospitals: NorthBay Gender: Male Medical Center, VacaValley Hospital Liu, Ruth Yorkping, MD  ^7^ Chinese NPI: 1295830768 License: G57017 2458 Hilborn Rd Montemayor, Catherine Sison, FNP Gender: Female Fairfield, CA 94534

 ^3^ , EB,IB,R,E NPI: 1346513611 Hospital Privileges: Level of Access: Limited License: 95002351 NorthBay Medical Center Primary Phone: (707) 646-5500 Gender: Female Sutter Davis Hospital Primary Fax: (707) 646-5501 Tagalog Posner, Aron, MD  ^8^ NPI: 1720345895 Mon - Fri 8:00 AM - 8:00 PM

Sprague, Karen Regan, NP  ^4^ NPI: 1992887566 License: A126918 Family Medicine License: 7448 Gender: Male

Brennan, Angela Esther, DO ^11^ Gender: Female Spanish Hospital Privileges: Sutter Davis NPI: 1346650629 License: 20A14789 Special Accommodations: Adj. Exam Hospital Gender: Female Tables, Gurney Accommodations, Scales that weigh up to 350lbs

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 31 of 137 PHC PRIMARY CARE PROVIDERS SOLANO COUNTY DIRECTORY

Hongsakaphadana, Alina, MD ^22^ Freeman, Douglas Jack, MD ^12^ Special Accommodations: Adj. Exam NPI: 1588760110 Tables, Hearing Impaired NPI: 1740304237 License: C51473 Accommodations, Special Scales For License: A112371 Gender: Male Wheelchairs, Scales that weigh up to Gender: Female 300lbs Hospital Privileges: NorthBay Medical Internal Medicine Center

Adkins, Amanda Catrice, MD ^13^ Center for Primary Care - Green ♦ Internal Medicine Internal Medicine

Valley ^20^

NPI: 1568635704 Patel, Darshan, MD ^23^ License: A129140 a NorthBay Affiliate ♦ Internal Medicine Gender: Female PCP PHC#: 13692-0007 NPI: 1376920264 NPI: 1780736736

Tchakmakjian, Levon, MD ^14^ License: A156554 ♦ Internal Medicine Family Medicine, Internal Medicine, Gender: Male NPI: 1790744795 Pediatrics Gujarati, Hindi License: C144411 Accepting New Patients Gender: Male 0-6 Months Pediatrics Accepting Existing Patients

Armenian Chang, Gilbert Tze, MD ^24^ No Age Limitations NPI: 1538195755 Pediatrics CHDP Provider License: A70026 Assigned Hospitals: NorthBay

Ginsberg, Michael Lane, MD ^15^ Gender: Male NPI: 1710128558 Medical Center, VacaValley Hospital

License: A106486 Ambrosio, Joel Paul, PA-C ^25^ Gender: Male 4520 Business Center Dr Ste 200 NPI: 1154628105 Spanish Fairfield, CA 94534 License: 21498 , P,EB,IB,R,E

Yang, Judy, DO ^16^ Gender: Male NPI: 1396966396 Level of Access: Basic Tagalog Primary Phone: (707) 646-3500

License: 20A10096 Kaur, Gurcharanjit, FNP ^26^ Gender: Female Primary Fax: (707) 646-3501 NPI: 1033511266 Mon - Fri 8:00 AM - 5:00 PM License: 95001201

Fenili, Patricia Ann, FNP ^17^ Gender: Female NPI: 1417296708 Family Medicine Hindi, Punjabi

License: 21913 Ghods, Ehsan, DO ^21^ Gender: Female ♦ Family Medicine Special Accommodations: Adj. Exam ♦ Neuromusculoskeletal Medicine &

Gallego, Maria Justina Tisado, FNP Tables, Hearing Impaired NPI:^18^ 1154672608 Osteopathic Manipulative Accommodations, Gurney License: 21480 Medicine Accommodations, Scales that weigh Gender: Female NPI: 1386663508 up to 660lbs License: 20A10162

Ward, Lida S, FNP ^19^ NPI: 1730106675 Gender: Male License: 11648 Farsi Gender: Female

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 32 of 137 PHC PRIMARY CARE PROVIDERS SOLANO COUNTY DIRECTORY

Chen, Anne, MD, Inc ^27^ Daquioag, Rodolfo, MD ^29^ Gillespie, Craig L., MD ^31^ PCP PHC#: 16741-0001 PCP PHC#: 1167-0001 PCP PHC#: 1177-0009 NPI: 1760424212 NPI: 1386656288 NPI: 1609885037 Internal Medicine Family Medicine Family Medicine Accepting Existing Patients Accepting Existing Patients Accepting Existing Patients 18 Years and Older 18 Years and Older 18 Years and Older Assigned Hospitals: NorthBay Assigned Hospitals: NorthBay Assigned Hospitals: NorthBay Medical Center, VacaValley Hospital Medical Center, VacaValley Hospital Medical Center, VacaValley Hospital

2560 N Texas St Ste C 1252 Travis Blvd Ste D 1525 Webster St Ste C Fairfield, CA 94533 Fairfield, CA 94533 Fairfield, CA 94533 , IB,R,E , P,EB , EB,IB,E Level of Access: Limited Level of Access: Limited Level of Access: Limited Primary Phone: (707) 423-4355 Primary Phone: (707) 426-4414 Primary Phone: (707) 428-0777 Primary Fax: (707) 423-4353 Primary Fax: (707) 426-4415 Primary Fax: (707) 428-3925 Mon, Thu 9:00 AM - 5:00 PM Mon, Wed, Thu 2:00 PM - 5:00 PM Mon, Tue, Thu, Fri 9:00 AM - 5:30 PM Tue, Wed 9:00 AM - 2:00 PM Tue, Fri 8:30 AM - 12:30 PM Wed 9:00 AM - 1:00 PM Sat 1:30 PM - 4:30 PM Internal Medicine Family Medicine

Gillespie, Craig L, MD ^32^ Chen, Anne An-Ru, MD  ^28^ Family Medicine

♦ Internal Medicine Daquioag, Rodolfo Arreola, MD  ^30^ NPI: 1609885037 NPI: 1003852708 NPI: 1386656288 License: G51486 License: A83589 License: A29896 Gender: Male Gender: Female Gender: Male Hospital Privileges: NorthBay Medical Ilocano, Tagalog Center Special Accommodations: Adj. Exam

Tables, Special Scales For Special Accommodations: Adj. Exam Ward, Lida S, FNP ^33^ Wheelchairs, Scales that weigh up to Tables, Scales that weigh up to NPI: 1730106675 500lbs 350lbs License: 11648 Gender: Female

Special Accommodations: Scales that weigh up to 500lbs

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 33 of 137 PHC PRIMARY CARE PROVIDERS SOLANO COUNTY DIRECTORY

Kaiser Permanente ^34^ North Bay Pediatrics ^35^ OLE Health ^39^ PCP PHC#: 1011-0001 PCP PHC#: 1170-0011 PCP PHC#: 48514-0004 NPI: 1336222397 NPI: 1932132297 NPI: 1497130280 Family Medicine, Internal Medicine, Pediatrics FQHC Pediatrics Accepting Existing Patients Family Medicine Accepting Existing Patients 0-18 Years Accepting New Patients No Age Limitations CHDP Provider No Age Limitations CHDP Provider Assigned Hospitals: NorthBay CHDP Provider Assigned Hospital: Kaiser Medical Center, VacaValley Hospital Assigned Hospitals: NorthBay Permanente Medical Center Medical Center, VacaValley Hospital 1261 Travis Blvd Ste 190 1550 Gateway Blvd Fairfield, CA 94533 1101 B Gale Wilson Blvd Ste 101C Fairfield, CA 94533 , P,EB,IB,R,E Fairfield, CA 94533 , P,EB,IB,R,E,T Level of Access: Basic  Level of Access: Basic Primary Phone: (707) 426-5693 Primary Phone: (707) 419-8990 Skilled Medical Interpreter Service Primary Fax: (707) 648-1306 Primary Fax: (707) 254-1779 Primary Phone: (707) 427-4000 www.northbaypediatrics.com Mon 9:00 AM - 5:00 PM Primary Fax: (707) 427-4384 Mon - Fri 8:30 AM - 5:00 PM Tue, Wed 8:00 AM - 5:00 PM www.kp.org Thu 8:00 AM - 12:00 PM Mon - Fri 8:30 AM - 5:00 PM Pediatrics

De Leon-Tallman, Maria Theresa Adelman, Mara Lisa, PA-C ^40^ NPI: 1124053483 Special Accommodations: Adj. Exam Retiro, MD  ^36^ Tables, Hoyer Lift, Special Scales For NPI: 1396770251 License: 17260 Wheelchairs, Medical Equipment License: A67277 Gender: Female Access, Scales that weigh up to Gender: Female Spanish

500lbs Tagalog Garcia, Lulu, PA-C ^41^ NPI: 1730467051 Toy, Stephanie Moy, MD  ^37^ To locate a Kaiser doctor, contact NPI: 1629019393 License: 21704 Kaiser Member Services at License: G66550 Gender: Female 800-464-4000 or browse Kaiser's Gender: Female Spanish

Online Provider Directory: Wang, Margaret Ming-Sen, DO  ^38^ healthy.kaiserpermanente.org/ NPI: 1669418604 Special Accommodations: Adj. Exam northern-california/doctors-locations#/sea License: 20A5664 Tables Gender: Female

Special Accommodations: Hearing Impaired Accommodations, Scales that weigh up to 300lbs

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 34 of 137 PHC PRIMARY CARE PROVIDERS SOLANO COUNTY DIRECTORY

Peterson, Jeannette A., MD, Inc. ^49^ OLE Health ^42^ Special Accommodations: Adj. Exam PCP PHC#: 36802-0004 Tables, Scales that weigh up to PCP PHC#: 13945-0006 NPI: 1497130280 500lbs NPI: 1194735811 FQHC Internal Medicine

Family Medicine Patel, Jayesh, MD ^47^ Accepting New Patients Accepting New Patients PCP PHC#: 14448-0007 18 Years and Older No Age Limitations NPI: 1326236753 Assigned Hospitals: NorthBay CHDP Provider Internal Medicine Medical Center, VacaValley Hospital Assigned Hospitals: NorthBay Accepting New Patients Medical Center, VacaValley Hospital 18 Years and Older 1261 Travis Blvd Ste 100 Assigned Hospitals: NorthBay Fairfield, CA 94533 470 Chadbourne Rd Ste A Medical Center, VacaValley Hospital , P,EB,IB,R,E,T Fairfield, CA 94534 Level of Access: Basic  1261 Travis Blvd Ste 320 Primary Phone: (707) 422-0543 Primary Phone: (707) 419-8989 Fairfield, CA 94533 Primary Fax: (707) 422-0549 Primary Fax: (707) 254-1779 , P,EB,IB,R Mon - Thu 9:00 AM - 5:00 PM www.olehealth.org Level of Access: Limited Mon - Fri 8:00 AM - 5:30 PM Primary Phone: (707) 423-2506 Internal Medicine

Primary Fax: (707) 429-1158 Peterson, Jeannette Arlene, MD  ^50^ Family Medicine Mon - Thu 9:00 AM - 5:00 PM ♦ Internal Medicine

Chung, Karen Kin Yan, MD ^43^ Fri 8:00 AM - 4:30 PM NPI: 1063455954 NPI: 1699100560 License: A76492 License: A142583 Internal Medicine Gender: Female Gender: Female

Patel, Jayesh Jagubhai, MD ^48^ Cantonese ♦ Internal Medicine Special Accommodations: Adj. Exam NPI: 1427079169 Tables, Gurney Accommodations,

Adelman, Mara Lisa, PA-C ^44^ License: A72056 Special Scales For Wheelchairs, NPI: 1124053483 Gender: Male Scales that weigh up to 660lbs License: 17260 Gujarati, Hindi Gender: Female Hospital Privileges: NorthBay Medical Spanish Center

Samuel, Georgina A, PA-C ^45^ NPI: 1427296292 Special Accommodations: Adj. Exam License: 20158 Tables, Gurney Accommodations, Gender: Female Special Scales For Wheelchairs, Spanish Scales that weigh up to 660lbs

Tamarisk, Ronald S, FNP ^46^ NPI: 1891754396 License: 4279 Gender: Male

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 35 of 137 PHC PRIMARY CARE PROVIDERS SOLANO COUNTY DIRECTORY

Primary Care Clinics/Family Primary Care Clinics/Family Shubrook Jr., Jay H., DO ^59^ Health Services/Solano County Health Services/Solano County ♦ Family Medicine

Health & Social Services Dept. ^55^ Health & Social Services Dept. ^51^ ♦ Osteopathic Manipulative Therapy PCP PHC#: 27776-0007 PCP PHC#: 1013-0032 NPI: 1336179704 NPI: 1508078817 NPI: 1083845275 License: 20A7399 FQHC FQHC Gender: Male

Pediatrics Family Medicine, Internal Medicine Stacey, Michael William, MD ^60^ Accepting New Patients Accepting New Patients NPI: 1336120344 0-18 Years 19 Years and Older License: A101385 CHDP Provider Assigned Hospitals: NorthBay Gender: Male

Assigned Hospitals: NorthBay Medical Center, VacaValley Hospital Werblin, Alan C, MD ^61^ Medical Center, VacaValley Hospital NPI: 1447338256 2201 Courage Dr License: G45529 2101 Courage Dr Fairfield, CA 94533 Gender: Male Fairfield, CA 94533 , P,EB,IB,R,E,T French, Spanish , P,EB,IB,R,E,T Level of Access: Basic Level of Access: Basic Primary Phone: (707) 784-2010 Internal Medicine

Primary Phone: (707) 784-2010 Primary Fax: (707) 784-1495 Ahmed, Sumera, MD ^62^ Primary Fax: (707) 784-1003 www.solanocounty.com ♦ Internal Medicine Mon - Fri 8:00 AM - 5:00 PM Mon - Fri 8:00 AM - 6:00 PM NPI: 1134180219 Sat 8:00 AM - 5:00 PM License: A95162 Pediatrics Gender: Female Hindi, Tamil

Alota, Ofelia Cortez, MD  ^52^ Family Medicine

Chang, Han Kyo, MD ^63^

NPI: 1528022456 Keys, Jordan Ann, DO ^56^ License: A89140 ♦ Family Medicine NPI: 1235127150 Gender: Female ♦ Osteopathic Manipulative Therapy License: C138034 Spanish, Tagalog NPI: 1083900708 Gender: Male Korean

Fuller, Shandi Joycelyn, MD  ^53^ License: 20A16288 NPI: 1225285034 Gender: Female

Blancaflor, Marielou Belocura, NP ^64^

License: A117119 Leary, Michele Frances, DO ^57^ Gender: Female ♦ Osteopathic Manipulative Therapy NPI: 1164639225 License: 15014

Tandinco, Imelda Maria C., MD  ^54^ NPI: 1437458213 NPI: 1093996092 License: 20A10254 Gender: Female

License: A100134 Gender: Female Collins, Sharon L, ANP ^65^ NPI: 1851804983

Gender: Female Pearce, Melissa G., DO ^58^ Spanish, Tagalog ♦ Neuromusculoskeletal Medicine & License: 95007448 Osteopathic Manipulative Gender: Female Special Accommodations: Adj. Exam Medicine Da Silva, Elena

Tables, Hearing Impaired ♦ Osteopathic Manipulative Therapy Kamakanikailialoha, PA ^66^ Accommodations, Gurney NPI: 1093871154 NPI: 1508273012 Accommodations, Medical Equipment License: 20A10033 License: 51657 Access, Scales that weigh up to Gender: Female Gender: Female 450lbs Spanish

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 36 of 137 PHC PRIMARY CARE PROVIDERS SOLANO COUNTY DIRECTORY

Gallego, Maria Justina Tisado, FNP Sutter Medical Group Solano ^72^ Saavedra, Maria Rea, MD ^76^

^67^ NPI: 1154672608 PCP PHC#: 13351-0010 NPI: 1801986591 License: 21480 NPI: 1184859894 License: A64687 Gender: Female Family Medicine, Internal Medicine, Gender: Female Spanish McCloud, Fawn Lynn, NP ^68^ Pediatrics NPI: 1770737009 Closed Enrollment Hospital Privileges: License: 12893 No Age Limitations NorthBay Medical Center Gender: Female CHDP Provider Sutter Solano Medical Center

Poblete, Randall Joseph Punu, Assigned Hospitals: NorthBay Sullivan, Mark Stuart, MD ^77^ NPI: 1871673723 PA-C ^69^ Medical Center, VacaValley Hospital NPI: 1700225174 License: A49206 License: 23021 2720 Low Ct Fl 1 Gender: Male Gender: Male Fairfield, CA 94534 Hospital Privileges: Spanish  NorthBay Medical Center Sutter Solano Medical Center Thomas, Rahitha Maria, FNP ^70^ Primary Phone: (707) 427-4900 NPI: 1568991701 Other Faxes: License: 95007865 (707) 436-2511 FP Internal Medicine

Gender: Female (707) 436-2509 IM Gupta, Ella Aseemjot, DO ^78^ Hindi (707) 434-2090 Peds ♦ Internal Medicine NPI: 1811157126 Unajan, Jean Aurora Silagan, FNP ^71^ (707) 434-2054 UM NPI: 1871860007 Mon - Fri 7:30 AM - 6:00 PM License: 20A11966 License: 20448 Gender: Female Gender: Female Family Medicine Hindi, Punjabi, Urdu Tagalog Hospital Privileges: Alamzai, Reshtina Zarnaaz, MD ^73^ NPI: 1336550680 NorthBay Medical Center Special Accommodations: Adj. Exam License: 20A14711 Sutter Solano Medical Center

Tables, Hearing Impaired Gender: Female Nadra, Charbel John, MD ^79^ Accommodations, Gurney Farsi, Pashto, Spanish ♦ Internal Medicine Accommodations, Special Scales For NPI: 1700974565 Liu, Valerie T, DO ^74^ Wheelchairs, Medical Equipment NPI: 1821475013 License: A83985 Access, Scales that weigh up to License: 20A15312 Gender: Male 400lbs Gender: Female Arabic Hospital Privileges: NorthBay Medical

Moshier, Michael Duane, MD ^75^ NPI: 1558459313 Center

License: C41117 Poscher, Margaret Elizabeth, MD ^80^ Gender: Male ♦ Internal Medicine Hospital Privileges: NPI: 1336377514 NorthBay Medical Center License: G60925 Sutter Solano Medical Center Gender: Female Hospital Privileges: NorthBay Medical Center Sutter Solano Medical Center

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 37 of 137 PHC PRIMARY CARE PROVIDERS SOLANO COUNTY DIRECTORY

Pediatrics Oakley Filosa, Jessica Andrea, FNP ^91^

Collins, Henry Hoeffer, MD ^81^ NPI: 1922509504 NPI: 1215024591 License: 95008014

La Clinica-Oakley ^86^ License: G66566 Gender: Female Gender: Male PCP PHC#: 46935-0004 Spanish French, Swahili NPI: 1578834164 Hospital Privileges: FQHC Special Accommodations: Adj. Exam NorthBay Medical Center Family Medicine, Pediatrics Tables Sutter Solano Medical Center Accepting New Patients No Age Limitations Cooney, Lawrence Hall, MD ^82^ Vacaville NPI: 1770670085 CHDP Provider License: A41523 Open to Residents of Rio Vista Only

Gender: Male Amacher, Kathryn, DO ^92^ Spanish 2021 Main St PCP PHC#: 18553-0001 Hospital Privileges: Oakley, CA 94561 NPI: 1366545568 NorthBay Medical Center  Internal Medicine Sutter Solano Medical Center Primary Phone: (925) 776-8200 Accepting Existing Patients Primary Fax: (925) 776-8260 Yang, Sudy R, MD ^83^ 18 Years and Older Mon - Fri 8:30 AM - 5:30 PM NPI: 1932514791 Assigned Hospitals: NorthBay License: A153881 Medical Center, VacaValley Hospital Gender: Female Family Medicine

Curbelo, Gustavo Antonio, MD ^87^ Hospital Privileges: 313 Kendal St Ste B NorthBay Medical Center NPI: 1629298153 Vacaville, CA 95688 Sutter Solano Medical Center License: A98595 , P,EB,IB Gender: Male Level of Access: Limited Spanish Foster, Susan Diane, FNP  ^84^ Primary Phone: (707) 451-4111

Kim, Edward Hyounwoo, MD ^88^ NPI: 1891730628 Primary Fax: (707) 451-9803 License: 10757 NPI: 1124342977 Tue, Thu 9:00 AM - 4:00 PM Gender: Female License: A126368 Gender: Male Scott, Jane Lue, NP ^85^ Internal Medicine NPI: 1780774471 Spanish Amacher, Kathryn M., DO  ^93^ License: 14708 ♦ Internal Medicine Pediatrics Gender: Female NPI: 1366545568

Williams, Sean Michael, MD ^89^ License: 20A5091 Special Accommodations: Adj. Exam NPI: 1033313242 Gender: Female Tables, Hoyer Lift, Special Scales For License: A97319 Hospital Privileges: NorthBay Medical Wheelchairs, Scales that weigh up to Gender: Male Center 300lbs Spanish Special Accommodations: Adj. Exam

Espinoza, Desiree Paz, NP ^90^ Tables, Hearing Impaired NPI: 1164940284 Accommodations, Scales that weigh License: 95007284 up to 350lbs Gender: Female Spanish

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 38 of 137 PHC PRIMARY CARE PROVIDERS SOLANO COUNTY DIRECTORY

Center for Primary Care - Parker, Marikit, MD ^98^ Hewett, Bruce Thomas, MD ^104^

Vacaville ^94^ NPI: 1689013195 NPI: 1710932660 a NorthBay Affiliate License: A150359 License: G61856 PCP PHC#: 10717-0009 Gender: Female Gender: Male NPI: 1780736736

Family Medicine, Internal Medicine, Internal Medicine Bradley, Marina Mahinay, FNP ^105^

Pediatrics Bajwa, Kulbir Kaur, MD ^99^ NPI: 1710311337 Accepting New Patients ♦ Internal Medicine License: 95000011 0-6 Months NPI: 1912000126 Gender: Female Accepting Existing Patients License: C51042 Tagalog

Gender: Female Gallego, Maria Justina Tisado, FNP

No Age Limitations ^106^ CHDP Provider Cantonese, French, Punjabi NPI: 1154672608 Assigned Hospitals: NorthBay Hospital Privileges: NorthBay Medical License: 21480 Medical Center, VacaValley Hospital Center Gender: Female

Goyal, Madhav, MD ^100^ Gambetti, Alicia Nicole, FNP ^107^ 421 Nut Tree Rd ♦ Internal Medicine NPI: 1164930640 Vacaville, CA 95687 NPI: 1386697878 License: 95008328 , P,EB,IB,R,E License: A68478 Gender: Female Gender: Male Level of Access: Basic Hunter, Nerissa Aquino, NP ^108^ Primary Phone: (707) 624-7500 Hindi NPI: 1962810739

Primary Fax: (707) 624-7501 Hassani, Ali, MD ^101^ License: 95000339 Mon - Fri 8:00 AM - 5:30 PM ♦ Internal Medicine Gender: Female NPI: 1487818373 Kaur, Gurcharanjit, FNP ^109^ Family Medicine License: A115083 NPI: 1033511266 Gender: Male License: 95001201

Cherry, Ana Rosa, MD ^95^ NPI: 1679656573 Farsi Gender: Female License: A67239 Hospital Privileges: NorthBay Medical Hindi, Punjabi Center Gender: Female Lazarewicz, Nicolas Richard, FNP ^110^

Spanish Whitley, Teresa B, MD ^102^ NPI: 1053540120 Hospital Privileges: NorthBay Medical NPI: 1760496764 License: 18973 Center License: A65738 Gender: Male Gender: Female Pabla, Sharon Kaur, PA ^111^

Khambatta, Shanaz Farrokh, DO ^96^ NPI: 1760587570 NPI: 1043594047 License: 20A8085 Pediatrics License: 21880

Gender: Female Heeren, Matthew Marcus, MD ^103^ Gender: Female NPI: 1013012632 Vertudez, Janice Rhea Abila, NP ^112^

Newman, Stephen Ronald, MD ^97^ NPI: 1063506756 License: A82104 NPI: 1912340118 License: G48074 Gender: Male License: 22458 Gender: Male Hospital Privileges: NorthBay Medical Gender: Female Center Hospital Privileges: NorthBay Medical Ward, Lida S, FNP ^113^ Center NPI: 1730106675 License: 11648 Gender: Female

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 39 of 137 PHC PRIMARY CARE PROVIDERS SOLANO COUNTY DIRECTORY

Special Accommodations: Adj. Exam Pediatrics Kaiser Permanente ^122^

Tables, Hearing Impaired Sharma, Luna, MD  ^117^ PCP PHC#: 7473-0005 Accommodations, Gurney NPI: 1548455843 NPI: 1336222397 Accommodations, Scales that weigh License: A129023 Family Medicine, Internal Medicine, up to 400lbs Gender: Female Pediatrics Bengali, Hindi Accepting Existing Patients

Community Medical Centers ^114^ No Age Limitations

Clerve-Prasad, Shami Lata, FNP ^118^ CHDP Provider PCP PHC#: 10992-0008 NPI: 1912400318 NPI: 1417012329 Assigned Hospital: Kaiser License: 95005239 Permanente Medical Center FQHC Gender: Female Family Medicine, Internal Medicine, Hindi Pediatrics 1 Quality Dr Diaz, Deborah E, NP ^119^ Vacaville, CA 95688 Accepting New Patients NPI: 1982774774 No Age Limitations , P,EB,IB,R,E,T License: 333109 Level of Access: Basic CHDP Provider Gender: Female Assigned Hospitals: NorthBay Skilled Medical Interpreter Service

Pearson, George Y, PA-C  ^120^ Medical Center, VacaValley Hospital Primary Phone: (707) 624-4000 NPI: 1508901232 Primary Fax: (707) 624-2051 License: 11430 www.kp.org 600 Nut Tree Rd Ste 310 Gender: Male Vacaville, CA 95687 Mon - Fri 8:30 AM - 5:00 PM

Rasa, Ashley Nicole, NP ^121^ , P,EB,IB,E NPI: 1891247128 Special Accommodations: Adj. Exam Level of Access: Limited License: 95005340 Primary Phone: (707) 359-1800 Tables, Hoyer Lift, Special Scales For Gender: Female Wheelchairs, Medical Equipment Primary Fax: (209) 762-6808 Spanish www.cmcenters.org Access, Scales that weigh up to 500lbs Mon - Fri 8:00 AM - 6:00 PM Special Accommodations: Hearing Sat By Appointment Only Impaired Accommodations, Scales To locate a Kaiser doctor, contact that weigh up to 400lbs Family Medicine Kaiser Member Services at 800-464-4000 or browse Kaiser's

Zhang, Xiubo, MD ^115^ NPI: 1740708247 Online Provider Directory: License: A150244 healthy.kaiserpermanente.org/ Gender: Female northern-california/doctors-locations#/sea Mandarin

Internal Medicine

Tay Yong, Gisella, MD  ^116^ NPI: 1659536621 License: A123339 Gender: Female Spanish

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 40 of 137 PHC PRIMARY CARE PROVIDERS SOLANO COUNTY DIRECTORY

Primary Care Clinics/Family O'Connor Jr., William T., MD ^123^ Internal Medicine

PCP PHC#: 12235-0008 Health Services/Solano County Feinberg, Howard Leslie, DO ^129^

NPI: 1639127632 Health & Social Services Dept. ^125^ ♦ Internal Medicine Family Medicine PCP PHC#: 26994-0004 ♦ Rheumatology Accepting Existing Patients NPI: 1710274899 NPI: 1194747196 19 Years and Older FQHC License: 20A15007 Assigned Hospitals: NorthBay Family Medicine, Internal Medicine, Gender: Male Medical Center, VacaValley Hospital Pediatrics Accepting New Patients Pediatrics

300 Mason St No Age Limitations Kim, Rebekah Jeehae, DO ^130^ Vacaville, CA 95688 CHDP Provider NPI: 1093150054 , E Assigned Hospitals: NorthBay License: 20A14536 Level of Access: Limited Medical Center, VacaValley Hospital Gender: Female Primary Phone: (707) 446-0422

Primary Fax: (707) 446-1655 1119 E Monte Vista Ave Crowl, Hannah Lewis, NP ^131^ Mon, Tue, Thu, Fri 8:00 AM - 5:00 PM Vacaville, CA 95688 NPI: 1932446598 Wed 8:00 AM - 6:00 PM , P,EB,IB,R,E License: 21974 Level of Access: Basic Gender: Female Family Medicine Primary Phone: (707) 469-4640 Spanish

Inton, Zosima B, FNP ^132^

OConnor Jr, William Thomas, MD ^124^ Primary Fax: (707) 449-3919 NPI: 1639127632 www.solanocounty.com NPI: 1366626376 License: G48496 Mon - Fri 8:00 AM - 5:00 PM License: 95006642 Gender: Male Gender: Female

Hospital Privileges: Family Medicine Stoner, Maria Elena, FNP ^133^ NPI: 1407924913

NorthBay Medical Center Feinberg, Gail Denise, DO ^126^ VacaValley Hospital ♦ Family Medicine License: 16245 ♦ Osteopathic Manipulative Therapy Gender: Female Special Accommodations: Scales that NPI: 1194760025 Spanish weigh up to 300lbs License: 20A15042 West, Jaron C, PA ^134^ Gender: Female NPI: 1356853386 Spanish License: 55093 Gender: Male

Shubrook Jr., Jay H., DO ^127^ ♦ Family Medicine ♦ Osteopathic Manipulative Therapy Special Accommodations: Adj. Exam NPI: 1336179704 Tables, Gurney Accommodations, License: 20A7399 Special Scales For Wheelchairs, Gender: Male Scales that weigh up to 600lbs

Wagner, Alesia Joy, DO ^128^ ♦ Family Medicine ♦ Osteopathic Manipulative Therapy NPI: 1205867892 License: 20A8597 Gender: Female

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 41 of 137 PHC PRIMARY CARE PROVIDERS SOLANO COUNTY DIRECTORY

Sutter Medical Group Solano ^135^ Cripe, Raquel Cabrales, MD ^138^ Kaur, Sukhjinder, MD ^143^ PCP PHC#: 13352-0010 NPI: 1912922782 ♦ Internal Medicine NPI: 1184859894 License: A72802 NPI: 1255576591 Family Medicine, Internal Medicine, Gender: Female License: A109086 Pediatrics Hospital Privileges: Sutter Solano Gender: Female Closed Enrollment Medical Center Hindi, Punjabi

No Age Limitations Gopalapuram, Rajani, MD ^139^ Hospital Privileges: CHDP Provider ♦ Family Medicine NorthBay Medical Center Assigned Hospitals: NorthBay NPI: 1851556088 Sutter Solano Medical Center

Medical Center, VacaValley Hospital License: A104756 Thomas, Gisha, MD ^144^ Gender: Female ♦ Internal Medicine 770 Mason St Hindi, Telugu NPI: 1184910390 Vacaville, CA 95688 Hospital Privileges: License: A129457 , P,EB,IB,R,E,T NorthBay Medical Center Gender: Female Level of Access: Basic Sutter Solano Medical Center Hindi

Primary Phone: (707) 454-5800 Judge, Andleeb Kaur, MD ^140^ Hospital Privileges: Sutter Solano Primary Fax: (707) 434-2054 ♦ Internal Medicine Medical Center

Other Faxes: NPI: 1932141124 Woodhouse, David Mark, MD ^145^ (707) 454-5952 FP License: A80979 ♦ Internal Medicine (707) 454-5911 IM Gender: Female NPI: 1033299912

(707) 454-5871 PEDS Saavedra, Maria Carmen, MD ^141^ License: G47953 Mon - Fri 8:00 AM - 5:00 PM NPI: 1649360330 Gender: Male License: G70117 Spanish Family Medicine Gender: Female Hospital Privileges: Spanish NorthBay Medical Center

Auyeung, Teresa H, MD ^136^ NPI: 1780771154 Hospital Privileges: Sutter Solano Medical Center License: C50267 NorthBay Medical Center Gender: Female Sutter Solano Medical Center Pediatrics

Chinese Banerjee, Debashree, MD ^146^ Hospital Privileges: Internal Medicine NPI: 1588751952

NorthBay Medical Center Karneges, Frank G, DO ^142^ License: A41645 Sutter Solano Medical Center ♦ Internal Medicine Gender: Female NPI: 1336220581 Bengali, Hindi

Bondoc, Marnel Malonzo, DO ^137^ NPI: 1538365234 License: 20A6221 Hospital Privileges: License: 20A10002 Gender: Male NorthBay Medical Center Gender: Male Greek Sutter Solano Medical Center Spanish, Tagalog Hospital Privileges: Hospital Privileges: NorthBay Medical Center NorthBay Medical Center Sutter Solano Medical Center Sutter Solano Medical Center

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 42 of 137 PHC PRIMARY CARE PROVIDERS SOLANO COUNTY DIRECTORY

Concepcion and Lim MD Family Randle, Brigitte M, MD ^147^ Family Medicine Vadlamudi, Gautam Kishore, MD NPI: 1033209820 Practice PC ^154^

License: A44100  ^151^ PCP PHC#: 11412-0009 NPI: 1184729212 Gender: Female NPI: 1396801742 License: A51500 German Family Medicine Hospital Privileges: Gender: Male Closed Enrollment NorthBay Medical Center No Age Limitations Special Accommodations: Gurney Sutter Solano Medical Center CHDP Provider Accommodations, Scales that weigh Thomas, Randolph Clinton, MD ^148^ up to 660lbs ♦ Pediatrics 1646 Broadway St NPI: 1235219197 Vallejo, CA 94590 License: G48302 Vallejo , EB,R,E Gender: Male Level of Access: Limited Hospital Privileges: Primary Phone: (707) 645-8576

Chua, Gabriel Samuel Siy, MD ^152^ NorthBay Medical Center Primary Fax: (707) 645-8231 Sutter Solano Medical Center PCP PHC#: 6790-0010 Mon - Fri 9:00 AM - 5:00 PM NPI: 1265476428

Cline, Julianna Hennigan, PA-C ^149^ Family Medicine Family Medicine NPI: 1598852873 Accepting Existing Patients

Lim, Cynthia Concepcion, MD  ^155^ License: 14499 8 Years and Older NPI: 1093730301 Gender: Female CHDP Provider License: A73071 Spanish Gender: Female 96 B Springstowne Center

Lim, Steve, MD  ^156^ Special Accommodations: Medical Vallejo, CA 94591 NPI: 1174548481 Equipment Access , P,EB,IB,R,E,T License: A71526 Level of Access: Basic Gender: Male Primary Phone: (707) 649-2228

Vadlamudi, Gautam K., MD ^150^ Hospital Privileges: Sutter Solano Primary Fax: (707) 649-0120 PCP PHC#: 20927-0001 Medical Center Tue - Fri 8:30 AM - 5:00 PM NPI: 1184729212 Special Accommodations: Adj. Exam Family Medicine Family Medicine Accepting Existing Patients Tables, Scales that weigh up to Chua, Gabriel Samuel Siy, MD  ^153^ 350lbs 18 Years and Older NPI: 1265476428 Assigned Hospitals: NorthBay License: A49399 Medical Center, VacaValley Hospital Gender: Male Spanish, Tagalog 1001 Nut Tree Rd Ste 110 Vacaville, CA 95687 Special Accommodations: Adj. Exam , P,EB,IB,R,E Tables, Hearing Impaired Level of Access: Basic Accommodations, Medical Equipment Primary Phone: (707) 455-8724 Access Primary Fax: (707) 455-7645 Mon - Fri 9:00 AM - 5:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 43 of 137 PHC PRIMARY CARE PROVIDERS SOLANO COUNTY DIRECTORY

Mrgudich, Anthony Paul, MD  ^162^ Daquioag, Rodolfo, MD ^157^ Primary Phone: (707) 651-1000 PCP PHC#: 1166-0014 Primary Fax: (707) 651-2026 NPI: 1124358635 NPI: 1386656288 www.kp.org License: A116037 Family Medicine Mon - Fri 8:30 AM - 5:00 PM Gender: Male Accepting Existing Patients Spanish 18 Years and Older Special Accommodations: Medical Equipment Access Internal Medicine

1460 N Camino Alto Ste 100 Herman, Michele, MD  ^163^ Vallejo, CA 94589 To locate a Kaiser doctor, contact ♦ Internal Medicine , P,EB,IB Kaiser Member Services at NPI: 1588600753 Level of Access: Limited 800-464-4000 or browse Kaiser's License: G54190 Primary Phone: (707) 554-4495 Online Provider Directory: Gender: Female Primary Fax: (707) 554-3270 healthy.kaiserpermanente.org/ Hebrew Mon, Wed, Thu, Sat 8:30 AM - 12:30 northern-california/doctors-locations#/sea

PM Clark, Mary R, FNP  ^164^ NPI: 1598918690

Tue 1:00 PM - 5:00 PM La Clinica-North Vallejo ^160^ License: 8074 PCP PHC#: 18926-0017 Family Medicine Gender: Female NPI: 1720243454 Spanish Daquioag, Rodolfo Arreola, MD  ^158^ FQHC

Heckert, Catherine A, NP  ^165^ NPI: 1386656288 Family Medicine, Internal Medicine License: A29896 NPI: 1013157353 Accepting New Patients License: 5061 Gender: Male No Age Limitations Ilocano, Tagalog Gender: Female CHDP Provider Spanish

Hernandez, Luz Maria, NP  ^166^ Special Accommodations: Adj. Exam 220 Hospital Dr Tables NPI: 1407890320 Vallejo, CA 94589 License: 13914 , P,EB,IB,R,E Gender: Female

Kaiser Permanente ^159^ Level of Access: Basic Spanish PCP PHC#: 1030-0001 Primary Phone: (707) 641-1900 Paredes-Salceda, Aide Irene, PA  Primary Fax: (707) 641-1992 ^167^ NPI: 1336222397 NPI: 1538241401 www.laclinica.org Family Medicine, Internal Medicine, License: 18415 Mon - Fri 8:45 AM - 7:00 PM Pediatrics Gender: Female Accepting Existing Patients Spanish No Age Limitations Family Medicine Parrish, Sarah Lynn, NP  ^168^

Finkelstein, Ann Kayla, MD  ^161^ CHDP Provider NPI: 1457891673 NPI: 1326344607 Assigned Hospital: Kaiser License: 95005919 License: A115414 Permanente Medical Center Gender: Female Gender: Female

Wempe, Robin Elaine, PA-C  ^169^ Spanish 975 Sereno Dr NPI: 1750568721 Vallejo, CA 94589 License: 16062 , P,EB,IB,R,E,T Gender: Female Level of Access: Basic Spanish

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 44 of 137 PHC PRIMARY CARE PROVIDERS SOLANO COUNTY DIRECTORY

Napa Solano Medical Group ^181^ Special Accommodations: Adj. Exam Stanger, Jennifer Kalika, MD  ^175^ Tables, Scales that weigh up to NPI: 1912216763 PCP PHC#: 28372-0005 440lbs License: A114150 NPI: 1528180205 Gender: Female Internal Medicine Spanish

La Clinica-Vallejo ^170^ Accepting Existing Patients

Vityuk, Maryna, MD  ^176^ 18 Years and Older PCP PHC#: 11975-0011 NPI: 1396157590 NPI: 1992811392 Assigned Hospital: Queen of the License: A145302 Valley Medical Center FQHC Gender: Female Family Medicine, Internal Medicine Russian, Ukrainian Accepting New Patients 1460 North Camino Alto Ste 109 Vallejo, CA 94589 No Age Limitations Internal Medicine CHDP Provider , P,R,E Melgarejo, Lane Crispino, MD  ^177^ Level of Access: Limited ♦ Anatomic Pathology Primary Phone: (707) 552-7421 243 Georgia St Ste B NPI: 1588657308 Vallejo, CA 94590 Primary Fax: (707) 645-9686 License: A52120 Mon - Fri 8:30 AM - 5:00 PM , IB,R,E Gender: Female Level of Access: Limited Tagalog Primary Phone: (707) 556-8100 Internal Medicine

Primary Fax: (707) 556-8107 Carandang, Estelita Limbo, MD  ^182^ Ercia, Jessica Del Mundo, NP  ^178^ NPI: 1255473757 www.laclinica.org NPI: 1215233465 Mon - Fri 8:15 AM - 7:00 PM License: A35825 License: 20478 Gender: Female Gender: Female Tagalog Family Medicine Tagalog, Visayan

Cotter, Laura Emily, MD  ^171^ Habtetsion, Mereb Kifle, PA-C  ^179^ Special Accommodations: Adj. Exam NPI: 1619301256 NPI: 1285184242 License: A127104 Tables, Gurney Accommodations, License: 53851 Scales that weigh up to 350lbs Gender: Female Gender: Male

Jahangiri, Wasfa Jabeen, MD  ^172^ Spanish

NPI: 1215021175 North Bay Pediatrics ^183^

Owens, Victoria Elizabeth, NP  ^180^ License: A90365 NPI: 1548784374 PCP PHC#: 1095-0006 Gender: Female License: 95006652 NPI: 1932132297 Punjabi, Urdu Gender: Female Pediatrics

Murugaiah, Subathra, MD  ^173^ Spanish Accepting Existing Patients NPI: 1134418916 0-18 Years License: A128269 Special Accommodations: Adj. Exam CHDP Provider Gender: Female Tables, Scales that weigh up to Assigned Hospitals: NorthBay Spanish, Tamil 440lbs Medical Center, VacaValley Hospital

Navolanic II, Peter, MD  ^174^ NPI: 1427121896 160 Glen Cove Marina Rd E Ste 103 License: G25971 Vallejo, CA 94591 Gender: Male , EB,IB,E Spanish

