445 Grant Ave., Suite 200 • San Francisco, CA 94108 www.JadeHCMG.com

Jade Outpatient Services Provider Listing Category Ancillary Providers Comments OB Services California Pacific Medical Center – Van Ness Campus 1101 Van Ness Avenue, Floor 5, San Francisco, CA 94109 (415) 600-6437 Prior Authorization is Required Mills Peninsula Medical Center 1501 Trousdale Drive. Burlingame, CA 94010 (650) 696-5400 Pediatric Services California Pacific Medical Center – California Campus Specialty Care Pediatrics clinic – 3700 California Street. San Francisco, CA 94118 Stanford Children’s Health Services (415) 600-6000 Prior Authorization is Required California Pacific Medical Center – California Campus Available Services: 3801 Sacramento Street. San Francisco, CA 94118 Ear Nose and Throat Services, Heart and Vascular Services (415) 600-6000

Prior Authorization is Required California Pacific Medical Center – Davies Campus Castro and Duboce Streets, San Francisco, CA 94114 Prior Authorization is Required (415) 600-6000

California Pacific Medical Center – Mission Bernal Campus 3555 Cesar Chavez Street, San Francisco, CA 94110 Prior Authorization is Required (415) 600-6000 California Pacific Medical Center – Van Ness Campus 1101 Van Ness Avenue, Floor 7, East Prior Authorization is Required San Francisco, CA 94109 (415) 600-0740 Mills Peninsula Medical Center 1501 Trousdale Drive. Burlingame, CA 94010 Prior Authorization is Required (650) 696-5400 UCSF Benioff Children’s Hospital 1825 4th St. San Francisco, CA 94158 (415) 353-3000 Prior Authorization is Required

505 Parnassus Ave. San Francisco, CA 94143 (415) 476-1000 Available Services: UCSF – San Mateo Pediatric Specialty Care Clinic GI, Pulmonology, Cardiology, 101 S. San Mateo Drive. Suite 205 Neurology, Endocrinology,

San Mateo, CA 94401 Adolescent Medicine (650) 685-8419 Prior Authorization is Required 1 Rev: 5/6/20

445 Grant Ave., Suite 200 • San Francisco, CA 94108 www.JadeHCMG.com

Jade Outpatient Services Provider Listing Category Ancillary Providers Comments Radiation Therapy Chinese Hospital Language assistance available in Preferred Facility 845 Jackson Street. San Francisco, CA 94108 Cantonese (粵語) / Mandarin (415) 982-2400 (國語) California Pacific Medical Center – Pacific Campus 2333 Buchanan St. San Francisco, CA 94115

(415) 600-6000

Golden Gate Urology

139 Townsend St. Suite 100. San Francisco, CA 94107

(415) 541- 0800 Seton Medical Center Language assistance available in 1900 Sullivan Ave. Daly City, CA 94015 Tagalog (650) 992-4000 St. Francis Memorial Hospital

900 Hyde St. San Francisco, CA 94109

(415) 353-6201

St. Mary's Medical Center 450 Stanyan St. San Francisco, CA 94117

(415) 668-1000

Infusion Therapy Chinese Hospital Language assistance available in 845 Jackson Street. San Francisco, CA 94108 Preferred Facility Cantonese (粵語) / Mandarin (415) 982-2400 國語 ( ) California Pacific Medical Center – Pacific Campus 2333 Buchanan St. San Francisco, CA 94115 Prior Authorization is Required (415) 600-6000

Seton Medical Center 1900 Sullivan Ave. Daly City, 94015 Language assistance available in

