Medi-Cal Provider Directory Sonoma County

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

Revised Date: October 1, 2021 08-85215_CPL_001 04/18/2013 PHC PROVIDERS | SONOMA COUNTY DIRECTORY

TABLE OF CONTENTS

How to use this list: ...... 1 Para usar esta lista: ...... 2 Glossary of Terms ...... 3 Glosario de términos ...... 6 Nondiscrimination Notice ...... 10 Aviso de no discriminación ...... 12 Grievances ...... 11 Quejas ...... 13 Language Assistance ...... 14 Asistencia de idiomas ...... 14 Accessibility Standards ...... 17 Estándares de Accesibilidad...... 18 Timely Access to Care ...... 19 Acceso oportuno a la atención médica ...... 20 Physician Listing Information ...... 21 Información del listado de médicos ...... 21 Sonoma Primary Care Provider ...... 22 Cloverdale ...... 22 Gualala ...... 22 Guerneville ...... 22 Healdsburg ...... 23 Occidental ...... 25 Petaluma ...... 25 Point Reyes ...... 30 Rohnert Park ...... 30 Santa Rosa ...... 34 Sebastopol ...... 44 Sonoma ...... 45 Windsor...... 46 Sonoma Facilities, Pharmacy, Urgent Care & VSP List ...... 48 Primary...... 48 Hospitals Referral ...... 48 Mental Health Services - Outpatient ...... 51 Pharmacy Network List ...... 51 Skilled Nursing Long Term Care Facilities ...... 57 Vision Service Plan (VSP) (1-800-877-7195) ...... 58 Sonoma Referral/Specialist Providers ...... 60 Acupuncture ...... 60 Allergy ...... 61 Alternative Birthing Centers ...... 62 Ambulatory Surgery Centers ...... 62 Audiology ...... 63 Behavioral Health Treatment ...... 63

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page i of iii PHC PROVIDERS | SONOMA COUNTY DIRECTORY

Cardiovascular Disease ...... 69 Chiropractic ...... 73 Comprehensive Perinatal Services Program CPSP ...... 74 ...... 74 Dialysis Centers ...... 77 Durable Medical Equipment ...... 77 Endocrinology ...... 82 Family Planning ...... 83 Foot and Ankle Surgery ...... 83 Gastroenterology ...... 83 General Surgery ...... 84 Gynecology ...... 87 HIV AIDS Specialists ...... 92 Hand Surgery...... 92 Hearing Aid Dispenser ...... 93 Hematology...... 94 Home Health Agencies ...... 95 Home Infusion Therapy...... 96 Hospice Services ...... 97 Infectious Diseases ...... 98 Laboratory Draw Stations ...... 98 Medical Supplies ...... 99 Nephrology ...... 102 Neurological Surgery ...... 102 Neurology ...... 103 Nutrition Services ...... 105 ...... 106 Occupational Therapy...... 111 ...... 111 ...... 113 Orthopaedic Surgery...... 117 Orthotics Prosthetics ...... 121 Otolaryngology...... 122 Pain Management ...... 122 Palliative Medicine ...... 125 Pediatric Dermatology ...... 126 Physical Medicine Rehabilitation ...... 126 Physical Therapy ...... 126 Plastic Reconstructive Surgery ...... 127 Podiatry...... 127 Pulmonary Disease ...... 131 Radiation Oncology ...... 133 Radiology ...... 134 Rheumatology...... 135 Sleep Medicine ...... 136

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page ii of iii PHC PROVIDERS | SONOMA COUNTY DIRECTORY

Speech Therapy...... 137 Sports Medicine ...... 137 Suboxone/Buprenorphine Treatment...... 137 Telehealth Services ...... 140 Thoracic Surgery ...... 143 Urology ...... 143 Vascular Surgery...... 145 Wound Care ...... 145 INDEX ...... 146

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page iii of iii PHC PROVIDERS | SONOMA COUNTY DIRECTORY

How to use this list:

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

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

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

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

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

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

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

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

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

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

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

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 1 of 150 PHC PROVIDERS | SONOMA COUNTY DIRECTORY

Para usar esta lista:

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

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

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

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

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

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

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

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

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

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

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

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 2 of 150 PHC PROVIDERS | SONOMA COUNTY DIRECTORY

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

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

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

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

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

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

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 3 of 150 PHC PROVIDERS | SONOMA COUNTY DIRECTORY

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

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

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

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

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

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

Provider Address The location where services and care are rendered.

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

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

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 4 of 150 PHC PROVIDERS | SONOMA COUNTY DIRECTORY

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

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

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

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

Levels of Access Accessibility Codes (see page 16 for a description of codes: éP EB IB R E T) Basic Access The office meets the standards below for parking, exterior and interior building, restrooms, and exam rooms (P, EB, IB, R, and E). Limited Access The office does not meet one or more of the standards for parking, exterior and interior building, restrooms, and exam rooms (P, EB, IB, R, and E). Medical Equipment Access The office meets the standard below for exam tables and scales (T). California Children’s Services (CCS) CCS Providers are providers that meet the CCS program requirements to render services to CCS clients.

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 5 of 150 PHC PROVIDERS | SONOMA COUNTY DIRECTORY

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

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

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

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

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

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 6 of 150 PHC PROVIDERS | SONOMA COUNTY DIRECTORY

Formación educativa y capacitación Si tiene alguna pregunta sobre la formación educativa y capacitación de un médico, usted puede encontrar la información en el sitio web de la Junta Médica de California en www.mbc.ca.gov en la sección de Búsqueda de la Licencia o llame a servicios al miembro de PHC al (800) 863-4155. Clínica comunitaria de salud Esta es una clínica que cuenta con un grupo de médicos y enfermeras ubicados en la comunidad.

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

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

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

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

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

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

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

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

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 7 of 150 PHC PROVIDERS | SONOMA COUNTY DIRECTORY

médicos pueden tener más de una especialidad. Para centros de salud, si usted está buscando un hospital, por ejemplo, seleccione hospital.

Términos utilizados en los listados del Hospital El directorio de proveedores le permite buscar hospitales, clínicas y otros centros de salud en la red de PHC. A continuación encontrará una lista de la información sobre un hospital que usted puede encontrar en el directorio de proveedores y lo que significa. Esta información es auto reportada por el hospital y se actualiza cada tres años o con más frecuencia conforme el hospital lo informe. También verificamos con los hospitales para validar esta información cada año. Confiamos en que los hospitales nos indicarán si esta información ha cambiado. Las actualizaciones que no se nos comuniquen de parte del hospital no se agregarán al directorio hasta nuestra próxima validación programada. • Nombre significa el nombre de un hospital de la red de PHC. • Dirección significa la ubicación física de un hospital de la red de PHC. • Teléfono es el número de teléfono de un hospital de la red de PHC.

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

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

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

Niveles de acceso Los códigos de accesibilidad (vea la página 17 para obtener una descripción de los códigos:éP EB IB R E T ) Acceso básico La oficina cumple con los estándares que se encuentran a continuación para el estacionamiento, el interior y exterior del edificio, baños y los consultorios de examinación (P, EB, IB, R y E). Acceso limitado La oficina no cumple con uno o más de los estándares para el estacionamiento, el interior y exterior del edificio, los baños y los consultorios de examinación (P, EB, IB, R y E).

