Santa Clara County, CA 2019

Provider and Pharmacy Directory Anthem Blue Cross Cal MediConnect Plan (Medicare-Medicaid Plan)

Have questions? Call us toll free at 1-855-817-5785 (TTY 711), Monday through Friday from 8 a.m. to 8 p.m. Pacific time or visit .anthem.com.

duals.anthem.com December 2019 H6229_19_36667_U_015 CMS Accepted 09/17/2018 H6229_19_36667_U_015 CMS Accepted 09/17/2018

Anthem Blue Cross Cal MediConnect Plan (Medicare- Medicaid Plan) | 2019 Provider and Pharmacy Directory

Introduction This Provider and Pharmacy Directory includes information about the provider and pharmacy types in Anthem Blue Cross Cal MediConnect Plan (Medicare-Medicaid Plan) and listings of all the plan’s providers and pharmacies as of the date of this Directory. The listings contain provider and pharmacy address and contact information as well as other details such as days and hours of operations, specialties, and skills. Key terms and their definitions appear in alphabetical order in the last chapter of the Member Handbook.

Table of Contents A. Disclaimers...... iv B. Provider ...... vi

B1. Key terms ...... vi B2. Choosing a Primary Care Provider (PCP) ...... xi

B3. Long-term services and supports (LTSS) ...... xi B4. How to identify providers in Anthem Blue Cross Cal MediConnect Plan’s

network...... xii

B5. How to find Anthem Blue Cross Cal MediConnect Plan providers in your area ...xiii B6. List of network providers ...... xiii

C. Anthem Blue Cross Cal MediConnect Plan’s network providers ...... xv C1. Primary Care Providers ...... 1 Specialists ...... 32

Behavioral Health Providers...... 57 C2. Hospitals ...... 71 Skilled Nursing Facilities ...... 73 Nursing Facilities ...... 77

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday 8 a.m. to 8 p.m. Pacific Time. The call is free. For more information, visit duals.anthem. com. ii Long-Term Services and Support...... 81

C3. Vision Providers ...... 82 C4. Dental Services ...... 95 C5. CareMore Care Centers ...... 96 C6. Strength and Fitness Providers ...... 98 C7. Durable Medical Equipment ...... 99 C8. Laboratories...... 100 C9. Ancillary Providers ...... 103

C10. Transportation...... 109 D. List of network pharmacies ...... 110 D1. How to identify pharmacies in Anthem Blue Cross Cal MediConnect Plan’s

network...... 111 D2. Long-term supplies of prescriptions...... 111 E. Anthem Blue Cross Cal MediConnect Plan’s network pharmacies ...... 111 E1. Retail and chain pharmacies ...... 112 E2. Mail-order pharmacy(ies) ...... 124 E3. Home infusion pharmacies ...... 125 E4. Long-term care pharmacies ...... 126

F. Index of Providers ...... 128 F1. Physician Index ...... 128

F2. Vision Index ...... 130

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday 8 a.m. to 8 p.m. Pacific Time. The call is free. For more information, visit duals.anthem. com. iii A. Disclaimers v Anthem Blue Cross Cal MediConnect Plan (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Medi-Cal to provide benefits of both programs to enrollees. v The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. We will send you a notice before we make a change that affects you. v Benefits and/or copays may change on January 1 of each year. v This Directory lists health care professionals (such as doctors, nurse practitioners, and psychologists), facilities (such as hospitals or clinics), and support providers (such as Adult Day Health and Home Health providers) that you may see as an Anthem Blue Cross Cal MediConnect Plan (Medicare-Medicaid Plan) member. We also list the pharmacies that you may use to get your prescription drugs. v We will refer to these groups as “network providers” in this Directory. These providers signed a contract with us to provide you services. This is a list of Anthem Blue Cross Cal MediConnect Plan’s network providers for Santa Clara County. v ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-855-817-5785 (TTY 711), Monday through Friday from 8 a.m. to 8 p.m. Pacific Time. The call is free. Multi-language Interpreter Services ATENCIÓN: Si usted habla español, tiene a su disposición servicios gratuitos de Spanish asistencia de idiomas. Llame al 1-855-817-5785 (TTY: 711), de lunes a viernes, de 8:00 a. m. a 8:00 p. m. La llamada es gratuita.

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 Chinese 1-855-817-5785 (TTY:771), 週一至週五上午8:00-晚上8:00。通話免費。

ATTENTION: Nếu quý vị nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn Vietnamese ngữ, miễn phí, cho quý vị. Xin gọi số 1-855-817-5785 (TTY: 711), Thứ Hai đến Thứ Sáu từ 8:00 sáng đến 8:00 tối. Cuộc gọi được miễn tính cước phí.

PAALALA: Kung nagsasalita ka ng Tagalog, magagamit mo nang Tagalog walang bayad ang mga serbisyo ng tulong sa wika. Tumawag sa 1-855-817-5785 (TTY: 711), Lunes hanggang Biyernes, 8:00 a.m. hanggang 8:00 p.m. Libre ang tawag.

안내: 한국어를 사용할 경우 무료 언어 지원 서비스를 이용하실 수 Korean 있습니다. 월요일부터 금요이까지 오전8시에서 오후 8시 사이에 1-855-817-5785 (TTY: 711)번으로 전화하십시오. 통화료는 무료입니다.

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday 8 a.m. to 8 p.m. Pacific Time. The call is free. For more information, visit duals.anthem. com. iv ՈՒՇԱԴՐՈՒԹՅՈՒՆ՝ Եթե դուք խոսում եք Հայերենի լեզվով, Armenian լեզվական օգնության ծառայությունները, անվճար, մատչելի են ձեզ համար: Զանգահարեք 1-855-817-5785 (TTY: 711) Երկուշաբթիից ուրբհեռախոսահամարովաթ օրերին `ժամը 8:00-ից 20:00-ն: Այս զանգն անվճար է:

Persian ،نﺎﮕﯾار تروﺻ ﮫﺑ ،نﺎﺑز ﮫﻧﯾﻣز رد ﮏﻣﮐ تﺎﻣدﺧ ،دﯾﻧﮐ ﯽﻣ تﺑﺣﺻ ﯽﺳرﺎﻓ نﺎﺑز ﮫﺑ رﮔا :ﮫﺟوﺗ (Farsi) هرﺎﻣﺷ ﺎﺑ بﺷ 8:00 ﺎﺗ ﺢﺑﺻ 8:00 زا ،ﮫﻌﻣﺟ ﺎﺗ ﮫﺑﻧﺷود .دﺷﺎﺑ ﯽﻣ سرﺗﺳد رد ﺎﻣﺷ یارﺑ .دﺷﺎﺑ ﯽﻣ نﺎﮕﯾار سﺎﻣﺗ نﯾا .دﯾرﯾﮕﺑ سﺎﻣﺗ TTY) 1-855-817-5785: 711(

ВНИМАНИЕ: если вы говорите по-русски, вам могут Russian предоставить бесплатные услуги перевода. Звоните по тел. 1-855-817-5785 (TTY: 711) с понедельника по пятницу с 8:00 до 20:00. Звонок бесплатный.

注意: 日本語話者の方は無料の言語支援サービスをご利用いただけま Japanese す。1-855-817-5785 (TTY: 711)、月曜から金曜の午前 8 時~午後 8 時にお電話ください。この通話は無料です。

Arabic مﻗرﻟا ﻰﻠﻋ لﺻﺗا .ﺎًﻧﺎﺟﻣ كﻟ رﻓوﺗﺗ ﺔﯾوﻐﻠﻟا ةدﻋﺎﺳﻣﻟا تﺎﻣدﺧ نﺈﻓ ،ﺔﯾﺑرﻌﻟا ثدﺣﺗﺗ تﻧﻛ اذإ :ﮫﯾﺑﻧﺗ 5785-817-855-1 ﺔﻋﺎﺳﻟا نﻣ ﺔﻌﻣﺟﻟا ﻰﺗﺣ نﯾﻧﺛﻻا نﻣ ،)711 :ﻲﺻﻧﻟا فﺗﺎﮭﻟا ﺎًﺣﺎﺑﺻ 8:00 ﻰﺗﺣ .ﺔﯾﻧﺎﺟﻣ ﺔﻣﻟﺎﻛﻣﻟا نوﻛﺗو .ًءﺎﺳﻣ 8:00

ਿਧਆਨ ਿਦਓ: ਜੇ ਤੁਸੀਂ ਪੰਜਾਬੀ ਬੋਲਦੇ ਹੋ, ਤੁਹਾਡੇ ਲਈ ਭਾਸ਼ਾ ਸਹਾਇਤਾ ਸੇਵਾਵਾਂ ਮੁਫ਼ਤ Punjabi ਉਪਲਬਧ ਹਨ। 1-855-817-5785 (TTY: 711) ‘ਤੇ ਸੋਮਵਾਰ ਤੋਂ ਸ਼ੁੁੱਕਰਵਾਰ, ਸਵੇਰੇ 8:00 ਵਜੇ ਤੋਂ ਸ਼ਾਮ 8:00 ਵਜੇ ਤੁੱਕ ਕਾਲ ਕਰੋ।

សូ មជ្រាប៖ ជ្របសិនបបើបោកអ្នកនិយាយភាសាខ្មែរ បសវាកមែជំនួយភាសា Cambodian មានផ្ដល់ជូនបោកអ្នកបោយឥតគិតថ្លៃ។ សូ មទូរសព្ទមកបលម 1-855-817-5785 (TTY: 711) ព្ីថ្លៃច័នទ ដល់ថ្លៃសុជ្រក ព្ីបមា៉ោ ង 8:00 ជ្រព្ឹក ដល់បមា៉ោ ង 8:00 ោៃ ច។ ទូរសព្ទមកបលមបនេះគឺឥតគិតថ្លៃ។

LUS CEEV: Yog koj hais lus Hmoob, muaj kev pab txhais lus pub Hmong dawb rau koj. Hu rau 1-855-817-5785 (TTY: 711), hnub Monday txog Friday thaum 8:00 teev sawv ntxov txog 8:00 teev tsaus ntuj. Tus xov tooj no hu dawb xwb.

ध्यान दें: यदि आप हिन्दी बोलते हैं, आपके लिए भाषा सहायता सेवाएं नि। Hindi शुल्क उपलब्ध हैं। 1-855-817-5785 (TTY: 711) पर सोमवार से शुक्रवार, सुबह 8:00 बजे से शाम 8:00 बजे तक कॉल करें। यह कॉल नि। शुल्क है।

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday 8 a.m. to 8 p.m. Pacific Time. The call is free. For more information, visit duals.anthem. com. v ระวัง: หากคุณพูดภาษาอังกฤษ เรามีบริการช่วยเหลือด้านภาษาโดยไม่คิดค่าใช ้จ่ายใด Thai ๆ โดยติดต่อไปที่ 1-855-817-5785 (TTY: 711) วันจันทร ์ถึงวันศุกร ์เวลา 8:00 – 20:00 น. ไม่มีค่าใช ้จ่ายใด ๆ ทั้งสิ้

ເຊີ ນຊາບ: Laotian ຖ້າທ່ານເວ ້ າພາສາລາວແມ່ ນມີ ບໍ ລິ ການຊ່ວຍເຫຼື ອດ້ານພາສາບໍ່ ເສຍຄ່າໃຫ້ແກ່ທ່ານ. ໃຫ້ໂທຫາເບີ 1-855-817-5785 (TTY: 711), ວັ ນຈັ ນຫາວັ ນສຸ ກ ຕັ້ ງແຕ່ 8:00 ໂມງເຊ ້ າຫາ 8:00 ໂມງແລງ. ການໂທແມ່ ນໂທຟຣີ . v You can get this document for free in other formats, such as large print, braille, or audio. Call 1-855-817-5785 (TTY 711), Monday through Friday from 8 a.m. to 8 p.m. Pacific Time. The call is free. v You can make a standing request at any time, call Member Services at 1-855-817-5785 (TTY 711), Monday through Friday from 8 a.m. to 8 p.m. Pacific Time. The call is free. v The list is up-to-date as of December 1, 2019, but you need to know that: • Some Anthem Blue Cross Cal MediConnect Plan network providers may have been added or removed from our network after this Directory was published. • Some Anthem Blue Cross Cal MediConnect Plan providers in our network may no longer be accepting new members. If you are having trouble finding a provider who will accept new members, call Member Services at 1-855-817-5785 (TTY 711) and we will help you. • To get the most up-to-date information about Anthem Blue Cross Cal MediConnect Plan’s network providers in your area, visit duals.anthem.com or call Member Services at 1-855-817­ 5785 (TTY 711), Monday through Friday from 8 a.m. to 8 p.m. Pacific Time. The call is free. Doctors and other health care professionals in Anthem Blue Cross Cal MediConnect Plan’s network are listed on pages 1 to 70. Pharmacies in our network are listed on pages 110 to 127. You can use the Index in the back of the Directory to find the page where a provider or pharmacy is listed.

B. Providers B1. Key terms This section explains key terms you’ll see in our Provider and Pharmacy Directory.

• Providers are health care professionals and support providers such as doctors, nurses, pharmacists, therapists, and other people who provide care and services. Services include medical care, long-term services and supports (LTSS), supplies, prescription drugs,

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday 8 a.m. to 8 p.m. Pacific Time. The call is free. For more information, visit duals.anthem. com. vi equipment and other services

o The term providers also includes facilities such as hospitals, clinics, and other places that provide medical services, medical equipment, and long-term services and supports. o Providers that are a part of our plan’s network are called network providers.

• Network providers are the providers that have contracted with us to provide services to members in our plan. The providers in our network generally bill us directly for care they give you. When you see a network provider, you usually pay nothing for covered services.

• A Primary Care Provider (PCP) is a family practitioner, general practitioner or internist who gives you routine health care. Your PCP will keep your medical records and get to know your health needs over time. Your PCP will also give you a referral if you need to see a specialist or other provider.

• Specialists are doctors who provide health care services for a specific disease or part of the body. There are many kinds of specialists. Here are a few examples: o Oncologists care for patients with cancer. o Cardiologists care for patients with heart conditions. o Orthopedists care for patients with certain bone, joint, or muscle conditions. • A medical group is a group of PCPs, specialists and other health care providers who work together. If you need a specialist, your PCP must send you to a specialist in his or her medical group. • You may need a referral to see a specialist or someone that is not your PCP. A referral means that your primary care provider must give you approval before you can see someone that is not your PCP. If you don’t get a referral, Anthem Blue Cross Cal MediConnect Plan may not cover the service. o Referrals from your network PCP or our plan are not needed for: – Emergency care; – Urgently needed care; – Kidney dialysis services that you get at a Medicare-certified dialysis facility when you are outside the plan’s service area; – Services from a women’s health specialist; – Crisis stabilization, including mental health; – Preventive health services for all ages, including immunizations; – Basic prenatal care; or

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday 8 a.m. to 8 p.m. Pacific Time. The call is free. For more information, visit duals.anthem. com. vii – Communicable disease services, including sexually transmitted infection and HIV testing. o Additionally, if you are eligible to get services from Indian health providers, you may see these providers with out a referral. We must pay the Indian health provider for those services even if they are out of our plan’s network. o More information on referrals is available in Chapter 3 of the Member Handbook. • You also have access to a care coordinator and a care team that you help choose.

o A Care Coordinator helps you manage your medical providers and services. o Your Care Team includes you, your doctors, your care coordinator and anyone else who plays an important role in your care. Everyone on the care team works together to make sure your care is coordinated. This means that they make sure tests and labs are done once and the results are shared with the appropriate providers. It also means that your PCP should know all medicines you take so that he or she can reduce any negative effects. Your PCP will always get your permission before sharing your medical information with other providers. With Anthem Blue Cross Cal MediConnect Plan, you have a team of people to help you get the care you need. This team, called your Interdisciplinary Care Team (ICT), is made of all your caregivers: your doctors and nurses, long-term care providers, pharmacists, behavior health specialists and social workers. Your ICT helps makes sure your medical, behavioral health, long­ term care and supports and social needs are met as a part of your individual care plan (ICP). Your ICP is a plan for what services you will get and how you will get them. You’ll choose your providers from the list in this directory. In addition, Anthem Blue Cross Cal MediConnect Plan supports your health care needs by providing access to health assessments, disease management programs and follow-up visits after you leave the hospital through our neighborhood CareMore Care Centers.

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday 8 a.m. to 8 p.m. Pacific Time. The call is free. For more information, visit duals.anthem. com. viii Icons, Definition and Legend

NPI # A National Provider Identifier or NPI is a unique 10-digit identification number issued to health care providers by the Centers for Medicare and Medicaid Services (CMS).

Other Other Certifications

Board Certified Physician board certification, is a voluntary process that indicates a practicing physician’s mastery of the core body of knowledge and skills in his or her chosen specialty.

Provider is accepting new patients

M-F Monday through Friday

M,T,W,Th, F, S, Su Monday, Tuesday, Wednesday, Thursday, Friday, Saturday, Sunday

Languages other than English spoken by the provider or at the facility.

Access to public transportation is within ½ mile of the location.  Source: Public transit data from Walk Score® and Google Maps

Other Expertise Provider experience or training in other areas – self-reported.

Disability Access

Basic Basic access demonstrates facility site access for the members with disabilities to parking, building, elevator, doctor’s office, exam room, and restroom.

Limited Limited access demonstrates facility site access for the members with a disability is missing or is incomplete in one or more features for parking, building, elevator, doctor’s office, exam room and restroom.

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday 8 a.m. to 8 p.m. Pacific Time. The call is free. For more information, visit duals.anthem. com. ix A The location has been inspected and audited in person to insure the In-Person Audit facility meets accessibility requirements.

SR Data is self-reported by the provider through a telephone survey. Self-Reported

P Parking spaces, including van accessible space(s), are accessible. Parking Pathways have curbed ramps between the parking lot, office and at drop off locations

EB Curbed ramps and other ramps to the building are wide enough for Exterior Building a wheelchair or scooter. Handrails are provided on both sides of the ramp. There is an “accessible” entrance to the building. Doors are wide enough to let a wheelchair or scooter user enter and have handles that are easy to use.

IB Doors open wide enough to let a wheelchair or scooter user enter, and Interior Building have handles that are easy to use. Interior ramps are wide enough and have handrails. Stairs, if present, have handrails. If there is an elevator, it is available for public/patient use 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 The restroom is accessible and the doors are wide enough to Restroom accommodate a wheelchair or scooter and easy to open. 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 The entrance to the exam room is accessible, with a clear path. The Exam Room doors open wide enough to accommodate a wheelchair or scooter and are easy to open. The exam room has enough room for a wheelchair or scooter to turn around. T The exam table moves up and down and the scale is accessible with Exam Table/Scale handrails to assist people using wheelchairs or scooters. The weight scale is able to accommodate a wheelchair.

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday 8 a.m. to 8 p.m. Pacific Time. The call is free. For more information, visit duals.anthem. com. x B2. Choosing a Primary Care Provider (PCP) You can get services from any provider who is in our network and accepting new members. First, you will need to choose a Primary Care Provider. You may be able to have a specialist act as your PCP. A specialist is a doctor who provides health care services for a specific disease or part of the body. You may choose a specialist as your PCP if that doctor is listed as a PCP in this provider directory. Our plan’s PCPs are affiliated with medical groups. When you choose your PCP, you are also choosing the affiliated medical group. This means that your PCP will be referring you to specialists and services that are also affiliated with his or her medical group. • If there is a particular specialist or hospital that you want to use, it is important to see whether they are affiliated with your PCP’s medical group. You can look in this directory, or ask Anthem Blue Cross Cal MediConnect Plan Member Services to check to see if the PCP you want makes referrals to that specialist or uses that hospital. • If you don’t stay within your PCP’s medical group, Anthem Blue Cross Cal MediConnect Plan may not cover the service. To choose a PCP, go to the list of providers, physicians on page 1 and choose a provider:

• that you use now, or • who has been recommended by someone you trust, or • whose offices are easy for you to get to. • If you want help in choosing a PCP, please call Member Services at 1-855-817-5785, Monday through Friday from 8 a.m. to 8 p.m. Pacific time. The call is free. TTY/TDD: 711. Or, visit duals.anthem.com. • If you have questions about whether we will pay for any medical service or care that you want or need, call Member Services and ask before you get the service or care. B3. Long-term services and supports (LTSS) As an Anthem Blue Cross Cal MediConnect Plan member, you may be able to get long-term services and supports (LTSS), such as shopping for meals, grooming, brushing your teeth, domestic house cleaning, laundry, meal delivery, escorts to health care appointments, and physical, social and mental health therapy. LTSS help people who need assistance to do everyday tasks like taking a bath, getting dressed, making food, and taking medicine. Most of these services are provided at your home or in your community but could be provided in a nursing home or hospital.

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday 8 a.m. to 8 p.m. Pacific Time. The call is free. For more information, visit duals.anthem. com. xi These services include Community-Based Adult Services (CBAS). CBAS is a community-based day health program that provides services to older persons and adults with chronic medical, cognitive, or mental health conditions and/or disabilities that are at risk of needing institutional care. To apply for CBAS, please contact Anthem Blue Cross Cal MediConnect Plan Member Services at 1-855-817-5785 (TTY 711) Monday through Friday from 8 a.m. to 8 p.m. Pacific time. Other long-term services and supports provided by Anthem Blue Cross Cal MediConnect Plan include personal care services, home-delivered meals, protective supervision and respite care. To find providers of these service, go to page 81 in this Directory. A full list of these services is available in Chapter 4 of your Member Handbook Your care coordinator can tell you more about available services, the eligibility requirements and how to apply for these programs.

B4. How to identify providers in Anthem Blue Cross Cal MediConnect Plan’s network You must get all of your covered services from providers within our network that are affiliated with your PCP’s medical group. If you go to providers who are not in Anthem Blue Cross Cal MediConnect Plan’s network and are not affiliated with your PCP’s medical group (without prior authorization or approval from us), you will have to pay the bill.

A prior authorization is an approval from Anthem Blue Cross Cal MediConnect Plan before you can get a specific service or drug or see an out-of-network provider. Anthem Blue Cross Cal MediConnect Plan may not cover the service or drug if you don’t get approval. The exceptions to this rule are when you need urgent or emergency care or dialysis and cannot get to a provider in the plan, such as when you are away from home. You can also go outside the plan or your PCP’s medical group if Anthem Blue Cross Cal MediConnect Plan gives you permission first. You may need a referral to see someone who is not a Primary Care Provider. There is more information about referrals in Section B1, Key terms, of this Directory on page ix-x. • You may change providers within the network at any time during the year. If you have been going to one network provider, you do not have to keep going to that same provider. For some providers, you may need a referral from your PCP. • Remember, our plan’s PCPs are affiliated with medical groups. If you change your

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday 8 a.m. to 8 p.m. Pacific Time. The call is free. For more information, visit duals.anthem. com. xii PCP, you may also be changing medical groups. When you ask for the change, be sure to tell Member Services whether you are seeing a specialist or getting other covered services that require PCP approval. Member Services will help make sure that you can continue your specialty care and other services when you change your PCP. • Anthem Blue Cross Cal MediConnect Plan works with all the providers in our network to accommodate the needs of people with disabilities. As applicable, the list of network providers in this Directory includes information about the accommodations they provide. • If you need to see a provider and are not sure if they offer the accommodations you need, Anthem Blue Cross Cal MediConnect Plan can help you. Talk to your care coordinator for assistance or call Member Services at 1-855-817-5785 (TTY 711).

B5. How to find Anthem Blue Cross Cal MediConnect Plan providers in your area This directory is organized by the types of providers, where they’re located, and their medical group. To find network providers close to your home: • First, look up the city or town to find out what providers are in your medical group. • Then, look up your medical group name. You can also contact Member Services for help. Call us at 1-855-817-5785 (TTY 711), Monday through Friday from 8 a.m. to 8 p.m. The call is free.

B6. List of network providers This Directory of Anthem Blue Cross Cal MediConnect Plan’s network providers contains:

• Health care professionals including primary care physicians, specialists, and behavioral health, acupuncture, chiropractic and vision providers;

• Facilities including hospitals, nursing facilities, skilled nursing facilities, mental health facilities, and urgent care; and

• Support providers including adult day services, assisted living, consumer-directed services, home-delivered meals, home health agencies, and CareMore Care Centers. • In-person interpreters— Anthem Blue Cross Cal MediConnect Plan provides In- person interpreter services, including American Sign Language (ASL), for scheduled health care visits. Please make sure to request this service at the time you make an appointment with you provider. Your provider must call Member Service at 1-855-817-5785 (TTY 711), Monday through Friday from 8 a.m. to 8 p.m.

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday 8 a.m. to 8 p.m. Pacific Time. The call is free. For more information, visit duals.anthem. com. xiii Pacific time at least 48 hours in advance. These services are available at no cost to you.

• Over-the-phone interpreter service— Anthem Blue Cross Cal MediConnect Plan provides access to over-the phone interpreter service 24 hours a day, seven days a week. To access these services you or your provider can call Member Services at 1-855-817-5785 (TTY 711), Monday through Friday from 8 a.m. to 8 p.m. Pacific time at least 48 hours in advance. These services are available at no cost to you.

• Cultural competency — Anthem Blue Cross Cal MediConnect Plan contracted providers are provided on-going cultural competency training through the plan and as required by the state of California. Providers are listed in alphabetical order by last name. You can also find the provider’s name and the page where the provider’s additional contact information is in the Index at the end of the Directory. Providers are also listed in alphabetical order by last name in the Index. In addition to contact information, provider listings also include specialties and skills, for example, such as languages spoken or completion of cultural competence training.

Cultural competence training is additional instruction for our health care providers that helps them better understand your background, values, and beliefs to adapt services to meet your social, cultural, and language needs

Primary Care Providers (Personal Doctors) . 183 Skilled Nursing Facilities...... 22

Family Practice/Medicine...... 74 Nursing Facilities ...... 22

General Practice ...... 4 Mental Health Providers ...... 109

Internal Medicine ...... 105 Long-term Services and Supports ...... 3

Specialty Care Physicians ...... 151 Vision Providers ...... 73

Hospitals ...... 14 CareMore Care Centers ...... 3

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday 8 a.m. to 8 p.m. Pacific Time. The call is free. For more information, visit duals.anthem. com. xiv C. Anthem Blue Cross Cal MediConnect Plan’s network providers

The providers in this directory are organized alphabetically by medical group. You may get services from any of the providers on this list that are affiliated with your PCP’s medical group. For some services, you may need a referral from your PCP.

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday 8 a.m. to 8 p.m. Pacific Time. The call is free. For more information, visit duals.anthem. com.com. xv C1. Primary Care Providers CALIFORNIA CUPERTINO Young, Gabriel J, MD IPA: NCA Medical Group INTERNAL MEDICINE SANTA CLARA NPI#: 1811084114 10011 N Foothill Blvd Ste COUNTY Hsu, Thomas T, MD IPA: NCA Medical Group 105 Cupertino, CA 950145649 CAMPBELL NPI#: 1134153372 20395 Pacifica Dr Ste 104 (408) 366-0600 FAMILY MEDICINE Cupertino, CA 950143016 M-F 11:00 AM - 6:00 PM (408) 446-5353 SAT 11:00 AM - 2:00 PM Borodulin, Tatyana V, MD M,T,TH 8:00 AM - 5:00 PM : Yes IPA: NCA Medical Group W,F 8:00 AM - 12:00 PM : English, Spanish, NPI#: 1912940628 : Yes Chinese 1600 W Campbell Ave # 202 : : English, Cantonese Campbell, CA 95008 : Yes Chinese, Chinese (408) 378-3300 Area Of Expertise: : Yes : E P R Young, Gabriel J, MD : Yes : English, Russian, IPA: NCA Medical Group Area Of Expertise: Vietnamese, Spanish NPI#: 1811084114

: Hsu, Thomas T, MD 10011 N Foothill Blvd # 105 IPA: NCA Medical Group : Cupertino, CA 95014 NPI#: 1134153372 Area Of Expertise: Chronic (408) 366-0600 20395 Pacifica Dr # 104 Illness (es) M,T,TH,F 11:00 AM - 6:00 Cupertino, CA 95014 PM (408) 446-5353 W 3:00 PM - 6:00 PM M-F 8:00 AM - 5:00 PM SAT 11:00 AM - 6:00 PM SAT 8:00 AM - 5:00 PM : Yes : Yes : English, Spanish, : English, Cantonese Chinese Chinese, Chinese : : : : Area Of Expertise: Blind or Area Of Expertise: vision disabilities, Chronic Illness (es), Deaf or hard-of­ hearing, Physical Disabilities

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Primary Care Providers 1 C1. Primary Care Providers

GILROY MILPITAS Zheng, Hui K, MD IPA: NCA Medical Group FAMILY MEDICINE FAMILY MEDICINE NPI#: 1912011768 Lucero, Roger F, MD Meceda, Victor J, MD 500 E Calaveras Blvd Ste IPA: NCA Medical Group IPA: NCA Medical Group 10 NPI#: 1437136801 NPI#: 1558698829 Milpitas, CA 950357703 9360 N Name Uno Ste 125 500 E Calaveras Blvd Ste (408) 942-0980 Gilroy, CA 950203535 100 M,W,F 9:30 AM - 5:30 PM (408) 852-4888 Milpitas, CA 950357708 T 9:30 AM - 3:30 PM M-F 8:00 AM - 5:00 PM (408) 942-0980 TH 9:30 AM - 4:30 PM : Yes M-F 9:00 AM - 6:00 PM : Yes : English, Spanish : Yes : English, Cantonese Chinese, Chinese, French : P R : English, Spanish, : : Yes Tagalog  Area Of Expertise: : : Yes  Area Of Expertise: Lucero, Roger F, MD : IPA: NCA Medical Group Area Of Expertise: INTERNAL MEDICINE NPI#: 1437136801 Zheng, Hui K, MD Nguyen, Trang J, MD 9360 N Name Uno # 125 IPA: NCA Medical Group IPA: NCA Medical Group Gilroy, CA 950203535 NPI#: 1912011768 NPI#: 1053324459 (408) 852-4888 500 E Calaveras Blvd # 100 246 Ranch Dr : Yes Milpitas, CA 95035 Milpitas, CA 950355107 : English, Spanish (408) 942-0980 (408) 263-9936 : : Yes M-F 9:00 AM - 5:00 PM : : English, Chinese, : Yes Area Of Expertise: French, Cantonese Chinese : English, Spanish, : Tagalog : : Area Of Expertise: Chronic : Illness (es), Co-occurring Area Of Expertise: disorders, Physical Disabilities

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 2 Primary Care Providers C1. Primary Care Providers

Nguyen, Trang J, MD Thukral, Vijay K, MD Tran, Toan Q, MD IPA: NCA Medical Group IPA: NCA Medical Group IPA: NCA Medical Group NPI#: 1053324459 NPI#: 1760593644 NPI#: 1588683031 246 Ranch Dr 995 Montague Expy Ste 213 1776 N Milpitas Blvd Milpitas, CA 950355107 Milpitas, CA 950356885 Milpitas, CA 95035 (408) 263-9936 (408) 258-7400 (408) 956-9096 M-F 8:00 AM - 6:00 PM M-F 9:00 AM - 5:00 PM M,T,W,F 9:00 AM - 5:00 PM : Yes : Yes SAT 9:00 AM - 2:00 PM : English, Spanish, : English, Hindi, Italian : Yes Tagalog : : English : : Yes : : Yes Area Of Expertise: : Area Of Expertise: Tran, Toan Q, MD Area Of Expertise: Thukral, Vijay K, MD IPA: NCA Medical Group Vecchi, Nicole T, MD IPA: NCA Medical Group NPI#: 1588683031 IPA: NCA Medical Group NPI#: 1760593644 1776 N Milpitas Blvd NPI#: 1407882863 995 Montague Expy # 213 Milpitas, CA 950352713 429 S Main St Milpitas, CA 95035 (408) 956-9096 Milpitas, CA 950355318 (408) 258-7400 T,W,F 9:00 AM - 5:00 PM (408) 935-9586 M-F 9:00 AM - 5:00 PM SAT 9:00 AM - 2:00 PM M-F 9:00 AM - 5:00 PM : Yes : Yes : Yes : English, Hindi, Italian : English : Tagalog, Vietnamese, : : Spanish, English : : Yes : Area Of Expertise: Blind or Area Of Expertise: : vision disabilities, Chronic Area Of Expertise: Illness (es), Co-occurring disorders, Deaf or hard-of­ hearing, HIV/AIDS, Serious Mental Illness

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Primary Care Providers 3 C1. Primary Care Providers

Vecchi, Nicole T, MD INTERNAL MEDICINE Nemirov, Steven A, DO IPA: NCA Medical Group IPA: NCA Medical Group NPI#: 1407882863 Nalawadi, Smruti S, MD NPI#: 1487644779 429 S Main St IPA: NCA Medical Group 2100 Forest Ave # 104 Milpitas, CA 95035 NPI#: 1972767655 Morgan Hill, CA 950372911 (408) 935-9586 18550 Depaul Dr # 208 (408) 297-7909 Morgan Hill, CA 950372911 : Yes : Existing patient only (408) 776-8040 : Tagalog, Spanish, : English English, Vietnamese : Existing patient only : : English, Urdu, Kannada, : : Hindi : Area Of Expertise: Co- : Area Of Expertise: occurring disorders : MORGAN HILL Area Of Expertise: Chronic Nguyen, Tam H, DO Illness (es), Blind or IPA: NCA Medical Group FAMILY MEDICINE vision disabilities, Deaf or NPI#: 1962520478 hard-of-hearing, Physical 18181 Butterfield Blvd Ste Bennett, Robin E, DO 180 IPA: NCA Medical Group Disabilities, Serious Mental Morgan Hill, CA 950378112 NPI#: 1831523737 Illness (408) 258-5083 18550 Depaul Dr # 208 Nalawadi, Smruti S, MD M-F 9:00 AM - 5:00 PM Morgan Hill, CA 950372911 IPA: NCA Medical Group : Yes (408) 776-8040 NPI#: 1972767655 : English : Existing patient only 18550 De Paul Dr Ste 208 : : English, Spanish Morgan Hill, CA 950372911 P R  : (408) 776-8040 : Yes Area Of Expertise: : M-F 8:00 AM - 5:00 PM Area Of Expertise: : Yes : English, Kannada, Hindi, Urdu : : Yes Area Of Expertise:

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 4 Primary Care Providers C1. Primary Care Providers