(650) 992-4000 Tagalog

St. Francis Memorial Hospital 900 Hyde St. San Francisco, CA 94109

(415) 353-6201

St. Mary's Medical Center 450 Stanyan St. San Francisco, CA 94117 (415) 668-1000

2 Rev: 5/6/20

445 Grant Ave., Suite 200 • San Francisco, CA 94108 www.JadeHCMG.com

Jade Outpatient Services Provider Listing Category Ancillary Providers Comments Laboratory Chinese Hospital Language assistance available in Preferred Facility 845 Jackson Street. San Francisco, CA 94108 Cantonese (粵語) / Mandarin (415) 982-2400 (國語) Language assistance available in Gellert Health Services Cantonese (粵語) / Mandarin Preferred Facility 386 Gellert Blvd. Daly City, CA 94015 (國語) (650) 761-3500 Clia-Waived Tests and Blood Draw Stations Language assistance available in Sunset Health Services Cantonese (粵語) / Mandarin st Preferred Facility 1800 31 Ave. San Francisco, CA 94122 (國語) (415) 677-2388 Clia-Waived Tests and Blood Draw Stations Language assistance available in Excelsior Health Services Cantonese (粵語) / Mandarin Preferred Facility 888 Paris Street. Suite 202 San Francisco, CA 94112 (國語) (415) 677-2488 Clia-Waived Tests and Blood Draw Stations Language assistance available in Gellert Health Services Cantonese (粵語) / Mandarin Preferred Facility 386 Gellert Blvd, Daly City, CA 94015 (國語) (650) 761-3521 Clia-Waived Tests and Blood Draw Stations Bioreference Laboratories

San Francisco County 950 Stockton St. Suite 201 San Francisco, CA 94108 (415) 402-0650 Language assistance available in

450 Sutter Street. Suite 1530-B San Francisco, CA 94108 Cantonese (粵語) / Mandarin (415) 986-2732 (國語) at 950 Stockton St . San

Francisco location only 2320 Sutter Street. Suite 204 San Francisco, CA 94115 For additional locations, please (415) 441-2565 visit www.bioreference.com

San Mateo County 570 Price Ave. Suite 300 Redwood City, CA 94063 (650) 503-8990

California Pacific Medical Center – Van Ness Campus 1101 Van Ness Avenue, Floor 1 San Francisco, CA 94109 Prior Authorization is Required (415) 600-6000

3 Rev: 5/6/20

445 Grant Ave., Suite 200 • San Francisco, CA 94108 www.JadeHCMG.com

Jade Outpatient Services Provider Listing Category Ancillary Providers Comments LabCorp

San Francisco County 1 Daniel Burnham Lane 391C, San Francisco, CA 94109 (415) 409-2563

148 Noe St. San Francisco, CA 94114 (415) 487-8960

2622 Ocean Ave. San Francisco, CA 94132 (415) 469-9710

728 Pacific Ave. Ste 401 San Francisco, CA 94133 (415) 576-1017

490 Post St. Ste 419 San Francisco, CA 94102 (415) 837-0782

2233 Post St. Ste 105 San Francisco, CA 94115 (415) 928-0199 Language assistance available in Cantonese (粵語) / Mandarin 2300 Sutter St. Ste 102 San Francisco, CA 94115 (國語) at 728 Pacific Ave . San (415) 346-9330 Francisco location only

2000 Van Ness Ave. Ste 215 San Francisco, CA 94109 For additional locations, please (415) 409-2563 visit www.labcorp.com

2100 Webster St. Ste 420 San Francisco, CA 94115 (415) 674-1662

San Mateo County 1828 El Camino Real. Ste 707 Burlingame, CA 94010 (650) 652-4590

1048 El Camino Real. Ste B. Redwood City, CA 94063 (650) 363-8295

1440 Southgate Ave Ste 2. Daly City, CA 94015 (650) 992-2986

101 S. San Mateo Dr. Ste 107. San Mateo, CA 94401 (650) 348-5224

4 Rev: 5/6/20

445 Grant Ave., Suite 200 • San Francisco, CA 94108 www.JadeHCMG.com

Jade Outpatient Services Provider Listing Category Ancillary Providers Comments Natera, Inc 201 Industrial Road, Suite 410, San Carlos, CA 94070-2396 Genetic Testing (650) 249-9090