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 8 of 150 PHC PROVIDERS | SONOMA COUNTY DIRECTORY

Acceso al equipo médico l consultorio cumple con los siguientes estándares en mesas de examinación y básculas (T). Servicios para Niños de California (CCS) Los proveedores de CCS son proveedores que cumplen con los requisitos del programa CCS para prestar servicios a los clientes de CCS.

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 9 of 150 PHC PROVIDERS | SONOMA COUNTY DIRECTORY NONDISCRIMINATION NOTICE Discrimination is against the law. Partnership HealthPlan of California follows Federal civil rights laws. Partnership HealthPlan of California does not discriminate, exclude people, or treat them differently because of race, color, national origin, age, disability, or sex.

Partnership HealthPlan of California provides:

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

Qualified sign language interpreters

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

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

Qualified interpreters

Information written in other languages

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

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 10 of 150 PHC PROVIDERS | SONOMA COUNTY DIRECTORY

HOW TO FILE A GRIEVANCE

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

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

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 11 of 150 PHC PROVIDERS | SONOMA COUNTY DIRECTORY AVISO DE NO DISCRIMINACIÓN La discriminación está prohibida por ley. Partnership HealthPlan of California cumple las leyes federales de derechos civiles. Partnership HealthPlan of California no discrimina, excluye ni trata a personas de manera diferente debido a la raza, color, nacionalidad, edad, discapacidad o sexo.

Partnership HealthPlan of California proporciona:

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

Intérpretes de lenguaje de señas calificados

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

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

Intérpretes calificados

Información escrita en otros idiomas

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

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 12 of 150 PHC PROVIDERS | SONOMA COUNTY DIRECTORY

COMO PRESENTAR UNA QUEJA

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

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

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 13 of 150 PHC PROVIDERS | SONOMA COUNTY DIRECTORY LANGUAGE ASSISTANCE English ATTENTION: If you speak another language, language assistance services, free of charge, are available to you. Call (800) 863-4155 (TTY: (800) 735-2929 or 711).

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

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

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

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

한국어 (Korean)

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

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 14 of 150 PHC PROVIDERS | SONOMA COUNTY DIRECTORY

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

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

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

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

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

ਪੰ ਜਾਬੀ (Punjabi)

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

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 15 of 150 PHC PROVIDERS | SONOMA COUNTY DIRECTORY

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

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

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

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

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

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 16 of 150 PHC PROVIDERS | SONOMA COUNTY DIRECTORY

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

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 17 of 150 PHC PROVIDERS | SONOMA COUNTY DIRECTORY

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

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

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

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 18 of 150 PHC PROVIDERS | SONOMA COUNTY DIRECTORY

Timely Access to Care

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

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

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 19 of 150 PHC PROVIDERS | SONOMA COUNTY DIRECTORY

Acceso oportuno a la atención médica

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

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

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 20 of 150 PHC PROVIDERS | SONOMA COUNTY DIRECTORY

Physician Listing Information

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

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

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

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

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 21 of 150 PHC PRIMARY CARE PROVIDERS SONOMA COUNTY DIRECTORY

Cloverdale Gualala Falk, Lois Richardson, NP ^10^ NPI: 1346332335 License: 2525

Alexander Valley Healthcare ^1^ Gualala Medical Clinic ^5^ Gender: Female PCP PHC#: 8332-0009 Redwood Coast Medical Services Hand, Carolyn, NP ^11^ NPI: 1033534466 PCP PHC#: 6608-0004 NPI: 1245395219 FQHC NPI: 1962530725 License: 6447 Family Medicine FQHC Gender: Female Accepting New Patients Family Medicine No Age Limitations Accepting New Patients Special Accommodations: Adj. Exam CHDP Provider No Age Limitations Tables, Gurney Accommodations CHDP Provider 6 Tarman Dr Guerneville Cloverdale, CA 95425 46900 Ocean Dr , P,IB,E Gualala, CA 95445

Level of Access: Limited , EB,IB,E Russian River Health Center ^12^ Primary Phone: (707) 894-4229 Level of Access: Limited West County Health Centers Primary Fax: (707) 894-2954 Skilled Medical Interpreter Service PCP PHC#: 4770-0010 Mon - Fri 8:00 AM - 7:00 PM Primary Phone: (707) 884-4005 NPI: 1356344758 Primary Fax: (707) 884-4625 FQHC Family Medicine Mon - Fri 8:00 AM - 6:00 PM Family Medicine

Fito, Dennis Allen Minas, MD ^2^ Accepting Existing Patients NPI: 1346477585 Family Medicine No Age Limitations

License: C161245 Bertolli, Thomas Arnold, MD  ^6^ CHDP Provider Gender: Male NPI: 1811089717 Filipino License: A38824 16319 3rd St

Wheeler, Cary Lynn, DO ^3^ Gender: Male Guerneville, CA 95446 NPI: 1427366426 CCS Provider , P,EB,IB,E

License: 20A12450 Foorohar, Afsoon, DO ^7^ Level of Access: Limited Gender: Female ♦ Family Medicine Primary Phone: (707) 869-2849 Spanish NPI: 1962897645 Primary Fax: (707) 869-1477 License: 20A14940 Mon - Thu 9:00 AM - 8:00 PM

Pile, Elizabeth Lomax, NP ^4^ Gender: Female Fri 9:00 AM - 5:00 PM NPI: 1881058022 Sat 9:00 AM - 12:00 PM

License: 95002663 Brittell, Barbara Mary, PA-C ^8^ Gender: Female NPI: 1053432971 Spanish License: 20760 Gender: Female

Special Accommodations: Adj. Exam Ewing, Harold Jesse, PA-C  ^9^ Tables NPI: 1811067317 License: 12967 Gender: Male

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 22 of 150 PHC PRIMARY CARE PROVIDERS SONOMA COUNTY DIRECTORY

Family Medicine Healdsburg Keighley, Ember, MD  ^23^

Davey, Michelle, DO  ^13^ NPI: 1295025039 ♦ Family Medicine License: A122010

Alliance Medical Center ^18^ NPI: 1366445785 Gender: Female License: 20A7876 PCP PHC#: 5062-0023 Spanish Gender: Female NPI: 1750399796 Hospital Privileges: Sutter Santa Spanish FQHC Rosa Regional Hospital Family Medicine, Internal Medicine, Hospital Privileges: Sutter Santa Mihalik, John Michael, MD ^24^ Rosa Regional Hospital NPI: 1881778850 Accepting New Patients DeVille, DeEtte Martene, MD  ^14^ License: G71685 ♦ Family Medicine No Age Limitations Gender: Male NPI: 1558528349 CHDP Provider Spanish License: A73739 CCS Provider 1381 University Ave Gender: Female Pace, Gary James, MD ^25^ Garrison-Jakel, Jared Nikolaus, Healdsburg, CA 95448 ♦ Family Medicine , P,EB,IB,R MD  ^15^ NPI: 1326105313 NPI: 1962728550 Level of Access: Limited License: A52538 License: A117594 Primary Phone: (707) 433-5494 Gender: Male Gender: Male Primary Fax: (707) 385-2157 Spanish Mon - Fri 8:00 AM - 5:00 PM Hospital Privileges: Sutter Santa Terry, Carey Robert, MD ^26^ Rosa Regional Hospital NPI: 1992851570 Family Medicine License: A125631