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 45 of 137 PHC PRIMARY CARE PROVIDERS SOLANO COUNTY DIRECTORY

Primary Phone: (707) 648-7337 Primary Care Clinics/Family Internal Medicine

Primary Fax: (707) 648-1306 Health Services/Solano County Ahmed, Sumera, MD ^192^

www.northbaypediatrics.com Health & Social Services Dept. ^189^ ♦ Internal Medicine Mon - Fri 8:30 AM - 5:00 PM PCP PHC#: 1034-0029 NPI: 1134180219 Sat 8:30 AM - 12:00 PM NPI: 1730310236 License: A95162 FQHC Gender: Female Pediatrics Family Medicine, Internal Medicine, Hindi, Tamil

Hanson, Jennifer Catherine, MD  Chang, Han Kyo, MD ^193^

^184^ Pediatrics NPI: 1093012452 Accepting New Patients NPI: 1235127150 License: A116732 No Age Limitations License: C138034 Gender: Female CHDP Provider Gender: Male Korean Lay, Sophie Aline, MD  ^185^

NPI: 1083647325 365 Tuolumne St Clearfield, Michael Brian, DO ^194^ License: A65033 Vallejo, CA 94590 ♦ Internal Medicine Gender: Female , P,EB,IB,R,E,T NPI: 1689638561 Cambodian Level of Access: Basic License: 20A9719 Gender: Male Martin, Fatma, MD  ^186^ Primary Phone: (707) 553-5509 ♦ Pediatrics Primary Fax: (707) 553-5658 NPI: 1962437350 www.solanocounty.com Pediatrics

License: A39595 Mon - Fri 8:00 AM - 5:00 PM Braden, Jeanah Nikol, MD ^195^ Gender: Female NPI: 1699018945 License: A140522 Tanaka, June, MD  ^187^ Family Medicine NPI: 1124053517 Gender: Female

Pearce, Melissa G., DO ^190^

License: A77266 ♦ Neuromusculoskeletal Medicine & Hendriksz, Tami, DO ^196^ Gender: Female Osteopathic Manipulative NPI: 1104099951 Japanese Medicine License: 20A10308 Gender: Female Winston, Gary Allyn, MD ^188^ ♦ Osteopathic Manipulative Therapy NPI: 1033144423 NPI: 1093871154 Spanish

License: G30331 License: 20A10033 Shinder, Teresa Lynn, DO ^197^ Gender: Male Gender: Female NPI: 1427253764 Spanish License: 20A12019 Special Accommodations: Adj. Exam Gender: Female

Shubrook Jr., Jay H., DO ^191^

Tables, Scales that weigh up to ♦ Family Medicine Verder-Bautista, Pamela Nava, MD ^198^ 500lbs ♦ Osteopathic Manipulative Therapy NPI: 1558396028 NPI: 1336179704 License: A76841 License: 20A7399 Gender: Female Gender: Male Tagalog

Gill, Gwendolyn Denise, NP ^199^ NPI: 1427105303 License: 7264 Gender: Female

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 46 of 137 PHC PRIMARY CARE PROVIDERS SOLANO COUNTY DIRECTORY

Harms, Kylie Ann, FNP ^200^ Family Medicine Primary Phone: (707) 552-7421

NPI: 1023552726 Coe, Gregory M, MD ^205^ Primary Fax: (707) 645-9686 License: 95005692 ♦ Family Medicine Mon - Fri 8:30 AM - 5:00 PM Gender: Female NPI: 1295797405 Spanish License: G67566 Internal Medicine

Velarde, Voltaire Salanga, MD  ^209^ McCloud, Fawn Lynn, NP ^201^ Gender: Male NPI: 1770737009 Hospital Privileges: Sutter Solano ♦ Internal Medicine License: 12893 Medical Center NPI: 1538243340

Gender: Female Hennessey, Sean P, MD ^206^ License: A49569

Perez, Rebecca Jo, NP ^202^ ♦ Family Medicine Gender: Male NPI: 1003824186 NPI: 1750342242 Tagalog License: 17163 License: C41883 Hospital Privileges: Sutter Solano Gender: Female Gender: Male Medical Center Spanish Hospital Privileges: Sutter Solano Special Accommodations: Adj. Exam Ticzon, Zenia Mendoza, NP ^203^ Medical Center NPI: 1740687904 Tables, Scales that weigh up to License: 22264 Pediatrics 500lbs

Gender: Female Seaton-Smith, Kimberly Lynn, DO ^207^ NPI: 1073834644

Velasquez, Ruben S., MD, Inc. ^210^ Special Accommodations: Adj. Exam License: 20A11242 Tables, Gurney Accommodations, Gender: Female PCP PHC#: 1037-0012 Special Scales For Wheelchairs, Hospital Privileges: NPI: 1346496213 Medical Equipment Access, Scales NorthBay Medical Center Internal Medicine that weigh up to 1000lbs Sutter Solano Medical Center Accepting Existing Patients 18 Years and Older Special Accommodations: Adj. Exam

Sutter Medical Group Solano ^204^ Tables, Gurney Accommodations, 1460 N Camino Alto Ste 209 PCP PHC#: 17120-0014 Medical Equipment Access, Scales Vallejo, CA 94589 NPI: 1184859894 that weigh up to 800lbs , EB,R,E Family Medicine, Pediatrics Level of Access: Limited Closed Enrollment Primary Phone: (707) 644-5297

No Age Limitations Velarde, Voltaire S., MD ^208^ Primary Fax: (707) 644-1331 CHDP Provider PCP PHC#: 1286-0019 Mon, Tue, Thu 9:00 AM - 5:00 PM NPI: 1528180205 Wed, Fri 9:00 AM - 12:00 PM 100 Hospital Dr 2nd Fl Internal Medicine Vallejo, CA 94589 Accepting Existing Patients Internal Medicine

, P,EB,IB,R,E,T 18 Years and Older Velasquez, Ruben San Diego, MD ^211^ Level of Access: Basic Assigned Hospital: Queen of the NPI: 1659451854 Primary Phone: (707) 427-4900 Valley Medical Center License: A26381 Primary Fax: (707) 428-2715 Gender: Male Mon - Fri 8:00 AM - 5:00 PM 1460 North Camino Alto Ste 109 Spanish, Tagalog Vallejo, CA 94589 Hospital Privileges: Sutter Solano , P,R,E Medical Center Level of Access: Limited

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 47 of 137 PHC PRIMARY CARE PROVIDERS SOLANO COUNTY DIRECTORY

Special Accommodations: Gurney Parson, Margolo, FNP ^216^ Accommodations, Scales that weigh NPI: 1538248034 up to 350lbs License: 7756 Gender: Female Winters Spanish Special Accommodations: Adj. Exam

Winters Healthcare Foundation ^212^ Tables, Hearing Impaired PCP PHC#: 2317-0014 Accommodations NPI: 1992736086 FQHC Pediatrics Accepting New Patients No Age Limitations CHDP Provider

23 Main St Winters, CA 95694 , P,EB,IB,E Level of Access: Limited Primary Phone: (530) 795-4377 Primary Fax: (530) 795-3054 www.wintershealth.org Mon, Tue, Thu 8:00 AM - 8:00 PM Wed, Fri 8:00 AM - 5:00 PM

Pediatrics

Trader, Andrea Corrine, MD ^213^ NPI: 1063696318 License: G87561 Gender: Female

Lopez, Jaime Uriel, PA ^214^ NPI: 1922183532 License: 17906 Gender: Male Spanish

Moen, Holly Lynn, CNM ^215^ NPI: 1306994769 License: 285953 Gender: Female

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 48 of 137 PHC FACILITIES, PHARMACY, URGENT CARE & VSP LIST SOLANO COUNTY DIRECTORY

CPMC-Davies Campus ^223^ Hospitals Primary Sutter Solano Medical Center ^220^ PHC#: 1262 PHC#: 3969 Kaiser Permanente Medical NPI: 1366686248 NPI: 1265590442 License: 110000082 License: 220000197

Center ^217^ 300 Hospital Dr 601 Duboce Ave Castro St & Duboce PHC#: 7473 Vallejo, CA 94589 Ave NPI: 1710116116  San Francisco, CA 94117 License: 550001207 Skilled Medical Interpreter Service  1 Quality Dr Primary Phone: (707) 554-4444 Skilled Medical Interpreter Service Vacaville, CA 95688 Primary Fax: (855) 398-6568 Primary Phone: (415) 600-6000  24 Hours 7 Days a Week Primary Fax: (714) 783-2548 Primary Phone: (707) 624-4000 24 Hours 7 Days a Week www.kp.org

24 Hours 7 Days a Week VacaValley Hospital ^221^

PHC#: 1301 CPMC-Mission Bernal Campus ^224^ Kaiser Permanente Medical NPI: 1821147786 PHC#: 1872 License: 110000093 NPI: 1881712933

Center ^218^ 1000 Nut Tree Rd License: 220000070 PHC#: 1030 Vacaville, CA 95687 3555 Cesar Chavez NPI: 1366513509  San Francisco, CA 94110 License: 110000026 Skilled Medical Interpreter Service  975 Sereno Dr Primary Phone: (707) 624-7000 Primary Phone: (415) 600-6000 Vallejo, CA 94589 Patient Referral Phone: Primary Fax: (714) 783-2548  800-482-3284 24 Hours 7 Days a Week Skilled Medical Interpreter Service www.northbay.org Primary Phone: (707) 651-1000 24 Hours 7 Days a Week www.kp.org CPMC-Pacific Campus ^225^ 24 Hours 7 Days a Week PHC#: 1646 Hospitals Referral NPI: 1740348929 License: 220000197

NorthBay Medical Center ^219^ 2333 Buchanan St PHC#: 1300 CPMC-California Campus ^222^ San Francisco, CA 94115 NPI: 1821147786 PHC#: 1646  License: 110000093 NPI: 1740348929 Skilled Medical Interpreter Service 1200 B Gale Wilson Blvd License: 220000197 Primary Phone: (415) 600-6000 Fairfield, CA 94533 3700 California St Primary Fax: (714) 783-2548  San Francisco, CA 94118 24 Hours 7 Days a Week Skilled Medical Interpreter Service  Primary Phone: (707) 646-5000 Skilled Medical Interpreter Service www.northbay.org Primary Phone: (415) 600-6000 24 Hours 7 Days a Week Primary Fax: (415) 369-1311 24 Hours 7 Days a Week

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 49 of 137 PHC FACILITIES, PHARMACY, URGENT CARE & VSP LIST SOLANO COUNTY DIRECTORY

Children's Hospital Oakland ^226^ Lucile Packard Children's Mercy San Juan Hospital ^232^

PHC#: 1560 Hospital ^229^ PHC#: 2026 NPI: 1003961251 PHC#: 3069 NPI: 1972541498 License: 140000015 NPI: 1467442749 License: 030000063 747 52nd St License: 070000659 6501 Coyle Ave Oakland, CA 94609 725 Welch Rd Carmichael, CA 95608  Palo Alto, CA 94304  Skilled Medical Interpreter Service  Skilled Medical Interpreter Service Primary Phone: (510) 428-3000 Skilled Medical Interpreter Service Primary Phone: (916) 537-5000 www.childrenshospitaloakland.org Primary Phone: (650) 497-8000 www.dignityhealth.org 24 Hours 7 Days a Week Patient Referral Phone: 24 Hours 7 Days a Week 800-995-5724 Primary Fax: (650) 725-8343

John Muir Medical Methodist Hospital of Sacramento www.stanfordchildrens.org ^233^

Center-Concord Campus ^227^ 24 Hours 7 Days a Week PHC#: 2029 PHC#: 1559 NPI: 1467560599 NPI: 1801821376 License: 030000064

Mercy General Hospital ^230^ License: 140000128 7500 Hospital Dr 2540 East St PHC#: 2027 Sacramento, CA 95823 Concord, CA 94520 NPI: 1487694857   License: 030000062 Skilled Medical Interpreter Service Skilled Medical Interpreter Service 4001 J St Primary Phone: (916) 423-3000 Primary Phone: (925) 682-8200 Sacramento, CA 95819 www.dignityhealth.org www.johnmuirhealth.com  24 Hours 7 Days a Week 24 Hours 7 Days a Week Skilled Medical Interpreter Service Primary Phone: (916) 453-4545

Shriners Hospitals for Children ^234^ www.dignityhealth.org

Lodi Memorial Hospital ^228^ 24 Hours 7 Days a Week PHC#: 24564 PHC#: 1379 NPI: 1962530451 NPI: 1316938301 License: 030000620

Mercy Hospital of Folsom ^231^ License: 030000056 2425 Stockton Blvd 975 South Fairmont Ave PHC#: 1733 Sacramento, CA 95817 Lodi, CA 95240 NPI: 1356389878   License: 030000372 Skilled Medical Interpreter Service Skilled Medical Interpreter Service 1650 Creekside Dr Primary Phone: (916) 453-2000 Primary Phone: (209) 334-3411 Folsom, CA 95630 Primary Fax: (916) 453-2388 Primary Fax: (209) 333-3160  www.shrinershospitalsforchildren.org www.adventisthealth.org/ Skilled Medical Interpreter Service 24 Hours 7 Days a Week lodimemorial Primary Phone: (916) 983-7400 24 Hours 7 Days a Week Primary Fax: (916) 983-7406 www.dignityhealth.org 24 Hours 7 Days a Week

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 50 of 137 PHC FACILITIES, PHARMACY, URGENT CARE & VSP LIST SOLANO COUNTY DIRECTORY

Vibra Hospital of Sacramento ^238^ St Elizabeth Community Hospital ^235^ You may email Beacon Member PHC#: 5072 PHC#: 29489 Services at: NPI: 1083732853 NPI: 1134564693 [email protected] License: 230000036 License: 030000377 2550 Sister Mary Columba Dr 330 Montrose Dr Pharmacy Network List Red Bluff, CA 96080 Folsom, CA 95630  

Skilled Medical Interpreter Service Skilled Medical Interpreter Service CAPITAL CITY PHARMACY ^241^ Primary Phone: (530) 529-8000 Primary Phone: (916) 351-9151 NPI: 1689047441 Primary Fax: (530) 225-6335 Primary Fax: (916) 351-8760 339 GEORGIA ST www.dignityhealth.org www.vhsacramento.com VALLEJO, CA 94590 24 Hours 7 Days a Week 24 Hours 7 Days a Week  Primary Phone: (707) 644-2272 Sutter Medical Center Zuckerberg San Francisco Primary Fax: (707) 644-2338 Mon - Fri 9:00 AM - 8:00 PM

Sacramento ^236^ General Hospital ^239^ Sat 9:00 AM - 5:00 PM PHC#: 1933 PHC#: 1558 NPI: 1811946734 NPI: 1164609962 CONSONUS PHARMACY License: 030000102 License: 220000063

SERVICES CA NORTH LLC ^242^ 2825 Capitol Ave 1001 Potrero Ave Sacramento, CA 95816 San Francisco, CA 94110 NPI: 1144470931   2148 ICON WAY 100 Skilled Medical Interpreter Service Skilled Medical Interpreter Service VACAVILLE, CA 95688 Primary Phone: (916) 887-0000 Primary Phone: (415) 206-8000  Primary Fax: (916) 733-1058 www.zsfgcare.org Primary Phone: (866) 253-0048 24 Hours 7 Days a Week 24 Hours 7 Days a Week Primary Fax: (503) 961-7781 Mon - Fri 9:00 AM - 7:00 PM Sat, Sun 10:00 AM - 6:00 PM

UC Davis Medical Center ^237^ Mental Health Services - PHC#: 2302 Outpatient

COSTCO PHARMACY ^243^ NPI: 1710918545 License: 030000086 NPI: 1073623625

Beacon Health Strategies ^240^ 2315 Stockton Blvd 5101 BUSINESS CENTER DR Call Beacon Health Strategies to Sacramento, CA 95817 FAIRFIELD, CA 94585  request information on available  Skilled Medical Interpreter Service mental health providers, or for Primary Phone: (707) 639-4106 Primary Phone: (916) 734-2011 general questions about mental Primary Fax: (707) 639-4112 Patient Referral Phone: health services. You can also visit Mon - Fri 10:00 AM - 7:00 PM 800-482-3284 Beacon's website and type the word Sat 10:00 AM - 6:00 PM www.ucdmc.ucdavis.edu/ partnership on the member login medicalcenter page. 24 Hours 7 Days a Week Primary Phone: (855) 765-9703 www.beaconhealthstrategies.com/ member_login.aspx

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 51 of 137 PHC FACILITIES, PHARMACY, URGENT CARE & VSP LIST SOLANO COUNTY DIRECTORY

COSTCO PHARMACY ^244^ CVS PHARMACY ^248^ CVS PHARMACY # ^252^ NPI: 1760592372 NPI: 1457574717 NPI: 1730121559 1051 HUME WAY 3340 N TEXAS ST 1057 N FIRST ST VACAVILLE, CA 95687 FAIRFIELD, CA 94533 DIXON, CA 95620    Primary Phone: (707) 453-7342 Primary Phone: (707) 423-9463 Primary Phone: (707) 678-4412 Primary Fax: (707) 453-7363 Primary Fax: (707) 423-9467 Primary Fax: (707) 678-8823 Mon - Fri 10:00 AM - 7:00 PM Mon - Fri 9:00 AM - 9:00 PM Mon - Fri 9:00 AM - 7:00 PM Sat 10:00 AM - 6:00 PM Sat, Sun 10:00 AM - 6:00 PM Sat, Sun 9:00 AM - 5:00 PM

COSTCO PHARMACY ^245^ CVS PHARMACY ^249^ CVS PHARMACY # ^253^ NPI: 1740390343 NPI: 1164465993 NPI: 1639191232 198 PLAZA DRIVE 5059 BUSINESS CENTER DR 2059 CADENASSO DR VALLEJO, CA 94591 FAIRFIELD, CA 94534 FAIRFIELD, CA 94533    Primary Phone: (707) 553-6402 Primary Phone: (707) 863-0722 Primary Phone: (707) 759-0005 Primary Fax: (707) 553-6417 Primary Fax: (707) 863-0720 Primary Fax: (707) 759-0005 Mon - Fri 10:00 AM - 7:00 PM Mon - Fri 9:00 AM - 8:00 PM Mon - Fri 9:00 AM - 7:00 PM Sat 10:00 AM - 6:00 PM Sat, Sun 10:00 AM - 6:00 PM Sat 9:00 AM - 5:00 PM Sun 11:00 AM - 5:00 PM

CVS PHARMACY ^246^ CVS PHARMACY ^250^

NPI: 1679767800 NPI: 1154364941 CVS PHARMACY # ^254^ 2100 COLUMBUS PKWY 625 ELMIRA RD NPI: 1780627547 BENICIA, CA 94510 VACAVILLE, CA 95687 191 DEPOT ST   VACAVILLE, CA 95688 Primary Phone: (707) 747-3453 Primary Phone: (707) 451-0285  Primary Fax: (707) 747-6022 Primary Fax: (707) 451-3001 Primary Phone: (707) 446-2401 Mon - Fri 9:00 AM - 8:00 PM Mon - Fri 8:00 AM - 8:00 PM Primary Fax: (707) 446-0682 Sat 9:00 AM - 5:00 PM Sat, Sun 10:00 AM - 6:00 PM Mon - Fri 8:00 AM - 8:00 PM Sun 10:00 AM - 6:00 PM Sat, Sun 10:00 AM - 6:00 PM

CVS PHARMACY ^251^

CVS PHARMACY # ^255^ CVS PHARMACY ^247^ NPI: 1154364982 NPI: 1235172024 1193 ADMIRAL CALLAGHAN LN NPI: 1437171048 300 TRAVIS BLVD VALLEJO, CA 94591 3000 HARBISON DR FAIRFIELD, CA 94533  VACAVILLE, CA 95687  Primary Phone: (707) 552-0496  Primary Phone: (707) 422-3460 Primary Fax: (707) 552-0382 Primary Phone: (707) 452-8119 Primary Fax: (707) 422-3551 Mon - Fri 9:00 AM - 9:00 PM Primary Fax: (707) 301-4351 Mon - Fri 8:00 AM - 11:59 PM Sat, Sun 10:00 AM - 6:00 PM Mon - Fri 9:00 AM - 7:00 PM Sat, Sun 8:00 AM - 8:00 PM Sat 9:00 AM - 5:00 PM Sun 11:00 AM - 5:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 52 of 137 PHC FACILITIES, PHARMACY, URGENT CARE & VSP LIST SOLANO COUNTY DIRECTORY

CVS PHARMACY # ^256^ KAISER HEALTH PLAN MOB PHY MERCURY PHARMACY #002 ^264^

NPI: 1710929534 401 ^260^ NPI: 1295279677 3678 SONOMA BLVD NPI: 1942357264 480 CHADBOURNE RD STE 101 VALLEJO, CA 94590 1550 GATEWAY BLVD FAIRFIELD, CA 94534  FAIRFIELD, CA 94533  Primary Phone: (707) 552-8844  Primary Phone: (707) 862-7300 Primary Fax: (707) 552-8946 Primary Phone: (707) 427-4222 Primary Fax: (707) 222-4339 Mon - Fri 8:00 AM - 8:00 PM Primary Fax: (707) 427-4215 Mon - Fri 9:00 AM - 5:30 PM Sat 9:00 AM - 5:00 PM Mon - Fri 8:30 AM - 7:00 PM Sun 10:00 AM - 5:00 PM MT DIABLO SOLANO ONCOLOGY

LUCKY PHARMACY ^261^ GROUP MEDICAL ASSOCIATES ^265^

DELTA PHARMACY ^257^ NPI: 1689718769 NPI: 1134466956 NPI: 1649312174 1979 PEABODY RD 100 HOSPITAL DRIVE SUITE 110B 407 N MAIN ST VACAVILLE, CA 95687 VALLEJO, CA 94589 RIO VISTA, CA 94571    Primary Phone: (707) 452-0145 Primary Phone: (707) 551-3338 Primary Phone: (707) 374-5135 Primary Fax: (707) 452-0183 Primary Fax: (707) 551-3331 Primary Fax: (707) 374-5408 Mon - Fri 9:00 AM - 7:00 PM Mon - Fri 8:00 AM - 5:00 PM Mon - Fri 9:00 AM - 7:00 PM Sat 9:00 AM - 5:00 PM Sat 9:00 AM - 5:00 PM NORTHBAY CANCER CENTER

LUCKY PHARMACY ^262^ PHARMACY ^266^

FAIRFIELD VA CBOC PHARMACY

^258^ NPI: 1316081490 NPI: 1558891325 NPI: 1528016649 777 E MONTE VISTA AVE 1020 NUT TREE RD 103 BODIN CIRCLE BLDG 778 VACAVILLE, CA 95688 VACAVILLE, CA 95687 TRAVIS AFB, CA 94535    Primary Phone: (707) 448-8420 Primary Phone: (707) 624-8066 Primary Phone: (707) 437-1820 Primary Fax: (707) 448-8703 Primary Fax: (707) 624-7360 Primary Fax: (707) 437-1822 Mon - Fri 9:00 AM - 7:00 PM Mon - Fri 7:30 AM - 6:00 PM Mon - Fri 8:00 AM - 4:00 PM Sat 9:00 AM - 5:00 PM

RALEY'S PHARMACY #330 ^267^

MERCURY PHARMACY ^263^ GATEWAY PHARMACY ^259^ NPI: 1891805560 NPI: 1437432234 NPI: 1912323155 270 SUNSET AVENUE 1330 GATEWAY BLVD SUIT B2 480 REDWOOD ST STE 33 SUISUN CITY, CA 94585 FAIRFIELD, CA 94533 VALLEJO, CA 94590    Primary Phone: (707) 426-1274 Primary Phone: (707) 442-0500 Primary Phone: (707) 200-4411 Primary Fax: (707) 426-3280 Primary Fax: (707) 442-0555 Primary Fax: (707) 652-5906 Mon - Fri 9:00 AM - 8:00 PM Mon - Fri 9:00 AM - 6:00 PM Mon - Fri 9:00 AM - 6:00 PM Sat 9:00 AM - 5:30 PM Sat 10:00 AM - 2:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 53 of 137 PHC FACILITIES, PHARMACY, URGENT CARE & VSP LIST SOLANO COUNTY DIRECTORY

RALEY'S PHARMACY #331 ^268^ RITE AID PHARMACY 05910 ^272^ SAFEWAY PHARMACY #1109 ^276^ NPI: 1346350006 NPI: 1952410383 NPI: 1356370365 3330 NORTH TEXAS STREET 60 SOLANO SQUARE 2090 HARBISON DR FAIRFIELD, CA 94533 BENICIA, CA 94510 VACAVILLE, CA 95687    Primary Phone: (707) 421-9010 Primary Phone: (707) 746-0229 Primary Phone: (707) 452-7279 Primary Fax: (707) 421-9484 Primary Fax: (707) 746-8605 Primary Fax: (707) 452-7282 Mon - Fri 9:00 AM - 8:00 PM Mon - Fri 9:00 AM - 9:00 PM Mon - Fri 9:00 AM - 8:00 PM Sat, Sun 9:00 AM - 5:30 PM Sat 9:00 AM - 6:00 PM Sat, Sun 9:00 AM - 5:00 PM Sun 10:00 AM - 6:00 PM

RALEY'S PHARMACY #332 ^269^ SAFEWAY PHARMACY #1127 ^277^

NPI: 1033229794 RITE AID PHARMACY 05941 ^273^ NPI: 1235175829 3001 TRAVIS BLVD NPI: 1699884015 2401 WATERMAN DR FAIRFIELD, CA 94533 135 SUNSET AVENUE FAIRFIELD, CA 94533  SUISUN CITY, CA 94585  Primary Phone: (707) 429-8310  Primary Phone: (707) 427-5642 Primary Fax: (707) 429-3546 Primary Phone: (707) 426-4242 Primary Fax: (707) 427-5645 Mon - Fri 9:00 AM - 8:00 PM Primary Fax: (707) 426-4058 Mon - Fri 9:00 AM - 8:00 PM Sat, Sun 9:00 AM - 5:30 PM Mon - Fri 9:00 AM - 9:00 PM Sat, Sun 9:00 AM - 5:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM

RALEY'S PHARMACY #343 ^270^ SAFEWAY PHARMACY #1258 ^278^ NPI: 1376653030 NPI: 1588600357

890 SOUTHAMPTON ROAD RITE AID PHARMACY 05945 ^274^ 1235 STRATFORD AVE BENICIA, CA 94510 NPI: 1972612323 DIXON, CA 95620  2021 SOLANO AVENUE  Primary Phone: (707) 746-5565 VALLEJO, CA 94590 Primary Phone: (707) 678-7402 Primary Fax: (707) 746-6867  Primary Fax: (707) 678-7405 Mon - Fri 9:00 AM - 9:00 PM Primary Phone: (707) 552-1476 Mon - Fri 9:00 AM - 8:00 PM Sat, Sun 9:00 AM - 5:30 PM Primary Fax: (707) 552-2751 Sat, Sun 9:00 AM - 5:00 PM Mon - Fri 9:00 AM - 9:00 PM Sat 9:00 AM - 7:00 PM

RALEY'S PHARMACY #344 ^271^ SAFEWAY PHARMACY #1631 ^279^ Sun 10:00 AM - 6:00 PM NPI: 1649380304 NPI: 1326074105 3061 ALAMO DRIVE 122 ROBLES WAY

VACAVILLE, CA 95687 SAFEWAY PHARMACY #0989 ^275^ VALLEJO, CA 94591  NPI: 1205872074  Primary Phone: (707) 447-2526 774 ADMIRAL CALLAGHAN LANE Primary Phone: (707) 554-6908 Primary Fax: (707) 446-6182 VALLEJO, CA 94591 Primary Fax: (707) 554-2347 Mon - Fri 9:00 AM - 8:00 PM  Mon - Fri 9:00 AM - 8:00 PM Sat 9:00 AM - 5:30 PM Primary Phone: (707) 554-8060 Sat, Sun 9:00 AM - 5:00 PM Primary Fax: (707) 554-0877 Mon - Fri 9:00 AM - 8:00 PM Sat, Sun 9:00 AM - 5:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 54 of 137 PHC FACILITIES, PHARMACY, URGENT CARE & VSP LIST SOLANO COUNTY DIRECTORY

SAMS PHARMACY 10-6433 ^280^ VALLEJO VA CBOC PHARMACY ^284^ WALGREENS ^288^ NPI: 1487671731 NPI: 1780632901 NPI: 1609881986 1500 HELEN POWER DRIVE 201 WALNUT AVE 2647 SPRINGS ROAD VACAVILLE, CA 95687 VALLEJO, CA 94592 VALLEJO, CA 94591    Primary Phone: (707) 449-3638 Primary Phone: (707) 562-8440 Primary Phone: (707) 557-5974 Primary Fax: (707) 449-8521 Primary Fax: (707) 562-8304 Primary Fax: (707) 557-2837 Mon - Fri 9:00 AM - 7:00 PM Mon - Fri 8:00 AM - 4:00 PM Mon - Fri 8:00 AM - 9:00 PM Sat 9:00 AM - 5:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM

WALGREENS ^285^ SENIOR CARE PHARMACY NPI: 1962417295

WALMART PHARMACY 10-1704 ^289^ SERVICES ^281^ 1955 W TEXAS ST NPI: 1154617215 FAIRFIELD, CA 94533 NPI: 1760409007 4950 FULTON DR SUITE A AND B  1501 HELEN POWER DRIVE FAIRFIELD, CA 94534 Primary Phone: (707) 428-0496 VACAVILLE, CA 95687  Primary Fax: (707) 428-0452  Primary Phone: (707) 673-9800 Mon - Fri 8:00 AM - 9:00 PM Primary Phone: (707) 451-1397 Primary Fax: (707) 673-9900 Sat 9:00 AM - 6:00 PM Primary Fax: (707) 451-4857 Mon - Sun 7:00 AM - 11:59 PM Sun 10:00 AM - 6:00 PM Mon - Fri 8:00 AM - 9:00 PM Sat 9:00 AM - 7:00 PM Sun 10:00 AM - 6:00 PM

SOLANO DERMATOLOGY WALGREENS ^286^

ASSOCIATES ^282^ NPI: 1346687456

NPI: 1922052729 2590 N TEXAS ST WALMART PHARMACY 10-2048 ^290^ 2290 SACRAMENTO STREET FAIRFIELD, CA 94533 NPI: 1215954540 VALLEJO, CA 94590  2701 N TEXAS ST  Primary Phone: (707) 399-9329 FAIRFIELD, CA 94534 Primary Phone: (707) 643-5785 Primary Fax: (707) 399-9520  Primary Fax: (707) 643-5876 Mon - Fri 8:00 AM - 9:00 PM Primary Phone: (707) 428-4795 Mon - Fri 8:30 AM - 5:00 PM Sat 9:00 AM - 6:00 PM Primary Fax: (707) 428-1649 Sun 10:00 AM - 6:00 PM Mon - Fri 8:00 AM - 9:00 PM SOLANO HEMATOLOGY Sat 9:00 AM - 7:00 PM Sun 10:00 AM - 6:00 PM

WALGREENS ^287^ ONCOLOGY INC ^283^ NPI: 1528399193 NPI: 1144235425

100 HOSPITAL DR STE 110 2010 ALAMO DRIVE WALMART PHARMACY 10-3708 ^291^ VALLEJO, CA 94589 VACAVILLE, CA 95687 NPI: 1972994622   350 WALTERS RD Primary Phone: (707) 551-3300 Primary Phone: (707) 451-8304 SUISUN CITY, CA 94585 Primary Fax: (707) 551-3301 Primary Fax: (707) 451-2452  Mon - Fri 8:00 AM - 4:30 PM Mon - Fri 8:00 AM - 9:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 55 of 137 PHC FACILITIES, PHARMACY, URGENT CARE & VSP LIST SOLANO COUNTY DIRECTORY

Fairfield Post Acute Rehab ^298^ Primary Phone: (707) 639-4982 WALMART PHARMACY 10-5609 ^295^ Primary Fax: (707) 639-4983 NPI: 1356787170 PHC#: 13188 Mon - Fri 9:00 AM - 9:00 PM 501 SERENO DR NPI: 1780669093 Sat 9:00 AM - 7:00 PM VALLEJO, CA 94590 1255 Travis Blvd Sun 10:00 AM - 6:00 PM  Fairfield, CA 94533 Primary Phone: (707) 653-1061  Primary Fax: (707) 653-1062 Primary Phone: (707) 425-0623 WALMART PHARMACY 10-5007 ^292^ NPI: 1215374913 Mon - Fri 8:00 AM - 9:00 PM Primary Fax: (707) 419-8165 2050 NUT TREE RD Sat 9:00 AM - 7:00 PM 24 Hours 7 Days a Week VACAVILLE, CA 95687 Sun 10:00 AM - 6:00 PM  Greenfield Care Center of

Primary Phone: (479) 273-4885 Skilled Nursing Long Term Fairfield ^299^ Mon - Fri 8:00 AM - 9:00 PM Care Facilities PHC#: 1243 Sat 9:00 AM - 7:00 PM NPI: 1396732590 Sun 10:00 AM - 6:00 PM 1260 Travis Blvd

Bellaken Skilled Nursing Center ^296^ Fairfield, CA 94533 PHC#: 18581  WALMART PHARMACY 10-5139 ^293^ NPI: 1841295003 Primary Phone: (707) 425-0669 NPI: 1356368583 License: 020000634 235 EAST DORSET DRIVE Primary Fax: (707) 425-2709 2780 26th Ave 24 Hours 7 Days a Week DIXON, CA 95620 Oakland, CA 94601  

Primary Phone: (707) 693-6514 Primary Phone: (510) 536-1838 Heartwood Avenue Living Center ^300^ Primary Fax: (707) 693-6591 Primary Fax: (510) 536-1816 PHC#: 1253 Mon - Fri 8:00 AM - 9:00 PM 24 Hours 7 Days a Week NPI: 1245288083 Sat 9:00 AM - 7:00 PM 1044 Heartwood Ave Sun 10:00 AM - 6:00 PM Berkeley Pines Skilled Nursing Vallejo, CA 94591 

Center ^297^ Primary Phone: (707) 643-2267 WALMART PHARMACY 10-5608 ^294^ PHC#: 46634 NPI: 1720424799 Primary Fax: (707) 643-5209 NPI: 1356746929 24 Hours 7 Days a Week 941 ALAMO DR License: 020000011 VACAVILLE, CA 95687 2223 Ashby Ave  Berkeley, CA 94705 Kindred Nursing and

Primary Phone: (707) 359-3183 Primary Phone: (510) 649-6670 Rehabilitation-Ygnacio Valley ^301^ Primary Fax: (707) 359-3184 Primary Fax: (510) 649-6684 PHC#: 16699 Mon - Fri 8:00 AM - 9:00 PM 24 Hours 7 Days a Week NPI: 1639199409 Sat 9:00 AM - 7:00 PM 1449 Ygnacio Valley Road Sun 10:00 AM - 6:00 PM Walnut Creek, CA 94598  Primary Phone: (925) 939-5820 Primary Fax: (925) 939-0231 24 Hours 7 Days a Week

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 56 of 137 PHC FACILITIES, PHARMACY, URGENT CARE & VSP LIST SOLANO COUNTY DIRECTORY

La Mariposa Care and Rehab Orchard Post Acute Care ^306^ Vallejo Care Center ^310^

Center ^302^ PHC#: 1528 PHC#: 5887 PHC#: 13197 NPI: 1336162775 NPI: 1285770669 NPI: 1235152679 101 S Orchard Ave License: 110000155 1244 Travis Blvd Vacaville, CA 95688 2200 Tuolumne St Fairfield, CA 94533  Vallejo, CA 94589  Primary Phone: (707) 448-6458  Primary Phone: (707) 422-7750 Primary Fax: (707) 474-9927 Primary Phone: (707) 644-7401 Primary Fax: (707) 759-4571 24 Hours 7 Days a Week Primary Fax: (707) 644-1625 24 Hours 7 Days a Week 24 Hours 7 Days a Week

Pittsburg Skilled Nursing Center ^307^

Manor Care Health Services ^303^ PHC#: 46857 Urgent Care Sites PHC#: 28407 NPI: 1083019657 NPI: 1609817352 License: 140000479

Direct Urgent Care ^311^ License: 140000554 535 School St PHC#: 47650 1975 Tice Valley Blvd Pittsburg, CA 94565 NPI: 1417294232 Walnut Creek, CA 94595  1679 E Monte Vista Ave Ste 104 Primary Phone: (925) 906-0200 Primary Phone: (925) 808-6540 Vacaville, CA 95688 Primary Fax: (925) 906-0201 Primary Fax: (925) 808-6544 Primary Phone: (707) 624-7400 24 Hours 7 Days a Week 24 Hours 7 Days a Week Mon - Fri 5:00 PM - 7:00 PM Sat, Sun 9:00 AM - 7:00 PM

Springs Road Living Center ^308^ ManorCare Health Services ^304^ PHC#: 19843 PHC#: 1242

La Clinica-North Vallejo ^312^ NPI: 1720035090 NPI: 1023066966 PHC#: 18926 License: 140000368 1527 Springs Rd NPI: 1720243454 1226 Rossmoor Pkwy Vallejo, CA 94591 220 Hospital Dr Walnut Creek, CA 94595  Vallejo, CA 94589 Primary Phone: (925) 975-5000 Primary Phone: (707) 643-2793 , P,EB,IB,R,E Primary Fax: (925) 937-1132 Primary Fax: (707) 554-2876 Level of Access: Basic 24 Hours 7 Days a Week 24 Hours 7 Days a Week Primary Phone: (707) 641-1900 Primary Fax: (707) 641-1992 Vacaville Convalescent & Rehab Marina Garden Nursing Center ^305^ www.laclinica.org

Center ^309^ PHC#: 15529 Mon - Fri 4:00 PM - 7:00 PM NPI: 1699770867 PHC#: 1248 Sat 9:00 AM - 1:00 PM License: 020000211 NPI: 1114914355 3201 Fernside Blvd 585 Nut Tree Ct Special Accommodations: Adj. Exam Alameda, CA 94501 Vacaville, CA 95687 Tables, Scales that weigh up to Primary Phone: (510) 523-2363  440lbs Primary Fax: (510) 865-5076 Primary Phone: (707) 449-8000 24 Hours 7 Days a Week Primary Fax: (707) 449-4166 24 Hours 7 Days a Week

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 57 of 137 PHC FACILITIES, PHARMACY, URGENT CARE & VSP LIST SOLANO COUNTY DIRECTORY

Primary Care Clinics/Family La Clinica-Vallejo ^313^ Special Accommodations: Gurney PHC#: 11975 Health Services/Solano County Accommodations, Scales that weigh

NPI: 1992811392 Health & Social Services Dept. ^315^ up to 660lbs 243 Georgia St Ste B PHC#: 1034 Vallejo, CA 94590 NPI: 1730310236 Vision Service Plan (VSP) , IB,R,E 365 Tuolumne St (1-800-877-7195) Level of Access: Limited Vallejo, CA 94590 Primary Phone: (707) 556-8100 , P,EB,IB,R,E,T

Bayside Family Optometry ^318^ Primary Fax: (707) 556-8107 Level of Access: Basic Mon - Fri 5:00 PM - 8:00 PM Primary Phone: (707) 553-5509 NPI: 1902840796 Sat 9:00 AM - 1:00 PM Primary Fax: (707) 553-5658 121 Plaza Dr Ste 505 Mon - Thu 5:00 PM - 7:00 PM Vallejo, CA 94591 Special Accommodations: Adj. Exam Primary Phone: (707) 643-8891 Tables, Scales that weigh up to Special Accommodations: Adj. Exam Primary Fax: (707) 644-8649 440lbs Tables, Gurney Accommodations, Mon - Thu 10:00 AM - 7:00 PM Special Scales For Wheelchairs, Fri 9:00 AM - 4:00 PM Primary Care Clinics/Family Medical Equipment Access, Scales

Ogata, Wayne K., OD ^319^ Health Services/Solano County that weigh up to 1000lbs NPI: 1538100953

Health & Social Services Dept. ^314^ License: 9705

Solano After Hours Clinic ^316^ PHC#: 1013 Gender: Male NPI: 1083845275 PHC#: 15818 2201 Courage Dr NPI: 1922074814 Dixon Eyecare Associates An Fairfield, CA 94533 1620 Pennsylvania Ave Ste C

Optometric Corporation ^320^ , P,EB,IB,R,E,T Fairfield, CA 94533 Level of Access: Basic  NPI: 1548313901 Primary Phone: (707) 784-2010 Primary Phone: (707) 428-4878 125 N Lincoln St Ste A Primary Fax: (707) 784-1495 Primary Fax: (707) 428-0806 Dixon, CA 95620 Sat 8:00 AM - 5:00 PM Mon - Fri By Appointment Only Primary Phone: (707) 678-3055 Call weekdays before 5:00pm Primary Fax: (707) 678-9265 Special Accommodations: Adj. Exam Mon 8:30 AM - 5:00 PM Tables, Hearing Impaired Vacaville Urgent Care Medical Tue 8:30 AM - 6:00 PM Accommodations, Gurney Wed 8:30 AM - 8:00 PM

Group ^317^ Accommodations, Special Scales For Thu 8:30 AM - 7:00 PM PHC#: 17606 Wheelchairs, Medical Equipment Fri 8:00 AM - 5:00 PM NPI: 1831393255 Access, Scales that weigh up to 1001 Nut Tree Rd Ste 110 400lbs Andersen, Edward P., OD ^321^ Vacaville, CA 95687 NPI: 1609804921 , P,EB,IB,R,E License: 9669 Level of Access: Basic Gender: Male Primary Phone: (707) 455-1343 Spanish Primary Fax: (707) 455-7645 Mon - Fri 5:00 PM - 8:00 PM Sat, Sun 12:00 PM - 4:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 58 of 137 PHC FACILITIES, PHARMACY, URGENT CARE & VSP LIST SOLANO COUNTY DIRECTORY