Quest Diagnostics

San Francisco County 941 Clay St. San Francisco, CA 94108 (415) 956-2543

2480 Mission St. Ste 221. San Francisco, CA 94110 (415) 641-5803

490 Post St. Ste 914. San Francisco, CA 94102 (415) 362-7105

2201 Post St. San Francisco, CA 94115 (415) 931-6492 Language assistance available in 450 Sutter St. Ste 2540. San Francisco, CA 94108 Cantonese (粵語) / Mandarin (415) 398-2410 (國語) at 941 Clay St. San

Francisco location only 1640 Valencia St. Ste 1B. San Francisco, CA 94110 (415) 648-4167 Language assistance available in Spanish at 2480 Mission St. Ste 2198 15th St. San Francisco, CA 94114 221 and 1640 Valencia St. Ste 1B (415) 431-8723 - San Francisco locations only

2300 16th St. San Francisco, CA 94103 (Inside Safeway) For additional locations, please (415) 343-8799 visit www.questdiagnostics.com

San Mateo County 901 Campus Dr. Ste 103. Daly City, CA 94015 (650) 758-1588

1241 East Hillsdale Blvd. Ste 260, Foster City, CA 94404 (650) 212-7426

1071 El Camino Real. Redwood City, CA 94063 (Inside Safeway) (650) 780-9150

1100 Laurel St. Ste F. San Carlos, CA 94070 (650) 593-9279

5 Rev: 5/6/20

445 Grant Ave., Suite 200 • San Francisco, CA 94108 www.JadeHCMG.com

Jade Outpatient Services Provider Listing Category Ancillary Providers Comments 120 S. El Camino Real. Ste 5. Millbrae, CA 94030 (650) 651-0027

127 N. San Mateo Dr. San Mateo, CA 94401 (650) 344-8143

Seton Medical Center 1850 Sullivan Ave. Daly City, CA 94015 Language assistance available in

(650) 992-4000 Tagalog

Seton Medical Center - Coastside 600 Marine Blvd. Moss Beach, CA 94038 (650) 563-7100 Optometry Gellert Health Services Language assistance available in Optometry Clinic Cantonese (粵語) / Mandarin 386 Gellert Blvd, Daly City, CA 94015 國語 (650) 761-3521 ( ) Bradford Chang, OD Language assistance available in 929 Clay St, #203 Cantonese (粵語) / Mandarin San Francisco, CA 94108 國語 (415) 982-1700 ( ) Outpatient Surgery Chinese Hospital Language assistance available in 845 Jackson Street. San Francisco, CA 94108 Preferred Facility Cantonese (粵語) / Mandarin (415) 982-2400 國語 ( ) California Pacific Medical Center, Davies Campus Castro and Duboce, San Francisco, CA 94114 Prior Authorization is Required (415) 600-6000

California Pacific Medical Center – Mission Bernal Campus 3555 Cesar Chavez St, San Francisco, CA 94110 Prior Authorization is Required (415) 600-6000 California Pacific Medical Center – Pacific Campus Available Services: 2333 Buchanan St. San Francisco, CA 94115 Same-Day Surgeries & Cosmetic Surgery (415) 600-6000 Prior Authorization is Required California Pacific Medical Center, Van Ness Campus 1101 Van Ness Avenue, Floor 4, San Francisco, CA 94109 Prior Authorization is Required (415) 600-3288

6 Rev: 5/6/20

445 Grant Ave., Suite 200 • San Francisco, CA 94108 www.JadeHCMG.com

Jade Outpatient Services Provider Listing Category Ancillary Providers Comments Mills Peninsula Medical Center 1501 Trousdale Drive. Burlingame, CA 94010 Prior Authorization is Required (650) 696-5400

Seton Medical Center Prior Authorization is Required 1900 Sullivan Ave. Daly City, CA 94015 Language assistance available in (650) 992-4000 Tagalog St. Francis Memorial Hospital 900 Hyde St. San Francisco, CA 94109 Prior Authorization is Required (415) 353-6201 St. Mary's Medical Center 450 Stanyan St. San Francisco, CA 94117 Prior Authorization is Required (415) 668-1000 Pathology Chinese Hospital Language assistance available in Preferred Facility 845 Jackson Street. San Francisco, CA 94108 Cantonese (粵語) / Mandarin (415) 982-2400 (國語) Seton Medical Center 1900 Sullivan Ave. Daly City, CA 94015 (650) 992-4000 Rehabilitation Services Campus Physical Therapy 901 Campus Dr, Ste 213, 2nd Floor, Daly City, CA 94015 (650) 994-7800