Barker, Christopher Lewis, MD ^19^ Hayre-Kwan, Surani, FNP  ^16^ Gender: Male NPI: 1134135924 NPI: 1619029840 License: 13372 License: G32194 Internal Medicine Gender: Male Gender: Female Toth, Thomas Lawrence, MD ^27^ CCS Provider Herman, Jennifer Nicole, FNP ^17^ NPI: 1134203110

NPI: 1760997308 Chico, Patricia Diana, MD  ^20^ License: G68775 License: 95006924 NPI: 1801162565 Gender: Male Gender: Female License: A154735 Gender: Female Pediatrics Spanish Special Accommodations: Adj. Exam Ammerman, Seth David, MD ^28^

Tables Eliaser, Gerald Eugene, MD ^21^ ♦ Addiction Medicine - Preventive ♦ Occupational Medicine - Preventive Medicine Medicine ♦ Pediatrics NPI: 1558474270 NPI: 1831290154 License: G40198 License: G54409 Gender: Male Gender: Male

Heller, Cassandra Jean, DO ^22^ Spanish NPI: 1043570708 CCS Provider License: 20A15448 Gender: Female

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 23 of 150 PHC PRIMARY CARE PROVIDERS SONOMA COUNTY DIRECTORY

Ekstrom, Anna V, DO  ^29^ Andolsen, Richard J., MD ^37^ Providence Medical Group,

♦ Pediatrics PCP PHC#: 15623-0002 Sonoma ^39^ NPI: 1407199912 NPI: 1932229291 PCP PHC#: 38388-0001 License: 20A14076 Family Medicine NPI: 1871607762 Gender: Female Accepting Existing Patients Pediatrics CCS Provider No Age Limitations Accepting New Patients

Lawson, Amy Lynn, MD ^30^ CHDP Provider 0-18 Years NPI: 1376566299 CHDP Provider License: C55268 465-A March Ave Gender: Female Healdsburg, CA 95448 445 March Ave Ste A CCS Provider , E Healdsburg, CA 95448 Level of Access: Limited , P

Alvarez, Juana Rosa, FNP ^31^ Primary Phone: (707) 433-3369 Level of Access: Limited NPI: 1518049659 Primary Fax: (707) 433-7013 Primary Phone: (707) 433-8223 License: 12609 Mon, Tue, Thu 7:30 AM - 4:30 PM Primary Fax: (707) 433-1071 Gender: Female Fri 9:00 AM - 4:30 PM Mon - Fri 10:00 AM - 5:00 PM Spanish

Bocc, Edward, PA  ^32^ Family Medicine Pediatrics NPI: 1215014469

Andolsen, Richard Joseph, MD  ^38^ Hedrick, Guadalupe Nieto, MD  ^40^ License: 18351 NPI: 1376533638 NPI: 1164417093 Gender: Male License: G31940 License: A45846 Spanish Gender: Male Gender: Female

Labbe, Susannah Rachael, NP  ^33^ German, Spanish Spanish NPI: 1154609949

Hospital Privileges: Healdsburg Siegemund, Ronald Dieter, MD  ^41^ License: 20881 District Hospital NPI: 1710011366 Gender: Female License: G79261

Leon, Gigi Milagros, PA-C ^34^ Special Accommodations: Adj. Exam Gender: Male NPI: 1780897496 Tables, Scales that weigh up to German License: 55423

300lbs Smith, Jean Ernst, MD  ^42^ Gender: Female ♦ Pediatrics Spanish NPI: 1154495455

Marcus, Laura Anne, FNP  ^35^ License: G26460 NPI: 1932453990 Gender: Female License: 22607 CCS Provider Gender: Female

Rake, Linda Ann, PA  ^36^ Special Accommodations: Scales that NPI: 1659580207 weigh up to 400lbs License: 13290 Gender: Female Spanish

Special Accommodations: Adj. Exam Tables

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 24 of 150 PHC PRIMARY CARE PROVIDERS SONOMA COUNTY DIRECTORY

Sutter Medical Group of the Special Accommodations: Adj. Exam Moore, Rain Becker, MD ^52^

Redwoods ^43^ Tables NPI: 1043419559 PCP PHC#: 19399-0012 License: A102628 NPI: 1003267196 Occidental Gender: Female Family Medicine, Internal Medicine Spanish Accepting Existing Patients

Occidental Area Health Center ^49^ 19 Years and Older Wiley, Wendy Patricia, PA ^53^ West County Health Centers NPI: 1720192487 717 Center St PCP PHC#: 1881-0017 License: 11243 Healdsburg, CA 95448 NPI: 1598768962 Gender: Female , P,R,E,T FQHC Spanish Level of Access: Limited Family Medicine Primary Phone: (707) 433-7258 Accepting Existing Patients Special Accommodations: Adj. Exam Primary Fax: (707) 433-8807 No Age Limitations Tables, Scales that weigh up to Mon - Fri 8:30 AM - 5:00 PM CHDP Provider 400lbs Open to Residents of Occidental & Family Medicine Neighboring Area Petaluma

Elder Jr, William James, MD ^44^ NPI: 1407218407 3802 Main St

Cueto-Salas, Martha, MD ^54^ License: A150827 Occidental, CA 95465 Gender: Male , P,EB,IB,R,E PCP PHC#: 17395-0006 Level of Access: Basic NPI: 1538277140 Neal, Thomas Alan, MD ^45^ NPI: 1649298910 Primary Phone: (707) 874-2444 Pediatrics License: G59441 Primary Fax: (707) 874-1664 Accepting Existing Patients Gender: Male Mon - Thu 9:00 AM - 8:00 PM 0-18 Years Hospital Privileges: Sutter Santa Fri 9:00 AM - 5:00 PM CHDP Provider Rosa Regional Hospital Sat 9:00 AM - 12:00 PM 1456 Professional Dr Ste 403 Internal Medicine Family Medicine Petaluma, CA 94954 , P,R,E Davis, Victoria Moore, MD ^50^ Albeg, Jonathan Casey, MD ^46^ NPI: 1770677957 ♦ Family Medicine Level of Access: Limited License: A64791 NPI: 1427050731 Primary Phone: (707) 769-7770 Gender: Male License: A76726 Primary Fax: (707) 769-7782 Gender: Female Mon - Wed, Fri 8:30 AM - 5:00 PM Kates, Melanie Mary, MD ^47^ ♦ Internal Medicine Hospital Privileges: Sutter Santa Thu 8:30 AM - 12:00 PM NPI: 1518911965 Rosa Regional Hospital

License: G82351 Kirkconnell, Molly Rebecca, MD ^51^ Gender: Female NPI: 1154659373 License: A126516 Gender: Female Black, Laura Ann, NP ^48^ NPI: 1346591104 Spanish License: 22370 Gender: Female

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 25 of 150 PHC PRIMARY CARE PROVIDERS SONOMA COUNTY DIRECTORY

Pediatrics Lundergan, Faye S., MD ^57^ Family Medicine

Lozanov, Nikola Yuliev, MD ^60^ Cueto-Salas, Martha Elena, MD  ^55^ PCP PHC#: 15628-0003 NPI: 1538277140 NPI: 1174554240 NPI: 1417968512 License: A53611 Pediatrics License: A93178 Gender: Female Accepting Existing Patients Gender: Male Spanish 0-18 Years Bulgarian, Russian Hospital Privileges: Petaluma Valley CHDP Provider Hospital Special Accommodations: Adj. Exam CCS Provider 1456 Professional Dr Ste 405 Tables, Scales that weigh up to lbs Petaluma, CA 94954