MOUNTAIN VIEW Roohparvar, Shahab, MD Borodulin, Tatyana V, MD IPA: Physicians Medical IPA: NCA Medical Group INTERNAL MEDICINE Group Of San Jose NPI#: 1912940628 Chen, Kenny K, MD NPI#: 1588711311 1600 W Campbell Ave Ste IPA: NCA Medical Group 515 South Dr #23 20 NPI#: 1649332743 Mountain View, CA 94040 San Jose, CA 950080000 2485 Hospital Dr Ste 241 (650) 969-9101 (408) 378-3300 Mountain View, CA : Yes M-F 9:00 AM - 5:00 PM 940404103 : English, Persian/Farsi : Yes (650) 988-8460 : : English, Spanish, M-F 9:00 AM - 3:00 PM : Vietnamese, Russian : Yes Area Of Expertise: : : Yes : Spanish, English SAN JOSE : Area Of Expertise: : Yes FAMILY MEDICINE Bui, Rau V, MD Area Of Expertise: IPA: NCA Medical Group Ankolekar, Sheetal, MD NPI#: 1891808804 Chen, Kenny K, MD IPA: NCA Medical Group 27 S 13th St IPA: NCA Medical Group NPI#: 1689014755 San Jose, CA 951122022 NPI#: 1649332743 625 Lincoln Ave (408) 298-6706 2485 Hospital Dr # 241 San Jose, CA 951161603 M,T,TH,F 9:00 AM - 5:00 PM Mountain View, CA 94040 (408) 278-3620 W 9:00 AM - 12:00 PM (650) 988-8460 : Yes : Yes M-F 9:00 AM - 3:00 PM : English, Kannada, : Tagalog, English, French : Yes Konkani, Hindi : : English, Spanish : : Yes : : Area Of Expertise: : Area Of Expertise: Area Of Expertise:

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Primary Care Providers 5 C1. Primary Care Providers

Bui, Rau V, MD Cummings, Cynthia L, MD Le, Stephanie P, DO IPA: NCA Medical Group IPA: NCA Medical Group IPA: NCA Medical Group NPI#: 1891808804 NPI#: 1831280791 NPI#: 1407190093 27 S 13th St 2585 Samaritan Dr 1693 Flanigan Dr # 100 San Jose, CA 95112 San Jose, CA 951244107 San Jose, CA 95121 (408) 298-6706 (408) 278-3003 (408) 274-3881 M,T,TH,F 9:00 AM - 5:00 PM : Existing patient only M,T,TH,F 9:00 AM - 6:00 PM W 9:00 AM - 12:00 PM : English, French, W 9:00 AM - 12:30 PM SAT 9:00 AM - 12:00 PM German, Norwegian, SAT 9:00 AM - 12:00 PM : Yes Spanish : Yes : Tagalog, English, French : : English, Italian, : : Vietnamese : Area Of Expertise: : Area Of Expertise: Chronic Dwyre, Terrence R, MD : Illness (es), Physical IPA: NCA Medical Group Area Of Expertise: Chronic Disabilities NPI#: 1437326378 Illness (es) Cummings, Cynthia L, MD 393 Blossom Hill Rd # 210 Le, Stephanie P, DO IPA: NCA Medical Group San Jose, CA 95123 IPA: NCA Medical Group NPI#: 1831280791 (408) 226-5465 NPI#: 1407190093 2585 Samaritan Dr M-F 9:00 AM - 5:00 PM 1693 Flanigan Dr Ste 100 San Jose, CA 951244107 : Yes San Jose, CA 951211683 (408) 278-3003 : English (408) 274-3881 M-F 9:30 AM - 5:00 PM : M,T,TH,F 9:00 AM - 6:00 PM : Yes : W 9:00 AM - 1:00 PM : English, Norwegian, Area Of Expertise: : Yes German, Spanish, French Dwyre, Terrence R, MD : English, Vietnamese, : IPA: NCA Medical Group Italian  : : Yes NPI#: 1437326378  Area Of Expertise: 393 Blossom Hill Rd Ste 210 : Yes

San Jose, CA 951231655 Area Of Expertise: (408) 226-5465 M-F 9:00 AM - 5:00 PM : Yes : English : E R : Yes Area Of Expertise:

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 6 Primary Care Providers C1. Primary Care Providers

Lopez, Joshua D, DO Mai, Nhat V, MD Morgan, Daniel H, MD IPA: NCA Medical Group IPA: NCA Medical Group IPA: NCA Medical Group NPI#: 1629288766 NPI#: 1417023029 NPI#: 1023360930 227 N Jackson Ave 2641 Senter Rd 625 Lincoln Ave San Jose, CA 951161603 San Jose, CA 95111 San Jose, CA 951263785 (408) 278-3003 (408) 294-1990 (408) 278-3003 M-F 8:00 AM - 5:00 PM : Yes : Existing patient only : Yes : English, Vietnamese : English, Spanish : English, Spanish : : : : : : Yes Area Of Expertise: Blind or Area Of Expertise: Area Of Expertise: vision disabilities, Chronic Morgan, Daniel H, MD Lopez, Joshua D, DO Illness (es), Co-occurring IPA: NCA Medical Group IPA: NCA Medical Group disorders, Deaf or hard­ NPI#: 1023360930 NPI#: 1629288766 of-hearing, HIV/AIDS, 625 Lincoln Ave 227 N Jackson Ave Homelessness, Physical San Jose, CA 951263785 San Jose, CA 951161603 Disabilities, Serious Mental (408) 278-3003 (408) 278-3003 Illness M-F 9:00 AM - 5:00 PM : Existing patient only Mai, Nhat V, MD : Yes : English, Spanish IPA: NCA Medical Group : English, Spanish : NPI#: 1417023029 : : 2641 Senter Rd : Yes Area Of Expertise: San Jose, CA 951111122 Area Of Expertise: (408) 294-1990 Nguyen, Hai H, MD M-F 9:00 AM - 5:00 PM IPA: NCA Medical Group SAT 9:00 AM - 2:00 PM NPI#: 1326079997 : Yes 210 N Jackson Ave Ste 20 : English, Vietnamese San Jose, CA 951161621 : (408) 251-6127 : Yes M,T,W,F 9:00 AM - 5:00 PM Area Of Expertise: TH 9:00 AM - 12:00 PM : Yes : English, Chinese, Gujarati : E R : Yes Area Of Expertise:

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Primary Care Providers 7 C1. Primary Care Providers

Nguyen, Hai H, MD Nguyen, Joann A, MD Nguyen, Peter L, DO IPA: NCA Medical Group IPA: NCA Medical Group IPA: NCA Medical Group NPI#: 1326079997 NPI#: 1205177854 NPI#: 1558353060 210 N Jackson Ave # 20 652 E Santa Clara St 749 Story Rd # 20 San Jose, CA 95116 San Jose, CA 951121931 San Jose, CA 95122 (408) 251-6127 (408) 294-2868 (408) 794-2088 M,T,W,F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM M,TH,F 9:00 AM - 5:00 PM TH 9:00 AM - 12:00 PM SAT 9:00 AM - 2:00 PM T 12:00 PM - 7:00 PM : Yes : Yes W 9:00 AM - 12:30 PM : English, Gujarati, : English, Vietnamese : Yes Chinese : : Mandarin Chinese, : : Yes English, Chinese, : Area Of Expertise: Vietnamese Area Of Expertise: Chronic Nguyen, Peter L, DO : Illness (es) IPA: NCA Medical Group : Nguyen, Joann A, MD NPI#: 1558353060 Area Of Expertise: Chronic IPA: NCA Medical Group 749 Story Rd Ste 20 Illness (es) NPI#: 1205177854 San Jose, CA 951222600 Nguyen, Quynh-Queen A, 652 E Santa Clara St (408) 794-2088 DO San Jose, CA 95112 M,TH,F 9:00 AM - 5:00 PM IPA: NCA Medical Group (408) 294-2868 T 12:00 PM - 7:00 PM NPI#: 1598791352 M,T,W,F 9:00 AM - 5:00 PM W 9:00 AM - 12:30 PM 1675 Burdette Dr # 20 TH 9:00 AM - 2:00 PM : Yes San Jose, CA 95121 SAT 9:00 AM - 2:00 PM : English, Chinese, (408) 274-6944 : Yes Mandarin Chinese, M,T,W,F 9:00 AM - 6:00 PM : English, Vietnamese Vietnamese TH 9:00 AM - 12:00 PM : : SAT 9:00 AM - 12:00 PM : : Yes : Existing patient only Area Of Expertise: Co- Area Of Expertise: : English, Spanish, occurring disorders, Chronic Vietnamese Illness (es), Deaf or hard­ : of-hearing, HIV/AIDS, : Homelessness, Physical Area Of Expertise: Co- Disabilities, Serious Mental occurring disorders, Chronic Illness Illness (es), Physical Disabilities

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 8 Primary Care Providers C1. Primary Care Providers

Nguyen, Quynh-Queen A, Nguyen, Thanh Tam N, DO Nguyen, Trung H, MD DO IPA: NCA Medical Group IPA: NCA Medical Group IPA: NCA Medical Group NPI#: 1902145592 NPI#: 1245306794 NPI#: 1598791352 625 Lincoln Ave 280 N Jackson Ave Ste D 1675 Burdette Dr Ste 20 San Jose, CA 951263785 San Jose, CA 951161607 San Jose, CA 951211667 (408) 278-3003 (408) 254-9192 (408) 274-6944 M-F 8:00 AM - 5:00 PM M,T,W,F 9:30 AM - 5:30 PM M,T,W,F 9:00 AM - 6:00 PM : Yes SAT 9:00 AM - 2:00 PM TH 9:00 AM - 12:00 PM : English, Vietnamese : Yes : Yes : : English, Vietnamese : English, Vietnamese, : Yes : Spanish Area Of Expertise: : Yes : E R Nguyen, Trung H, MD Area Of Expertise: : Yes IPA: NCA Medical Group Nguyen, Tung T, DO Area Of Expertise: NPI#: 1245306794 IPA: NCA Medical Group Nguyen, Thanh Tam N, DO 280 N Jackson Ave # D NPI#: 1013982024 IPA: NCA Medical Group San Jose, CA 95116 621 Tully Rd Ste A105 NPI#: 1902145592 (408) 910-6128 San Jose, CA 951111013 625 Lincoln Ave M,T,W,F 9:00 AM - 6:00 PM (408) 279-2988 San Jose, CA 95126 SAT 9:00 AM - 2:00 PM M-F 9:00 AM - 5:00 PM (408) 278-3003 : Yes SAT 9:00 AM - 12:00 PM : Existing patient only : English, Vietnamese : Yes : English, Vietnamese : : English, Vietnamese : : : : Area Of Expertise: Blind : Yes Area Of Expertise: or vision disabilities, Co- Area Of Expertise: occurring disorders, Chronic Illness (es), Deaf or hard­ of-hearing, HIV/AIDS, Homelessness, Physical Disabilities, Serious Mental Illness

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Primary Care Providers 9 C1. Primary Care Providers

Nguyen, Tung T, DO Nguyen, Vu H, DO Park, Byung-Gook, MD IPA: NCA Medical Group IPA: NCA Medical Group IPA: NCA Medical Group NPI#: 1013982024 NPI#: 1225063290 NPI#: 1801996962 621 Tully Rd # A105 210 N Jackson Ave Ste 20 100 Oconnor Dr Ste 11 San Jose, CA 95111 San Jose, CA 951161621 San Jose, CA 951281638 (408) 279-2988 (408) 251-6127 (408) 885-0807 M-F 9:00 AM - 5:00 PM M,T,W,F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM SAT 9:00 AM - 12:00 PM TH 9:00 AM - 12:00 PM : Yes : Yes : Yes : English, Korean, : English, Vietnamese : English Spanish, Vietnamese : : E R : : : Yes : Yes Area Of Expertise: Chronic Area Of Expertise: Area Of Expertise: Illness (es), Physical Park, Byung-Gook, MD Phan, Dung M, MD Disabilities IPA: NCA Medical Group IPA: NCA Medical Group Nguyen, Vu H, DO NPI#: 1801996962 NPI#: 1912013780 IPA: NCA Medical Group 100 Oconnor Dr # 11 1693 Flanigan Dr Ste 100 NPI#: 1225063290 San Jose, CA 95128 San Jose, CA 951211683 210 N Jackson Ave # 20 (408) 885-0807 (408) 274-3881 San Jose, CA 95116 M-F 11:00 AM - 7:00 PM M,T,TH,F 9:00 AM - 6:00 PM (408) 251-6127 : Yes W 9:00 AM - 1:00 PM M-F 9:00 AM - 5:00 PM : English, Korean, SAT 9:00 AM - 1:00 PM : Yes Spanish, Vietnamese : Yes : English : : English, Vietnamese : : : : Area Of Expertise: Chronic : Yes Area Of Expertise: Blind or Illness (es) Area Of Expertise: vision disabilities, Chronic Illness (es), Deaf or hard-of­ hearing, Physical Disabilities

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 10 Primary Care Providers C1. Primary Care Providers

Phan, Dung M, MD Phan, Tuan V, MD Piplani, Kompal, MD IPA: NCA Medical Group IPA: NCA Medical Group IPA: NCA Medical Group NPI#: 1912013780 NPI#: 1710081047 NPI#: 1881868537 1693 Flanigan Dr # 100 1569 Lexann Ave Ste 120 2585 Samaritan Dr San Jose, CA 95121 San Jose, CA 951211794 San Jose, CA 951244107 (408) 274-3881 (408) 270-4267 (408) 278-3003 M,T,TH,F 9:00 AM - 6:00 PM M,T,TH,F 9:00 AM - 5:30 PM : Existing patient only W 9:00 AM - 1:00 PM W 9:00 AM - 1:00 PM : English, Hindi, Panjabi; SAT 9:00 AM - 1:00 PM SAT 9:00 AM - 1:00 PM Punjabi : Yes : Yes : : English, Vietnamese : English, Vietnamese, : : French Area Of Expertise: : : E R Posada, Juan E, MD Area Of Expertise: Chronic : Yes IPA: NCA Medical Group Illness (es) Area Of Expertise: NPI#: 1265496301 Phan, Tuan V, MD Piplani, Kompal, MD 200 Jose Figueres Ave Ste IPA: NCA Medical Group IPA: NCA Medical Group 485 NPI#: 1710081047 NPI#: 1881868537 San Jose, CA 951161597 1569 Lexann Ave # 120 2585 Samaritan Dr (408) 259-3022 San Jose, CA 95121 San Jose, CA 951244107 M-F 9:00 AM - 5:00 PM (408) 270-4267 (408) 278-3003 : Yes : Yes M-F 9:00 AM - 5:00 PM : English, Vietnamese, : English, French, : Yes French, Spanish Vietnamese : English, Panjabi; : : Punjabi, Hindi : Yes : : Area Of Expertise: Area Of Expertise: : Yes Area Of Expertise:

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Primary Care Providers 11 C1. Primary Care Providers

Posada, Juan E, MD Rahman, Galiba G, MD Shah, Shaili H, MD IPA: NCA Medical Group IPA: NCA Medical Group IPA: NCA Medical Group NPI#: 1265496301 NPI#: 1023157187 NPI#: 1831510080 200 Jose Figueres Ave # 200 Jose Figueres Ave # 227 N Jackson Ave 485 260 San Jose, CA 951161603 San Jose, CA 95116 San Jose, CA 95116 (408) 278-3003 (408) 259-3022 (408) 251-8821 : Existing patient only M,T 8:00 AM - 5:00 PM M-TH 9:00 AM - 1:00 PM : English W,TH,F 8:00 AM - 6:00 PM SAT 10:00 AM - 2:00 PM : : Existing patient only : Yes : : English, Vietnamese, : English, Hindi, Urdu Area Of Expertise: Spanish, French : Sharma, Shashi P, MD : : IPA: NCA Medical Group : Area Of Expertise: Chronic NPI#: 1619088036 Area Of Expertise: Chronic Illness (es) 227 N Jackson Ave Illness (es), Blind or vision Shah, Shaili H, MD San Jose, CA 951161603 disabilities, HIV/AIDS, IPA: NCA Medical Group (408) 278-3003 Physical Disabilities NPI#: 1831510080 M-F 8:00 AM - 5:00 PM Rahman, Galiba G, MD 227 N Jackson Ave : Yes IPA: NCA Medical Group San Jose, CA 951161603 : English, Gujarati, Hindi, NPI#: 1023157187 (408) 278-3003 Panjabi; Punjabi, Marathi 200 Jose Figueres Ave Ste M-F 8:00 AM - 5:00 PM : 260 : Yes : Yes San Jose, CA 951161555 : English Area Of Expertise: (408) 251-8821 : P R Siao, Donald Y, MD M-F 9:00 AM - 5:00 PM : Yes IPA: NCA Medical Group : Yes Area Of Expertise: NPI#: 1861415374 : English, Urdu, Hindi 2690 S White Rd # 200 : San Jose, CA 95148 : Yes (408) 223-7771 Area Of Expertise: M-F 9:00 AM - 5:00 PM : Yes : English, Vietnamese : : Area Of Expertise: Chronic Illness (es)

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 12 Primary Care Providers C1. Primary Care Providers

Siao, Donald Y, MD Sta Maria, Joanabel S, MD Thai, Minh Q, MD IPA: NCA Medical Group IPA: NCA Medical Group IPA: NCA Medical Group NPI#: 1861415374 NPI#: 1487755682 NPI#: 1609888411 2960 S White Rd Ste 200 200 Jose Figueres Ave Ste 60 N 13th St # B San Jose, CA 951480000 260 San Jose, CA 95112 (408) 223-7771 San Jose, CA 951161555 (408) 294-2616 M-F 8:00 AM - 5:00 PM (408) 251-0835 M-F 9:00 AM - 6:00 PM : Yes M-F 9:00 AM - 5:00 PM : Yes : English, Vietnamese : Yes : English, Vietnamese : : English, Tagalog, Thai, : : Yes Spanish : Area Of Expertise: : Area Of Expertise: Chronic Sta Maria, Joanabel S, MD : Yes Illness (es), Co-occurring IPA: NCA Medical Group Area Of Expertise: disorders NPI#: 1487755682 Sta Maria, Joanabel S, MD Thai, Minh Q, MD 200 Jose Figueres Ave # IPA: NCA Medical Group IPA: NCA Medical Group 260 NPI#: 1487755682 NPI#: 1609888411 San Jose, CA 95116 625 Lincoln Ave 60 N 13th St Ste B (408) 251-0835 San Jose, CA 951263785 San Jose, CA 951123525 M,W,F 10:00 AM - 3:00 PM (408) 278-3620 (408) 294-2616 T 2:00 PM - 5:00 PM M-F 9:00 AM - 5:00 PM M,T,W,F 9:00 AM - 6:00 PM : Yes : Yes TH 9:00 AM - 12:00 PM : English, Tagalog, Thai, : English, Tagalog, Thai, SAT 9:00 AM - 1:00 PM Spanish Spanish : Yes : : : English, Vietnamese : : Yes : Area Of Expertise: Blind or Area Of Expertise: : Yes vision disabilities, Chronic Area Of Expertise: Illness (es), Deaf or hard-of­ hearing, Physical Disabilities

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Primary Care Providers 13 C1. Primary Care Providers

To, An N, MD To, Rick M, MD Wang, Jenny M, DO IPA: NCA Medical Group IPA: NCA Medical Group IPA: NCA Medical Group NPI#: 1972528016 NPI#: 1194756858 NPI#: 1578900833 87 N 6th St 87 N 6th St 625 Lincoln Ave San Jose, CA 951125423 San Jose, CA 951125423 San Jose, CA 951263785 (408) 279-1180 (408) 279-1180 (408) 278-3003 M,T,TH,F 9:00 AM - 5:00 PM M,T,TH,F 9:00 AM - 5:00 PM M-F 8:30 AM - 4:00 PM W 9:00 AM - 12:00 PM W 9:00 AM - 12:00 PM : Existing patient only SAT 9:00 AM - 12:00 PM SAT 9:00 AM - 12:00 PM : English, Chinese : Yes : Yes : : English, French, : English, Vietnamese : Vietnamese : Area Of Expertise: : : Yes Watson, Amy G, MD : Yes Area Of Expertise: IPA: Physicians Medical Area Of Expertise: To, Rick M, MD Group Of San Jose To, An N, MD IPA: NCA Medical Group NPI#: 1033349998 IPA: NCA Medical Group NPI#: 1194756858 455 O'Connor Dr #200 NPI#: 1972528016 87 N 6th St San Jose, CA 95128 87 N 6th St San Jose, CA 95112 (408) 283-7676 San Jose, CA 95112 (408) 279-1180 : Yes (408) 279-1180 : Yes : English : Yes : English, Vietnamese : : English, Vietnamese, : : French : Area Of Expertise: : Area Of Expertise: Blind or Watson, Amy G, MD : vision disabilities, Chronic IPA: Physicians Medical Area Of Expertise: Chronic Illness (es), Co-occurring Group Of San Jose Illness (es), Co-occurring disorders, Deaf or hard­ NPI#: 1033349998 disorders, Blind or vision of-hearing, HIV/AIDS, 1333 Meridian Ave disabilities, Deaf or hard­ Homelessness, Physical San Jose, CA 95125 of-hearing, HIV/AIDS, Disabilities, Serious Mental (408) 445-3400 Homelessness, Physical Illness : Yes Disabilities, Serious Mental : English Illness : : Area Of Expertise:

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 14 Primary Care Providers C1. Primary Care Providers

Weinstock, Henry, MD GENERAL PRACTICE Huynh, Them, MD IPA: NCA Medical Group IPA: NCA Medical Group NPI#: 1043312655 Huynh, Chau M, MD NPI#: 1467550608 227 N Jackson Ave IPA: NCA Medical Group 1855 Alum Rock Ave # C San Jose, CA 951161603 NPI#: 1265509723 San Jose, CA 95116 (408) 278-3003 1865 Alum Rock Ave Ste B (408) 254-7524 M-F 8:00 AM - 5:00 PM San Jose, CA 951161396 M-F 9:00 AM - 6:00 PM (408) 272-8814 : Yes SAT 8:00 AM - 1:00 PM M,T,W,F 9:00 AM - 12:00 : English, Russian, Polish : Yes PM, 2:00 PM - 5:00 PM : : English, Hindi, TH 9:00 AM - 12:00 PM  Vietnamese : Yes SAT 9:00 AM - 12:00 PM Area Of Expertise: : : Yes : Weinstock, Henry, MD : English, Hindi, Area Of Expertise: IPA: NCA Medical Group Vietnamese NPI#: 1043312655 Tran, Louis, MD : E R 227 N Jackson Ave IPA: NCA Medical Group : Yes San Jose, CA 951161603 NPI#: 1043285992 Area Of Expertise: (408) 278-3003 2899 Senter Rd Ste 140 : Existing patient only Huynh, Them, MD San Jose, CA 951111182 IPA: NCA Medical Group : English, Russian, Polish (408) 281-3889 NPI#: 1467550608 : M,T,TH,F 9:00 AM - 6:00 PM 1855 Alum Rock Ave Ste C : W 9:00 AM - 12:00 PM San Jose, CA 951161398 Area Of Expertise: : Yes (408) 254-7524 : English, French, M,T,W,F 9:30 AM - 5:30 PM Vietnamese TH 9:00 AM - 1:00 PM : E R : Yes : Yes : English, Vietnamese, Area Of Expertise: Hindi : : Yes Area Of Expertise:

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Primary Care Providers 15 C1. Primary Care Providers

INTERNAL MEDICINE Bui, Hong H, MD Chen, Maggie W, MD IPA: NCA Medical Group IPA: NCA Medical Group Abalos-Galito, Marietta F, NPI#: 1417944471 NPI#: 1649470683 MD 1661 Burdette Dr # I 2360 Mckee Rd # 10 IPA: NCA Medical Group San Jose, CA 95121 San Jose, CA 95116 NPI#: 1437277092 (408) 270-9642 (408) 729-7128 125 N Jackson Ave Ste 107 M,T,TH,F 9:00 AM - 6:00 PM M,T,TH,F 9:00 AM - 5:30 PM San Jose, CA 951161915 W 9:00 AM - 12:00 PM W 9:00 AM - 5:00 PM (408) 258-7827 SAT 9:00 AM - 12:00 PM : Yes M,W,F 9:00 AM - 5:00 PM : Yes : Spanish, Mandarin : Yes : English, Vietnamese Chinese, Tagalog, Swedish, : English, Tagalog, Hindi, : English Bengali : : : Area Of Expertise: :  : Yes Area Of Expertise: Chronic Area Of Expertise: Bui, Hong H, MD IPA: NCA Medical Group Illness (es), Blind or vision Aziz, Huma, MD NPI#: 1417944471 disabilities, Physical IPA: NCA Medical Group 1661 Burdette Dr Ste 1 Disabilities NPI#: 1740390111 San Jose, CA 951211613 Cu, Joseph A, MD 400 Race St (408) 270-9642 IPA: NCA Medical Group San Jose, CA 951263705 M,T,TH,F 9:00 AM - 6:00 PM NPI#: 1912086364 (408) 278-3015 W 9:00 AM - 12:00 PM 2680 S White Rd Ste 207 : Existing patient only SAT 9:00 AM - 12:00 PM San Jose, CA 951482079

: English, Panjabi; : Yes (408) 270-2107

Punjabi, Hindi : English, Vietnamese M-F 8:30 AM - 5:00 PM : : : Yes  : : Yes : English, Hindi, Tagalog,

Area Of Expertise: Area Of Expertise: Spanish, Tamil, Iloko : : Yes Area Of Expertise:

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 16 Primary Care Providers C1. Primary Care Providers

Cu, Joseph A, MD Dam, Dinh X, MD Feldman, Arthur B, MD IPA: NCA Medical Group IPA: NCA Medical Group IPA: NCA Medical Group NPI#: 1912086364 NPI#: 1518936616 NPI#: 1669576864 2680 S White Rd # 207 200 N Jackson Ave # C 227 N Jackson Ave San Jose, CA 951482079 San Jose, CA 95116 San Jose, CA 951161603 (408) 270-2107 (408) 923-8080 (408) 278-3003 : Yes M-F 9:00 AM - 5:00 PM : Existing patient only : English, Hindi, Tagalog, : Yes : English Spanish, Tamil, Iloko : English, Persian/Farsi, : : Vietnamese, Hindi, Spanish, : : Norwegian Area Of Expertise: Area Of Expertise: : Feldman, Arthur B, MD Dam, Dinh X, MD : IPA: NCA Medical Group IPA: NCA Medical Group Area Of Expertise: Co- NPI#: 1669576864 NPI#: 1518936616 occurring disorders, Chronic 227 N Jackson Ave 200 N Jackson Ave Ste C Illness (es), Blind or vision San Jose, CA 951161603 San Jose, CA 951161601 disabilities, Deaf or hard-of­ (408) 278-3003 (408) 923-8080 hearing, HIV/AIDS, Physical M-F 8:00 AM - 5:30 PM M,T,TH,F 9:00 AM - 5:30 PM Disabilities, Serious Mental : Yes W 9:00 AM - 12:30 PM Illness : English SAT 9:00 AM - 12:30 PM Do, Trang U, MD : : Yes IPA: NCA Medical Group : Yes : English, Norwegian, NPI#: 1063442663 Area Of Expertise: 2114 Senter Rd # 15 Hindi, Vietnamese, Spanish, Guanzon, Jose M, MD San Jose, CA 951122608 Persian/Farsi IPA: NCA Medical Group (408) 975-9800 : NPI#: 1134150881 M-F 8:30 AM - 5:00 PM : Yes 2395 Montpelier Dr Ste 4 Area Of Expertise: : Yes San Jose, CA 951161619 : English, Vietnamese (408) 272-3041 : M,W,F 10:00 AM - 5:00 PM : T,TH 10:00 AM - 12:00 PM

Area Of Expertise: : Yes : English, Persian/Farsi, Tagalog : : Yes Area Of Expertise:

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Primary Care Providers 17 C1. Primary Care Providers

Guanzon, Jose M, MD Guanzon, Teresita V, MD Hla, Tin T, MD IPA: NCA Medical Group IPA: NCA Medical Group IPA: NCA Medical Group NPI#: 1134150881 NPI#: 1306877055 NPI#: 1326098179 2395 Montpelier Dr # 4 2395 Montepelier Dr # 4 200 Jose Figueres Ave # San Jose, CA 951161619 San Jose, CA 95116 430 (408) 272-3041 (408) 272-3041 San Jose, CA 95116 M,T,W,F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM (408) 929-6088 TH 9:00 AM - 12:00 PM : Yes M,TH 9:00 AM - 4:00 PM : Yes : English, Tagalog, T,W 9:00 AM - 5:00 PM : English, Tagalog, Mandarin Chinese F 9:00 AM - 2:00 PM Persian/Farsi : : Yes : : : English, Burmese, : Area Of Expertise: Mandarin Chinese, Chinese Area Of Expertise: Hla, Tin T, MD : Guanzon, Teresita V, MD IPA: NCA Medical Group : IPA: NCA Medical Group NPI#: 1326098179 Area Of Expertise: Chronic NPI#: 1306877055 200 Jose Figueres Ave Ste Illness (es) 2395 Montpelier Dr Ste 4 430 Hoang, Thuy T, MD San Jose, CA 951161619 San Jose, CA 951161593 IPA: NCA Medical Group (408) 272-3041 (408) 929-6088 NPI#: 1366445413 M,T,W,F 10:00 AM - 5:00 M-F 8:30 AM - 5:00 PM 2593 S King Rd Ste 7 PM : Yes San Jose, CA 951221880 TH 10:00 AM - 12:00 PM : English, Mandarin (408) 238-7390 : Yes Chinese, Chinese, Burmese M,T,W,F 9:00 AM - 6:00 PM : English, Tagalog, : TH 9:00 AM - 5:00 PM Mandarin Chinese : Yes : Yes : Area Of Expertise: : English, Vietnamese : Yes : Area Of Expertise: : Yes Area Of Expertise:

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 18 Primary Care Providers C1. Primary Care Providers

Hoang, Thuy T, MD Husain, Shabnam, MD Hutchins, Mary Jane B, MD IPA: NCA Medical Group IPA: NCA Medical Group IPA: NCA Medical Group NPI#: 1366445413 NPI#: 1609987577 NPI#: 1134221583 2593 S King Rd # 7 2585 Samaritan Dr 125 N Jackson Ave Ste 107 San Jose, CA 95122 San Jose, CA 951244107 San Jose, CA 951161915 (408) 238-7390 (408) 278-3003 (408) 358-8998 M,W,F 9:00 AM - 6:00 PM M-F 8:00 AM - 5:00 PM M,T,TH,F 9:00 AM - 5:00 PM T,TH 9:00 AM - 5:00 PM : Yes : Yes : Yes : English, Panjabi; : English, Spanish, : English, Vietnamese Punjabi, Urdu, Hindi Tagalog : : : : : Yes : Yes Area Of Expertise: Area Of Expertise: Area Of Expertise: Husain, Shabnam, MD Hutchins, Mary Jane B, MD Huynh, Chau M, MD IPA: NCA Medical Group IPA: NCA Medical Group IPA: NCA Medical Group NPI#: 1609987577 NPI#: 1134221583 NPI#: 1265509723 2585 Samaritan Dr 125 N Jackson Ave Ste 206 1865 Alum Rock Ave # B San Jose, CA 951244107 San Jose, CA 951161915 San Jose, CA 95116 (408) 278-3003 (408) 358-8998 (408) 272-8814 : Existing patient only M,T,TH 9:00 AM - 5:00 PM M,T,W,F 9:00 AM - 5:30 PM : English, Panjabi; W 9:00 AM - 12:00 PM TH 9:00 AM - 12:00 PM Punjabi, Hindi, Urdu : Yes SAT 9:00 AM - 12:00 PM : : English, Tagalog, : Yes : Spanish : English, Vietnamese, Area Of Expertise: : Hindi : : Area Of Expertise: : Area Of Expertise:

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Primary Care Providers 19 C1. Primary Care Providers

Huynh, Dat T, MD Huynh, Minh Q, MD Kaileh, Lyth H, MD IPA: NCA Medical Group IPA: NCA Medical Group IPA: NCA Medical Group NPI#: 1033298963 NPI#: 1063437309 NPI#: 1992076715 1661 Burdette Dr Ste N 57 N 13th St 625 Lincoln Ave San Jose, CA 951211681 San Jose, CA 951123439 San Jose, CA 951263785 (408) 270-4582 (408) 998-3075 (408) 278-3003 M,T,TH,F 9:00 AM - 6:00 PM M,W,F 9:00 AM - 6:00 PM M-F 8:00 AM - 5:00 PM W 9:00 AM - 12:00 PM T,TH 9:00 AM - 1:00 PM : Yes : Yes SAT 9:00 AM - 2:00 PM : English, Egyptian : English, Vietnamese : Yes (Ancient), Arabic : E R : English, Vietnamese : : Yes : E R : Yes Area Of Expertise: : Yes Area Of Expertise: Huynh, Dat T, MD Area Of Expertise: Kang, Dae Wook, MD IPA: NCA Medical Group Huynh, Minh Q, MD IPA: NCA Medical Group NPI#: 1033298963 IPA: NCA Medical Group NPI#: 1194741272 1661 Burdette Dr # N NPI#: 1063437309 2000 W Hedding St # 10 San Jose, CA 95121 57 N 13th St San Jose, CA 95128 (408) 270-4582 San Jose, CA 95112 (408) 280-5500 M,T,TH,F 9:00 AM - 6:00 PM (408) 998-3075 M-F 9:00 AM - 6:00 PM : Yes M,W,F 9:00 AM - 6:00 PM : Yes : English, Vietnamese T,TH 9:00 AM - 1:00 PM : English, Mandarin : : Yes Chinese, Russian, Korean, : : English, Vietnamese Vietnamese Area Of Expertise: Chronic : : Illness (es), Physical : : Disabilities Area Of Expertise: Area Of Expertise: Chronic Illness (es), Blind or vision disabilities, Co-occurring disorders, Deaf or hard-of­ hearing, Physical Disabilities

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 20 Primary Care Providers C1. Primary Care Providers

Komshian, Shahe V, MD Korsunsky, Alexander, MD Lam, Osama F, MD IPA: NCA Medical Group IPA: NCA Medical Group IPA: NCA Medical Group NPI#: 1902917883 NPI#: 1427088236 NPI#: 1154432045 2585 Samaritan Dr 5150 Graves Ave Ste 5b 227 N Jackson Ave San Jose, CA 951244107 San Jose, CA 951295005 San Jose, CA 951161603 (408) 278-3003 (408) 517-0560 (408) 278-3003 M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM : Existing patient only : Yes : Yes : English, Spanish, : English, Egyptian : English, Ukrainian, Mandarin Chinese, (Ancient), Armenian, Spanish, Russian Cantonese Chinese, Spanish, Arabic, French : Chinese : : Yes : : Yes Area Of Expertise: : Area Of Expertise: Korsunsky, Alexander, MD Area Of Expertise: Komshian, Shahe V, MD IPA: NCA Medical Group Lam, Osama F, MD IPA: NCA Medical Group NPI#: 1427088236 IPA: NCA Medical Group NPI#: 1902917883 5150 Graves Ave # 5b NPI#: 1154432045 2585 Samaritan Dr San Jose, CA 95129 227 N Jackson Ave San Jose, CA 951244107 (408) 517-0560 San Jose, CA 951161603 (408) 278-3003 M-F 9:00 AM - 4:30 PM (408) 278-3003 : Existing patient only : Yes M-F 8:00 AM - 5:30 PM : English, Spanish, : English, Russian, : Yes Egyptian (Ancient), Arabic, Ukrainian, Spanish : English, Mandarin French, Armenian : Chinese, Cantonese : : Chinese, Spanish, Chinese : Area Of Expertise: : Area Of Expertise: : Yes Area Of Expertise:

