Medi-Cal Suspended and Ineligible Provider List: August Update

ADDITIONS:

Physician (Susp A)

Anderson, Scott Dodd, G33616 Suspended M.D. 00G336160 indefinitely effective 5150 Fair Oaks Blvd. 00G336161 4/9/2010 Ste. #101-144 Carmichael, CA and 4730 47th Ave. Sacramento, CA and 6950 65th St. Sacramento, CA

Aronsohn, Michael Valen 0101- Suspended 1289 Oletha Ln. 054509-VA indefinitely effective Los Angeles, CA 036094613-IL 4/20/2010 9831-MT

Bohlman, Gary Richard, G25154 Suspended M.D. 00G251540 indefinitely effective 43980 Mahlon Veil Rd. 00G251541 3/22/2010 #1402 Temecula, CA and 940 Sylva Ln. Ste. G Sonora, CA and 801 N. Tustin Ave. Ste. #404 Santa Ana, CA

Call, Justin D., M.D. G2658 Suspended 1958 Galaxy Dr. 00G26580 indefinitely effective Newport Beach, CA 4/13/2010

Dlugie, Paul D., M.D. G14648-CA Suspended 12002 E. Shea Blvd. 00G146480 indefinitely effective Ste. #5 28012-AZ 4/15/2010 Scottsdale, AZ and 72840 Highway 111 Ste. #165D Palm Desert, CA

Farhat, Raoul George G67658 Suspended Farhat Medical Center 00G676580 indefinitely effective 7607 Santa Monica Blvd. 3/24/2010 Ste. #27 Los Angeles, CA and 2338 Immokalee Rd. #280 Naples, FL

Fog, Joseph Richard, C43191 Suspended M.D. 00C431910 indefinitely effective 1300 N. Vermont Ave. 4/27/2010 Los Angeles, CA and 1931 N. W. Irving Portland, OR

Levin, Kenneth, M.D. GFE32363 Suspended 544 N. Indian Canyon Dr. 00G323630 indefinitely effective Palm Springs, CA 4/22/2010 and 180 Newport Center Dr. Ste. #180 Newport Beach, CA Physician (Susp A) …(continued)

McQueen, Carlton Kitridge A93692 Suspended 601 Baronne St. indefinitely effective Unit #2B 4/30/2010 New Orleans, LA

Rheinschild, Gary W., 00G133420 Suspended M.D. 00G133421 indefinitely effective 145 S. Chaparral Ct. CGP083775 4/1/2010 Ste. #101 Anaheim, CA and 5451 La Palma Ave. Ste. #22 La Palma, CA and 1211 W. La Palma Ave. Ste. #303 Anaheim, CA

Rice, James L., M.D. C32074 Suspended 8950 Villa La Jolla Dr. 00C320740 indefinitely effective La Jolla, CA 7/6/2010

Shah, Nayan R., M.D. 00A808510 Suspended 9400 Rosecrans Ave. 1457365553 indefinitely effective Bellflower, CA 7/28/2010 and 324 S. Diamond Bar Blvd. #306 Diamond Bar, CA

Osteopathic Physician and Surgeon (susp A)

Jimenez, Alfonso F., 20A6499 Suspended D.O. 00AX64990 indefinitely effective 2001 4th Ave 4/24/2009 San Diego, CA

Psychiatric Technician (susp C)

Stovall, Alicia Marie 27639 Suspended 20936 Broadway indefinitely effective Sonoma, CA 12/1/2009

Pharmaceutical Technician (susp E)

Allen, LaDonna Marie TCH57325 Suspended aka: La Donna Marie Allen indefinitely effective P.O. Box 2204 4/20/2010 San Rafael, CA

Sick Room Supply (susp F)

Apikyan, Husik Suspended 419 Griswold St. indefinitely effective Apt. #6 4/20/2010 Glendale, CA

Mid-Valley Medical Supply DME02200F Suspended Tokadjian, Stephan indefinitely effective aka: Stepan Tokadjian 8/16/2000 5520 Harold Way Los Angeles, CA and 13160 Sherman Way North Hollywood, CA

Chiropractor (susp J)

Castaneda, Peter DC20544 Suspended 10625 Haledon Ave. indefinitely effective Downey, CA 7/28/2010 Chiropractor (susp J) …(continued)

Cooke, Courtney Whitman 21927 Suspended 12731 Moorpark St. indefinitely effective #3 4/20/2010 Studio City, CA

DeMarco, Robert Arnold DC22643 Suspended 13501 Fiesta Rd. indefinitely effective Ocean City, MD 2/25/2010

Sihock, Franklin Donald 23985 Suspended 4590 Riverside Dr. indefinitely effective Chino, CA 5/7/2010