Petaluma Health Center ^61^ Kaiser Permanente ^56^ , P,EB,IB,R,E PCP PHC#: 19708-0001 Level of Access: Basic PCP PHC#: 14857-0017 NPI: 1548343510 Primary Phone: (707) 769-7500 NPI: 1588656268 Family Medicine, Internal Medicine, Primary Fax: (707) 769-7570 FQHC Pediatrics Mon - Fri 9:00 AM - 5:00 PM Family Medicine, Internal Medicine, Accepting Existing Patients Pediatrics No Age Limitations Pediatrics Accepting New Patients

CHDP Provider Lundergan, Faye Susan, MD ^58^ No Age Limitations Assigned Hospital: Kaiser NPI: 1174554240 CHDP Provider Permanente Medical Center License: A76943 Gender: Female 1179 N McDowell Blvd 3900 Lakeville Hwy Hospital Privileges: Petaluma Valley Petaluma, CA 94954 Petaluma, CA 94954 Hospital , P,EB,IB,R,E , P,EB,IB,R,E,T CCS Provider Level of Access: Basic Level of Access: Basic Primary Phone: (707) 559-7500 Primary Phone: (707) 765-3960 Special Accommodations: Adj. Exam Primary Fax: (707) 559-7620 www.kp.org Tables, Scales that weigh up to Mon - Thu 8:00 AM - 8:00 PM Mon - Fri 8:30 AM - 5:00 PM 300lbs Fri 8:00 AM - 5:00 PM Sat 8:30 AM - 12:00 PM

Special Accommodations: Adj. Exam Nikola Lozanov MD ^59^ Tables, Hoyer Lift, Special Scales For PCP PHC#: 32037-0004 Family Medicine

Wheelchairs, Medical Equipment NPI: 1366670747 Ahmed, Safi, MD  ^62^ Access, Scales that weigh up to Family Medicine NPI: 1114363876 500lbs Accepting Existing Patients License: A135274 19 Years and Older Gender: Male

To locate a Kaiser doctor, contact Ashcroft, Andrew Burns, MD  ^63^ Kaiser Member Services at 108 Lynch Creek Way Ste 4 ♦ Family Medicine 800-464-4000 or browse Kaiser's Petaluma, CA 94954 NPI: 1053306795 Online Provider Directory: Primary Phone: (707) 782-1244 License: A96865 healthy.kaiserpermanente.org/ Primary Fax: (707) 782-1163 Gender: Male northern-california/doctors-locations#/sea Mon - Thu 9:00 AM - 5:00 PM Spanish Fri 9:00 AM - 1:00 PM Hospital Privileges: Petaluma Valley Hospital

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 26 of 150 PHC PRIMARY CARE PROVIDERS SONOMA COUNTY DIRECTORY

Baylor, Anna Louise, MD  ^64^ Hameed, Fasih Abdul, MD  ^71^ PeBenito, Milana Julia, MD  ^77^ NPI: 1538218433 ♦ Family Medicine NPI: 1073991741 License: G72855 NPI: 1417083031 License: A145256 Gender: Female License: A96814 Gender: Female Spanish Gender: Male Hospital Privileges: Petaluma Valley

Chen, Iun-Iu Aileen, DO  ^65^ Spanish Hospital

NPI: 1114288412 Hospital Privileges: Petaluma Valley Pearson, Lisa Feth, MD  ^78^ License: 20A14310 Hospital ♦ Family Medicine

Gender: Female Helgerson, Erin Joy, MD  ^72^ NPI: 1083894802 Spanish ♦ Family Medicine License: A93483

Chi, Carlin Li-An, MD  ^66^ NPI: 1568741494 Gender: Female NPI: 1497843122 License: A117804 French License: A71794 Gender: Female Hospital Privileges: Petaluma Valley Gender: Female Spanish Hospital

Spanish Hospital Privileges: Petaluma Valley Pendleton, John Douglas, MD  ^79^

Choe, Jonathan Young, MD  ^67^ Hospital NPI: 1326030024

NPI: 1518959170 Iutzi, Cassie Jane, MD  ^73^ License: A91072 License: A80237 NPI: 1053756346 Gender: Male Gender: Male License: A133772 Spanish Spanish Gender: Female Hospital Privileges: Petaluma Valley Hospital Privileges: Petaluma Valley Spanish Hospital

Rhodes, Jessica Davis, MD  ^80^ Hospital Licht, Nurit, MD  ^74^

Finnemore, Rebecca Katz, MD  ^68^ NPI: 1477545176 NPI: 1427343912 NPI: 1023214467 License: A90977 License: A144933 License: A105589 Gender: Female Gender: Female

Gender: Female Hebrew, Spanish Sandhu, Amrita, DO  ^81^ German, Spanish Hospital Privileges: Petaluma Valley NPI: 1043542087 Hospital Privileges: Petaluma Valley Hospital License: 20A11047

Hospital Oryn, Danielle Estee, DO  ^75^ Gender: Female CCS Provider ♦ Clinical Informatics Hindi, Punjabi, Spanish

Gomez, Ulysses, MD  ^69^ NPI: 1376535070 NPI: 1427508241 License: 20A8962 Internal Medicine

License: A145425 Gender: Female Edouard, Philippe Robert, MD  ^82^ Gender: Male Spanish NPI: 1124029491 Spanish Hospital Privileges: Petaluma Valley License: C51257

Greer, Karl Anton, MD  ^70^ Hospital Gender: Male NPI: 1396010740 P Williams, Victoria Lorraine, DO French, Spanish

License: A127109  ^76^ Hospital Privileges: Petaluma Valley Gender: Male NPI: 1659705564 Hospital Spanish License: 20A14008 Hospital Privileges: Gender: Female Petaluma Valley Hospital Spanish Sutter Santa Rosa Regional Hospital

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 27 of 150 PHC PRIMARY CARE PROVIDERS SONOMA COUNTY DIRECTORY

Holmes, Scott Michael, DO  ^83^ Geissler Meka, Jillian Durrell, FNP Nicol, Annie Marie, NP  ^99^

NPI: 1801281027  ^90^ NPI: 1720010580 License: 20A17517 NPI: 1780132324 License: 5376 Gender: Male License: 95004952 Gender: Female Hospital Privileges: Petaluma Valley Gender: Female Spanish Spanish Hospital Palma, Lynne Dee, FNP  ^100^

Gonzalez, Jenelle Venus, FNP  ^91^ NPI: 1306285697 Pediatrics NPI: 1942740972 License: 95008344 License: 95006238 Connick, Megan, MD  ^84^ Gender: Female NPI: 1104841576 Gender: Female Spanish Spanish License: G141047 Pelavin, Paula Erin, PA-C  ^101^

Gender: Female Hoeft, Jena Nicole, PA  ^92^ NPI: 1821458761 Spanish NPI: 1912123811 License: 53347 CCS Provider License: 17865 Gender: Female Gender: Female Shende, Urmila A, MD  ^85^ Peyton, Krista Joy Lennice, PA-C