Leong, Kalman C., OD ^333^ Rosten, John G., OD ^322^ Primary Phone: (707) 446-2090 NPI: 1174603997 Primary Fax: (707) 446-4405 NPI: 1447309471 License: 6335 Mon - Thu 8:30 AM - 5:30 PM License: 9034 Gender: Male Fri 9:00 AM - 5:00 PM Gender: Male Spanish

Nhan, Hang T., OD ^328^

Mendoza Family Eye Care ^334^ NPI: 1831237569

Donna L Scolaro OD ^323^ License: 11196 NPI: 1740300995 NPI: 1598792475 Gender: Female 2623 Springs Rd 1350 Burton Dr Ste 250 Vietnamese Vallejo, CA 94591 Vacaville, CA 95687 Primary Phone: (707) 643-8202 Primary Phone: (707) 447-2020 Primary Fax: (707) 643-8227

Primary Fax: (707) 447-3628 Horie Optometry ^329^ Tue - Fri 9:00 AM - 6:00 PM Mon - Fri 9:00 AM - 6:00 PM NPI: 1891247862 Sat 9:00 AM - 4:00 PM 2581 Nut Tree Rd Ste C

Aceves, Angela A., OD ^335^ Scolaro, Donna L., OD ^324^ Vacaville, CA 95687 NPI: 1598792475 Primary Phone: (707) 447-1332 NPI: 1841373834 License: 9087 Primary Fax: (707) 447-4894 License: 13177 Gender: Female Mon 9:00 AM - 7:00 PM Gender: Female Tue - Sat 9:00 AM - 5:00 PM Spanish

Narain Mendoza, Rita, OD ^336^

Erny Lee OD ^325^

Horie, Tia L., OD ^330^ NPI: 1720198971 NPI: 1528178969 NPI: 1194012617 License: 13113 2060 Peabody Rd Ste 600 License: 14142 Gender: Female Vacaville, CA 95687 Gender: Female Hindi Primary Phone: (707) 448-0163

Kopecko, Kathleen J., OD ^331^ Primary Fax: (707) 448-5321 NPI: 1194796235

Redwood Eye Center Mc ^337^ Mon - Fri 9:00 AM - 7:00 PM License: 7655 Sat 9:00 AM - 5:00 PM Gender: Female NPI: 1023061306 2852 Redwood Pkwy

Lee, Erny, OD ^326^ Vallejo, CA 94591

NPI: 1528178969 Kalman C Leong OD ^332^ Primary Phone: (707) 553-8222 License: 6489 NPI: 1447309471 Primary Fax: (707) 553-1154 Gender: Male 3000 Alamo Dr Ste 207 Mon 8:00 AM - 7:00 PM Chinese Vacaville, CA 95687 Tue 7:30 AM - 5:00 PM Primary Phone: (707) 447-9899 Wed - Fri 8:00 AM - 5:00 PM Primary Fax: (707) 447-5819

Hang Nhan OD ^327^

Mon, Wed, Thu 9:00 AM - 5:00 PM Agadzi, Anthony K., MD ^338^ NPI: 1770920407 Tue 11:00 AM - 7:00 PM NPI: 1740323559 340 Cernon St Sat 10:00 AM - 4:00 PM License: A89342 Vacaville, CA 95688 Gender: Male French, Russian, Spanish

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 59 of 137 PHC FACILITIES, PHARMACY, URGENT CARE & VSP LIST SOLANO COUNTY DIRECTORY

Carlson, Roger F., MD ^339^ Jones, Mark A., OD ^345^ NPI: 1336195486 NPI: 1073639001 License: G23106 License: 9438 Gender: Male Gender: Male

French Nguyen, Bach Kim, OD ^346^ NPI: 1942235734

Cushing, Thomas C., OD ^340^ License: 10544 NPI: 1235185000 Gender: Female License: 10627 Spanish, Vietnamese

Gender: Male Wong, Dianne L., OD ^347^ NPI: 1750384061 License: 11780

Richard G Joyce OD ^341^ Gender: Female NPI: 1689661167 Chinese 258 Sunset Ave Ste F Suisun City, CA 94585 Primary Phone: (707) 425-2020 Primary Fax: (707) 425-2085 Mon, Wed - Fri 9:00 AM - 5:00 PM Tue 11:00 AM - 7:00 PM

Joyce, Richard G., OD ^342^ NPI: 1689661167 License: 8752 Gender: Male American Sign Language, Spanish

Vallejo Optometry Group ^343^ NPI: 1285771592 2103 Redwood St Ste 100 Vallejo, CA 94590 Primary Phone: (707) 554-1773 Primary Fax: (707) 554-1782 Tue - Fri 9:00 AM - 6:00 PM Sat 9:00 AM - 2:00 PM

Aceves, Angela A., OD ^344^ NPI: 1841373834 License: 13177 Gender: Female Spanish

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 60 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Allergy Immunology and Asthma Acupuncture Jerdee, Valerie Chen, MD  ^351^

♦ Allergy & Immunology Medical Group ^356^ NPI: 1134145394 PHC#: 1628

Ritual Acupuncture Clinic ^348^ License: A108427 NPI: 1376554824 PHC#: 36552 Gender: Female Available By Referral Only NPI: 1194135723 Kamdar, Toral Anil, MD ^352^ No Age Limitations Available By Referral Only ♦ Allergy & Immunology 4628 Georgetown Pl. No Age Limitations ♦ Internal Medicine Stockton, CA 95207 127 Hospital Dr Ste 203 NPI: 1073776555  Vallejo, CA 94589 License: C151621 Primary Phone: (209) 951-5353  Gender: Female Primary Fax: (209) 951-5369 Primary Phone: (707) 563-9010 Mon, Wed 8:00 AM - 5:30 PM Primary Fax: (707) 638-3510 Allergy Immunology and Asthma Tue, Thu, Fri 8:00 AM - 4:30 PM Mon, Tue, Thu, Fri 12:00 PM - 8:00

Medical Group ^353^ PM

Bensch, George William, MD ^357^ PHC#: 1628 Wed 9:00 AM - 8:00 PM ♦ Allergy & Immunology NPI: 1376554824 Available By Referral Only ♦ Pediatrics Moncada, Joel D, LAc ^349^ NPI: 1508839457 NPI: 1467898536 No Age Limitations License: C34965 License: 15274 999 S Fairmont Ave Ste 120 Gender: Male Gender: Male Lodi, CA 95240

Bensch, Gregory William, MD ^358^ Spanish  Primary Phone: (209) 334-4002 ♦ Allergy & Immunology Primary Fax: (209) 334-1047 NPI: 1710950589 Allergy Mon, Wed 8:00 AM - 5:00 PM License: A61795 Tue, Thu 11:00 AM - 5:00 PM Gender: Male

Allergy & Asthma Medical Group Yecies, Jerold Joseph, MD ^359^ ♦ Allergy & Immunology

Bensch, George William, MD ^354^ of the Bay Area ^350^ ♦ Pediatrics PHC#: 36579 ♦ Allergy & Immunology ♦ Pediatrics NPI: 1780657643 NPI: 1871550590 License: G24163 Available By Referral Only NPI: 1508839457 License: C34965 Gender: Male No Age Limitations Gender: Male Hmong Capitated for members in Vallejo

Yecies, Jerold Joseph, MD ^355^ 1761 Broadway St Ste 203

♦ Allergy & Immunology Pandurangi, Seturam, MD ^360^ Vallejo, CA 94589  ♦ Pediatrics PHC#: 1276 Primary Phone: (707) 278-9360 NPI: 1780657643 NPI: 1316032907 Primary Fax: (925) 280-4546 License: G24163 Available By Referral Only Mon 9:00 AM - 4:30 PM Gender: Male No Age Limitations Wed 9:00 AM - 4:00 PM Hmong 1620 Pennsylvania Ave Ste B Thu 8:30 AM - 4:00 PM Fairfield, CA 94533 , P,EB,IB,R,E Level of Access: Basic

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 61 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Primary Phone: (707) 425-2002 Sutter Medical Group Solano ^364^ Ambulatory Surgery Centers Primary Fax: (707) 425-2011 PHC#: 37848 Mon - Fri 9:00 AM - 5:00 PM NPI: 1184859894

Fairfield Surgery Center ^367^ Available By Referral Only PHC#: 14910 Pandurangi, Seturam, MD  ^361^ No Age Limitations NPI: 1821092206 ♦ Allergy & Immunology 770 Mason St 2700 Low Ct ♦ Pediatrics Vacaville, CA 95688 NPI: 1316032907 , P,EB,IB,R,E,T Fairfield, CA 94534 , P,EB,IB,R,E License: A31312 Level of Access: Basic Level of Access: Basic Gender: Male Primary Phone: (707) 427-4900 Primary Phone: (707) 432-2700 Hindi Primary Fax: (707) 454-5911 Primary Fax: (707) 432-2730 Hospital Privileges: NorthBay Medical Mon, Fri 8:00 AM - 5:00 PM Center Mon - Fri 6:00 AM - 5:00 PM

Aung, Tania, MD ^365^ Special Accommodations: Gurney ♦ Allergy & Immunology PDI Surgery Center ^368^ Accommodations ♦ Internal Medicine PHC#: 20486 NPI: 1760654263 NPI: 1598993198

Pandurangi, Seturam, MD ^362^ License: A135200 1380 19th Hole Dr PHC#: 1277 Gender: Female Windsor, CA 95492 NPI: 1316032907  Available By Referral Only Special Accommodations: Medical Primary Phone: (707) 838-6560 19 Years and Older Equipment Access Primary Fax: (707) 838-8464 2601 Nut Tree Rd Ste B Mon - Fri 8:00 AM - 5:00 PM Vacaville, CA 95687 Alternative Birthing Centers , P,EB,IB,R Shadelands Endovascular, LLC ^369^ Level of Access: Limited PHC#: 47130 Marin Family Birth Center ^366^ Primary Phone: (707) 446-2762 PHC#: 46173 NPI: 1245620954 Primary Fax: (707) 446-2787 460 N Wiget Ln Ste B NPI: 1982080495 Tue, Fri 9:00 AM - 5:00 PM Walnut Creek, CA 94598 880 Las Gallinas Ave #1 Primary Phone: (925) 378-4930 San Rafael, CA 94903 Pandurangi, Seturam, MD  ^363^ Primary Fax: (925) 891-4322 ♦ Allergy & Immunology  Mon - Fri 8:00 AM - 5:00 PM ♦ Pediatrics Primary Phone: (415) 339-8813 NPI: 1316032907 Primary Fax: (415) 479-9301 License: A31312 Mon - Fri 8:00 AM - 5:00 PM Gender: Male Sat, Sun On Call Hindi Hospital Privileges: NorthBay Medical Center

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 62 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

The Surgery Center at NorthBay Connect Hearing Inc. - Primary Phone: (530) 668-1663

Healdsburg ^373^ VacaValley ^370^ Primary Fax: (530) 668-8150 PHC#: 18387 PHC#: 26360 Mon - Thu 8:30 AM - 4:30 PM NPI: 1003015843 NPI: 1265700942 Fri 9:00 AM - 1:00 PM Available By Referral Only 1260 Healdsburg Ave Ste 202

No Age Limitations Healdsburg, CA 95448 Guillermo, Carmen R., AuD  ^377^ 1006 Nut Tree Rd  NPI: 1679615439 Vacaville, CA 95687 Primary Phone: (707) 433-0705 License: 310 , P,EB,IB Primary Fax: (707) 433-7595 Gender: Female Level of Access: Basic Mon - Thu 9:00 AM - 5:00 PM Spanish Primary Phone: (707) 624-8200

Primary Fax: (707) 446-9700 Connect Hearing Inc. - Santa Hearing Services of Fairfield ^378^ Mon - Fri 6:00 AM - 5:00 PM Rosa ^374^ PHC#: 33780 PHC#: 26360 NPI: 1023182425 Audiology NPI: 1265700942 1620 Pennsylvania Ave Ste D 4725 Hoen Ave Ste B Fairfield, CA 94533 Santa Rosa, CA 95405 

Bay Area Hearing Services ^371^  Primary Phone: (707) 426-4327 PHC#: 28017 Primary Phone: (707) 542-1154 Primary Fax: (707) 426-5190 NPI: 1144490574 Primary Fax: (707) 542-4818 Mon - Thu 9:00 AM - 5:00 PM 1599 Tara Hills Dr Mon - Fri 9:00 AM - 5:00 PM Fri 10:30 AM - 5:00 PM Pinole, CA 94564  Martin, Denise L, AuD ^379^ Hear So Good Audiology & Primary Phone: (510) 724-4327 NPI: 1023182425

Hearing Aids ^375^ Primary Fax: (510) 724-1959 License: AU1089 Mon - Thu 9:00 AM - 5:00 PM PHC#: 32948 Gender: Female Fri 9:00 AM - 3:00 PM NPI: 1093066441 505A San Marin Dr Ste 130 Special Accommodations: Hearing Center for Early Intervention on Novato, CA 94945 Impaired Accommodations 

Deafness ^372^ Primary Phone: (415) 456-4327

Hearing Services of Vacaville ^380^ PHC#: 17367 Primary Fax: (415) 480-6705 NPI: 1942236633 Mon - Thu 10:00 AM - 6:00 PM PHC#: 1386 1035 Grayson Fri 10:00 AM - 5:00 PM NPI: 1023182425 Berkeley, CA 94710 673 B Merchant St  Vacaville, CA 95688

Hearing Pathways ^376^ Primary Phone: (510) 848-4800  Primary Fax: (510) 373-6528 PHC#: 10166 Primary Phone: (707) 446-0742 Mon - Fri 9:00 AM - 5:00 PM NPI: 1679615439 Primary Fax: (707) 446-5307 1204 Cottonwood St Ste 6 Mon - Fri 9:00 AM - 5:00 PM Woodland, CA 95695 

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 63 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Sutter Medical Group Solano ^386^ Martin, Denise L, AuD ^381^ Primary Phone: (925) 932-6330 NPI: 1023182425 PHC#: 13351 Primary Fax: (925) 932-0139 License: AU1089 NPI: 1184859894 Mon - Fri 8:00 AM - 5:00 PM Gender: Female Available By Referral Only

No Age Limitations Chin, Brian Thomas, MD ^390^ ♦ Surgery

Hearing Services of Vallejo ^382^ 2702 Low Ct NPI: 1750347100 PHC#: 1505 Fairfield, CA 94534  License: A77948 NPI: 1023182425 Gender: Male 480 Redwood St Ste 14 Primary Phone: (707) 427-4900 Primary Fax: (707) 432-2666 Hospital Privileges: John Muir Vallejo, CA 94590 Medical Center-Concord Campus  Mon - Fri 8:00 AM - 5:00 PM Primary Phone: (707) 642-8862

Primary Fax: (707) 642-8815 Schreuder, Wendy M, AuD ^387^ Behavioral Health Treatment Mon - Fri 9:00 AM - 5:00 PM NPI: 1003904822 License: AU1096 Gender: Female To request information on services or Martin, Denise L, AuD ^383^ providers for medically necessary NPI: 1023182425 Behavioral Health Treatment for

License: AU1089 University Audiologic Associates ^388^ children with behavioral problems Gender: Female PHC#: 10268 please contact the Care Coordination NPI: 1780746297 Department at (800) 809-1350. #BHT#

Kenwood Hearing Centers ^384^ 1325 Howe Ave Ste 101 Diagnosis: Evaluation of behavioral PHC#: 20180 Sacramento, CA 95825  problems in children with NPI: 1013011048 recommendation for treatment. 593 N McDowell Blvd Ste C Primary Phone: (916) 927-3137 Primary Fax: (916) 650-0986 Petaluma, CA 94954 Treatment: Evidence-based Mon - Fri 8:30 AM - 5:00 PM  behavioral interventions for children Sat By Appointment Only Primary Phone: (707) 789-9191 to improve behavioral functioning. Primary Fax: (707) 789-9009 Mon - Thu 9:00 AM - 5:00 PM Bariatric Surgery Fri 9:00 AM - 12:00 PM Para solicitar información sobre servicios o proveedores para

Bay Area Surgical Specialists ^389^ Personal Hearing Solutions tratamientos para la salud conductual PHC#: 17753 para menores con problemas

Fairfield ^385^ NPI: 1154401941 conductuales, favor de contactar el PHC#: 35739 Available By Referral Only departamento de coordinación de NPI: 1467847079 18 Years and Older atención (Care Coordination 1261 Travis Blvd Ste 140 2637 Shadelands Dr Department) llamando al Fairfield, CA 94533 Walnut Creek, CA 94598 (800) 809-1350.  , P,EB,IB,R,E,T Primary Phone: (707) 993-4505 Level of Access: Basic Primary Fax: (707) 402-6444 Mon, Wed, Thu 9:00 AM - 5:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 64 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Diagnóstico: Evaluación de Primary Phone: (415) 391-3417 Primary Phone: (510) 964-7801 problemas conductuales en menores Primary Fax: (866) 656-5932 Primary Fax: (510) 964-4637 con recomendación de tratamiento. Spanish Mon - Fri 9:00 AM - 7:00 PM Mon - Fri 9:00 AM - 5:00 PM Sat 9:00 AM - 6:00 PM Tratamiento: Intervenciones en base Counties Served: Solano, Sonoma, Counties Served: Solano, Yolo a evidencia para menores para Mendocino, Yolo, Marin, Napa, Lake, mejorar el funcionamiento Del Norte, Shasta, Siskiyou, Treatment conductual. Humboldt, Trinity, Lassen, Modoc Behavioral Health Treatment Upang humingi ng impormasyon sa Diagnosis Services are usually provided in the mga serbisyo o tagapagbigay ng child's home or community. This site serbisyo para sa Paggamot sa Behavioral Health Treatment address is an administrative office. Kalusugan ng Pag-uugali na Services are usually provided in the child's home or community. This site kinakailangan dala ng medikal na Behavior Matters California, LLC. ^394^ address is an administrative office. dahilan para sa mga batang may PHC#: 40015 mga problema sa pag-uugali NPI: 1205386646 mangyaring makipag-ugnayan sa Autism Spectrum Therapies ^392^ 3333 Vaca Valley Pkwy Ste 900 Departamento ng Koordinasyon ng PHC#: 37484 Vacaville, CA 95688 Pangangalaga sa (800) 809-1350. NPI: 1609194000  Primary Phone: (209) 923-3323 Diagnosis: Ebalwasyon ng mga 1652 W Texas St Fairfield, CA 94533 Primary Fax: (855) 726-5366 problema sa pag-uugali sa mga  Spanish batang may rekomendasyon para sa Primary Phone: (866) 727-8274 Mon - Fri 8:00 AM - 7:00 PM paggamot. Primary Fax: (800) 459-4245 Sat 9:00 AM - 3:00 PM Paggamot: Mga interbensyon sa French,Spanish Counties Served: Solano pag-uugali na batay sa ebidensya Mon - Sat 8:00 AM - 8:00 PM para sa mga bata upang pabutihin Counties Served: Solano, Napa Treatment ang pag-uugali. Treatment Behavioral Health Treatment Services are usually provided in the Autism Center of Northern Behavioral Health Treatment child's home or community. This site

California ^391^ Services are usually provided in the address is an administrative office. PHC#: 42027 child's home or community. This site NPI: 1275921587 address is an administrative office. Behavior Treatment & Analysis, 870 Market St Ste 468-476

Inc. ^395^ San Francisco, CA 94102 Bay Area Behavior Consultants,  PHC#: 46150 LLC ^393^ NPI: 1154843175 PHC#: 46152 313 Lennon Lane Ste 100 NPI: 1245753748 Walnut Creek, CA 94598 2970 Hilltop Mall Rd Ste 104 Richmond, CA 94806

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 65 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Primary Phone: (925) 289-1090 Treatment Behavioral Health Treatment Primary Fax: (925) 289-1239 Services are usually provided in the Mon - Fri 8:00 AM - 6:00 PM Behavioral Health Treatment child's home or community. This site Counties Served: Solano Services are usually provided in the address is an administrative office. child's home or community. This site Diagnosis, Treatment address is an administrative office. Center for Autism and Related

Disorders ^400^ Behavioral Health Treatment Center for Autism and Related Services are usually provided in the PHC#: 42014

Disorders ^398^ child's home or community. This site NPI: 1669651675 address is an administrative office. PHC#: 42042 865 Marina Bay Pkwy Bldg C Ste 37 NPI: 1669651675 & 38 1947 Galileo Ct Ste 101 Richmond, CA 94804

Burnett Therapeutic Services, Inc.

^396^ Davis, CA 95618  PHC#: 46198  Primary Phone: (510) 422-6311 NPI: 1508210444 Primary Phone: (530) 220-1450 Primary Fax: (866) 587-2383 1734 Jefferson St Ste C Primary Fax: (866) 587-2383 Spanish Napa, CA 94559 Spanish Mon - Fri 8:00 AM - 8:00 PM Primary Phone: (707) 227-4448 Mon - Fri 8:00 AM - 8:00 PM Sat 9:00 AM - 6:30 PM Primary Fax: (707) 635-8215 Sat 9:00 AM - 6:30 PM Counties Served: Solano, Yolo, Napa Mon - Fri 9:00 AM - 5:30 PM Counties Served: Solano, Yolo, Napa Counties Served: Solano, Sonoma, Treatment Napa Treatment Behavioral Health Treatment Treatment Behavioral Health Treatment Services are usually provided in the Services are usually provided in the child's home or community. This site Behavioral Health Treatment child's home or community. This site address is an administrative office. Services are usually provided in the address is an administrative office. child's home or community. This site Center for Autism and Related address is an administrative office. Center for Autism and Related Disorders ^401^

Disorders ^399^ PHC#: 33635 Center for Autism and Related PHC#: 40591 NPI: 1669651675

Disorders ^397^ NPI: 1669651675 4050 Truxel Rd Ste A PHC#: 40592 2366 Maritime Dr Sacramento, CA 95834 NPI: 1669651675 Elk Grove, CA 95758  3104 Delta Fair Blvd  Primary Phone: (916) 374-0800 Antioch, CA 94509 Primary Phone: (916) 365-4500 Primary Fax: (916) 374-0808  Primary Fax: (866) 587-2383 Spanish Primary Phone: (925) 709-6060 Mon - Fri 8:00 AM - 5:00 PM Mon - Sun 8:00 AM - 8:00 PM Primary Fax: (866) 587-2383 Counties Served: Solano, Yolo Counties Served: Solano, Yolo, Napa Spanish Mon - Sun 8:00 AM - 8:00 PM Treatment Treatment Counties Served: Solano

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 66 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Behavioral Health Treatment Behavioral Health Treatment Gateway Learning Group, Inc. ^406^ Services are usually provided in the Services are usually provided in the PHC#: 42041 child's home or community. This site child's�home or community. This site NPI: 1720212749 address is an administrative office. address is an administrative office. 1451 River Park Dr Ste 285 Sacramento, CA 95815

Center for Autism and Related Gateway Learning Group, Inc. ^404^ Primary Phone: (877) 264-6747

Disorders ^402^ PHC#: 37426 Primary Fax: (877) 539-7730 PHC#: 33779 NPI: 1720212749 French,Spanish NPI: 1669651675 Services Provided in the Home Mon - Fri 8:00 AM - 5:00 PM 1910 Olympic Blvd Ste 220 Primary Phone: (877) 264-6747 Counties Served: Solano, Sonoma, Walnut Creek, CA 94596 Primary Fax: (877) 539-7730 Yolo, Marin, Napa  Cantonese,French,German,Spanish Primary Phone: (925) 283-3073 Mon - Fri 8:00 AM - 5:00 PM Treatment Primary Fax: (866) 587-2383 Counties Served: Solano, Sonoma, Spanish Mendocino, Yolo, Napa Behavioral Health Treatment Mon - Fri 8:00 AM - 7:30 PM Services are usually provided in the Counties Served: Solano, Yolo Treatment child's home or community. This site address is an administrative office. Treatment Behavioral Health Treatment

Services are usually provided in the Gateway Learning Group, Inc. ^407^ Behavioral Health Treatment child's home or community. This site PHC#: 37427 Services are usually provided in the address is an administrative office. NPI: 1720212749 child's home or community. This site 1663 Mission St Ste 400 address is an administrative office.

Gateway Learning Group, Inc. ^405^ San Francisco, CA 94103 PHC#: 48516 

Center for Behavioral Solutions ^403^ NPI: 1720212749 Primary Phone: (877) 264-6747 PHC#: 48474 1070 Concord Ave Ste 120 Primary Fax: (877) 539-7730 NPI: 1356846083 Concord, CA 94520 Cantonese,French,German,Spanish 236 Georgia St Ste 102  Mon - Fri 9:00 AM - 6:00 PM Vallejo, CA 94590 Primary Phone: (877) 264-6747 Counties Served: Solano, Sonoma, Primary Phone: (707) 552-2590 Primary Fax: (877) 539-7730 Marin, Napa Primary Fax: (308) 633-0260 Mon - Fri 8:00 AM - 5:00 PM Mon, Wed - Fri 8:00 AM - 5:00 PM Counties Served: Solano, Yolo Treatment Tue 8:00 AM - 5:00 AM Counties Served: Solano, Sonoma, Treatment Behavioral Health Treatment Yolo, Marin, Napa, Del Norte, Shasta, Services are usually provided in the Siskiyou, Humboldt, Trinity, Modoc Behavioral Health Treatment child's home or community. This site Services are usually provided in the address is an administrative office. Treatment child's home or community. This site address is an administrative office.

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 67 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Learning Solutions Kids, Inc. ^410^ Genesis Behavior Center, Inc. ^408^ Primary Phone: (707) 241-3559 PHC#: 47885 PHC#: 48241 Primary Fax: (707) 772-5209 NPI: 1689909582 NPI: 1831459742 Tue - Fri 8:30 AM - 5:00 PM 9370 W Stockton Blvd Ste 100 114 N Sunrise Ave Ste A3 Counties Served: Solano, Sonoma, Elk Grove, CA 95758 Roseville, CA 95661 Marin, Napa  

Primary Phone: (877) 828-8476 Primary Phone: (916) 442-2396 MacLeamy, Patrick D, PsyD  ^413^ Primary Fax: (209) 260-0430 Primary Fax: (916) 442-2525 NPI: 1831384718 Mon - Fri 8:00 AM - 6:00 PM Mon - Fri 8:00 AM - 6:00 PM License: PSY22989 Sat 9:00 AM - 1:00 PM Counties Served: Solano, Yolo Gender: Male Counties Served: Solano, Yolo, Shasta Treatment Diagnosis

Treatment Behavioral Health Treatment Behavioral Health Treatment Services are usually provided in the Services are usually provided in the Behavioral Health Treatment child's home or community. This site child's home or community. This site Services are usually provided in the address is an administrative office. address is an administrative office. home or community. This site is an administrative office. Maxim Healthcare Services, Inc. ^414^

Learning Solutions Kids, Inc. ^411^ PHC#: 39330 PHC#: 45031

Learning Arts ^409^ NPI: 1831459742 NPI: 1144682766 PHC#: 48532 5252 Elvas Ave 1050 Fulton Ave Ste 230 NPI: 1104051077 Sacramento, CA 95816 Sacramento, CA 95825 5329 Office Center Ct Ste 150   Bakersfield, CA 93309 Primary Phone: (916) 442-2396 Primary Phone: (916) 974-2599 Primary Phone: (916) 729-3098 Primary Fax: (916) 442-2525 Primary Fax: (855) 214-9109 Primary Fax: (916) 780-0119 Mon - Fri 8:00 AM - 6:00 PM Mon - Fri 8:00 AM - 6:00 PM Mon - Fri 8:00 AM - 6:00 PM Counties Served: Solano, Yolo Sat, Sun On Call Counties Served: Solano Counties Served: Solano, Yolo Treatment Treatment Treatment Behavioral Health Treatment Behavioral Health Treatment Services are usually provided in the Behavioral Health Treatment Services are usually provided in the child's home or community. This site Services are usually provided in the child's home or community. This site address is an administrative office. child's home or community. This site address is an administrative office. address is an administrative office.

MacLeamy, Patrick D., PSYD ^412^ PHC#: 33647 NPI: 1831384718 755 Baywood Dr Ste 200 Petaluma, CA 94954 

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 68 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

McGrew Behavioral Health Redwood Behavioral Services ^417^ Trumpet Behavioral Health ^419^

Services, Inc. ^415^ PHC#: 46158 PHC#: 36546 PHC#: 32957 NPI: 1376059485 NPI: 1588967236 NPI: 1689191595 2940 Park Meadow Dr 4849 Lone Tree Way Ste C 120 Theresa Ave Santa Rosa, CA 95407 Antioch, CA 94531 American Canyon, CA 94503 Primary Phone: (707) 694-8130   Primary Fax: (707) 581-7469 Primary Phone: (925) 462-2281 Primary Phone: (707) 561-0134 Mon - Fri 8:00 AM - 5:00 PM Mon - Fri 9:00 AM - 6:30 PM Primary Fax: (707) 561-0922 Counties Served: Solano, Sonoma, Sat By Appointment Only Spanish Mendocino, Marin, Napa Counties Served: Solano, Marin, Mon - Fri 8:00 AM - 6:00 PM Napa Counties Served: Solano, Sonoma, Treatment Yolo, Napa Treatment Behavioral Health Treatment Treatment Services are usually provided in the Behavioral Health Treatment child's home or community. This site Services are usually provided in the Behavioral Health Treatment address is an administrative office. child's home or community. This site Services are usually provided in the address is an administrative office. child's home or community. This site

STE Consultants, LLC ^418^ address is an administrative office.

Trumpet Behavioral Health ^420^ PHC#: 43964 NPI: 1609198175 PHC#: 36546

Positive Behavior Supports Corp. ^416^ 3650 Mt Diablo Blvd Ste 107 NPI: 1588967236 PHC#: 33669 Lafayette, CA 94549 901 O St Ste C NPI: 1528405008  Arcata, CA 95521 795 Folsom St Fl 1 Primary Phone: (510) 665-9700  San Francisco, CA 94107 Primary Fax: (510) 665-9400 Primary Phone: (707) 497-9335  Mon - Fri 8:00 AM - 7:00 PM Primary Fax: (303) 984-4366 Primary Phone: (855) 832-6727 Counties Served: Solano, Sonoma, Mon - Fri 8:00 AM - 7:00 PM Primary Fax: (772) 675-9100 Mendocino, Marin, Napa, Humboldt Sat By Appointment Only Mon - Fri 8:00 AM - 8:00 PM Counties Served: Solano, Sonoma, Counties Served: Solano, Sonoma, Treatment Marin, Humboldt Yolo, Marin, Napa Behavioral Health Treatment Treatment Treatment Services are usually provided in the child's home or community. This site Behavioral Health Treatment Behavioral Health Treatment address is an administrative office. Services are usually provided in the Services are usually provided in the child's home or community. This site child's home or community. This site address is an administrative office. address is an administrative office.

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 69 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Trumpet Behavioral Health ^421^ Borde, Madhusudan, MD ^423^ Heart and Vascular Center ^426^ PHC#: 36546 ♦ Cardiovascular Disease a NorthBay Affiliate NPI: 1588967236 ♦ Internal Medicine PHC#: N/A 6475 Sierra Ln Ste C NPI: 1437210754 NPI: 1780736736 Dublin, CA 94568 License: A35179 Available By Referral Only  Gender: Male 19 Years and Older Primary Phone: (925) 462-2281 Hospital Privileges: Sutter Solano 1860 Pennsylvania Ave Ste 120 Mon - Fri 8:00 AM - 7:00 PM Medical Center Fairfield, CA 94533 Sat By Appointment Only  Counties Served: Solano, Sonoma, Primary Phone: (707) 646-4400 Dhillon, Gurinder S., MD ^424^ Marin, Humboldt PHC#: 12783 Primary Fax: (707) 646-4401 NPI: 1669490454 Mon - Fri 8:00 AM - 5:00 PM Treatment Available By Referral Only

Breneisen, Jeffrey Robert, MD ^427^ No Age Limitations Behavioral Health Treatment ♦ Cardiovascular Disease 1261 Travis Blvd Ste 320 Services are usually provided in the NPI: 1629058615 Fairfield, CA 94533 child's home or community. This site , P,EB,IB,R License: G86677 address is an administrative office. Gender: Male Level of Access: Limited Hospital Privileges: NorthBay Medical Primary Phone: (707) 423-2506 Center Cardiovascular Disease Primary Fax: (707) 429-1158

Dehghani, Hossein, MD ^428^ Mon - Thu 9:00 AM - 5:00 PM ♦ Cardiovascular Disease Fri 8:00 AM - 4:30 PM

Adventist Health Physicians ^422^ ♦ Internal Medicine Adventist Health NPI: 1316156797

Dhillon, Gurinder Singh, MD ^425^ License: A113434 PHC#: 30497 ♦ Cardiovascular Disease Gender: Male NPI: 1811336258 ♦ Internal Medicine Farsi Available By Referral Only ♦ Interventional Cardiology Hospital Privileges: NorthBay Medical No Age Limitations NPI: 1669490454 Center 1460 N Camino Alto Ste 111 License: A49131

Dhond, Milind Raghunath, MD ^429^ Vallejo, CA 94589 Gender: Male , EB,IB,R,E Hindi, Punjabi ♦ Cardiovascular Disease Level of Access: Limited Hospital Privileges: NorthBay Medical NPI: 1972500676 Primary Phone: (707) 557-3200 Center License: A56062 Primary Fax: (707) 557-3201 Gender: Male Mon - Fri 9:00 AM - 5:00 PM Special Accommodations: Special Hospital Privileges: NorthBay Medical Scales For Wheelchairs, Scales that Center weigh up to 600lbs

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 70 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Jones Jr, Laybon, MD ^435^ Mancherje, Cyrus Rutton, MD ^430^ Primary Phone: (707) 427-4900 ♦ Cardiovascular Disease NPI: 1205972296 Primary Fax: (707) 436-2507 ♦ Internal Medicine License: G39826 Mon - Fri 8:00 AM - 5:00 PM NPI: 1659398543 Gender: Male

License: A41743 Spanish Anton, Steven Louis, MD ^439^ Gender: Male Hospital Privileges: Sutter Solano ♦ Cardiovascular Disease Hospital Privileges: NorthBay Medical Medical Center ♦ Internal Medicine Center NPI: 1417960071 Special Accommodations: Medical License: G42438

Gill, Yardana Merin, NP ^431^ Equipment Access Gender: Male NPI: 1154789154 Hospital Privileges: License: 95003716 Sacramento Heart and Vascular NorthBay Medical Center Gender: Female Sutter Solano Medical Center

Medical Associates ^436^

Attarwala, Alifeya Murtuza, MD ^440^ Parker, Rebecca Lynn, ANP ^432^ NPI: 1609304963 PHC#: 17180 ♦ Internal Medicine License: 95006403 NPI: 1730293309 NPI: 1831462365 Gender: Female Available By Referral Only License: A120180 No Age Limitations

Ziegler, Amy Beth, NP ^433^ Gender: Female NPI: 1023109162 313 Kendal St Ste B Gujarati, Hindi, Urdu License: 20584 Vacaville, CA 95688 Hospital Privileges: Gender: Female , P,EB,IB Sutter Amador Hospital Level of Access: Limited Sutter Davis Hospital Primary Phone: (707) 446-0301 Sutter Medical Center Sacramento Jones Jr., Laybon, MD ^434^ Primary Fax: (916) 830-2001

Axelrod, Richard Joseph, MD ^441^ Solano Cardiovascular Consultants Wed 1:00 PM - 4:30 PM ♦ Cardiovascular Disease PHC#: 19127 ♦ Internal Medicine

NPI: 1205972296 Michaelis, Kyle Jerry, MD  ^437^ ♦ Interventional Cardiology Available By Referral Only ♦ Cardiovascular Disease NPI: 1437147923 No Age Limitations NPI: 1861486425 License: G43153 96 B Springstowne Center License: A93950 Gender: Male Vallejo, CA 94591 Gender: Male Hospital Privileges: , P,EB,IB,R,E,T Hospital Privileges: Mercy General Sutter Davis Hospital Level of Access: Basic Hospital Sutter Medical Center Sacramento Primary Phone: (707) 642-4155

Des Pois, Patrice Lyn, MD ^442^ Primary Fax: (707) 642-4588

Sutter Medical Group Solano ^438^ ♦ Internal Medicine Mon - Thu 8:00 AM - 4:30 PM NPI: 1972574952 Fri 8:30 AM - 1:00 PM PHC#: 37849 NPI: 1184859894 License: G49136 Available By Referral Only Gender: Female No Age Limitations Hospital Privileges: 2720 Low Ct Sutter Auburn Faith Hospital Fairfield, CA 94534 Sutter Medical Center Sacramento 

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 71 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Dhaliwal, Gurbir Singh, MD ^443^ Jose, Powell Oliapuram, MD ^447^ Mathur, Nitin, MD ^451^ ♦ Cardiovascular Disease ♦ Cardiovascular Disease ♦ Cardiovascular Disease NPI: 1598940223 ♦ Internal Medicine ♦ Clinical Cardiac Electrophysiology License: A120598 NPI: 1114107935 NPI: 1275786980 Gender: Male License: A101413 License: A115689 Hindi, Punjabi Gender: Male Gender: Male Hospital Privileges: Hospital Privileges: Hospital Privileges: Sutter Amador Hospital Sutter Davis Hospital Sutter Auburn Faith Hospital Sutter Davis Hospital Sutter Medical Center Sacramento Sutter Medical Center Sacramento

Sutter Medical Center Sacramento Krishnan, Subramaniam Chitoor, Pearson, Jack Alan, MD ^452^

Ericson, Richard Peter, MD ^444^ MD ^448^ ♦ Cardiovascular Disease ♦ Cardiovascular Disease ♦ Cardiovascular Disease ♦ Internal Medicine NPI: 1649314055 NPI: 1326128539 NPI: 1558362343 License: A111124 License: C52052 License: G52964 Gender: Male Gender: Male Gender: Male Swedish Hospital Privileges: Sutter Medical Hospital Privileges: Hospital Privileges: Center Sacramento Feather River Hospital

Sutter Davis Hospital Latif, Syed Rizwan, MD ^449^ Sutter Auburn Faith Hospital Sutter Medical Center Sacramento ♦ Cardiovascular Disease Sutter Medical Center Sacramento

Powar, Jagbir S, MD ^453^ Huang, Pei-Hsiu, MD ^445^ ♦ Internal Medicine ♦ Cardiovascular Disease NPI: 1043470735 ♦ Cardiovascular Disease ♦ Interventional Cardiology License: A124616 NPI: 1437122991 NPI: 1992901573 Gender: Male License: A44150 License: A126295 Hospital Privileges: Sutter Medical Gender: Male Gender: Male Center Sacramento Hindi, Punjabi

Hospital Privileges: Sutter Medical Magorien, David Joseph, MD ^450^ Hospital Privileges: Sutter Medical Center Sacramento ♦ Cardiovascular Disease Center Sacramento

Roberts, David Kelley, MD ^454^ Huynh, Hieu, MD ^446^ ♦ Internal Medicine ♦ Cardiovascular Disease NPI: 1740352723 ♦ Cardiovascular Disease NPI: 1003938192 License: C41064 ♦ Internal Medicine License: A85410 Gender: Male ♦ Interventional Cardiology Gender: Male Hospital Privileges: NPI: 1780635607 Vietnamese Lodi Memorial Hospital License: G70643 Hospital Privileges: Mercy General Hospital Gender: Male Sutter Davis Hospital Sutter Medical Center Sacramento Portuguese, Spanish Sutter Medical Center Sacramento Hospital Privileges: Sutter Medical Center Sacramento

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 72 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Shah, Sailesh N, MD ^455^ Xu, Zi-Jian, MD ^459^ Community Medical Centers ^463^ ♦ Internal Medicine ♦ Advanced Heart Failure & PHC#: 10992 ♦ Interventional Cardiology Transplant Cardiology NPI: 1417012329 NPI: 1881681930 ♦ Cardiovascular Disease Available By Referral Only License: A45747 NPI: 1437122538 No Age Limitations Gender: Male License: A61701 600 Nut Tree Rd Ste 310 Hospital Privileges: Sutter Medical Gender: Male Vacaville, CA 95687 Center Sacramento Chinese 

Tadros, Thomas Michael, MD ^456^ Hospital Privileges: Primary Phone: (707) 359-1800 ♦ Cardiovascular Disease Sutter Davis Hospital Primary Fax: (707) 359-1845 ♦ Clinical Cardiac Electrophysiology Sutter Medical Center Sacramento Mon - Fri 8:00 AM - 6:00 PM

NPI: 1043400187 Yoon, Edward Jin, MD ^460^ Sat 8:00 AM - 4:30 PM License: A127397 NPI: 1457446957 Gender: Male License: A78849

Watson, Denise Loretta Joy, DC ^464^ Hospital Privileges: Sutter Medical Gender: Male NPI: 1356444947 Center Sacramento Korean, Spanish License: 28196

Vallurupalli, Neelima G, MD ^457^ Hospital Privileges: Gender: Female ♦ Cardiovascular Disease NorthBay Medical Center NPI: 1114072402 Sutter Solano Medical Center

Kelly Pain Relief Center ^465^ License: A108397 PHC#: 4930 Gender: Female Chiropractic Hindi, Tamil, Telugu NPI: 1700953163 Hospital Privileges: Available By Referral Only No Age Limitations Sutter Davis Hospital Advanced Care Chiropractic ^461^ Sutter Medical Center Sacramento Thomas McDonald, DC 1545 Webster St Ste C Fairfield, CA 94533 Vetter, William R, MD ^458^ PHC#: 4188  ♦ Cardiovascular Disease NPI: 1548237340 Primary Phone: (707) 427-3811 ♦ Internal Medicine Available By Referral Only Primary Fax: (707) 427-0458 NPI: 1457349938 No Age Limitations Mon - Thu 8:00 AM - 6:00 PM License: G11188 418 Davis St Ste B Fri 8:00 AM - 12:00 PM Gender: Male Vacaville, CA 95688 Hospital Privileges: 