1800 Sullivan Ave., Ste 402-404, 4th Floor, Daly City, CA 94015

(650) 994-7800 or (650) 651-4002

101 South San Mateo Dr., Ste 202, San Mateo, CA 94401 (650) 347-0200

California Pacific Medical Center – Mission Bernal Campus 3555 Cesar Chavez Street, San Francisco, CA 94110 Prior Authorization is Required (415) 600-6000 California Pacific Medical Center, Van Ness Campus 1101 Van Ness Avenue, Floor 9, San Francisco, CA 94109 Prior Authorization is Required (415) 600-3399 Chinatown Physical Therapy & Rehabilitation Language assistance available in 728 Pacific Ave. Suite 301 San Francisco, CA 94133 Cantonese (粵語) / Mandarin (415) 433-3318 (國語) NEMS Physical Therapy, LLC Language assistance available in 1520 Stockton St., San Francisco, CA 94133 Cantonese (粵語) / Mandarin (415) 391-9686 (國語) 7 Rev: 5/6/20

445 Grant Ave., Suite 200 • San Francisco, CA 94108 www.JadeHCMG.com

Jade Outpatient Services Provider Listing Category Ancillary Providers Comments Peninsula Orthopedic Associates

San Francisco County 2100 Webster St. Suite 331, San Francisco, CA 94115 (415) 923-0944

San Mateo County Language assistance available in 455 Hickey Blvd. Suite 205 Daly City, CA 94015 Cantonese (粵語) / Mandarin (650) 746-3299 國語 ( ) / Tagalog 1850 Sullivan Ave. Suite 330, Daly City, CA 94015 (650) 249-9383

3301 El Camino Real, Suite 100, Atherton, CA 94027 (650) 756-5630

Peninsula Sports Medicine and Rehabilitation Center 2945 Junipero Serra Blvd. Daly City, CA 94015 Language assistance available in

(650) 755-8830 Cantonese (粵語) / Spanish

Seton Medical Center – Coastside 600 Marine Blvd. Moss Beach, CA 94038

(650) 563-7100

8 Rev: 5/6/20

445 Grant Ave., Suite 200 • San Francisco, CA 94108 www.JadeHCMG.com

Jade Outpatient Services Provider Listing Category Ancillary Providers Comments Select Physical Therapy

San Francisco County 1700 California St. #530 San Francisco, CA 94109 (415) 921-1758

230 California St. Ste 400 San Francisco, CA 94111 (415) 989-0955

402 Dewey Blvd. San Francisco, CA 94116 (415) 242-2444

3222 Geary Blvd. San Francisco, CA 94118 (415) 831-4658 For other locations, please visit

3129 Vicente St. San Francisco, CA 94116 www.selectphysicaltherapy.com (415) 661-1057

San Mateo County 1860 El Camino Real. Suite 201 Burlingame, CA 94010 (650) 259-8009

540 Ralston Ave. Suite B. Belmont, CA 94002 (650) 363-5668

268 Redwood Shores Pkwy. Redwood City, CA 94065 (650) 591-9581

900 Veterans Blvd. Suite 230 Redwood City, CA 94063 (650) 701-0390 Simpson, James RPT 2555 Ocean Ave. #103 San Francisco, CA 94132 (415) 587-3187 Wong, Robin, RPT Language assistance available in 818 Jackson St. #201 San Francisco, CA 94133 Cantonese (粵語) / Mandarin (415) 421-5678 (國語) Diagnostic Services / Radiology Bone Density Chinese Hospital Language assistance available in Preferred Facility 845 Jackson Street. San Francisco, CA 94108 Cantonese (粵語) / Mandarin (415) 982-2400 (國語)