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Primary Care Providers 21 C1. Primary Care Providers

Lee, Boo W, MD Lin, Jimmy J, MD Mandreza, Rosalinda A, MD IPA: NCA Medical Group IPA: NCA Medical Group IPA: NCA Medical Group NPI#: 1750466728 NPI#: 1952328585 NPI#: 1336197185 2040 Forest Ave # 3 2411 Forest Ave 2593 S King Rd # 11 San Jose, CA 95128 San Jose, CA 951281505 San Jose, CA 95122 (408) 977-1310 (408) 983-1012 (408) 274-2880 M,T 8:00 AM - 5:00 PM M,T,TH,F 9:00 AM - 5:00 PM : Yes W,TH,F 8:00 AM - 6:00 PM W 9:00 AM - 12:00 PM : English, Tagalog, : Yes : Yes Vietnamese : English, Burmese, : English, Cantonese : Korean, Vietnamese Chinese, Chinese, Mandarin : : Chinese Area Of Expertise:  : : Mandreza, Rosalinda A, MD  Area Of Expertise: Chronic : Yes IPA: NCA Medical Group

Illness (es) Area Of Expertise: NPI#: 1336197185 Lee, Boo W, MD Lin, Jimmy J, MD 2593 S King Rd Ste 11 IPA: NCA Medical Group IPA: NCA Medical Group San Jose, CA 951221880 NPI#: 1750466728 NPI#: 1952328585 (408) 274-2880 2040 Forest Ave Ste 3 2411 Forest Ave M-W 9:00 AM - 5:00 PM San Jose, CA 951284800 San Jose, CA 95128 TH,F 9:00 AM - 12:00 PM (408) 977-1310 (408) 983-1012 : Yes M-F 9:00 AM - 5:00 PM : Yes : English, Tagalog, : Yes : English, Mandarin Vietnamese : English, Vietnamese, Chinese, Chinese, : Basic E R

Korean, Burmese Cantonese Chinese : Yes : E R : Area Of Expertise: : Yes : Area Of Expertise: Area Of Expertise:

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 22 Primary Care Providers C1. Primary Care Providers

Nguyen, Tam H, DO Nguyen, Thinh V, MD Nguyen, Thuy T, MD IPA: NCA Medical Group IPA: NCA Medical Group IPA: NCA Medical Group NPI#: 1962520478 NPI#: 1073759163 NPI#: 1447362934 2110 Mckee Rd 2470 Alvin Ave Ste 70 200 Jose Figueres Ave # San Jose, CA 951161427 San Jose, CA 951211664 395 (408) 258-5083 (408) 223-0505 San Jose, CA 95116 M-F 9:00 AM - 5:00 PM M,T,TH,F 9:30 AM - 6:00 PM (408) 791-6786 : Yes SAT 9:30 AM - 1:00 PM M-F 9:00 AM - 5:00 PM : English : Yes : Existing patient only : : English, Vietnamese, : English, Vietnamese : Yes Tagalog : Area Of Expertise: : : Nguyen, Tam H, DO : Yes Area Of Expertise: Chronic IPA: NCA Medical Group Area Of Expertise: Illness (es) NPI#: 1962520478 Nguyen, Thinh V, MD Nguyen, Thuy T, MD 200 Jose Figueres Ave # IPA: NCA Medical Group IPA: NCA Medical Group 180 NPI#: 1073759163 NPI#: 1447362934 San Jose, CA 95116 2470 Alvin Ave # 70 200 Jose Figueres Ave Ste (408) 258-5083 San Jose, CA 95121 395 M-F 9:00 AM - 5:00 PM (408) 223-0505 San Jose, CA 951161593 : Existing patient only M-F 9:00 AM - 4:00 PM (408) 791-6786 : English SAT 9:00 AM - 12:00 PM M-F 9:00 AM - 5:00 PM : : Yes : Yes : : English, Vietnamese, : English, Vietnamese Area Of Expertise: Co- Tagalog : P R occurring disorders, Chronic : : Yes Illness (es), Deaf or hard­ : Area Of Expertise: of-hearing, HIV/AIDS, Area Of Expertise: Blind or Homelessness, Physical vision disabilities, Chronic Disabilities, Serious Mental Illness (es), Co-occurring Illness disorders, Deaf or hard­ of-hearing, HIV/AIDS, Homelessness, Physical Disabilities, Serious Mental Illness

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Primary Care Providers 23 C1. Primary Care Providers

Nguyen, Tuan N, MD Pascua, Roeliza E, MD Pham, Nga V, MD IPA: NCA Medical Group IPA: NCA Medical Group IPA: NCA Medical Group NPI#: 1265530216 NPI#: 1861503443 NPI#: 1831118686 200 Jose Figueres Ave # 625 Lincoln Ave 1569 Lexann Ave Ste 112 380 San Jose, CA 951263785 San Jose, CA 951211794 San Jose, CA 95116 (408) 278-3003 (408) 532-0105 (408) 259-0737 M-F 8:00 AM - 5:00 PM M,T,TH,F 9:00 AM - 6:00 PM M,T,TH,F 9:30 AM - 6:00 PM : Yes SAT 9:00 AM - 1:00 PM SAT 9:30 AM - 6:00 PM : English, Tagalog, : Yes : Yes Spanish : Danish, Vietnamese, : English, Vietnamese, : English French : Yes : E R : Area Of Expertise: : Yes : Pascua, Roeliza E, MD Area Of Expertise: Area Of Expertise: Chronic IPA: NCA Medical Group Pham, Nga V, MD Illness (es), Blind or vision NPI#: 1861503443 IPA: NCA Medical Group disabilities, Deaf or hard-of­ 625 Lincoln Ave NPI#: 1831118686 hearing, HIV/AIDS San Jose, CA 951263785 1569 Lexann Ave # 112 Nguyen, Tuan N, MD (408) 278-3003 San Jose, CA 95121 IPA: NCA Medical Group : Existing patient only (408) 532-0105 NPI#: 1265530216 : English, Tagalog, M-F 9:00 AM - 6:00 PM 200 Jose Figueres Ave Ste Spanish SAT 9:00 AM - 1:00 PM 380 : : Yes San Jose, CA 951161591 : : English, Vietnamese, (408) 259-0737 Area Of Expertise: Chronic Danish M,T,TH,F 9:30 AM - 6:00 PM Illness (es), Physical : SAT 9:30 AM - 6:00 PM Disabilities : : Yes Area Of Expertise: Blind

: English, French, or vision disabilities, Co-

Vietnamese occurring disorders, Chronic : Illness (es), Deaf or hard­ : Yes of-hearing, HIV/AIDS, Area Of Expertise: Homelessness, Physical Disabilities, Serious Mental Illness

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 24 Primary Care Providers C1. Primary Care Providers

Ramirez, Alfredo, MD Shin, Frank D, MD Sifflet, Leo J, MD IPA: NCA Medical Group IPA: NCA Medical Group IPA: NCA Medical Group NPI#: 1427136894 NPI#: 1003992264 NPI#: 1912018292 2820 Alum Rock Ave 1440 S De Anza Blvd Ste A 625 Lincoln Ave San Jose, CA 951275608 San Jose, CA 951294666 San Jose, CA 951263785 (408) 729-2900 (408) 366-0405 (408) 278-3003 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM : Yes SAT 9:00 AM - 1:00 PM : Yes : English, Spanish : Yes : English, French : : English, Mandarin : : Yes Chinese : Yes Area Of Expertise: : E Area Of Expertise: Ramirez, Alfredo, MD : Yes Sifflet, Leo J, MD IPA: NCA Medical Group Area Of Expertise: IPA: NCA Medical Group NPI#: 1427136894 Shin, Frank D, MD NPI#: 1912018292 2820 Alum Rock Ave # 20 IPA: NCA Medical Group 625 Lincoln Ave San Jose, CA 95127 NPI#: 1003992264 San Jose, CA 951263785 (408) 729-2900 1440 S De Anza Blvd # A (408) 278-3003 : Yes San Jose, CA 95129 : Yes : English, Spanish (408) 366-0405 : English, French : : Yes : : : English, Mandarin : Area Of Expertise: Chinese Area Of Expertise: Reyes, Jose K, MD : Tee, Grace K, MD IPA: NCA Medical Group : IPA: NCA Medical Group NPI#: 1952454274 Area Of Expertise: NPI#: 1689691461 1625 Tully Rd # A 200 Jose Figueres Ave # San Jose, CA 95122 450 (408) 929-0606 San Jose, CA 95116 M-F 9:00 AM - 6:00 PM (408) 929-8385 SAT 9:00 AM - 2:00 PM : Yes : Yes : English, Burmese, : English, Vietnamese, Chinese, Mandarin Chinese Tagalog, Spanish : : : : Area Of Expertise: Area Of Expertise:

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Primary Care Providers 25 C1. Primary Care Providers

Tee, Grace K, MD Thai, Nicole P, MD Tran, Don D, MD IPA: NCA Medical Group IPA: NCA Medical Group IPA: NCA Medical Group NPI#: 1689691461 NPI#: 1245254382 NPI#: 1881688950 200 Jose Figueres Ave Ste 200 Jose Figueres Ave # 25 N 14th St # 780 450 355 San Jose, CA 95112 San Jose, CA 951161593 San Jose, CA 95116 (408) 279-2377 (408) 929-8385 (408) 928-5656 : Yes M-F 9:00 AM - 6:00 PM : Yes : English, Vietnamese : Yes : Vietnamese, English, : : English, Mandarin Mandarin Chinese : Chinese, Chinese, Burmese : Area Of Expertise: Chronic : : Illness (es), Physical : Yes Area Of Expertise: Disabilities Area Of Expertise: Tran, Don D, MD Tran, Khanh C, MD Thai, Nicole P, MD IPA: NCA Medical Group IPA: NCA Medical Group IPA: NCA Medical Group NPI#: 1881688950 NPI#: 1124093133 NPI#: 1245254382 25 N 14th St Ste 780 2899 Senter Rd # 140 200 Jose Figueres Ave Ste San Jose, CA 951126215 San Jose, CA 95111 355 (408) 279-2377 (408) 281-3889 San Jose, CA 951161593 M,T,TH,F 10:00 AM - 5:00 : Yes (408) 928-5656 PM : English, Vietnamese, M,T,TH,F 9:00 AM - 6:00 PM W 10:00 AM - 1:00 PM French SAT 9:00 AM - 12:00 PM : Yes : : Yes : English, Vietnamese : : Vietnamese, English, : E R Area Of Expertise: Chronic Mandarin Chinese : Yes Illness (es), Co-occurring : Area Of Expertise: disorders, Blind or vision : Yes disabilities, HIV/AIDS, Area Of Expertise: Physical Disabilities, Serious Mental Illness

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 26 Primary Care Providers C1. Primary Care Providers

Tran, Khanh C, MD Tse, Daniel Y, MD Tse, Phillip F, MD IPA: NCA Medical Group IPA: NCA Medical Group IPA: NCA Medical Group NPI#: 1124093133 NPI#: 1437258027 NPI#: 1184732901 2899 Senter Rd Ste 140 373 S Redwood Ave 266 N Jackson Ave San Jose, CA 951111182 San Jose, CA 951285109 San Jose, CA 951161606 (408) 281-3889 (408) 261-3739 (408) 937-7581 M,W,F 9:00 AM - 4:00 PM M,W,F 8:30 AM - 5:00 PM T,TH 8:30 AM - 5:30 PM : Yes : Yes : Yes : English, French, : English, Chinese, : English, Vietnamese, Vietnamese Cantonese Chinese Tagalog, Cantonese : E R : Chinese, Chinese, Spanish : Yes : Yes : Area Of Expertise: Area Of Expertise: : Yes

Tran, Thang D, MD Tse, Daniel Y, MD Area Of Expertise: IPA: NCA Medical Group IPA: NCA Medical Group Tse, Phillip F, MD NPI#: 1275514069 NPI#: 1437258027 IPA: NCA Medical Group 1569 Lexann Ave Ste 114 373 S Redwood Ave NPI#: 1184732901 San Jose, CA 951211794 San Jose, CA 95128 266 N Jackson Ave # 7 (408) 223-8818 (408) 261-3739 San Jose, CA 95116 M-F 9:00 AM - 6:00 PM M-W 9:00 AM - 6:00 PM (408) 937-7581 : Yes F 9:00 AM - 4:00 PM M,W 9:00 AM - 6:00 PM : English, Vietnamese, : Yes F 9:00 AM - 4:00 PM Spanish, French : English, Chinese, : Yes : R Cantonese Chinese : English, Tagalog, : : Chinese, Cantonese Area Of Expertise: : Chinese, Spanish, Area Of Expertise: Chronic Vietnamese Illness (es), Physical : Disabilities : Area Of Expertise: Chronic Illness (es), Deaf or hard-of­ hearing, Physical Disabilities

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Primary Care Providers 27 C1. Primary Care Providers

Vetsa, Surekha S, MD Vu, Chung H, MD Wang, Sheng Yong, MD IPA: NCA Medical Group IPA: NCA Medical Group IPA: NCA Medical Group NPI#: 1184650871 NPI#: 1013905017 NPI#: 1700813318 150 N Jackson Ave Ste 105 2593 S King Rd Ste 15 2324 Montpelier Dr # 8 San Jose, CA 951161908 San Jose, CA 951221880 San Jose, CA 95116 (408) 258-0900 (408) 274-0226 (408) 272-8818 M-F 8:30 AM - 5:00 PM M-W 9:30 AM - 5:30 PM M,W 9:00 AM - 5:30 PM : Yes TH 9:00 AM - 12:00 PM T,TH,F 9:00 AM - 2:00 PM : English, Hindi, Marathi, F 9:00 AM - 5:30 PM : Yes Sanskrit, Kannada SAT 9:00 AM - 12:00 PM : English, Chinese, : : Yes German, Mandarin Chinese : Yes : English, Cantonese : Area Of Expertise: Chinese : : E R Vetsa, Surekha S, MD Area Of Expertise: Chronic  IPA: NCA Medical Group : Yes Illness (es)

NPI#: 1184650871 Area Of Expertise: Wang, Sheng Yong, MD 150 N Jackson Ave # 105c Vu, Chung H, MD IPA: NCA Medical Group San Jose, CA 95116 IPA: NCA Medical Group NPI#: 1700813318 (408) 258-0900 NPI#: 1013905017 2324 Montpelier Dr Ste 8 : Yes 2593 S King Rd # 15 San Jose, CA 951161612 : English, Sanskrit, Hindi, San Jose, CA 95122 (408) 272-8818 Marathi, Kannada (408) 274-0226 M,T,TH,F 9:00 AM - 5:30 PM : : Yes : Yes : : English, Cantonese : English, Mandarin Area Of Expertise: Blind Chinese Chinese, German, Chinese or vision disabilities, Co- : : E R occurring disorders, Chronic : : Yes Illness (es), Deaf or hard­ Area Of Expertise: Chronic Area Of Expertise: of-hearing, HIV/AIDS, Illness (es), Physical Homelessness, Physical Disabilities Disabilities, Serious Mental Illness

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 28 Primary Care Providers C1. Primary Care Providers

Wong, David C, MD Zhang, Zheng-Gang, MD Zhang, Zheng-Gang, MD IPA: NCA Medical Group IPA: NCA Medical Group IPA: NCA Medical Group NPI#: 1255435483 NPI#: 1467554071 NPI#: 1467554071 625 Lincoln Ave 55 N 13th St 55 N 13th St San Jose, CA 951263785 San Jose, CA 95112 San Jose, CA 951123528 (408) 278-3003 (408) 993-8764 (408) 993-8764 M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM : Yes : Existing patient only : Yes : English, Spanish, : English, Hindi, Spanish, : English, Mandarin Cantonese Chinese Mandarin Chinese, Chinese, Chinese, Chinese, Hindi, : Panjabi; Punjabi Panjabi; Punjabi, Spanish : Yes : : Area Of Expertise: : : Yes Wong, David C, MD Area Of Expertise: Area Of Expertise: IPA: NCA Medical Group Zhang, Zheng-Gang, MD SANTA CLARA NPI#: 1255435483 IPA: NCA Medical Group 625 Lincoln Ave NPI#: 1467554071 FAMILY MEDICINE San Jose, CA 951263785 225 N Jackson Ave (408) 278-3003 San Jose, CA 951161603 Chung, Peter K, DO IPA: NCA Medical Group (408) 252-4700 : Existing patient only NPI#: 1720083694

: English, Spanish, : Existing patient only 1470 Halford Ave 168

Cantonese Chinese : English, Hindi, Spanish, Santa Clara, CA 950513205 : Mandarin Chinese, Chinese, (408) 247-0099 : Panjabi; Punjabi M-F 9:00 AM - 5:00 PM Area Of Expertise: : : Yes : : English, Romanian; Area Of Expertise: Moldavian; Moldovan, Mandarin Chinese, Cantonese Chinese, Vietnamese, Korean : : Yes Area Of Expertise:

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Primary Care Providers 29 C1. Primary Care Providers

Chung, Peter K, DO Washington, Roger W, MD Walters, Joseph J, MD IPA: NCA Medical Group IPA: NCA Medical Group IPA: NCA Medical Group NPI#: 1720083694 NPI#: 1295812816 NPI#: 1144326752 1470 Halford Ave 885 Scott Blvd # 4 12961 Village Dr # A Santa Clara, CA 95051 Santa Clara, CA 950505255 Saratoga, CA 950704806 (408) 247-0099 (408) 246-9926 (408) 253-4806 M-F 9:00 AM - 4:30 PM : Existing patient only M-F 9:00 AM - 5:00 PM SAT 9:00 AM - 1:00 PM : English, Spanish : Yes : Yes : : English, Korean, Spanish : English, Vietnamese, : : Korean, Cantonese Area Of Expertise: Chronic : Chinese, Mandarin Chinese, Illness (es), Serious Mental Area Of Expertise: Romanian; Moldavian; Illness Moldovan SUNNYVALE SARATOGA : INTERNAL MEDICINE : FAMILY MEDICINE Area Of Expertise: Chronic Lin, Andrew Y, MD Illness (es) Walters, Joseph J, MD IPA: NCA Medical Group IPA: NCA Medical Group NPI#: 1679635254 Washington, Roger W, MD NPI#: 1144326752 500 E Remington Dr Ste 30 IPA: NCA Medical Group 12961 Village Dr Ste A Sunnyvale, CA 940872612 NPI#: 1295812816 Saratoga, CA 950704158 (408) 739-5950 885 Scott Blvd Ste 4 (408) 253-4806 M-TH 9:00 AM - 5:00 PM Santa Clara, CA 950505255 M-F 9:00 AM - 5:00 PM F 9:00 AM - 4:00 PM (408) 246-9926 SAT 9:00 AM - 12:00 PM M-TH 8:00 AM - 5:00 PM : Yes F 8:00 AM - 5:30 PM : English, Spanish, Korean : Yes SAT 8:00 AM - 5:00 PM : : English, Chinese,  Mandarin Chinese : Yes : Yes

: English, Spanish Area Of Expertise: : E R  : P R : Yes Area Of Expertise: : Area Of Expertise:

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 30 Primary Care Providers C1. Primary Care Providers

Lin, Andrew Y, MD IPA: NCA Medical Group NPI#: 1679635254 500 E Remington Dr # 30 Sunnyvale, CA 94087 (408) 739-5950 : Yes : English, Chinese, Mandarin Chinese : : Area Of Expertise: Co- occurring disorders, Chronic Illness (es), Blind or vision disabilities, Deaf or hard­ of-hearing, HIV/AIDS, Homelessness, Physical Disabilities, Serious Mental Illness

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Primary Care Providers 31 C1. Specialists

CALIFORNIA OPHTHALMOLOGY Chow, Clement C, MD NPI#: 1265606461 Chen, Howard H, MD SANTA CLARA 3395 S Bascom Ave Ste 140 NPI#: 1699763748 Campbell, CA 950086770 COUNTY 3395 S Bascom Ave Ste 140 (408) 559-0666 Campbell, CA 950086770 M-F 8:00 AM - 5:00 PM CAMPBELL (408) 559-0666 : Existing patient only M-F 8:00 AM - 5:00 PM ACUPUNCTURE : English, Portuguese,

: Existing patient only Chinese, Cantonese

Kim, Young Joo : English, Cantonese Chinese, Spanish, Mandarin NPI#: 1003274341 Chinese, Spanish, Chinese, Chinese 1925 Winchester Blvd # 101 Mandarin Chinese : Campbell, CA 95008-1000 : : Yes  (408) 828-3409 : Yes Area Of Expertise: M-F 9:00 AM - 6:30 PM Area Of Expertise: Chow, Clement C, MD SAT 9:00 AM - 3:00 PM Chen, Howard H, MD NPI#: 1265606461 SUN CLOSED NPI#: 1699763748 3395 S Bascom Ave Ste 140 : Yes 3395 S Bascom Ave # 140 Campbell, CA 950086770 : English, Korean Campbell, CA 95008 (408) 559-0666 : SR - Limited (408) 559-0666 M-F 8:00 AM - 5:00 PM  M-F 8:00 AM - 5:00 PM : : Existing patient only

Area Of Expertise: : Existing patient only : English, Cantonese

Moon, Sung Bum : English, Cantonese Chinese, Portuguese, NPI#: 1225361843 Chinese, Spanish, Chinese, Mandarin Chinese, Spanish, 621 E Campbell Ave # 16B Mandarin Chinese Chinese Campbell, CA 95008-2138 : :  (510) 467-2922 : :

M,W,F 9:00 AM - 6:00 PM Area Of Expertise: Area Of Expertise: T,TH CLOSED SAT-SUN 9:00 AM - 2:00 PM : Yes : English, Korean : SR - Limited : Area Of Expertise:

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 32 Specialists C1. Specialists

Dessouki, Amr L, MD Monahan, Patrick M, MD Tran, Sherman N, MD NPI#: 1013905389 NPI#: 1891783148 NPI#: 1063407302 3395 S Bascom Ave Ste 140 3395 S Bascom Ave Ste 140 429 Llewellyn Ave Campbell, CA 950086770 Campbell, CA 950086770 Campbell, CA 950081948 (408) 559-0666 (408) 559-0666 (408) 364-1616 M-F 8:00 AM - 5:00 PM : Existing patient only M-TH 8:00 AM - 5:00 PM : Existing patient only : English, Mandarin F 8:00 AM - 4:00 PM : English, Egyptian Chinese, Portuguese, : Yes (Ancient), Arabic, French, Vietnamese, Spanish : English, Vietnamese Cantonese Chinese : : : : : Yes : Yes Area Of Expertise: Area Of Expertise: Area Of Expertise: PHYSICAL MEDICINE CUPERTINO Dessouki, Amr L, MD AND REHAB NPI#: 1013905389 ACUPUNCTURE 3395 S Bascom Ave # 140 Radu Radulescu, Felicia, Campbell, CA 95008 MD Huang, Hui Yi NPI#: 1154760726 (408) 559-0666 NPI#: 1457345944 10601 S De Anza Blvd # M-F 8:00 AM - 5:00 PM 429 Llewellyn Ave 306 Campbell, CA 950081948 : Existing patient only Cupertino, CA 95014-4451 : English, Cantonese (408) 364-1616 M-F 9:00 AM - 5:00 PM (408) 569-5986 Chinese, Egyptian (Ancient), : Yes M-F 9:00 AM - 5:00 PM Arabic, French : English, Romanian; SAT-SUN 9:00 AM - 5:00 : PM : Moldavian; Moldovan : Yes Area Of Expertise: : : Yes : English He, Lingmin, MD Area Of Expertise: : SR - Limited NPI#: 1730405184 : 3395 S Bascom Ave # 140 Area Of Expertise: Campbell, CA 95008 (408) 559-0666 M-F 9:00 AM - 5:00 PM : Existing patient only : English, Vietnamese, Mandarin Chinese, Spanish : : Area Of Expertise:

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Specialists 33 C1. Specialists

Lee, Philip GILROY LOS GATOS NPI#: 1316168255 10311 S De Anza Blvd # 1 ACUPUNCTURE ACUPUNCTURE Cupertino, CA 95014-3028 Goossen, Ahnna Dick, David (408) 725-8197 NPI#: 1235207697 NPI#: 1902251226 M-F 9:00 AM - 7:00 PM 8070 Santa Teresa Blvd # 200 S Santa Cruz Ave # 200 SAT 9:00 AM - 1:00 PM 100 Los Gatos, CA 95030-6743 SUN CLOSED Gilroy, CA 95020-3865 (707) 739-6069 : Yes (408) 842-9688 M-TH CLOSED

: English, Korean M-F 8:00 AM - 5:30 PM F 10:00 AM - 8:00 PM : SR - Limited SAT 8:00 AM - 3:00 PM SAT 10:00 AM - 8:00 PM : SUN CLOSED SUN 10:00 AM - 7:00 PM

Area Of Expertise: : Yes : Yes Tang, Caiping : English : English NPI#: 1053536029 : SR - Limited : SR - Limited 21040 Homestead Rd # 102 : : Cupertino, CA 95014-0238 Area Of Expertise: Area Of Expertise: (408) 306-0360 Feng, Chunbei M-F 11:00 AM - 5:00 PM LOS ALTOS NPI#: 1730403551 SAT 2:00 PM - 4:00 PM ACUPUNCTURE 248 W Main St SUN 3:00 PM - 5:00 PM Los Gatos, CA 95030-6817

: Yes Shi, Cheng Guang (650) 215-3522 NPI#: 1578624995 : Chinese, English M,W,TH 10:00 AM - 3:00 PM 1186 Los Altos Ave : SR - Limited T,F CLOSED Los Altos, CA 94022-1020 : SAT CLOSED (650) 917-9699 Area Of Expertise: SUN 10:00 AM - 3:00 PM M,T,W,F 10:00 AM - 7:00

PM : Yes

TH CLOSED : English SAT 10:00 AM - 3:00 PM : SR - Limited SUN CLOSED : Area Of Expertise: : Yes : Chinese, English : SR - Limited : Area Of Expertise:

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 34 Specialists C1. Specialists

Hunter, Alison Traynor, Charmian SURGERY, GENERAL NPI#: 1518168525 NPI#: 1295027852 14127 Capri Dr # 5A 15951 Los Gatos Blvd # 14 Nwaogu, Iheoma Y, MD Los Gatos, CA 95032-1534 Los Gatos, CA 95032-3488 NPI#: 1861713182 (831) 239-2623 (831) 325-8149 320 Dardanelli Ln Ste 23 M 10:00 AM - 7:00 PM M,T,TH,F CLOSED Los Gatos, CA 950321441 T,TH CLOSED W 9:00 AM - 8:00 PM (408) 540-3636

W 10:00 AM - 3:00 PM SAT-SUN CLOSED M-F 9:00 AM - 5:00 PM

F 9:00 AM - 1:00 PM : Yes : Yes

SAT 8:00 AM - 4:00 PM : English : English : SUN CLOSED : SR - Limited : : Yes : Area Of Expertise: : English Area Of Expertise: : SR - Limited Truong, Amy MILPITAS : NPI#: 1417407354 ACUPUNCTURE Area Of Expertise: 20 S Santa Cruz Ave # 312 Li, Duan Los Gatos, CA 95030-6834 Chen, Alexander NPI#: 1881619542 (408) 676-7269 NPI#: 1649315649 751 Blossom Hl Rd # A2 M 8:00 AM - 12:00 PM 1784 Clear Lk Ave Los Gatos, CA 95032-3583 T,TH CLOSED Milpitas, CA 95035-7014 (408) 358-2689 W 8:00 AM - 6:00 PM (408) 464-0017 M,W,TH 9:00 AM - 6:00 PM F 1:00 PM - 5:00 PM M-F 10:00 AM - 6:00 PM T 10:00 AM - 2:00 PM SAT 9:00 AM - 5:00 PM SAT 10:00 AM - 6:00 PM F 9:00 AM - 5:00 PM SUN CLOSED SUN CLOSED SAT-SUN CLOSED : Yes : Yes : Yes : English, Vietnamese : Chinese, English : Chinese, English : SR - Limited : SR - Limited : SR - Limited : : : Area Of Expertise: Area Of Expertise: Area Of Expertise:

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Specialists 35 C1. Specialists

Hays, Robin Li, Qun Nguyen, Linh NPI#: 1821152679 NPI#: 1902979867 NPI#: 1962587915 485 Los Coches St 1649 S Main St # 102 500 E Calaveras Blvd # 120 Milpitas, CA 95035-5422 Milpitas, CA 95035-6287 Milpitas, CA 95035-7708 (408) 946-9332 (408) 935-8777 (408) 263-8816 M-F 10:00 AM - 5:30 PM M,W,F CLOSED M,T,TH,F 10:00 AM - 7:00 SAT 10:00 AM - 5:30 PM T,TH 10:00 AM - 8:00 PM PM SUN CLOSED SAT 10:00 AM - 8:00 PM W CLOSED : Yes SUN CLOSED SAT 10:00 AM - 2:00 PM : English, Spanish : Yes SUN CLOSED : SR - Limited : Chinese, English : Yes : : SR - Limited : English, Vietnamese Area Of Expertise: : : SR - Limited Lee, Jen Area Of Expertise: : NPI#: 1043512254 Ngo, Tammy Area Of Expertise: 500 E Calaveras Blvd # 200 NPI#: 1841442126 Nguyen, Phung Milpitas, CA 95035 485 Los Coches St NPI#: 1295255735 (408) 372-5492 Milpitas, CA 95035-5422 200 Serra Way # 16 M-F 8:00 AM - 6:00 PM (408) 946-9332 Milpitas, CA 95035-5245 SAT 8:00 AM - 6:00 PM M-TH CLOSED (408) 836-7200 SUN CLOSED F 6:00 AM - 7:00 PM M-F 9:00 AM - 7:00 PM : Yes SAT-SUN 9:00 AM - 12:00 SAT-SUN 9:00 AM - 1:00 : Chinese, English PM PM : SR - Limited : Yes : Yes : : English, Vietnamese : English, Vietnamese Area Of Expertise: : SR - Limited : SR - Limited : : Area Of Expertise: Area Of Expertise:

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 36 Specialists C1. Specialists

Wang, Lihua DERMATOLOGY Lai, Ha T, OD NPI#: 1053654723 NPI#: 1942343918 28 S Abbott Ave Duong, Hoang M, MD 367 Jacklin Rd Milpitas, CA 95035-4802 NPI#: 1508193889 Milpitas, CA 95035 (408) 719-1234 991 Montague Expy Ste 104 (408) 946-9393 Milpitas, CA 950356809 M-F 9:30 AM - 6:00 PM : Existing patient only (408) 263-6073 SAT 9:00 AM - 6:00 PM : English M,T,TH,F 9:00 AM - 6:00 PM SUN CLOSED : : Yes : Existing patient only : : Chinese, English : English, Vietnamese, Area Of Expertise: Spanish, French : SR - Limited Lai, Ha T, OD : E R : NPI#: 1942343918 : Yes Area Of Expertise: 367 Jacklin Rd Area Of Expertise: CHIROPRACTIC Milpitas, CA 950353225 OPTOMETRY (408) 946-9393 Tran, Anthony M, DC M,T,TH,F 10:00 AM - 6:00 NPI#: 1750455093 Dao, Sophie K, OD NPI#: 1104896513 PM 1240 S Abel St SAT 10:00 AM - 3:00 PM Milpitas, CA 950356265 991 Montague Expy # 111 : Yes (408) 263-4747 Milpitas, CA 95035 : English M,F 9:30 AM - 4:00 PM (408) 262-1221 : T,W,TH 9:30 AM - 6:00 PM : Existing patient only : Yes SAT 9:30 AM - 2:00 PM : English, Vietnamese Area Of Expertise: : Existing patient only :  Vu, Alice T, OD : English, Vietnamese : NPI#: 1093839912 : Area Of Expertise: 1553 Landess Ave : Yes Dao, Sophie K, OD Milpitas, CA 950356901 Area Of Expertise: Chronic NPI#: 1104896513 (408) 495-0200 Illness (es), Physical 1757 Landess Ave T,W,TH 10:00 AM - 6:00 PM Disabilities Milpitas, CA 950357019 (408) 262-1221 F 10:00 AM - 4:30 PM M-F 9:30 AM - 5:00 PM SAT 10:00 AM - 6:00 PM SAT 9:00 AM - 1:00 PM : Existing patient only : Yes : English : English, Vietnamese : : : Yes : Yes Area Of Expertise: Area Of Expertise:

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Specialists 37 C1. Specialists

PLASTIC SURGERY MOUNTAIN VIEW Kuo, Joyce NPI#: 1609162890 Nguyen, Hien N, MD ACUPUNCTURE 800 California St # 120

NPI#: 1871556969 Mountain View, CA 94041­ Jang, Jungho 429 S Main St 2809 Milpitas, CA 95035 NPI#: 1093028698 1704 Miramonte Ave # 6 (408) 887-6579 (408) 719-1975 M,W,TH 12:00 PM - 5:00 M-F 9:00 AM - 5:00 PM Mountain View, CA 94040­ 3718 PM : Existing patient only (650) 967-4323 T,F CLOSED : English, Vietnamese, SAT 12:00 PM - 5:00 PM : Yes Tagalog, Spanish SUN CLOSED : Chinese, English, : : Yes  Korean : : Chinese, English : SR - Limited Area Of Expertise: : SR - Limited : : MORGAN HILL Area Of Expertise: Area Of Expertise: Jung, Olivia ACUPUNCTURE Pan, Ethan NPI#: 1598949703 NPI#: 1427298389 Melton, Daniel 1704 Miramonte Ave # 6 175 E El Camino Real # B NPI#: 1811154917 Mountain View, CA 94040­ Mountain View, CA 94040­ 17660 Monterey St # A 3718 2701 Morgan Hill, CA 95037­ (650) 967-4323 (650) 961-1688 3601 M CLOSED M-F 8:30 AM - 6:00 PM (408) 778-7959 T,W,TH,F 9:00 AM - 7:00 PM SAT 8:30 AM - 6:00 PM M,W 9:00 AM - 6:00 PM SAT-SUN 9:00 AM - 7:00 SUN CLOSED T,TH 9:00 AM - 5:00 PM PM : Yes F CLOSED : Yes : Chinese, English SAT-SUN CLOSED : Chinese, English, : SR - Limited : Yes Korean : : English : SR - Limited Area Of Expertise: : SR - Limited : : Area Of Expertise: Area Of Expertise:

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 38 Specialists C1. Specialists

Zhang, Paul Ming OBSTETRICS / SURGERY, GENERAL NPI#: 1215956883 GYNECOLOGY 676 W Dana St Singhal, Shyamali M, MD

Mountain View, CA 94041­ Tran, Xuananh K, MD NPI#: 1992769939

1302 NPI#: 1689616690 515 S Dr Ste 25

(650) 858-0320 2485 Hospital Dr Ste 361 Mountain View, CA

M,T,TH 8:00 AM - 5:00 PM Mountain View, CA 940404209 W,F 8:00 AM - 11:00 AM 940404103 (650) 641-7861

SAT 8:00 AM - 11:00 AM (650) 962-5831 M-F 9:00 AM - 5:00 PM SUN CLOSED M-F 8:30 AM - 5:00 PM : Yes

: Yes : Yes : English, Cantonese : Chinese, English : English Chinese, Persian/Farsi : : : SR - Limited P R  : Yes : : Yes Area Of Expertise: Area Of Expertise: Area Of Expertise: DERMATOLOGY ORTHOPAEDIC PALO ALTO SURGERY Khuu, Duke T, MD ACUPUNCTURE NPI#: 1073724217 Wong, Rodney Z, MD Lee, Eunhan 889 Castro St NPI#: 1669425062 NPI#: 1194165076 Mountain View, CA 515 S Dr Ste 16 4161 El Camino Way # A 940412014 Mountain View, CA Palo Alto, CA 94306-4084 (650) 969-5488 940404209 (650) 815-8251 M-F 9:00 AM - 5:00 PM (650) 967-7249 M-F 8:00 AM - 7:00 PM SAT 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM : Existing patient only SAT 9:00 AM - 4:00 PM : Existing patient only SUN CLOSED : Czech, French, : English, Tagalog, : Yes Mandarin Chinese, Chinese, Spanish, Chinese, : English, Korean English Cantonese Chinese, : : Mandarin Chinese SR - Limited : : Yes :  Area Of Expertise: Area Of Expertise: Chronic : Yes

Illness (es) Area Of Expertise:

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Specialists 39 C1. Specialists

Xu, Meili Bang, Eunju Chang, Chewang NPI#: 1417147802 NPI#: 1770013096 NPI#: 1093174161 122 Sherman Ave 3315 Almaden Expwy # 27­ 5150 Graves Ave # 12H Palo Alto, CA 94306-1822 29 San Jose, CA 95129-5015 (650) 833-9298 San Jose, CA 95118-1557 (510) 566-6988 M-F 9:00 AM - 6:30 PM (408) 510-0704 M-F 9:00 AM - 5:00 PM SAT 9:00 AM - 6:30 PM M-F 10:00 AM - 6:00 PM SAT 9:00 AM - 5:00 PM SUN CLOSED SAT 10:00 AM - 3:00 PM SUN 10:30 AM - 2:00 PM : Yes SUN CLOSED : Yes : Chinese, English : Yes : English : SR - Limited : English, Korean : SR - Limited : : SR - Limited : Area Of Expertise: : Area Of Expertise: Area Of Expertise: SAN JOSE Chou, Chihkang Bang, Kyong NPI#: 1750817755 ACUPUNCTURE NPI#: 1306358189 5150 Graves Ave # 3 100 Oconnor Dr # 29 San Jose, CA 95129-5003 Au, Chau Ai San Jose, CA 95128-1655 (408) 893-8330 NPI#: 1740214717 (408) 646-4112 : Yes 4070 Monterey Hwy M-F 10:00 AM - 5:00 PM : Chinese, English San Jose, CA 95111-3633 SAT 10:00 AM - 1:00 PM : (408) 363-8388 SUN CLOSED SR - Limited : M-F 9:30 AM - 6:00 PM : Yes Area Of Expertise: SAT 9:30 AM - 6:00 PM : English, Korean SUN CLOSED Chung, Eui Yong : SR - Limited NPI#: 1437427457 : Yes : 6105 Snell Ave # 101 : Chinese, English, Area Of Expertise: Vietnamese San Jose, CA 95123-4739 : SR - Limited (408) 234-1919 : M-F 9:00 AM - 6:00 PM Area Of Expertise: SAT 9:00 AM - 1:00 PM SUN CLOSED : Yes : English, Korean : SR - Limited : Area Of Expertise:

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 40 Specialists C1. Specialists

Hsu, Wei Jeung, Hee Kyung Lau, Javis NPI#: 1720142664 NPI#: 1336651280 NPI#: 1689820110 1058 Lincoln Ave 888 Saratoga Ave # 200 6116 Camino Verde Dr # 10 San Jose, CA 95125-3110 San Jose, CA 95129-2639 San Jose, CA 95119-1441 (408) 275-6622 (408) 736-3676 (408) 507-4281 M-F 9:00 AM - 6:00 PM M-F 8:30 AM - 9:00 PM M-F 9:00 AM - 6:00 PM SAT 9:00 AM - 1:00 PM SAT-SUN 8:30 AM - 9:00 SAT 9:00 AM - 6:00 PM SUN CLOSED PM SUN CLOSED : Yes : Yes : Yes : Chinese, English, : English, Korean : Chinese, English French : SR - Limited : SR - Limited : SR - Limited : : : Area Of Expertise: Area Of Expertise: Area Of Expertise: Kang, Min Lee, Seung Bock Huang, Qing Yuan NPI#: 1801134036 NPI#: 1801821574 NPI#: 1215962105 4155 Moorpark Ave # 20 4155 Moorpark Ave # 14 1043 S De Anza Blvd San Jose, CA 95117-1714 San Jose, CA 95117-1714 San Jose, CA 95129-2771 (408) 409-0016 (408) 984-3928 (408) 973-9918 M,W,F 9:00 AM - 5:00 PM M,T,W,F 9:00 AM - 6:00 PM M-F 11:00 AM - 6:30 PM T,TH CLOSED TH CLOSED SAT 11:00 AM - 7:00 PM SAT-SUN CLOSED SAT 9:00 AM - 12:00 PM SUN CLOSED : Yes SUN CLOSED : Yes : English, Korean : Yes : Chinese, English : SR - Limited : English, Korean : SR - Limited : : SR - Limited : Area Of Expertise: : Area Of Expertise: Area Of Expertise:

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Specialists 41 C1. Specialists

Li, Shumei Miao, Baowen Pham, Lana NPI#: 1124513478 NPI#: 1730690660 NPI#: 1376676247 888 Saratoga Ave # 200 839 Winifred Dr 628 E Santa Clara St San Jose, CA 95129-2639 San Jose, CA 95122-3345 San Jose, CA 95112-1902 (408) 736-3676 (415) 734-6852 (408) 275-6000 M-F 9:00 AM - 9:00 PM M-F 5:00 PM - 8:00 PM M,T,W,F 10:00 AM - 6:00 SAT-SUN 9:00 AM - 9:00 SAT-SUN 5:00 PM - 8:00 PM PM PM TH 10:00 AM - 3:00 PM : Yes : Yes SAT 10:00 AM - 3:00 PM : English, Korean : Chinese, English SUN CLOSED : SR - Limited : SR - Limited : Yes : : : English, Vietnamese Area Of Expertise: Area Of Expertise: : SR - Limited Lim, Keumrye Nguyen, Mychau : NPI#: 1437555901 NPI#: 1962932749 Area Of Expertise: 888 Saratoga Ave # 200 2451 S King Rd # D Tran, Huong San Jose, CA 95129-2639 San Jose, CA 95122-2540 NPI#: 1568761914 (408) 736-3676 (408) 250-1408 5595 Winfield Blvd # 106 M-F 9:00 AM - 9:00 PM M-TH 10:00 AM - 6:00 PM San Jose, CA 95123-1220 SAT 9:00 AM - 9:00 PM F CLOSED (408) 792-7229 SUN 9:00 AM - 5:00 PM SAT 10:00 AM - 2:00 PM M-F 9:00 AM - 6:00 PM : Yes SUN CLOSED SAT 9:00 AM - 1:00 PM : English, Korean : Yes SUN CLOSED : SR - Limited : English, Vietnamese : Yes : : SR - Limited : English, Vietnamese Area Of Expertise: : : SR - Limited Lu, Yung Shih Area Of Expertise: : NPI#: 1841556198 Area Of Expertise: 888 Saratoga Ave # 200 San Jose, CA 95129-2639 (408) 736-3676 : Yes : Chinese, English, Korean : SR - Limited : Area Of Expertise:

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 42 Specialists C1. Specialists

Tran, Nhien Wang, Yuanyuan Yeh, Mao-Jung NPI#: 1346315371 NPI#: 1003329731 NPI#: 1417155755 621 Tully Rd # 207 2034 Frst Ave # 1B 1614 S De Anza Blvd San Jose, CA 95111-1013 San Jose, CA 95128-4809 San Jose, CA 95129-4608 (408) 287-5540 (669) 245-7958 (408) 996-8404 M,T,TH,F 10:30 AM - 5:30 M CLOSED M-F 9:00 AM - 6:00 PM PM T,W,TH,F 10:00 AM - 7:00 SAT 9:00 AM - 6:00 PM W CLOSED PM SUN CLOSED SAT 10:30 AM - 1:00 PM SAT 10:00 AM - 7:00 PM : Yes SUN CLOSED SUN CLOSED : Chinese, English : Yes : Yes : SR - Limited : English, Vietnamese : Chinese, English : : SR - Limited : SR - Limited Area Of Expertise: : : ALLERGY / Area Of Expertise: Area Of Expertise: IMMUNOLOGY Wang, Angela Yang, Ying NPI#: 1114168291 NPI#: 1710293634 Del Mundo, Judy T, MD 6809 Chiala Ln 2690 S White Rd # 230 NPI#: 1942203013 San Jose, CA 95129-2852 San Jose, CA 95148-2077 2061 Clarmar Way Ste A (408) 221-7435 (408) 238-6688 San Jose, CA 951281706 M,T,TH,F 10:00 AM - 6:00 M-F 9:00 AM - 5:00 PM (408) 271-8807

PM SAT 10:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM W CLOSED SUN CLOSED : Existing patient only

SAT 10:00 AM - 6:00 PM : Yes : Spanish, English SUN CLOSED : English : : Yes : Yes : SR - Limited Area Of Expertise: : Chinese, English : : SR - Limited Area Of Expertise: : Area Of Expertise:

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Specialists 43 C1. Specialists

CARDIOVASCULAR Lien, John H, MD Rezaee, Mehrdad, MD DISEASE NPI#: 1932291648 NPI#: 1629056692 2470 Alvin Ave Ste 10 2030 Forest Ave Ste 210 Alavi, Munawar, MD San Jose, CA 951211664 San Jose, CA 951284833 NPI#: 1851334403 (408) 251-7900 (408) 295-2257 200 Jose Figueres Ave Ste M-F 9:00 AM - 5:00 PM M-TH 8:30 AM - 5:00 PM 365 : Yes F 8:30 AM - 2:00 PM San Jose, CA 951161593 : English, Spanish, : Existing patient only (408) 770-3102 Chinese, Vietnamese : English, Portuguese, M-F 9:00 AM - 5:00 PM : Russian, Persian/Farsi, : Existing patient only : Yes Hindi : English, Spanish, Hindi, Area Of Expertise: : E R Mandarin Chinese, Urdu : Yes Ma, Adrian O, MD : E R NPI#: 1952305971 Area Of Expertise: : Yes 200 Jose Figueres Ave Ste GASTROENTEROLOGY Area Of Expertise: 215 Alavi, Munawar, MD Levitt, Brian S, MD San Jose, CA 951161588 NPI#: 1235257759 NPI#: 1851334403 (408) 729-3388 200 Jose Figueres Ave # 2340 Montpelier Dr Ste A M-TH 9:30 AM - 4:30 PM San Jose, CA 951161622 365 F 9:30 AM - 1:00 PM San Jose, CA 95116 (408) 347-9001 : Existing patient only (408) 770-3102 M-F 9:00 AM - 6:00 PM : Chinese, Mandarin : Yes M-F 8:00 AM - 5:00 PM Chinese, Urdu, English, : English, Vietnamese, : Existing patient only Tagalog : English, Mandarin Spanish, Chinese Chinese, Urdu, Spanish, : E R :  Hindi : Yes : Yes

: Area Of Expertise: Area Of Expertise: : Area Of Expertise:

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 44 Specialists C1. Specialists

Levitt, Brian S, MD Trinh, Huy N, MD Lee, Charlene S, MD NPI#: 1235257759 NPI#: 1326041658 NPI#: 1831488337 2331 Montpelier Dr # B 2340 Montpelier Dr Ste A 200 Jose Figueres Ave # San Jose, CA 95116 San Jose, CA 951161622 245 (408) 347-9001 (408) 347-9001 San Jose, CA 95116 : Existing patient only M-F 9:00 AM - 5:30 PM (408) 923-3388 : English, Vietnamese, : Yes M-F 9:00 AM - 5:00 PM Spanish, Chinese : English, Vietnamese, : Existing patient only : Chinese, Spanish : English, Cantonese : : Chinese Area Of Expertise: : Yes : : Nguyen, Huy A, MD Area Of Expertise: Area Of Expertise: NPI#: 1073517306 HEMATOLOGY / 2340 Montpelier Dr Ste A ONCOLOGY INFECTIOUS DISEASES San Jose, CA 951161622 Agarwal, Manoj, MD Charney, Michael T, MD (408) 347-9001 NPI#: 1700955143 M-F 9:00 AM - 5:30 PM NPI#: 1700891900 227 N Jackson Ave 2100 Forest Ave Ste 106 : Yes San Jose, CA 951161603 San Jose, CA 951281422 : English, Spanish, (408) 347-2190 (408) 286-6470 Vietnamese, Chinese M-F 8:00 AM - 5:00 PM M,W,F 9:00 AM - 12:00 PM, : : Yes 1:00 PM - 5:00 PM : Yes T 9:00 AM - 12:00 PM Area Of Expertise: : English, Bengali, Hindi : : Existing patient only Nguyen, Khanh K, MD : Yes : English, Spanish, French NPI#: 1770585044 Area Of Expertise: : R 2340 Montpelier Dr Ste A : Yes San Jose, CA 951161622 Area Of Expertise: HIV/ (408) 347-9001 AIDS M-F 9:00 AM - 5:30 PM : Yes : English, Chinese, Vietnamese, Spanish : : Yes Area Of Expertise:

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Specialists 45 C1. Specialists

Ramachandran, Rani V, MD NEUROLOGY Le, Chuong M, MD NPI#: 1881621324 NPI#: 1568501005 105 N Bascom Ave Ste 203a Guisado, Raul, MD 25 N 14th St Ste 660 San Jose, CA 951281870 NPI#: 1366590887 San Jose, CA 951126214 (408) 294-2399 2516 Samaritan Dr Ste K (408) 800-4044 M-F 9:00 AM - 5:00 PM San Jose, CA 951244108 M-F 9:00 AM - 5:00 PM (408) 358-6525 : Existing patient only : Yes M-TH 8:30 AM - 3:00 PM : Spanish, English : English, Vietnamese, F 8:30 AM - 11:30 AM : Italian : Yes : Yes : Area Of Expertise: : Vietnamese, English : Yes : Area Of Expertise: NEPHROLOGY : Yes Area Of Expertise: Sun, Xihua, MD Elahi, Rashid S, MD NPI#: 1851326672 NPI#: 1790753408 Le, Chuong M, MD 349 S Monroe St Ste 40

200 Jose Figueres Ave Ste NPI#: 1568501005 San Jose, CA 951285107

270 200 Jose Figueres Ave # (408) 557-0550

San Jose, CA 951161555 475 M,T,TH,F 8:30 AM - 4:30 PM

(408) 937-9009 San Jose, CA 95116 W 11:00 AM - 5:00 PM M-F 8:30 AM - 5:30 PM (408) 800-4044 : Existing patient only

: Existing patient only : Existing patient only : English, Chinese,

: English : English, Vietnamese, Mandarin Chinese

: E R Italian :

: Yes : : Yes  Area Of Expertise: : Area Of Expertise: Area Of Expertise: Chronic Illness (es)

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 46 Specialists C1. Specialists

OBSTETRICS / Kim, Dai J, MD OPHTHALMOLOGY GYNECOLOGY NPI#: 1578527453 2101 Forest Ave Ste 102 Luong, Danny B, MD Cai, Dung V, MD San Jose, CA 951281472 NPI#: 1386750438

NPI#: 1124032792 (408) 273-1234 200 Jose Figueres Ave Ste

259 Meridian Ave # 5 M-F 9:00 AM - 5:00 PM 350 San Jose, CA 95126 San Jose, CA 951161594 : Yes (408) 294-5115 (408) 923-8138 : English, Spanish, Korean M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:30 PM :

: Existing patient only : Yes : Yes

: Cantonese Chinese, Area Of Expertise: : English, Chinese, Spanish, Vietnamese, Vietnamese, Spanish, English OCCUPATIONAL Cantonese Chinese, : THERAPY Mandarin Chinese : Julian, Priscilla, OT : Area Of Expertise: NPI#: 1235648833 : Yes Kim, Dai J, MD 911 Bern Ct # 140 Area Of Expertise: NPI#: 1578527453 San Jose, CA 95112 Luong, Danny B, MD 2101 Forest Ave # 126 (408) 573-7720 NPI#: 1386750438 San Jose, CA 95128 M,T,TH 1:00 PM - 5:00 PM 200 Jose Figueres Ave # (408) 275-1234 W,F 1:00 PM - 6:00 PM 350 M-F 9:00 PM - 6:00 PM : Yes San Jose, CA 95116 : Existing patient only : English (408) 923-8138 : English, Spanish, Korean : : Existing patient only : : : English, Cantonese : Area Of Expertise: Chinese, Vietnamese, Area Of Expertise: Blind Mandarin Chinese, Chinese, or vision disabilities, Co- Spanish occurring disorders, Chronic : Illness (es), Deaf or hard­ : of-hearing, HIV/AIDS, Area Of Expertise: Homelessness, Physical Disabilities, Serious Mental Illness

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Specialists 47 C1. Specialists

Nguyen, Lien H, MD OPTOMETRY ORTHOPAEDIC NPI#: 1376584599 SURGERY 2449 S King Rd Ste 10 Huynh, Anh-Thy N, OD San Jose, CA 951221811 NPI#: 1497031660 Anderson, Jeffrey J, MD (408) 238-1978 1569 Lexanne Ave Ste 124 NPI#: 1639285927 M-F 9:00 AM - 6:00 PM San Jose, CA 951211794 333 Oconnor Dr (408) 440-4556 San Jose, CA 951281623 : Yes M,T 10:00 AM - 7:00 PM (408) 297-3484 : English, German, TH,F 10:00 AM - 6:00 PM M-F 8:30 AM - 5:00 PM French, Vietnamese SAT 9:00 AM - 3:00 PM : : Existing patient only

: Yes : Yes : English, Vietnamese Area Of Expertise: : English, Vietnamese : : P R : Yes Nguyen, Ngoc T, MD : Yes Area Of Expertise: Chronic NPI#: 1609935113 Area Of Expertise: Illness (es), Physical 2380 Montpelier Dr Ste 300 Kao, Jennifer H, OD Disabilities San Jose, CA 951161620 NPI#: 1205866944 Farr, Morteza M, DO (408) 272-3706 1701 Lundy Ave Ste 120 M-F 8:00 AM - 5:00 PM NPI#: 1023066891 San Jose, CA 951311860 125 N Jackson Ave Ste 101 : Existing patient only (408) 453-9988 San Jose, CA 951161914 : English M-F 9:00 AM - 6:00 PM (408) 258-6565 : SAT 8:00 AM - 1:00 PM M-F 8:30 AM - 12:30 PM, : Yes : Existing patient only 1:30 PM - 5:30 PM Area Of Expertise: : English : Yes Xie, John Z, MD : : English, Faroese, NPI#: 1972861664 : Yes Persian/Farsi, Spanish 200 Jose Figueres Ave Ste Area Of Expertise: : E R 350 : Yes San Jose, CA 951161594 Area Of Expertise: (408) 923-8138 M-F 9:00 AM - 5:30 PM : Yes : English, Mandarin Chinese, Spanish, Vietnamese : P R : Yes Area Of Expertise:

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 48 Specialists C1. Specialists

Huffer, Bruce R, MD Wong, Frank Fook Y, MD Lal, Niraj, MD NPI#: 1376581934 NPI#: 1528120904 NPI#: 1770614059 2100 Forest Ave # 107 175 N Jackson Ave Ste 104 3535 Ross Ave Ste 202 San Jose, CA 95128 San Jose, CA 951161909 San Jose, CA 951243038 (408) 297-2833 (408) 258-6566 (408) 495-8400 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 6:00 PM M,T,TH,F 11:30 AM - 6:30 : Existing patient only SAT 1:00 PM - 6:00 PM PM : English, French, Spanish : Existing patient only : Existing patient only : : English, Chinese, : English, Hindi, Spanish : Spanish, Mandarin Chinese, : Area Of Expertise: Physical Vietnamese : Disabilities : Area Of Expertise: Stidham, Kalle M, DO : Yes Nelson, Penny L, PA NPI#: 1164627501 Area Of Expertise: NPI#: 1902160674 200 Jose Figueres Ave Ste OTOLARYNGOLOGY 280 N Jackson Ave Ste C 225 San Jose, CA 951161607 San Jose, CA 951161588 Dinh, Ngon H, DO (408) 926-5300 (408) 929-5610 NPI#: 1730156027 M-F 8:00 AM - 5:00 PM 200 Jose Figueres Ave Ste M-F 9:00 AM - 4:00 PM : Yes 290 : Existing patient only : English San Jose, CA 951161587 : English : (408) 251-9700 : : Yes M-TH 9:00 AM - 5:00 PM : Area Of Expertise: F 9:00 AM - 1:00 PM Area Of Expertise: : Existing patient only Trevino, Richard J, MD : English, Chinese NPI#: 1275616310 : 280 N Jackson Ave Ste C : Yes San Jose, CA 951161607 Area Of Expertise: (408) 926-5300 M,TH 9:00 AM - 5:30 PM T 8:00 AM - 4:00 PM W 9:00 AM - 6:30 PM F 9:00 AM - 12:00 PM : Yes : English, Vietnamese : E : Yes Area Of Expertise:

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Specialists 49 C1. Specialists

PLASTIC SURGERY Abe, Richard D, DPM PULMONARY DISEASES NPI#: 1972682433 Weibel, Timothy J, MD 280 N Jackson Ave Ste A Bassiri, Ali G, MD NPI#: 1548296437 San Jose, CA 951161607 NPI#: 1316010275 175 N Jackson Ave Ste 102 (408) 923-0309 2101 Forest Ave Ste 112 San Jose, CA 951161909 M,T,W,F 9:00 AM - 4:00 PM San Jose, CA 951281472 (408) 729-9100 (408) 288-7166 : Existing patient only M-F 8:30 AM - 5:30 PM M-F 9:00 AM - 5:00 PM : English, Korean : Existing patient only : Existing patient only : E R : English, Russian, French : English, Spanish, : Yes : Persian/Farsi Area Of Expertise: : Yes : Area Of Expertise: Harrison, Andrew R, DPM : Yes NPI#: 1649236399 PODIATRY Area Of Expertise: 3150 Almaden Expy Ste205 Dass, Sharad Kumar K, MD San Jose, CA 951181253 Abe, Richard D, DPM NPI#: 1144312125 (408) 225-8149 NPI#: 1972682433 105 N Bascom Ave Ste 202 M,T,F 9:00 AM - 12:00 PM, 280 N Jackson Ave # A San Jose, CA 951281811 3:00 PM - 6:30 PM San Jose, CA 95116 (408) 993-1500

(408) 923-0309 : Yes M-F 9:00 AM - 5:00 PM M,W,F 9:00 AM - 5:30 PM : English : Existing patient only T 9:00 AM - 12:00 PM : E R : English, Spanish, Hindi  : Existing patient only : Yes :

: English, Korean Area Of Expertise: : Yes : Ky, Nguyen, DPM Area Of Expertise: : NPI#: 1740392208 Area Of Expertise: Physical 660 E Santa Clara St Disabilities San Jose, CA 951121931 (408) 459-7397 M-F 9:00 AM - 5:00 PM : Yes : English, Spanish, Vietnamese : : Yes Area Of Expertise:

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 50 Specialists C1. Specialists

RHEUMATOLOGY SURGERY, GENERAL Hirai, Thomas J, MD NPI#: 1134231384 Kao, Lily, MD Gartland, Patrick F, MD 200 Jose Figueres Ave Ste NPI#: 1578742888 NPI#: 1295700995 225 2690 S White Rd Ste 50 2100 Forest Ave Ste 103 San Jose, CA 951161588 San Jose, CA 951482075 San Jose, CA 951281422 (408) 929-5610 (408) 223-7000 (408) 275-8500 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM : Yes

: Existing patient only : Existing patient only : English, Japanese,

: English, Chinese, : English, Russian, Spanish, Portuguese Mandarin Chinese Persian/Farsi, Hindi : : : E R : Yes  : Yes : Yes Area Of Expertise: Area Of Expertise: Area Of Expertise: Nguyen, Huy T, DO SPEECH THERAPY / Harakeh, Ayman A, MD NPI#: 1588770762 PATHOLOGY NPI#: 1578760633 200 Jose Figueres Ave Ste 200 Jose Figueres Ave Ste Myers, Melanie E, MSLP 225 225 NPI#: 1215161450 San Jose, CA 951161588 San Jose, CA 951161588 1101 S Winchester Blvd # (408) 929-5610 (408) 929-5610 F168 M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM San Jose, CA 95117 : Yes (408) 249-0770 : Existing patient only : English, Vietnamese M-F 9:00 AM - 6:00 PM : English, French, Arabic : : : Yes : Yes : : English, Spanish Area Of Expertise: Area Of Expertise: : : Area Of Expertise:

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Specialists 51 C1. Specialists

Nguyen, Nang T, DO Nguyen, Richard T, DO UROLOGY NPI#: 1043326226 NPI#: 1023185030 200 Jose Figueres Ave # 2450 Samaritan Dr Ste 1 Habibi, Hossein, MD

225 San Jose, CA 951243912 NPI#: 1073533345

San Jose, CA 95116 (408) 358-1855 175 N Jackson Ave Ste 206

(408) 929-5610 M-F 9:00 AM - 5:00 PM San Jose, CA 951161909 (408) 259-7282 M-F 9:00 AM - 5:00 PM : Yes M-F 9:00 AM - 5:00 PM : Existing patient only : English, Spanish, : English, Mandarin Mandarin Chinese, : Existing patient only Chinese, Vietnamese Vietnamese : English, Persian/Farsi, : : Spanish : E   : : Yes : Yes

Area Of Expertise: Area Of Expertise: Area Of Expertise: Nguyen, Nang T, DO Rohaninejad, Hwong, James S, MD

NPI#: 1043326226 Mohammadreza, MD NPI#: 1629335476

200 Jose Figueres Ave Ste NPI#: 1912139528 200 Jose Figueres Ave #

225 2505 Samaritan Dr Ste 504 425

San Jose, CA 951161588 San Jose, CA 951244014 San Jose, CA 95116

(408) 929-5610 (408) 358-3111 (408) 998-1877

M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 4:30 PM M-F 8:30 AM - 5:30 PM

: Yes : Existing patient only : Existing patient only

: English, Mandarin : English, Persian/Farsi, : English, Mandarin Chinese, Vietnamese Spanish Chinese, Cantonese : : Chinese, Vietnamese   : Yes : Yes :

Area Of Expertise: Area Of Expertise: : Area Of Expertise:

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 52 Specialists C1. Specialists

Hwong, Lawrence Y, MD Wherry, Patrick E, MD Huh, Joon NPI#: 1306899208 NPI#: 1134127269 NPI#: 1730248444 200 Jose Figueres Ave Ste 2505 Samaritan Dr Ste 201 3148 El Camino Real # 106 425 San Jose, CA 951244009 Santa Clara, CA 95051­ San Jose, CA 951161596 (408) 356-7089 2930 (408) 998-1877 M,F 8:00 AM - 5:00 PM (408) 241-0763 M-F 9:00 AM - 5:30 PM T,W,TH 7:30 AM - 5:00 PM M-F 9:30 AM - 6:30 PM : Yes : Yes SAT 9:30 AM - 1:00 PM : English, Japanese, : English, French, Hindi, SUN CLOSED Mandarin Chinese, Chinese, Spanish : Yes Turkish : : English, Korean : : Yes : SR - Limited : Yes Area Of Expertise: : Area Of Expertise: SANTA CLARA Area Of Expertise: Kraft, John K, MD Kim, In Sun NPI#: 1679646533 ACUPUNCTURE NPI#: 1689717274 2581 Samaritan Dr Ste 200 2656 El Camino Real Cho, Ki San Jose, CA 951244112 Santa Clara, CA 95051­ NPI#: 1730217985 (408) 358-2030 3041 2454 El Camino Real M,T,TH 9:00 AM - 5:00 PM (408) 260-1800 Santa Clara, CA 95051­ F 9:00 AM - 1:30 PM M,W,F 10:00 AM - 6:00 PM 3002 T,TH 1:00 PM - 6:00 PM : Yes (408) 260-1188 SAT-SUN CLOSED : English M-F 11:00 AM - 5:00 PM : SAT 11:00 AM - 3:00 PM : Yes  : Yes SUN CLOSED : Chinese, English, Area Of Expertise: Japanese, Korean : Yes : English, Korean : SR - Limited : SR - Limited : : Area Of Expertise: Area Of Expertise:

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Specialists 53 C1. Specialists

Kwon, Jeong Ae Lee, Hsueh SARATOGA NPI#: 1972655918 NPI#: 1033654025 3069 Lawrence Expwy 3571 Homestead Rd ACUPUNCTURE Santa Clara, CA 95051­ Santa Clara, CA 95051­ Venegas, Inyoung 0713 5161 NPI#: 1053804211 (408) 830-0200 (408) 899-6087 18805 Cox Ave # 170 M-F 9:00 AM - 6:00 PM M-F 10:00 AM - 7:00 PM Saratoga, CA 95070-4162 SAT 9:00 AM - 2:00 PM SAT 10:00 AM - 7:00 PM (925) 255-3888 SUN CLOSED SUN 2:00 PM - 7:00 PM M-F 8:00 AM - 6:00 PM : Yes : Yes SAT 8:00 AM - 12:00 PM : English, Korean : Chinese, English, SUN CLOSED : SR - Limited Korean : Yes : : SR - Limited : English, Korean, Area Of Expertise: : Vietnamese Lau, Javis Area Of Expertise: : SR - Limited NPI#: 1689820110 Yun, Katherine : 2060 Walsh Ave # 133 NPI#: 1760510747 Area Of Expertise: Santa Clara, CA 95050­ 3105 El Camino Real # 208 SUNNYVALE 2500 Santa Clara, CA 95051­ (408) 507-4281 2936 ACUPUNCTURE M-F 9:00 AM - 6:00 PM (408) 483-8348 SAT 9:00 AM - 6:00 PM M,T,W,F 10:00 AM - 5:00 Chen, Suiping SUN CLOSED PM NPI#: 1548603079 1208 E Arques Ave # 108-1 : Yes TH CLOSED SAT 11:00 AM - 2:00 PM Sunnyvale, CA 94085-5419 : Chinese, English SUN CLOSED (650) 489-0938 : SR - Limited M,T,TH,F CLOSED  : Yes : W 10:00 AM - 6:00 PM : English, Korean Area Of Expertise: SAT 8:00 AM - 1:00 PM : SR - Limited SUN CLOSED : : Yes Area Of Expertise: : English : SR - Limited : Area Of Expertise:

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 54 Specialists C1. Specialists

Chieu, Chang-Wei Li, Anna Yang, Philip NPI#: 1013958412 NPI#: 1972657849 NPI#: 1588767008 1288 Kifer Rd # 210 608 E Fremont Ave 441 De Guigne Dr # 201 Sunnyvale, CA 94086-5328 Sunnyvale, CA 94087-3401 Sunnyvale, CA 94085-3875 (408) 749-1232 (408) 394-2440 (408) 733-6678 M-F 10:00 AM - 6:00 PM M 9:00 AM - 6:00 PM M-F 9:00 AM - 5:00 PM SAT-SUN CLOSED T,TH 8:00 AM - 7:00 PM SAT-SUN 9:00 AM - 5:00 : Yes W 1:00 PM - 7:00 PM PM : Chinese, English F CLOSED : Yes : SR - Limited SAT 8:00 AM - 8:00 PM : Chinese, English : SUN 10:00 AM - 8:00 PM : SR - Limited Area Of Expertise: : Yes :

Lee, Jin Young : Chinese, English Area Of Expertise: NPI#: 1477963148 : SR - Limited Zhang, Jiaying 1288 Kifer Rd # 202 : NPI#: 1003338252 Sunnyvale, CA 94086-5326 Area Of Expertise: 1110 Sunnyvale Saratoga (408) 831-3815 Lim, Min Rd # B2 M,W,F CLOSED NPI#: 1750810362 Sunnyvale, CA 94087-2554 T,TH 6:00 PM - 8:30 PM 500 E Remington Dr # 29 (650) 400-9957 SAT 1:30 AM - 7:00 PM Sunnyvale, CA 94087-2612 : Yes SUN 9:00 AM - 7:00 PM (650) 922-5146 : Chinese, English : Yes : Yes : SR - Limited : English, Korean : English, Korean : : SR - Limited : SR - Limited Area Of Expertise: : : Area Of Expertise: Area Of Expertise: Suh, Daitong NPI#: 1154896256 1309 S Mary Ave # 206 Sunnyvale, CA 94087-3060 (408) 887-7784 : Yes : English, Korean : SR - Limited : Area Of Expertise:

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Specialists 55 C1. Specialists

Zheng, Portia NPI#: 1104961499 1208 E Arques Ave # 112 Sunnyvale, CA 94085-5419 (650) 669-1877 M-F 9:00 AM - 6:00 PM SAT-SUN 9:00 AM - 6:00 PM : Yes : Chinese, English : SR - Limited : Area Of Expertise:

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 56 Specialists C1. Behavioral Health Providers CALIFORNIA Wermuth, Bruce M, MD Plemons, Arnold G, PHD NPI#: 1629104617 NPI#: 1649343476 SANTA CLARA 2542 S Bascom Ave # 110 653 E Campbell Ave # 3 Campbell, CA 950085541 Campbell, CA 950082143 COUNTY (408) 559-3403 (408) 871-9006 M-F 9:00 AM - 5:00 PM T,TH 8:00 AM - 3:00 PM CAMPBELL : Yes : Yes LIC CLINICAL SOCIAL : English : English WORKER : : : : Pleshette, Stephanne, Area Of Expertise: Area Of Expertise: LCSW NPI#: 1528091576 Wermuth, Bruce M, MD LOS ALTOS