Sutter Amador Hospital Primary Phone: (707) 447-9278 Kelly, Timothy James, DC ^466^ Sutter Davis Hospital Primary Fax: (707) 447-0910 NPI: 1700953163 Sutter Medical Center Sacramento Mon - Fri 9:00 AM - 5:00 PM License: 19176 Gender: Male

McDonald, Thomas Stuart, DC ^462^ NPI: 1548237340 License: DC13607 Gender: Male Spanish

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 73 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Garcia, Lillian E, CNM  ^475^ NorthBay Chiropractic ^467^ Primary Phone: (707) 642-6811 PHC#: 13824 Primary Fax: (707) 642-6917 NPI: 1609089465 NPI: 1689789000 Mon - Fri 9:30 AM - 4:00 PM License: 1094 Available By Referral Only Gender: Female No Age Limitations Comprehensive Perinatal Spanish

2121 Redwood St Ste G Services Program CPSP Lynch Myers, Casey, FNP  ^476^ Vallejo, CA 94590 NPI: 1467755348  License: 18218

Primary Phone: (707) 644-8480 La Clinica/Great Beginnings ^471^ Gender: Female Primary Fax: (707) 644-3926 PHC#: 16739 Spanish

Mon - Thu 9:00 AM - 5:00 PM NPI: 1992863096 Stanley, Guadalupe Ceja, PA-C  ^477^ Referral Not Required NPI: 1093942476 License: 20277 Makooi, Mahmood Moayed, DC  ^468^ No Age Limitations NPI: 1689789000 210 Hospital Dr Gender: Female License: 21746 Vallejo, CA 94589 Spanish Gender: Male  Farsi, Turkish Primary Phone: (707) 645-7316 No referral required for in-network Primary Fax: (707) 645-0426 OB/GYN providers Special Accommodations: Hearing Mon - Fri 8:30 AM - 5:00 PM Impaired Accommodations Dermatology

Daudel, Jody Linn, MD  ^472^ NPI: 1114107877 Community Based Adult License: A95421 Carlton, Bruce R., MD ^478^ Services CBAS Gender: Female PHC#: 10744 Hospital Privileges: Sutter Solano NPI: 1992978399

Collabria Day Program ^469^ Medical Center Available By Referral Only

PHC#: 26307 Khan, Parveen, MD  ^473^ No Age Limitations NPI: 1972506624 ♦ Obstetrics & Gynecology 2023 Vale Rd Ste 6 414 S Jefferson St NPI: 1194927392 San Pablo, CA 94806 Napa, CA 94559 License: A101696   Gender: Female Primary Phone: (510) 232-4552 Primary Phone: (707) 258-9080 Hindi, Punjabi, Spanish, Urdu Other Phone: (510) 758-4020 Primary Fax: (707) 258-9090 Hospital Privileges: NorthBay Medical Primary Fax: (510) 234-6725 Mon - Fri 8:30 AM - 5:00 PM Center Mon 9:30 AM - 5:00 PM

Sat, Sun On Call Mrgudich, Anthony Paul, MD  ^474^

NPI: 1124358635 Carlton, Bruce R, MD  ^479^ License: A116037 ♦ Dermatology Solano Adult Day Health Care Gender: Male ♦ Dermatopathology

Center ^470^ Spanish NPI: 1093802589 PHC#: 26309 License: G22448 NPI: 1881874683 Gender: Male 100 Corporate Pl Ste D Hospital Privileges: Sutter Solano Vallejo, CA 94590 Medical Center 

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 74 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Carlton, Bruce R., MD ^480^ Direct Dermatology ^484^ Gordon, Justin S, MD ^490^ PHC#: 7500 PHC#: 26509 ♦ Dermatology NPI: 1992978399 NPI: 1417263922 NPI: 1225353568 Available By Referral Only Available By Referral Only License: A118547 No Age Limitations No Age Limitations Gender: Male

292 Alamo Dr Ste 2 165 St Dominics Dr Ste 140 Hamidi, Reyhaneh, MD  ^491^ Vacaville, CA 95688 Manteca, CA 95337 ♦ Dermatology  Primary Phone: (855) 944-7546 NPI: 1144470162 Primary Phone: (707) 448-2218 Primary Fax: (800) 572-0683 License: A111135 Primary Fax: (707) 453-1602 Mon - Sat 8:00 AM - 7:00 PM Gender: Female Tue 10:30 AM - 5:00 PM Farsi, Italian, Spanish

Thu 9:30 AM - 2:00 PM Kafi, Reza, MD  ^492^ Berk, David Reuben, MD ^485^ ♦ Pediatric Dermatology ♦ Dermatology NPI: 1891737201 Carlton, Bruce R, MD  ^481^ NPI: 1205045192 ♦ Dermatology License: A103865 License: A84048 ♦ Dermatopathology Gender: Male Gender: Male

NPI: 1093802589 Lin, Julie Hsiao-Wen, MD ^493^ Chen, Richard Owguan, MD  ^486^ License: G22448 ♦ Dermatology ♦ Clinical Informatics Gender: Male NPI: 1598929069 ♦ Dermatology Hospital Privileges: Sutter Solano License: A105615 NPI: 1063572907 Medical Center Gender: Male License: C142478 Taiwanese Gender: Female Spanish

Craft, Ames, MD ^487^

Carlton, Bruce, MD ^482^

♦ Dermatology Patel, Vishal Anil, MD ^494^ PHC#: 1059 NPI: 1750351193 ♦ Dermatology NPI: 1992978399 License: A76802 NPI: 1447410246 Available By Referral Only Gender: Male License: A140980 No Age Limitations Gender: Male

David, Consuelo Veronica, MD  ^488^ 1300 Tennessee St ♦ Dermatology Reyes, Melissa, MD ^495^ Vallejo, CA 94590 ♦ Dermatology  NPI: 1689963340 License: A122615 ♦ Pediatric Dermatology Primary Phone: (707) 552-0201 NPI: 1558561498 Primary Fax: (707) 552-2827 Gender: Female Spanish License: A100703 Wed 9:30 AM - 5:00 PM Gender: Female Fri 10:30 AM - 2:00 PM Edwards, Arden Fredeking, MD  ^489^ ♦ Dermatology Tan, Belinda Hsiu Jung, MD ^496^ ♦ Internal Medicine ♦ Dermatology

Carlton, Bruce R, MD  ^483^ NPI: 1295994051 ♦ Dermatopathology ♦ Dermatology NPI: 1861690299 ♦ Dermatopathology License: A134938 Gender: Female License: A100913 NPI: 1093802589 Gender: Female License: G22448 Gender: Male Hospital Privileges: Sutter Solano Medical Center

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 75 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Beutner, Karl R, MD ^503^ Venkatesan, Aruna, MD  ^497^ Primary Phone: (707) 452-7222 ♦ Dermatology ♦ Dermatology Primary Fax: (707) 452-8507 NPI: 1235457649 NPI: 1649217936 Mon - Fri 8:30 AM - 4:30 PM License: A113635 License: G43543 Gender: Female Gender: Male Solano Dermatology Associates,

Walker, Angela Kay, MD  ^498^ Spanish, Tagalog

Inc. ^510^

♦ Dermatology Fu, Jennifer Meiyin, MD ^504^ NPI: 1215163217 NPI: 1619000791 PHC#: 1978 License: A108158 License: A94758 NPI: 1922052729 Gender: Female Gender: Female Available By Referral Only No Age Limitations

Weiss, Stefan Craig, MD ^499^ Mandarin ♦ Dermatology Hospital Privileges: Sutter Solano 2290 Sacramento St NPI: 1578641387 Medical Center Vallejo, CA 94590 , P,EB,IB,R,E,T

License: A80115 Ruben, Mark Allen, MD ^505^ Gender: Male NPI: 1497742084 Level of Access: Basic Primary Phone: (707) 643-5785

Wong, David Jun Sing, MD ^500^ License: G75891 ♦ Dermatology Gender: Male Primary Fax: (707) 643-5876 NPI: 1316972201 Mon - Fri 8:30 AM - 3:30 PM

License: A84286 Kennedy, Meghan Elizabeth, PA 

^506^

Geisse, John K, MD ^511^ Gender: Male NPI: 1821238569 ♦ Dermatology

Wong, Reynold Clark, MD ^501^ License: 19783 ♦ Dermatopathology ♦ Dermatology Gender: Female NPI: 1275571028 NPI: 1962581694 Spanish License: G51891 License: G58478 Nonato, Margaret Malig, PA ^507^ Gender: Male Gender: Male NPI: 1013961572 Hospital Privileges: Sutter Solano License: 18331 Medical Center Gender: Female

Solano Dermatology Assoc. Inc. ^502^

Mraz, Serena Marie, MD ^512^

Stock, Debra Marie, PA ^508^ PHC#: 19481 ♦ Dermatology NPI: 1376623215 NPI: 1518911395 NPI: 1346488699 License: 16490 Available By Referral Only License: G81439 Gender: Female No Age Limitations Gender: Female 480 Chadbourne Rd Ste 201 Hospital Privileges: Sutter Solano Fairfield, CA 94534 Solano Dermatology Associates, Medical Center

, P,EB,IB,R,E,T Inc. ^509^

Level of Access: Basic PHC#: 17344 Kennedy, Meghan Elizabeth, PA 

^513^ Primary Phone: (707) 399-4500 NPI: 1356561682 NPI: 1821238569 Primary Fax: (707) 399-9410 Available By Referral Only License: 19783 Mon - Fri 8:30 AM - 4:30 PM No Age Limitations Gender: Female 600 Nut Tree Rd Ste 260 Spanish

Vacaville, CA 95687 Nonato, Margaret Malig, PA ^514^  NPI: 1013961572 License: 18331 Gender: Female

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 76 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Stock, Debra Marie, PA ^515^ DaVita Dialysis-Carquinez ^519^ DaVita Dialysis-Downtown

NPI: 1376623215 Total Renal Care, Inc. Fairfield ^522^ License: 16490 PHC#: 17253 Harmony Dialysis, LLC Gender: Female NPI: 1740385111 PHC#: 33292 125 Corporate Pl Ste C NPI: 1790106300

Yen, An, MD ^516^ Vallejo, CA 94590 1800 N Texas St Capital Dermatology Medical Group  Fairfield, CA 94533 PHC#: 52841 Primary Phone: (707) 556-3637  Primary Fax: (707) 556-3642 NPI: 1750488649 Primary Phone: (707) 399-9984 Available By Referral Only Mon - Sat 5:30 AM - 7:00 PM Primary Fax: (707) 399-9925 Mon - Sat 4:00 AM - 10:00 PM No Age Limitations

1010 Nut Tree Rd Ste 170 DaVita Dialysis-Creekside ^520^

Vacaville, CA 95687 Renal Treatment Centers California, DaVita Dialysis-Fairfield ^523^  Inc. PHC#: 1648 Primary Phone: (916) 925-7020 PHC#: 13804 NPI: 1396704771 Primary Fax: (916) 925-3680 NPI: 1669433033 4660 Central Way Fri 8:00 AM - 5:00 PM 141 Parker St Fairfield, CA 94534 Vacaville, CA 95688 

Yen, An, MD  ^517^  Primary Phone: (707) 863-7369 ♦ Dermatology Primary Phone: (707) 453-1325 Primary Fax: (707) 863-7384 NPI: 1750488649 Primary Fax: (707) 453-1329 Mon - Sat 4:00 AM - 8:00 PM License: A56462 Mon, Wed, Fri 4:15 AM - 11:00 PM Gender: Male Tue, Thu, Sat 6:00 AM - 6:00 PM

DaVita Dialysis-Vallejo ^524^ Chinese, Mandarin PHC#: 1593

DaVita Dialysis-Dixon ^521^ NPI: 1265669444 Dialysis Centers Total Renal Care, Inc. 830 Redwood St PHC#: 19244 Vallejo, CA 94590  DaVita Dialysis-Benicia ^518^ NPI: 1720269996 Primary Phone: (707) 642-2016 PHC#: 7530 1640 N Lincoln St Primary Fax: (707) 642-2023 NPI: 1427022797 Dixon, CA 95620  Mon - Sat 5:00 AM - 6:00 PM 560 First St Bldg D 103 Primary Phone: (707) 693-8301 Benicia, CA 94510 Primary Fax: (707) 693-8306

 Satellite Dialysis Vallejo ^525^ Mon, Wed, Fri 8:00 AM - 5:00 PM Primary Phone: (707) 745-1488 PHC#: 32584 Primary Fax: (707) 745-8089 NPI: 1982047783 Mon - Sat 5:30 AM - 6:00 PM 4300 Sonoma Blvd Ste 25 Vallejo, CA 94589  Primary Phone: (707) 561-7150 Primary Fax: (707) 554-4481 Mon, Wed, Fri 5:00 AM - 7:00 PM Tue, Thu, Sat 5:00 AM - 6:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 77 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Apria Healthcare ^533^ Vacaville Dialysis Center ^526^ Primary Phone: (909) 444-5899 PHC#: 1649 Primary Fax: (888) 518-7568 PHC#: 4575 NPI: 1366405342 Mon - Fri 8:00 AM - 5:00 PM NPI: 1598774903 941 Merchant St 755 Bevins St Vacaville, CA 95688 All Medical Supply and Lakeport, CA 95453   Equipment ^530^ Primary Phone: (707) 447-8191 PHC#: 18309 Primary Phone: (707) 994-1236 Primary Fax: (707) 447-8196 Primary Fax: (707) 994-7965 NPI: 1184708372 Mon - Sat 4:30 AM - 7:30 PM Mon - Fri 9:00 AM - 4:00 PM 921 Marin St Sat, Sun On Call Vallejo, CA 94590

WellBound of Vallejo ^527^ 

PHC#: 19231 Primary Phone: (707) 554-6701 Apria Healthcare ^534^ NPI: 1487699567 Primary Fax: (707) 731-0781 PHC#: 2063 480 Redwood St Ste 40 Mon - Fri 8:00 AM - 4:00 PM NPI: 1689783284 Vallejo, CA 94590 1450 Expo Pkwy  Apria Healthcare ^531^ Sacramento, CA 95815 Primary Phone: (707) 556-3070 PHC#: 1152  Primary Fax: (707) 556-3075 Primary Phone: (916) 921-1162 NPI: 1952310310 Mon - Fri 8:00 AM - 4:30 PM Primary Fax: (916) 614-9043 2510 Dean Lesher Dr Ste D Mon - Fri 8:30 AM - 5:00 PM Concord, CA 94520 Durable Medical Equipment 

Primary Phone: (925) 827-8800 Apria Healthcare ^535^ Primary Fax: (925) 680-0799 PHC#: 8149

Active Life Medical ^528^ Mon - Fri 8:30 AM - 5:00 PM NPI: 1699884718 PHC#: 27125 3636 N Laughlin Road Ste 190 NPI: 1023271822

Apria Healthcare ^532^ Santa Rosa, CA 95403 4217 Coronado Ave Unit D PHC#: 8717  Stockton, CA 95204 Primary Phone: (707) 543-0979 NPI: 1578573747  Primary Fax: (707) 543-5852 Primary Phone: (209) 943-2118 2339 Courage Dr Ste G Mon - Fri 8:30 AM - 5:00 PM Primary Fax: (209) 939-1212 Fairfield, CA 94533 Sat, Sun On Call Mon - Fri 8:00 AM - 5:00 PM  Sat, Sun On Call Primary Phone: (707) 422-9901

Primary Fax: (707) 422-9905 Avella of Sacramento, Inc. ^536^ Mon - Fri 8:30 AM - 4:30 PM PHC#: 20368

Advanced Home Medical ^529^ Sat, Sun On Call NPI: 1295746709 PHC#: 32773 2288 Auburn Blvd Ste 102 NPI: 1275587685 Sacramento, CA 95821 312 Paseo Tesoro  Walnut, CA 91789 Primary Phone: (888) 792-3888  Primary Fax: (888) 554-3299 Mon - Fri 8:30 AM - 5:30 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 78 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Biohorizon Medical ^537^ Golden State Medical, Inc. ^541^ Jackson Medical Supply ^545^ PHC#: 24020 PHC#: 10777 PHC#: 24036 NPI: 1083690127 NPI: 1194717520 NPI: 1104136126 3882 Del Amo Blvd Ste 604 200 Linden Ave Ste 100 604 Main St Torrance, CA 90503 Auburn, CA 95603 Woodland, CA 95695    Primary Phone: (866) 914-5159 Primary Phone: (530) 885-0981 Primary Phone: (530) 661-7409 Primary Fax: (866) 914-6699 Primary Fax: (530) 885-3631 Primary Fax: (530) 661-7345 Mon - Fri 8:00 AM - 5:00 PM Mon - Fri 8:00 AM - 5:00 PM Mon - Fri 9:00 AM - 5:00 PM

Byram Healthcare Centers, Inc. ^538^ Harbor Medical Supply ^542^ KCI USA, Inc. ^546^ PHC#: 27245 PHC#: 9696 PHC#: 12198 NPI: 1477807667 NPI: 1720117203 NPI: 1366439358 5302 Rancho Rd 2917 W Capitol Ave 3951 Performance Dr Ste H Huntington Beach, CA 92647 West Sacramento, CA 95691 Sacramento, CA 95838    Primary Phone: (877) 369-9093 Primary Phone: (916) 372-8766 Primary Phone: (800) 275-4524 Primary Fax: (866) 992-6331 Primary Fax: (916) 372-1750 Primary Fax: (888) 245-2295 Mon - Fri 8:30 AM - 5:00 PM Mon - Fri 8:00 AM - 5:00 PM 24 Hours 7 Days a Week

California Home Medical Home Oxygen Company, LLC ^543^ KCI USA, Inc. ^547^

Equipment ^539^ PHC#: 19061 PHC#: 12470 PHC#: 19484 NPI: 1457545923 NPI: 1013904119 NPI: 1063487304 4301 N. Star Way Ste C 2400 Merced St 359 Bel Marin Keys Blvd Ste 14 Modesto, CA 95356 San Leandro, CA 94577 Novato, CA 94949    Primary Phone: (209) 523-0202 Primary Phone: (800) 275-4524 Primary Phone: (800) 906-0626 Primary Fax: (888) 499-0202 Primary Fax: (888) 245-2295 Primary Fax: (650) 357-8551 Mon - Fri 9:00 AM - 4:00 PM 24 Hours 7 Days a Week Mon - Fri 8:30 AM - 5:00 PM Sat, Sun On Call

Kadence Healthcare ^548^

Connect Hearing Inc. - Hometown Medical Supplies ^544^ PHC#: 32607

Healdsburg ^540^ PHC#: 26353 NPI: 1003889270 PHC#: 26360 NPI: 1285772343 48834 Kato Rd Ste 112A NPI: 1265700942 140 Lewis Rd Ste 5 Fremont, CA 94538 1260 Healdsburg Ave Ste 202 San Jose, CA 95111 Primary Phone: (877) 449-8900 Healdsburg, CA 95448  Primary Fax: (510) 255-6055  Primary Phone: (408) 279-3955 Mon - Fri 8:30 AM - 5:30 PM Primary Phone: (707) 433-0705 Primary Fax: (408) 516-9662 Primary Fax: (707) 433-7595 Mon - Fri 9:00 AM - 5:00 PM Mon - Thu 9:00 AM - 5:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 79 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Lincare, Inc. ^549^ National Seating & Mobility, Inc. ^553^ National Seating and Mobility, Inc.

^557^ PHC#: 10052 PHC#: 10320 PHC#: 6268 NPI: 1316989528 NPI: 1194799635 NPI: 1053384982 7067 Commerce Circle 4515 S B St 2462 Tripaldi Way Pleasanton, CA 94588 Stockton, CA 95206 Hayward, CA 94545    Primary Phone: (925) 468-0712 Primary Phone: (209) 954-9311 Primary Phone: (510) 856-4001 Primary Fax: (925) 468-0722 Primary Fax: (209) 954-9536 Primary Fax: (510) 856-0462 Mon - Fri 8:00 AM - 5:00 PM Mon - Fri 8:00 AM - 5:00 PM Mon - Fri 8:00 AM - 5:00 PM Sat, Sun On Call

National Seating and Mobility, Inc. Numotion ^558^

^554^

Lincare, Inc. ^550^ PHC#: 18797 PHC#: 25386 PHC#: 4039 NPI: 1376516922 NPI: 1720221708 NPI: 1134167760 1190 Dell Ave Ste L 4010 N Chestnut Diagonal Ste 108 875 National Dr Ste 105 Campbell, CA 95008 Fresno, CA 93726 Sacramento, CA 95834    Primary Phone: (408) 920-0390 Primary Phone: (559) 431-2035 Primary Phone: (916) 928-9350 Primary Fax: (855) 778-5683 Primary Fax: (877) 214-2083 Primary Fax: (916) 928-0308 Mon - Fri 8:00 AM - 5:00 PM Mon - Fri 8:30 AM - 5:00 PM Mon - Fri 8:00 AM - 5:00 PM

National Seating and Mobility, Inc. Numotion ^559^

^555^

Lincare, Inc. ^551^ PHC#: 12694 PHC#: 3189 PHC#: 13665 NPI: 1265405815 NPI: 1568536860 NPI: 1932284080 2850 Cordelia Rd Ste 150 1650 Tribute Rd 990 Klamath Ln Ste 25 Fairfield, CA 94534 Sacramento, CA 95815 Yuba City, CA 95993    Primary Phone: (707) 399-0106 Primary Phone: (916) 489-3651 Primary Phone: (530) 755-0200 Primary Fax: (707) 399-0169 Primary Fax: (916) 489-5949 Primary Fax: (530) 755-3637 Mon - Fri 8:00 AM - 5:00 PM Mon - Fri 8:30 AM - 4:30 PM Mon - Fri 8:00 AM - 5:00 PM Sat, Sun On Call

Numotion ^560^ National Seating and Mobility, Inc.

^556^ PHC#: 47730 PHC#: 2899

Medline Industries, Inc. ^552^ NPI: 1538132444 NPI: 1992879639 PHC#: 46686 4980 E University Ave Unit 114 3500 Thomas Rd Ste B NPI: 1801225354 Fresno, CA 93727 Santa Clara, CA 95054 5701 Promontory Pkwy Ste 100   Tracy, CA 95377 Primary Phone: (559) 252-4396 Primary Phone: (408) 522-1200 Primary Phone: (866) 356-4997 Primary Fax: (559) 252-4507 Primary Fax: (408) 736-0203 Primary Fax: (866) 272-8122 Mon - Fri 8:00 AM - 4:30 PM Mon - Fri 8:30 AM - 5:00 PM Mon - Fri 7:00 AM - 6:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 80 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Numotion ^561^ Pacific Medical. Inc. - Santa Rosa ^565^ Pulmonary Solutions, LLC ^569^ PHC#: 11145 PHC#: 4326 PHC#: 25088 NPI: 1710051032 NPI: 1326048893 NPI: 1760667638 3137 Tomahawk Dr Ste C 200 Montgomery Dr Ste A 3765 Brickway Blvd Ste 103 Stockton, CA 95205 Santa Rosa, CA 95401 Santa Rosa, CA 95403    Primary Phone: (209) 467-1173 Primary Phone: (800) 726-9180 Primary Phone: (877) 290-8636 Primary Fax: (916) 489-5949 Primary Fax: (707) 546-3045 Primary Fax: (877) 807-6561 Mon - Fri 8:30 AM - 4:30 PM Mon - Fri By Appointment Only Mon - Fri 8:00 AM - 5:00 PM Sat, Sun On Call

Numotion ^562^ Pacific Pulmonary Services ^566^

PHC#: 16877 PHC#: 20894 Pulmonary Solutions, LLC ^570^ NPI: 1467526707 NPI: 1942314224 PHC#: 18028 446 Westridge Dr 20 S Linden Ave Ste 5B NPI: 1699726984 Watsonville, CA 95076 S San Francisco, CA 94080 1231 Alderwood Ave   Sunnyvale, CA 94089 Primary Phone: (831) 724-5544 Primary Phone: (866) 945-8489  Primary Fax: (831) 724-3334 Primary Fax: (833) 406-4053 Primary Phone: (408) 492-9504 Mon - Fri 8:30 AM - 5:00 PM Mon - Fri 8:00 AM - 5:00 PM Primary Fax: (877) 244-6983 Mon - Fri 9:00 AM - 5:00 PM

Orthofix Inc. ^563^ Piner's Services ^567^ PHC#: 12540 PHC#: 7148 R and F Medical Equipment &

NPI: 1235136060 NPI: 1407071236 Supplies ^571^ 3451 Plano Pkwy 907 Trancas St PHC#: 19343 Lewisville, TX 75056 Napa, CA 94558 NPI: 1982768875 Primary Phone: (800) 535-4492  1076 Horizon Dr Ste 4 Primary Fax: (214) 937-2739 Primary Phone: (707) 224-7921 Fairfield, CA 94533 Mon - Fri 8:00 AM - 5:00 PM Primary Fax: (707) 253-7399  Mon - Thu 8:30 AM - 5:00 PM Primary Phone: (707) 426-1770 Fri 8:30 AM - 4:30 PM Primary Fax: (707) 426-1772

Owens Medical #7 ^564^ Mon - Fri 10:00 AM - 5:00 PM PHC#: 44714

Prentke Romich Company ^568^ NPI: 1043627060

Shield Healthcare Centers ^572^ 1697 Sierra Ave PHC#: 8468 Yuba City, CA 95993 NPI: 1184602518 PHC#: 1653  1022 Heyl Rd NPI: 1578677597 Primary Phone: (530) 924-2768 Wooster, OH 44691 2950 Buskirk Ave Ste 180 Primary Fax: (530) 924-2769 Primary Phone: (800) 262-1984 Walnut Creek, CA 94597 Mon - Fri 8:00 AM - 5:00 PM Primary Fax: (330) 202-5840  Mon - Fri 8:00 AM - 5:00 PM Primary Phone: (800) 675-8840 Primary Fax: (925) 256-1639 Mon - Fri 9:00 AM - 5:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 81 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Tobii Dynavox LLC ^577^ Sleepmed Therapies, Inc. ^573^ Endocrinology PHC#: 18470 PHC#: 15725 NPI: 1467488627 NPI: 1831263110 Northbay Center for Diabetes and 1101 S Winchester Blvd Ste G180 2100 Wharton St Ste 400

Endocrinology ^581^ San Jose, CA 95128 Pittsburgh, PA 15203 PHC#: N/A  Skilled Medical Interpreter Service NPI: 1780736736 Primary Phone: (408) 260-9170 Primary Phone: (800) 344-1778 Available By Referral Only Primary Fax: (877) 530-0629 Primary Fax: (866) 336-2737 No Age Limitations Mon - Fri 9:00 AM - 4:00 PM Mon - Fri 8:00 AM - 5:00 PM 1020 Nut Tree Rd Ste 290 Vacaville, CA 95687

SuperCare Health ^574^ Valley Oxygen & Medical Supplies  ^578^ PHC#: 13800 PHC#: 16868 Primary Phone: (707) 624-8230 NPI: 1902863202 NPI: 1982684213 Primary Fax: (707) 624-8231 505 Watt Dr Ste 3 3181 Cleveland Ave Ste F Mon - Fri 8:00 AM - 5:00 PM Fairfield, CA 94534 Santa Rosa, CA 95403

  Rosten, Susan J, FNP ^582^ Primary Phone: (800) 206-4880 Primary Phone: (707) 526-4675 NPI: 1659439602 Primary Fax: (626) 709-3442 Primary Fax: (707) 526-7518 License: 10076 Mon - Sun 8:30 AM - 5:30 PM Mon - Fri 8:30 AM - 5:00 PM Gender: Female

Tandem Diabetes Care, Inc. ^575^ Sutter Medical Group Solano ^583^

Western Rehab Solutions ^579^ PHC#: 53052 PHC#: 1500 PHC#: 38259 NPI: 1619295516 NPI: 1033178892 NPI: 1184859894 11075 Roselle St 825 Arnold Dr Ste 112 Available By Referral Only San Diego, CA 92121 Martinez, CA 94553 No Age Limitations Primary Phone: (858) 255-6336  2702 Low Ct Primary Fax: (858) 202-6722 Primary Phone: (925) 313-5770 Fairfield, CA 94534 Mon - Fri 8:00 AM - 5:00 PM Primary Fax: (925) 313-5799  Mon - Thu 8:30 AM - 5:00 PM Primary Phone: (707) 427-4900 Fri 8:30 AM - 4:00 PM Primary Fax: (707) 432-2844

Timberlake ^576^ Mon - Fri 9:00 AM - 5:00 PM PHC#: 2403

NPI: 1629183090 Zoll Services LLC ^580^ 8322 Ferguson Ave PHC#: 19498 Family Planning Sacramento, CA 95828 NPI: 1164535274  121 Gamma Dr Alpha Pregnancy Clinics of Primary Phone: (916) 423-2198 Pittsburgh, PA 15238 Northern California ^584^ Primary Fax: (888) 635-6301 Skilled Medical Interpreter On Site: PHC#: 22103 Mon - Fri 8:00 AM - 5:00 PM Spanish NPI: 1306011374 Primary Phone: (412) 968-3333 138 S Orchard Ave Primary Fax: (412) 567-9676 Vacaville, CA 95688 Mon - Fri 8:00 AM - 4:30 PM 

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 82 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Hill, Anne Buckley, NP ^596^ Primary Phone: (707) 449-8991 Hill, Anne Buckley, NP ^590^ Primary Fax: (707) 469-6705 NPI: 1124233127 NPI: 1124233127 Mon 11:00 AM - 3:00 PM License: 16953 License: 16953 Tue, Thu 11:00 AM - 5:00 PM Gender: Female Gender: Female

Malin-Roodman, Sarah Ann, NP ^597^ Wed 11:00 AM - 8:00 PM Lowenthal, Julia K, NP ^591^ NPI: 1790052728 NPI: 1962529438

Dawley, Courtney Ann, DO ^585^ License: 21470 License: 14256 ♦ Sports Medicine-Family Physician Gender: Female Gender: Female

NPI: 1104967694 Smith-Heimer, Alana, PA-C ^592^ Spanish

License: 20A9834 NPI: 1689022022 Raffetto, Katherine Antonietta, NP ^598^ Gender: Female License: 53383 NPI: 1396002382 Gender: Female License: 21734

Martinez, Kathy Marie, NP ^586^ Spanish Gender: Female NPI: 1902167455 Tramutola, Jennifer Ann, FNP ^593^ Spanish License: 13740 NPI: 1689096265 Gender: Female License: 95000289 Foot Ankle Surgery Gender: Female Planned Parenthood Northern

Special Accommodations: Hearing Vallejo Foot & Ankle Clinic ^599^

California-Fairfield ^587^ Impaired Accommodations PHC#: 1008 PHC#: 33673 NPI: 1932269644 NPI: 1467845065 1325 Travis Blvd Ste C Planned Parenthood Northern Available By Referral Only No Age Limitations Fairfield, CA 94533 California-Vallejo ^594^  PHC#: 1031 480 Redwood St Ste 10 Primary Phone: (707) 429-8855 NPI: 1942369012 Vallejo, CA 94590 , EB,IB Primary Fax: (707) 429-0285 303 Sacramento St Mon, Tue, Thu 8:30 AM - 8:00 PM Vallejo, CA 94590 Level of Access: Limited Wed 7:30 AM - 5:00 PM  Primary Phone: (707) 643-3687 Fri 8:30 AM - 5:00 PM Primary Phone: (707) 643-4545 Primary Fax: (707) 643-3077 Sat By Appointment Only Primary Fax: (707) 643-1349 Mon - Fri 8:30 AM - 5:00 PM Mon 11:30 AM - 8:00 PM Special Accommodations: Hearing

Hufbauer, Ellen Arabelle, MD ^588^ Tue - Fri 9:00 AM - 5:00 PM NPI: 1790838860 Sat By Appointment Only Impaired Accommodations License: A72145

Gender: Female Hufbauer, Ellen Arabelle, MD ^595^ Spanish NPI: 1790838860 License: A72145

Fessel, Mary June, NP ^589^ Gender: Female NPI: 1639280886 Spanish License: 5945 Gender: Female

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 83 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Northbay Gastroenterology ^607^ Gastroenterology Iqbal, Rashid, MD ^603^ ♦ Gastroenterology PHC#: N/A ♦ Internal Medicine NPI: 1780736736

Iqbal, Rashid, MD ^600^ NPI: 1942285879 Available By Referral Only PHC#: 1263 License: A43154 No Age Limitations NPI: 1942285879 Gender: Male 4520 Business Center Dr Ste 180 Available By Referral Only Spanish, Urdu Fairfield, CA 94534 19 Years and Older Hospital Privileges: Sutter Solano , P,EB,IB,R 1261 Travis Blvd Ste 170 Medical Center Level of Access: Limited Fairfield, CA 94533 Primary Phone: (707) 646-3555 , P,EB,IB,R,E

NorthBay Medical Group ^604^ Primary Fax: (707) 646-3556 Level of Access: Basic Mon - Fri 8:00 AM - 5:00 PM Primary Phone: (707) 399-9200 PHC#: N/A Primary Fax: (707) 399-9222 NPI: 1780736736 Available By Referral Only Alsamman, Mounzer, MD ^608^ Mon - Thu 9:00 AM - 4:30 PM ♦ Gastroenterology Fri 9:00 AM - 3:00 PM No Age Limitations 1010 Nut Tree Rd Ste 100 NPI: 1700822160 Vacaville, CA 95687 License: A50016

Iqbal, Rashid, MD ^601^ Gender: Male ♦ Gastroenterology  Hospital Privileges: NorthBay Medical ♦ Internal Medicine Primary Phone: (707) 646-3555 Center NPI: 1942285879 Primary Fax: (707) 646-3556

Hasan, Nazia, MD ^609^ License: A43154 Mon - Fri 8:00 AM - 5:00 PM ♦ Gastroenterology Gender: Male ♦ Internal Medicine Spanish, Urdu Alsamman, Mounzer, MD ^605^ NPI: 1831394667 Hospital Privileges: Sutter Solano ♦ Gastroenterology License: A137560 Medical Center NPI: 1700822160 License: A50016 Gender: Female Gender: Male Bengali, Hindi

Iqbal, Rashid, MD ^602^ Hospital Privileges: NorthBay Medical Hospital Privileges: NorthBay Medical PHC#: 11836 Center Center

Krier, Michael James, MD ^610^ NPI: 1942285879 Krier, Michael James, MD ^606^ Available By Referral Only ♦ Gastroenterology ♦ Gastroenterology No Age Limitations NPI: 1497808414 NPI: 1497808414 100 Hospital Dr Ste 110B License: A100295 License: A100295 Vallejo, CA 94589 Gender: Male Gender: Male  Hospital Privileges: NorthBay Medical Hospital Privileges: NorthBay Medical Primary Phone: (707) 399-9200 Center Center Primary Fax: (707) 399-9222

Tue 1:00 PM - 4:00 PM Surti, Farhat Shahjahan, FNP ^611^ NPI: 1740592120 License: 19613 Gender: Female Hindi, Urdu

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 84 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Special Accommodations: Hearing Sutter Medical Group Solano ^616^ General Surgery Impaired Accommodations PHC#: 37851 NPI: 1184859894

Bay Area Surgical Specialists ^619^

Sutter Medical Group Solano ^612^ Available By Referral Only PHC#: 17753 No Age Limitations PHC#: 37851 NPI: 1154401941 100 Hospital Dr 2nd Fl NPI: 1184859894 Available By Referral Only Available By Referral Only Vallejo, CA 94589 , P,EB,IB,R,E,T 18 Years and Older No Age Limitations 2637 Shadelands Dr Level of Access: Basic 2702 Low Ct Walnut Creek, CA 94598 Primary Phone: (707) 427-4900 Fairfield, CA 94534 , P,EB,IB,R,E,T Primary Fax: (707) 434-2054  Level of Access: Basic Mon - Fri 8:00 AM - 5:00 PM Primary Phone: (707) 427-4900 Primary Phone: (925) 932-6330 Primary Fax: (707) 434-2054 Primary Fax: (925) 932-0139

Mon - Fri 8:00 AM - 5:00 PM Chan, Lawrence Kar-Luen, MD ^617^ ♦ Gastroenterology Mon - Fri 8:00 AM - 5:00 PM NPI: 1356558332

Chan, Lawrence Kar-Luen, MD ^613^

Chin, Brian Thomas, MD ^620^ License: A89876 ♦ Gastroenterology ♦ Surgery Gender: Male NPI: 1356558332 NPI: 1750347100 Hospital Privileges: License: A89876 License: A77948 NorthBay Medical Center Gender: Male Gender: Male Sutter Solano Medical Center Hospital Privileges: Hospital Privileges: John Muir

Lee, Frances, DO ^618^ NorthBay Medical Center Medical Center-Concord Campus Sutter Solano Medical Center ♦ Gastroenterology

Otero, Fernando Ruan, MD ^621^ ♦ Internal Medicine Lee, Frances, DO ^614^ ♦ Surgery NPI: 1881952737 ♦ Gastroenterology NPI: 1346244183 License: 20A13027 ♦ Internal Medicine License: G54054 Gender: Female NPI: 1881952737 Gender: Male Hospital Privileges: Sutter Solano License: 20A13027 Spanish Medical Center Gender: Female Hospital Privileges: John Muir Hospital Privileges: Sutter Solano Medical Center-Concord Campus Medical Center Special Accommodations: Medical Equipment Access

Maqbool, Sabba, MD ^615^

♦ Gastroenterology Bieselin, Ronald, MD ^622^ NPI: 1750520433 PHC#: 1056 License: A109589 NPI: 1912009283 Gender: Female Available By Referral Only Hindi, Urdu No Age Limitations Hospital Privileges: 480 Redwood St Ste 14 NorthBay Medical Center Vallejo, CA 94590 Sutter Solano Medical Center  Primary Phone: (707) 642-2111 Primary Fax: (707) 642-2158 Mon, Tue, Thu 9:00 AM - 4:30 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 85 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Lanflisi, Robert Alan, MD ^627^ Bieselin, Ronald George, MD ^623^ Primary Phone: (707) 646-4180 ♦ Surgery ♦ Surgery Primary Fax: (707) 646-4185 NPI: 1912009283 NPI: 1104811942 Mon - Fri 8:00 AM - 5:00 PM License: G41512 License: G71110

Gender: Male Gender: Male Fulton, William Robert, DO ^631^ Hospital Privileges: Sutter Solano Hospital Privileges: ♦ Surgery Medical Center NorthBay Medical Center NPI: 1497831564 Sutter Solano Medical Center License: 20A11312 VacaValley Hospital Gender: Male

Brooks, Jeffrey L., MD ^624^ Hospital Privileges: NorthBay Medical Napa Vascular & Vein Center Center PHC#: 16919 Lanflisi, Robert, MD ^628^

Rassel, Ruth A., DO ^632^ NPI: 1073541876 PHC#: 1080 ♦ Surgery Available By Referral Only NPI: 1104811942 NPI: 1013116433 No Age Limitations Available By Referral Only License: 20A9890 1360 Burton Dr Bldg B Ste 160 No Age Limitations Gender: Female Vacaville, CA 95687 100 Hospital Dr Ste 110 Hospital Privileges: NorthBay Medical , P,EB Vallejo, CA 94589 Center Level of Access: Limited 

Zopfi III, John Peter, DO ^633^ Primary Phone: (707) 426-4951 Primary Phone: (707) 252-4955 ♦ Surgery Primary Fax: (707) 426-4953 Primary Fax: (707) 252-0525 NPI: 1275581886 Tue 9:30 AM - 12:30 PM Mon - Thu 9:00 AM - 5:00 PM License: 20A5987 Fri 9:00 AM - 1:00 PM Gender: Male

Lanflisi, Robert Alan, MD ^629^ Hospital Privileges: NorthBay Medical ♦ Surgery Brooks, Jeffrey Lane, MD ^625^ Center ♦ Surgery NPI: 1104811942 NPI: 1073541876 License: G71110

License: G51713 Gender: Male Sutter Medical Group Solano ^634^ Gender: Male Hospital Privileges: PHC#: 37847 NorthBay Medical Center NPI: 1184859894 Sutter Solano Medical Center Available By Referral Only

Lanflisi, Robert, MD ^626^ VacaValley Hospital No Age Limitations PHC#: 1080 2702 Low Ct NPI: 1104811942 Fairfield, CA 94534

NorthBay Specialty Care ^630^ Available By Referral Only  No Age Limitations PHC#: N/A Primary Phone: (707) 432-2600 1245 Travis Blvd Ste F NPI: 1780736736 Primary Fax: (707) 432-2651 Fairfield, CA 94533 Available By Referral Only Mon - Fri 8:00 AM - 5:00 PM  No Age Limitations Primary Phone: (707) 426-4951 1860 Pennsylvania Ave Ste 200 Primary Fax: (707) 426-4953 Fairfield, CA 94533 Mon, Wed - Fri 8:30 AM - 5:00 PM  Tue 2:00 PM - 5:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 86 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Jamnani, Behrouz, MD ^635^ Hershey, Douglas W, MD ^638^ La Clinica/Great Beginnings ^641^ ♦ Surgery ♦ Clinical Cytogenetics PHC#: 16739 NPI: 1275617771 ♦ Clinical Genetics (M.D.) NPI: 1992863096 License: G86358 ♦ Obstetrics & Gynecology Referral Not Required Gender: Male NPI: 1902987787 No Age Limitations Farsi, Persian License: G18962 210 Hospital Dr Hospital Privileges: Gender: Male Vallejo, CA 94589 NorthBay Medical Center Hospital Privileges: Sutter Medical  Sutter Solano Medical Center Center Sacramento Primary Phone: (707) 645-7316

Mojaddidi, Haroon Mohammed, MD Primary Fax: (707) 645-0426 ^636^ ♦ Surgery Gynecology Mon - Fri 8:30 AM - 5:00 PM NPI: 1477641223 License: A79061 Daudel, Jody Linn, MD  ^642^ Gender: Male Center for Primary Care - Green NPI: 1114107877

Farsi Valley ^639^ License: A95421 Hospital Privileges: a NorthBay Affiliate Gender: Female NorthBay Medical Center PHC#: N/A Hospital Privileges: Sutter Solano Sutter Solano Medical Center NPI: 1780736736 Medical Center