9 Rev: 5/6/20

445 Grant Ave., Suite 200 • San Francisco, CA 94108 www.JadeHCMG.com

Jade Outpatient Services Provider Listing Category Ancillary Providers Comments Gellert Health Services Language assistance available in Preferred Facility 386 Gellert Blvd. Daly City, CA 94015 Cantonese (粵語) / Mandarin (650) 761-3500 (國語) Seton Medical Center Language assistance available in 1850 Sullivan Ave. Daly City, CA 94015 Tagalog (650) 991-5930 SimonMed Imaging (Health Diagnostics)

San Francisco County 1180 Post Street San Francisco, CA 94109 (415) 248-3700 For additional locations, please

visit www.simonmed.com San Mateo County 455 Hickey Boulevard Suite 200 Daly City, CA 94015 (650) 757-2030

Mills Peninsula Medical Center 100 S. San Mateo Drive. San Mateo, CA 94401 (650) 696-5400 Prior Authorization is Required

1501 Trousdale Drive. Burlingame, CA 94010 (650) 696-5400 Radnet For additional locations, please 3440 California St. San Francisco, CA 94118 visit (415) 922-6767 www.radnetnorthernca.com Colonoscopy / Endoscopy Chinese Hospital Language assistance available in Preferred Facility 845 Jackson St. San Francisco, CA 94133 Cantonese (粵語) / Mandarin (415) 982-2400 (國語) California Pacific Medical Center 1101 Van Ness Avenue, San Francisco, CA 94109 Prior Authorization is Required (415) 600-6000 Mid-Peninsula Endoscopy Center 1720 El Camino Real. Suite 100. Burlingame, CA 94010 Prior Authorization is Required (650) 373-1970 Mills Peninsula Medical Center 1501 Trousdale Drive. Burlingame, CA 94010 Prior Authorization is Required (650) 696-5400 St. Francis Memorial Hospital 900 Hyde St. San Francisco, CA 94109 Prior Authorization is Required (415) 353-6201 St. Mary's Medical Center 450 Stanyan St. San Francisco, CA 94117 Prior Authorization is Required (415) 668-1000 10 Rev: 5/6/20

445 Grant Ave., Suite 200 • San Francisco, CA 94108 www.JadeHCMG.com

Jade Outpatient Services Provider Listing Category Ancillary Providers Comments Seton Medical Center Prior Authorization is Required 1900 Sullivan Ave. Daly City, CA 94015 Language assistance available in (650) 992-4000 Tagalog CT Scan Chinese Hospital Language assistance available in Preferred Facility 845 Jackson St. San Francisco, CA 94133 Cantonese (粵語) / Mandarin (415) 982-2400 (國語) SimonMed Imaging (Health Diagnostics)

San Francisco County 1180 Post Street San Francisco, CA 94109 (415) 248-3700 For additional locations, please

325 Sacramento St. San Francisco, CA 94111 visit www.simonmed.com (415) 321-4674

San Mateo County 455 Hickey Boulevard Suite 200 Daly City, CA 94015 (650) 757-2030 Mills Peninsula Medical Center 100 S. San Mateo Drive. San Mateo, CA 94401 (650) 696-5400 Prior Authorization is Required

1501 Trousdale Drive. Burlingame, CA 94010 (650) 696-5400 Radnet For additional locations, please 3440 California St. San Francisco, CA 94118 visit (415) 922-6767 www.radnetnorthernca.com Seton Medical Center Language assistance available in 1900 Sullivan Ave. Daly City, CA 94015 Tagalog (650) 991-6685 Fluoroscopy Chinese Hospital Language assistance available in Preferred Facility 845 Jackson St. San Francisco, CA 94133 Cantonese (粵語) / Mandarin (415) 982-2400 (國語) Mid-Peninsula Endoscopy Center 1720 El Camino Real. Suite 100. Burlingame, CA 94010 Prior Authorization is Required (650) 373-1970 Mills Peninsula Medical Center 1501 Trousdale Drive. Burlingame, CA 94010 Prior Authorization is Required (650) 696-5400 11 Rev: 5/6/20