Khalsa, Dalbir Kaur, PA-C  ^93^ NPI: 1225141245  ^102^ License: A60391 NPI: 1093803751 NPI: 1184683682 Gender: Female License: 11671 License: 17199 Spanish Gender: Female Gender: Female

CCS Provider Spanish Pineda, Christina Helena, ANP  ^103^

Komatsu, Judith, ANP  ^94^ NPI: 1407198658 NPI: 1346261005 License: 95000758 Benenhaley, Leesa Elaine, FNP  ^86^ NPI: 1386040129 License: 21030 Gender: Female License: 95001100 Gender: Female Spanish

Gender: Female Spanish Powell, Hilary Rose, PA-C  ^104^

Spanish Levine, Natalie Enid, FNP  ^95^ NPI: 1528213543 NPI: 1659803369 License: 20066 Brotherton, Anne Nelson, FNP  ^87^ NPI: 1326467804 License: 95006385 Gender: Female License: 95000355 Gender: Female Spanish

Pycard, Randa Aleasha, FNP  ^105^ Gender: Female Long, Colette, FNP  ^96^ Spanish NPI: 1588214019 NPI: 1851809529 License: 95012905 License: 95008689 Diel, Joanna Renee, FNP  ^88^ NPI: 1932759461 Gender: Female Gender: Female

Rehder, Megan, FNP  ^106^ License: 95012708 Moore, Jessicca Lee, FNP  ^97^ Gender: Female NPI: 1891911707 NPI: 1386013274 License: 15981 License: 95007093 Garcia, Mario Marin, PA-C  ^89^ NPI: 1184274615 Gender: Female Gender: Female

License: 57217 Spanish Romero, Whitney Lorraine, ANP 

^107^

Gender: Male Negrin, Cheryl Ann, FNP ^98^ NPI: 1588993927 NPI: 1558577692 License: 95005074 License: 8618 Gender: Female Gender: Female

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 28 of 150 PHC PRIMARY CARE PROVIDERS SONOMA COUNTY DIRECTORY

Suazo, Gisselle Elizabeth, FNP  ^108^ Pediatrics Primary Phone: (707) 763-9891 NPI: 1124586755 De Pala Jr, Armando Villafuerte, Primary Fax: (707) 762-2311

License: 95011197 MD ^113^ Mon - Fri 8:30 AM - 5:00 PM Gender: Female NPI: 1912938085 Spanish License: A52324 Family Medicine

Della Lana, David Francis, MD ^117^ Upton, Sean Rae, NP  ^109^ Gender: Male NPI: 1205162450 Tagalog ♦ Family Medicine License: 21582 Hospital Privileges: Petaluma Valley NPI: 1356449029 Gender: Female Hospital License: C52465 Spanish CCS Provider Gender: Male

Doolittle, Laurie McGuire, MD ^114^ Williams, Lauren Althea, PA-C  ^110^ Hospital Privileges: Providence Santa NPI: 1437563624 NPI: 1740364710 Rosa Memorial Hospital

License: 51649 License: A60968 Rosa, Gregory Paul, MD ^118^ Gender: Female Gender: Female NPI: 1902861453 Spanish Hospital Privileges: Petaluma Valley License: C35981

Wong, Melissa Kari, NP  ^111^ Hospital Gender: Male NPI: 1790184075 CCS Provider Hospital Privileges: Providence Santa

License: 95001163 Martin, Grace Tandoc, MD ^115^ Rosa Memorial Hospital Gender: Female ♦ Pediatrics Spanish NPI: 1356454086 Internal Medicine

License: A83664 Ranadive, Rajesh Krishnanath, MD Special Accommodations: Adj. Exam Gender: Female NPI:^119^ 1497704522 Tables Spanish, Tagalog License: A84630 Hospital Privileges: Providence Santa Gender: Male Providence Medical Group, Rosa Memorial Hospital Hindi, Marathi CCS Provider Hospital Privileges: Petaluma Valley

Sonoma ^112^ Hospital PCP PHC#: 28388-0001 Special Accommodations: Adj. Exam Ranadive, Rajina, MD ^120^ NPI: 1871607762 Tables NPI: 1447200480 Pediatrics License: A84631 Accepting Existing Patients Providence Medical Group, Gender: Female 0-18 Years Tamil

Sonoma ^116^ CHDP Provider Hospital Privileges: Petaluma Valley PCP PHC#: 22831-0001 Hospital 1550A Professional Dr Ste 200 NPI: 1871607762 Petaluma, CA 94954 Family Medicine, Internal Medicine

Bryant, Kathryn Anne, FNP ^121^ , P,IB,R,E Accepting Existing Patients NPI: 1811397177 Level of Access: Limited 19 Years and Older License: 95004883 Primary Phone: (707) 769-7403 Gender: Female Primary Fax: (707) 769-0134 905 E Washington St

Casarotti, Kimberly Ann, FNP ^122^ Mon - Fri 8:30 AM - 5:00 PM Petaluma, CA 94952 NPI: 1992211957 , P,IB,E License: 95008024 Level of Access: Limited Gender: Female

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 29 of 150 PHC PRIMARY CARE PROVIDERS SONOMA COUNTY DIRECTORY

Chakkalakel, Sherin Ann, FNP ^123^ Point Reyes Rohnert Park NPI: 1104390053 License: 95010634

Petaluma Health Center ^129^ Kaiser Permanente ^133^ Gender: Female PCP PHC#: 71726-0001 PCP PHC#: 19707-0001 Gikuhi, Jotham Kahoro, FNP ^124^ NPI: 1780121582 NPI: 1053420844 NPI: 1548343510 License: 95006950 FQHC Family Medicine, Internal Medicine, Gender: Male Family Medicine Pediatrics Accepting New Patients Accepting Existing Patients McLaughlin, Eleanor R, FNP ^125^ NPI: 1548479181 No Age Limitations No Age Limitations License: 5171 CHDP Provider Assigned Hospital: Kaiser Gender: Female Permanente Medical Center 3 Sixth St Open to Residents of Rohnert Park Mullikin, Mallory Paige, FNP ^126^ NPI: 1235620592 Point Reyes, CA 94956 Only License: 95008697 P,EB,IB,E Gender: Female Level of Access: Limited 5900 State Farm Dr Villanueva, Cresolito Alcantara, Primary Phone: (415) 663-8666 Rohnert Park, CA 94928 Primary Fax: (415) 663-9532 , P,EB,IB,R,E,T FNP ^127^ NPI: 1083186639 Mon - Fri 9:00 AM - 5:00 PM Level of Access: Basic License: 95010695 Sat 9:00 AM - 3:00 PM Primary Phone: (707) 206-3044 Gender: Female www.kp.org Family Medicine Mon - Fri 8:30 AM - 5:00 PM Wetmore, Dustin Kyle, PA-C ^128^

NPI: 1710320437 O'Malley, Anna Kristina, MD  ^130^ License: 22901 ♦ Family Medicine Special Accommodations: Adj. Exam Gender: Male NPI: 1447459185 Tables, Hoyer Lift, Special Scales For License: A100464 Wheelchairs, Medical Equipment Special Accommodations: Adj. Exam Gender: Female Access, Scales that weigh up to Tables, Scales that weigh up to Spanish 500lbs 500lbs