Referral Not Required Khan, Parveen, MD  ^643^ Genetics No Age Limitations ♦ Obstetrics & Gynecology 4520 Business Center Dr Ste 200 NPI: 1194927392 Fairfield, CA 94534 License: A101696 Prenatal Diagnosis of Northern , P,EB,IB,R,E Gender: Female

California ^637^ Level of Access: Basic Hindi, Punjabi, Spanish, Urdu PHC#: 2865 Primary Phone: (707) 646-3500 Hospital Privileges: NorthBay Medical NPI: 1649471798 Primary Fax: (707) 646-3501 Center

Available By Referral Only Mon - Fri 8:00 AM - 5:00 PM Mrgudich, Anthony Paul, MD  ^644^ No Age Limitations NPI: 1124358635

1111 Exposition Blvd Ste 200 Villalon, Rachel Marie, MD ^640^ License: A116037 Sacramento, CA 95815 NPI: 1083842843 Gender: Male  License: A127041 Spanish Primary Phone: (916) 736-6888 Gender: Female

Primary Fax: (916) 779-3258 Hospital Privileges: NorthBay Medical Garcia, Lillian E, CNM  ^645^ Mon - Fri 8:00 AM - 5:00 PM Center NPI: 1609089465 License: 1094 Special Accommodations: Adj. Exam Gender: Female Tables, Hearing Impaired Spanish

Accommodations, Gurney Lynch Myers, Casey, FNP  ^646^ Accommodations, Scales that weigh NPI: 1467755348 up to 660lbs License: 18218 Gender: Female No referral required for in-network Spanish OB/GYN providers

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 87 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Villalon, Rachel Marie, MD ^652^ Stanley, Guadalupe Ceja, PA-C  ^647^ Special Accommodations: Adj. Exam NPI: 1093942476 NPI: 1083842843 Tables, Gurney Accommodations, License: 20277 License: A127041 Special Scales For Wheelchairs, Gender: Female Gender: Female Medical Equipment Access, Scales Spanish Hospital Privileges: NorthBay Medical that weigh up to 1000lbs Center No referral required for in-network No referral required for in-network

OB/GYN providers Garcia, Tori, NP ^653^ OB/GYN providers NPI: 1639221070 License: 16909

Sutter Medical Group Solano ^656^ NorthBay Women's Health ^648^ Gender: Female PHC#: N/A PHC#: 37853

Ziomek, Ann Marie, CNM ^654^ NPI: 1780736736 NPI: 1346466505 NPI: 1184859894 Available By Referral Only License: CN1451 Referral Not Required No Age Limitations Gender: Female No Age Limitations 1860 Pennsylvania Ave Ste 300 Spanish 2702 Low Ct Fairfield, CA 94533 Fairfield, CA 94534  , EB,IB,E Special Accommodations: Adj. Exam Primary Phone: (707) 432-2600 Level of Access: Limited Tables, Scales that weigh up to Primary Fax: (707) 432-2800 Primary Phone: (707) 646-4100 400lbs Primary Fax: (707) 646-4101 Mon - Fri 8:00 AM - 5:00 PM Mon - Fri 8:00 AM - 5:00 PM No referral required for in-network

Blair, Frederick Christopher, MD ^657^ OB/GYN providers NPI: 1386731768 Hawkins, Josiah Z.S., MD ^649^ NPI: 1881798122 License: A67736 License: A80701 Primary Care Clinics/Family Gender: Male Gender: Male Health Services/Solano County Hospital Privileges:

Health & Social Services Dept. ^655^ NorthBay Medical Center Lin, Andrew Peter, MD ^650^ NPI: 1689617565 PHC#: 1034 Sutter Solano Medical Center

License: G80572 NPI: 1730310236 Freeman, Marlene H, MD ^658^ Gender: Male Referral Not Required NPI: 1811960966 Hospital Privileges: NorthBay Medical No Age Limitations License: G87122 Center 365 Tuolumne St Gender: Female Hospital Privileges: Snow, Shanna Rose, DO ^651^ Vallejo, CA 94590 NPI: 1740483387 , P,EB,IB,R,E,T NorthBay Medical Center License: 20A14555 Level of Access: Basic Sutter Solano Medical Center Gender: Female Primary Phone: (707) 553-5509 Hospital Privileges: NorthBay Medical Primary Fax: (707) 553-5658 No referral required for in-network Center Mon - Fri 8:00 AM - 5:00 PM OB/GYN providers

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 88 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Sutter Medical Group Solano ^659^ Sutter Medical Group Solano ^663^ Kao, Samuel Da-Seng, MD  ^667^ PHC#: 37853 PHC#: 37853 ♦ Plastic Surgery NPI: 1184859894 NPI: 1184859894 NPI: 1497747943 Referral Not Required Referral Not Required License: G74093 No Age Limitations No Age Limitations Gender: Male 770 Mason St 100 Hospital Dr Ste 200 Chinese, Mandarin Vacaville, CA 95688 Vallejo, CA 94589  , P,EB,IB,R,E,T Sutter Medical Group Yolo ^668^ Level of Access: Basic Primary Phone: (707) 427-4900 PHC#: 22482 Primary Phone: (707) 427-4900 Primary Fax: (707) 432-2800 NPI: 1952327256 Primary Fax: (707) 454-5831 Mon - Fri 8:00 AM - 5:00 PM Available By Referral Only Mon - Fri 9:00 AM - 5:00 PM No Age Limitations

Contreras, Michelle, MD ^664^ 2020 Sutter Pl Ste 104 NPI: 1730499252 Contreras, Michelle, MD ^660^ Davis, CA 95616 NPI: 1730499252 License: A129371  License: A129371 Gender: Female Primary Phone: (530) 750-5900 Gender: Female Hospital Privileges: Sutter Solano Primary Fax: (530) 750-5901 Hospital Privileges: Sutter Solano Medical Center Mon - Fri 8:00 AM - 5:00 PM

Medical Center Huang, Stella Mai, DO ^665^ NPI: 1760610273 Zubair, Iram, MD ^661^

Petersen, Michael S, MD  ^669^ NPI: 1386670883 License: 20A12718 ♦ Hand Surgery - Orthopaedic License: A97722 Gender: Female ♦ Orthopaedic Surgery Gender: Female Hospital Privileges: NPI: 1467428656 Hindi, Punjabi, Urdu NorthBay Medical Center License: A49302 Hospital Privileges: Sutter Solano Medical Center Gender: Male NorthBay Medical Center Hospital Privileges: Sutter Davis Sutter Solano Medical Center No referral required for in-network Hospital OB/GYN providers

Griffith-Parker, Diane Kay, CNM ^662^ Hearing Aid Dispenser NPI: 1629165949 Hand Surgery License: 426 Gender: Female Advanced Hearing Aid Center ^670^

Kao, Samuel D., MD ^666^ PHC#: 25758 Special Accommodations: Medical PHC#: 14214 NPI: 1801929344 Equipment Access NPI: 1497747943 1313 Travis Blvd Ste C Available By Referral Only Fairfield, CA 94533 No referral required for in-network No Age Limitations  OB/GYN providers 1620 Pennsylvania Ave Ste A Primary Phone: (707) 428-1313 Fairfield, CA 94533 Primary Fax: (707) 428-1316  Mon - Fri 9:00 AM - 5:00 PM Primary Phone: (707) 426-2575 Sat By Appointment Only Primary Fax: (707) 426-3156 Wed 9:00 AM - 5:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 89 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Advanced Instruments Hearing Primary Phone: (707) 433-0705 Hearing Pathways ^679^

Aid Center ^671^ Primary Fax: (707) 433-7595 PHC#: 10166 PHC#: 25759 Mon - Thu 9:00 AM - 5:00 PM NPI: 1679615439 NPI: 1801929344 1204 Cottonwood St Ste 6 301 Alamo Dr Ste G Connect Hearing Inc. - Santa Woodland, CA 95695  Vacaville, CA 95688 Rosa ^675^  PHC#: 26360 Primary Phone: (530) 668-1663 Primary Fax: (530) 668-8150 Primary Phone: (707) 447-6985 NPI: 1265700942 Mon - Thu 8:30 AM - 4:30 PM Primary Fax: (707) 447-2776 4725 Hoen Ave Ste B Fri 9:00 AM - 1:00 PM Mon - Fri 9:00 AM - 5:00 PM Santa Rosa, CA 95405 

Advanced Instruments Hearing Primary Phone: (707) 542-1154 Guillermo, Carmen R., AuD  ^680^ NPI: 1679615439

Aid Services ^672^ Primary Fax: (707) 542-4818 Mon - Fri 9:00 AM - 5:00 PM License: 310 PHC#: 1972 Gender: Female NPI: 1235353137 Spanish

1534 Tennessee St Creekside Hearing Aid Service ^676^ Vallejo, CA 94590 PHC#: 6300

Hearing Services of Fairfield ^681^  NPI: 1093875205 Primary Phone: (707) 554-6660 600 Nut Tree Rd Ste 250 PHC#: 33780 Primary Fax: (707) 558-1062 Vacaville, CA 95687 NPI: 1023182425 Mon - Fri 9:00 AM - 5:00 PM  1620 Pennsylvania Ave Ste D Primary Phone: (707) 455-7993 Fairfield, CA 94533 

Bay Area Hearing Services ^673^ Primary Fax: (707) 455-7995 Primary Phone: (707) 426-4327 PHC#: 28017 Mon - Fri 9:00 AM - 5:00 PM Sat By Appointment Only Primary Fax: (707) 426-5190 NPI: 1144490574 Mon - Thu 9:00 AM - 5:00 PM 1599 Tara Hills Dr Fri 10:30 AM - 5:00 PM Pinole, CA 94564 Taylor-Peffers, Cynthia M, BCHIS ^677^  NPI: 1093875205

Martin, Denise L, AuD ^682^ Primary Phone: (510) 724-4327 License: HA1816 NPI: 1023182425 Primary Fax: (510) 724-1959 Gender: Female License: AU1089 Mon - Thu 9:00 AM - 5:00 PM Gender: Female Fri 9:00 AM - 3:00 PM Hear So Good Audiology &

Hearing Aids ^678^ Special Accommodations: Hearing Connect Hearing Inc. - PHC#: 32948 Impaired Accommodations

Healdsburg ^674^ NPI: 1093066441 PHC#: 26360 505A San Marin Dr Ste 130 Hearing Services of Vacaville ^683^ Novato, CA 94945 NPI: 1265700942 PHC#: 1386 1260 Healdsburg Ave Ste 202  Primary Phone: (415) 456-4327 NPI: 1023182425 Healdsburg, CA 95448 673 B Merchant St  Primary Fax: (415) 480-6705 Mon - Thu 10:00 AM - 6:00 PM Vacaville, CA 95688 Fri 10:00 AM - 5:00 PM 

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 90 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Primary Phone: (707) 446-0742 Primary Phone: (707) 993-4505 Lopez, Jonathan David, MD ^692^ Primary Fax: (707) 446-5307 Primary Fax: (707) 402-6444 ♦ Hematology Mon - Fri 9:00 AM - 5:00 PM Mon, Wed, Thu 9:00 AM - 5:00 PM ♦ Internal Medicine ♦ Medical Oncology

Martin, Denise L, AuD ^684^ NPI: 1881682714

University Audiologic Associates ^689^ NPI: 1023182425 License: A102015 License: AU1089 PHC#: 10268 Gender: Male Gender: Female NPI: 1780746297 Hospital Privileges: NorthBay Medical 1325 Howe Ave Ste 101 Center Sacramento, CA 95825

Powers, Jessica Faith, MD ^693^ Hearing Services of Vallejo ^685^  ♦ Hematology Primary Phone: (916) 927-3137 PHC#: 1668 ♦ Medical Oncology Primary Fax: (916) 650-0986 NPI: 1023182425 NPI: 1538361415 Mon - Fri 8:30 AM - 5:00 PM 480 Redwood St Ste 14 License: A119859 Sat By Appointment Only Vallejo, CA 94590 Gender: Female  Hospital Privileges: NorthBay Medical Primary Phone: (707) 642-8862 Hematology Center Primary Fax: (707) 642-8815

Vikstrom, Brian Gene, MD ^694^ Mon - Fri 9:00 AM - 5:00 PM ♦ Hematology

NorthBay Cancer Center ^690^ ♦ Internal Medicine

Martin, Denise L, AuD ^686^ PHC#: N/A ♦ Medical Oncology NPI: 1023182425 NPI: 1780736736 NPI: 1285730820 License: AU1089 Available By Referral Only License: A69795 Gender: Female No Age Limitations Gender: Male 1020 Nut Tree Rd Ste 390 Hospital Privileges: NorthBay Medical Vacaville, CA 95687 Kenwood Hearing Centers ^687^ Center  PHC#: 20180 Primary Phone: (707) 624-8000 NPI: 1013011048 Primary Fax: (707) 624-8001 Solano Hematology Oncology, 593 N McDowell Blvd Ste C Mon - Fri 9:00 AM - 5:00 PM Inc. ^695^ Petaluma, CA 94954  PHC#: 13189

Long, James Melvin, MD ^691^ Primary Phone: (707) 789-9191 NPI: 1528399193 Primary Fax: (707) 789-9009 ♦ Internal Medicine Available By Referral Only Mon - Thu 9:00 AM - 5:00 PM ♦ Medical Oncology No Age Limitations Fri 9:00 AM - 12:00 PM NPI: 1194821868 1360 Burton Dr Ste 170 License: C50016 Vacaville, CA 95687 Gender: Male , P,IB,R Personal Hearing Solutions Hospital Privileges: NorthBay Medical Level of Access: Limited

Fairfield ^688^ Center Primary Phone: (707) 446-1114 PHC#: 35739 Primary Fax: (707) 446-1119 NPI: 1467847079 Wed, Thu By Appointment Only 1261 Travis Blvd Ste 140 Fairfield, CA 94533 

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 91 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Chaiyarat, Walailuk, MD ^696^ Chaiyarat, Walailuk, MD ^700^ Krijanovski, Yelena Leopold, MD ^704^ ♦ Hematology ♦ Hematology ♦ Medical Oncology ♦ Internal Medicine ♦ Internal Medicine NPI: 1497877500 ♦ Medical Oncology ♦ Medical Oncology License: A106347 NPI: 1811140478 NPI: 1811140478 Gender: Female License: A117301 License: A117301 Russian Gender: Female Gender: Female Hospital Privileges: Thai Thai NorthBay Medical Center Hospital Privileges: Sutter Solano Hospital Privileges: Sutter Solano Sutter Davis Hospital Medical Center Medical Center Sutter Solano Medical Center

Limvarapuss, Chainarong, MD ^697^ Limvarapuss, Chainarong, MD ^701^ Rasila, Kanwaldeep Kaur, MD ^705^ ♦ Internal Medicine ♦ Internal Medicine ♦ Hematology ♦ Medical Oncology ♦ Medical Oncology ♦ Medical Oncology NPI: 1053341784 NPI: 1053341784 NPI: 1649492166 License: A80619 License: A80619 License: C54884 Gender: Male Gender: Male Gender: Female Japanese, Thai Japanese, Thai Hindi, Punjabi, Urdu Hospital Privileges: Sutter Solano Hospital Privileges: Sutter Solano Hospital Privileges: Medical Center Medical Center Sutter Davis Hospital

Wexler, Ann Marie, MD ^702^ Wexler, Ann Marie, MD ^698^ Sutter Medical Center Sacramento ♦ Hematology ♦ Hematology Sutter Solano Medical Center ♦ Medical Oncology ♦ Medical Oncology NPI: 1669482576 NPI: 1669482576

Sutter Medical Group Solano ^706^ License: A96244 License: A96244 Gender: Female Gender: Female PHC#: 37863 Spanish Spanish NPI: 1184859894 Available By Referral Only No Age Limitations Solano Hematology Oncology, Special Accommodations: Special Scales For Wheelchairs 200 Bella Vista Rd Inc. ^699^ Vacaville, CA 95687 PHC#: 13189 , P,EB,IB,R,E,T

NPI: 1528399193 Sutter Medical Group Solano ^703^ Level of Access: Basic Available By Referral Only PHC#: 37863 Primary Phone: (707) 427-4900 No Age Limitations NPI: 1184859894 Primary Fax: (916) 503-7118 100 Hospital Dr Ste 110 Available By Referral Only Mon - Fri 9:00 AM - 5:00 PM Vallejo, CA 94589 No Age Limitations , P,EB,IB,R 2702 Low Ct Level of Access: Limited Fairfield, CA 94534 Primary Phone: (707) 551-3300  Primary Fax: (707) 551-3301 Primary Phone: (707) 427-4900 Mon - Fri 8:00 AM - 5:00 PM Primary Fax: (916) 503-7118 Mon - Thu 9:00 AM - 5:00 PM Fri 9:00 AM - 12:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 92 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

AccentCare Home Health ^710^ Krijanovski, Yelena Leopold, MD ^707^ Primary Phone: (707) 643-2100 ♦ Medical Oncology PHC#: 17319 Primary Fax: (707) 643-4028 NPI: 1497877500 NPI: 1972559961 Mon - Fri 8:30 AM - 5:00 PM License: A106347 3170 Crow Canyon Pl Ste 270 Gender: Female San Ramon, CA 94583 American Hospice & Home Health Russian  Care ^714^ Hospital Privileges: Primary Phone: (800) 734-1604 PHC#: 31140 NorthBay Medical Center Primary Fax: (925) 659-0008 NPI: 1497176309 Sutter Davis Hospital Mon - Fri 8:00 AM - 5:00 PM 6850 Regional St Ste 100A & 100B Sutter Solano Medical Center Sat, Sun On Call Dublin, CA 94568

Rasila, Kanwaldeep Kaur, MD ^708^ ♦ Hematology Primary Phone: (925) 240-6300 Action Home Nursing Services ♦ Medical Oncology Primary Fax: (925) 240-6301

Inc. ^711^ NPI: 1649492166 Other Fax: (925) 237-2704 License: C54884 PHC#: 9909 Mon - Fri 8:00 AM - 5:00 PM Gender: Female NPI: 1194822833 Sat, Sun On Call Hindi, Punjabi, Urdu 1190 Suncast Ln Ste 6 El Dorado Hills, CA 95762 Hospital Privileges: AtHome Healthcare Team, LLC ^715^  Sutter Davis Hospital PHC#: 36605 Primary Phone: (916) 933-1234 Sutter Medical Center Sacramento NPI: 1285043141 Primary Fax: (916) 939-1959 Sutter Solano Medical Center 100 Tower Rd Ste 15 Mon - Fri 9:00 AM - 5:00 PM American Canyon, CA 94503 Sat, Sun On Call Special Accommodations: Medical  Equipment Access Primary Phone: (707) 255-4401

Addus Healthcare ^712^ Primary Fax: (707) 666-0884 Home Health Agencies PHC#: 1662 Mon - Fri 8:30 AM - 5:00 PM NPI: 1003879552 255 Ygnacio Valley Rd Ste 100 Blize Healthcare ^716^

AccentCare Home Health ^709^ Walnut Creek, CA 94596 PHC#: 27655 PHC#: 1711  NPI: 1558667485 NPI: 1396791307 Primary Phone: (925) 671-4100 750 Alfred Nobel Dr Ste 204 2300 Contra Costa Blvd Ste 240 Primary Fax: (925) 274-1683 Hercules, CA 94547 Pleasant Hill, CA 94523 Mon - Fri 8:00 AM - 5:00 PM   Sat, Sun On Call Primary Phone: (925) 356-6066 Primary Phone: (800) 343-2549 Primary Fax: (925) 676-2587 Primary Fax: (866) 378-1593 Advanced Home Health NorthBay, Mon - Fri 8:00 AM - 5:00 PM Mon - Fri 8:00 AM - 5:00 PM

Inc. ^713^ Sat, Sun On Call Sat, Sun On Call PHC#: 37411 NPI: 1457720617 1100 Rose Dr Ste 160 Benicia, CA 94510 

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 93 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Blossom Ridge Home Health and Primary Phone: (510) 346-4624 Maxim Healthcare Services, Inc. ^724^

Hospice ^717^ Primary Fax: (510) 901-7592 PHC#: 7989 PHC#: 30978 24 Hours 7 Days a Week NPI: 1710940515 NPI: 1245588581 1050 Fulton Ave Ste 230

520 9th St Ste 240 Mare Island Home Health Inc. ^721^ Sacramento, CA 95825 Sacramento, CA 95814 PHC#: 22654   NPI: 1740318369 Primary Phone: (916) 974-2599 Primary Phone: (916) 779-1140 1555 Tennessee St Primary Fax: (855) 214-9109 Primary Fax: (916) 571-9052 Vallejo, CA 94590 Mon - Fri 8:00 AM - 6:00 PM Mon - Fri 8:00 AM - 5:00 PM  Sat, Sun On Call Primary Phone: (707) 557-6800

Comprehensive Home Health Primary Fax: (707) 557-6801 Maxim Healthcare Services, Inc. ^725^

Care & Hospice, Inc. ^718^ Mon - Fri 8:30 AM - 5:00 PM PHC#: 20107 PHC#: 36599 Sat, Sun On Call NPI: 1861599219 NPI: 1205297702 1260 N Dutton Ave Ste 230 127 Hospital Dr Ste 202A/202B Mary's Help Home Health Santa Rosa, CA 95401  Vallejo, CA 94589 Services, Inc. ^722^  PHC#: 22657 Primary Phone: (707) 577-0910 Primary Fax: (877) 839-6748 Primary Phone: (707) 554-4003 NPI: 1205929593 Mon - Fri 8:00 AM - 6:00 PM Primary Fax: (707) 554-4043 3469 Tennessee St Ste 101 Sat, Sun On Call Mon - Fri 8:30 AM - 5:00 PM Vallejo, CA 94591 Sat, Sun On Call 

Primary Phone: (707) 645-7447 NorthBay Health at Home ^726^ EastBay Home Health Services, Primary Fax: (707) 645-8929 PHC#: 1119

Inc. ^719^ Mon - Fri 8:30 AM - 5:00 PM NPI: 1356333793 PHC#: 14250 4520 Business Center Dr Ste 160

NPI: 1710986435 Maxim Healthcare Services, Inc. ^723^ Fairfield, CA 94534 1710 Pennsylvania Ave Ste E PHC#: 11137  Primary Phone: (707) 646-3575 Fairfield, CA 94533 NPI: 1003849886 Primary Fax: (707) 646-3577  6475 Christie Ave Ste 350 Mon - Fri 8:00 AM - 5:00 PM Primary Phone: (707) 428-1473 Emeryville, CA 94608 Primary Fax: (707) 428-1276  Mon - Fri 8:30 AM - 5:00 PM

Primary Phone: (510) 982-3773 Premier Healthcare Services ^727^ Primary Fax: (844) 691-2086 PHC#: 26763

George Mark Children's House ^720^ Mon - Fri 8:00 AM - 5:00 PM NPI: 1396064093 PHC#: 14111 Sat, Sun On Call 1000 Atlantic Ave Ste 112 NPI: 1336200245 Alameda, CA 94501 2121 George Mark Ln  San Leandro, CA 94578 Primary Phone: (510) 568-2201  Primary Fax: (877) 509-7035 Mon - Fri 8:00 AM - 5:00 PM Sat, Sun On Call

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 94 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Sutter VNA & Hospice ^732^ Premier Healthcare Services ^728^ Primary Phone: (707) 588-8894 PHC#: 40638 PHC#: 1141 Primary Fax: (844) 550-8908 NPI: 1619230349 NPI: 1083643944 Mon - Fri 8:30 AM - 5:00 PM 1000 Burnett Ave Ste 435 5099 Commercial Cir Ste 205 Sat, Sun On Call Concord, CA 94520 Concord, CA 94520   Community Healthcare Services ^736^ Primary Phone: (925) 356-3333 Primary Phone: (925) 677-4252 PHC#: 26277 Primary Fax: (888) 960-0957 Primary Fax: (707) 863-9043 NPI: 1538497235 Mon - Fri 8:00 AM - 5:00 PM Mon - Fri 8:00 AM - 4:30 PM 24747 Redlands Blvd Ste D Sat, Sun On Call Loma Linda, CA 92354

Sutter VNA Roseville ^733^ 

Premier Healthcare Services ^729^ PHC#: 13078 Primary Phone: (877) 616-1247 PHC#: 24503 NPI: 1770512535 Primary Fax: (877) 616-2247 NPI: 1275764417 3001 Lava Ridge Ct Ste 330A Mon - Fri 9:00 AM - 5:00 PM 1601 Response Rd Ste 250 Roseville, CA 95661 Sat, Sun On Call Sacramento, CA 95815   Primary Phone: (916) 797-7979 Coram Health Care ^737^ Primary Phone: (916) 923-0881 Primary Fax: (855) 604-3223 PHC#: 12385 Primary Fax: (877) 689-2183 Mon - Sun 8:00 AM - 5:00 PM NPI: 1396794483 Mon - Fri 8:00 AM - 5:00 PM 9332 Tech Center Dr Ste 100 Sat, Sun On Call Sutter VNA Sacramento ^734^ Sacramento, CA 95826 PHC#: 7566 

ProHealth Homecare, Inc. ^730^ NPI: 1649209412 Primary Phone: (916) 857-7000 PHC#: 42571 8330 Ferguson Ave Primary Fax: (916) 857-7050 NPI: 1952855447 Sacramento, CA 95828 Mon - Fri 8:30 AM - 5:00 PM 3255 West March Ln Ste 105A  Primary Phone: (916) 388-6200 Stockton, CA 95219 Coram Healthcare ^738^ Primary Phone: (877) 300-6130 Primary Fax: (855) 604-3221 PHC#: 4615 Primary Fax: (877) 867-1787 Mon - Fri 9:00 AM - 5:00 PM NPI: 1629027867 Mon - Sun 9:00 AM - 5:00 PM 3160 Corporate Pl Home Infusion Therapy Hayward, CA 94545  ProHealth Homecare, Inc. ^731^ PHC#: 29508 Primary Phone: (510) 732-8800 BriovaRx Infusion Services ^735^ Other Phone: (800) 876-9101 NPI: 1689943243 PHC#: 16426 Primary Fax: (510) 732-8801 2125 Oak Grove Rd Ste 124A NPI: 1003926460 Mon - Fri 8:00 AM - 5:00 PM Walnut Creek, CA 94598 170 Professional Center Dr Ste C  Sat, Sun On Call Rohnert Park, CA 94928 Primary Phone: (877) 667-8770  Primary Fax: (877) 867-1787 Mon - Fri 9:00 AM - 5:30 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 95 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Soleo Health, Inc. ^743^ Crescent Healthcare, Inc. ^739^ Primary Phone: (925) 240-6300 PHC#: 9092 PHC#: 38559 Primary Fax: (925) 240-6301 NPI: 1922074749 NPI: 1235527227 Other Fax: (925) 237-2704 25901 Industrial Blvd Bldg E 1324 W Winton Ave Mon - Fri 8:00 AM - 5:00 PM Hayward, CA 94545 Hayward, CA 94545 Sat, Sun On Call   Primary Phone: (800) 824-8400 Primary Phone: (510) 362-7360 Blossom Ridge Home Health and Primary Fax: (800) 586-5300 Primary Fax: (510) 460-1389 Hospice ^747^ Mon - Fri 8:30 AM - 5:30 PM Mon - Fri 8:30 AM - 5:00 PM PHC#: 30978 Sat, Sun On Call NPI: 1245588581

LPCH Children's Home Pharmacy ^740^ 520 9th St Ste 240 PHC#: 9472 Sutter Infusion & Pharmacy Sacramento, CA 95814

NPI: 1407864374 Services ^744^  4600 Bohannon Dr Ste 105 PHC#: 16208 Primary Phone: (916) 779-1140 Menlo Park, CA 94025 NPI: 1255401477 Primary Fax: (916) 571-9052 Primary Phone: (650) 497-8316 1105 Atlantic Ave Ste 102 Mon - Fri 8:00 AM - 5:00 PM Primary Fax: (650) 497-8320 Alameda, CA 94501  Mon - Fri 9:00 AM - 5:30 PM Collabria Hospice ^748^ Primary Phone: (510) 450-8900 PHC#: 7666 Primary Fax: (866) 932-7052

Mid-Valley Health Services, Inc. ^741^ NPI: 1023011178 Mon - Fri 8:00 AM - 5:30 PM PHC#: 39795 414 S Jefferson St NPI: 1760543359 Napa, CA 94559  2800 Mitchell Rd Ste S Hospice Services Primary Phone: (707) 258-9080 Ceres, CA 95307 Primary Fax: (707) 258-9090 Primary Phone: (209) 531-1858 Ace Home Health Care and Mon - Fri 8:30 AM - 5:00 PM Primary Fax: (209) 531-0825 Hospice, Inc. ^745^ Sat, Sun On Call Mon - Fri 9:00 AM - 5:00 PM PHC#: 49153 NPI: 1437442878 Comprehensive Home Health

NuFactor, Inc. ^742^ 85 Moraga Way Ste 100

Care & Hospice, Inc. ^749^ PHC#: 14520 Orinda, CA 94563 PHC#: 36599 NPI: 1861599540 Primary Phone: (925) 933-9012 NPI: 1861835936 44900 Winchester Rd Primary Fax: (925) 933-9013 127 Hospital Dr Ste 202A/202B Temecula, CA 92590 Mon - Fri 8:30 AM - 5:30 PM Sat 9:30 AM - 3:30 PM Vallejo, CA 94589 Skilled Medical Interpreter Service  Primary Phone: (800) 323-6832 Primary Phone: (707) 554-4003 Primary Fax: (855) 270-7347 American Hospice & Home Health Primary Fax: (707) 554-4043 Mon - Fri 8:00 AM - 5:00 PM Care ^746^ Mon - Fri 8:30 AM - 5:00 PM PHC#: 31140 Sat, Sun On Call NPI: 1700143955 6850 Regional St Ste 100A & 100B Dublin, CA 94568

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 96 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Hospice By Blize Healthcare ^750^ Sutter VNA & Hospice ^754^ Yolo Hospice ^758^ PHC#: 36678 PHC#: 1141 PHC#: 5843 NPI: 1871988055 NPI: 1124053558 NPI: 1467443952 750 Alfred Nobel Dr Ste 202 5099 Commercial Cir Ste 210 1909 Galileo Ct Ste A Hercules, CA 94547 Concord, CA 94520 Davis, CA 95618    Primary Phone: (855) 552-5493 Primary Phone: (925) 363-4120 Primary Phone: (530) 758-5566 Primary Fax: (866) 381-9932 Primary Fax: (707) 863-9043 Primary Fax: (530) 758-5122 Mon - Fri 8:00 AM - 5:00 PM Mon - Fri 8:00 AM - 5:00 PM Mon - Fri 8:30 AM - 5:00 PM Sat, Sun On Call

Sutter VNA Roseville ^755^ Infectious Diseases NorthBay Health at Home & PHC#: 10221

Hospice ^751^ NPI: 1033144464

NorthBay Medical Group ^759^ PHC#: 1119 3001 Lava Ridge Ct Ste 330B a NorthBay Affiliate NPI: 1720070071 Roseville, CA 95661 PHC#: N/A 4520 Business Center Dr Ste 160 , P NPI: 1780736736 Fairfield, CA 94534 Primary Phone: (916) 797-7850 Available By Referral Only  Primary Fax: (916) 781-6447 No Age Limitations Primary Phone: (707) 646-3575 Mon - Fri 8:00 AM - 5:00 PM Primary Fax: (707) 646-3577 1010 Nut Tree Rd Ste 100 Mon - Fri 8:00 AM - 5:00 PM Vacaville, CA 95687

Vitas Healthcare ^756^  PHC#: 18686 Primary Phone: (707) 624-7999

ProHealth Homecare, Inc. ^752^ NPI: 1558405134 Primary Fax: (707) 624-7998 PHC#: 46138 2480 Hilborn Rd Ste 105 Mon - Fri 8:00 AM - 5:00 PM NPI: 1538507587 Fairfield, CA 94534

3255 West March Ln Ste 105B  Warner, Gregory Yervant, DO ^760^ Stockton, CA 95219 Primary Phone: (916) 925-7010 ♦ Infectious Disease Primary Phone: (877) 300-6130 Primary Fax: (916) 566-2250 NPI: 1073704326 Primary Fax: (877) 867-1787 24 Hours 7 Days a Week License: 20A9902 Mon - Fri 9:00 AM - 5:30 PM Gender: Male Armenian, Spanish

Vitas Healthcare ^757^ Hospital Privileges: NorthBay Medical

ProHealth Homecare, Inc. ^753^ PHC#: 16197 Center PHC#: 29508 NPI: 1720122831 NPI: 1689943243 355 Lennon Ln Ste 150 2125 Oak Grove Rd Ste 124B Walnut Creek, CA 94598 Walnut Creek, CA 94598   Primary Phone: (925) 930-9373 Primary Phone: (877) 300-6130 Primary Fax: (925) 945-3850 Primary Fax: (877) 867-1787 24 Hours 7 Days a Week Mon - Fri 9:00 AM - 5:30 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 97 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Laboratory Draw Stations Primary Phone: (707) 446-7783 Primary Phone: (707) 646-4100 Primary Fax: (707) 446-7793 Primary Fax: (707) 646-4101 Mon - Fri 7:00 AM - 4:00 PM Mon - Fri 8:00 AM - 5:00 PM

Quest Diagnostics ^761^ Sat 8:00 AM - 12:00 PM PHC#: 3347 Marinoff, David Norman, MD ^766^ NPI: 1619913449 Members living in Solano, Napa, ♦ Maternal & Fetal Medicine 2042 Columbus Pkwy Yolo, Sonoma and Marin Counties ♦ Obstetrics & Gynecology Benicia, CA 94510 must use a Quest Lab for lab NPI: 1972522480  services. Members living in all other License: G44102 Primary Phone: (707) 746-6360 counties may use any lab listed in the Gender: Male Primary Fax: (707) 746-6728 provider directory. Mon - Fri 8:00 AM - 4:30 PM

Ziomek, Ann Marie, CNM ^767^ NPI: 1346466505

Quest Diagnostics - Vallejo ^764^ Members living in Solano, Napa, License: CN1451 Yolo, Sonoma and Marin Counties PHC#: 3347 Gender: Female must use a Quest Lab for lab NPI: 1619913449 Spanish services. Members living in all other 160 Hospital Dr counties may use any lab listed in the Vallejo, CA 94589 Special Accommodations: Adj. Exam  provider directory. Tables, Scales that weigh up to Primary Phone: (707) 557-7315 400lbs Primary Fax: (707) 648-0638

Quest Diagnostics ^762^ Mon - Fri 6:30 AM - 4:00 PM PHC#: 3347 No referral required for in-network OB/GYN providers NPI: 1619913449 Members living in Solano, Napa, 1411 Oliver Rd Ste 130 Yolo, Sonoma and Marin Counties Fairfield, CA 94534 must use a Quest Lab for lab Medical Supplies  services. Members living in all other Primary Phone: (707) 421-1827 counties may use any lab listed in the

Active Life Medical ^768^ Primary Fax: (707) 421-2491 provider directory. Mon - Fri 7:00 AM - 4:30 PM PHC#: 27125 NPI: 1023271822 Members living in Solano, Napa, Maternal Fetal Medicine 4217 Coronado Ave Unit D Yolo, Sonoma and Marin Counties Stockton, CA 95204 must use a Quest Lab for lab  NorthBay Women's Health ^765^ services. Members living in all other Primary Phone: (209) 943-2118 PHC#: N/A Primary Fax: (209) 939-1212 counties may use any lab listed in the NPI: 1780736736 provider directory. Mon - Fri 8:00 AM - 5:00 PM Available By Referral Only Sat, Sun On Call No Age Limitations

Quest Diagnostics ^763^ 1860 Pennsylvania Ave Ste 300

Advanced Diabetes Supply ^769^ PHC#: 3347 Fairfield, CA 94533 NPI: 1619913449 , EB,IB,E PHC#: 15727 770 Mason St Ste 140 Level of Access: Limited NPI: 1245259282 Vacaville, CA 95688 2544 Campbell Pl Ste 150  Carlsbad, CA 92009

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 98 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Hometown Medical Supplies ^777^ Primary Phone: (877) 869-1298 Biohorizon Medical ^773^ Primary Fax: (877) 869-2027 PHC#: 24020 PHC#: 26353 Mon - Fri 8:30 AM - 5:00 PM NPI: 1083690127 NPI: 1285772343 3882 Del Amo Blvd Ste 604 140 Lewis Rd Ste 5 All Medical Supply and Torrance, CA 90503 San Jose, CA 95111   Equipment ^770^ PHC#: 18309 Primary Phone: (866) 914-5159 Primary Phone: (408) 279-3955 Primary Fax: (866) 914-6699 Primary Fax: (408) 516-9662 NPI: 1184708372 Mon - Fri 8:00 AM - 5:00 PM Mon - Fri 9:00 AM - 5:00 PM 921 Marin St Vallejo, CA 94590

Jackson Medical Supply ^778^  Byram Healthcare Centers, Inc. ^774^ Primary Phone: (707) 554-6701 PHC#: 27245 PHC#: 15243 Primary Fax: (707) 731-0781 NPI: 1477807667 NPI: 1386974491 Mon - Fri 8:00 AM - 4:00 PM 5302 Rancho Rd 506 Main St. Huntington Beach, CA 92647 Vacaville, CA 95688   Apria Healthcare ^771^ PHC#: 4575 Primary Phone: (877) 369-9093 Primary Phone: (707) 446-7014 Primary Fax: (866) 992-6331 Primary Fax: (707) 446-1871 NPI: 1598774903 Mon - Fri 8:30 AM - 5:00 PM Mon - Fri 9:00 AM - 5:00 PM 755 Bevins St Sat 10:00 AM - 3:00 PM Lakeport, CA 95453

 Harbor Medical Supply ^775^

Primary Phone: (707) 994-1236 PHC#: 9696 Jackson Medical Supply ^779^ Primary Fax: (707) 994-7965 NPI: 1720117203 PHC#: 24035 Mon - Fri 9:00 AM - 4:00 PM 2917 W Capitol Ave NPI: 1578873592 Sat, Sun On Call West Sacramento, CA 95691 480 Redwood St Ste 44  Vallejo, CA 94590 Primary Phone: (916) 372-8766 Avella of Sacramento, Inc. ^772^ Primary Phone: (707) 644-4170 PHC#: 20368 Primary Fax: (916) 372-1750 Primary Fax: (707) 644-4163 Mon - Fri 8:00 AM - 5:00 PM NPI: 1295746709 Mon - Fri 9:00 AM - 5:00 PM 2288 Auburn Blvd Ste 102 Sat 10:00 AM - 3:00 PM

Sacramento, CA 95821 Home Oxygen Company, LLC ^776^  PHC#: 19061 Jackson Medical Supply ^780^ Primary Phone: (888) 792-3888 NPI: 1457545923 PHC#: 24036 Primary Fax: (888) 554-3299 4301 N. Star Way Ste C NPI: 1104136126 Mon - Fri 8:30 AM - 5:30 PM Modesto, CA 95356 604 Main St  Woodland, CA 95695 Primary Phone: (209) 523-0202  Primary Fax: (888) 499-0202 Primary Phone: (530) 661-7409 Mon - Fri 9:00 AM - 4:00 PM Primary Fax: (530) 661-7345 Sat, Sun On Call Mon - Fri 9:00 AM - 5:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 99 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Numotion ^781^ Numotion ^785^ Shield Healthcare Centers ^789^ PHC#: 25386 PHC#: 16877 PHC#: 1653 NPI: 1720221708 NPI: 1467526707 NPI: 1578677597 4010 N Chestnut Diagonal Ste 108 446 Westridge Dr 2950 Buskirk Ave Ste 180 Fresno, CA 93726 Watsonville, CA 95076 Walnut Creek, CA 94597    Primary Phone: (559) 431-2035 Primary Phone: (831) 724-5544 Primary Phone: (800) 675-8840 Primary Fax: (877) 214-2083 Primary Fax: (831) 724-3334 Primary Fax: (925) 256-1639 Mon - Fri 8:30 AM - 5:00 PM Mon - Fri 8:30 AM - 5:00 PM Mon - Fri 9:00 AM - 5:00 PM

Numotion ^782^ Piner's Services ^786^ SuperCare Health ^790^ PHC#: 3189 PHC#: 7148 PHC#: 13800 NPI: 1568536860 NPI: 1407071236 NPI: 1902863202 1650 Tribute Rd 907 Trancas St 505 Watt Dr Ste 3 Sacramento, CA 95815 Napa, CA 94558 Fairfield, CA 94534    Primary Phone: (916) 489-3651 Primary Phone: (707) 224-7921 Primary Phone: (800) 206-4880 Primary Fax: (916) 489-5949 Primary Fax: (707) 253-7399 Primary Fax: (626) 709-3442 Mon - Fri 8:30 AM - 4:30 PM Mon - Thu 8:30 AM - 5:00 PM Mon - Sun 8:30 AM - 5:30 PM Fri 8:30 AM - 4:30 PM

Numotion ^783^ Neonatology

PHC#: 2899 Prism Medical Products, LLC ^787^ NPI: 1992879639 PHC#: 38231 NorthBay Neonatology Assoc, 3500 Thomas Rd Ste B NPI: 1548367063

Inc. ^791^ Santa Clara, CA 95054 4705 N Sonora Ave Ste 110 PHC#: 1054  Fresno, CA 93722 Primary Phone: (408) 522-1200  NPI: 1265513360 Primary Fax: (408) 736-0203 Primary Phone: (888) 244-6421 Available By Referral Only Mon - Fri 8:30 AM - 5:00 PM Primary Fax: (800) 975-6321 No Age Limitations Mon - Fri 9:00 AM - 9:00 PM 1860 Pennsylvania Ave Ste 145 Fairfield, CA 94533