Whiteley, Shane Donald, DC26258 Suspended D.C. DC0262580 indefinitely effective 5722 Watt Ave. 7/28/2010 North Highlands, CA and 1068 E. 14th St. San Leandro, CA

Laboratory (susp M)

National Cardio Labs, 26897 Suspended LLC indefinitely effective P.O. Box 5460 4/20/2010 Stateline, NV

Registered Nurse (susp R)

Allen, Nicole Sharon 504969 Suspended 1485 Fieldshire Way indefinitely effective Morgan Hill, CA 2/16/2010

Alsip, Timothy Mark 564250 Suspended 15379 Oak Creek Rd. indefinitely effective #20 1/3/2010 El Cajon, CA

Amador, Melissa 562673 Suspended Antoinette indefinitely effective 16253 Stonebridge Pkwy. 2/16/2010 #613 San Diego, CA

Andersen, Anne M. 468813 Suspended aka: Anne M. Anderson indefinitely effective aka: Anne Margaret Hickey 2/16/2010 1535 Mathias Pl. Rohnert Park, CA

Baldridge, Ellen Marie 547478 Suspended 4608 Vitina Ln. indefinitely effective Palmdale, CA 1/16/2010

Bourette, Michelle Renee 706968 Suspended 28295 Via Luis indefinitely effective Laguna Niguel, CA 1/19/2010

Brown, Kelvin Gale 590541 Suspended 13212 Mettler Ave. indefinitely effective Long Beach, CA 1/16/2010

Clendenin, Dan Lee 574974 Suspended aka: Danny Lee Clendenin indefinitely effective aka: Dan L. Clendenin 2/6/2010 1404 E. Memorial Hwy. Harmony, NC

Cobia, April Lynn 652737 Suspended 900 W. Grove Pkwy. indefinitely effective #2059 2/8/2010 Tempe, AZ Registered Nurse (susp R)…(continued)

Corwin, Michele Carla 536909 Suspended aka: Michele Carla Germano indefinitely effective 2350 Peacock Ave. 12/31/2009 #102 Venura, CA

Davis, Jimmy Lee 635298 Suspended 14960 Avenida Venusto indefinitely effective Unit #77 2/8/2010 San Diego, CA

Davis, Matthew Wayne 514175 Suspended 7950 Foothills Blvd. indefinitely effective #180 1/9/2010 Roseville, CA

Davis, Terry Scott 612749 Suspended 1403 Jay St. indefinitely effective Walnut Ridge, AR 2/8/2010

Dillon, April Noel 503359 Suspended 1915 E. Portland Ave. indefinitely effective Fresno, CA 2/4/2010

Escanilla, Armand 647709 Suspended Valenzuela indefinitely effective 2336 N. Main St. 12/31/2009 Apt. B Salinas, CA and 2217 Driftwood Park Dr. Modesto, CA

Fannin, Kenneth Dwayne 679959-CA Suspended 954 Crestview 700967-TX indefinitely effective Atlanta, TX 2/5/2010

Ferreria, Barbara 655943 Suspended Jimenez Duram indefinitely effective 680 Evergreen Ln. 2/8/2010 Apt. #3 Port Hueneme, CA

Foster, Carolina 351198 Suspended 22826 Vermont St. indefinitely effective Unit #26 1/8/2010 Hayward, CA and 350 Newton Ave. Oakland, CA

Holland, Cheryl Gelford 285796 Suspended aka: Cheryl Heather indefinitely effective Gelford Holland 1/10/2010 8230 Rivera Ct. Springboro, OH

Huss, Anne Elizabeth 567120 Suspended P.O. Box 477 indefinitely effective Westwood, CA 2/11/2010

Jamison, Susan 227576 Suspended Vermeulen indefinitely effective aka: Susan Louise 1/7/2010 Jamison aka: Susan Louise Vermeulen 1804 Henry Ct. Ripon, CA

Jasinski, Leonard Frank 549990-CA Suspended 14834 N. 63rd Ave. RN083373 indefinitely effective Glendale, AZ LP027106-AZ 2/5/2010

Johnston, John Aaron 670931 Suspended 605 Calderwood Ct. indefinitely effective Pensacola, FL 2/6/2010 Registered Nurse (susp R)…(continued)

Kistler, Kevin William 589345 Suspended 631 Orange Grove Ave. indefinitely effective Apt. Q 2/16/2010 Burbank, CA

La Rue, James R. 534533 Suspended aka: James Ramos indefinitely effective La Rue 1/8/2010 aka: James Vanbuskirk La Rue aka: James Ramos Vanbuskirk 4588 Park Blvd. #4 San Diego, CA

Lewis, Jacinta Ulandra 708809 Suspended aka: Jacinta Lewis Brown indefinitely effective 6638 Creek Turn Dr. 1/16/2010 Rey, GA