445 Grant Ave., Suite 200 • San Francisco, CA 94108 www.JadeHCMG.com

Jade Outpatient Services Provider Listing Category Ancillary Providers Comments For specific locations, please Radnet (Specific Locations Only) visit www.radnetnorthernca.com Seton Medical Center Language assistance available in 1900 Sullivan Ave. Daly City, CA 94015 Tagalog (415) 991-6503 Mammography California Pacific Medical Center, Van Ness Campus 1101 Van Ness Avenue, Floor 3, San Francisco, CA 94109 (415) 600-6000 Chinese Hospital Language assistance available in Preferred Facility 845 Jackson Street. San Francisco, CA 94108 Cantonese (粵語) / Mandarin (415) 982-2400 (國語) Gellert Health Services Language assistance available in Preferred Facility 386 Gellert Blvd. Daly City, CA 94015 Cantonese (粵語) / Mandarin (650) 761-3500 (國語) Mills Peninsula Medical Center 100 S. San Mateo Drive. San Mateo, CA 94401 (650) 696-5400 Prior Authorization is Required

1501 Trousdale Drive. Burlingame, CA 94010 (650) 696-5400 Seton Medical Center Language assistance available in 1850 Sullivan Ave. Daly City, CA 94015 Tagalog (650) 991-5930 Radnet For additional locations, please 3440 California St. San Francisco, CA 94118 visit (415) 922-6767 www.radnetnorthernca.com SimonMed Imaging (Health Diagnostics)

San Francisco County 1180 Post Street San Francisco, CA 94109 For additional locations, please (415) 248-3700 visit www.simonmed.com

San Mateo County 455 Hickey Boulevard Ste 200 Daly City, CA 94015 (650) 757-2030 MRI Chinese Hospital Language assistance available in Preferred Facility 845 Jackson St. San Francisco, CA 94133 Cantonese (粵語) / Mandarin (415) 982-2400 (國語) 12 Rev: 5/6/20

445 Grant Ave., Suite 200 • San Francisco, CA 94108 www.JadeHCMG.com

Jade Outpatient Services Provider Listing Category Ancillary Providers Comments Radnet For additional locations, please 3440 California St. San Francisco, CA 94118 visit (415) 922-6767 www.radnetnorthernca.com Mills Peninsula Medical Center 1501 Trousdale Drive. Burlingame, CA 94010 (650) 696-5400 Prior Authorization is Required

100 S. San Mateo Drive. San Mateo, CA 94401 (650) 696-5400 Seton Medical Center Language assistance available in 1850 Sullivan Ave. Daly City, CA 94015 Tagalog (650) 991-5930 SimonMed Imaging (Health Diagnostics)

San Francisco County 325 Sacramento St. San Francisco, CA 94111 (415) 321-4674

1180 Post St. San Francisco, CA 94109 (415) 248-3700 For additional locations, please

visit www.simonmed.com San Mateo County 345 Convention Way Ste D-1 Redwood City, CA 94063 (650) 306-3900

455 Hickey Boulevard Ste 200 Daly City, CA 94015 (650) 757-2030 Nuclear Medicine Chinese Hospital Language assistance available in Preferred Facility 845 Jackson St. San Francisco, CA 94133 Cantonese (粵語) / Mandarin (415) 982-2400 (國語) Mills Peninsula Medical Center 1501 Trousdale Drive. Burlingame, CA 94010 Prior Authorization is Required (650) 696-5400 Seton Medical Center Language assistance available in 1900 Sullivan Ave. Daly City, CA 94015 Tagalog (650) 991-6503 PET Scan For specific locations, please Radnet (Specific Locations Only) visit www.radnetnorthernca.com

13 Rev: 5/6/20

445 Grant Ave., Suite 200 • San Francisco, CA 94108 www.JadeHCMG.com

Jade Outpatient Services Provider Listing Category Ancillary Providers Comments California Pacific Medical Center – Van Ness Campus 1101 Van Ness Avenue, Floor 3, San Francisco, CA 94109 Prior Authorization is Required (415) 600-6000