2542 S Bascom Ave # 110 NPI#: 1629104617

Campbell, CA 950085541 2542 S Bascom Ave Ste 110 PSYCHIATRY

(408) 559-3403 Campbell, CA 950085541 (408) 559-3403 Keeling, Marita J, MD M-F 9:00 AM - 6:00 PM NPI#: 1316083223 : Yes : Yes 4966 El Camino Real # 224 : English : English Los Altos, CA 940221458 : : (650) 690-2362 : : M-F 8:00 AM - 6:00 PM Area Of Expertise: Area Of Expertise: SAT 10:00 AM - 4:00 PM PSYCHIATRY PSYCHOLOGY : Yes : English Kanchan, Shamala V, MD Plemons, Arnold G, PHD : NPI#: 1245331495 NPI#: 1649343476 : 2542 S Bascom Ave Ste 110 1901 S Bascom Ave # 1200 Area Of Expertise: Campbell, CA 950085541 Campbell, CA 950082232

(408) 559-3403 (408) 879-9004 W 9:00 AM - 6:00 PM : Yes SAT 9:00 AM - 3:00 PM : English

: Yes :  : English :

: Area Of Expertise: : Area Of Expertise:

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Behavioral Health Providers 57 C1. Behavioral Health Providers

Mehta, Alison M, DO LOS GATOS MOUNTAIN VIEW NPI#: 1750568275 4966 El Camino Real # 224 PSYCHOLOGY PSYCHIATRY Los Altos, CA 940221458 Balogh, Brittany M, PHD Awaad, Rania, MD (650) 690-2362 NPI#: 1467785725 NPI#: 1548580855 M-F 8:00 AM - 6:00 PM 15899 Los Gatos Almaden 2500 Hospital Dr # 8a SAT 10:00 AM - 4:00 PM Rd Ste 3 Mountain View, CA 94040 : Yes Los Gatos, CA 950323739 (650) 396-8110 : English (669) 251-1067 M-F 8:00 AM - 5:00 PM : T,TH 8:00 AM - 4:00 PM : Yes : : Yes : English, Arabic Area Of Expertise: : English : Mollah, Mohammed S, MD : Basic P R : NPI#: 1376624858 : Area Of Expertise: 851 Fremont Ave # 100 Area Of Expertise: Los Altos, CA 940245602 PALO ALTO Plemons, Arnold G, PHD

(650) 917-7925 NPI#: 1649343476 LIC CLINICAL SOCIAL

TH 12:00 AM - 8:00 PM 101 Church St # 24 WORKER

F 8:00 AM - 8:00 PM Los Gatos, CA 950306928 Edwards Jr, Sam, LCSW SAT-SUN 8:00 AM - 8:00 (408) 395-2091 PM NPI#: 1215010517 : Yes 440 Shermen # 103 : Yes : English Palo Alto, CA 943061868 : English : (650) 322-3971 : :  M 8:00 AM - 8:00 PM : Area Of Expertise: Area Of Expertise: F 10:00 AM - 8:00 PM

Muller, Hayyah B, MD : Yes

NPI#: 1780783480 : English

745 Distel Dr # 110 :  Los Altos, CA 940221523 :

(650) 796-9519 Area Of Expertise: : Yes : English : : Area Of Expertise:

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 58 Behavioral Health Providers C1. Behavioral Health Providers

Myatt, Maryjane, LCSW LIC CLINICAL SOCIAL Blandino, Johanna M, NPI#: 1649308024 WORKER LCSW 550 Hamilton Ave # 333 NPI#: 1699916296 Palo Alto, CA 943012031 Adams, Clara S, LCSW 1650 Las Plumas Ave (650) 364-8095 NPI#: 1346364791 San Jose, CA 951331657 3033 Moonpark Ave # 7 : Yes (408) 272-6726 San Jose, CA 951282521 : English M-F 8:00 AM - 5:00 PM (408) 781-2523 : : Yes M-W 8:00 AM - 8:00 PM : : English, Vietnamese,

Area Of Expertise: : Yes Spanish

: English :

SAN JOSE : :  : Area Of Expertise: ADDICTION MEDICINE Area Of Expertise: Canales, Ritha C, LCSW Daigle, Robert D, MD Alvarez, Enrique B, LCSW NPI#: 1003930413 NPI#: 1942357645 NPI#: 1447681994 614 Tully Rd 1425 Fruitdale Ave 828 S Bascom Ave San Jose, CA 951111048 San Jose, CA 951283234 San Jose, CA 951282600 (408) 494-1561 (408) 568-7004 (844) 709-0900 M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM : Yes : Yes : Yes : English, Vietnamese, : English, Spanish : English, Vietnamese, Spanish

: Basic P R Spanish :  : Yes : :  Area Of Expertise: : Area Of Expertise: Area Of Expertise: Chiu, Suzanne S, LCSW Barreto, Flor C, LCSW NPI#: 1407108269 NPI#: 1720376486 1075 E Santa Clara St 1650 Las Plumas Ave San Jose, CA 951162244 San Jose, CA 951331657 (408) 792-2100 (408) 272-6726 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM : Yes

: Yes : English, Cantonese

: English, Spanish, Chinese, Spanish, Somali

Vietnamese : : :  : Area Of Expertise: Area Of Expertise:

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Behavioral Health Providers 59 C1. Behavioral Health Providers

Cordova, Audrey Y, LCSW Espinoza, Aurelia, LCSW Gonzalez, Lorena R, LCSW NPI#: 1366566770 NPI#: 1952432403 NPI#: 1255455663 828 S Bascom Ave 828 S Bascom Ave 1650 Las Plumas Ave San Jose, CA 951282600 San Jose, CA 951282600 San Jose, CA 951331657 (844) 709-0900 (844) 709-0900 (408) 272-6726 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM : Yes : Yes : Yes : English, Spanish, : English, Vietnamese, : English, Vietnamese, Vietnamese Spanish Spanish : : : : : : Area Of Expertise: Area Of Expertise: Area Of Expertise: Cowan, Lance P, LCSW Fewel, Rebecca, LCSW Govind, Melanie T, LCSW NPI#: 1780880369 NPI#: 1396052833 NPI#: 1124363445 1075 E Santa Clara St 2400 Moorpark Ave # 300 828 S Bascom Ave San Jose, CA 951162244 San Jose, CA 951282680 San Jose, CA 951282600 (408) 792-2100 (408) 975-2730 (844) 709-0900 M-F 8:00 AM - 5:00 PM M,T,W,F 8:30 AM - 5:30 PM M-F 8:00 AM - 5:00 PM : Yes TH 8:30 AM - 7:30 PM : Yes : English, Chinese, : Yes : English, Vietnamese Cantonese Chinese, Somali : English, Spanish : : : : : : Area Of Expertise: Area Of Expertise: Area Of Expertise: Guerrero-Urbanski, Carol, Esparza, Emily P, LCSW Friaz, Guadalupe, LCSW LCSW NPI#: 1235458506 NPI#: 1699973446 NPI#: 1548309594 2221 Enborg Ln 828 S Bascom Ave 840 Guadalupe Pkwy San Jose, CA 951282608 San Jose, CA 951282600 San Jose, CA 951101714 (844) 709-0900 (844) 709-0900 (408) 278-5820 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM : Yes : Yes : Yes : English, Spanish, : English, Vietnamese, : English, Mandarin Vietnamese, Tagalog, Spanish Chinese, Tagalog, Spanish, Mandarin Chinese : Vietnamese : : : : Area Of Expertise: : Area Of Expertise: Area Of Expertise:

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 60 Behavioral Health Providers C1. Behavioral Health Providers

Harrison, Kathleen Y, LCSW Kim, Michelle H, LCSW Madan, Rajni, LCSW NPI#: 1548509961 NPI#: 1689704645 NPI#: 1144679549 725 E Santa Clara St 871 Enborg Ct 1075 E Santa Clara St San Jose, CA 951121900 San Jose, CA 951282645 San Jose, CA 951162244 (844) 709-0900 (408) 793-2147 (408) 792-2100 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM : Yes : Yes : Yes : English, Spanish, : English, Spanish, : English, Somali, Vietnamese Vietnamese, Mandarin Cantonese Chinese, : Chinese Spanish : : : Area Of Expertise: : : Hawley, Sylvia A, LCSW Area Of Expertise: Area Of Expertise: NPI#: 1225168289 Le, Dung, LCSW Mao, Samphors T, LCSW 2221 Enborg Ln NPI#: 1023132362 NPI#: 1992844948 San Jose, CA 951282608 614 Tully Rd 1650 Las Plumas Ave (844) 709-0900 San Jose, CA 951111048 San Jose, CA 951331657 M-F 8:00 AM - 5:00 PM (408) 494-1561 (408) 272-6726 : Yes M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM : English, Tagalog, : Yes : Yes Vietnamese, Spanish, : English, Vietnamese, : English, Vietnamese, Mandarin Chinese Spanish Spanish : : : : : : Area Of Expertise: Area Of Expertise: Area Of Expertise: Hidaka, Mio, LCSW NPI#: 1831468388 2400 Moorpark Ave # 300 San Jose, CA 951282680 (408) 975-2730 M,T,W,F 8:30 AM - 5:30 PM TH 8:30 AM - 7:30 PM : Existing patient only : English, Japanese : : Area Of Expertise:

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Behavioral Health Providers 61 C1. Behavioral Health Providers

Matsumura, Cheryl A, Morales, Karla M, LCSW Norwitz, Leonard, LCSW LCSW NPI#: 1619116332 NPI#: 1386764314 NPI#: 1548394406 1650 Las Plumas Ave 871 Enborg Ct 1075 E Santa Clara St San Jose, CA 951331657 San Jose, CA 951282645 San Jose, CA 951162244 (408) 272-6726 (408) 793-2147 (408) 792-2100 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM : Yes : Yes : Yes : English, Vietnamese, : English, Vietnamese, : English, Spanish, Spanish Spanish, Mandarin Chinese Somali, Cantonese Chinese : : : : : : Area Of Expertise: Area Of Expertise: Area Of Expertise: Nguyen, Minhtuan H, LCSW Obrien, Jean, LCSW Mcgarry, Susan, LCSW NPI#: 1619091022 NPI#: 1265604854 NPI#: 1720434780 614 Tully Rd 725 E Santa Clara St 871 Enborg Ct San Jose, CA 951111048 San Jose, CA 951121900 San Jose, CA 951282645 (408) 494-1561 (844) 709-0900 (408) 793-2147 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM : Yes : Yes : Yes : English, Spanish, : English, Spanish, : English, Vietnamese, Vietnamese Vietnamese Mandarin Chinese, Spanish : : : : : : Area Of Expertise: Area Of Expertise: Area Of Expertise: Nguyen, Nga T, LCSW Pham, Duy J, LCSW Mendoza, Rosalilia, LCSW NPI#: 1225238678 NPI#: 1821258252 NPI#: 1720455108 614 Tully Rd 2400 Moorpark Ave # 300 828 S Bascom Ave San Jose, CA 951111048 San Jose, CA 951282680 San Jose, CA 951282600 (408) 494-1561 (408) 975-2730 (844) 709-0900 M-F 8:00 AM - 5:00 PM M-W 8:30 AM - 6:00 PM M-F 8:00 AM - 5:00 PM : Yes TH 8:30 AM - 7:30 PM : Yes : English, Spanish, F 8:00 AM - 6:00 PM : English, Vietnamese, Vietnamese : Yes Spanish : : English : : : : Area Of Expertise: : Area Of Expertise: Area Of Expertise:

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 62 Behavioral Health Providers C1. Behavioral Health Providers

Pollard, Carol L, LCSW Silva, David, LCSW Thlang, Sarith, LCSW NPI#: 1942330907 NPI#: 1649304502 NPI#: 1629193115 871 Enborg Ct 1075 E Santa Clara St 840 Guadalupe Pkwy San Jose, CA 951282645 San Jose, CA 951162244 San Jose, CA 951101714 (408) 793-2147 (408) 792-2100 (408) 278-5820 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM : Yes : Yes : Yes : English, Spanish, : English, Spanish, : English, Spanish, Mandarin Chinese, Somali, Cantonese Chinese Vietnamese, Tagalog, Vietnamese : Mandarin Chinese : : : : Area Of Expertise: : Area Of Expertise: Skinner, Erica D, LCSW Area Of Expertise: Rodriguez, Arisve, LCSW NPI#: 1780752824 Urrutia, Manuel E, LCSW NPI#: 1457494122 2090 Evans Ln NPI#: 1821166380 828 S Bascom Ave San Jose, CA 951252072 614 Tully Rd San Jose, CA 951282600 (408) 793-2400 San Jose, CA 951111048 (844) 709-0900 M-F 8:00 AM - 5:00 PM (408) 494-1561 M-F 8:00 AM - 5:00 PM : Yes M-F 8:00 AM - 5:00 PM : Yes : English, Vietnamese, : Yes : English, Spanish, Spanish : English, Spanish, Vietnamese : Vietnamese : : : : Area Of Expertise: : Area Of Expertise: Soung, Kimsen, LCSW Area Of Expertise: Sanchez, Juan A, LCSW NPI#: 1568586972 Vo, Hoa T, LCSW NPI#: 1609941947 828 S Bascom Ave NPI#: 1336277805 2090 Evans Ln San Jose, CA 951282600 828 S Bascom Ave San Jose, CA 951252072 (844) 709-0900 San Jose, CA 951282600 (408) 793-2400 M-F 8:00 AM - 5:00 PM (844) 709-0900 M-F 8:00 AM - 5:00 PM : Yes M-F 8:00 AM - 5:00 PM : Yes : English, Vietnamese, : Yes : English, Spanish, Spanish : English, Spanish, Vietnamese : Vietnamese : : : : Area Of Expertise: : Area Of Expertise: Area Of Expertise:

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Behavioral Health Providers 63 C1. Behavioral Health Providers

Wagner, Ann L, LCSW PSYCHIATRY Aroonlap, Usa, MD NPI#: 1720223704 NPI#: 1609171909 828 S Bascom Ave Ahuja, Sukhdeep K, MD 871 Enborg Ct San Jose, CA 951282600 NPI#: 1407090566 San Jose, CA 951282645 (844) 709-0900 614 Tully Rd (408) 793-2147 M-F 8:00 AM - 5:00 PM San Jose, CA 951282608 M-F 8:00 AM - 5:00 PM (408) 494-1561 : Yes : Yes M-F 8:00 AM - 5:00 PM : English, Spanish, : English, Mandarin

Vietnamese : Yes Chinese, Vietnamese, : : English, Vietnamese, Spanish  Hindi, Spanish : : :  Area Of Expertise: : :

Wardle, James, LCSW Area Of Expertise: Area Of Expertise: NPI#: 1679633838 Allen, Kenneth E, PHD Braverman, Gregory Z, MD 871 Enborg Ct NPI#: 1427362714 NPI#: 1790998979 San Jose, CA 951282645 828 S Bascom Ave 2221 Enborg Ln (408) 793-2147 San Jose, CA 951282600 San Jose, CA 951282608

M-F 8:00 AM - 5:00 PM (844) 709-0900 (844) 709-0900

: Yes M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM

: English, Spanish, : Yes : Yes

Mandarin Chinese, : English, Vietnamese, : English, Spanish,

Vietnamese Spanish Mandarin Chinese,

: : Vietnamese, Russian,  :  Tagalog : : Area Of Expertise: Area Of Expertise: : Almas, Roxanne S, MD Area Of Expertise: NPI#: 1538320916 828 S Bascom Ave San Jose, CA 951282600 (844) 709-0900 M-F 8:00 AM - 5:00 PM : Yes : English, Spanish, Vietnamese : : Area Of Expertise:

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 64 Behavioral Health Providers C1. Behavioral Health Providers

Cerezo, Hector S, MD Chua, Joselita U, MD Do, Bichlan T, MD NPI#: 1528148467 NPI#: 1225175193 NPI#: 1558570119 125 N Jackson Ave # 110 2221 Enborg Ln 840 Guadalupe Pkwy San Jose, CA 951161915 San Jose, CA 951282608 San Jose, CA 951101714 (408) 926-8111 (844) 709-0900 (408) 278-5820 M,W,TH,F 8:00 AM - 2:00 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PM : Yes : Yes T 8:00 AM - 12:00 PM : English, Chinese, : English, Spanish, : Yes Mandarin Chinese, Tagalog, Tagalog, Mandarin Chinese, : English, Tagalog Vietnamese, Spanish Vietnamese : : : : : : Area Of Expertise: Serious Area Of Expertise: Area Of Expertise: Mental Illness Cozzolino, Anthony, MD Floreza, Arthur R, MD Chen, Ashley H, MD NPI#: 1437355948 NPI#: 1083750186 NPI#: 1619941721 1650 Las Plumas Ave 1650 Las Plumas Ave 1075 E Santa Clara St San Jose, CA 951331657 San Jose, CA 951331657 San Jose, CA 951162244 (408) 272-6726 (408) 272-6726 (408) 792-2100 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM : Yes : Yes : Yes : English, Vietnamese, : English, Tagalog, : English, Chinese, Spanish Vietnamese, Spanish Mandarin Chinese : : : : : : Area Of Expertise: Area Of Expertise: Area Of Expertise: Friedland, Miriam H, MD NPI#: 1720127772 828 S Bascom Ave San Jose, CA 951282600 (844) 709-0900 M-F 8:00 AM - 5:00 PM : Yes : English, Vietnamese, Afrikaans, Spanish : : Area Of Expertise:

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Behavioral Health Providers 65 C1. Behavioral Health Providers

Fu, Julius H, MD Ho, Tiffany B, MD Huynh, Danh, MD NPI#: 1952406605 NPI#: 1598895559 NPI#: 1427110709 2001 The Alameda 2221 Enborg Ln 614 Tully Rd San Jose, CA 951261136 San Jose, CA 951282608 San Jose, CA 951282608 (408) 261-7777 (844) 709-0900 (408) 494-1561 M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM : Yes : Yes : Yes : English : English, Spanish, : English, Vietnamese, : Mandarin Chinese, Spanish : Vietnamese, Tagalog : Area Of Expertise: : : Hardell, Michelle A, PSYD : Area Of Expertise: NPI#: 1962619882 Area Of Expertise: Huynh, Nhi Y, MD 828 S Bascom Ave Hoodei, Shirin, MD NPI#: 1710066642 San Jose, CA 951282600 NPI#: 1184714610 1661 Burdette Dr Ste N (844) 709-0900 2221 Enborg Ln San Jose, CA 951211681 M-F 8:00 AM - 5:00 PM San Jose, CA 951282608 (408) 938-2181 : Yes (844) 709-0900 M-TH 8:00 AM - 7:00 PM : English, Vietnamese, M-F 8:00 AM - 5:00 PM F 8:00 AM - 6:30 PM Spanish : Yes : Yes : : English, Chinese, : English, Vietnamese : Tagalog, Spanish, Mandarin : Area Of Expertise: Chinese : Yes Heron, Sara B, MD : Area Of Expertise: NPI#: 1417103383 : Huynh, Nhi Y, MD 2001 The Alameda Area Of Expertise: NPI#: 1710066642 San Jose, CA 951261136 1661 Burdette Dr # N (408) 261-7777 San Jose, CA 95121 M-F 9:00 AM - 5:00 PM (408) 270-4582 : Yes : Existing patient only : English : English, Vietnamese : : : : Area Of Expertise: Area Of Expertise:

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 66 Behavioral Health Providers C1. Behavioral Health Providers

Khan, Kulsoom A, MD Matin, Farhan, MD Nguyen, Tao V, MD NPI#: 1396884151 NPI#: 1902974785 NPI#: 1861587446 871 Enborg Ct 2090 Evans Ln 1661 Burdette Dr # B San Jose, CA 951282645 San Jose, CA 951252072 San Jose, CA 95121 (408) 793-2147 (408) 793-2400 (408) 270-2880 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM : Yes : Yes : Yes : English : English, Mandarin : English, Spanish, : Chinese, Urdu, Spanish, Vietnamese : Chinese : Area Of Expertise: : : Nissanka, Manage D, MD : Area Of Expertise: NPI#: 1477535540 Area Of Expertise: Mehta, Hansa N, MD 614 Tully Rd Khong, Amy A, MD NPI#: 1437273844 San Jose, CA 951282608 NPI#: 1093978058 1650 Las Plumas Ave (408) 494-1561 1075 E Santa Clara St San Jose, CA 951331657 M-F 8:00 AM - 5:00 PM San Jose, CA 951162244 (408) 272-6726 : Yes (408) 792-2100 M-F 8:00 AM - 5:00 PM : English, Sinhala; M-F 8:00 AM - 5:00 PM : Yes Sinhalese, Spanish, : Yes : English, Vietnamese, Vietnamese : English, Cantonese Spanish : Chinese, Spanish, Somali : : : : Area Of Expertise: : Area Of Expertise: Reicherter, Daryn S, MD Area Of Expertise: Nguyen, An D, MD NPI#: 1063569721 Lachini, Sohi, PSYD NPI#: 1285882258 2400 Moorpark Ave # 300 NPI#: 1720371297 871 Enborg Ct San Jose, CA 951282680 828 S Bascom Ave San Jose, CA 951282645 (408) 975-2730 San Jose, CA 951282600 (408) 793-2147 M,T 8:30 AM - 5:30 PM (844) 709-0900 M-F 8:00 AM - 5:00 PM : Yes M-F 8:00 AM - 5:00 PM : Yes : English : Yes : English, Mandarin : : English, Vietnamese, Chinese, Spanish, : Persian/Farsi, Spanish Vietnamese Area Of Expertise: : : : : Area Of Expertise: Area Of Expertise:

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Behavioral Health Providers 67 C1. Behavioral Health Providers

Rinker, Tedde M, DO Sarni, Doris E, MD Tran, Nam H, MD NPI#: 1306841176 NPI#: 1437319381 NPI#: 1720072895 2221 Enborg Ln 871 Enborg Ct 751 S Bascom Ave San Jose, CA 951282608 San Jose, CA 951282645 San Jose, CA 951282604 (844) 709-0900 (408) 793-2147 (408) 885-5000 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM : Yes : Yes : Yes : English, Vietnamese : English, Tagalog, : English, Spanish, : Spanish, Vietnamese, Vietnamese, Mandarin : Mandarin Chinese Chinese Area Of Expertise: : : Tran, Nam H, MD : : NPI#: 1720072895 Area Of Expertise: Area Of Expertise: 702 E Santa Clara St # 3 Sankaran, Vanitha A, MD Shapiro, Irwin M, MD San Jose, CA 951121914 NPI#: 1720137391 NPI#: 1023036332 (408) 279-2377 871 Enborg Ct 2501 Alvin Ave : Yes San Jose, CA 951282645 San Jose, CA 951211660 : English, Vietnamese (408) 793-2147 (408) 252-3483 : M-F 8:00 AM - 5:00 PM : Yes : : Yes : English Area Of Expertise: : English, Mandarin : Tran, Nam H, MD Chinese, Vietnamese, : NPI#: 1720072895 Spanish Area Of Expertise: 25 N 14th St # 780 : Tran, Nam H, MD San Jose, CA 951126215 : NPI#: 1720072895 (408) 279-2377 Area Of Expertise: 25 N 14th St Ste 780 : Yes San Jose, CA 951126215 : English, Vietnamese (408) 279-2377 : T,W,TH 9:00 AM - 2:00 PM : : Yes Area Of Expertise: : English, Vietnamese : : Yes Area Of Expertise:

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 68 Behavioral Health Providers C1. Behavioral Health Providers

Weissman, Barbara L, MD Xu, Chunying, MD Singh, Nira, PSYD NPI#: 1619194743 NPI#: 1255404745 NPI#: 1487830873 2221 Enborg Ln 871 Enborg Ct 2400 Moorpark Ave # 300 San Jose, CA 951282608 San Jose, CA 951282645 San Jose, CA 951282680 (844) 709-0900 (408) 793-2147 (408) 975-2730 M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM M-F 8:30 AM - 5:30 PM : Yes : Yes : Yes : English, Mandarin : English, Mandarin : English, Hindi, Mandarin Chinese, Spanish, Chinese, Spanish, Korean, Chinese, Vietnamese Vietnamese, Tagalog Vietnamese : : : : : : Area Of Expertise: Area Of Expertise: Area Of Expertise: Sullivan, John P, PSYD Wong, Emily K, MD PSYCHOLOGY NPI#: 1144256934 NPI#: 1336273291 2625 Zanker Rd # 200 871 Enborg Ct Chiu, Collins T, PSYD San Jose, CA 951342130

San Jose, CA 951282645 NPI#: 1013087279 (408) 955-9170 1885 The Alameda # 100j (408) 793-2147 : Yes San Jose, CA 951261744 M-F 8:00 AM - 5:00 PM : English (408) 930-8383 : Yes :

: English, Mandarin : Yes :

Chinese, Chinese, Burmese, : English, Chinese, Area Of Expertise:

Spanish Mandarin Chinese : Tieu, Phung G, PSYD : : NPI#: 1982814349 : Area Of Expertise: 2400 Moorpark Ave # 300 Area Of Expertise: San Jose, CA 951282680 Morrison-Keffer, Lois D, (408) 975-2730 PHD M-F 8:30 AM - 5:30 PM NPI#: 1497885727 : Yes 2516 Samaritan Dr # D : English, Vietnamese San Jose, CA 951244108 : (408) 356-7141 :

: Yes Area Of Expertise: : English : : Area Of Expertise:

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Behavioral Health Providers 69 C1. Behavioral Health Providers

SANTA CLARA Baxter, Gloria J, LCSW PSYCHIATRY NPI#: 1275794000 PSYCHOLOGY 1515 Partridge Ave Gosain, Rajan, MD Sunnyvale, CA 940874952 NPI#: 1013271600 Sullivan, John P, PSYD 1298 Kifer Rd # 515 NPI#: 1144256934 (408) 716-8101 T,W,TH,F 10:00 AM - 6:00 Sunnyvale, CA 940865321 2797 Park Ave #205 (408) 559-3403 Santa Clara, CA 950506063 PM SAT 10:00 AM - 3:00 PM M,W,TH,F 9:00 AM - 6:00 (408) 286-4325 PM : Yes M-TH 8:00 AM - 6:00 PM : English : Yes : Yes : : English, Hindi : English : : :  Area Of Expertise: : : Area Of Expertise: Area Of Expertise: Goldbard, Lillian N, LCSW NPI#: 1720121494 Le, Jennifer T, MD SUNNYVALE 660 S Fair Oaks Ave NPI#: 1336267921 Sunnyvale, CA 940867913 660 S Fair Oaks Ave LIC CLINICAL SOCIAL Sunnyvale, CA 940867913 WORKER (408) 992-4800 M-F 8:00 AM - 5:00 PM (408) 992-4800 M-F 8:00 AM - 5:00 PM Ascue, Yukiko N, LCSW : Yes

NPI#: 1578687992 : English, Spanish, : Yes

660 S Fair Oaks Ave Russian, Bosnian : English, Bosnian,

Sunnyvale, CA 940867913 : Russian, Vietnamese,

(408) 992-4800 : Spanish M-F 8:00 AM - 5:00 PM : Area Of Expertise:  : Yes :

: English, Bosnian, Area Of Expertise: Spanish, Russian : : Area Of Expertise:

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 70 Behavioral Health Providers C2. Hospitals

CALIFORNIA El Camino Hospital NPI#: 1093712374 SANTA CLARA COUNTY 815 Pollard Rd Los Gatos, CA 950321438 GILROY (408) 378-6131

St Louise Regional Hosp : English

NPI#: 1386746337 :  9400 N Name Uno : Gilroy, CA 950203528 MOUNTAIN VIEW (408) 848-2000 M-F 12:00 AM - 11:59 PM El Camino Hospital SAT-SUN 12:00 AM - 11:59 PM NPI#: 1093712374 2500 Grant Rd : English Mountain View, CA 940404302

: Basic E P R T (950) 940-7220 : Yes : English LOS GATOS : : El Camino Hospital NPI#: 1417199340 El Camino Hospital 815 Pollard Rd NPI#: 1457594087 Los Gatos, CA 950321438 2500 Grant Rd (408) 378-6131 Mountain View, CA 940404302 : English (650) 940-7000 : : English : : : El Camino Hospital NPI#: 1457594087 El Camino Hospital 815 Pollard Rd NPI#: 1093712374 Los Gatos, CA 950321438 2500 Grant Blvd (650) 940-7000 Mountain View, CA 940404302 : English (650) 940-7000 : : English : : :

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Hospitals 71 C2. Hospitals

El Camino Hospital Oconnor Hospital NPI#: 1093712374 NPI#: 1285738880 2500 Grant Rd 2105 Forest Ave Mountain View, CA 940404302 San Jose, CA 951281425 (650) 940-7000 (408) 947-2500 : English M-F 8:00 AM - 5:00 PM : : English : : : El Camino Hospital NPI#: 1093712374 Oconnor Hospital 2660 Grant Rd Ste D NPI#: 1649381682 Mountain View, CA 940404308 2105 Forest Ave (650) 940-7291 San Jose, CA 951281471 : English (408) 947-2500 : M-F 8:00 AM - 8:00 PM : SAT-SUN 8:00 AM - 8:00 PM : English El Camino Hospital NPI#: 1093712374 : Basic E P R T 2500 Grant Rd : Yes Mountain View, CA 940404302 Regional Med Ctr Of San Jose (650) 940-7000 NPI#: 1285688267 : English 225 N Jackson Ave : San Jose, CA 951161603 : (408) 259-5000 M-F 12:00 AM - 11:59 PM SAN JOSE SAT-SUN 12:00 AM - 11:59 PM Good Samaritan Hospital - Ca : English NPI#: 1437103777 : Basic E P R T 2425 Samaritan Dr : Yes San Jose, CA 951243908 (800) 307-7631 M-F 12:00 AM - 11:59 PM SAT-SUN 12:00 AM - 11:59 PM : English : : Yes

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 72 Hospitals C2. Skilled Nursing Facilities CALIFORNIA LOS GATOS Ngai Nguyen Inc SANTA CLARA COUNTY NPI#: 1609820281

CUPERTINO 16605 Lark Ave Los Gatos, CA 95032 Cupertino Healthcare And Wellness Center (408) 356-9146 NPI#: 1477875672 : English 22590 Voss Ave : Cupertino, CA 950142627 : (408) 253-9034 M-F 12:00 AM - 11:59 PM MILPITAS SAT-SUN 12:00 AM - 11:59 PM Milpitas Care Center : English NPI#: 1790913226 : P R 120 Corning Ave : Yes Milpitas, CA 950355225 (408) 262-0217 Sunny View Manor

NPI#: 1861578452 M-F 8:00 AM - 5:00 PM 22445 Cupertino Rd : English Cupertino, CA 950141052 : P R (408) 454-5600 : : English MORGAN HILL : : Hillview Convalescent Hospital NPI#: 1992800312 LOS ALTOS 530 W Dunne Ave

Los Altos Sub Acute And Rehabilitation Morgan Hill, CA 950374823 Center (408) 779-3633 NPI#: 1043345812 M-F 12:00 AM - 11:59 PM 809 Fremont Ave SAT-SUN 12:00 AM - 11:59 PM Los Altos, CA 940245617 : English (650) 941-5255 : P R : English : Yes : :

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Skilled Nursing Facilities 73 C2. Skilled Nursing Facilities

PALO ALTO Almaden Health And Rehabilitation Center NPI#: 1548558521 Palo Alto Sub-Acute And Rehabilitation 2065 Los Gatos Almaden Rd Center San Jose, CA 951245417

NPI#: 1780719278 (408) 377-9275

911 Bryant St M-F 8:00 AM - 8:00 PM Palo Alto, CA 943012798 : English (408) 262-0217

M-F 12:00 AM - 11:59 PM : P R  SAT-SUN 12:00 AM - 11:59 PM : Yes : English Canyon Springs Post-Acute : P R NPI#: 1912192261 : Yes 180 N Jackson Ave San Jose, CA 951161907 Webster House (408) 259-8700 NPI#: 1093105447 : English 437 Webster St : Palo Alto, CA 943011242 : (650) 328-3300 : English Courtyard Care Center : NPI#: 1073633020 : 340 Northlake Dr San Jose, CA 951171251 SAN JOSE (408) 249-0344 A Grace Sub Acute & Skilled Care M-F 12:00 AM - 11:59 PM NPI#: 1689828840 SAT-SUN 12:00 AM - 11:59 PM 1250 S Winchester Blvd : English San Jose, CA 95128 : E P R (408) 241-3844 : Yes M-F 12:00 AM - 11:59 PM Dycora Transitional Health-San Jose SAT-SUN 12:00 AM - 11:59 PM NPI#: 1568905321 : English 401 Ridge Vista Ave : E P R San Jose, CA 95127 : Yes (408) 923-7232 : English : :

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 74 Skilled Nursing Facilities C2. Skilled Nursing Facilities

Empress Care Center Llc San Jose Healthcare Center NPI#: 1396732046 NPI#: 1912192261 1299 S Bascom Ave 180 N Jackson Ave San Jose, CA 951283575 San Jose, CA 95116 (408) 287-0616 (408) 259-8700 M-F 12:00 AM - 11:59 PM M-F 12:00 AM - 11:59 PM SAT-SUN 12:00 AM - 11:59 PM SAT-SUN 12:00 AM - 11:59 PM : English : English : P R : E P R : Yes : Yes Plum Tree Care Center San Tomas Convalescent Hospital NPI#: 1083618441 NPI#: 1639178429 2580 Samaritan Dr 3580 Payne Ave San Jose, CA 951244101 San Jose, CA 951172999 (408) 356-8181 (408) 248-7100 M-F 12:00 AM - 11:59 PM : English SAT-SUN 12:00 AM - 11:59 PM : : English : : Skyline Healthcare Center San Jose  : Yes NPI#: 1780972463 San Jose Healthcare & Wellness Center 2065 Forest Ave NPI#: 1710219308 San Jose, CA 951284807 75 N 13th St (408) 280-2500 San Jose, CA 951123439 : English (408) 295-2665 : M-F 12:00 AM - 11:59 PM : SAT-SUN 12:00 AM - 11:59 PM Vista Manor Nursing Center

: English NPI#: 1104820562 : P R 120 Jose Figueres Ave : Yes San Jose, CA 951161528 (408) 272-1400 M-F 9:00 AM - 8:00 PM SAT-SUN 9:00 AM - 8:00 PM : English : : Yes

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Skilled Nursing Facilities 75 C2. Skilled Nursing Facilities