Locklair, Susan J. 494227 Suspended 25012 Butterwood Dr. indefinitely effective Menifee, CA 1/11/2010

Lopez, David John 613337 Suspended 1614 Larch Pl. indefinitely effective La Verne, CA 4/1/2010

Lynch, Heather Viola 645733 Suspended 13751 Christian Barrett Dr. indefinitely effective Moorpark, CA 2/6/2010

Magsaysay, Charisse 574903 Suspended Christie indefinitely effective 4222 Gardenia Ave. 1/10/2010 Long Beach, CA

Mahan, Lenette Marie 480433 Suspended 4900 Secluded Oaks Ln. indefinitely effective Carmichael, CA 1/2/2010

Mariani, Barbara Ann 511096 Suspended 144 W. Canada indefinitely effective Unit B 1/7/2010 San Clemente, CA

McDonald, Kevin Joseph 483056 Suspended P.O. Box 4432 indefinitely effective Bremerton, WA 4/12/2010

Mcilrath, Julia Denise 676264 Suspended 2844 E. Main St. indefinitely effective Ste. #106 1/11/2010 PMB 101 Farmington, NM

Merrill, Patricia Lynne 502478 Suspended aka: Patricia Lynne indefinitely effective Johnson 12/30/2009 31724 Loma Linda Rd. Temecula, CA

Miles, Anita Elizabeth 599012 Suspended 24 Hillgate Pl. indefinitely effective Aliso Viejo, CA 1/16/2010

Miranda, David Frank 600687 Suspended 247 Twickenham Ave. indefinitely effective Los Angeles, CA 1/2/2010 Registered Nurse (susp R)…(continued)

Muller, Shannon K. 299746 Suspended Mahan Black indefinitely effective aka: Shannon Black 3/24/2010 Muller aka: Shannon Kay Mahan aka: Shannon Kay Black 83 Depot Rd. Santa Barbara, CA

Obanni, Kristin Helen 527322 Suspended 2821 W. 85th St. indefinitely effective Bloomington MN 2/6/2010

Paradise, Donald Scott 697019 Suspended 4982 Brookfield Rd. indefinitely effective Lee Center, NY 2/16/2010

Reddy, Shelley Renea 691489 Suspended P.O. Box 5748 indefinitely effective Monterey, CA 3/22/2010

Slinkard, Martha Ann 291440 Suspended aka: Martha Ann Adams indefinitely effective Slinkard 2/6/2010 aka: Martha Slinkard 2050 Buena Vista Ave. Unit D Alameda, CA

Spencer, Debra Marie 607199 Suspended aka: Debra Spencer indefinitely effective 240 Spruce St. 3/26/2010 Apt. #2 Arroyo Grande, CA

Strong, Marilyn Rose 305969 Suspended aka: Marilyn R. Fasanella indefinitely effective aka: Marilyn R. Russell 2/16/2010 1640 Holguin St. Lancaster, CA

Thomas, Belinda 93534 Suspended 43861 Elm Ave. indefinitely effective Lancaster, CA 3/22/2010

Traversa, Katarina 572054 Suspended Michelle indefinitely effective 446 Howie Ct. 12/30/2010 Santa Paula, CA

Van Arsdale, Judy 390017 Suspended Catherine indefinitely effective aka: Judy Peng 1/29/2010 aka:Judy C. Vanarsdale aka: Judy Catherine Vanardele aka: Judy Catherine Van Ardele aka: Judy Catherin Van Arsdale P.O. Box 501 Loma Linda CA

Vixon, Chris Emmanuel 646614 Suspended 4598 Imperial St. indefinitely effective Antioch, CA 3/26/2010

White, Judy Yvonne 418904 Suspended aka: Judy Yvonne Gross indefinitely effective 2058 Pasado Ave. 2/6/2010 Manteca, CA

Young, Gary Dale 583308 Suspended 801 White Point Rd. indefinitely effective Niceville, FL 2/8/2010 Certified Nurse Assistant (susp R)

Gonzales, John Joseph 006527 Suspended 15000 Colima Rd. indefinitely effective #22 7/20/2010 Whittier, CA

Jones, Tatiana 652996 Suspended 13600 Doty Ave. indefinitely effective #30 12/22/2009 Torrance, CA

Landis, Dania 288190 Suspended 722 Fourth St. indefinitely effective Yreka, CA 3/2/2010

Licensed Vocational Nurse (susp R)

Giles, Jill Marisa 222034 Suspended 21207 S. Avalon Blvd. indefinitely effective Apt. #222 1/15/2009 Carson, CA

Public Health Nurse (susp R)

La Rue James R. 57915 Suspended aka: James Ramos indefinitely effective La Rue 1/8/2010 aka: James Vanbuskirk La Rue aka: James Ramos Vanbuskirk 4588 Park Blvd. #4 San Diego, CA