Chase, Carolyn Ruth, FNP  ^131^ To locate a Kaiser doctor, contact NPI: 1811024599 Kaiser Member Services at License: 9465 800-464-4000 or browse Kaiser's Gender: Female Online Provider Directory: Spanish healthy.kaiserpermanente.org/

Wrona, Diane Elizabeth, PA-C  ^132^ northern-california/doctors-locations#/sea NPI: 1538112479 License: 14600 Gender: Female

Special Accommodations: Adj. Exam Tables

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 30 of 150 PHC PRIMARY CARE PROVIDERS SONOMA COUNTY DIRECTORY

Providence Medical Group, Rohnert Park Health Center ^138^ Chi, Carlin Li-An, MD  ^143^

Sonoma ^134^ Petaluma Health Center NPI: 1497843122 PCP PHC#: 38581-0001 PCP PHC#: 35718-0005 License: A71794 NPI: 1871607762 NPI: 1669870739 Gender: Female Family Medicine, Internal Medicine FQHC Spanish

Accepting Existing Patients Family Medicine, Internal Medicine, Choe, Jonathan Young, MD  ^144^ 19 Years and Older Pediatrics NPI: 1518959170 Accepting New Patients License: A80237 1450 Medical Center Dr Ste 3A No Age Limitations Gender: Male Rohnert Park, CA 94928 CHDP Provider Spanish , P,EB,IB Hospital Privileges: Petaluma Valley Level of Access: Limited 5900 State Farm Dr Ste 200 Hospital

Primary Phone: (707) 387-3925 Rohnert Park, CA 94928 Finnemore, Rebecca Katz, MD  ^145^ Primary Fax: (707) 387-3064 , P,EB,IB,R,E,T NPI: 1023214467 Mon - Fri 8:00 AM - 5:00 PM Level of Access: Basic License: A105589 Primary Phone: (707) 559-7600 Gender: Female Family Medicine Primary Fax: (707) 559-7620 German, Spanish Hospital Privileges: Petaluma Valley

Della Lana, David Francis, MD ^135^ Mon - Wed 8:00 AM - 6:30 PM ♦ Family Medicine Thu, Fri 8:00 AM - 5:00 PM Hospital NPI: 1356449029 CCS Provider

License: C52465 Family Medicine Gomez, Ulysses, MD  ^146^ NPI: 1427508241

Gender: Male Ahmed, Safi, MD  ^139^ Hospital Privileges: Providence Santa NPI: 1114363876 License: A145425 Rosa Memorial Hospital License: A135274 Gender: Male Gender: Male Spanish

Gomez-Mira, Christina, MD  ^147^

Internal Medicine Ashcroft, Andrew Burns, MD  ^140^ NPI: 1356734859

Morse, Jonathan Mark, MD ^136^ ♦ Family Medicine NPI: 1265461784 NPI: 1053306795 License: A134563 License: G81437 License: A96865 Gender: Female Gender: Male Gender: Male Spanish

Spanish Greer, Karl Anton, MD  ^148^ NPI: 1396010740

Hewitt, Janet Marie, FNP ^137^ Hospital Privileges: Petaluma Valley NPI: 1912488123 Hospital License: A127109 License: 95009434 Gender: Male Baylor, Anna Louise, MD  ^141^ Gender: Female NPI: 1538218433 Spanish License: G72855 Hospital Privileges: Special Accommodations: Adj. Exam Gender: Female Petaluma Valley Hospital Tables, Scales that weigh up to Spanish Sutter Santa Rosa Regional Hospital 500lbs Chen, Iun-Iu Aileen, DO  ^142^ NPI: 1114288412 License: 20A14310 Gender: Female Spanish

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 31 of 150 PHC PRIMARY CARE PROVIDERS SONOMA COUNTY DIRECTORY

Hameed, Fasih Abdul, MD  ^149^ PeBenito, Milana Julia, MD  ^155^ Holmes, Scott Michael, DO  ^161^ ♦ Family Medicine NPI: 1073991741 NPI: 1801281027 NPI: 1417083031 License: A145256 License: 20A17517 License: A96814 Gender: Female Gender: Male Gender: Male Hospital Privileges: Petaluma Valley Hospital Privileges: Petaluma Valley Spanish Hospital Hospital

Hospital Privileges: Petaluma Valley Pearson, Lisa Feth, MD  ^156^ Hospital ♦ Family Medicine Pediatrics

Connick, Megan, MD  ^162^ Helgerson, Erin Joy, MD  ^150^ NPI: 1083894802 ♦ Family Medicine License: A93483 NPI: 1104841576 NPI: 1568741494 Gender: Female License: G141047 License: A117804 French Gender: Female Gender: Female Hospital Privileges: Petaluma Valley Spanish Spanish Hospital CCS Provider

Shende, Urmila A, MD  ^163^ Hospital Privileges: Petaluma Valley Pendleton, John Douglas, MD  ^157^ Hospital NPI: 1326030024 NPI: 1225141245

Iutzi, Cassie Jane, MD  ^151^ License: A91072 License: A60391 NPI: 1053756346 Gender: Male Gender: Female License: A133772 Spanish Spanish Gender: Female Hospital Privileges: Petaluma Valley CCS Provider Spanish Hospital

Benenhaley, Leesa Elaine, FNP  ^164^ Licht, Nurit, MD  ^152^ Rhodes, Jessica Davis, MD  ^158^ NPI: 1477545176 NPI: 1427343912 NPI: 1386040129 License: A90977 License: A144933 License: 95001100 Gender: Female Gender: Female Gender: Female Spanish Hebrew, Spanish Sandhu, Amrita, DO  ^159^

Hospital Privileges: Petaluma Valley NPI: 1043542087 Brotherton, Anne Nelson, FNP  ^165^ Hospital License: 20A11047 NPI: 1326467804 License: 95000355 Oryn, Danielle Estee, DO  ^153^ Gender: Female ♦ Clinical Informatics Hindi, Punjabi, Spanish Gender: Female NPI: 1376535070 Spanish

License: 20A8962 Internal Medicine Diel, Joanna Renee, FNP  ^166^

Gender: Female Edouard, Philippe Robert, MD  ^160^ NPI: 1932759461 Spanish NPI: 1124029491 License: 95012708 Hospital Privileges: Petaluma Valley License: C51257 Gender: Female

Hospital Gender: Male Garcia, Mario Marin, PA-C  ^167^ P Williams, Victoria Lorraine, DO French, Spanish NPI: 1184274615

 ^154^ Hospital Privileges: Petaluma Valley License: 57217 NPI: 1659705564 Hospital Gender: Male License: 20A14008 Gender: Female Spanish

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 32 of 150 PHC PRIMARY CARE PROVIDERS SONOMA COUNTY DIRECTORY

Geissler Meka, Jillian Durrell, FNP Nicol, Annie Marie, NP  ^177^ Upton, Sean Rae, NP  ^186^

 ^168^ NPI: 1720010580 NPI: 1205162450 NPI: 1780132324 License: 5376 License: 21582 License: 95004952 Gender: Female Gender: Female Gender: Female Spanish Spanish Spanish Palma, Lynne Dee, FNP  ^178^ Williams, Lauren Althea, PA-C  ^187^

Hoeft, Jena Nicole, PA  ^169^ NPI: 1306285697 NPI: 1437563624 NPI: 1912123811 License: 95008344 License: 51649 License: 17865 Gender: Female Gender: Female Gender: Female Spanish Spanish