Numotion ^784^ 

PHC#: 11145 Pulmonary Solutions, LLC ^788^ Primary Phone: (707) 646-4052 NPI: 1710051032 PHC#: 18028 Primary Fax: (707) 646-4158 3137 Tomahawk Dr Ste C NPI: 1699726984 Mon - Sun On Call Stockton, CA 95205 1231 Alderwood Ave  Sunnyvale, CA 94089 Primary Phone: (209) 467-1173  Primary Fax: (916) 489-5949 Primary Phone: (408) 492-9504 Mon - Fri 8:30 AM - 4:30 PM Primary Fax: (877) 244-6983 Mon - Fri 9:00 AM - 5:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 100 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Bell, Richard E, MD ^792^ Quinn, Jenny Mae, NP ^797^ Morrissey, Ellen Caine, MD ^801^ ♦ Neonatal-Perinatal Medicine NPI: 1841456456 ♦ Internal Medicine ♦ Pediatrics License: 17371 ♦ Nephrology NPI: 1922161298 Gender: Female NPI: 1003913781 License: G57271 License: G55797 Gender: Male Nephrology Gender: Female Chinese Hospital Privileges: Sutter Solano Hospital Privileges: Medical Center East Bay Nephrology Medical NorthBay Medical Center Mouratoff, John George, MD ^802^

Sutter Solano Medical Center Group, Inc. ^798^ ♦ Nephrology

Berkheimer, Walter Randal, MD ^793^ PHC#: 1171 NPI: 1538266218 ♦ Neonatal-Perinatal Medicine NPI: 1184719809 License: G81438 NPI: 1386707669 Available By Referral Only Gender: Male License: G83531 No Age Limitations Hospital Privileges: Alta Bates Gender: Male 125 Hospital Dr Medical Center Alta Bates Campus

Hospital Privileges: Vallejo, CA 94589 Rausa, Katherine, MD ^803^ NorthBay Medical Center , P,EB,IB,R,E ♦ Internal Medicine Sutter Solano Medical Center Level of Access: Basic ♦ Nephrology

Gwiazdowski, Steven Gerard, MD ^794^ Primary Phone: (707) 642-7510 NPI: 1235212044 NPI: 1710037684 Primary Fax: (707) 642-3048 License: A118168 License: G68324 Mon - Fri 8:30 AM - 5:00 PM Gender: Female Gender: Male Hospital Privileges: Hospital Privileges: Alta Bates Medical Center Alta Bates

Iota-Herbei, Claudia Ioana, MD ^799^ NorthBay Medical Center ♦ Internal Medicine Campus Sutter Solano Medical Center ♦ Nephrology Sutter Solano Medical Center

Ricker, Denise Marie, MD ^804^ Montengro, Brian Leonardo, MD ^795^ NPI: 1548367113 ♦ Pediatrics License: A85905 ♦ Internal Medicine NPI: 1194871376 Gender: Female ♦ Nephrology License: 113592 Hospital Privileges: Alta Bates NPI: 1427155118 Gender: Male Medical Center Alta Bates Campus License: G62963 Hospital Privileges: Gender: Female

Khakmahd, Oliver Khashayar, MD ^800^ NorthBay Medical Center ♦ Internal Medicine Hospital Privileges: Alta Bates Sutter Solano Medical Center ♦ Nephrology Medical Center Alta Bates Campus

Suri, Vikram, MD ^805^ Tarter, Chad Ian, MD ^796^ NPI: 1164529830 ♦ Pediatrics License: A48805 ♦ Internal Medicine NPI: 1225012982 Gender: Male ♦ Nephrology License: A92148 Farsi NPI: 1699094292 Gender: Male Hospital Privileges: Alta Bates License: A125533 Hospital Privileges: Medical Center Alta Bates Campus Gender: Male NorthBay Medical Center Sutter Solano Medical Center

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 101 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Wu, Monte Meng Yuan, MD ^806^ Pagtalunan, Maria Enrica Diaz, MD ^811^ Ong, Steven Huy, MD ^815^ ♦ Internal Medicine ♦ Internal Medicine ♦ Nephrology ♦ Nephrology ♦ Nephrology NPI: 1225006349 NPI: 1902903578 NPI: 1629175310 License: A90786 License: A68069 License: A48370 Gender: Male Gender: Male Gender: Female Hospital Privileges: NorthBay Medical Hospital Privileges: Sutter Solano Hospital Privileges: Sutter Solano Center

Medical Center Medical Center Rubin, Oleg Felix, MD ^816^

Rubin, Oleg Felix, MD ^812^ ♦ Internal Medicine

Thomas, Rahitha Maria, FNP ^807^ ♦ Internal Medicine ♦ Nephrology NPI: 1568991701 ♦ Nephrology NPI: 1790762763 License: 95007865 NPI: 1790762763 License: A81462 Gender: Female License: A81462 Gender: Male Hindi Gender: Male Russian Russian Hospital Privileges: NorthBay Medical Hospital Privileges: NorthBay Medical Center

Solano Dialysis Access Center ^808^ Center PHC#: 18050

Wu, Monte Meng Yuan, MD ^813^

Solano Kidney Care ^817^ NPI: 1114119500 ♦ Internal Medicine Available By Referral Only ♦ Nephrology PHC#: 23083 No Age Limitations NPI: 1902903578 NPI: 1992000152 127 Hospital Dr Ste 102 License: A68069 Available By Referral Only Vallejo, CA 94589 Gender: Male 18 Years and Older  Hospital Privileges: Sutter Solano 1360 Burton Dr Ste 160 Primary Phone: (707) 643-9010 Medical Center Vacaville, CA 95687 Primary Fax: (707) 643-9011 , P,EB Mon, Tue, Thu, Fri 7:00 AM - 4:00 PM Level of Access: Limited

Solano Kidney Care ^814^ Primary Phone: (707) 446-4379

Iota-Herbei, Claudia Ioana, MD ^809^ PHC#: 23083 Primary Fax: (707) 446-4417 ♦ Internal Medicine NPI: 1992000152 Mon - Fri 8:00 AM - 5:00 PM ♦ Nephrology Available By Referral Only NPI: 1548367113 No Age Limitations Phaosawasdi, Piangwarin, MD ^818^ License: A85905 1261 Travis Blvd Ste 150 ♦ Internal Medicine Gender: Female Fairfield, CA 94533 ♦ Nephrology Hospital Privileges: Alta Bates , IB NPI: 1962727123 Medical Center Alta Bates Campus Level of Access: Limited License: A124444

Ong, Steven Huy, MD ^810^ Primary Phone: (707) 426-5407 Gender: Female ♦ Nephrology Primary Fax: (707) 426-6376 Thai NPI: 1225006349 Mon - Fri 8:00 AM - 5:00 PM License: A90786 Gender: Male Hospital Privileges: NorthBay Medical Center

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 102 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Beausoleil, Corey Marc, PA ^827^ Shahmir, Ehsan, MD ^819^ Primary Phone: (510) 724-9888 ♦ Internal Medicine Primary Fax: (510) 724-9856 NPI: 1467846147 ♦ Nephrology Mon - Fri 9:00 AM - 5:00 PM License: PA53605 NPI: 1700855210 Gender: Male

License: A50331 Mampalam, Thomas J, MD  ^823^ Gender: Male ♦ Neurological Surgery

Sutter Medical Group Solano ^828^ Farsi NPI: 1619059854 Hospital Privileges: NorthBay Medical License: G56217 PHC#: 36962 Center Gender: Male NPI: 1184859894 Hospital Privileges: Sutter Solano Available By Referral Only Medical Center No Age Limitations Tolkan, Steven R., MD ^820^ 770 Mason St PHC#: 18938 Vacaville, CA 95688

NPI: 1871554766 Neurosurgery ^824^ P,EB,IB,R,E,T Available By Referral Only a NorthBay Affiliate Level of Access: Basic No Age Limitations PHC#: N/A Primary Phone: (707) 454-5800 1261 Travis Blvd Ste 170 NPI: 1780736736 Primary Fax: (707) 454-5925 Fairfield, CA 94533 Available By Referral Only Mon - Fri 8:00 AM - 5:00 PM  No Age Limitations Primary Phone: (707) 252-8407 1860 Pennsylvania Ave Ste 230 Schrot, Rudolph Joseph, MD ^829^ Primary Fax: (707) 252-8335 Fairfield, CA 94533 ♦ Neurological Surgery Mon 9:30 AM - 4:30 PM  NPI: 1790768679 Wed, Fri 9:00 AM - 12:00 PM Primary Phone: (707) 646-4370 License: A70871 Primary Fax: (707) 646-4904 Gender: Male

Tolkan, Steven R, MD ^821^ Mon - Fri 8:00 AM - 5:00 PM Hospital Privileges: ♦ Internal Medicine Mercy San Juan Hospital

♦ Nephrology Taylor, Sherry Lee, MD ^825^ Sutter Medical Center Sacramento NPI: 1871554766 ♦ Neurological Surgery License: G83696 NPI: 1942375688 Special Accommodations: Medical Gender: Male License: G69273 Equipment Access Hospital Privileges: NorthBay Medical Gender: Female Center Hospital Privileges: NorthBay Medical Neurology Center

Neurological Surgery Zusman, Edie Ellen, MD ^826^

♦ Neurological Surgery Center for Integrative Medicine ^830^ NPI: 1629178637 PHC#: N/A

Mampalam, Thomas J., MD ^822^ License: G64158 NPI: 1780736736 PHC#: 2049 Gender: Female Available By Referral Only NPI: 1619059854 Hospital Privileges: NorthBay Medical No Age Limitations Available By Referral Only Center 1020 Nut Tree Rd Ste 270 No Age Limitations Vacaville, CA 95687 2150 Appian Way Ste 100  Pinole, CA 94564 

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 103 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Sutter Medical Group Solano ^839^ Primary Phone: (707) 624-8250 Ali, Ruby Saliha, MD ^834^ Primary Fax: (707) 624-8251 ♦ Clinical Neurophysiology PHC#: 36962 Mon - Fri 8:00 AM - 5:00 PM ♦ Neurology NPI: 1184859894 NPI: 1093990426 Available By Referral Only License: A99849

Mitchell, Albert M., DO ^831^ No Age Limitations Gender: Female 770 Mason St PHC#: 1084 Urdu NPI: 1003925926 Vacaville, CA 95688 Hospital Privileges: NorthBay Medical P,EB,IB,R,E,T Available By Referral Only Center 19 Years and Older Level of Access: Basic Almullahassani, Ameer, MD ^835^ Primary Phone: (707) 454-5800 1261 Travis Blvd Ste 170 ♦ Neurology Fairfield, CA 94533 Primary Fax: (707) 454-5925 NPI: 1245473131 Mon - Fri 8:00 AM - 5:00 PM , P,EB,IB,R,E License: C136384 Level of Access: Basic Gender: Male Primary Phone: (707) 426-5915 Special Accommodations: Medical Arabic Equipment Access Primary Fax: (707) 426-5933 Hospital Privileges: NorthBay Medical Mon - Fri 8:00 AM - 5:00 PM Center

Sutter Medical Group Solano ^840^

Kuluva, Joshua Elan, MD ^836^

Mitchell, Albert M., DO ^832^ ♦ Neurology PHC#: 37852 ♦ Neurology ♦ Psychiatry NPI: 1184859894 NPI: 1003925926 NPI: 1992963920 Available By Referral Only License: 20A5684 License: A109267 No Age Limitations Gender: Male Gender: Male 770 Mason St Hospital Privileges: NorthBay Medical Hospital Privileges: Alta Bates Vacaville, CA 95688 Center Medical Center Alta Bates Campus , P,EB,IB,R,E,T Level of Access: Basic Rehman, Shahid Ur, MD ^837^ Special Accommodations: Medical NPI: 1104084458 Primary Phone: (707) 454-5800 Equipment Access License: A105312 Primary Fax: (707) 434-2054 Gender: Male Other Faxes:

Neurology ^833^ Punjabi, Urdu (707) 454-5952 FP a NorthBay Affiliate Hospital Privileges: NorthBay Medical (707) 454-5911 IM PHC#: N/A Center (707) 454-5871 PEDS Mon - Fri 8:00 AM - 5:00 PM NPI: 1780736736 Robinson, Andrew Yuri, MD ^838^ Available By Referral Only NPI: 1952538589

No Age Limitations License: A148477 Hu, Myra Qi-Hua, MD ^841^ 1860 Pennsylvania Ave Ste 230 Gender: Male NPI: 1548587926 Fairfield, CA 94533 License: A137148  Gender: Female Primary Phone: (707) 646-4370 Hospital Privileges: Primary Fax: (707) 646-4381 Sutter Davis Hospital Mon - Fri 8:00 AM - 5:00 PM Sutter Medical Center Sacramento

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 104 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Suga, Steven H, MD ^842^ Villalon, Rachel Marie, MD ^845^ Mrgudich, Anthony Paul, MD  ^849^ ♦ Neurology NPI: 1083842843 NPI: 1124358635 NPI: 1790865640 License: A127041 License: A116037 License: A30000 Gender: Female Gender: Male Gender: Male Hospital Privileges: NorthBay Medical Spanish Japanese Center

Hospital Privileges: Garcia, Lillian E, CNM  ^850^ NorthBay Medical Center Special Accommodations: Adj. Exam NPI: 1609089465 Sutter Solano Medical Center Tables, Hearing Impaired License: 1094

Tran, Jacqueline Van, MD ^843^ Accommodations, Gurney Gender: Female NPI: 1760486534 Accommodations, Scales that weigh Spanish

License: G88236 up to 660lbs Lynch Myers, Casey, FNP  ^851^ Gender: Female NPI: 1467755348 Vietnamese No referral required for in-network License: 18218 Hospital Privileges: OB/GYN providers Gender: Female Adventist Health St. Helena-Hospital Spanish

Adventist Health Ukiah Valley Stanley, Guadalupe Ceja, PA-C  ^852^

La Clinica/Great Beginnings ^846^ Sutter Medical Center Sacramento NPI: 1093942476 PHC#: 16739 License: 20277 Special Accommodations: Medical NPI: 1992863096 Gender: Female Equipment Access Referral Not Required Spanish No Age Limitations 210 Hospital Dr Obstetrics No referral required for in-network Vallejo, CA 94589 OB/GYN providers  Center for Primary Care - Green Primary Phone: (707) 645-7316

Primary Fax: (707) 645-0426 NorthBay Women's Health ^853^

Valley ^844^ Mon - Fri 8:30 AM - 5:00 PM PHC#: N/A a NorthBay Affiliate NPI: 1780736736 PHC#: N/A Daudel, Jody Linn, MD  ^847^ Available By Referral Only NPI: 1780736736 NPI: 1114107877 No Age Limitations Referral Not Required License: A95421 1860 Pennsylvania Ave Ste 300 No Age Limitations Gender: Female Fairfield, CA 94533 4520 Business Center Dr Ste 200 Hospital Privileges: Sutter Solano , EB,IB,E Fairfield, CA 94534 Medical Center Level of Access: Limited , P,EB,IB,R,E Khan, Parveen, MD  ^848^ Primary Phone: (707) 646-4100 Level of Access: Basic ♦ Obstetrics & Gynecology Primary Fax: (707) 646-4101 Primary Phone: (707) 646-3500 NPI: 1194927392 Mon - Fri 8:00 AM - 5:00 PM Primary Fax: (707) 646-3501 License: A101696 Mon - Fri 8:00 AM - 5:00 PM Gender: Female Hawkins, Josiah Z.S., MD ^854^ Hindi, Punjabi, Spanish, Urdu NPI: 1881798122 Hospital Privileges: NorthBay Medical License: A80701 Center Gender: Male

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 105 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Lin, Andrew Peter, MD ^855^ Primary Care Clinics/Family Blair, Frederick Christopher, MD ^862^ NPI: 1689617565 Health Services/Solano County NPI: 1386731768

License: G80572 Health & Social Services Dept. ^860^ License: A67736 Gender: Male PHC#: 1034 Gender: Male Hospital Privileges: NorthBay Medical NPI: 1730310236 Hospital Privileges: Center Referral Not Required NorthBay Medical Center

Snow, Shanna Rose, DO ^856^ No Age Limitations Sutter Solano Medical Center

NPI: 1740483387 365 Tuolumne St Freeman, Marlene H, MD ^863^ License: 20A14555 Vallejo, CA 94590 NPI: 1811960966 Gender: Female , P,EB,IB,R,E,T License: G87122 Hospital Privileges: NorthBay Medical Level of Access: Basic Gender: Female Center Primary Phone: (707) 553-5509 Hospital Privileges:

Villalon, Rachel Marie, MD ^857^ Primary Fax: (707) 553-5658 NorthBay Medical Center NPI: 1083842843 Mon - Fri 8:00 AM - 5:00 PM Sutter Solano Medical Center License: A127041 Gender: Female Special Accommodations: Adj. Exam No referral required for in-network Hospital Privileges: NorthBay Medical Tables, Gurney Accommodations, OB/GYN providers Center Special Scales For Wheelchairs,

Medical Equipment Access, Scales Sutter Medical Group Solano ^864^

Garcia, Tori, NP ^858^ that weigh up to 1000lbs NPI: 1639221070 PHC#: 37853 NPI: 1184859894 License: 16909 No referral required for in-network Gender: Female Referral Not Required OB/GYN providers No Age Limitations

Ziomek, Ann Marie, CNM ^859^ NPI: 1346466505 770 Mason St

License: CN1451 Sutter Medical Group Solano ^861^ Vacaville, CA 95688 Gender: Female PHC#: 37853 , P,EB,IB,R,E,T Spanish NPI: 1184859894 Level of Access: Basic Referral Not Required Primary Phone: (707) 427-4900 Special Accommodations: Adj. Exam No Age Limitations Primary Fax: (707) 454-5831 Tables, Scales that weigh up to 2702 Low Ct Mon - Fri 9:00 AM - 5:00 PM 400lbs Fairfield, CA 94534

 Contreras, Michelle, MD ^865^ No referral required for in-network Primary Phone: (707) 432-2600 NPI: 1730499252 OB/GYN providers Primary Fax: (707) 432-2800 License: A129371 Mon - Fri 8:00 AM - 5:00 PM Gender: Female Hospital Privileges: Sutter Solano Medical Center

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 106 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Zubair, Iram, MD ^866^ Huang, Stella Mai, DO ^870^ NorthBay Rehab Services ^874^ NPI: 1386670883 NPI: 1760610273 PHC#: 31116 License: A97722 License: 20A12718 NPI: 1780736736 Gender: Female Gender: Female 1101 B Gale Wilson Blvd Ste 101A Hindi, Punjabi, Urdu Hospital Privileges: Fairfield, CA 94533 Hospital Privileges: NorthBay Medical Center  NorthBay Medical Center Sutter Solano Medical Center Primary Phone: (707) 646-4150 Sutter Solano Medical Center Mon - Fri 8:00 AM - 5:00 PM No referral required for in-network

Griffith-Parker, Diane Kay, CNM ^867^ OB/GYN providers

NorthBay Rehab Services ^875^ NPI: 1629165949 PHC#: 31117 License: 426 Occupational Therapy Gender: Female NPI: 1780736736 2500 Hilborn Rd.

Special Accommodations: Medical Children's Therapy Works ^871^ Fairfield, CA 94534 Equipment Access PHC#: 19242  Primary Phone: (707) 646-5599 NPI: 1689825762 Primary Fax: (707) 646-3428 No referral required for in-network 2560 N Texas St Ste J Mon - Fri 8:00 AM - 5:00 PM OB/GYN providers Fairfield, CA 95433 

Primary Phone: (707) 330-6949 NorthBay Rehab Services ^876^

Sutter Medical Group Solano ^868^ Primary Fax: (707) 425-2543 PHC#: 37853 PHC#: 31118 Mon - Fri 8:00 AM - 5:00 PM NPI: 1184859894 NPI: 1760534713 Referral Not Required 1020 Nut Tree Rd Ste 260

Blythe, Tina Marie, OT  ^872^ No Age Limitations Vacaville, CA 95687 NPI: 1689825762 100 Hospital Dr Ste 200  License: OT138 Vallejo, CA 94589 Primary Phone: (707) 624-8290 Gender: Female  Mon - Fri 8:00 AM - 5:00 PM Primary Phone: (707) 427-4900 Spanish Primary Fax: (707) 432-2800 Sutter Medical Group Solano ^877^

Lodi Memorial Hospital ^873^ Mon - Fri 8:00 AM - 5:00 PM PHC#: 15584 PHC#: 1379 NPI: 1184859894

Contreras, Michelle, MD ^869^ NPI: 1316938301 2702 Low Ct NPI: 1730499252 975 South Fairmont Ave Fairfield, CA 94534 License: A129371 Lodi, CA 95240  Gender: Female  Primary Phone: (707) 432-2600 Hospital Privileges: Sutter Solano Primary Phone: (209) 334-3411 Primary Fax: (707) 432-2661 Medical Center Primary Fax: (209) 333-3160 Mon - Fri 9:00 AM - 5:00 PM www.adventisthealth.org/ lodimemorial Mon - Thu 7:00 AM - 5:30 PM Fri 7:00 AM - 4:30 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 107 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Sutter Physical and Occupational Lopez, Jonathan David, MD ^882^ Chaiyarat, Walailuk, MD ^886^

Therapy ^878^ ♦ Hematology ♦ Hematology PHC#: 13809 ♦ Internal Medicine ♦ Internal Medicine NPI: 1184859894 ♦ Medical Oncology ♦ Medical Oncology 770 Mason St NPI: 1881682714 NPI: 1811140478 Vacaville, CA 95688 License: A102015 License: A117301 , P,EB,IB,R,E,T Gender: Male Gender: Female Level of Access: Basic Hospital Privileges: NorthBay Medical Thai Primary Phone: (707) 454-5990 Center Hospital Privileges: Sutter Solano

Primary Fax: (707) 454-5991 Powers, Jessica Faith, MD ^883^ Medical Center

Mon - Fri 6:30 AM - 5:30 PM ♦ Hematology Limvarapuss, Chainarong, MD ^887^ ♦ Medical Oncology ♦ Internal Medicine NPI: 1538361415 ♦ Medical Oncology

Padilla, Dorothy Johnson, OT ^879^ NPI: 1649360488 License: A119859 NPI: 1053341784 License: 1528 Gender: Female License: A80619 Gender: Female Hospital Privileges: NorthBay Medical Gender: Male Center Japanese, Thai

Special Accommodations: Medical Vikstrom, Brian Gene, MD ^884^ Hospital Privileges: Sutter Solano Equipment Access ♦ Hematology Medical Center

♦ Internal Medicine Wexler, Ann Marie, MD ^888^ ♦ Medical Oncology ♦ Hematology Oncology NPI: 1285730820 ♦ Medical Oncology License: A69795 NPI: 1669482576 Gender: Male License: A96244 NorthBay Cancer Center ^880^ Hospital Privileges: NorthBay Medical Gender: Female PHC#: N/A Center Spanish NPI: 1780736736 Available By Referral Only No Age Limitations Solano Hematology Oncology, Solano Hematology Oncology,

Inc. ^889^ 1020 Nut Tree Rd Ste 390 Inc. ^885^ Vacaville, CA 95687 PHC#: 13189 PHC#: 13189  NPI: 1528399193 NPI: 1528399193 Primary Phone: (707) 624-8000 Available By Referral Only Available By Referral Only Primary Fax: (707) 624-8001 No Age Limitations No Age Limitations Mon - Fri 9:00 AM - 5:00 PM 1360 Burton Dr Ste 170 100 Hospital Dr Ste 110 Vacaville, CA 95687 Vallejo, CA 94589

Long, James Melvin, MD ^881^ , P,IB,R , P,EB,IB,R ♦ Internal Medicine Level of Access: Limited Level of Access: Limited ♦ Medical Oncology Primary Phone: (707) 446-1114 Primary Phone: (707) 551-3300 NPI: 1194821868 Primary Fax: (707) 446-1119 Primary Fax: (707) 551-3301 License: C50016 Wed, Thu By Appointment Only Mon - Fri 8:00 AM - 5:00 PM Gender: Male Hospital Privileges: NorthBay Medical Center

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 108 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Chaiyarat, Walailuk, MD ^890^ Krijanovski, Yelena Leopold, MD ^894^ Krijanovski, Yelena Leopold, MD ^897^ ♦ Hematology ♦ Medical Oncology ♦ Medical Oncology ♦ Internal Medicine NPI: 1497877500 NPI: 1497877500 ♦ Medical Oncology License: A106347 License: A106347 NPI: 1811140478 Gender: Female Gender: Female License: A117301 Russian Russian Gender: Female Hospital Privileges: Hospital Privileges: Thai NorthBay Medical Center NorthBay Medical Center Hospital Privileges: Sutter Solano Sutter Davis Hospital Sutter Davis Hospital Medical Center Sutter Solano Medical Center Sutter Solano Medical Center

Limvarapuss, Chainarong, MD ^891^ Rasila, Kanwaldeep Kaur, MD ^895^ Rasila, Kanwaldeep Kaur, MD ^898^ ♦ Internal Medicine ♦ Hematology ♦ Hematology ♦ Medical Oncology ♦ Medical Oncology ♦ Medical Oncology NPI: 1053341784 NPI: 1649492166 NPI: 1649492166 License: A80619 License: C54884 License: C54884 Gender: Male Gender: Female Gender: Female Japanese, Thai Hindi, Punjabi, Urdu Hindi, Punjabi, Urdu Hospital Privileges: Sutter Solano Hospital Privileges: Hospital Privileges: Medical Center Sutter Davis Hospital Sutter Davis Hospital

Wexler, Ann Marie, MD ^892^ Sutter Medical Center Sacramento Sutter Medical Center Sacramento ♦ Hematology Sutter Solano Medical Center Sutter Solano Medical Center ♦ Medical Oncology NPI: 1669482576 Special Accommodations: Medical

Sutter Medical Group Solano ^896^ License: A96244 Equipment Access Gender: Female PHC#: 37863 Spanish NPI: 1184859894 Available By Referral Only Ophthalmology Special Accommodations: Special No Age Limitations 200 Bella Vista Rd Scales For Wheelchairs Bay Area Retina Associates ^899^ Vacaville, CA 95687 PHC#: 1744 , P,EB,IB,R,E,T NPI: 1174557805 Sutter Medical Group Solano ^893^ Level of Access: Basic Available By Referral Only PHC#: 37863 Primary Phone: (707) 427-4900 No Age Limitations NPI: 1184859894 Primary Fax: (916) 503-7118 1460 N Camino Alto Ste 206 Available By Referral Only Mon - Fri 9:00 AM - 5:00 PM Vallejo, CA 94589 No Age Limitations  2702 Low Ct Primary Phone: (707) 552-9596 Fairfield, CA 94534 Primary Fax: (925) 943-6880  Mon - Sun By Appointment Only Primary Phone: (707) 427-4900 Primary Fax: (916) 503-7118 Mon - Thu 9:00 AM - 5:00 PM Fri 9:00 AM - 12:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 109 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Bharadwaj, Amitabh Kant, MD ^904^ Leong, Craig Jann, MD ^900^ Primary Phone: (707) 553-8222 ♦ Ophthalmology ♦ Ophthalmology Primary Fax: (707) 553-1154 NPI: 1639103344 NPI: 1477511806 Mon 8:00 AM - 7:00 PM License: G28041 License: A101201 Tue 7:30 AM - 5:00 PM Gender: Male Gender: Male Wed - Fri 8:00 AM - 5:00 PM Hospital Privileges: John Muir Hindi

Medical Center-Concord Campus Hospital Privileges: Marin General Agadzi, Anthony K., MD ^908^

Ranchod, Tushar Mahendra, MD ^901^ Hospital ♦ Ophthalmology ♦ Ophthalmology NPI: 1740323559 NPI: 1316003304 License: A89342

Mission Hills Eye Center ^905^ License: A113274 Gender: Male Gender: Male PHC#: 11909 French, Russian, Spanish Hospital Privileges: NPI: 1902986003 Hospital Privileges: Sutter Solano Alta Bates Summit Medical Center Available By Referral Only Medical Center No Age Limitations

John Muir Medical Center-Concord Carlson, Roger F., MD ^909^ Campus 2338 Almond Ave ♦ Ophthalmology Concord, CA 94520

Ray, Subhransu K, MD ^902^ NPI: 1336195486  ♦ Ophthalmology License: G23106 Primary Phone: (925) 685-1130 NPI: 1578597878 Gender: Male Primary Fax: (925) 685-1162 License: G86936 French Mon - Fri 8:30 AM - 5:00 PM Gender: Male Hospital Privileges: Sutter Solano Hospital Privileges: John Muir Medical Center

Chahal, Resham Singh, MD ^906^ Medical Center-Concord Campus ♦ Ophthalmology

NPI: 1023061959 Retina Center of Solano ^910^

Bharadwaj, Amitabh K., MD ^903^ License: G71732 PHC#: 17265 PHC#: 34947 Gender: Male NPI: 1497897532 NPI: 1477511806 Hindi, Punjabi Available By Referral Only Available By Referral Only Hospital Privileges: John Muir No Age Limitations No Age Limitations Medical Center-Concord Campus 2470 Hilborn Rd Ste 150 1320 Tara Hills Dr Ste H Fairfield, CA 94534 Pinole, CA 94564  Redwood Eye Center ^907^  Primary Phone: (707) 759-4942 Primary Phone: (510) 724-1100 PHC#: 1058 Primary Fax: (707) 759-5974 Primary Fax: (510) 724-1104 NPI: 1023061306 Mon 8:00 AM - 5:00 PM Mon - Fri 8:30 AM - 5:00 PM Available By Referral Only Tue, Wed By Appointment Only No Age Limitations 2852 Redwood Pkwy Vallejo, CA 94591 

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 110 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Pearlman, Joel Abrahm, MD ^916^ Chang, Margaret Amy, MD ^911^ Primary Phone: (707) 422-6500 ♦ Ophthalmology ♦ Ophthalmology Primary Fax: (707) 422-6556 NPI: 1477504405 NPI: 1154430460 Mon - Thu 8:00 AM - 5:00 PM License: A103453 License: A78783 Fri 8:00 AM - 2:00 PM Gender: Female Gender: Male

Mandarin, Spanish, Taiwanese Hospital Privileges: Mercy General Sandler, Bradley Jay, MD ^921^ Hospital Privileges: Sutter Medical Hospital ♦ Ophthalmology

Center Sacramento Reed, John Brian, MD ^917^ NPI: 1932102415

Cupp, David Gordon, MD ^912^ NPI: 1528177706 License: GO53878 ♦ Ophthalmology License: G82260 Gender: Male NPI: 1497901565 Gender: Male Hospital Privileges: NorthBay Medical License: A120754 Spanish Center Gender: Male Hospital Privileges: Sutter Medical Spanish Center Sacramento Special Accommodations: Hearing Impaired Accommodations Hospital Privileges: Mercy General Telander, David Gregory, MD  ^918^ Hospital ♦ Ophthalmology

Equi, Robert Anthony, MD ^913^ NPI: 1528043023

Solano Eye Specialists ^922^ ♦ Ophthalmology License: A82894 NPI: 1497864664 Gender: Male PHC#: 1272 License: A78901 Hospital Privileges: Sutter Medical NPI: 1669885661 Gender: Male Center Sacramento Available By Referral Only No Age Limitations

Spanish Tsai, Tony, MD ^919^ Hospital Privileges: Sutter Medical ♦ Ophthalmology 1360 Burton Dr Ste 150 Center Sacramento NPI: 1548294101 Vacaville, CA 95687  Medina Mendez, Carlos Alonso, License: A96629 Primary Phone: (707) 446-6500

MD ^914^ Gender: Male Primary Fax: (707) 446-0154 ♦ Ophthalmology Spanish Mon - Thu 8:00 AM - 5:00 PM NPI: 1811218316 Hospital Privileges: Mercy General Fri 8:00 AM - 2:00 PM License: A138518 Hospital Gender: Male

Sandler, Bradley Jay, MD ^923^ Spanish Special Accommodations: Hearing ♦ Ophthalmology

Patel, Arun, MD ^915^ Impaired Accommodations NPI: 1932102415 ♦ Ophthalmology License: GO53878 NPI: 1164531430 Solano Eye Specialists ^920^ Gender: Male License: A42740 Hospital Privileges: NorthBay Medical Gender: Male PHC#: 1088 Center Hospital Privileges: Mercy General NPI: 1669885661 Hospital Available By Referral Only No Age Limitations Special Accommodations: Hearing 1345 Gateway Blvd Impaired Accommodations Fairfield, CA 94533 

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 111 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Sutter Medical Group Solano ^924^ Primary Phone: (707) 454-5800 Primary Phone: (707) 645-7210 PHC#: 37855 Primary Fax: (707) 434-2054 Primary Fax: (707) 645-7249 NPI: 1184859894 Other Faxes: Mon - Fri 8:00 AM - 4:00 PM Available By Referral Only (707) 454-5952 FP

No Age Limitations (707) 454-5911 IM Centeno, Joseph Michael, MD  ^931^ 2702 Low Ct (707) 454-5871 PEDS ♦ Sports Medicine - Orthopaedic Fairfield, CA 94534 Mon - Fri 8:00 AM - 5:00 PM NPI: 1124086137  License: A77447

Primary Phone: (707) 427-4900 Chen, Julie Ann, MD ^928^ Gender: Male Primary Fax: (707) 432-2820 ♦ Ophthalmology Hospital Privileges: Sutter Solano Mon - Fri 7:30 AM - 6:00 PM NPI: 1740303064 Medical Center License: A92512 Gender: Female Chen, Julie Ann, MD ^925^ Bay Area Ortho Surgery and ♦ Ophthalmology Mandarin, Spanish Sports Medicine ^932^ Hospital Privileges: NPI: 1740303064 PHC#: 18431 License: A92512 NorthBay Medical Center Sutter Solano Medical Center NPI: 1629248109 Gender: Female Available By Referral Only Mandarin, Spanish Smith, Melissa, MD ^929^ No Age Limitations Hospital Privileges: ♦ Ophthalmology 100 Hospital Dr Ste 303 NorthBay Medical Center NPI: 1922198621 License: A54927 Vallejo, CA 94589 Sutter Solano Medical Center , P,EB,IB,R,E Hinman-Seabrooks, Donna Gender: Female Spanish Level of Access: Basic

Ramona, MD ^926^ Primary Phone: (707) 645-7210 ♦ Ophthalmology Hospital Privileges: NorthBay Medical Center Primary Fax: (707) 645-7249 NPI: 1285722181 Mon - Fri 8:00 AM - 5:00 PM License: G71380 Sutter Solano Medical Center Gender: Female

Centeno, Joseph Michael, MD  ^933^ Hospital Privileges: Special Accommodations: Medical Equipment Access ♦ Sports Medicine - Orthopaedic NorthBay Medical Center NPI: 1124086137 Sutter Solano Medical Center License: A77447 Orthopaedic Surgery Gender: Male

Sutter Medical Group Solano ^927^ Hospital Privileges: Sutter Solano PHC#: 37855 Bay Area Ortho Surgery and Medical Center

Nissen, Teodoro Pedro, MD  ^934^

NPI: 1184859894 Sports Medicine ^930^ NPI: 1699791053 Available By Referral Only PHC#: 18431 License: A77901 No Age Limitations NPI: 1629248109 Gender: Male 770 Mason St Available By Referral Only Hospital Privileges: Sutter Solano Vacaville, CA 95688 No Age Limitations Medical Center , P,EB,IB,R,E,T 1599 Tara Hills Dr Level of Access: Basic Pinole, CA 94564 

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 112 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Bay Area Surgical Specialists ^935^ Burton, John Todd, MD ^938^ Parkin, Jay David, MD ^942^ PHC#: 17753 ♦ Orthopaedic Surgery ♦ Orthopaedic Surgery NPI: 1154401941 NPI: 1699786772 NPI: 1780679340 Available By Referral Only License: G69524 License: G88371 18 Years and Older Gender: Male Gender: Male 2637 Shadelands Dr Hospital Privileges: Sutter Solano Hospital Privileges: NorthBay Medical Walnut Creek, CA 94598 Medical Center Center , P,EB,IB,R,E,T

Milne, Elizabeth Jane, PA ^943^

Level of Access: Basic Orthopaedics ^939^ NPI: 1144373937 Primary Phone: (925) 932-6330 a NorthBay Affiliate Primary Fax: (925) 932-0139 License: PA14377 PHC#: N/A Gender: Female Mon - Fri 8:00 AM - 5:00 PM NPI: 1780736736 Available By Referral Only

Orthopaedics ^944^ Romero, Denise Marie, MD ^936^ No Age Limitations ♦ Orthopaedic Surgery 2500 Hilborn Rd a NorthBay Affiliate NPI: 1194922542 Fairfield, CA 94534 PHC#: N/A License: A95275  NPI: 1780736736 Gender: Female Primary Phone: (707) 646-5599 Available By Referral Only Hospital Privileges: John Muir Primary Fax: (707) 646-5571 No Age Limitations Medical Center-Concord Campus Mon - Fri 8:00 AM - 5:00 PM 1010 Nut Tree Rd Ste 200 Vacaville, CA 95687

Birkbeck, Daniel Paul, MD ^940^  Burton, John, MD ^937^ PHC#: 17158 ♦ Hand Surgery - Orthopaedic Primary Phone: (707) 624-7900 ♦ Orthopaedic Surgery Primary Fax: (707) 624-7901 NPI: 1699786772 Available By Referral Only NPI: 1265433254 Mon - Fri 8:00 AM - 5:00 PM License: G86952 No Age Limitations

Gender: Male Brooks, Andrew Thomas, MD ^945^ 5030 Business Center Dr Ste 140 Farsi, Spanish ♦ Orthopaedic Surgery Fairfield, CA 94534 NPI: 1376519561 , P,IB,R,E Hospital Privileges: Queen of the Valley Medical Center License: A60076 Level of Access: Limited

Elmes, Cornelis Millard, MD ^941^ Gender: Male Primary Phone: (707) 864-6144 ♦ Orthopaedic Surgery Hospital Privileges: NorthBay Medical Primary Fax: (707) 864-9075 NPI: 1245280460 Center Mon, Wed 8:00 AM - 4:00 PM

License: A86984 Peterson, Robert Kay, MD ^946^ Tue, Thu 8:00 AM - 5:00 PM Gender: Male ♦ Orthopaedic Surgery Fri 8:00 AM - 12:00 PM Hospital Privileges: NorthBay Medical NPI: 1093717951 Center License: G84728 Gender: Male Hospital Privileges: Sutter Davis Hospital

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 113 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Hartley, Daniel John, FNP ^947^ Dennis Jr, Douglas Alan, MD ^951^ Petersen, Michael S, MD  ^955^ NPI: 1891856654 ♦ Orthopaedic Surgery ♦ Hand Surgery - Orthopaedic License: NP15794 NPI: 1760473052 ♦ Orthopaedic Surgery Gender: Male License: A88265 NPI: 1467428656 Gender: Male License: A49302 Hospital Privileges: Gender: Male

Specialized Orthopedic Surgeons ^948^ NorthBay Medical Center Hospital Privileges: Sutter Davis PHC#: 8769 Sutter Solano Medical Center Hospital NPI: 1376966796

Kofoed II, John Charles, MD ^952^ Porter, Scott Mcintosh, MD ^956^ Available By Referral Only NPI: 1992886154 NPI: 1043442650 No Age Limitations License: G46595 License: A115504 1010 Nut Tree Rd Ste 200 Gender: Male Gender: Male Vacaville, CA 95687 Spanish Hospital Privileges: Sutter Davis  Hospital Privileges: Hospital Primary Phone: (707) 624-7900

NorthBay Medical Center Qeli, Albi, MD ^957^ Primary Fax: (707) 624-7901 Sutter Solano Medical Center ♦ Orthopaedic Surgery Mon - Fri 8:00 AM - 5:00 PM NPI: 1649466434 License: A96374

Sutter Medical Group Yolo ^953^

Peterson, Robert Kay, MD ^949^ Gender: Male ♦ Orthopaedic Surgery PHC#: 22482 Hospital Privileges: NPI: 1093717951 NPI: 1952327256 Mercy San Juan Hospital License: G84728 Available By Referral Only Sutter Davis Hospital Gender: Male No Age Limitations Hospital Privileges: Sutter Davis 2020 Sutter Pl Ste 104

Cheney, Kristen, PA-C ^958^ Hospital Davis, CA 95616 NPI: 1558699975  License: 20691 Primary Phone: (530) 750-5900 Sutter Medical Group Solano ^950^ Gender: Female Primary Fax: (530) 750-5901

Diaz, Mark J, PA ^959^ PHC#: 37856 Mon - Fri 8:00 AM - 5:00 PM NPI: 1184859894 NPI: 1164942116 Available By Referral Only License: 54564

Opfell, Andrew, MD ^954^ Gender: Male No Age Limitations ♦ Orthopaedic Surgery 2702 Low Ct NPI: 1689770281 Fairfield, CA 94534 License: G57471 Orthotics Prosthetics  Gender: Male Primary Phone: (707) 427-4900 Hospital Privileges: Sutter Davis

Primary Fax: (707) 434-2054 Biohorizon Medical ^960^ Hospital Mon - Fri 8:00 AM - 5:00 PM PHC#: 24020 NPI: 1083690127 3882 Del Amo Blvd Ste 604 Torrance, CA 90503 

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 114 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Harbor Medical Supply ^968^ Primary Phone: (866) 914-5159 Hanger Prosthetics & Orthotics ^964^ Primary Fax: (866) 914-6699 PHC#: 6611 PHC#: 9696 Mon - Fri 8:00 AM - 5:00 PM NPI: 1629146832 NPI: 1720117203 433 Hegenberger Rd Ste 100 2917 W Capitol Ave

Collier Orthotics and Prosthetics ^961^ Oakland, CA 94621 West Sacramento, CA 95691 PHC#: 27770   NPI: 1689831885 Primary Phone: (510) 430-2500 Primary Phone: (916) 372-8766 3161 Putman Blvd Primary Fax: (510) 430-2549 Primary Fax: (916) 372-1750 Pleasant Hill, CA 94523 Mon - Fri 8:00 AM - 5:00 PM Mon - Fri 8:00 AM - 5:00 PM 