Van Arsdale, Judy 51000 Suspended Catherine indefinitely effective aka: Judy Peng 1/29/2010 aka: Judy C. Vanarsdale aka: Judy Catherine Vanardele aka: Judy Catherine Van Ardele aka: Judy Catherin Van Arsdale P.O. Box 501 Loma Linda, CA

Vixon, Chris Emmanuel 75190 Suspended 4598 Imperial St. indefinitely effective Antioch, CA 3/26/2010

Respiratory Care Practitioner (susp S)

Bieth, Albert Dale 755 Suspended 13064 Borden Rd. indefinitely effective Herald, CA 4/20/2010

Boyle, Allen G. 22903 Suspended 4312 Baxter Pl. indefinitely effective Las Vegas, NV 1/2/2010

Chambers, Mary Margaret 15196 Suspended 247 La Mesa Dr. indefinitely effective Salinas, CA 12/31/2009

Gomez, Rebecca 24706 Suspended Adrianne indefinitely effective P.O. Box 4150 4/21/2010 Arcata, CA

Hurt, Paul David 5034 Suspended 873 Kincaid St. indefinitely effective Inglewood, CA 4/14/2010 Respiratory Care Practitioner (susp S) …(continued)

Porche, Wanda Marie 7502 Suspended 1721 E. Colton Ave. indefinitely effective #46 12/31/2009 Redlands, CA

Tavlian, Mark G. 4332 Suspended 25 Acapulco Ct. indefinitely effective Novato, CA 12/31/2009

Employee (susp T)

Dabao, Corazon Gina Suspended Genona indefinitely effective 13148 Herrick Ave. 7/6/2010 Sylmar, CA

Guillen, Rosemarie S. Suspended 14455 Red Hill Ave. indefinitely effective Apt. D 7/6/2010 Tustin, CA

Hearn, Belinda G. Suspended 1147 Country Rd. indefinitely effective #54 4/20/2010 Myrtle, MS

Hoseley, Sharon Kay Suspended 596 S. Gamay Ln. indefinitely effective Boise, ID 4/20/2010

Kendrick, Erika Eva Suspended Renee indefinitely effective aka: Erika Eva Renee 7/13/2010 Frazier 3461 Harmony Ln. Sacramento, CA

Mojica, Yolanda Flores Suspended 5032 Flamingo Cir. indefinitely effective Huntington Beach, CA 7/6/2010

Business Owner (susp T)

Tokadjian, Stephan DME02200F Suspended aka: Stepan Tokadjian indefinitely effective Mid-Valley Medical Supply 8/16/2000 5520 Harold Way Los Angeles, CA and 13160 Sherman Way North Hollywood, CA

Owner/Operator (susp T)

Apikyan, Husik Suspended 419 Griswold St. indefinitely effective Apt. #6 4/20/2010 Glendale, CA

In-Home Support Services Provider (susp U)

Allen, Raymond Lee Suspended 9545 Palm Ln. indefinitely effective Fontana, CA 4/20/2010

Craig, Karen M. Suspended 9808 Dartmoor Way indefinitely effective Elk Grove, CA 4/20/2010 REINSTATEMENTS:

Physician (susp A)

Witana, Sarath, M.D. A50338 5/23/2010 (removed from pg. 93) 126 Avocado Ave. 00A503380 Ste. #106 00A503381 Perris, CA 1801960646 and 24060 Fir Ave. Ste. A Moreno Valley, CA and 1733 Vista View Terrace Riverside, CA

CORRECTIONS:

(Corrections to existing list are bolded)

Physician (susp A)

Lyons, Lawrence 8848 Suspended (corrected on pg. 54) aka: Lyons, Lawrence PSY088480 indefinitely effective aka: Lyons, Lawrence PSY088481 5/22/2006 Gerald PSY088482 Psychological Solutions, PSY088483 Inc. PE0088480 18663 Ventura Blvd. Ste #232 Tarzana, CA and 435 Arden Ave. Ste #440 Glendale, CA and 2016 Bulrush Ln. Cardiff, CA and 9035 Campo Rd. San Diego, CA and 633 Warner Ave. Los Angeles, CA

Psychologist (susp C)

Lyons, Lawrence 8848 Suspended (corrected on pg. 6) aka: Lyons, Lawrence PSY088480 indefinitely effective aka: Lyons, Lawrence PSY088481 5/22/2006 Gerald PSY088482 Psychological Solutions, PSY088483 Inc. PE0088480 18663 Ventura Blvd. Ste #232 Tarzana, CA and 435 Arden Ave. Ste #440 Glendale, CA and 2016 Bulrush Ln. Cardiff, CA and 9035 Campo Rd. San Diego, CA and 633 Warner Ave. Los Angeles, CA