Joseph, Rachel Mary, FNP  ^170^ Pelavin, Paula Erin, PA-C  ^179^ Wong, Melissa Kari, NP  ^188^ NPI: 1629551254 NPI: 1821458761 NPI: 1790184075 License: 95009946 License: 53347 License: 95001163 Gender: Female Gender: Female Gender: Female

Khalsa, Dalbir Kaur, PA-C  ^171^ Pineda, Christina Helena, ANP  ^180^ Spanish NPI: 1093803751 NPI: 1407198658 License: 11671 License: 95000758 Special Accommodations: Adj. Exam Gender: Female Gender: Female Tables, Hearing Impaired Spanish Spanish Accommodations, Gurney

Komatsu, Judith, ANP  ^172^ Powell, Hilary Rose, PA-C  ^181^ Accommodations, Medical Equipment NPI: 1346261005 NPI: 1528213543 Access, Scales that weigh up to License: 21030 License: 20066 600lbs Gender: Female Gender: Female Spanish Spanish Sutter Medical Group of the

Levine, Natalie Enid, FNP  ^173^ Pycard, Randa Aleasha, FNP  ^182^

Redwoods ^189^ NPI: 1659803369 NPI: 1851809529 License: 95006385 License: 95008689 PCP PHC#: 19397-0005 Gender: Female Gender: Female NPI: 1003267196 Family Medicine

Long, Colette, FNP  ^174^ Rehder, Megan, FNP  ^183^ NPI: 1588214019 NPI: 1386013274 Accepting Existing Patients License: 95012905 License: 95007093 19 Years and Older Gender: Female Gender: Female 5300 Snyder Ln Ste A

Moore, Jessicca Lee, FNP  ^175^ Romero, Whitney Lorraine, ANP  ^184^ Rohnert Park, CA 94928 NPI: 1891911707 NPI: 1588993927 , E,T License: 15981 License: 95005074 Level of Access: Limited Gender: Female Gender: Female Spanish Primary Phone: (707) 585-8347

Suazo, Gisselle Elizabeth, FNP  ^185^ Primary Fax: (707) 585-9176 Negrin, Cheryl Ann, FNP ^176^ NPI: 1124586755 Mon - Fri 8:00 AM - 5:00 PM NPI: 1558577692 License: 95011197 License: 8618 Gender: Female Gender: Female Spanish

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 33 of 150 PHC PRIMARY CARE PROVIDERS SONOMA COUNTY DIRECTORY

Family Medicine Primary Phone: (707) 591-9667 To locate a Kaiser doctor, contact

Budman, Margo Vanessa, MD  ^190^ Primary Fax: (707) 708-2908 Kaiser Member Services at NPI: 1710949821 Mon, Tue, Thu 9:00 AM - 3:00 PM 800-464-4000 or browse Kaiser's License: A74779 Fri 9:00 AM - 12:00 PM Online Provider Directory: Gender: Female healthy.kaiserpermanente.org/ Hospital Privileges: Sutter Santa Family Medicine northern-california/doctors-locations#/sea

Rosa Regional Hospital Hauf, Zuo-Fen, MD ^195^

Danes, Gabriel Nociti, MD ^191^ NPI: 1619086246 Kaiser Permanente-Richard Stein NPI: 1366891624 License: A67131

Medical Offices ^197^ License: A162338 Gender: Female Gender: Male Cantonese, Chinese, Mandarin, PCP PHC#: 19709-0001 Portuguese, Spanish Shanghainese NPI: 1548343510 Pediatrics

Harner, Rex Dell, MD  ^192^ NPI: 1528066321 Special Accommodations: Adj. Exam Accepting Existing Patients License: G29415 Tables, Scales that weigh up to 0-18 Years Gender: Male 300lbs Assigned Hospital: Kaiser Hospital Privileges: Sutter Santa Permanente Medical Center Rosa Regional Hospital Kaiser Permanente ^196^ 3925 Old Redwood Hwy Bldg 4

Van Dissel, Ghislaine N.S., DO  ^193^ PCP PHC#: 8997-0005 NPI: 1851337950 Santa Rosa, CA 95403 License: 20A9061 NPI: 1548343510 , P,EB,IB,R,E,T Gender: Female Family Medicine, Internal Medicine, Level of Access: Basic Hospital Privileges: Sutter Santa Pediatrics Primary Phone: (707) 393-4033 Rosa Regional Hospital Accepting Existing Patients www.kp.org No Age Limitations Mon - Fri 8:30 AM - 5:00 PM Special Accommodations: Adj. Exam Assigned Hospital: Kaiser Tables, Medical Equipment Access Permanente Medical Center Special Accommodations: Adj. Exam Tables, Hoyer Lift, Special Scales For 401 Bicentennial Way Wheelchairs, Scales that weigh up to Santa Rosa Santa Rosa, CA 95403 500lbs , P,EB,IB,R,E,T Level of Access: Basic To locate a Kaiser doctor, contact

Hauf, Zuo Fen, MD ^194^ Primary Phone: (707) 393-4044 Kaiser Member Services at Saints Jane & Mary Medical Center www.kp.org 800-464-4000 or browse Kaiser's PCP PHC#: 9374-0003 Mon - Fri 8:30 AM - 5:00 PM Online Provider Directory: NPI: 1619086246 healthy.kaiserpermanente.org/ Family Medicine Special Accommodations: Adj. Exam northern-california/doctors-locations#/sea Accepting Existing Patients Tables, Hoyer Lift, Special Scales For 19 Years and Older Wheelchairs, Scales that weigh up to 500lbs 1580 Sebastopol Rd Santa Rosa, CA 95407  Level of Access: Limited

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 34 of 150 PHC PRIMARY CARE PROVIDERS SONOMA COUNTY DIRECTORY

Marianella, Larry, MD ^198^ Internal Medicine Family Medicine

Della Lana, David Francis, MD ^205^ PCP PHC#: 20003-0001 DeCastro, Marlon Cheng, MD ^201^ NPI: 1104128941 ♦ Internal Medicine ♦ Family Medicine Internal Medicine NPI: 1780643270 NPI: 1356449029 Accepting Existing Patients License: C53594 License: C52465 19 Years and Older Gender: Male Gender: Male Tagalog Hospital Privileges: Providence Santa 1515 Montgomery Dr Hospital Privileges: Providence Santa Rosa Memorial Hospital

Santa Rosa, CA 95405 Rosa Memorial Hospital Leon, Federico George, MD ^206^  CCS Provider NPI: 1659349173

Level of Access: Limited Ferguson, Monica Odetta, MD ^202^ License: C138145 Primary Phone: (707) 526-4865 ♦ Internal Medicine Gender: Male Primary Fax: (707) 526-5375 NPI: 1528176989 Spanish

Mon, Wed, Fri 9:30 AM - 5:00 PM License: C137803 Nimtz, John Walter, MD ^207^ Gender: Female ♦ Anesthesiology Internal Medicine CCS Provider NPI: 1851341804

Matalon, Eran Y, MD  ^203^ License: G44002 Marianella, Larry, MD ^199^ NPI: 1144257486 ♦ Internal Medicine Gender: Male License: G38835 NPI: 1073656815 Hospital Privileges: Providence Santa Gender: Male License: G66269 Rosa Memorial Hospital French, Italian, Portuguese, Spanish Gender: Male CCS Provider