Jackson Medical Supply ^969^ Primary Phone: (925) 943-1119 Hanger Prosthetics & Orthotics ^965^ Primary Fax: (915) 943-2493 PHC#: 35396 PHC#: 24036 Mon - Fri 9:00 AM - 5:00 PM NPI: 1851465736 NPI: 1104136126 13771A Mono Way 604 Main St

Hanger Prosthetics & Orthotics ^962^ Sonora, CA 95370 Woodland, CA 95695 PHC#: 9116   NPI: 1598839649 Primary Phone: (209) 532-4497 Primary Phone: (530) 661-7409 2300 Boynton Ave Ste 101 Primary Fax: (209) 532-2489 Primary Fax: (530) 661-7345 Fairfield, CA 94533 Mon - Fri 8:00 AM - 5:00 PM Mon - Fri 9:00 AM - 5:00 PM  North Bay Prosthetics & Orthotics Primary Phone: (707) 428-3800 Hanger Prosthetics & Orthotics ^966^

Primary Fax: (707) 428-1444 PHC#: 33819 - River City Prosthetics ^970^ Tue 8:00 AM - 12:00 PM NPI: 1205900180 River City Prosthetics and Orthotics Thu 1:00 PM - 5:00 PM 644 E Harding Ste A PHC#: 31072 Stockton, CA 95202 NPI: 1821430844  Hanger Prosthetics & Orthotics ^963^ 3001 P St Ste B PHC#: 14722 Primary Phone: (209) 466-2546 Sacramento, CA 95816 NPI: 1538233416 Primary Fax: (209) 466-0916  88 Rowland Way Ste 175 Mon - Fri 8:00 AM - 5:00 PM Primary Phone: (916) 737-2200 Novato, CA 94945 Primary Fax: (916) 737-2202 Mon - Fri 8:00 AM - 5:00 PM

 Hanger Prosthetics & Orthotics ^967^ Primary Phone: (415) 892-1502 PHC#: 5960 Primary Fax: (415) 892-1907 NPI: 1407920556 North Bay Prosthetics and

Tue 8:00 AM - 3:00 PM 1460 N Camino Alto Ste 106 Orthotics ^971^ Thu 1:00 PM - 5:00 PM Vallejo, CA 94589 PHC#: 17794  NPI: 1952439796 Primary Phone: (707) 643-2177 450 Chadbourne Rd Ste B Primary Fax: (707) 643-6339 Fairfield, CA 94534 Mon - Fri 8:00 AM - 5:00 PM  Primary Phone: (707) 425-5028 Primary Fax: (707) 425-5029 Mon - Fri 8:00 AM - 5:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 115 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Pacific Medical Prosthetics and Thrive Prosthetics ^976^ Woolf, Murray A., MD ^980^

Orthotics - Midtown Sacramento ^972^ PHC#: 46868 PHC#: 13246 PHC#: 21238 NPI: 1699227009 NPI: 1073531356 NPI: 1326048893 6600 Coyle Ave Ste 2 Available By Referral Only 3001 L St Carmichael, CA 95608 No Age Limitations Sacramento, CA 95816 Primary Phone: (916) 671-3417 Capitated for members in Fairfield &  Primary Fax: (916) 241-9344 Vacaville (excludes Sutter) Primary Phone: (916) 706-1520 Mon - Fri 8:30 AM - 5:00 PM 1710 Pennsylvania Ave Ste D Primary Fax: (916) 706-1551 Fairfield, CA 94533 Mon - Fri 8:00 AM - 5:00 PM  Otolaryngology Primary Phone: (707) 423-2000 Pediatric Orthotic and Prosthetic Primary Fax: (707) 423-2001

Sutter Medical Group Solano ^977^ Mon - Fri 8:30 AM - 5:00 PM

Services - West, LLC ^973^ PHC#: 25591 PHC#: 37854 NPI: 1184859894 Woolf, Murray Alan, MD ^981^ NPI: 1811213549 ♦ Otolaryngology 2425 Stockton Blvd Ste 236 Available By Referral Only No Age Limitations NPI: 1073531356 Sacramento, CA 95817 License: G40159  2702 Low Ct Gender: Male Primary Phone: (916) 453-2170 Fairfield, CA 94534 Hospital Privileges: NorthBay Medical Primary Fax: (916) 453-5024  Center Mon - Fri 8:00 AM - 5:00 PM Primary Phone: (707) 427-4900 Primary Fax: (707) 432-2820 Mon - Fri 7:30 AM - 6:00 PM Professional Orthopedic Systems Pain Management

of Sacramento ^974^

Corcoran, Martha Ellen, MD ^978^ PHC#: 2092 ♦ Otolaryngology Advanced Pain Management

NPI: 1821083163 NPI: 1063487825 Institute ^982^ 5049 College Oak Dr Ste F License: G64295 PHC#: 11232 Sacramento, CA 95841 Gender: Female NPI: 1740478502  Spanish Available By Referral Only Primary Phone: (916) 331-3537 Hospital Privileges: No Age Limitations Primary Fax: (916) 331-3587 NorthBay Medical Center 200 Butcher Rd Mon - Fri 8:30 AM - 5:00 PM Sutter Solano Medical Center Vacaville, CA 95687  Pfisterer, Michael John, MD ^979^ ♦ Otolaryngology Primary Phone: (707) 359-2255 Support Care Services ^975^ NPI: 1124319470 Primary Fax: (707) 359-2259 PHC#: 6185 License: A155854 Mon - Fri 8:00 AM - 5:00 PM NPI: 1043390198 Gender: Male 251 Shaw Rd Hospital Privileges: Sutter Solano South San Francisco, CA 94080  Medical Center Primary Phone: (650) 615-9357 Primary Fax: (650) 615-9358 Mon - Fri 9:00 AM - 5:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 116 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Tarasenko, Valery Dmitrievich, MD ^983^ Jaber, James Fuad, MD ^987^ Jaber, James Fuad, MD ^992^ ♦ Pain Medicine ♦ Anesthesiology ♦ Anesthesiology NPI: 1912981713 NPI: 1629061361 NPI: 1629061361 License: A72444 License: G70970 License: G70970 Gender: Male Gender: Male Gender: Male Russian Hospital Privileges: NorthBay Medical Hospital Privileges: NorthBay Medical Hospital Privileges: Sutter Davis Center Center

Pena, Cynthia Lynn, MD ^993^ Hospital Pena, Cynthia Lynn, MD ^988^ ♦ Anesthesiology ♦ Anesthesiology An Anesthesia & Pain Mgmt Med. ♦ Pain Medicine ♦ Pain Medicine NPI: 1417031717 NPI: 1417031717

Corp. ^984^ License: A88607 License: A88607 PHC#: 3088 Gender: Female Gender: Female NPI: 1376596650

Rumery, Christopher G, MD ^989^ Available By Referral Only ♦ Anesthesiology Special Accommodations: Hearing No Age Limitations NPI: 1073507018 Impaired Accommodations 1208 E 5th St 3rd Fl License: G71039 Benicia, CA 94510 Gender: Male  Sutter Medical Group Solano ^994^ Hospital Privileges: Woodland Primary Phone: (707) 748-7248 Memorial Hospital PHC#: 37861 Primary Fax: (707) 745-9076 NPI: 1184859894 Mon, Wed - Fri 8:30 AM - 4:00 PM Available By Referral Only

Center for Pain Management ^990^ No Age Limitations

Anand, Arun, MD ^985^ PHC#: N/A 770 Mason St ♦ Anesthesiology NPI: 1780736736 Vacaville, CA 95688 NPI: 1578521050 Available By Referral Only , P,EB,IB,R,E,T License: A44609 No Age Limitations Level of Access: Basic Gender: Male 1860 Pennsylvania Ave Ste 310 Primary Phone: (800) 250-3208 Hindi, Spanish, Tagalog Fairfield, CA 94533 Primary Fax: (707) 436-2507 Hospital Privileges: Sutter Solano , P,EB,R,E Mon - Fri 8:00 AM - 5:00 PM Medical Center Level of Access: Limited

Primary Phone: (707) 646-4666 Sreedharan, Deepak Iyyadorai, MD ^995^ Primary Fax: (707) 646-4669 ♦ Anesthesiology Center for Integrative Medicine ^986^ Mon - Fri 8:00 AM - 5:00 PM ♦ Pain Medicine PHC#: N/A NPI: 1669799003 NPI: 1780736736

Amster, Michael , MD ^991^ License: A115915 Available By Referral Only ♦ Pain Medicine Gender: Male No Age Limitations NPI: 1114023058 Hospital Privileges: 1020 Nut Tree Rd Ste 270 License: A81550 Marin General Hospital Vacaville, CA 95687  Gender: Male Sutter Davis Hospital Primary Phone: (707) 624-8250 Hospital Privileges: NorthBay Medical Primary Fax: (707) 624-8251 Center Special Accommodations: Medical Mon - Fri 8:00 AM - 5:00 PM Equipment Access

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 117 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Palliative Medicine Primary Phone: (916) 750-2328 Pediatric Endocrinology Primary Fax: (916) 710-8113 Thu 8:00 AM - 5:00 PM

Amacher, Kathryn, DO ^996^ Center for Excellence in Diabetes

PHC#: 18553 & Endocrinology ^1003^ Hill, James Adam, MD ^999^ NPI: 1366545568 NPI: 1093920928 PHC#: 24594 Available By Referral Only License: A136758 NPI: 1437447521 18 Years and Older Gender: Male Available By Referral Only 313 Kendal St Ste B Spanish No Age Limitations Vacaville, CA 95688 Hospital Privileges: Sutter Medical 3814 Auburn Blvd Ste 72 , P,EB,IB Center Sacramento Sacramento, CA 95821 Level of Access: Limited Kovalenko, Oleg Georgievich, MD  Primary Phone: (916) 426-1902 Primary Phone: (707) 451-4111  ^1000^ Primary Fax: (707) 451-9803 NPI: 1205082393 Primary Fax: (916) 426-1940 Tue, Thu 9:00 AM - 4:00 PM License: C141557 Mon - Fri 9:00 AM - 5:00 PM Gender: Male

Nadgir, Ulhas M, MD ^1004^ Amacher, Kathryn M., DO  ^997^ Russian, Spanish, Ukrainian ♦ Internal Medicine Manohar, Naveen Srampical, MD NPI: 1629079215

NPI: 1366545568  ^1001^ License: C51263 License: 20A5091 NPI: 1790777308 Gender: Male Gender: Female License: A88977 Hospital Privileges: Sutter Medical Hospital Privileges: NorthBay Medical Gender: Male Center Sacramento Center Farsi, Hindi, Punjabi, Spanish, Tamil Prakasam, Gnanagurudasan, MD

Hospital Privileges: Sutter Medical  ^1005^ Special Accommodations: Adj. Exam Center Sacramento NPI: 1871586065 License: A65908 Tables, Hearing Impaired Wright, Stanley Benjamin, MD  ^1002^ Accommodations, Scales that weigh NPI: 1578555058 Gender: Male up to 350lbs License: G72738 Russian, Spanish, Tamil, Ukrainian Gender: Male Hospital Privileges: Sutter Medical Spanish Center Sacramento Pediatric Cardiology

Hospital Privileges: Sutter Medical Skaria, Niyati, MD ^1006^ Center Sacramento NPI: 1720235146 Capital Pediatric Cardiology License: A131160 Gender: Female Associates, INC. ^998^ PHC#: 40032 NPI: 1508211277 Physical Therapy Available By Referral Only 0-18 Years

Central Valley Physical ^1007^ 1801 E March Ln Ste 330 Stockton, CA 95210 PHC#: 29111  NPI: 1982041612 125 N Lincoln St Ste J Dixon, CA 95620 

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 118 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Primary Phone: (707) 693-1644 Primary Phone: (707) 552-8795 NorthBay Rehab Services ^1019^ Primary Fax: (530) 746-0442 Primary Fax: (707) 552-9638 PHC#: 31117 Fri 10:00 AM - 2:00 PM Mon - Thu 7:30 AM - 5:30 PM NPI: 1780736736 Fri 7:30 AM - 4:30 PM 2500 Hilborn Rd.

Gonzales, Karrie Suzanne, PT ^1008^ Fairfield, CA 94534

NPI: 1780689877 Faust, Jeremy Ryan, PT ^1014^  License: PT13201 NPI: 1134102544 Primary Phone: (707) 646-5599 Gender: Female License: PT28673 Primary Fax: (707) 646-3428 Gender: Male Mon - Fri 8:00 AM - 5:00 PM

Ghiringhelli Jr, Edward Francis, PT

Grove, Ghiringhelli, PT ^1009^ ^1015^ NPI: 1063495422

PHC#: 17310 NorthBay Rehab Services ^1020^ License: 6613 NPI: 1558343038 Gender: Male PHC#: 31118 860 South Hampton Dr. NPI: 1760534713

Natali-Mendoza, Ann Marie, PT ^1016^ Benicia, CA 94510 NPI: 1811376940 1020 Nut Tree Rd Ste 260 , P License: 43319 Vacaville, CA 95687 Level of Access: Limited Gender: Female  Primary Phone: (707) 745-6144 Primary Phone: (707) 624-8290 Primary Fax: (707) 745-5698 Mon - Fri 8:00 AM - 5:00 PM

Mon - Fri 7:00 AM - 5:00 PM Lodi Memorial Hospital ^1017^ PHC#: 1379

Solano Sports Physical Therapy ^1021^

Faust, Jeremy Ryan, PT ^1010^ NPI: 1316938301 NPI: 1134102544 975 South Fairmont Ave PHC#: 17172 License: PT28673 Lodi, CA 95240 NPI: 1740332006 Gender: Male  1350 Burton Dr Ste 260 Vacaville, CA 95687

Ghiringhelli Jr, Edward Francis, PT Primary Phone: (209) 334-3411 ^1011^  NPI: 1063495422 Primary Fax: (209) 333-3160 Primary Phone: (707) 449-3484 License: 6613 www.adventisthealth.org/ Primary Fax: (707) 449-1803 Gender: Male lodimemorial Mon - Thu 7:00 AM - 5:30 PM Mon - Thu 7:00 AM - 7:00 PM Merkl, Christina Marie, PT ^1012^ Fri 7:00 AM - 4:00 PM NPI: 1790948313 Fri 7:00 AM - 4:30 PM License: PT291321

Caserza, Nicholas Michael, PT  ^1022^ Gender: Female NorthBay Rehab Services ^1018^ NPI: 1447599683 PHC#: 31116 License: 39621

Grove, Ghiringhelli, PT ^1013^ NPI: 1780736736 Gender: Male

PHC#: 1130 1101 B Gale Wilson Blvd Ste 101A Croteau, Kimberly Ann, PT  ^1023^ NPI: 1053393538 Fairfield, CA 94533 NPI: 1033377254 127 Hospital Dr Ste 101  License: 34585 Vallejo, CA 94589 Primary Phone: (707) 646-4150 Gender: Female Mon - Fri 8:00 AM - 5:00 PM  Kassis, Michael David, PT  ^1024^ NPI: 1497734404 License: PT20690 Gender: Male

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 119 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Sport Rehab Physical Therapy & Sutter Physical and Occupational NorthBay Specialty Care ^1036^

Therapy ^1031^ Rehab ^1025^ PHC#: N/A PHC#: 1140 PHC#: 13426 NPI: 1780736736 NPI: 1811015639 NPI: 1184859894 Available By Referral Only 81 Cernon St 770 Mason St No Age Limitations Vacaville, CA 95688 Vacaville, CA 95688 1860 Pennsylvania Ave Ste 200  , P,EB,IB,R,E,T Fairfield, CA 94533 Primary Phone: (707) 447-9750 Level of Access: Basic  Primary Fax: (707) 447-9220 Primary Phone: (707) 454-5990 Primary Phone: (707) 646-4180 Mon - Thu 8:00 AM - 5:30 PM Primary Fax: (707) 454-5991 Primary Fax: (707) 646-4185 Fri 8:00 AM - 12:00 PM Mon - Fri 6:30 AM - 5:30 PM Mon - Fri 8:00 AM - 5:00 PM

Miesfeld, Julie Esch, PT ^1026^ Marengo, Jason James, MD ^1037^ Adkins, Rich Eric, PT ^1032^ NPI: 1982919304 NPI: 1235141268 ♦ Surgery License: 43168 License: PT22659 NPI: 1437311974 Gender: Female Gender: Male License: A82346

Phillips, Colin Charles, PT ^1027^ Gender: Male Pescosolido, Ellen Shultz, PT ^1033^ NPI: 1811413032 NPI: 1962585117 Hospital Privileges: NorthBay Medical License: 294118 License: 25407 Center Gender: Male Gender: Female French Spalding, Kala Marie, PT ^1034^

Northbay Cancer Center ^1038^ Voepel Ward, Katherine Elizabeth, NPI: 1194279091 PHC#: N/A

PT  ^1028^ License: 291803 NPI: 1780736736 NPI: 1558775965 Gender: Female License: 41378 Available By Referral Only No Age Limitations Gender: Female Special Accommodations: Medical 1020 Nut Tree Rd Ste 390

Williams, Martha Fair, PT  ^1029^ Equipment Access NPI: 1689748451 Vacaville, CA 95687  License: PT9761 Plastic Reconstructive Surgery Primary Phone: (707) 624-8180 Gender: Female Primary Fax: (707) 624-8001 German Mon - Fri 8:00 AM - 5:00 PM NorthBay Center for Wound Care

- Vacaville ^1035^

Sutter Medical Group Solano ^1030^

Marengo, Jason James, MD ^1039^ PHC#: 15585 PHC#: N/A ♦ Surgery NPI: 1184859894 NPI: 1780736736 NPI: 1437311974 2702 Low Ct Available By Referral Only License: A82346 Fairfield, CA 94534 No Age Limitations Gender: Male  1010 Nut Tree Rd Ste 100 Hospital Privileges: NorthBay Medical Primary Phone: (707) 432-2600 Vacaville, CA 95687 Center Primary Fax: (707) 432-2661  Mon - Fri 9:00 AM - 5:00 PM Primary Phone: (707) 624-7979 Primary Fax: (707) 624-7981 Mon - Fri 8:30 AM - 5:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 120 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

NorthBay Podiatric Medical Podiatry Fone, Kathryn E., DPM ^1044^

PHC#: 1114 Group, Inc. ^1048^ NPI: 1386726347 PHC#: 1142

Community Medical Centers ^1040^ Available By Referral Only NPI: 1790887974 PHC#: 10992 No Age Limitations Available By Referral Only NPI: 1417012329 595 Buck Ave Ste B No Age Limitations Available By Referral Only Vacaville, CA 95688 1620 Pennsylvania Ave Ste A No Age Limitations  Fairfield, CA 94533 600 Nut Tree Rd Ste 310 Primary Phone: (707) 422-6642  Vacaville, CA 95687 Primary Fax: (707) 447-2163 Primary Phone: (707) 426-5644  Mon - Sun By Appointment Only Primary Fax: (707) 426-3156 Primary Phone: (707) 359-1800 Mon - Thu 8:30 AM - 5:30 PM Primary Fax: (707) 359-1845

Fone, Kathryn E, DPM ^1045^ Fri 8:00 AM - 5:00 PM Mon - Fri 8:00 AM - 6:00 PM NPI: 1386726347 Sat 8:00 AM - 4:30 PM

License: E3636 Choy, Robert Ying Choi, DPM ^1049^ Gender: Female ♦ Surgery, Foot

Lam, Gary Kwok-Ying, DPM ^1041^ NPI: 1831148618 NPI: 1588996557 License: E3203 License: E4748 Napa Solano Foot and Ankle ^1046^ Gender: Male Gender: Male PHC#: 18770 Cantonese, Chinese, Mandarin Chinese NPI: 1174949226 Hospital Privileges: NorthBay Medical Available By Referral Only Center No Age Limitations

Davis, Russell C., DPM ^1042^ Fong, Jennifer Kelli, DPM ^1050^ 1460 N Camino Alto Ste 101 PHC#: 1588 ♦ Podiatrist Vallejo, CA 94589 NPI: 1114256955 NPI: 1376644799  License: E5041 Available By Referral Only Primary Phone: (707) 644-4049 Gender: Female No Age Limitations Primary Fax: (707) 644-4687 Hospital Privileges: NorthBay Medical 1460 N Camino Alto Ste 100 Mon, Wed 9:00 AM - 4:00 PM Vallejo, CA 94589 Center 

Shanks, Sky P, DPM ^1047^ Primary Phone: (707) 552-3434 NPI: 1932541836 NorthBay Podiatric Medical Primary Fax: (707) 552-3436 License: E5106 Group, Inc. ^1051^ Mon - Fri 8:00 AM - 4:30 PM Gender: Female PHC#: 1142 Hospital Privileges: Sutter Solano NPI: 1790887974

Davis, Russell C, DPM ^1043^ Medical Center NPI: 1376644799 Available By Referral Only License: E2804 No Age Limitations Gender: Male 2601 Nut Tree Rd Ste B Hospital Privileges: Sutter Solano Vacaville, CA 95687  Medical Center Primary Phone: (707) 448-6718 Primary Fax: (707) 426-3156 Mon - Thu 8:30 AM - 5:30 PM Fri 8:00 AM - 5:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 121 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Choy, Robert Ying Choi, DPM ^1052^ Podiatry ^1056^ Sutter Medical Group Solano ^1060^ ♦ Surgery, Foot a NorthBay Affiliate PHC#: 37862 NPI: 1831148618 PHC#: N/A NPI: 1184859894 License: E3203 NPI: 1780736736 Available By Referral Only Gender: Male Available By Referral Only No Age Limitations Cantonese, Chinese, Mandarin No Age Limitations 2702 Low Ct Hospital Privileges: NorthBay Medical 1010 Nut Tree Rd Ste 200 Fairfield, CA 94534 Center Vacaville, CA 95687 

Fong, Jennifer Kelli, DPM ^1053^  Primary Phone: (707) 427-4900 ♦ Podiatrist Primary Phone: (707) 646-5599 Primary Fax: (707) 432-2607 NPI: 1114256955 Primary Fax: (707) 624-7301 Mon - Fri 9:00 AM - 5:00 PM License: E5041 Mon - Fri 8:00 AM - 5:00 PM Gender: Female

Kaplan, Nancy Lee, DPM ^1061^ Hospital Privileges: NorthBay Medical Miller, Kevin Michael, DPM ^1057^ NPI: 1336237254 Center NPI: 1982851549 License: E4194 License: E4801 Gender: Female Gender: Male Spanish Orthopaedics ^1054^ Hospital Privileges: NorthBay Medical Hospital Privileges: a NorthBay Affiliate PHC#: N/A Center NorthBay Medical Center Sutter Solano Medical Center NPI: 1780736736

Available By Referral Only Specialists Foot & Ankle Clinic ^1058^

No Age Limitations PHC#: 1134 Sutter Medical Group Solano ^1062^ 2500 Hilborn Rd NPI: 1013180215 PHC#: 37862 Fairfield, CA 94534 Available By Referral Only NPI: 1184859894  No Age Limitations Available By Referral Only Primary Phone: (707) 646-5599 3379 Beard Rd No Age Limitations Primary Fax: (707) 646-5571 Napa, CA 94558 770 Mason St 2nd Fl Mon - Fri 8:00 AM - 5:00 PM  Vacaville, CA 95688 Primary Phone: (707) 224-4800 

Miller, Kevin Michael, DPM ^1055^ Primary Fax: (707) 224-3644 Primary Phone: (707) 427-4900 NPI: 1982851549 Mon, Tue 8:00 AM - 1:00 PM Primary Fax: (707) 454-5901 License: E4801 Wed, Thu 8:00 AM - 4:00 PM Mon - Fri 9:00 AM - 5:00 PM Gender: Male Fri 8:00 AM - 12:00 PM Hospital Privileges: NorthBay Medical

Highsmith, Dwayne L, DPM ^1063^ Center Guzman, David Lee, DPM ^1059^ ♦ Podiatrist NPI: 1740208586 NPI: 1619951613 License: E3825 License: E3376 Gender: Male Gender: Male Hospital Privileges: Queen of the Hospital Privileges: NorthBay Medical Valley Medical Center Center

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 122 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Pulmonary Disease Primary Phone: (707) 624-7500 Doyle, Donald R, MD ^1070^ Primary Fax: (707) 624-7501 ♦ Internal Medicine Mon - Fri 8:00 AM - 5:30 PM ♦ Sleep Medicine - Internal Medicine

Center for Primary Care - Fairfield ^1064^ NPI: 1699766220

a NorthBay Affiliate Shaikh, Mohammed Arif, MD ^1067^ License: A42131 PHC#: N/A ♦ Critical Care Medicine - Internal Gender: Male NPI: 1780736736 Medicine Available By Referral Only ♦ Internal Medicine

Luu Medical Group ^1071^ No Age Limitations NPI: 1992747869 2458 Hilborn Rd License: A106835 PHC#: 15043 Fairfield, CA 94534 Gender: Male NPI: 1235244146 , EB,IB,R,E Hindi Available By Referral Only Level of Access: Limited Hospital Privileges: NorthBay Medical No Age Limitations Primary Phone: (707) 646-5500 Center 2920 Sonoma Blvd Ste C Primary Fax: (707) 646-5501 Vallejo, CA 94590 , P,IB

Mon - Fri 8:00 AM - 8:00 PM Gallegos, Julian Leandro, FNP ^1068^ NPI: 1407120082 Level of Access: Limited Primary Phone: (707) 643-0400

Doyle, Donald R, MD ^1065^ License: 20489 ♦ Internal Medicine Gender: Male Primary Fax: (707) 643-0470 ♦ Sleep Medicine - Internal Medicine Spanish Mon - Thu 8:00 AM - 5:00 PM NPI: 1699766220 Fri 8:00 AM - 12:00 PM License: A42131 Special Accommodations: Adj. Exam

Gender: Male Tables, Hearing Impaired Luu, Michael Cuong, DO ^1072^ Accommodations, Gurney ♦ Pulmonary Disease Special Accommodations: Adj. Exam Accommodations, Scales that weigh NPI: 1235244146 Tables, Hearing Impaired up to 400lbs License: 20A7354 Accommodations, Special Scales For Gender: Male Wheelchairs, Scales that weigh up to Vietnamese

Donald R. Doyle, MD ^1069^ 300lbs Hospital Privileges: Sutter Solano PHC#: 1172 Medical Center NPI: 1023347101 Center for Primary Care - Available By Referral Only

NorthBay Medical Group ^1073^ Vacaville ^1066^ 19 Years and Older a NorthBay Affiliate 1860 Pennsylvania Ave Ste 200 a NorthBay Affiliate PHC#: N/A Fairfield, CA 94533 PHC#: N/A NPI: 1780736736  NPI: 1780736736 Available By Referral Only Primary Phone: (707) 646-4180 Available By Referral Only No Age Limitations Primary Fax: (707) 646-4185 No Age Limitations 421 Nut Tree Rd Mon - Fri 9:00 AM - 5:00 PM 1010 Nut Tree Rd Ste 100 Vacaville, CA 95687 Vacaville, CA 95687 , P,EB,IB,R,E  Primary Phone: (707) 624-7999 Level of Access: Basic Primary Fax: (707) 624-7998 Mon - Fri 8:00 AM - 5:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 123 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Ahmed, Maqbool, MD ^1074^ Doyle, Donald R, MD ^1078^ Antonio, Anna Marie Bruno, FNP ^1082^ NPI: 1760502710 ♦ Internal Medicine NPI: 1811087232 License: A62076 ♦ Sleep Medicine - Internal Medicine License: 15006 Gender: Male NPI: 1699766220 Gender: Female Hospital Privileges: NorthBay Medical License: A42131 Tagalog Center Gender: Male

Shaikh, Mohammed Arif, MD ^1075^ Krishnamurthy, Pramod

Sutter Medical Group Solano ^1083^

♦ Critical Care Medicine - Internal Bindiganavale, MD ^1079^ Medicine ♦ Critical Care Medicine - Internal PHC#: 37858 ♦ Internal Medicine Medicine NPI: 1184859894 NPI: 1992747869 ♦ Pulmonary Disease Available By Referral Only License: A106835 NPI: 1902067085 No Age Limitations Gender: Male License: C140626 770 Mason St Hindi Gender: Male Vacaville, CA 95688 Hospital Privileges: NorthBay Medical Hospital Privileges: NorthBay Medical , P,EB,IB,R,E,T Center Center Level of Access: Basic Primary Phone: (707) 428-2769 Primary Fax: (707) 436-2507

NorthBay Specialty Care ^1076^ Sutter Medical Group Solano ^1080^ Mon - Fri 8:00 AM - 5:00 PM PHC#: N/A PHC#: 37858

NPI: 1780736736 NPI: 1184859894 Patel, Anit Babubhai, MD ^1084^ Available By Referral Only Available By Referral Only ♦ Critical Care Medicine - Internal No Age Limitations No Age Limitations Medicine 1860 Pennsylvania Ave Ste 200 2720 Low Ct ♦ Pulmonary Disease Fairfield, CA 94533 Fairfield, CA 94534 ♦ Sleep Medicine - Internal Medicine   NPI: 1982646154 Primary Phone: (707) 646-4180 Primary Phone: (707) 428-2769 License: A76092 Primary Fax: (707) 646-4185 Primary Fax: (707) 436-2507 Gender: Male Mon - Fri 8:00 AM - 5:00 PM Mon - Fri 8:00 AM - 5:00 PM Hospital Privileges: Sutter Davis Hospital

Desa, Pooja Patricia, MD ^1077^ Patel, Anit Babubhai, MD ^1081^ Sutter Solano Medical Center ♦ Critical Care Medicine - Internal ♦ Critical Care Medicine - Internal Medicine Medicine Special Accommodations: Medical ♦ Internal Medicine ♦ Pulmonary Disease Equipment Access ♦ Pulmonary Disease ♦ Sleep Medicine - Internal Medicine NPI: 1356577399 NPI: 1982646154 License: A136203 License: A76092 Gender: Female Gender: Male Gujarati, Hindi Hospital Privileges: Hospital Privileges: NorthBay Medical Sutter Davis Hospital Center Sutter Solano Medical Center

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 124 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Linstadt, David Edward, MD ^1094^ Radiation Oncology Hauck, Carlin R, MD ^1089^ NPI: 1427495647 ♦ Radiation Oncology License: A154283 NPI: 1265438964

Radiology Medical Group of Napa ^1085^ Gender: Female License: G44217 PHC#: 16206 Hospital Privileges: Gender: Male NPI: 1942385638 Sutter Auburn Faith Hospital Hospital Privileges: Sutter Medical Available By Referral Only Sutter Medical Center Sacramento Center Sacramento No Age Limitations Sutter Roseville Medical Center Logsdon, Mark David, MD ^1095^ 100 Hospital Dr Jones, Christopher Uwe, MD ^1090^ ♦ Radiation Oncology Vallejo, CA 94589 ♦ Radiation Oncology NPI: 1669479853  NPI: 1801893961 License: G84635 Primary Phone: (707) 551-3400 License: G71383 Gender: Male Primary Fax: (707) 551-3401 Gender: Male Hospital Privileges: Sutter Medical 24 Hours 7 Days a Week Hospital Privileges: Sutter Medical Center Sacramento

Center Sacramento Macomber, Meghan R, MD ^1096^

Kubicky, Charlotte Dai, MD ^1091^ NPI: 1720421142 Sutter Medical Foundation ^1086^ NPI: 1194935858 License: A156725 PHC#: 30968 License: A85664 Gender: Female NPI: 1184859894 Gender: Female Hospital Privileges: Available By Referral Only Hospital Privileges: Sutter Auburn Faith Hospital No Age Limitations Sutter Auburn Faith Hospital Sutter Medical Center Sacramento 200 Bella Vista Rd Sutter Medical Center Sacramento Sutter Roseville Medical Center Vacaville, CA 95687  Sutter Roseville Medical Center Pu, Anthony Tswenty, MD ^1097^

Primary Phone: (707) 359-6000 Lee, Susan WeiShenn, MD ^1092^ ♦ Radiation Oncology Primary Fax: (707) 359-6010 NPI: 1710983358 NPI: 1720084395 Mon - Fri 9:00 AM - 5:00 PM License: G84653 License: G84795 Gender: Female Gender: Male Mandarin Hospital Privileges: Sutter Medical

Dutton, Sharon Cupps, MD ^1087^ NPI: 1871591743 Hospital Privileges: Sutter Medical Center Sacramento

License: G86117 Center Sacramento Rosenthal, Allan, MD ^1098^

Gender: Female Leibenhaut, Mark Harris, MD ^1093^ ♦ Radiation Oncology Hospital Privileges: Sutter Medical ♦ Radiation Oncology NPI: 1881690584 Center Sacramento NPI: 1932108263 License: G71038 License: G56255 Gender: Male

Gilbert, Roger Mills, MD ^1088^ ♦ Therapeutic Radiology Gender: Male Hospital Privileges: Sutter Medical NPI: 1518964642 Hospital Privileges: Sutter Medical Center Sacramento License: G48646 Center Sacramento Gender: Male Hospital Privileges: Sutter Roseville Medical Center

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 125 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Ryu, Janice Kong-Ja, MD ^1099^ Lodi Memorial Hospital ^1103^ Solano Diagnostic Imaging ^1106^ ♦ Radiation Oncology PHC#: 1379 PHC#: 1157 NPI: 1710968474 NPI: 1316938301 NPI: 1811940661 License: G64233 975 South Fairmont Ave Available By Referral Only Gender: Female Lodi, CA 95240 No Age Limitations Korean  1101 B Gale Wilson Blvd Ste 100A & Hospital Privileges: Sutter Medical Primary Phone: (209) 334-3411 100B Center Sacramento Primary Fax: (209) 333-3160 Fairfield, CA 94533

Wolkov, Harvey Brian, MD ^1100^ www.adventisthealth.org/  ♦ Radiation Oncology lodimemorial Primary Phone: (707) 646-4646 NPI: 1164420808 Mon - Thu 7:00 AM - 5:30 PM Primary Fax: (707) 646-4949 License: G42995 Fri 7:00 AM - 4:30 PM Mon - Fri 8:00 AM - 5:00 PM Gender: Male French Santa Rosa Imaging Medical Solano Diagnostic Imaging ^1107^ Hospital Privileges: Sutter Medical

Center ^1104^ Center Sacramento PHC#: 54233 PHC#: 16285 NPI: 1811940661 NPI: 1689890444 Available By Referral Only Radiology Available By Referral Only No Age Limitations No Age Limitations 2500 Hilborn Rd Ste 139 Diagnostic Radiological Imaging 3536 Mendocino Ave Ste 280 Fairfield, CA 94534

Medical Group ^1101^ Santa Rosa, CA 95403 Primary Phone: (707) 646-4646  PHC#: 37294 Primary Fax: (707) 646-4949 Primary Phone: (707) 579-8226 NPI: 1710931910 Mon - Thu 8:00 AM - 5:00 PM Primary Fax: (707) 579-1457 7911 Laguna Blvd Mon - Fri 6:00 AM - 9:00 PM

Elk Grove, CA 95758 Solano Diagnostic Imaging ^1108^ Sat, Sun 7:00 AM - 7:00 PM  PHC#: 44051 Primary Phone: (916) 585-8990 NPI: 1811940661

Solano Diagnostic Imaging ^1105^ Primary Fax: (916) 478-3710 Available By Referral Only Mon - Fri 8:00 AM - 5:00 PM PHC#: 33706 No Age Limitations NPI: 1811940661 1002 Nut Tree Rd Diagnostic Radiological Imaging Available By Referral Only Vacaville, CA 95687

Medical Group ^1102^ No Age Limitations  PHC#: 3711 1100 B Gale Wilson Blvd Primary Phone: (707) 646-4646 NPI: 1710931910 Fairfield, CA 94533 Primary Fax: (707) 646-4949  79 Scripps Dr Ste 100 Mon - Fri 8:00 AM - 5:00 PM Primary Phone: (707) 646-4646 Sacramento, CA 95825  Primary Fax: (707) 646-4949 Primary Phone: (916) 921-1300 Mon - Fri 8:00 AM - 5:00 PM Primary Fax: (916) 921-1090 Mon - Fri 8:00 AM - 5:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 126 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Sutter Solano Medical Center ^1112^ Solano Diagnostic Imaging ^1109^ Rheumatology PHC#: 25524 PHC#: 1262 NPI: 1811940661 NPI: 1366686248

Rheumatology ^1115^ Available By Referral Only Available By Referral Only a NorthBay Affiliate No Age Limitations No Age Limitations PHC#: N/A 1020 Nut Tree Rd Ste 150 300 Hospital Dr NPI: 1780736736 Vacaville, CA 95687 Vallejo, CA 94589   Available By Referral Only Primary Phone: (707) 646-4646 Primary Phone: (707) 554-4444 No Age Limitations Primary Fax: (707) 646-4949 Primary Fax: (707) 554-5377 1010 Nut Tree Rd Ste 200 Mon - Fri 8:00 AM - 5:00 PM Mon - Fri 8:00 AM - 5:00 PM Vacaville, CA 95687 Primary Phone: (707) 624-8530 Primary Fax: (707) 624-8501

Sutter Fairfield Diagnostic VacaValley Hospital ^1113^ Mon - Thu 8:00 AM - 5:00 PM

Imaging Center ^1110^ PHC#: 1301 PHC#: 33403 NPI: 1821147786 Schoenwetter, Melissa, DO ^1116^ NPI: 1184859894 Available By Referral Only ♦ Internal Medicine 2700 Low Ct No Age Limitations ♦ Rheumatology Fairfield, CA 94534 1000 Nut Tree Rd NPI: 1699844019  Vacaville, CA 95687 License: 20A8803 Primary Phone: (707) 432-2500  Gender: Female Primary Fax: (707) 432-2599 Primary Phone: (707) 624-7000 Hospital Privileges: NorthBay Medical Mon - Fri 8:00 AM - 5:00 PM Patient Referral Phone: Center 800-482-3284 Mon - Fri 8:00 AM - 5:00 PM

Sutter Medical Group Solano ^1111^

Sutter Medical Group Solano ^1117^ PHC#: 33403 PHC#: 37864

Vallejo Open MRI ^1114^ NPI: 1184859894 NPI: 1184859894 Available By Referral Only PHC#: 11704 Available By Referral Only No Age Limitations NPI: 1164478277 No Age Limitations 770 Mason St 155 Glen Cove Marina Rd E Ste 101 2720 Low Ct Vacaville, CA 95688 Vallejo, CA 94591 Fairfield, CA 94534 , P,EB,IB,R,E,T   Level of Access: Basic Primary Phone: (707) 644-1292 Primary Phone: (707) 427-4900 Primary Phone: (707) 432-2500 Primary Fax: (707) 644-1362 Primary Fax: (707) 434-2054 Mon - Fri 8:00 AM - 5:00 PM Mon - Fri 8:00 AM - 5:00 PM Mon - Thu 9:00 AM - 5:00 PM Fri 9:00 AM - 12:00 PM Special Accommodations: Medical Equipment Access

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 127 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

SleepMed ^1125^ Sleep Medicine Doyle, Donald R, MD ^1121^ ♦ Internal Medicine PHC#: 9466 ♦ Sleep Medicine - Internal Medicine NPI: 1245265248

Center for Primary Care - Fairfield ^1118^ NPI: 1699766220 Available By Referral Only a NorthBay Affiliate License: A42131 No Age Limitations PHC#: N/A Gender: Male 4735 Mangels Blvd NPI: 1780736736 Fairfield, CA 94534 Available By Referral Only  NorthBay Specialty Care ^1122^ No Age Limitations Primary Phone: (707) 864-1869 2458 Hilborn Rd PHC#: N/A NPI: 1780736736 Primary Fax: (707) 438-2736 Fairfield, CA 94534 Mon - Sat By Appointment Only , EB,IB,R,E Available By Referral Only Level of Access: Limited No Age Limitations Primary Phone: (707) 646-5500 1860 Pennsylvania Ave Ste 200 Speech Therapy Primary Fax: (707) 646-5501 Fairfield, CA 94533  Mon - Fri 8:00 AM - 8:00 PM NorthBay Rehab Services ^1126^ Primary Phone: (707) 646-4180 Primary Fax: (707) 646-4185 PHC#: 31116

Doyle, Donald R, MD ^1119^ Mon - Fri 8:00 AM - 5:00 PM NPI: 1780736736 ♦ Internal Medicine 1101 B Gale Wilson Blvd Ste 101A ♦ Sleep Medicine - Internal Medicine Fairfield, CA 94533 Doyle, Donald R, MD ^1123^ NPI: 1699766220 ♦ Internal Medicine  License: A42131 ♦ Sleep Medicine - Internal Medicine Primary Phone: (707) 646-4150 Gender: Male NPI: 1699766220 Mon - Fri 8:00 AM - 5:00 PM License: A42131 Special Accommodations: Adj. Exam Gender: Male Tables, Hearing Impaired Suboxone/Buprenorphine Accommodations, Special Scales For Treatment

Wheelchairs, Scales that weigh up to REM Sleep Diagnostics, Inc. ^1124^ 300lbs PHC#: 17006 La Clinica-Vallejo ^1127^ NPI: 1316056195 PHC#: 11975-0011 750 Mason St Ste 205 Donald R. Doyle, MD ^1120^ NPI: 1992811392 PHC#: 1172 Vacaville, CA 95688 FQHC  Accepting New Patients NPI: 1023347101 Primary Phone: (707) 469-8400 Available By Referral Only No Age Limitations Primary Fax: (707) 469-8469 243 Georgia St Ste B 19 Years and Older Mon - Fri 8:30 AM - 5:00 PM 1860 Pennsylvania Ave Ste 200 Vallejo, CA 94590 Fairfield, CA 94533 , IB,R,E  Level of Access: Limited Primary Phone: (707) 646-4180 Primary Phone: (707) 556-8100 Primary Fax: (707) 646-4185 Primary Fax: (707) 556-8107 Mon - Fri 9:00 AM - 5:00 PM www.laclinica.org Mon - Fri 8:15 AM - 7:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 128 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Berk, David Reuben, MD ^1134^ Jahangiri, Wasfa Jabeen, MD  ^1128^ TB Chest Clinic NPI: 1215021175 ♦ Pediatric Dermatology License: A90365 NPI: 1205045192 Primary Care Clinics/Family Gender: Female License: A103865 Health Services/Solano County Punjabi, Urdu Gender: Male