Willow Glen Center NPI#: 1083788079 1267 Meridian Ave San Jose, CA 951255210 (408) 265-4211 M-F 8:00 AM - 8:00 PM SAT-SUN 8:00 AM - 8:00 PM : English : P R : Yes SUNNYVALE Cedar Crest Nursing & Rehabilitation Center NPI#: 1982608303 797 E Fremont Ave Sunnyvale, CA 94087 (408) 738-4880 M-F 12:00 AM - 11:59 PM SAT-SUN 12:00 AM - 11:59 PM : English : P R : Yes

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 76 Skilled Nursing Facilities C2. Nursing Facilities CALIFORNIA LOS GATOS Ngai Nguyen Inc SANTA CLARA COUNTY NPI#: 1609820281

CUPERTINO 16605 Lark Ave Los Gatos, CA 95032 Cupertino Healthcare And Wellness Center (408) 356-9146 NPI#: 1477875672 : English 22590 Voss Ave : Cupertino, CA 950142627 : (408) 253-9034 M-F 12:00 AM - 11:59 PM MILPITAS SAT-SUN 12:00 AM - 11:59 PM Milpitas Care Center : English NPI#: 1790913226 : P R 120 Corning Ave : Yes Milpitas, CA 950355225 (408) 262-0217 Sunny View Manor

NPI#: 1861578452 M-F 8:00 AM - 5:00 PM 22445 Cupertino Rd : English Cupertino, CA 950141052 : P R (408) 454-5600 : : English MORGAN HILL : : Hillview Convalescent Hospital NPI#: 1992800312 LOS ALTOS 530 W Dunne Ave

Los Altos Sub Acute And Rehabilitation Morgan Hill, CA 950374823 Center (408) 779-3633 NPI#: 1043345812 M-F 12:00 AM - 11:59 PM 809 Fremont Ave SAT-SUN 12:00 AM - 11:59 PM Los Altos, CA 940245617 : English (650) 941-5255 : P R : English : Yes : :

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Nursing Facilities 77 C2. Nursing Facilities

PALO ALTO Almaden Health And Rehabilitation Center NPI#: 1548558521 Palo Alto Sub-Acute And Rehabilitation 2065 Los Gatos Almaden Rd Center San Jose, CA 951245417

NPI#: 1780719278 (408) 377-9275

911 Bryant St M-F 8:00 AM - 8:00 PM Palo Alto, CA 943012798 : English (408) 262-0217

M-F 12:00 AM - 11:59 PM : P R  SAT-SUN 12:00 AM - 11:59 PM : Yes : English Canyon Springs Post-Acute : P R NPI#: 1912192261 : Yes 180 N Jackson Ave San Jose, CA 951161907 Webster House (408) 259-8700 NPI#: 1093105447 : English 437 Webster St : Palo Alto, CA 943011242 : (650) 328-3300 : English Courtyard Care Center : NPI#: 1073633020 : 340 Northlake Dr San Jose, CA 951171251 SAN JOSE (408) 249-0344 A Grace Sub Acute & Skilled Care M-F 12:00 AM - 11:59 PM NPI#: 1689828840 SAT-SUN 12:00 AM - 11:59 PM 1250 S Winchester Blvd : English San Jose, CA 95128 : E P R (408) 241-3844 : Yes M-F 12:00 AM - 11:59 PM Dycora Transitional Health-San Jose SAT-SUN 12:00 AM - 11:59 PM NPI#: 1568905321 : English 401 Ridge Vista Ave : E P R San Jose, CA 95127 : Yes (408) 923-7232 : English : :

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 78 Nursing Facilities C2. Nursing Facilities

Empress Care Center Llc San Jose Healthcare Center NPI#: 1396732046 NPI#: 1912192261 1299 S Bascom Ave 180 N Jackson Ave San Jose, CA 951283575 San Jose, CA 95116 (408) 287-0616 (408) 259-8700 M-F 12:00 AM - 11:59 PM M-F 12:00 AM - 11:59 PM SAT-SUN 12:00 AM - 11:59 PM SAT-SUN 12:00 AM - 11:59 PM : English : English : P R : E P R : Yes : Yes Plum Tree Care Center San Tomas Convalescent Hospital NPI#: 1083618441 NPI#: 1639178429 2580 Samaritan Dr 3580 Payne Ave San Jose, CA 951244101 San Jose, CA 951172999 (408) 356-8181 (408) 248-7100 M-F 12:00 AM - 11:59 PM : English SAT-SUN 12:00 AM - 11:59 PM : : English : : Skyline Healthcare Center San Jose  : Yes NPI#: 1780972463 San Jose Healthcare & Wellness Center 2065 Forest Ave NPI#: 1710219308 San Jose, CA 951284807 75 N 13th St (408) 280-2500 San Jose, CA 951123439 : English (408) 295-2665 : M-F 12:00 AM - 11:59 PM : SAT-SUN 12:00 AM - 11:59 PM Vista Manor Nursing Center

: English NPI#: 1104820562 : P R 120 Jose Figueres Ave : Yes San Jose, CA 951161528 (408) 272-1400 M-F 9:00 AM - 8:00 PM SAT-SUN 9:00 AM - 8:00 PM : English : : Yes

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Nursing Facilities 79 C2. Nursing Facilities

Willow Glen Center NPI#: 1083788079 1267 Meridian Ave San Jose, CA 951255210 (408) 265-4211 M-F 8:00 AM - 8:00 PM SAT-SUN 8:00 AM - 8:00 PM : English : P R : Yes SUNNYVALE Cedar Crest Nursing & Rehabilitation Center NPI#: 1982608303 797 E Fremont Ave Sunnyvale, CA 94087 (408) 738-4880 M-F 12:00 AM - 11:59 PM SAT-SUN 12:00 AM - 11:59 PM : English : P R : Yes

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 80 Nursing Facilities C2. Long-Term Services and Support

CALIFORNIA SANTA CLARA Grace Adult Day Care SANTA CLARA Center COUNTY NPI#: 1366655516 3010 Olcott St Adult Day Care - Santa Clara, CA, 95054 Social (403) 731-8686 : English MILPITAS : : Silicon Valley Adult Day Health Care Center NPI#: 1225339005 631 S Milpitas Blvd Blvd Milpitas, CA, 95035 (408) 956-8578 : English : : MOUNTAIN VIEW Avenidas Rose Kleiner Senior Day Health Center NPI#: 1871700716 270 Escuela Ave Mountain View, CA, 94040 (650) 289-5499 : English : :

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Long-Term Services and Support 81 C3. Vision Providers

CALIFORNIA Wun, Lucy, OD Tran, Charlene, OD NPI#: 1659410819 NPI#: 1043367733 SANTA CLARA Silicon Valley Optometry Gilroy Optometry Center 8650 San Ysidro Ave # 104 COUNTY 10525 S De Anza Blvd # Gilroy, CA 95020-5268 190 (408) 848-9922 CUPERTINO Cupertino, CA 95014-4448 T,W,TH,F 11:00 AM - 6:00 Nguyen, Ann, OD (408) 725-1900 PM NPI#: 1972727683 M-F 10:00 AM - 6:00 PM SAT 11:00 AM - 4:00 PM Silicon Valley Optometry SAT 9:00 AM - 2:00 PM : Yes Center : Yes : English, Spanish, 10525 S De Anza Blvd # : English Vietnamese 190 : SR - Limited E EB IB P : SR - Limited  Cupertino, CA 95014-4448 PT R :

(408) 725-1900 : Yes MILPITAS M-F 10:00 AM - 6:00 PM SAT 9:00 AM - 2:00 PM GILROY Chen, Yaushi, OD

: Yes Le, Phuc, OD NPI#: 1770648784 : English NPI#: 1487691085 Eyevue Optometry Inc : SR - Limited E EB IB P Phuc V Le Optometry Inc 61 Serra Way # 128 Milpitas, CA 95035-8519 PT R 6815 Camino Arroyo # 60 : Yes Gilroy, CA 95020-7077 (408) 262-8998 (408) 842-0101 M,T,TH,F 10:00 AM - 6:00 Tran, Minh, OD PM NPI#: 1417433046 M,T,TH,F 9:30 AM - 6:00 PM SAT 9:00 AM - 4:00 PM Silicon Valley Optometry W 9:30 AM - 5:00 PM : Yes Center SAT 9:30 AM - 4:30 PM : English, Korean, 10525 S De Anza Blvd # SUN 9:30 AM - 4:00 PM Vietnamese 190 : Yes : SR - Limited E EB IB P Cupertino, CA 95014-4448 : English, Spanish, PT R (408) 725-1900 Vietnamese : Yes M-F 10:00 AM - 6:00 PM : SR - Limited E EB IB P SAT 9:00 AM - 2:00 PM PT R  : Yes : Yes : English : SR - Limited E EB IB P PT R : Yes

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 82 Vision Providers C3. Vision Providers

Contos, George, OD Eu, James, OD Huynh, Lily, OD NPI#: 1730265141 NPI#: 1881729663 NPI#: 1982982849 Milpitas Family Eyecare James K Eu OD Zoom Vision Care 462 E Calaveras Blvd 532 Barber Ln Optometric Milpitas, CA 95035-5412 Milpitas, CA 95035-7921 138 N Milpitas Blvd (408) 262-4178 (408) 597-1000 Milpitas, CA 95035-4401 M,T,TH,F 9:00 AM - 5:00 PM M-F 10:00 AM - 7:00 PM (408) 262-2020 W 11:00 AM - 7:00 PM SAT-SUN 10:00 AM - 7:00 T,W,TH,F 10:00 AM - 7:00 SAT 8:00 AM - 1:00 PM PM PM : Yes : Yes SAT 9:00 AM - 7:00 PM : English, Spanish, : English, Spanish, : Yes Tagalog Vietnamese : English, Spanish, : SR - Limited E EB IB P : SR - Limited Vietnamese PT R : : SR - Limited E EB IB P : Yes Huang, Diana, OD PT R Dao, Sophie, OD NPI#: 1033275847 : Yes NPI#: 1104896513 Zoom Vision Care Lai, Ha, OD Dr Sophie K Dao Optometry Optometric NPI#: 1942343918 Center Inc 138 N Milpitas Blvd Ha Thao Lai OD 991 Montague Expwy # 111 Milpitas, CA 95035-4401 367 Jacklin Rd Milpitas, CA 95035-6809 (408) 262-2020 Milpitas, CA 95035-3225 (408) 262-1221 T,W,TH,F 10:00 AM - 7:00 (408) 946-9393 M-F 9:30 AM - 5:00 PM PM M,T,TH,F 10:00 AM - 6:00 SAT 9:30 AM - 1:00 PM SAT 9:00 AM - 7:00 PM PM : Yes : Yes SAT 10:00 AM - 3:00 PM : English, Spanish, : English, Spanish, : Yes Vietnamese Vietnamese : English, Vietnamese : SR - Limited : SR - Limited E EB IB P : SR - Limited  : PT R : : Yes

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Vision Providers 83 C3. Vision Providers

Ngo, Quoc, OD Pham, Xuan Huong, OD Singla, Abhya, OD NPI#: 1073538492 NPI#: 1619068111 NPI#: 1871042358 See Optometric Designs Usa Pham Optometry Zoom Vision Care 1759 Landess Ave 1535 Landess Ave # 117 Optometric Milpitas, CA 95035-7019 Milpitas, CA 95035-8208 138 N Milpitas Blvd (408) 945-0100 (408) 520-4774 Milpitas, CA 95035-4401 T,W,TH,F 10:00 AM - 6:00 M,T,TH 10:30 AM - 6:30 PM (408) 262-2020 PM F 2:30 PM - 5:00 PM T,W,TH,F 10:00 AM - 7:00 SAT 9:30 AM - 3:00 PM SAT 10:00 AM - 5:00 PM PM : Yes SUN 11:00 AM - 5:00 PM SAT 9:00 AM - 7:00 PM : English, Hindi, Spanish, : Yes : Yes Vietnamese : English, Vietnamese : English, Spanish, : SR - Limited E EB IB P : SR - Limited E EB IB P Vietnamese PT R PT R : SR - Limited E EB IB P : Yes : Yes PT R Pham, Lauren, OD Schymeinsky, David, OD : Yes NPI#: 1326127846 NPI#: 1366432387 Tat, Hoa, OD Eyevue Optometry Inc Milpitas Family Eyecare NPI#: 1366411837 61 Serra Way # 128 462 E Calaveras Blvd James K Eu OD Milpitas, CA 95035-8519 Milpitas, CA 95035-5412 532 Barber Ln (408) 262-8998 (408) 262-4178 Milpitas, CA 95035-7921 M,T,TH,F 10:00 AM - 6:00 M,T,TH,F 9:00 AM - 5:00 PM (408) 597-1000 PM W 11:00 AM - 7:00 PM M-F 10:00 AM - 7:00 PM SAT 9:00 AM - 4:00 PM SAT 8:00 AM - 1:00 PM SAT-SUN 10:00 AM - 7:00 : Yes : Yes PM : English, Korean, : English, Spanish, : Yes Vietnamese Tagalog : English, Spanish, : SR - Limited E EB IB P : SR - Limited E EB IB P Vietnamese PT R PT R : SR - Limited : Yes : Yes :

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 84 Vision Providers C3. Vision Providers

Vu, Alice, OD MOUNTAIN VIEW Redman, David, OD NPI#: 1093839912 NPI#: 1841280989 Landess Optometry Chinn, Brent, OD Precision Eyecare Centers 1553 Landess Ave NPI#: 1023088796 1039 El Monte Ave # K Milpitas, CA 95035-6901 Precision Eyecare Centers Mountain View, CA 94040­ (408) 945-0200 1039 El Monte Ave # K 2371 T,W,TH,F 10:00 AM - 6:00 Mountain View, CA 94040­ (650) 967-0140 PM 2371 T 9:00 AM - 6:00 PM SAT 10:00 AM - 4:00 PM (650) 967-0140 W,TH 9:00 AM - 7:00 PM T 9:00 AM - 6:00 PM : Yes F 9:00 AM - 5:00 PM W,TH 9:00 AM - 7:00 PM : English, Vietnamese SAT 8:00 AM - 2:00 PM F 9:00 AM - 5:00 PM : : Yes SR - Limited E EB IB P SAT 8:00 AM - 2:00 PM PT R : English, Spanish : Yes : Yes : English, Spanish : SR - Limited : MORGAN HILL : SR - Limited : Salgado, Tracy, OD NPI#: 1740701796 To, To Quyen, OD Huang, Diana, OD Precision Eyecare Centers NPI#: 1861539199 NPI#: 1033275847 1039 El Monte Ave # K To Quyen To Optometry Zoom Vision Care Mountain View, CA 94040­ Corp Optometric 2371 16120 Monterey St 2031 W El Camino Real (650) 967-0140 Morgan Hill, CA 95037­ Mountain View, CA 94040­ T 9:00 AM - 6:00 PM 5404 2217 W,TH 9:00 AM - 7:00 PM (408) 779-3793 (650) 964-2020 F 9:00 AM - 5:00 PM M 8:00 AM - 12:00 PM T 12:00 PM - 5:00 PM SAT 8:00 AM - 2:00 PM T,TH 8:00 AM - 5:00 PM W 10:00 AM - 7:00 PM W 10:00 AM - 6:00 PM : Yes : Yes SAT 8:00 AM - 12:00 PM : English, Spanish : English, Spanish,

: Yes Vietnamese : SR - Limited : English : SR - Limited E EB IB P : : SR - Limited R : :

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Vision Providers 85 C3. Vision Providers

SAN JOSE Beede, Allen, OD Burger, Frank, OD NPI#: 1316965247 NPI#: 1528097219 Ballentine, Kenneth, OD Allen Lee Beede OD Golden Hills Optometry Inc NPI#: 1548230071 240 Meridian Ave # 3 2690 S White Rd # 255 Kenneth Ballentine OD Inc San Jose, CA 95126-2927 San Jose, CA 95148-2098 5275 Prospect Rd (408) 294-3722 (408) 274-9090 San Jose, CA 95129-5031 M,T,TH,F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:30 PM (408) 255-0576 W 9:00 AM - 6:00 PM SAT 8:30 AM - 2:30 PM T,W,F 9:00 AM - 5:00 PM : Yes : Yes TH 11:30 AM - 6:30 PM : English, Japanese, : English, Spanish, SAT 9:00 AM - 12:00 PM Spanish Vietnamese : Yes : SR - Limited E EB IB P : SR - Limited E EB IB P : English PT R PT R : SR - Limited E EB IB P : Yes : Yes PT R Bui, Khanh, OD Cepeda Jr, Saul, OD : Yes NPI#: 1154416493 NPI#: 1073573853 Barr, Dale, OD Envision Optometry Saul Cepeda Jr OD NPI#: 1396749123 1013 E Capitol Expwy 1780 Story Rd # 10 Dale I Barr OD San Jose, CA 95121-2415 San Jose, CA 95122-1944 2730 Un Ave # A (408) 281-1311 (408) 272-6851 San Jose, CA 95124-1431 M-F 10:00 AM - 6:00 PM M,TH,F 10:00 AM - 6:00 PM (408) 371-2282 SAT 9:00 AM - 4:00 PM T,W 10:00 AM - 7:00 PM M,W 9:00 AM - 7:00 PM : Yes SAT 9:00 AM - 4:00 PM T,TH 9:00 AM - 6:00 PM : English, Vietnamese : Yes F 9:00 AM - 5:00 PM : : English, Spanish, SAT 9:00 AM - 12:00 PM SR - Limited E EB IB P PT R Tagalog, Vietnamese : Yes : Yes : SR - Limited : English : : SR - Limited E EB IB P PT R : Yes

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 86 Vision Providers C3. Vision Providers

Chen, Zheng, OD Costa, Joseph, OD Diep, My, OD NPI#: 1033442306 NPI#: 1558429464 NPI#: 1255496196 Dr. Jennifer Kao & Joseph Costa OD Eye Site Optometry Associates 4600 Alum Rock Ave # 4 2009 Tully Rd 1630 Oakland Rd # A115 San Jose, CA 95127-2463 San Jose, CA 95122-1801 San Jose, CA 95131-2461 (408) 258-7512 (408) 729-1000 (408) 453-9988 M 10:30 AM - 6:00 PM M-F 9:30 AM - 6:00 PM M-F 9:00 AM - 6:00 PM T,TH,F 9:30 AM - 5:30 PM SAT 9:30 AM - 5:00 PM SAT 8:00 AM - 1:00 PM W 9:30 AM - 6:00 PM : Yes : Yes : Yes : English, Spanish, : English : English, Portuguese, Tagalog, Vietnamese : SR - Limited E EB IB P Spanish : SR - Limited E EB IB P PT R : SR - Limited PT R : Yes : : Yes Chow, Gloria, OD Dang-Walker, Mindy, OD Dinh, Scott, OD NPI#: 1760731434 NPI#: 1609890417 NPI#: 1487658100 Clear Concepts Optometry Golden Hills Optometry Inc Dr Scott Dinh OD Inc 1575 Alum Rock Ave 2690 S White Rd # 255 2050 Concourse Dr # 88 San Jose, CA 95116-2426 San Jose, CA 95148-2098 San Jose, CA 95131-1895 (408) 259-2020 (408) 274-9090 (408) 945-9277 M,T,TH,F 9:30 AM - 5:30 PM M-F 9:00 AM - 5:30 PM T,W,TH,F 10:00 AM - 7:00 W 9:30 AM - 6:30 PM SAT 8:30 AM - 2:30 PM PM : Yes : Yes SAT 10:00 AM - 4:00 PM : English, Portuguese, : English, Spanish, : Yes Spanish Vietnamese : English, Vietnamese : SR - Limited E EB IB P : SR - Limited E EB IB P : SR - Limited E EB IB P PT R PT R PT R : Yes : Yes : Yes

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Vision Providers 87 C3. Vision Providers

Do, Emily, OD Eu, James, OD Hsieh, Pei Chen, OD NPI#: 1275552390 NPI#: 1881729663 NPI#: 1609005115 Emily Do & Minh Dang James K Eu OD Almaden Family Optometric Optometrists 1937 Tully Rd Center 2114 Senter Rd # 6 San Jose, CA 95122-1934 6531 Crown Blvd # 4 San Jose, CA 95112-2608 (408) 923-0400 San Jose, CA 95120-2906 (408) 289-1448 M 10:00 AM - 7:00 PM (408) 997-2020 M,T,TH,F 9:30 AM - 6:00 PM T,W,TH,F 9:30 AM - 7:00 PM M,F 9:30 AM - 5:00 PM W 10:00 AM - 5:00 PM SAT 10:00 AM - 7:00 PM T 9:30 AM - 6:00 PM SAT 9:30 AM - 1:00 PM SUN 10:00 AM - 4:00 PM W,TH 9:30 AM - 5:30 PM : Yes : Yes : Yes : English : English, Spanish, : English, Spanish : SR - Limited Vietnamese : SR - Limited : : SR - Limited : Duong, Han, OD : Kallmann, Karen, OD NPI#: 1437446036 Hassan, Sura, OD NPI#: 1114999588 Clearsight Optometry NPI#: 1043566318 Karen Kallmann OD 630 Blossom Hl Rd # 20 Karen Kallmann OD 5710 Cahalan Ave # 5B San Jose, CA 95123-3056 5710 Cahalan Ave # 5B San Jose, CA 95123-3010 (408) 300-0717 San Jose, CA 95123-3010 (408) 225-5935 M,T,W,F 9:00 AM - 6:00 PM (408) 225-5935 M,T,TH 9:30 AM - 5:30 PM TH 10:00 AM - 7:00 PM M,T,TH 9:30 AM - 5:30 PM W,F 9:30 AM - 2:30 PM SAT 9:00 AM - 4:00 PM W,F 9:30 AM - 2:30 PM : Yes : Yes : Yes : English, Arabic, Spanish : English : English, Arabic, Spanish : SR - Limited : SR - Limited : SR - Limited : : :

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 88 Vision Providers C3. Vision Providers

Kao, Jennifer H, OD Kwong, Carl, OD Le, Minhnhat, OD NPI#: 1205866944 NPI#: 1962463604 NPI#: 1316936792 Dr. Jennifer Kao & James K Eu OD Eyeq Optometry Associates 1937 Tully Rd 1652 E Capitol Expwy 1630 Oakland Rd # A115 San Jose, CA 95122-1934 San Jose, CA 95121-1839 San Jose, CA 95131-2461 (408) 923-0400 (408) 528-0991 (408) 453-9988 M 10:00 AM - 7:00 PM M-F 9:30 AM - 6:00 PM M-F 9:00 AM - 6:00 PM T,W,TH,F 9:30 AM - 7:00 PM SAT 9:30 AM - 2:00 PM SAT 8:00 AM - 1:00 PM SAT 10:00 AM - 7:00 PM : Yes : Yes SUN 10:00 AM - 4:00 PM : English, Vietnamese : English : Yes : SR - Limited E EB IB P : SR - Limited E EB IB P : English, Vietnamese PT R PT R : SR - Limited : Yes  : Yes : Le, Jennifer, OD Ko, Lisa, OD Lao, Kelly, OD NPI#: 1699878991 NPI#: 1316967391 NPI#: 1043406697 Drs Bui & Le Optometry Family Vision Center Kelly Lao OD 2722 Aborn Rd 618 Blossom Hl Rd # 100 240 Meridian Ave # 1 San Jose, CA 95121-1204 San Jose, CA 95123-3048 San Jose, CA 95126-2927 (408) 223-2020 (408) 578-2020 (408) 293-7576 M,T,F 10:00 AM - 6:00 PM M,T,TH,F 12:00 PM - 7:00 M-F 8:30 AM - 5:30 PM TH 11:00 AM - 7:00 PM PM SAT 9:00 AM - 2:00 PM SAT 9:00 AM - 4:00 PM SAT 9:00 AM - 4:00 PM : Yes : Yes : Yes : English : English, Vietnamese : English, Vietnamese : SR - Limited E EB IB P : SR - Limited : SR - Limited PT R : : : Yes

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Vision Providers 89 C3. Vision Providers

Le, Tracy, OD Lin, Yu Ju, OD Mitchell, Mark, OD NPI#: 1396730719 NPI#: 1255714655 NPI#: 1134124308 San Jose Eyecare Dr. Jennifer Kao & Buena Vista Eyecare Optometry Pc Associates Optometry 301 N Jackson Ave # 1 1630 Oakland Rd # A115 678 E Santa Clara St San Jose, CA 95133-2344 San Jose, CA 95131-2461 San Jose, CA 95112-1931 (408) 259-1818 (408) 453-9988 (408) 293-2020 M,T,TH,F 10:00 AM - 6:00 M-F 9:00 AM - 6:00 PM M 10:00 AM - 6:00 PM PM SAT 8:00 AM - 1:00 PM T,W,TH,F 8:00 AM - 5:00 PM SAT 9:00 AM - 4:00 PM : Yes SAT 8:30 AM - 12:00 PM : Yes : English : Yes : English, Spanish, : SR - Limited E EB IB P : English, Spanish Vietnamese PT R : SR - Limited E EB IB P : SR - Limited E EB IB P : Yes PT R PT R Luong, Danny, MD : Yes : Yes NPI#: 1386750438 Nguyen, Mai Anh, OD Lee, Judy, OD Advanced Eye Associates NPI#: 1134204654 NPI#: 1396706644 200 Jose Figueres Ave # Mai Anh Chtn Nguyen OD Eye Club Optometry 350 Inc 874c Blossom Hl Rd San Jose, CA 95116-1594 1661 Burdette Dr # H San Jose, CA 95123-2725 (408) 923-8138 San Jose, CA 95121-1681 (408) 226-8666 M-F 9:00 AM - 5:30 PM (408) 238-4558 M 9:30 AM - 4:00 PM : Yes M,T,W,F 9:00 AM - 6:00 PM T,W,TH,F 9:30 AM - 6:00 PM : English, Spanish, SAT 8:00 AM - 3:00 PM SAT 9:00 AM - 3:00 PM Vietnamese : Yes : Yes : SR - Limited E EB IB P : English, Vietnamese : English, Spanish, PT R : SR - Limited E EB IB Vietnamese : Yes PT R : SR - Limited E EB IB P : Yes PT R : Yes

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 90 Vision Providers C3. Vision Providers

Nguyen, Tammy, OD Nguyen, Minhtam, OD Nguyen, Tam, OD NPI#: 1053497172 NPI#: 1306026299 NPI#: 1053891762 Sunrise Optometry Minhtam Nguyen Optimus Vision Care 1818 Tully Rd # 158B 730 Story Rd # 8 Optometry San Jose, CA 95122-1888 San Jose, CA 95122-2624 4155 Moorpark Ave # 21 (408) 274-0998 (408) 292-2020 San Jose, CA 95117-1714 M-F 10:00 AM - 6:00 PM M,T,TH,F 10:00 AM - 6:00 (408) 243-2020 SAT 10:00 AM - 6:00 PM PM M,T,F 10:00 AM - 6:00 PM : Yes SAT 10:00 AM - 6:00 PM SAT 10:00 AM - 6:00 PM : English : Yes : Yes : SR - Limited : English, Vietnamese : English, Spanish, : : SR - Limited E EB IB P Vietnamese Nguyen, Cindy, OD PT R : SR - Limited E EB IB P NPI#: 1093147613 : Yes PT R Eye Focus Optometry Nguyen, Thuy Trang, OD : Yes 2980 E Capitol Expwy # 20 NPI#: 1922426097 Park, Yun, OD San Jose, CA 95148-4246 Eye Club Optometry NPI#: 1285659250 (408) 531-9552 874c Blossom Hl Rd Vistapark Family Optometry M,TH 10:00 AM - 7:00 PM San Jose, CA 95123-2725 428 W Capitol Expwy T,F 9:00 AM - 6:00 PM (408) 226-8666 San Jose, CA 95136-1303 SAT 9:00 AM - 4:00 PM M 9:30 AM - 4:00 PM (408) 578-6181 : Yes T,W,TH,F 9:30 AM - 6:00 PM M,W,F 10:00 AM - 7:00 PM : English SAT 9:00 AM - 3:00 PM T,TH 10:00 AM - 6:00 PM : SR - Limited E EB IB P : Yes SAT 10:00 AM - 3:00 PM PT R : English, Spanish, : Yes : Yes Vietnamese : English, Korean, : SR - Limited E EB IB P Spanish PT R : SR - Limited E EB IB P : Yes PT R : Yes

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Vision Providers 91 C3. Vision Providers

Pham, Tram, OD Shiroishi, Lisa, OD Tom, Richard, OD NPI#: 1750468112 NPI#: 1144242629 NPI#: 1851352983 Story Optometry Allen Lee Beede OD Eye Club Optometry 992 Story Rd # 40 240 Meridian Ave # 3 874c Blossom Hl Rd San Jose, CA 95122-2674 San Jose, CA 95126-2927 San Jose, CA 95123-2725 (408) 920-7091 (408) 294-3722 (408) 226-8666 M,W,TH,F 9:00 AM - 6:00 M,T,TH,F 9:00 AM - 5:00 PM M 9:30 AM - 4:00 PM PM W 9:00 AM - 6:00 PM T,W,TH,F 9:30 AM - 6:00 PM SAT 9:00 AM - 4:00 PM : Yes SAT 9:00 AM - 3:00 PM : Yes : English, Japanese, : Yes : English Spanish : English, Spanish, : SR - Limited : SR - Limited E EB IB P Vietnamese : PT R : SR - Limited E EB IB P Shah, Roshni, OD : Yes PT R NPI#: 1073999090 Tat, Hoa, OD : Yes Golden Hills Optometry Inc NPI#: 1366411837 Tran, Bang, OD 2690 S White Rd # 255 James K Eu OD NPI#: 1396752887 San Jose, CA 95148-2098 1937 Tully Rd Evergreen Eye Care (408) 274-9090 San Jose, CA 95122-1934 Optometry Inc M-F 9:00 AM - 5:30 PM (408) 923-0400 3005 Silver Crk Rd # 104 SAT 8:30 AM - 2:30 PM M 10:00 AM - 7:00 PM San Jose, CA 95121-1789 : Yes T,W,TH,F 9:30 AM - 7:00 PM (408) 238-4900 : English, Spanish, SAT 10:00 AM - 7:00 PM T,W,TH,F 9:30 AM - 5:30 PM Vietnamese SUN 10:00 AM - 4:00 PM SAT 9:30 AM - 1:30 PM : SR - Limited E EB IB P : Yes : Yes PT R : English, Spanish, : English, Vietnamese : Yes Vietnamese : SR - Limited E EB IB P : SR - Limited PT R : : Yes

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 92 Vision Providers C3. Vision Providers

Trinh, Mindy, OD Wada, Jon, OD Yeh, Annie, OD NPI#: 1962555789 NPI#: 1881633501 NPI#: 1598040115 Evergreen Valley Optometry Jon G Wada OD Optimus Vision Care 3257 S White Rd 2405 Frst Ave Optometry San Jose, CA 95148-4056 San Jose, CA 95128-1500 4155 Moorpark Ave # 21 (408) 238-9696 (408) 243-7916 San Jose, CA 95117-1714 M,W,TH,F 9:00 AM - 5:30 M 9:00 AM - 7:00 PM (408) 243-2020 PM T,W,TH,F 9:00 AM - 5:30 PM M,T,F 10:00 AM - 6:00 PM T 9:00 AM - 7:30 PM SAT 9:00 AM - 1:00 PM SAT 10:00 AM - 6:00 PM SAT 8:00 AM - 1:30 PM : Yes : Yes : Yes : English : English, Spanish, : English : SR - Limited Vietnamese : SR - Limited E EB IB P : : SR - Limited E EB IB P PT R Yee, Linda, OD PT R : Yes NPI#: 1750419750 : Yes Almaden Family Optometric Truong, Emilie, OD SANTA CLARA NPI#: 1245258524 Center Eye To Eye Optometry 6531 Crown Blvd # 4 Tran, Tammy, OD 1916 Aborn Rd San Jose, CA 95120-2906 NPI#: 1326117839 San Jose, CA 95121-1581 (408) 997-2020 Iris Vision Optometry (408) 270-3600 M,F 9:30 AM - 5:00 PM Boutique M,T,TH,F 10:00 AM - 6:00 T 9:30 AM - 6:00 PM 3929 Rivermark Plz PM W,TH 9:30 AM - 5:30 PM Santa Clara, CA 95054­ SAT 9:30 AM - 4:00 PM : Yes 4156 : Yes : English, Spanish (408) 988-7957 : English, Vietnamese : SR - Limited M,T,TH,F 10:00 AM - 6:00 : SR - Limited : PM : W 10:00 AM - 2:00 PM SAT 10:00 AM - 5:00 PM : Yes : English, Vietnamese : SR - Limited :

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Vision Providers 93 C3. Vision Providers

SUNNYVALE Hoang, Vanessa, OD NPI#: 1801821202 Spectrum Optometric Center 939 W El Camino Real # 116 Sunnyvale, CA 94087-1179 (408) 739-0591 M,T,TH,F 10:30 AM - 6:00 PM W 10:30 AM - 7:00 PM SAT 10:00 AM - 3:00 PM : Yes : English, Spanish, Vietnamese : SR - Limited :

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 94 Vision Providers C4. Dental Services

Certain dental services will be provided by the state’s Denti-Cal program. These services are not provided through our plan. For more information, call Denti-Call at 1-800-322-6384. TTY users should call 1-800-735-2922.

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Dental Services 95 CareMore Care Centers

C5. CareMore Care Centers CareMore Care Centers1 are here to help you get the health care you need. We help members work with their doctor and specialist. At these Centers, you get the personal care you need to feel your very best. Some programs offered at your local CareMore Care Center are 2:

• Comprehensive Health Assessment – Members get a complete health exam by a specially trained nurse. The nurse will discuss treatment choices and follow-up care to help you manage your health. • Diabetes Management Program – This program can help you learn how to control your blood sugar levels. As part of the program you will have access to a toll-free helpline, exercise and healthy eating classes. All members with diabetes are welcome to join. • Hypertension Program – This program helps members learn about high blood pressure and how to monitor their blood pressure. Members will get frequent wellness check-ups. • Foot Care – Members get regular foot check-ups and toenail trimmings. • Anticoagulation Therapy Program – This program is for members who take blood thinner medication. As part of the program members learn about medicine side effects and how to take your medicine the right way. • Congestive Heart Failure (CHF) Program – We help you learn how to stop CHF from getting worse. We work with you to help you be as healthy as you can be. All members with CHF are welcome to join. • Chronic Obstructive Pulmonary Disease (COPD) Program – As part of the program, you will get tools that can help you live healthier with COPD. This can help prevent frequent visits to the hospital due to problems with COPD. All members with COPD are welcome to join. • Ideal Life Program – As part of this program, you may get electronic tools that you can use at home to monitor your condition. These monitoring tools will send information to your nurse. The nurse will review the information she gets to make sure you are doing ok. This program is for members with diabetes, CHF and/or high blood pressure. You must qualify to get these monitoring tools. • Strength and Fitness Training – Some Care Centers have strength training programs and nutrition advice for adults. We work with you and watch how well you are doing. 1 $0 co-pay – for covered services offered at the CareMore Care Center. 2 *Not all programs are available at each center.