SimonMed Imaging (Health Diagnostics) For additional locations, please 455 Hickey Boulevard Ste 200 Daly City, CA 94015 visit www.simonmed.com (650) 757-2030 Mills Peninsula Medical Center 1501 Trousdale Drive. Burlingame, CA 94010 (650) 696-5400 Prior Authorization is Required

100 S. San Mateo Drive. San Mateo, CA 94401 (650) 696-5400 Seton Medical Center Language assistance available in 1900 Sullivan Ave. Daly City, CA 94015 Tagalog (650) 991-6503 X-Ray

Chinese Hospital Language assistance available in Preferred Facility 845 Jackson St. San Francisco, CA 94133 Cantonese (粵語) / Mandarin (415) 982-2400 (國語)

Gellert Health Services Language assistance available in 386 Gellert Blvd. Daly City, CA 94015 Preferred Facility Cantonese (粵語) / Mandarin (650) 761-3500 國語 ( ) SimonMed Imaging (Health Diagnostics)

San Francisco County 1180 Post Street San Francisco, CA 94109 (415) 248-3700 For additional locations, please

San Mateo County visit www.simonmed.com 455 Hickey Blvd. Ste 200. Daly City, CA 94015 (650) 757-2030

345 Convention Way Ste D-1. Redwood City, CA 94063 (650) 306-3900 Mills Peninsula Medical Center 1501 Trousdale Drive. Burlingame, CA 94010 (650) 696-5400 Prior Authorization is Required

100 S. San Mateo Drive. San Mateo, CA 94401 (650) 696-5400 14 Rev: 5/6/20

445 Grant Ave., Suite 200 • San Francisco, CA 94108 www.JadeHCMG.com

Jade Outpatient Services Provider Listing Category Ancillary Providers Comments Seton Medical Center Language assistance available in 1900 Sullivan Ave. Daly City, CA 94015 Tagalog (650) 991-6503 Seton Medical Center - Coastside 600 Marine Blvd. Moss Beach, CA 94038 (650) 563-7151 Radnet For additional locations, please 3440 California St. San Francisco, CA 94118 visit (415) 922-6767 www.radnetnorthernca.com Ultrasound Chinese Hospital Language assistance available in Preferred Facility 845 Jackson Street. San Francisco, CA 94108 Cantonese (粵語) / Mandarin (415) 982-2400 (國語) Gellert Health Services Language assistance available in Preferred Facility 386 Gellert Blvd. Daly City, CA 94015 Cantonese (粵語) / Mandarin (650) 761-3500 (國語) California Pacific Medical Center – Van Ness Campus 1101 Van Ness Avenue. San Francisco, CA 94109 Pediatric and Obstetrics only (415) 600-6000 SimonMed Imaging (Health Diagnostics)

San Francisco County 325 Sacramento St. San Francisco, CA 94111 (415) 321-4674

1180 Post Street San Francisco, CA 94109 (415) 248-3700 For additional locations, please

visit www.simonmed.com San Mateo County 455 Hickey Boulevard Ste 200 Daly City, CA 94015 (650) 757-2030

345 Convention Way Ste D-1. Redwood City, CA 94063 (650) 306-3900

Mills Peninsula Medical Center 1501 Trousdale Drive. Burlingame, CA 94010 (650) 696-5400 Prior Authorization is Required

100 S. San Mateo Drive. San Mateo, CA 94401 (650) 696-5400

15 Rev: 5/6/20

445 Grant Ave., Suite 200 • San Francisco, CA 94108 www.JadeHCMG.com

Jade Outpatient Services Provider Listing Category Ancillary Providers Comments For specific locations, please Radnet (Specific Locations Only) visit www.radnetnorthernca.com Seton Medical Center Language assistance available in 1850 Sullivan Ave. Daly City, CA 94015 Tagalog (650) 991-5930

16 Rev: 5/6/20