Health & Social Services Dept. ^1132^

Stanger, Jennifer Kalika, MD  ^1129^ Chen, Richard Owguan, MD  ^1135^ NPI: 1912216763 PHC#: 1034 ♦ Dermatology License: A114150 NPI: 1730310236 NPI: 1598929069 Gender: Female Referral Not Required License: A105615 Spanish No Age Limitations Gender: Male 365 Tuolumne St Taiwanese Vallejo, CA 94590 Special Accommodations: Adj. Exam Craft, Noah Ames, MD ^1136^ Tables, Scales that weigh up to , P,EB,IB,R,E,T ♦ Dermatology 440lbs Level of Access: Basic NPI: 1750351193 Primary Phone: (707) 553-5509 License: A76802 Primary Fax: (707) 553-5658 Substance Abuse Gender: Male Mon - Fri 8:00 AM - 5:00 PM David, Consuelo Veronica, MD  ^1137^ ♦ Dermatology

Healthy Partnerships ^1130^ Special Accommodations: Adj. Exam NPI: 1689963340 PHC#: 15768 Tables, Gurney Accommodations, License: A122615 NPI: 1093925018 Special Scales For Wheelchairs, Gender: Female 1735 Enterprise Dr Bldg 1 Ste 105A Medical Equipment Access, Scales Spanish that weigh up to 1000lbs Fairfield, CA 94533 Edwards, Arden Fredeking, MD  ^1138^  ♦ Dermatology Primary Phone: (707) 355-4059 No referral required for in-network ♦ Internal Medicine Primary Fax: (707) 425-1081 OB/GYN providers NPI: 1295994051 Mon - Fri 9:00 AM - 6:00 PM License: A134938 Telehealth Services Gender: Female

Gordon, Justin S, MD ^1139^

Healthy Partnerships ^1131^ ♦ Dermatology PHC#: 15769 Direct Dermatology ^1133^ NPI: 1225353568 NPI: 1649480641 PHC#: 26509 License: A118547 1286 Callen St NPI: 1417263922 Gender: Male Vacaville, CA 95688

Available By Referral Only Hamidi, Reyhaneh, MD  ^1140^  No Age Limitations ♦ Dermatology Primary Phone: (707) 355-4059 165 St Dominics Dr Ste 140 NPI: 1144470162 Primary Fax: (707) 447-3205 Manteca, CA 95337 License: A111135 Mon - Fri 9:00 AM - 6:00 PM Primary Phone: (855) 944-7546 Gender: Female Primary Fax: (800) 572-0683 Farsi, Italian, Spanish Mon - Sat 8:00 AM - 7:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 129 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Kafi, Reza, MD  ^1141^ Weiss, Stefan Craig, MD ^1148^ Heart and Vascular Center ^1153^ ♦ Dermatology ♦ Dermatology a NorthBay Affiliate NPI: 1891737201 NPI: 1578641387 PHC#: N/A License: A84048 License: A80115 NPI: 1780736736 Gender: Male Gender: Male Available By Referral Only

Wong, David Jun Sing, MD ^1149^ Lin, Julie Hsiao-Wen, MD ^1142^ 19 Years and Older ♦ Clinical Informatics ♦ Dermatology 1860 Pennsylvania Ave Ste 120 ♦ Dermatology NPI: 1316972201 Fairfield, CA 94533 NPI: 1063572907 License: A84286  License: C142478 Gender: Male Primary Phone: (707) 646-4400

Gender: Female Wong, Reynold Clark, MD ^1150^ Primary Fax: (707) 646-4401 Spanish ♦ Dermatology Mon - Fri 8:00 AM - 5:00 PM

Patel, Vishal Anil, MD ^1143^ NPI: 1962581694 ♦ Dermatology License: G51891

Beygui, Ramin Esmail, MD ^1154^ NPI: 1447410246 Gender: Male ♦ Surgery License: A140980 ♦ Thoracic Surgery (Cardiothoracic Gender: Male Thoracic Surgery Vascular Surgery)

Reyes, Melissa, MD ^1144^ NPI: 1750315297 ♦ Dermatology License: G73011

♦ Pediatric Dermatology Bay Area Surgical Specialists ^1151^ Gender: Male NPI: 1558561498 PHC#: 17753 Hospital Privileges: NorthBay Medical License: A100703 NPI: 1154401941 Center Gender: Female Available By Referral Only Klingman, Robert Ray, MD ^1155^

Tan, Belinda Hsiu Jung, MD ^1145^ 18 Years and Older ♦ Surgery ♦ Dermatology 2637 Shadelands Dr ♦ Thoracic Surgery (Cardiothoracic ♦ Dermatopathology Walnut Creek, CA 94598 Vascular Surgery) NPI: 1861690299 , P,EB,IB,R,E,T NPI: 1982670667 License: A100913 Level of Access: Basic License: G76329 Gender: Female Primary Phone: (925) 932-6330 Gender: Male

Venkatesan, Aruna, MD  ^1146^ Primary Fax: (925) 932-0139 Hospital Privileges: ♦ Dermatology Mon - Fri 8:00 AM - 5:00 PM Queen of the Valley Medical Center NPI: 1235457649 Santa Rosa Memorial Hospital License: A113635 Tsai, Wilson Shu-Chun, MD ^1152^ Pribyl, Shea Michael, DO ^1156^ Gender: Female ♦ Thoracic Surgery (Cardiothoracic ♦ Surgery

Walker, Angela Kay, MD  ^1147^ Vascular Surgery) NPI: 1639336050 ♦ Dermatology NPI: 1609035666 License: 20A14720 NPI: 1215163217 License: A106238 Gender: Male License: A108158 Gender: Male Gender: Female Hospital Privileges: John Muir Medical Center-Concord Campus

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 130 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Urology NorthBay Specialty Care ^1161^ Primary Phone: (707) 427-4900 PHC#: N/A Primary Fax: (707) 434-2054 NPI: 1780736736 Mon - Fri 8:00 AM - 5:00 PM

Bay Area Surgical Specialists ^1157^ Available By Referral Only PHC#: 17753 No Age Limitations Levin, Edward Isadore, MD ^1166^ NPI: 1154401941 1860 Pennsylvania Ave Ste 200 ♦ Urology Available By Referral Only Fairfield, CA 94533 NPI: 1710075536 18 Years and Older  License: G62168 2637 Shadelands Dr Primary Phone: (707) 646-4180 Gender: Male Walnut Creek, CA 94598 Primary Fax: (707) 646-4185 Hospital Privileges: , P,EB,IB,R,E,T Mon - Fri 8:00 AM - 5:00 PM NorthBay Medical Center Level of Access: Basic Sutter Solano Medical Center Primary Phone: (925) 932-6330

Khaira, Herkanwal Singh, MD ^1162^ Primary Fax: (925) 932-0139 ♦ Urology Sutter Medical Group Solano ^1167^ Mon - Fri 8:00 AM - 5:00 PM NPI: 1073691564 PHC#: 37859 License: A95113 NPI: 1184859894 Marquez, Mindy Lisa, MD ^1158^ Gender: Male ♦ Urology Accepting Existing Patients Hospital Privileges: NorthBay Medical No Age Limitations NPI: 1841239928 Center License: A106559 770 Mason St

Wang, Edward, MD ^1163^ Vacaville, CA 95688 Gender: Female ♦ Urology Spanish , P,EB,IB,R,E,T NPI: 1972558666 Level of Access: Basic Hospital Privileges: Queen of the License: G54057 Valley Medical Center Primary Phone: (707) 454-5800 Gender: Male Primary Fax: (707) 454-5809 Chinese Mon - Fri 8:00 AM - 5:00 PM

NorthBay Medical Group ^1159^ Hospital Privileges: NorthBay Medical a NorthBay Affiliate Center Fisher, Patrick B, MD ^1168^ PHC#: N/A NPI: 1467715177

Gallegos, Julian Leandro, FNP ^1164^ NPI: 1780736736 License: A130767 Available By Referral Only NPI: 1407120082 Gender: Male No Age Limitations License: 20489 Hospital Privileges: 1010 Nut Tree Rd Ste 100 Gender: Male Sutter Davis Hospital Vacaville, CA 95687 Spanish Sutter Medical Center Sacramento 

Levin, Edward Isadore, MD ^1169^ Primary Phone: (707) 624-7999 Sutter Medical Group Solano ^1165^ ♦ Urology Primary Fax: (707) 624-7998 PHC#: 37859 NPI: 1710075536 Mon - Fri 8:00 AM - 5:00 PM NPI: 1184859894 License: G62168 Available By Referral Only Gender: Male

Gallegos, Julian Leandro, FNP ^1160^ No Age Limitations Hospital Privileges: NPI: 1407120082 2702 Low Ct NorthBay Medical Center License: 20489 Fairfield, CA 94534 Sutter Solano Medical Center Gender: Male  Spanish

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 131 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Special Accommodations: Medical Primary Phone: (925) 932-6330 Brooks, Jeffrey Lane, MD ^1177^ Equipment Access Primary Fax: (925) 932-0139 ♦ Surgery Mon - Fri 8:00 AM - 5:00 PM NPI: 1073541876 West Contra Costa Urology License: G51713

Chin, Brian Thomas, MD ^1173^ Gender: Male

Group ^1170^ ♦ Surgery PHC#: 1736 NPI: 1750347100

Heart and Vascular Center ^1178^ NPI: 1891836482 License: A77948 Available By Referral Only Gender: Male a NorthBay Affiliate No Age Limitations Hospital Privileges: John Muir PHC#: N/A 1999 Sereno Dr Medical Center-Concord Campus NPI: 1780736736 Vallejo, CA 94589 Available By Referral Only

Nagesetty, Rajiv, MD ^1174^ , IB,R,E ♦ Surgery 19 Years and Older Level of Access: Limited ♦ Vascular Surgery 1860 Pennsylvania Ave Ste 120 Primary Phone: (707) 648-2232 NPI: 1689786840 Fairfield, CA 94533  Primary Fax: (707) 648-2236 License: A78168 Primary Phone: (707) 646-4400 Tue 2:00 PM - 5:00 PM Gender: Male Primary Fax: (707) 646-4401 Wed - Fri 10:00 AM - 5:00 PM Hospital Privileges: John Muir Mon - Fri 8:00 AM - 5:00 PM Medical Center-Concord Campus

Silvert, Mark Allen, MD ^1171^

Otero, Fernando Ruan, MD ^1175^

Gifford, Shaun Michael, MD ^1179^ ♦ Urology ♦ Surgery ♦ Surgery NPI: 1265533426 NPI: 1346244183 ♦ Vascular Surgery License: G23121 License: G54054 NPI: 1558576918 Gender: Male Gender: Male License: C149477 Tagalog Spanish Gender: Male Hospital Privileges: Sutter Solano Hospital Privileges: John Muir Hospital Privileges: NorthBay Medical Medical Center Medical Center-Concord Campus Center

Special Accommodations: Gurney Upton, Brandi Elizabeth, MD ^1180^

Accommodations Brooks, Jeffrey L., MD ^1176^ ♦ Surgery Napa Vascular & Vein Center ♦ Vascular Surgery NPI: 1457561789 Vascular Surgery PHC#: 16919 NPI: 1073541876 License: A116305 Available By Referral Only Gender: Female

Bay Area Surgical Specialists ^1172^ No Age Limitations Hospital Privileges: NorthBay Medical PHC#: 17753 1360 Burton Dr Bldg B Ste 160 Center NPI: 1154401941 Vacaville, CA 95687

Available By Referral Only , P,EB Andrews, Laura, FNP ^1181^ 18 Years and Older Level of Access: Limited NPI: 1043660749 2637 Shadelands Dr Primary Phone: (707) 252-4955 License: 95004340 Walnut Creek, CA 94598 Primary Fax: (707) 252-0525 Gender: Female , P,EB,IB,R,E,T Mon - Thu 9:00 AM - 5:00 PM Level of Access: Basic Fri 9:00 AM - 1:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 132 of 137 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SOLANO COUNTY DIRECTORY

Wound Care Slade Jr, John Benjamin, MD ^1185^ ♦ Undersea & Hyperbaric Medicine - Preventive Medicine NorthBay Center for Wound Care NPI: 1457442394

- Vacaville ^1182^ License: A35154 PHC#: N/A Gender: Male NPI: 1780736736 Hospital Privileges: NorthBay Medical Available By Referral Only Center No Age Limitations 1010 Nut Tree Rd Ste 100 Vacaville, CA 95687  Primary Phone: (707) 624-7979 Primary Fax: (707) 624-7981 Mon - Fri 8:30 AM - 5:00 PM

Erskine, Thomas Daniel, MD ^1183^ NPI: 1194732339 License: A63845 Gender: Male Hospital Privileges: NorthBay Medical Center

Slade Jr., John B., MD ^1184^ PHC#: 13374 NPI: 1457442394 Available By Referral Only No Age Limitations 1010 Nut Tree Rd Ste 100 Vacaville, CA 95687  Primary Phone: (707) 624-7979 Primary Fax: (707) 624-7981 Mon, Tue, Thu, Fri 8:30 AM - 5:00 PM Wed 9:00 AM - 5:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 133 of 137 PHC PROVIDER INDEX | SOLANO COUNTY DIRECTORY

INDEX

A Brooks, Andrew Thomas, MD ...... 113 De Leon-Tallman, Brooks, Jeffrey Lane, MD ...... 86, 132 Maria Theresa Retiro, MD ...... 34 Aceves, Angela A., OD ...... 59, 60 Burton, John Todd, MD ...... 113 Dehghani, Hossein, MD ...... 70 Acupuncture ...... 61 Dennis Jr, Douglas Alan, MD ...... 114 Adelman, Mara Lisa, PA-C ...... 34, 35 Dermatology ...... 74, 75, 76, 77 Adkins, Amanda Catrice, MD...... 32 C Des Pois, Patrice Lyn, MD ...... 71 Adkins, Rich Eric, PT ...... 120 Desa, Pooja Patricia, MD ...... 124 Agadzi, Anthony K., MD...... 59, 110 Carandang, Estelita Limbo, MD ...... 45 Dhaliwal, Gurbir Singh, MD ...... 72 Ahmed, Maqbool, MD ...... 124 Cardiovascular Disease ...... 70, 71, 72, 73 Dhillon, Gurinder Singh, MD ...... 70 Ahmed, Sumera, MD ...... 36, 46 Carlson, Roger F., MD ...... 60, 110 Dhond, Milind Raghunath, MD ...... 70 Alamzai, Reshtina Zarnaaz, MD ...... 37 Carlton, Bruce R, MD ...... 74, 75 Dialysis Centers ...... 77, 78 Ali, Ruby Saliha, MD ...... 104 Caserza, Nicholas Michael, PT...... 119 Diaz, Deborah E, NP...... 40 Allergy ...... 61, 62 Centeno, Joseph Michael, MD ...... 112 Diaz, Mark J, PA ...... 114 Almullahassani, Ameer, MD ...... 104 Chahal, Resham Singh, MD ...... 110 Dixon ...... 31 Alota, Ofelia Cortez, MD ...... 36 Chaiyarat, Walailuk, MD ...... 92, 108, 109 Doyle, Donald R, MD ...... 123, 124, 128 Alsamman, Mounzer, MD ...... 84 Chan, Lawrence Kar-Luen, MD ...... 85 Durable Medical Equipment ... 78, 79, 80, 81, 82 Alternative Birthing Centers ...... 62 Chang, Gilbert Tze, MD ...... 32 Dutton, Sharon Cupps, MD ...... 125 Amacher, Kathryn M., DO...... 38, 118 Chang, Han Kyo, MD ...... 36, 46 Ambrosio, Joel Paul, PA-C ...... 32 Chang, Margaret Amy, MD ...... 111 Ambulatory Surgery Centers ...... 62, 63 Chen, Anne An-Ru, MD ...... 33 E Amster, Michael Adam, MD ...... 117 Chen, Julie Ann, MD ...... 112 Anand, Arun, MD ...... 117 Chen, Richard Owguan, MD ...... 75, 129 Edwards, Arden Fredeking, MD...... 75, 129 Andersen, Edward P., OD ...... 58 Cheney, Kristen, PA-C ...... 114 Elmes, Cornelis Millard, MD ...... 113 Andrews, Laura, FNP...... 132 Cherry, Ana Rosa, MD ...... 39 Endocrinology ...... 82 Anton, Steven Louis, MD ...... 71 Chin, Brian Thomas, MD ...... 64, 85, 132 Equi, Robert Anthony, MD ...... 111 Antonio, Anna Marie Bruno, FNP...... 124 Chiropractic ...... 73, 74 Ercia, Jessica Del Mundo, NP ...... 45 Attarwala, Alifeya Murtuza, MD ...... 71 Choy, Robert Ying Choi, DPM ...... 121, 122 Ericson, Richard Peter, MD ...... 72 Audiology ...... 63, 64 Chua, Gabriel Samuel Siy, MD ...... 43 Erskine, Thomas Daniel, MD ...... 133 Aung, Tania, MD ...... 62 Chung, Karen Kin Yan, MD ...... 35 Espinoza, Desiree Paz, NP...... 38 Auyeung, Teresa H, MD ...... 42 Clark, Mary R, FNP...... 44 Axelrod, Richard Joseph, MD ...... 71 Clearfield, Michael Brian, DO ...... 46 Clerve-Prasad, Shami Lata, FNP...... 40 F Cline, Julianna Hennigan, PA-C ...... 43 B Coe, Gregory M, MD ...... 47 Fairfield ...... 31, 32, 33, 34, 35, 36, 37, 38 Collins, Henry Hoeffer, MD ...... 38 Family Planning ...... 82, 83 Bajwa, Kulbir Kaur, MD...... 39 Collins, Sharon L, ANP ...... 36 Faust, Jeremy Ryan, PT ...... 119 Banerjee, Debashree, MD ...... 42 Community Based Adult Services CBAS...... 74 Feinberg, Gail Denise, DO ...... 41 Bariatric Surgery ...... 64 Comprehensive Perinatal Services Program Feinberg, Howard Leslie, DO ...... 41 Beausoleil, Corey Marc, PA ...... 103 CPSP...... 74 Fenili, Patricia Ann, FNP...... 32 Behavioral Health Treatment65, 66, 67, 68, 69, Contreras, Michelle, MD ...... 89, 106, 107 Fessel, Mary June, NP...... 83 70 Cooney, Lawrence Hall, MD ...... 38 Filosa, Jessica Andrea, FNP...... 38 Bell, Richard E, MD ...... 101 Corcoran, Martha Ellen, MD ...... 116 Finkelstein, Ann Kayla, MD...... 44 Bensch, George William, MD ...... 61 Cotter, Laura Emily, MD ...... 45 Fisher, Patrick B, MD ...... 131 Bensch, Gregory William, MD ...... 61 Craft, Noah Ames, MD...... 75, 129 Fone, Kathryn E, DPM ...... 121 Berk, David Reuben, MD ...... 75, 129 Cripe, Raquel Cabrales, MD ...... 42 Fong, Jennifer Kelli, DPM ...... 121, 122 Berkheimer, Walter Randal, MD ...... 101 Croteau, Kimberly Ann, PT ...... 119 Foot Ankle Surgery ...... 83 Beutner, Karl R, MD...... 76 Crowl, Hannah Lewis, NP ...... 41 Foster, Susan Diane, FNP ...... 38 Beygui, Ramin Esmail, MD ...... 130 Cupp, David Gordon, MD ...... 111 Freeman, Douglas Jack, MD ...... 32 Bharadwaj, Amitabh Kant, MD...... 110 Curbelo, Gustavo Antonio, MD ...... 38 Freeman, Marlene H, MD ...... 88, 106 Bieselin, Ronald George, MD ...... 86 Cushing, Thomas C., OD ...... 60 Fu, Jennifer Meiyin, MD ...... 76 Birkbeck, Daniel Paul, MD ...... 113 Fuller, Shandi Joycelyn, MD ...... 36 Blair, Frederick Christopher, MD ...... 88, 106 Fulton, William Robert, DO ...... 86 Blancaflor, Marielou Belocura, NP ...... 36 D Blythe, Tina Marie, OT ...... 107 Bondoc, Marnel Malonzo, DO ...... 42 Da Silva, Elena Kamakanikailialoha, PA ...... 36 G Daquioag, Rodolfo Arreola, MD ...... 33, 44 Borde, Madhusudan, MD ...... 70 Gallego, Braden, Jeanah Nikol, MD ...... 46 Daudel, Jody Linn, MD ...... 74, 87, 105 David, Consuelo Veronica, MD...... 75, 129 Maria Justina Tisado, FNP ...... 32, 37, 39 Bradley, Marina Mahinay, FNP...... 39 Gallegos, Julian Leandro, FNP ...... 123, 131 Breneisen, Jeffrey Robert, MD ...... 70 Davis, Russell C, DPM ...... 121 Dawley, Courtney Ann, DO ...... 83 Gambetti, Alicia Nicole, FNP...... 39 Brennan, Angela Esther, DO ...... 31 Garcia, Lillian E, CNM ...... 74, 87, 105

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 134 of 137 PHC PROVIDER INDEX | SOLANO COUNTY DIRECTORY

Garcia, Lulu, PA-C ...... 34 Hunter, Nerissa Aquino, NP ...... 39 Lay, Sophie Aline, MD ...... 46 Garcia, Tori, NP...... 88, 106 Huynh, Hieu, MD ...... 72 Lazarewicz, Nicolas Richard, FNP...... 39 Gastroenterology ...... 84, 85 Leary, Michele Frances, DO ...... 36 Geisse, John K, MD ...... 76 Lee, Erny, OD ...... 59 General Surgery ...... 85, 86, 87 I Lee, Frances, DO ...... 85 Genetics ...... 87 Lee, Susan WeiShenn, MD ...... 125 Ghiringhelli Jr, Edward Francis, PT...... 119 Infectious Diseases ...... 97 Leibenhaut, Mark Harris, MD ...... 125 Ghods, Ehsan, DO ...... 32 Inton, Zosima B, FNP...... 41 Leong, Craig Jann, MD ...... 110 Gifford, Shaun Michael, MD ...... 132 Iota-Herbei, Claudia Ioana, MD ...... 101, 102 Leong, Kalman C., OD ...... 59 Gilbert, Roger Mills, MD ...... 125 Iqbal, Rashid, MD ...... 84 Levin, Edward Isadore, MD ...... 131 Gill, Gwendolyn Denise, NP...... 46 Lim, Cynthia Concepcion, MD ...... 43 Gill, Yardana Merin, NP...... 71 Lim, Steve, MD ...... 43 Gillespie, Craig L, MD ...... 33 J Limvarapuss, Chainarong, MD ...... 92, 108, 109 Ginsberg, Michael Lane, MD ...... 32 Jaber, James Fuad, MD ...... 117 Lin, Andrew Peter, MD ...... 88, 106 Gonzales, Karrie Suzanne, PT ...... 119 Jahangiri, Wasfa Jabeen, MD ...... 45, 129 Lin, Julie Hsiao-Wen, MD ...... 75, 130 Gopalapuram, Rajani, MD ...... 42 Jamnani, Behrouz, MD ...... 87 Linstadt, David Edward, MD ...... 125 Gordon, Justin S, MD ...... 75, 129 Jerdee, Valerie Chen, MD ...... 61 Liu, Ruth Yorkping, MD ...... 31 Goyal, Madhav, MD ...... 39 Jones Jr, Laybon, MD ...... 71 Liu, Valerie T, DO ...... 37 Griffith-Parker, Diane Kay, CNM ...... 89, 107 Jones, Christopher Uwe, MD ...... 125 Logsdon, Mark David, MD ...... 125 Guillermo, Carmen R., AuD ...... 63, 90 Jones, Mark A., OD ...... 60 Long, James Melvin, MD ...... 91, 108 Gupta, Ella Aseemjot, DO...... 37 Jose, Powell Oliapuram, MD ...... 72 Lopez, Jaime Uriel, PA ...... 48 Guzman, David Lee, DPM ...... 122 Joyce, Richard G., OD ...... 60 Lopez, Jonathan David, MD ...... 91, 108 Gwiazdowski, Steven Gerard, MD ...... 101 Judge, Andleeb Kaur, MD ...... 42 Lowenthal, Julia K, NP...... 83 Gynecology ...... 87, 88, 89 Luu, Michael Cuong, DO ...... 123 Lynch Myers, Casey, FNP...... 74, 87, 105 K H Kafi, Reza, MD ...... 75, 130 M Habtetsion, Mereb Kifle, PA-C ...... 45 Kamdar, Toral Anil, MD ...... 61 Hamidi, Reyhaneh, MD ...... 75, 129 Kao, Samuel Da-Seng, MD ...... 89 MacLeamy, Patrick D, PsyD ...... 68 Hand Surgery...... 89 Kaplan, Nancy Lee, DPM ...... 122 Macomber, Meghan R, MD...... 125 Hanson, Jennifer Catherine, MD ...... 46 Karneges, Frank G, DO ...... 42 Magorien, David Joseph, MD ...... 72 Harms, Kylie Ann, FNP ...... 47 Kassis, Michael David, PT ...... 119 Makooi, Mahmood Moayed, DC ...... 74 Hartley, Daniel John, FNP...... 114 Kaur, Gurcharanjit, FNP...... 32, 39 Malin-Roodman, Sarah Ann, NP...... 83 Hasan, Nazia, MD ...... 84 Kaur, Sukhjinder, MD ...... 42 Mampalam, Thomas J, MD ...... 103 Hassani, Ali, MD ...... 39 Kelly, Timothy James, DC...... 73 Mancherje, Cyrus Rutton, MD ...... 71 Hauck, Carlin R, MD ...... 125 Kennedy, Meghan Elizabeth, PA ...... 76 Manohar, Naveen Srampical, MD...... 118 Hawkins, Josiah Z.S., MD ...... 88, 105 Keys, Jordan Ann, DO ...... 36 Maqbool, Sabba, MD ...... 85 Hearing Aid Dispenser ...... 89, 90, 91 Khaira, Herkanwal Singh, MD ...... 131 Marengo, Jason James, MD ...... 120 Heckert, Catherine A, NP...... 44 Khakmahd, Oliver Khashayar, MD ...... 101 Marinoff, David Norman, MD ...... 98 Heeren, Matthew Marcus, MD ...... 39 Khambatta, Shanaz Farrokh, DO ...... 39 Marquez, Mindy Lisa, MD ...... 131 Hematology...... 91, 92, 93 Khan, Parveen, MD ...... 74, 87, 105 Martin, Denise L, AuD...... 63, 64, 90, 91 Hendriksz, Tami, DO ...... 46 Kim, Edward Hyounwoo, MD ...... 38 Martin, Fatma, MD ...... 46 Hennessey, Sean P, MD ...... 47 Kim, Rebekah Jeehae, DO ...... 41 Martinez, Kathy Marie, NP ...... 83 Herman, Michele, MD ...... 44 Klingman, Robert Ray, MD ...... 130 Maternal Fetal Medicine ...... 98 Hernandez, Luz Maria, NP...... 44 Koenig, Paul Thomas, MD ...... 31 Mathur, Nitin, MD ...... 72 Hershey, Douglas W, MD ...... 87 Kofoed II, John Charles, MD ...... 114 McCloud, Fawn Lynn, NP ...... 37, 47 Hewett, Bruce Thomas, MD ...... 39 Kopecko, Kathleen J., OD ...... 59 McDonald, Thomas Stuart, DC ...... 73 Highsmith, Dwayne L, DPM ...... 122 Kovalenko, Oleg Georgievich, MD ...... 118 Medical Supplies ...... 98, 99, 100 Hill, Anne Buckley, NP ...... 83 Krier, Michael James, MD...... 84 Medina Mendez, Carlos Alonso, MD ...... 111 Hill, James Adam, MD ...... 118 Krijanovski, Melgarejo, Lane Crispino, MD ...... 45 Hinman-Seabrooks, Donna Ramona, MD .....112 Yelena Leopold, MD ...... 92, 93, 109 Mental Health Services - Outpatient ...... 51 Home Health Agencies ...... 93, 94, 95 Krishnamurthy, Pramod Bindiganavale, MD . 124 Merkl, Christina Marie, PT ...... 119 Home Infusion Therapy ...... 95, 96 Krishnan, Subramaniam Chitoor, MD ...... 72 Michaelis, Kyle Jerry, MD ...... 71 Hongsakaphadana, Alina, MD ...... 32 Kubicky, Charlotte Dai, MD...... 125 Miesfeld, Julie Esch, PT...... 120 Horie, Tia L., OD ...... 59 Kuluva, Joshua Elan, MD ...... 104 Miller, Kevin Michael, DPM ...... 122 Hospice Services ...... 96, 97 Milne, Elizabeth Jane, PA ...... 113 Hospitals Primary...... 49 Mitchell, Albert M., DO ...... 104 Hospitals Referral ...... 49, 50, 51 L Moen, Holly Lynn, CNM ...... 48 Hu, Myra Qi-Hua, MD ...... 104 Mojaddidi, Haroon Mohammed, MD ...... 87 Huang, Pei-Hsiu, MD ...... 72 Laboratory Draw Stations ...... 98 Moncada, Joel D, LAc ...... 61 Huang, Stella Mai, DO ...... 89, 107 Lam, Gary Kwok-Ying, DPM ...... 121 Montemayor, Catherine Sison, FNP ...... 31 Hufbauer, Ellen Arabelle, MD ...... 83 Lanflisi, Robert Alan, MD ...... 86 Montengro, Brian Leonardo, MD ...... 101 Latif, Syed Rizwan, MD ...... 72

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 135 of 137 PHC PROVIDER INDEX | SOLANO COUNTY DIRECTORY

Morrissey, Ellen Caine, MD ...... 101 Pearce, Melissa G., DO ...... 36, 46 S Moshier, Michael Duane, MD ...... 37 Pearlman, Joel Abrahm, MD...... 111 Mouratoff, John George, MD ...... 101 Pearson, George Y, PA-C ...... 40 Saavedra, Maria Carmen, MD ...... 42 Mraz, Serena Marie, MD ...... 76 Pearson, Jack Alan, MD ...... 72 Saavedra, Maria Rea, MD ...... 37 Mrgudich, Anthony Paul, MD ...... 44, 74, 87, 105 Pediatric Cardiology...... 118 Samuel, Georgina A, PA-C ...... 35 Murugaiah, Subathra, MD ...... 45 Pediatric Endocrinology ...... 118 Sandler, Bradley Jay, MD ...... 111 Pena, Cynthia Lynn, MD ...... 117 Schoenwetter, Melissa, DO ...... 127 Perez, Rebecca Jo, NP...... 47 Schreuder, Wendy M, AuD ...... 64 N Pescosolido, Ellen Shultz, PT ...... 120 Schrot, Rudolph Joseph, MD ...... 103 Petersen, Michael S, MD ...... 89, 114 Scolaro, Donna L., OD ...... 59 Nadgir, Ulhas M, MD ...... 118 Peterson, Jeannette Arlene, MD...... 35 Scott, Jane Lue, NP ...... 38 Nadra, Charbel John, MD ...... 37 Peterson, Robert Kay, MD ...... 113, 114 Seaton-Smith, Kimberly Lynn, DO ...... 47 Nagesetty, Rajiv, MD ...... 132 Pfisterer, Michael John, MD...... 116 Shah, Sailesh N, MD ...... 73 Narain Mendoza, Rita, OD ...... 59 Phaosawasdi, Piangwarin, MD ...... 102 Shahmir, Ehsan, MD...... 103 Natali-Mendoza, Ann Marie, PT...... 119 Pharmacy Network List ..... 51, 52, 53, 54, 55, 56 Shaikh, Mohammed Arif, MD ...... 123, 124 Navolanic II, Peter, MD ...... 45 Phillips, Colin Charles, PT ...... 120 Shanks, Sky P, DPM ...... 121 Neonatology...... 100, 101 Physical Therapy ...... 118, 119, 120 Sharma, Luna, MD ...... 40 Nephrology ...... 101, 102, 103 Plastic Reconstructive Surgery ...... 120 Shinder, Teresa Lynn, DO...... 46 Neurological Surgery ...... 103 Poblete, Randall Joseph Punu, PA-C ...... 37 Shubrook Jr., Jay H., DO ...... 36, 41, 46 Neurology ...... 103, 104, 105 Podiatry...... 121, 122 Silvert, Mark Allen, MD ...... 132 Newman, Stephen Ronald, MD ...... 39 Porter, Scott Mcintosh, MD ...... 114 Skaria, Niyati, MD ...... 118 Nguyen, Bach Kim, OD ...... 60 Poscher, Margaret Elizabeth, MD ...... 37 Skilled Nursing Long Term Care Facilities 56, 57 Nhan, Hang T., OD ...... 59 Posner, David Aron, MD ...... 31 Slade Jr, John Benjamin, MD ...... 133 Nissen, Teodoro Pedro, MD ...... 112 Powar, Jagbir S, MD ...... 72 Sleep Medicine ...... 128 Nonato, Margaret Malig, PA ...... 76 Powers, Jessica Faith, MD ...... 91, 108 Smith, Melissa, MD ...... 112 Prakasam, Gnanagurudasan, MD ...... 118 Smith-Heimer, Alana, PA-C ...... 83 Pribyl, Shea Michael, DO ...... 130 Snow, Shanna Rose, DO...... 88, 106 O Pu, Anthony Tswenty, MD...... 125 Spalding, Kala Marie, PT ...... 120 OConnor Jr, William Thomas, MD ...... 41 Pulmonary Disease ...... 123, 124 Speech Therapy ...... 128 Oakley...... 38 Sprague, Karen Regan, NP ...... 31 Obstetrics ...... 105, 106, 107 Sreedharan, Deepak Iyyadorai, MD ...... 117 Occupational Therapy...... 107, 108 Q Stacey, Michael William, MD ...... 36 Ogata, Wayne K., OD ...... 58 Stanger, Jennifer Kalika, MD ...... 45, 129 Qeli, Albi, MD ...... 114 Stanley, Guadalupe Ceja, PA-C ...... 74, 88, 105 Oncology...... 108, 109 Quinn, Jenny Mae, NP...... 101 Ong, Steven Huy, MD ...... 102 Stock, Debra Marie, PA ...... 76, 77 Opfell, Andrew, MD ...... 114 Stoner, Maria Elena, FNP ...... 41 Ophthalmology...... 109, 110, 111, 112 R Suboxone/Buprenorphine Treatment.... 128, 129 Orthopaedic Surgery...... 112, 113, 114 Substance Abuse...... 129 Orthotics Prosthetics ...... 114, 115, 116 Radiation Oncology ...... 125, 126 Suga, Steven H, MD ...... 105 Otero, Fernando Ruan, MD ...... 85, 132 Radiology ...... 126, 127 Sullivan, Mark Stuart, MD ...... 37 Otolaryngology...... 116 Raffetto, Katherine Antonietta, NP...... 83 Suri, Vikram, MD ...... 101 Owens, Victoria Elizabeth, NP ...... 45 Ranchod, Tushar Mahendra, MD ...... 110 Surti, Farhat Shahjahan, FNP...... 84 Randle, Brigitte M, MD ...... 43 Sutcliffe, Gayle L, MD ...... 31 Rasa, Ashley Nicole, NP...... 40 P Rasila, Kanwaldeep Kaur, MD ...... 92, 93, 109 Rassel, Ruth A., DO ...... 86 T Pabla, Sharon Kaur, PA ...... 39 Rausa, Katherine, MD ...... 101 TB Chest Clinic ...... 129 Padilla, Dorothy Johnson, OT ...... 108 Ray, Subhransu K, MD ...... 110 Pagtalunan, Maria Enrica Diaz, MD ...... 102 Tadros, Thomas Michael, MD ...... 73 Reed, John Brian, MD ...... 111 Tamarisk, Ronald S, FNP...... 35 Pain Management ...... 116, 117 Rehman, Shahid Ur, MD...... 104 Palliative Medicine ...... 118 Tan, Belinda Hsiu Jung, MD ...... 75, 130 Reyes, Melissa, MD ...... 75, 130 Tanaka, June, MD ...... 46 Pandurangi, Seturam, MD ...... 62 Rheumatology...... 127 Paredes-Salceda, Aide Irene, PA ...... 44 Tandinco, Imelda Maria C., MD ...... 36 Ricker, Denise Marie, MD ...... 101 Tarasenko, Valery Dmitrievich, MD...... 117 Parker, Marikit, MD ...... 39 Roberts, David Kelley, MD...... 72 Parker, Rebecca Lynn, ANP...... 71 Tarter, Chad Ian, MD ...... 101 Robinson, Andrew Yuri, MD ...... 104 Tay Yong, Gisella, MD ...... 40 Parkin, Jay David, MD ...... 113 Romero, Denise Marie, MD ...... 113 Parrish, Sarah Lynn, NP ...... 44 Taylor, Sherry Lee, MD ...... 103 Rosenthal, Seth Allan, MD...... 125 Taylor-Peffers, Cynthia M, BCHIS ...... 90 Parson, Margolo, FNP ...... 48 Rosten, John G., OD ...... 59 Patel, Anit Babubhai, MD...... 124 Tchakmakjian, Levon, MD ...... 32 Rosten, Susan J, FNP ...... 82 Telander, David Gregory, MD ...... 111 Patel, Arun, MD ...... 111 Ruben, Mark Allen, MD...... 76 Patel, Darshan, MD ...... 32 Telehealth Services ...... 129, 130 Rubin, Oleg Felix, MD ...... 102 Thomas, Gisha, MD ...... 42 Patel, Jayesh Jagubhai, MD ...... 35 Rumery, Christopher G, MD ...... 117 Patel, Vishal Anil, MD ...... 75, 130 Thomas, Rahitha Maria, FNP ...... 37, 102 Ryu, Janice Kong-Ja, MD ...... 126 Thomas, Randolph Clinton, MD ...... 43

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 136 of 137 PHC PROVIDER INDEX | SOLANO COUNTY DIRECTORY

Thoracic Surgery ...... 130 Woolf, Murray Alan, MD...... 116 Ticzon, Zenia Mendoza, NP...... 47 Wound Care ...... 133 Tolkan, Steven R, MD ...... 103 Wright, Stanley Benjamin, MD ...... 118 Toy, Stephanie Moy, MD ...... 34 Wu, Monte Meng Yuan, MD ...... 102 Trader, Andrea Corrine, MD ...... 48 Tramutola, Jennifer Ann, FNP...... 83 Tran, Jacqueline Van, MD ...... 105 X Tsai, Tony, MD ...... 111 Tsai, Wilson Shu-Chun, MD ...... 130 Xu, Zi-Jian, MD ...... 73

U Y Unajan, Jean Aurora Silagan, FNP...... 37 Yang, Judy, DO ...... 32 Upton, Brandi Elizabeth, MD ...... 132 Yang, Sudy R, MD ...... 38 Urgent Care Sites ...... 57, 58 Yecies, Jerold Joseph, MD ...... 61 Urology ...... 131, 132 Yen, An, MD...... 77 Yoon, Edward Jin, MD ...... 73

V Z Vacaville ...... 38, 39, 40, 41, 42, 43 Vadlamudi, Gautam Kishore, MD ...... 43 Zhang, Xiubo, MD ...... 40 Vallejo ...... 43, 44, 45, 46, 47 Zhu, Andy Yong-De, MD ...... 31 Vallurupalli, Neelima G, MD...... 73 Ziegler, Amy Beth, NP...... 71 Vascular Surgery...... 132 Ziomek, Ann Marie, CNM ...... 88, 98, 106 Velarde, Voltaire Salanga, MD ...... 47 Zopfi III, John Peter, DO ...... 86 Velasquez, Ruben San Diego, MD ...... 47 Zubair, Iram, MD ...... 89, 107 Venkatesan, Aruna, MD ...... 76, 130 Zusman, Edie Ellen, MD ...... 103 Verder-Bautista, Pamela Nava, MD...... 46 Vertudez, Janice Rhea Abila, NP ...... 39 Vetter, William R, MD ...... 73 Vikstrom, Brian Gene, MD ...... 91, 108 Villalon, Rachel Marie, MD ...... 87, 88, 105, 106 Vision Service Plan (VSP) (1-800-877-7195) ...... 58, 59, 60 Vityuk, Maryna, MD ...... 45 Voepel Ward, Katherine Elizabeth, PT...... 120

W Wagner, Alesia Joy, DO ...... 41 Walker, Angela Kay, MD ...... 76, 130 Wang, Edward, MD ...... 131 Wang, Margaret Ming-Sen, DO ...... 34 Ward, Lida S, FNP ...... 32, 33, 39 Warner, Gregory Yervant, DO ...... 97 Watson, Denise Loretta Joy, DC ...... 73 Weiss, Stefan Craig, MD ...... 76, 130 Wempe, Robin Elaine, PA-C ...... 44 Werblin, Alan C, MD ...... 36 West, Jaron C, PA ...... 41 Wexler, Ann Marie, MD ...... 92, 108, 109 Whitley, Teresa B, MD ...... 39 Williams, Martha Fair, PT...... 120 Williams, Sean Michael, MD ...... 38 Winston, Gary Allyn, MD...... 46 Winters ...... 48 Wolkov, Harvey Brian, MD ...... 126 Wong, David Jun Sing, MD ...... 76, 130 Wong, Dianne L., OD ...... 60 Wong, Reynold Clark, MD ...... 76, 130 Woodhouse, David Mark, MD ...... 42

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 23 for a description of codes:  P EB IB R E T Revised Date: March 8, 2019 Page 137 of 137 Phone:(800) 863-4155 http://www.partnershiphp.org

Revision Date: March 8, 2019