• For icon descriptions and references see pages ix - x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 96 CareMore Care Centers CareMore Care Centers

CALIFORNIA SANTA CLARA COUNTY

GILROY Caremore Care Center NPI #: 1386048429 7888 Wren Ave # C131 Gilroy, CA 95020 (408) 665-4400 : English : :

SAN JOSE Caremore Care Center NPI #: 1386048429 255 N White Rd # 200 San Jose, CA 951271964 (408) 503-7600 : English : : Caremore Care Center NPI #: 1386048429 4855 Atherton Ave # 101 San Jose, CA 95130 (408) 963-2400 : English : :

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY ? 711), Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

CareMore Care Centers 97 C6. Strength and Fitness Providers CALIFORNIA SANTA CLARA COUNTY

SAN JOSE Nifty After Fifty NPI#: 1164540902 255 N White Rd # 200 C San Jose, CA 951271966 (408) 503-7604 : English : : Nifty After Fifty NPI#: 1164540902 4855 Atherton Ave # 101 San Jose, CA 95130 (408) 963-2404 : English : :

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 98 Strength and Fitness Providers C7. Durable Medical Equipment

CALIFORNIA Brannons Rentals Sales NPI#: 1639264203 CAMPBELL 2052 Lincoln Ave San Jose, CA 951253539 National Seating Mobility (408) 448-3000 NPI#: 1376516922 M-F 9:00 AM - 5:30 PM 1190 Dell Ave Ste L SAT 9:00 AM - 1:00 PM Campbell, CA 950086614 : Basic P R (408) 920-0390 : Yes M-F 8:00 AM - 5:00 PM Lifecare Solutions : Basic P R NPI#: 1023029774 : Yes 81 Southgate Ct

SAN JOSE San Jose, CA 951380000 (925) 961-9750 Aays Rents & Sells Inc M-F 8:00 AM - 4:00 PM NPI#: 1417027038 : Basic P R 598 E Santa Clara St : Yes San Jose, CA 951122036 (408) 295-1309 M-F 9:00 AM - 6:00 PM SAT 9:00 AM - 5:00 PM : Basic P R : Yes Apria Healthcare Inc NPI#: 1245349349 2040 Corporate Ct San Jose, CA 951311753 (408) 383-4400 M-F 8:00 AM - 5:00 PM : :

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Durable Medical Equipment 99 C8. Laboratory Services

CALIFORNIA Quest Diagnostics Quest Diagnostics NPI#: 1265587174 NPI#: 1003841891 CAMPBELL 2618 Alum Rock Ave 155 N Jackson Ave Ste 102 San Jose, CA 951162621 San Jose, CA 951161925 Bio Reference Laboratories (408) 926-5625 (408) 259-6806 In M-F 7:00 AM - 4:00 PM M-F 6:00 AM - 5:00 PM NPI#: 1447682380 SAT 6:00 AM - 10:00 AM SAT-SUN 7:00 AM - 11:00 2605 Winchester Blvd : AM Campbell, CA 950085320 : :

(800) 229-5227 Quest Diagnostics :

M-F 8:00 AM - 5:00 PM NPI#: 1003841891 Quest Diagnostics : Basic P R 2618 Alum Rock Ave NPI#: 1265587174 : San Jose, CA 951162621 155 N Jackson Ave Ste 102 SAN JOSE (408) 926-5625 San Jose, CA 951161925 M-F 7:00 AM - 4:00 PM (408) 259-6806 Bio Reference Laboratories SAT 6:00 AM - 10:00 AM M-F 6:00 AM - 5:00 PM Inc : SAT-SUN 7:00 AM - 11:00 NPI#: 1083986905 : AM

295 Oconnor Dr Ste A Quest Diagnostics :

San Jose, CA 951280000 NPI#: 1265587174 :

(408) 287-7690 2105 Forest Ave Quest Diagnostics

M-F 8:00 AM - 5:00 PM San Jose, CA 951281425 NPI#: 1003841891 : Basic E P R T (408) 947-2857 840 Willow St Ste 700 : Yes M-F 12:00 AM - 11:59 PM San Jose, CA 951252384 Quest Diagnostics SAT-SUN 12:00 AM - 11:59 (408) 291-0122 NPI#: 1073669867 PM M-F 7:00 AM - 3:30 PM 2581 Samaritan Dr Ste 108 : : San Jose, CA 951244112 : :

(408) 356-9154 Quest Diagnostics Quest Diagnostics M-F 6:30 AM - 5:00 PM NPI#: 1003841891 NPI#: 1003841891 SAT-SUN 7:30 AM - 12:30 2105 Forest Ave 2581 Samaritan Dr Ste 108 PM San Jose, CA 951281425 San Jose, CA 951244112 : Basic E P R T (408) 947-2857 (866) 697-8378 : Yes M-F 12:00 AM - 11:59 PM M-F 6:30 AM - 5:00 PM SAT-SUN 12:00 AM - 11:59 SAT-SUN 7:30 AM - 12:30 PM PM : : : :

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 100 Laboratory Services C8. Laboratory Services

Quest Diagnostics Quest Diagnostics Quest Diagnostics Nichols NPI#: 1265587174 NPI#: 1265587174 NPI#: 1780620526 2581 Samaritan Dr Ste 108 985 Timothy Dr 155 N Jackson Ave Ste 102 San Jose, CA 951244112 San Jose, CA 951331043 San Jose, CA 951161925 (866) 697-8378 (866) 697-8378 (408) 259-6806 M-F 6:30 AM - 5:00 PM M-F 7:30 AM - 5:00 PM M-F 6:00 AM - 5:00 PM SAT-SUN 7:30 AM - 12:30 : SAT-SUN 7:00 AM - 11:00 PM : AM : Quest Diagnostics : : NPI#: 1265587174 : Quest Diagnostics 840 Willow St Ste 700 Quest Diagnostics Nichols NPI#: 1003841891 San Jose, CA 951252384 NPI#: 1780620526 967 Mabury Rd (408) 291-0122 967 Mabury Rd San Jose, CA 951331025 M-F 7:00 AM - 3:30 PM San Jose, CA 951331025 (866) 697-8378 : (866) 697-8378 M-F 8:00 AM - 10:00 PM : M-F 8:00 AM - 10:00 PM : Quest Diagnostics Nichols : : NPI#: 1780620526 : Quest Diagnostics 840 Willow St Ste 700 Quest Diagnostics Nichols NPI#: 1265587174 San Jose, CA 951252384 NPI#: 1780620526 967 Mabury Rd (408) 291-0122 2581 Samaritan Dr Ste 108 San Jose, CA 951331025 M-F 7:00 AM - 3:30 PM San Jose, CA 951244112 (866) 697-8378 : (866) 697-8378 M-F 8:00 AM - 10:00 PM : M-F 6:30 AM - 5:00 PM : Quest Diagnostics Nichols SAT-SUN 7:30 AM - 12:30 : NPI#: 1780620526 PM Quest Diagnostics 985 Timothy Dr : NPI#: 1003841891 San Jose, CA 951331043 : 985 Timothy Dr (866) 697-8378 Quest Diagnostics Nichols San Jose, CA 951331043 M-F 7:30 AM - 5:00 PM NPI#: 1780620526 (866) 697-8378 : 2105 Forest Ave M-F 7:30 AM - 5:00 PM : San Jose, CA 951281425 : (408) 947-2857 : M-F 12:00 AM - 11:59 PM SAT-SUN 12:00 AM - 11:59 PM : :

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Laboratory Services 101 C8. Laboratory Services

Quest Diagnostics Nichols NPI#: 1780620526 2618 Alum Rock Ave San Jose, CA 951162621 (408) 926-5625 M-F 7:00 AM - 4:00 PM SAT 6:00 AM - 10:00 AM : :

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 102 Laboratory Services C9. Ancillary Providers

CALIFORNIA DIALYSIS Satellite Dialysis Of Los Gatos AMBULATORY CUPERTINO NPI#: 1619218377 53 Los Gatos Saratoga Rd SURGERY CENTER Satellite Healthcare Los Gatos, CA 950325461 Stevens Creek (408) 458-4460 SAN JOSE NPI#: 1386615235 M,W,F 6:00 AM - 4:30 PM 10596 N Tantau Ave Advanced Surgery Center : English Cupertino, CA 950140708 NPI#: 1508942996 : Basic P R T (408) 517-5777 235 Oconnor Dr : Yes M,W,F 12:00 AM - 8:00 PM San Jose, CA 951281624 T,TH 6:30 PM - 12:00 AM (408) 279-0791 MILPITAS SAT 12:00 AM - 8:00 PM M-F 6:00 AM - 4:30 PM Satellite Healthcare Milpitas : English : English NPI#: 1821107590 : : Basic P R 1860 Milmont Dr : : Yes Milpitas, CA 950352512 Montpelier Surgery Center LOS GATOS (408) 935-0600 NPI#: 1235155730 M-F 5:30 AM - 5:30 PM Bma Los Gatos 2340 Montpelier Dr Ste B SAT 5:30 AM - 5:30 PM NPI#: 1043322944 San Jose, CA 951161622 : English 14651 S Bascom Ave Ste (408) 347-1875 : Basic E P R T 100 M-F 7:30 AM - 5:00 PM : Yes Los Gatos, CA 950322014 : English (408) 358-3791 Wellbound Of Milpitas Llc : Basic P R : English NPI#: 1962457267 : Yes : 1850 Milmont Dr : Milpitas, CA 950352512 (408) 935-0550 Los Gatos Dialysis M-F 8:00 AM - 4:30 PM NPI#: 1538509161 : English 14251 Winchester Blvd 100 : Basic E P R T Los Gatos, CA 950321811 : Yes (408) 370-6756 M,W,F 5:00 AM - 10:00 PM T,TH 5:00 AM - 5:30 PM SAT 5:00 AM - 5:30 PM : English : Basic E P R T :

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Ancillary Providers 103 C9. Ancillary Providers

MORGAN HILL Satellite Wellbound Of Davita-Stevens Creek Mountain View Dialysis Satellite Dialysis Of Morgan NPI#: 1083046247 NPI#: 1457797474 Hill 247 W El Camino Real Ste 275 Di Salvo Ave NPI#: 1558666701 200 San Jose, CA 951281628 16060 Caputo Dr Ste 140 Mountain View, CA (408) 297-0103 Morgan Hill, CA 950375534 940402605 M,W,F 12:00 AM - 11:59 PM (408) 337-4100 (650) 417-6460 T,TH 4:00 AM - 11:00 PM

M-F 6:00 AM - 6:00 PM : English SAT 4:00 AM - 11:00 PM

SAT 6:00 AM - 6:00 PM : : English

: English : : Basic P R : Basic P R T : Yes : Yes SAN JOSE Davita-Tully Dialysis MOUNTAIN VIEW Aborn Dialysis NPI#: 1154668184 NPI#: 1386882934 1290 Tully Rd Ste 80 Satellite Healthcare 3162 S White Rd # 100 San Jose, CA 951223069 Mountain View San Jose, CA 951484019 (408) 993-8959

NPI#: 1639511884 (408) 223-0620 M-F 6:00 AM - 5:30 PM

247 W El Camino Real Ste M-F 5:30 AM - 11:00 PM SAT 6:00 AM - 5:30 PM

100 SAT 5:30 AM - 11:00 PM : English Mountain View, CA : English : Basic P R 940402605 : Basic E P R T : Yes

(650) 417-6420 : Yes M,W,F 6:00 AM - 9:00 PM Davita-Tully Road Home T,TH 6:00 AM - 6:00 PM Aborn Dialysis Training NPI#: 1386882934 SAT 6:00 AM - 6:00 PM NPI#: 1538400239

3162 S White Rd Ste 100 1290 Tully Rd Ste 60 : English : Basic P R T San Jose, CA 951484019 San Jose, CA 951223069

: Yes (408) 223-0620 (408) 275-0105 : English M-F 8:00 AM - 5:30 PM : : English : : Basic P R : Yes

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 104 Ancillary Providers C9. Ancillary Providers

Fresenius Medical Care Satellite Dialysis San Jose Satellite Healthcare Santa San Jose NPI#: 1073888699 Teresa NPI#: 1427245893 1620 E Capitol Expy NPI#: 1578724761 6850a Santa Teresa Ave Ste San Jose, CA 951211860 7019 Realm Dr 100 (408) 754-3400 San Jose, CA 951191321 San Jose, CA 95119 M-F 6:00 AM - 6:00 PM (408) 229-1110 (408) 229-0344 SAT 6:00 AM - 6:00 PM M,W,F 6:00 AM - 7:00 PM : English : English T,TH 6:00 AM - 6:00 PM : : Basic P R T SAT 6:00 AM - 6:00 PM : : Yes : English Satellite Dialysis (south Satellite Healthcare : Basic P R T San Jose) Blossom Valley : Yes NPI#: 1154392009 NPI#: 1306299391 Satellite Healthcare 393 Blossom Hill Rd Ste 110 1450 Kooser Rd Stevens Creek San Jose, CA 951231653 San Jose, CA 951183428 NPI#: 1386615235 (408) 629-9802 (408) 440-3269 4360 Stevens Creek Blvd M-F 6:00 AM - 6:30 PM : English Ste A SAT 6:00 AM - 6:30 PM : San Jose, CA 951291103 : English : (408) 517-5777 : Basic P R T Satellite Healthcare East M,W,F 12:00 AM - 5:00 PM : Yes San Jose T,TH 6:30 AM - 12:00 PM Satellite Dialysis Of White NPI#: 1700857885 : English Road 2121 Alexian Dr 118 : NPI#: 1972838944 San Jose, CA 951161905 : 1450 S White Rd Ste 30 (408) 258-8720 Silicon Valley Dialysis San Jose, CA 951274798 M,W,F 5:00 AM - 7:00 PM NPI#: 1104187202 (408) 272-9810 T,TH 5:00 AM - 5:00 PM 725 Ridder Park Dr Ste 10 M,W,F 5:30 AM - 5:30 PM SAT 5:00 AM - 5:00 PM San Jose, CA 951312431 : English : English (408) 392-0390 : Basic P R T : Basic P R T M-F 6:00 AM - 6:00 PM : Yes : Yes SAT 6:00 AM - 6:00 PM : English : Basic E P R T : Yes

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Ancillary Providers 105 C9. Ancillary Providers

Silicon Valley Home SUNNYVALE SAN JOSE Training NPI#: 1427319524 Satellite Dialysis Sunnyvale Amedisys Home Health 725 Ridder Park Dr Ste 50 NPI#: 1922079805 Care San Jose, CA 951312431 155 N Wolfe Rd NPI#: 1538228218 (408) 392-0239 Sunnyvale, CA 940865212 1510 Parkmoor Ave B M-F 6:00 AM - 6:00 PM (408) 617-1887 San Jose, CA 951282418 SAT 6:00 AM - 6:00 PM M-F 5:45 AM - 6:30 PM (408) 370-3927 : English : English : English

: Basic E P R T : Basic P R T :  : Yes : Yes : Wellbound Of San Jose Llc HOME HEALTH Gentiva Health Services - NPI#: 1548232572 San Jose AGENCY 1525 Meridian Ave 101 NPI#: 1710919998

San Jose, CA 951250000 4030 Moorpark Ave Ste 251 CAMPBELL (408) 269-3600 San Jose, CA 951171807

M-F 8:00 AM - 4:30 PM Care At Home Inc (408) 261-2801

: English NPI#: 1396740965 M-F 8:00 AM - 5:00 PM : English : Basic E P R T 910 Campisi Way Ste 2c

: Yes Campbell, CA 950082351 : Basic P R (408) 379-3990 : Yes SANTA CLARA : English Healthy Living At Home

Santa Clara Dialysis : NPI#: 1043456916 NPI#: 1073858361 : 1879 Lundy Ave Ste 113 San Jose, CA 951311877 777 Lawrence Expy Ste 18 MILPITAS Santa Clara, CA 950515118 (408) 324-0600 (408) 243-1130 Managed Care At Home M-F 9:00 AM - 5:30 PM M-F 5:00 AM - 6:00 PM NPI#: 1235323403 : English SAT 5:00 AM - 6:00 PM 830 Hillview Ct Ste 225 : Basic P R : English Milpitas, CA 950354563 : Yes : Basic P R T (510) 739-1992 : Yes M-F 8:00 AM - 5:00 PM : English : Basic P R : Yes

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 106 Ancillary Providers C9. Ancillary Providers

Premier Healthcare Vn Home Health Care PALO ALTO Services Llc NPI#: 1891747978 NPI#: 1114246816 2528 Qume Dr Ste 7 Hanger P&o West 1210 S Bascom Ave Ste 129 San Jose, CA 951310000 NPI#: 1003911702 San Jose, CA 951283535 (408) 998-0550 110 Town Country Village (408) 288-6701 M-F 8:00 AM - 5:00 PM Palo Alto, CA 943010000

M-F 8:00 AM - 5:00 PM : English (206) 323-4040

: English : Basic P R : English

: Basic P R : :  : Yes : SUNNYVALE Prohealth Home Care Inc Hanger P&o West

NPI#: 1255531570 Harmony Healthcare, Llc NPI#: 1003911702

2700 Zanker Rd Ste 180 NPI#: 1538469929 855 El Camino Real

San Jose, CA 951342140 1292 Kifer Rd Ste 807 Palo Alto, CA 943012305

(408) 451-9055 Sunnyvale, CA 940865311 (650) 326-7504 M-F 9:00 AM - 5:30 PM (408) 260-7062 : English

: English M-F 9:00 AM - 5:30 PM : : : Basic P R : English : Yes : Basic P R SAN JOSE Serene Home Healthcare : Hanger P&o West Inc. ORTHOTICS & NPI#: 1003911702 NPI#: 1184901209 3550 Stevens Creek Blvd 4340 Almaden Expwy 206 PROSTHETICS Ste 120 San Jose, CA 951182048 San Jose, CA 951171031 (408) 448-8877 MOUNTAIN VIEW (408) 248-9840 M-F 9:00 AM - 5:00 PM Hanger P&o West : English : English NPI#: 1003911702 : : 298 San Antonio Rd Ste 150 : : Mountain View, CA 940405306 Hanger P&o West

(650) 559-1711 NPI#: 1003911702 25 N 14th St Ste 120 : English San Jose, CA 951126208 : (408) 293-2347 : : English : :

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Ancillary Providers 107 C9. Ancillary Providers

Hanger P&o West NPI#: 1003911702 125 Ciro Ave Ste 240 San Jose, CA 951281671 (408) 358-5366 : English : : Hanger Prosthetics Orthotics Inc NPI#: 1003988742 125 Ciro Ave Ste 240 San Jose, CA 951281671 (408) 358-5366 M-F 8:00 AM - 5:00 PM : English : Basic E P R T :

• For icon descriptions and references see pages ix-x. Language Services: In-person medical interpreters (including ASL) and over-the-phone interpreter services are available for scheduled doctor visits in the office or health care facility. To request these services, you or your provider should please call Member Services at 1-855-817-5785 (TTY 711) when you make your appointment.These services are available to you at no cost. 108 Ancillary Providers C10. Transportation - Health Care

SANTA CLARA COUNTY

For health care related transportation services, contact:

Transportation for Health Care Visits: • To schedule a health care visit ride: Call 1-888-325-1024 (TTY 711), Monday - Friday from 8 a.m. to 8 p.m. • Reservations should be made one business day in advance. • Tell them if you use a cane, walker or are in wheelchair. • Tell them if you have needs that require special types of transportation. • Tell them if you have a caregiver or a family member will be traveling with you.

If you need emergency transportation, you should call 911.

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

Transportation - Health Care 109 D. List of network pharmacies

This part of the Directory provides a list of pharmacies in Anthem Blue Cross Cal MediConnect Plan’s network. These network pharmacies are pharmacies that have agreed to provide prescription drugs to you as a member of the plan.

We also list pharmacies that are in our network but are outside Santa Clara County in which you live. You may also fill your prescriptions at these pharmacies. Please contact Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), Monday through Friday 8 a.m. to 8 p.m. Pacific Time, for additional information.

• Anthem Blue Cross Cal MediConnect Plan members must use network pharmacies to get prescription drugs.

o You must use network pharmacies except in emergency or urgent care situations.

o If you go to an out-of-network pharmacy for prescriptions when it is not an emergency, you will have to pay out of pocket for the service. Read the Anthem Blue Cross Cal MediConnect Plan Member Handbook for more information.

• Some network pharmacies may not be listed in this Directory.

o Some network pharmacies may have been added or removed from our plan after this Directory was published.

For up-to-date information about Anthem Blue Cross Cal MediConnect Plan network pharmacies in your area, please visit our web site at duals.anthem.com or call Member Services at 1-855-817-5785, Monday through Friday 8 a.m. to 8 p.m. Pacific Time. The call is free. TTY/TDD: 711.

To get a complete description of your prescription coverage, including how to fill your prescriptions, please read the Member Handbook and Anthem Blue Cross Cal MediConnect Plan’s List of Covered Drugs. The List of Covered Drugs is also available on our website at duals.anthem.com. For questions about specific drugs, call Member Services at 1-855-817­ 5785 (TTY 711), Monday through Friday from 8 a.m. to 8 p.m. Pacific Time.

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday 8 a.m. to 8 p.m. Pacific Time. The call is free. For more information, visit duals. anthem.com. 110 D1. How to identify pharmacies in Anthem Blue Cross Cal MediConnect Plan’s network

Along with retail pharmacies, your plan’s network of pharmacies includes:

• Mail-order pharmacies send covered prescription drugs to members through the mail or shipping companies. • Home infusion pharmacies prepare prescription drugs that are given through a vein, within a muscle, or in another non-oral way by a trained provider in your home.

• Long-term care (LTC) pharmacies serve residents of long-term care facilities, such as nursing homes.

• Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) pharmacies • Specialty Pharmacies

You are not required to continue going to the same pharmacy to fill your prescriptions.

D2. Long-term supplies of prescriptions • Mail-Order Programs. We offer a mail-order program that allows you to get up to a 93­ day supply of your prescription drugs sent directly to your home. A 93-day supply has the same copay as a one-month supply.

• 93-Day Retail Pharmacy Programs. Some retail pharmacies may also offer up to a 93­ day supply of covered prescription drugs. A 93-day supply has the same copay as a one- month supply.

E. Anthem Blue Cross Cal MediConnect Plan’s network pharmacies You can go to any of the pharmacies in our network.

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY 711), ? Monday through Friday 8 a.m. to 8 p.m. Pacific Time. The call is free. For more information, visit duals. anthem.com. 111 E1. Retail and Chain Pharmacies

CALIFORNIA Walgreens† Safeway Pharmacy† 1570 W Campbell Ave 20620 Homestead Rd SANTA CLARA Campbell, CA 95008 Cupertino, CA 95014 COUNTY (408) 374-3038 (408) 253-0122 M-F 8am - 9pm M-F 9am - 8pm CAMPBELL SAT 9am - 6pm SAT-SUN 9am - 5pm SUN 10am - 6pm CVS† Walgreens† 1720 S Bascom Ave Walgreens† 20011 Bollinger Rd Campbell, CA 95008 1660 Winchester Blvd Cupertino, CA 95014 (408) 371-7191 Campbell, CA 95008 (408) 973-8402 M-F 8am - 9pm (408) 378-7916 M-F 8am - 9pm SAT 9am - 6pm M-F 8am - 9pm SAT 9am - 6pm SUN 10am - 6pm SAT 9am - 6pm SUN 10am - 6pm SUN 10am - 6pm CVS† GILROY 100 N San Tomas Aquino Rd CUPERTINO Campbell, CA 95008 CVS† (408) 374-1337 CVS† 800 1st St M-F 9am - 9pm 19499 Stevens Crk Blvd Gilroy, CA 95020 SAT 9am - 6pm Cupertino, CA 95014 (408) 842-0373 SUN 10am - 6pm (408) 863-0411 M-F 8am - 9pm M-F 8am - 8pm SAT 9am - 6pm Safeway Pharmacy† 2341 S Winchester Blvd SAT-SUN 9am - 6pm SUN 10am - 6pm Campbell, CA 95008 CVS† CVS† (408) 364-6882 10455 S De Anza Blvd 6705 Camino Arroyo M-F 9am - 8pm Cupertino, CA 95014 Gilroy, CA 95020 SAT-SUN 9am - 5pm (408) 996-1911 (408) 848-6941 M-F 8am - 9pm M-F 9am - 7pm Safeway Pharmacy† 950 W Hamilton Ave SAT 9am - 6pm SAT 9am - 5pm Campbell, CA 95008 SUN 10am - 6pm SUN 9am - 6pm (408) 871-1260 Rite Aid† Costco† M-F 9am - 8pm 20572 Homestead Rd 7251 Camino Arroyo SAT-SUN 9am - 5pm Cupertino, CA 95014 Gilroy, CA 95020 (408) 253-2005 (408) 848-0702 M-F 8am - 10pm M-F 10am - 7pm SAT 9am - 6pm SAT 10am - 6pm SUN 10am - 6pm SUN CLOSED

x Access limited to qualified members, contact Member Services for more information 1-855-817-5785 (TTY 711) * Network retail pharmacies that have contracted with us to allow members to fill a 93-day supply of their prescription medications † Network pharmacies that support electronic prescribing You can go to any of the pharmacies in our network

112 Nob Hill Pharmacy† Safeway Pharmacy† Pharmaca Intergrative 777 1st St 160 1st St Phcy #17† Gilroy, CA 95020 Los Altos, CA 94022 54 N Santa Cruz Ave (408) 847-6777 (650) 941-1844 Los Gatos, CA 95030 M-F 9am - 9pm M-F 9am - 8pm (408) 395-1231 SAT-SUN 9am - 5pm SAT-SUN 9am - 5pm M-F 9am - 7pm

Vhc At Gilroy Pharmacy† Save Mart Pharmacy† SAT 9am - 6pm 7475 Camino Arroyo 2175 Grant Rd SUN 10am - 6pm Gilroy, CA 95020 Los Altos, CA 94024 Rite Aid† (408) 852-2212 (650) 969-0772 15920 Los Gatos Blvd M-F 8am - 5pm M-F 9am - 7pm Los Gatos, CA 95032 SAT-SUN CLOSED SAT 9am - 5pm (408) 358-2715

Wal-Mart† SUN CLOSED M-F 9am - 9pm

7150 Camino Arroyo Walgreens† SAT 9am - 6pm Gilroy, CA 95020 303 2nd St SUN 10am - 6pm (408) 848-8171 Los Altos, CA 94022 Safeway Pharmacy† M-F 9am - 9pm (650) 949-3378 470 N Santa Cruz Ave SAT 9am - 6pm M-F 8am - 9pm Los Gatos, CA 95030 SUN 10am - 6pm SAT 9am - 6pm (408) 354-7436

Walgreens† SUN 10am - 6pm M-F 9am - 9pm 770 1st St SAT-SUN 9am - 5pm LOS GATOS Gilroy, CA 95020 Safeway Pharmacy† (408) 847-0983 CVS† 15549 Un Ave M-F 8am - 9pm 750 Blossom Hl Rd Los Gatos, CA 95032 SAT 9am - 6pm Los Gatos, CA 95032 (408) 559-5752 SUN 10am - 6pm (408) 356-3464 M-F 9am - 8pm M-F 8am - 9pm SAT-SUN 9am - 5pm LOS ALTOS SAT 9am - 6pm Walgreens†

Rite Aid† SUN 10am - 6pm 423 N Santa Cruz Ave 2310 Homestead Rd CVS† Los Gatos, CA 95030 Los Altos, CA 94024 1496 Pollard Rd (408) 354-8029 (408) 774-0134 Los Gatos, CA 95032 M-F 12am - 12am M-F 8am - 10pm (408) 376-3554 SAT-SUN 12am - 12am SAT 9am - 6pm M-F 9am - 9pm SUN 10am - 6pm SAT 9am - 6pm SUN 10am - 5pm

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY ? 711), Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

113 SANTA CLARA COUNTY (continued)

Walgreens† Walgreens† Safeway Pharmacy† 14100 Blossom Hl Rd 1833 N Milpitas Blvd 840 E Dunne Ave Los Gatos, CA 95032 Milpitas, CA 95035 Morgan Hill, CA 95037 (408) 356-1152 (408) 262-7774 (408) 776-8722 M-F 8am - 9pm M-F 8am - 9pm M-F 9am - 8pm SAT 9am - 6pm SAT 9am - 6pm SAT-SUN 9am - 5pm SUN 10am - 6pm SUN 10am - 6pm Safeway Pharmacy† 235 Tennant Sta MILPITAS Walgreens† 342 W Calaveras Blvd Morgan Hill, CA 95037 CVS† Milpitas, CA 95035 (408) 782-5185 45 N Milpitas Blvd (408) 263-3963 M-F 8am - 7pm Milpitas, CA 95035 M-F 8am - 9pm SAT-SUN 9am - 5pm (408) 946-6424 SAT 9am - 6pm Wal-Mart† M-F 8am - 9pm SUN 10am - 6pm 170 Cochrane Plz SAT 9am - 6pm Morgan Hill, CA 95037 MORGAN HILL SUN 10am - 6pm (408) 782-2360 Safeway Pharmacy† CVS† M-F 9am - 8pm 555 E Calaveras Blvd 1061 Cochrane Rd SAT 9am - 6pm Milpitas, CA 95035 Morgan Hill, CA 95037 SUN 10am - 5pm (408) 262-9855 (408) 310-4051 Walgreens† M-F 9am - 8pm M-F 9am - 7pm 745 E Dunne Ave SAT-SUN 9am - 5pm SAT 9am - 5pm Morgan Hill, CA 95037 Vhc At Silvercreek SUN 9am - 6pm (408) 782-9591 Pharmacy† CVS† M-F 8am - 9pm 143 N Main St 16995 Walnut Grv Dr SAT 9am - 6pm Milpitas, CA 95035 Morgan Hill, CA 95037 SUN 10am - 6pm (408) 957-0919 (408) 779-6981 M-F 8am - 5pm M-F 8am - 9pm MOUNTAIN VIEW SAT-SUN CLOSED SAT 9am - 6pm CVS† Wal-Mart† SUN 10am - 6pm 850 California St 301 Rnch Dr Rite Aid† Mountain View, CA 94041 Milpitas, CA 95035 16000 Monterey St (650) 691-4004 (408) 934-0204 Morgan Hill, CA 95037 M-F 9am - 8pm M-F 9am - 9pm (408) 778-5184 SAT 9am - 6pm SAT 9am - 7pm M-F 9am - 9pm SUN 10am - 6pm SUN 10am - 5pm SAT 9am - 6pm SUN 10am - 6pm

x Access limited to qualified members, contact Member Services for more information 1-855-817-5785 (TTY 711) * Network retail pharmacies that have contracted with us to allow members to fill a 93-day supply of their prescription medications † Network pharmacies that support electronic prescribing You can go to any of the pharmacies in our network

114 PALO ALTO CVS† Safeway Pharmacy† 2630 W El Camino Real 645 San Antonio Rd CVS† Mountain View, CA 94040 Mountain View, CA 94040 855 El Camino Real

(650) 941-8430 (650) 948-4605 Palo Alto, CA 94301

M-F 8am - 9pm M-F 9am - 8pm (650) 322-2554

SAT 9am - 6pm SAT-SUN 9am - 5pm M-F 8am - 9pm

SUN 10am - 5pm Safeway Pharmacy† SAT 9am - 6pm CVS† 570 Shoreline Blvd SUN 10am - 6pm 1041 El Monte Ave Mountain View, CA 94043 CVS† Mountain View, CA 94040 (650) 961-4851 352 University Ave

(650) 961-5560 M-F 9am - 8pm Palo Alto, CA 94301

M-F 8am - 9pm SAT-SUN 9am - 5pm (650) 324-3248

SAT 9am - 6pm Wal-Mart† M-F 9am - 9pm

SUN 10am - 6pm 600 Showers Dr SAT 9am - 6pm CVS† Mountain View, CA 94040 SUN 10am - 6pm 555 Showers Dr (650) 917-0878 CVS† Mountain View, CA 94040 M-F 9am - 8pm 2701 Middlefield Rd

(650) 965-0129 SAT 9am - 5pm Palo Alto, CA 94306

M-F 9am - 7pm SUN 10am - 5pm (650) 330-0132

SAT 9am - 5pm Walgreens† M-F 8am - 9pm

SUN 11am - 5pm 121 E El Camino Real SAT 9am - 6pm CVS† Mountain View, CA 94040 SUN 10am - 5pm 1798 Miramonte Ave (650) 961-7555 Safeway Pharmacy† Mountain View, CA 94040 M-F 12am - 12am 2811 Middlefield Rd

(650) 969-6297 SAT-SUN 12am - 12am Palo Alto, CA 94306

M-F 9am - 9pm Walgreens† (650) 321-9731

SAT 9am - 6pm 1905 W El Camino Real M-F 9am - 8pm

SUN 10am - 6pm Mountain View, CA 94040 SAT-SUN 9am - 5pm Costco† (650) 967-3531 Walgreens† 1000 N Rengstorff Ave M-F 8am - 9pm 300 University Ave

Mountain View, CA 94043 SAT 9am - 6pm Palo Alto, CA 94301

(650) 988-7160 SUN 10am - 6pm (650) 326-3404

M-F 10am - 7pm M-F 8am - 9pm

SAT 10am - 6pm SAT 9am - 6pm

SUN CLOSED SUN 10am - 6pm

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY ? 711), Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

115 SANTA CLARA COUNTY (continued)

Walgreens† CVS† CVS† 217 Alma St # 200 3220 S White Rd 1811 Hillsdale Ave Palo Alto, CA 94301 San Jose, CA 95148 San Jose, CA 95124 (650) 326-3876 (408) 238-9603 (408) 265-3253 M-F 9am - 5pm M-F 8am - 9pm M-F 9am - 7pm SAT-SUN CLOSED SAT 9am - 6pm SAT 9am - 5pm Walgreens† SUN 9am - 5pm SUN 11am - 5pm 2605 Middlefield Rd CVS† CVS† Palo Alto, CA 94306 1800 Saratoga Ave 1125 Branham Ln (650) 566-9723 San Jose, CA 95129 San Jose, CA 95118 M-F 8am - 9pm (408) 253-3352 (408) 267-0911 SAT 9am - 6pm M-F 9am - 9pm M-F 9am - 9pm SUN 10am - 6pm SAT 9am - 6pm SAT 9am - 6pm Walgreens† SUN 10am - 6pm SUN 10am - 6pm 795 El Camino Real CVS† CVS† Palo Alto, CA 94301 5170 Moorpark Ave 4550 Meridian Ave (650) 687-0154 San Jose, CA 95129 San Jose, CA 95124 M 9am - 7pm (408) 257-9918 (408) 267-1472 T,W,TH,F 9am - 6pm M-F 9am - 9pm M-F 9am - 9pm SAT 9am - 1pm SAT 9am - 6pm SAT 9am - 6pm SUN CLOSED SUN 10am - 6pm SUN 10am - 6pm Walgreens† CVS† CVS† 4170 El Camino Real 3074 Story Rd 5407 Camden Ave Palo Alto, CA 94306 San Jose, CA 95127 San Jose, CA 95124 (650) 858-2007 (408) 259-5600 (408) 267-9680 M-F 8am - 9pm M-F 9am - 9pm M-F 9am - 8pm SAT 9am - 6pm SAT 9am - 6pm SAT 9am - 6pm SUN 10am - 6pm SUN 10am - 6pm SUN 10am - 5pm

SAN JOSE CVS† CVS† 1405 Foxworthy Ave 2514 Berryessa Rd CVS† San Jose, CA 95118 San Jose, CA 95132 3155 Silver Crk Rd (408) 264-0371 (408) 272-1431 San Jose, CA 95121 M-F 8am - 9pm M-F 12am - 12am (408) 238-6070 SAT 9am - 6pm SAT-SUN 12am - 12am M-F 9am - 7pm SUN 10am - 6pm SAT 9am - 5pm SUN 9am - 6pm

x Access limited to qualified members, contact Member Services for more information 1-855-817-5785 (TTY 711) * Network retail pharmacies that have contracted with us to allow members to fill a 93-day supply of their prescription medications † Network pharmacies that support electronic prescribing You can go to any of the pharmacies in our network

116 CVS† CVS† CVS† 3475 McKee Rd 533 Coleman Ave 2069 Camden Ave San Jose, CA 95127 San Jose, CA 95110 San Jose, CA 95124 (408) 272-9156 (408) 346-2023 (408) 559-1450 M-F 9am - 9pm M-F 9am - 7pm M-F 9am - 9pm SAT 9am - 6pm SAT 9am - 5pm SAT 9am - 6pm SUN 10am - 6pm SUN 9am - 6pm SUN 10am - 5pm CVS† CVS† CVS† 1750 Story Rd 4110 N 1st St 470 Blossom Hl Rd San Jose, CA 95122 San Jose, CA 95134 San Jose, CA 95123 (408) 273-0055 (408) 434-1839 (408) 578-4900 M-F 9am - 9pm M-F 9am - 9pm M-F 8am - 9pm SAT-SUN 9am - 6pm SAT 9am - 6pm SAT-SUN 9am - 6pm

CVS† SUN 10am - 6pm CVS† 1285 Lincoln Ave CVS† 5630 Cottle Rd San Jose, CA 95125 525 W Capitol Expwy San Jose, CA 95123 (408) 280-5521 San Jose, CA 95136 (408) 600-3722 M-F 8am - 9pm (408) 448-9224 M-F 10am - 7pm SAT 9am - 6pm M-F 9am - 9pm SAT 10am - 7pm SUN 10am - 6pm SAT 9am - 6pm SUN 9am - 6pm

CVS† SUN 10am - 6pm CVS† 821 The Alameda CVS† 2161 Monterey Hwy San Jose, CA 95126 879 Blossom Hl Rd San Jose, CA 95125 (408) 291-4553 San Jose, CA 95123 (408) 660-1704 M-F 9am - 9pm (408) 513-3003 M-F 9am - 7pm SAT 9am - 6pm M-F 9am - 7pm SAT 9am - 5pm SUN 10am - 6pm SAT 9am - 5pm SUN 9am - 6pm

CVS† SUN 9am - 6pm CVS† 1097 Leigh Ave CVS† 95 Holger Way San Jose, CA 95126 4850 San Felipe Rd San Jose, CA 95134 (408) 294-2240 San Jose, CA 95135 (408) 834-1528 M-F 9am - 8pm (408) 532-2952 M-F 9am - 7pm SAT 9am - 6pm M-F 8am - 9pm SAT 9am - 5pm SUN 10am - 6pm SAT 9am - 6pm SUN 9am - 6pm SUN 10am - 6pm

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY ? 711), Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

117 SANTA CLARA COUNTY (continued)

CVS† Costco† Rite Aid† 1600 Saratoga Ave # 601 2201 Senter Rd 3055 McKee Rd San Jose, CA 95129 San Jose, CA 95112 San Jose, CA 95127 (408) 871-9385 (408) 947-2055 (408) 251-2477 M-F 9am - 7pm M-F 10am - 7pm M-F 9am - 9pm SAT 9am - 5pm SAT 10am - 6pm SAT 9am - 6pm SUN 9am - 6pm SUN CLOSED SUN 10am - 6pm CVS† Costco† Rite Aid† 1685 Tully Rd 5301 Almaden Expwy 1030 S White Rd San Jose, CA 95122 San Jose, CA 95118 San Jose, CA 95127 (408) 923-6616 (408) 979-2518 (408) 258-3311 M-F 9am - 9pm M-F 10am - 7pm M-F 9am - 9pm SAT 9am - 6pm SAT 10am - 6pm SAT 9am - 6pm SUN 9am - 5pm SUN CLOSED SUN 10am - 6pm CVS† Enborg Lane Pharmacy† Rite Aid† 6910 Almaden Expwy 2221 Enborg Ln # IJ018 1550 Hamilton Ave San Jose, CA 95120 San Jose, CA 95128 San Jose, CA 95125 (408) 927-7310 (408) 885-4100 (408) 264-8642 M-F 9am - 9pm M-F 8am - 5pm M-F 9am - 9pm SAT 9am - 6pm SAT-SUN CLOSED SAT 9am - 6pm

SUN 10am - 6pm Nob Hill Pharmacy† SUN 10am - 6pm Costco† 6061 Snell Ave Rite Aid† 1709 Automation Pkwy San Jose, CA 95123 3171 Meridian Ave San Jose, CA 95131 (408) 224-6200 San Jose, CA 95124 (408) 678-2159 M-F 9am - 8pm (408) 266-5550 M-F 10am - 7pm SAT-SUN 9am - 5pm M-F 8am - 10pm

SAT 10am - 6pm Rite Aid† SAT 9am - 6pm SUN CLOSED 6215 Santa Teresa Blvd SUN 10am - 6pm Costco† San Jose, CA 95119 Rite Aid† 6898 Raleigh Rd (408) 227-2816 1333 S Winchester Blvd San Jose, CA 95119 M-F 9am - 9pm San Jose, CA 95128 (408) 908-7939 SAT 9am - 6pm (408) 379-6570 M-F 10am - 7pm SUN 10am - 6pm M-F 9am - 9pm SAT 10am - 6pm SAT 9am - 6pm SUN CLOSED SUN 10am - 6pm

x Access limited to qualified members, contact Member Services for more information 1-855-817-5785 (TTY 711) * Network retail pharmacies that have contracted with us to allow members to fill a 93-day supply of their prescription medications † Network pharmacies that support electronic prescribing You can go to any of the pharmacies in our network

118 Rite Aid† Safeway Pharmacy† Save Mart Pharmacy† 1029 E Capitol Expwy 6477 Almaden Expwy 2027 Camden Ave San Jose, CA 95121 San Jose, CA 95120 San Jose, CA 95124 (408) 629-6060 (408) 323-2013 (408) 559-9491 M-F 9am - 10pm M-F 9am - 8pm M-F 9am - 7pm SAT 9am - 6pm SAT-SUN 9am - 5pm SAT 9am - 5pm SUN 10am - 6pm Safeway Pharmacy† SUN CLOSED Rite Aid† 5760 Cottle Rd Save Mart Pharmacy† 6091 Meridian Ave San Jose, CA 95123 129 Bernal St San Jose, CA 95120 (408) 362-9623 San Jose, CA 95119 (408) 927-7900 M-F 9am - 8pm (408) 578-2295 M-F 8am - 10pm SAT-SUN 9am - 5pm M-F 9am - 7pm SAT 9am - 6pm Safeway Pharmacy† SAT 9am - 5pm SUN 10am - 6pm 5146 Stevens Crk Blvd SUN 10am - 5pm Safeway Pharmacy† San Jose, CA 95129 Save Mart Pharmacy† 179 Branham Ln (408) 556-0614 3457 McKee Rd San Jose, CA 95136 M-F 9am - 8pm San Jose, CA 95127 (408) 227-5911 SAT-SUN 9am - 5pm (408) 937-6032 M-F 9am - 8pm Safeway Pharmacy† M-F 9am - 7pm SAT-SUN 9am - 5pm 1300 W San Carlos St SAT 9am - 5pm Safeway Pharmacy† San Jose, CA 95126 SUN CLOSED 1530 Hamilton Ave (408) 882-0988 Save Mart Pharmacy† San Jose, CA 95125 M-F 9am - 8pm 844 Blossom Hl Rd (408) 264-5391 SAT-SUN 9am - 5pm San Jose, CA 95123 M-F 9am - 8pm Santa Clara Valley Med (408) 972-2862 SAT-SUN 9am - 5pm Ctr† M-F 9am - 7pm Safeway Pharmacy† 751 S Bascom Ave SAT 9am - 5pm 1663 Branham Ln San Jose, CA 95128 SUN CLOSED San Jose, CA 95118 (408) 885-2820 Scvmc Outpatient (408) 267-4942 M-F 8am - 10pm Pharmacy† M-F 9am - 8pm SAT-SUN 8am - 10pm 751 S Bascom Ave Rm 150 SAT-SUN 9am - 5pm Save Mart Pharmacy† San Jose, CA 95128 Safeway Pharmacy† 565 W Capitol Expwy (408) 885-2310 2980 E Capitol Expwy San Jose, CA 95136 M-F 9am - 6pm San Jose, CA 95148 (408) 267-6828 SAT-SUN CLOSED (408) 274-5939 M-F 9am - 7pm M-F 9am - 8pm SAT 9am - 5pm SAT-SUN 9am - 5pm SUN CLOSED

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY ? 711), Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

119 SANTA CLARA COUNTY (continued)

Valley Health Ctr At Vhc At Tully Pharmacy† Wal-Mart† Downtown† 500 Tully Rd 777 Story Rd 777 E Santa Clara St San Jose, CA 95111 San Jose, CA 95122 San Jose, CA 95112 (408) 817-1360 (408) 885-1760 (408) 977-4500 M-F 8am - 9pm M-F 9am - 9pm M-F 9am - 10pm SAT-SUN CLOSED SAT 9am - 7pm

SAT-SUN 9am - 10pm Wal-Mart† SUN 10am - 6pm Vhc At Bascom Pharmacy† 1450 Monterey Rd Walgreens† 750 S Bascom Ave San Jose, CA 95112 440 Blossom Hl Rd San Jose, CA 95128 (408) 454-4509 San Jose, CA 95123 (408) 885-2320 M-F 8am - 9pm (408) 229-8013 M-F 9am - 9pm SAT 9am - 7pm M-F 12am - 12am SAT-SUN 8am - 5pm SUN 10am - 6pm SAT-SUN 12am - 12am Vhc At East Valley Wal-Mart† Walgreens† Pharmacy† 4080 Stevens Crk Blvd 1795 E Capitol Expwy 1993 McKee Rd San Jose, CA 95129 San Jose, CA 95121 San Jose, CA 95116 (408) 556-4507 (408) 238-5890 (408) 254-6392 M-F 8am - 9pm M-F 8am - 9pm M-F 8am - 9pm SAT 9am - 7pm SAT 9am - 6pm SAT-SUN 8am - 5pm SUN 10am - 6pm SUN 10am - 6pm Vhc At Lenzen Pharmacy† Wal-Mart† Walgreens† 976 Lenzen Ave 5095 Almaden Expwy 1334 Saratoga Ave San Jose, CA 95126 San Jose, CA 95118 San Jose, CA 95129 (408) 792-5169 (408) 600-3261 (408) 249-7333 M-F 8am - 5pm M-F 9am - 9pm M-F 8am - 9pm SAT-SUN CLOSED SAT 9am - 7pm SAT 9am - 6pm

Vhc At Moorpark SUN 10am - 6pm SUN 10am - 6pm Pharmacy† Wal-Mart† Walgreens† 2400 Moorpark Ave # 101 4055 Evergreen Vlg Sq 1760 Story Rd San Jose, CA 95128 San Jose, CA 95135 San Jose, CA 95122 (408) 885-7675 (408) 826-0341 (408) 251-9853 M-F 8am - 9pm M-F 9am - 9pm M-F 8am - 9pm SAT-SUN 8am - 5pm SAT-SUN 10am - 6pm SAT 9am - 6pm SUN 10am - 6pm

x Access limited to qualified members, contact Member Services for more information 1-855-817-5785 (TTY 711) * Network retail pharmacies that have contracted with us to allow members to fill a 93-day supply of their prescription medications † Network pharmacies that support electronic prescribing You can go to any of the pharmacies in our network

120 Walgreens† Walgreens† Walgreens† 350 N Capitol Ave 2680 Un Ave 1399 W San Carlos St San Jose, CA 95133 San Jose, CA 95124 San Jose, CA 95126 (408) 259-9200 (408) 371-5426 (408) 971-3098 M-F 12am - 12am M-F 8am - 9pm M-F 9am - 10pm SAT-SUN 12am - 12am SAT 9am - 6pm SAT-SUN 9am - 10pm

Walgreens† SUN 10am - 6pm Walgreens† 2105 Morrill Ave Walgreens† 1615 Meridian Ave San Jose, CA 95132 1376 Kooser Rd San Jose, CA 95125 (408) 263-5550 San Jose, CA 95118 (408) 978-5393 M-F 8am - 9pm (408) 448-2503 M-F 9am - 7pm SAT 9am - 7pm M-F 8am - 9pm SAT 9am - 6pm SUN 10am - 6pm SAT 9am - 6pm SUN 10am - 6pm

Walgreens† SUN 10am - 6pm Walgreens† 780 E Santa Clara St Walgreens† 1757 W San Carlos St San Jose, CA 95112 2799 S White Rd San Jose, CA 95128 (408) 287-0600 San Jose, CA 95148 (408) 878-0112 M-F 8am - 9pm (408) 528-9349 SAT 9am - 6pm M-F 8am - 9pm SANTA CLARA SUN 10am - 6pm SAT 9am - 6pm CVS†

Walgreens† SUN 10am - 6pm 3081 Stevens Crk Blvd 1130 Bird Ave Walgreens† Santa Clara, CA 95050 San Jose, CA 95125 1130 Foxworthy Ave (408) 241-5141 (408) 295-7768 San Jose, CA 95118 M-F 9am - 9pm M-F 8am - 9pm (408) 723-9905 SAT 9am - 6pm SAT 9am - 6pm M-F 8am - 9pm SUN 10am - 6pm SUN 10am - 6pm SAT 9am - 6pm CVS†

Walgreens† SUN 10am - 6pm 222 Saratoga Ave 1661 McKee Rd Walgreens† Santa Clara, CA 95050 San Jose, CA 95116 3571 N 1st St (408) 247-7250 (408) 347-1404 San Jose, CA 95134 M-F 9am - 9pm M-F 8am - 9pm (408) 876-6191 SAT 9am - 6pm SAT 9am - 6pm M-F 8am - 7pm SUN 10am - 6pm SUN 10am - 6pm SAT 9am - 4pm SUN CLOSED

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY ? 711), Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

121 SANTA CLARA COUNTY (continued) SARATOGA CVS† Safeway Pharmacy† 2700 Homestead Rd 3970 Rivermark Plz CVS† Santa Clara, CA 95051 Santa Clara, CA 95054 12940 Saratoga Sunnyvale (408) 247-8700 (408) 855-0985 Rd M-F 8am - 9pm M-F 9am - 8pm Saratoga, CA 95070 SAT 9am - 6pm SAT-SUN 9am - 5pm (408) 867-6822 SUN 10am - 6pm Wal-Mart† M-F 8am - 9pm CVS† 3255 Msn College Blvd SAT 9am - 6pm 2004 El Camino Real Santa Clara, CA 95054 SUN 9am - 5pm Santa Clara, CA 95050 (408) 961-4480 (669) 342-3321 M-F 9am - 9pm STANFORD M-F 10am - 7pm SAT 9am - 6pm Walgreens† SAT 10am - 7pm SUN 10am - 6pm 866 Campus Dr SUN CLOSED Walgreens† Stanford, CA 94305 Costco† 2140 El Camino Real (650) 815-2000 1601 Coleman Ave Santa Clara, CA 95050 Santa Clara, CA 95050 (408) 246-1054 SUNNYVALE (408) 988-0565 M-F 8am - 9pm M-F 10am - 7pm SAT 9am - 6pm CVS† 298 W Mc Kinley Ave SAT 10am - 6pm SUN 10am - 6pm Sunnyvale, CA 94086 SUN CLOSED Walgreens† (408) 702-1013 Lucky Pharmacy† 200 N Winchester Blvd M-F 9am - 7pm 3705 El Camino Real Santa Clara, CA 95050 SAT 9am - 5pm Santa Clara, CA 95051 (408) 247-1894 SUN 9am - 6pm (408) 249-6700 M-F 8am - 9pm M-F 9am - 7pm SAT 9am - 6pm CVS† 1165 W El Camino Real SAT 9am - 5pm SUN 10am - 6pm Sunnyvale, CA 94087 SUN CLOSED Walgreens† (408) 732-1688 Rite Aid† 3460 El Camino Real M-F 9am - 9pm 2620 El Camino Real Santa Clara, CA 95051 SAT 9am - 6pm Santa Clara, CA 95051 (408) 261-1047 SUN 10am - 6pm (408) 241-0919 M-F 8am - 9pm M-F 9am - 9pm SAT 9am - 6pm CVS† 1675 Hollenbeck Ave SAT 9am - 6pm SUN 10am - 6pm Sunnyvale, CA 94087 SUN 10am - 6pm (408) 735-7922 M-F 8am - 9pm SAT 9am - 6pm SUN 9am - 5pm x Access limited to qualified members, contact Member Services for more information 1-855-817-5785 (TTY 711) * Network retail pharmacies that have contracted with us to allow members to fill a 93-day supply of their prescription medications † Network pharmacies that support electronic prescribing You can go to any of the pharmacies in our network

122 CVS† Vhc At Sunnyvale 576 E El Camino Real Pharmacy† Sunnyvale, CA 94087 660 Fair Oaks Ave # 1057 (408) 739-4620 Sunnyvale, CA 94086 M-F 8am - 12am (408) 992-4830 SAT-SUN 8am - 8pm M-TH 9am - 9pm

Costco† F 8am - 5pm 150 Lawrence Sta Rd SAT-SUN CLOSED Sunnyvale, CA 94086 Walgreens† (408) 730-0424 1306 S Mary Ave # 66 M-F 10am - 7pm Sunnyvale, CA 94087 SAT 10am - 6pm (408) 732-2729 SUN CLOSED M-F 8am - 9pm

Safeway Pharmacy† SAT 9am - 6pm 785 E El Camino Real SUN 10am - 6pm Sunnyvale, CA 94087 Walgreens† (408) 481-3302 780 E El Camino Real M-F 9am - 8pm Sunnyvale, CA 94087 SAT-SUN 9am - 5pm (408) 738-9430

Safeway Pharmacy† M-F 8am - 9pm 150 E El Camino Real SAT 9am - 6pm Sunnyvale, CA 94087 SUN 10am - 6pm (408) 732-3565 Walgreens† M-F 9am - 8pm 105 E El Camino Real SAT-SUN 9am - 5pm Sunnyvale, CA 94087

Safeway Pharmacy† (408) 991-9013 639 S Bernardo Ave M-F 8am - 9pm Sunnyvale, CA 94087 SAT 9am - 6pm (408) 732-5902 SUN 10am - 6pm M-F 9am - 8pm SAT-SUN 9am - 5pm Save Mart Pharmacy† 484 N Mathilda Ave Sunnyvale, CA 94086 (408) 749-8200 M-F 9am - 7pm SAT 9am - 5pm SUN CLOSED

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY ? 711), Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

123 E2. Mail-Order Pharmacy You can get prescription drugs shipped to your home through our network mail order delivery program which is called Express Scripts. Express Scripts must get your permission before sending you any prescriptions you don’t ask for yourself. You also have the choice to sign up for automated mail order delivery through our Express Scripts program. Typically, you should expect to get your prescription drugs within 7 to 10 days from the time that the mail order pharmacy gets the order. If you do not get your prescription drug(s) within this time, if you would like to cancel an automatic order, or if you need to ask for a refund for prescriptions you got that you did not want or need, please contact us at 1-855-817-5785. TTY/TDD: 711. To learn more about mail order pharmacies, see Chapter 5 of the Member Handbook.

Mail Order Pharmacy Express Scripts Home Delivery† Toll-free: 1-888-565-8361 TTY: 1-800-221-6915

x Access limited to qualified members, contact Member Services for more information 1-855-817-5785 (TTY 711) * Network retail pharmacies that have contracted with us to allow members to fill a 93-day supply of their prescription medications † Network pharmacies that support electronic prescribing You can go to any of the pharmacies in our network

124 E3. Home Infusion Pharmacies

Home Infusion pharmacies are also called specialized pharmacies. To get more information on home infusion pharmacy services, you can contact the home infusion pharmacy listed in this directory, or your care coordinator or contact Member Services at 1-855-817-5785 (TTY 711), Monday through Friday from 8 a.m. to 8 p.m. Pacific Time. Your plan will cover home infusion therapy if: • Your prescription drug is on your plan’s formulary or you have a formulary exception. • Your plan has approved your prescription drug for home infusion therapy • Your prescription is written by an authorized provider

CALIFORNIA

SANTA CLARA COUNTY

LOS GATOS

Silicon Valley Phcy & Inf† 14107 Winchester Blvd Los Gatos, CA 95032 (408) 378-5381 M-F 10am - 6pm SAT-SUN CLOSED

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY ? 711), Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com. 125 E4. Long-Term Care Pharmacies

Residents of a long-term care facility, such as a nursing home, may access their prescription drugs covered under Anthem Blue Cross Cal MediConnect Plan through the facility’s pharmacy or another network pharmacy. To learn more about drug coverage in special cases, see Chapter 5 of the Member Handbook. Access to long-term care pharmacies is not available to all members. For more information, please contact Member Services at 1-855-817-5785 (TTY 711), Monday through Friday from 8 a.m. to 8 p.m. Pacific Time.

Long-term care (LTC) pharmacies are also called specialized pharmacies.

These pharmacies supply drugs for those who live in a long-term care facility, such as a nursing home. Usually, long term care facilities have their own pharmacies. If you live in a long-term care facility, we must make sure you can get the drugs you need at the facility’s pharmacy. If your long-term care facility’s pharmacy is not in our network, or you have any trouble getting your drugs in a long-term care facility, please contact your care coordinator or contact Member Services at 1-855-817-5785 (TTY 711), Monday through Friday from 8 a.m. to 8 p.m. Pacific Time. GILROY MILPITAS CALIFORNIA South Valley Pharmacy Tri-City Pharmacy† 1132 Cadillac Ct SANTA CLARA Services† 7496 Eigleberry St Milpitas, CA 95035 COUNTY Gilroy, CA 95020 (408) 935-9120 CAMPBELL (408) 847-6160 M-F 9am - 5pm M-F 9am - 5pm SAT-SUN CLOSED Botika Ltc† SAT-SUN CLOSED 621 E Campbell Ave # 1 PALO ALTO Campbell, CA 95008 LOS GATOS Medical Pharmacy† (408) 378-2363 Horizons Pharmacy 211 Quarry Rd # 108 M-F 8am - 6pm Services† Palo Alto, CA 94304 SAT 9am - 2pm 15951 Los Gatos Blvd # 12 (650) 326-2300 SUN CLOSED Los Gatos, CA 95032 M 9am - 7pm (408) 560-9720 T,W,TH,F 9am - 6pm M-F 9am - 5pm SAT 9am - 3pm SAT-SUN CLOSED SUN CLOSED

x Access limited to qualified members, contact Member Services for more information 1-855-817-5785 (TTY 711) * Network retail pharmacies that have contracted with us to allow members to fill a 93-day supply of their prescription medications † Network pharmacies that support electronic prescribing You can go to any of the pharmacies in our network

126 SAN JOSE

Linda Rx Pharmacy 1569 Lexann Ave # 130 San Jose, CA 95121 (408) 270-2828

If you have questions, please call Anthem Blue Cross Cal MediConnect Plan at 1-855-817-5785 (TTY ? 711), Monday through Friday from 8 a.m. to 8 p.m. Pacific time. After-hours messaging is available 24 hours a day, 7 days a week, including holidays. The call is free. For more information, visit duals.anthem.com.

127 Physician Index Provider Name Specialty Page Provider Name Specialty Page Abalos-Galito, Marietta F, MD Internal Medicine ...... 16 Nemirov, Steven A, DO Internal Medicine ...... 4 Ankolekar, Sheetal, MD Family Medicine ...... 5 Nguyen, Hai H, MD Family Medicine ...... 7, 8 Aziz, Huma, MD Internal Medicine ...... 16 Nguyen, Joann A, MD Family Medicine ...... 8 Bennett, Robin E, DO Family Medicine ...... 4 Nguyen, Peter L, DO Family Medicine ...... 8 Borodulin, Tatyana V, MD Family Medicine ...... 1, 5 Nguyen, Quynh-Queen A, DO Family Medicine ...... 8, 9 Bui, Hong H, MD Internal Medicine ...... 16 Nguyen, Tam H, DO Internal Medicine ...... 4, 23 Bui, Rau V, MD Family Medicine ...... 5, 6 Nguyen, Thanh Tam N, DO Family Medicine ...... 9 Chen, Kenny K, MD Internal Medicine ...... 5 Nguyen, Thinh V, MD Internal Medicine ...... 23 Chen, Maggie W, MD Internal Medicine ...... 16 Nguyen, Thuy T, MD Internal Medicine ...... 23 Chung, Peter K, DO Family Medicine ...... 29, 30 Nguyen, Trang J, MD Internal Medicine ...... 2, 3 Cu, Joseph A, MD Internal Medicine ...... 16, 17 Nguyen, Trung H, MD Family Medicine ...... 9 Cummings, Cynthia L, MD Family Medicine ...... 6 Nguyen, Tuan N, MD Internal Medicine ...... 24 Dam, Dinh X, MD Internal Medicine ...... 17 Nguyen, Tung T, DO Family Medicine ...... 9, 10 Do, Trang U, MD Internal Medicine ...... 17 Nguyen, Vu H, DO Family Medicine ...... 10 Dwyre, Terrence R, MD Family Medicine ...... 6 Park, Byung-Gook, MD Family Medicine ...... 10 Feldman, Arthur B, MD Internal Medicine ...... 17 Pascua, Roeliza E, MD Internal Medicine ...... 24 Guanzon, Jose M, MD Internal Medicine ...... 17, 18 Pham, Nga V, MD Internal Medicine ...... 24 Guanzon, Teresita V, MD Internal Medicine ...... 18 Phan, Dung M, MD Family Medicine ...... 10, 11 Hla, Tin T, MD Internal Medicine ...... 18 Phan, Tuan V, MD Family Medicine ...... 11 Hoang, Thuy T, MD Internal Medicine ...... 18, 19 Piplani, Kompal, MD Family Medicine ...... 11 Hsu, Thomas T, MD Internal Medicine ...... 1 Posada, Juan E, MD Family Medicine ...... 11, 12 Husain, Shabnam, MD Internal Medicine ...... 19 Rahman, Galiba G, MD Family Medicine ...... 12 Hutchins, Mary Jane B, MD Internal Medicine ...... 19 Ramirez, Alfredo, MD Internal Medicine ...... 25 Huynh, Chau M, MD General Practice ...... 15 Reyes, Jose K, MD Internal Medicine ...... 25 Huynh, Chau M, MD Internal Medicine ...... 19 Roohparvar, Shahab, MD Internal Medicine ...... 5 Huynh, Dat T, MD Internal Medicine ...... 20 Shah, Shaili H, MD Family Medicine ...... 12 Huynh, Minh Q, MD Internal Medicine ...... 20 Sharma, Shashi P, MD Family Medicine ...... 12 Huynh, Them, MD General Practice ...... 15 Shin, Frank D, MD Internal Medicine ...... 25 Kaileh, Lyth H, MD Internal Medicine ...... 20 Siao, Donald Y, MD Family Medicine ...... 12, 13 Kang, Dae Wook, MD Internal Medicine ...... 20 Sifflet, Leo J, MD Internal Medicine ...... 25 Komshian, Shahe V, MD Internal Medicine ...... 21 Sta Maria, Joanabel S, MD Family Medicine ...... 13 Korsunsky, Alexander, MD Internal Medicine ...... 21 Tee, Grace K, MD Internal Medicine ...... 25, 26 Lam, Osama F, MD Internal Medicine ...... 21 Thai, Minh Q, MD Family Medicine ...... 13 Le, Stephanie P, DO Family Medicine ...... 6 Thai, Nicole P, MD Internal Medicine ...... 26 Lee, Boo W, MD Internal Medicine ...... 22 Thukral, Vijay K, MD Internal Medicine ...... 3 Lin, Andrew Y, MD Internal Medicine ...... 30, 31 To, An N, MD Family Medicine ...... 14 Lin, Jimmy J, MD Internal Medicine ...... 22 To, Rick M, MD Family Medicine ...... 14 Lopez, Joshua D, DO Family Medicine ...... 7 Tran, Don D, MD Internal Medicine ...... 26 Lucero, Roger F, MD Family Medicine ...... 2 Tran, Khanh C, MD Internal Medicine ...... 26, 27 Mai, Nhat V, MD Family Medicine ...... 7 Tran, Louis, MD General Practice ...... 15 Mandreza, Rosalinda A, MD Internal Medicine ...... 22 Tran, Thang D, MD Internal Medicine ...... 27 Meceda, Victor J, MD Family Medicine ...... 2 Tran, Toan Q, MD Internal Medicine ...... 3 Morgan, Daniel H, MD Family Medicine ...... 7 Tse, Daniel Y, MD Internal Medicine ...... 27 Nalawadi, Smruti S, MD Internal Medicine ...... 4 Tse, Phillip F, MD Internal Medicine ...... 27

128 Listing of Physicians Provider Directory Physician Index Provider Name Specialty Page Provider Name Specialty Page Vecchi, Nicole T, MD Internal Medicine ...... 3, 4 Vetsa, Surekha S, MD Internal Medicine ...... 28 Vu, Chung H, MD Internal Medicine ...... 28 Walters, Joseph J, MD Family Medicine ...... 30 Wang, Jenny M, DO Family Medicine ...... 14 Wang, Sheng Yong, MD Internal Medicine ...... 28 Washington, Roger W, MD Family Medicine ...... 30 Watson, Amy G, MD Family Medicine ...... 14 Weinstock, Henry, MD Family Medicine ...... 15 Wong, David C, MD Internal Medicine ...... 29 Young, Gabriel J, MD Internal Medicine ...... 1 Zhang, Zheng-Gang, MD Internal Medicine ...... 29 Zheng, Hui K, MD Family Medicine ...... 2

Provider Directory Listing of Physicians 129 Vision Index Provider Name Page Provider Name Page Ballentine, Kenneth, OD ...... 86 Nguyen, Tammy, OD ...... 91 Barr, Dale, OD ...... 86 Nguyen, Thuy Trang, OD ...... 91 Beede, Allen, OD ...... 86 Park, Yun, OD ...... 91 Bui, Khanh, OD ...... 86 Pham, Lauren, OD ...... 84 Burger, Frank, OD ...... 86 Pham, Tram, OD ...... 92 Cepeda Jr, Saul, OD ...... 86 Pham, Xuan Huong, OD ...... 84 Chen, Yaushi, OD ...... 82 Redman, David, OD ...... 85 Chen, Zheng, OD ...... 87 Salgado, Tracy, OD ...... 85 Chinn, Brent, OD ...... 85 Schymeinsky, David, OD ...... 84 Chow, Gloria, OD ...... 87 Shah, Roshni, OD ...... 92 Contos, George, OD ...... 83 Shiroishi, Lisa, OD ...... 92 Costa, Joseph, OD ...... 87 Singla, Abhya, OD ...... 84 Dang-Walker, Mindy, OD ...... 87 Tat, Hoa, OD ...... 84, 92 Dao, Sophie, OD ...... 83 To, To Quyen, OD ...... 85 Diep, My, OD ...... 87 Tom, Richard, OD ...... 92 Dinh, Scott, OD ...... 87 Tran, Bang, OD ...... 92 Do, Emily, OD ...... 88 Tran, Charlene, OD ...... 82 Duong, Han, OD ...... 88 Tran, Minh, OD ...... 82 Eu, James, OD ...... 83, 88 Tran, Tammy, OD ...... 93 Hassan, Sura, OD ...... 88 Trinh, Mindy, OD ...... 93 Hoang, Vanessa, OD ...... 94 Truong, Emilie, OD ...... 93 Hsieh, Pei Chen, OD ...... 88 Vu, Alice, OD ...... 85 Huang, Diana, OD ...... 83, 85 Wada, Jon, OD ...... 93 Huynh, Lily, OD ...... 83 Wun, Lucy, OD ...... 82 Kallmann, Karen, OD ...... 88 Yee, Linda, OD ...... 93 Kao, Jennifer H, OD ...... 89 Yeh, Annie, OD ...... 93 Ko, Lisa, OD ...... 89 Kwong, Carl, OD ...... 89 Lai, Ha, OD ...... 83 Lao, Kelly, OD ...... 89 Le, Jennifer, OD ...... 89 Le, Minhnhat, OD ...... 89 Le, Phuc, OD ...... 82 Le, Tracy, OD ...... 90 Lee, Judy, OD ...... 90 Lin, Yu Ju, OD ...... 90 Luong, Danny, MD ...... 90 Mitchell, Mark, OD ...... 90 Ngo, Quoc, OD ...... 84 Nguyen, Ann, OD ...... 82 Nguyen, Cindy, OD ...... 91 Nguyen, Mai Anh, OD ...... 90 Nguyen, Minhtam, OD ...... 91 Nguyen, Tam, OD ...... 91

130 Vision Index Provider Directory Have questions? Call us toll free at 1-855-817-5785 (TTY 711), Monday through Friday from 8 a.m. to 8 p.m. Pacific time or visit duals.anthem.com.

The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. We will send you a notice before we make a change that affects you.

Limitations, copays, and restrictions may apply. For more information, call Anthem Blue Cross Cal MediConnect Plan Member Services or read the Anthem Blue Cross Cal MediConnect Plan Member Handbook. Benefits and/or copays may change on January 1 of each year.

Anthem Blue Cross Cal MediConnect Plan is a health plan that contracts with both Medicare and Medi-Cal to provide benefits of both programs to enrollees. Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Blue Cross of California Partnership Plan, Inc. are independent licensees of the Blue Cross Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross name and symbol are registered marks of the Blue Cross Association.

H6229_19_36667_U_015 CMS Accepted 09/17/2018 1900MMPPD04