Hospital Privileges: Providence Santa Hospital Privileges: Providence Santa Smith, Leo Arthur, MD ^208^ Rosa Memorial Hospital Rosa Memorial Hospital NPI: 1023265816 CCS Provider License: A123645 Special Accommodations: Adj. Exam Gender: Male Tables Providence Medical Group,

Ratiani, Lauren Michelle, FNP ^209^

Sonoma ^204^ NPI: 1669936860 Providence Medical Group, PCP PHC#: 22460-0001 License: 95010614

Sonoma ^200^ NPI: 1871607762 Gender: Female PCP PHC#: 22461-0001 Family Medicine NPI: 1871607762 Accepting Existing Patients Providence Medical Group, Internal Medicine 19 Years and Older

Sonoma ^210^ Accepting Existing Patients 19 Years and Older 1162 Montgomery Dr PCP PHC#: 21910-0001 Santa Rosa, CA 95405 NPI: 1871607762 1162 Montgomery Dr P,EB,IB,R,E Family Medicine Santa Rosa, CA 95405 Level of Access: Basic Accepting Existing Patients P,EB,IB,E Primary Phone: (707) 890-4100 19 Years and Older Level of Access: Limited Primary Fax: (707) 476-2234 Primary Phone: (707) 890-4100 Mon - Fri 8:00 AM - 5:00 PM 2323 Bethards Dr Primary Fax: (707) 476-2237 Santa Rosa, CA 95405 Mon - Fri 8:00 AM - 5:00 PM , EB,IB,E Level of Access: Limited

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 35 of 150 PHC PRIMARY CARE PROVIDERS SONOMA COUNTY DIRECTORY

Primary Phone: (707) 542-1611 Providence Medical Group, Iezza, Heather Ariagno, MD ^219^

Primary Fax: (707) 542-9958 Sonoma ^215^ NPI: 1649227943 Mon - Fri 8:00 AM - 5:00 PM PCP PHC#: 19395-0002 License: A92671 NPI: 1871607762 Gender: Female Family Medicine Pediatrics Hospital Privileges: Providence Santa

Dickey, Benjamin William, MD ^211^ Accepting Existing Patients Rosa Memorial Hospital NPI: 1932526860 0-18 Years CCS Provider

License: A149307 CHDP Provider Prosser III, Kenneth Frederick, MD ^220^ Gender: Male ♦ Pediatrics Hospital Privileges: Providence Santa 500 Doyle Park Dr Ste 100 NPI: 1770694598 Rosa Memorial Hospital Santa Rosa, CA 95405 License: G70988

Kylstra, Trieneke Ann, MD  ^212^ , P,EB,IB,E Gender: Male NPI: 1740243286 Level of Access: Limited

License: A65110 Primary Phone: (707) 544-6090 Pope, Emily Ann Ferrell, NP ^221^ Gender: Female Primary Fax: (707) 544-2389 NPI: 1730290834 Dutch Mon - Fri 8:00 AM - 5:00 PM License: 95003418 Hospital Privileges: Providence Santa Sat, Sun By Appointment Only Gender: Female Rosa Memorial Hospital CCS Provider Pediatrics Special Accommodations: Adj. Exam

Morris, Cynthia, MD  ^213^ Tables

Britt, Deborah Schulte, MD ^216^ NPI: 1376526103 ♦ Pediatrics License: G69764 NPI: 1316959307 Providence Medical Group, Gender: Female

License: C42312 Sonoma ^222^ Spanish Gender: Female PCP PHC#: 71594-0004 Hospital Privileges: Providence Santa Spanish Rosa Memorial Hospital NPI: 1871607762 Hospital Privileges: Providence Santa Family Medicine Rosa Memorial Hospital Accepting Existing Patients Brunn, Anna Teresa, FNP ^214^ CCS Provider NPI: 1740828615 19 Years and Older

Culhane, Elizabeth Suzanne, MD ^217^ License: 95012197 ♦ Pediatrics Gender: Female 500 Doyle Park Dr Ste 303 NPI: 1508979923 Santa Rosa, CA 95405 License: G74888 Special Accommodations: Adj. Exam Primary Phone: (707) 303-8312 Gender: Female Primary Fax: (707) 757-6725 Tables, Gurney Accommodations, CCS Provider Scales that weigh up to 350lbs Mon - Fri 8:00 AM - 5:00 PM

Greenfield, Daniel Joseph, MD ^218^ ♦ Pediatric Hematology-Oncology Family Medicine ♦ Pediatrics

Markoff, William Aaron, MD  ^223^ NPI: 1043203946 NPI: 1407869167 License: G86356 License: A74621 Gender: Male Gender: Male CCS Provider Hospital Privileges: Sutter Santa Rosa Regional Hospital

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 36 of 150 PHC PRIMARY CARE PROVIDERS SONOMA COUNTY DIRECTORY

Santa Rosa Community Trapnell, James Gregg, MD  ^224^ Family Medicine

Lewis, Joel M, DO ^227^ ♦ Family Medicine Health-Dutton Campus ^232^ NPI: 1073526729 ♦ Family Medicine PCP PHC#: 46609-0004 License: G77272 ♦ Neuromusculoskeletal Medicine & NPI: 1780195255 Gender: Male Osteopathic Manipulative FQHC Hospital Privileges: Providence Santa Medicine Family Medicine Rosa Memorial Hospital NPI: 1144304114 Accepting New Patients License: 20A6145 No Age Limitations

Warren, Jennifer Elizabeth, FNP ^225^ Gender: Male CHDP Provider

NPI: 1982121885 Mulligan, Marie Ann, MD ^228^ License: 95006907 ♦ Family Medicine 1300 N Dutton Ave Gender: Female NPI: 1477682896 Santa Rosa, CA 95401 License: G53063 P,EB,IB,R,E Special Accommodations: Adj. Exam Gender: Female Level of Access: Basic Tables, Scales that weigh up to lbs Spanish Primary Phone: (707) 396-5151 Primary Fax: (707) 303-3611

Santa Rosa Community Duncan, Corinne Nicole, NP ^229^ Mon - Thu 8:30 AM - 9:00 PM NPI: 1487974374

Health-Brookwood Campus ^226^ Fri 8:30 AM - 5:30 PM License: 95001103 Sat 8:30 AM - 3:00 PM PCP PHC#: 24455-0002 Gender: Female NPI: 1184909103 Papsco, Mary Catherine, FNP ^230^ Family Medicine FQHC NPI: 1588850796 Family Medicine French, Anne Margaret, MD ^233^ License: 16908 ♦ Family Medicine Accepting New Patients Gender: Female 19 Years and Older NPI: 1528141587 Stewart, Christopher James, FNP ^231^ License: A63524 NPI: 1770612905 Gender: Female 983 Sonoma Ave License: 9723 Santa Rosa, CA 95404 Green, Ellen Hier, MD ^234^ Gender: Male ♦ Family Medicine , P,EB,IB,R,E Spanish Level of Access: Basic NPI: 1033353982 Primary Phone: (707) 583-8700 License: A113954 Primary Fax: (707) 303-1086 Gender: Female Mon - Wed, Fri 8:30 AM - 5:30 PM Spanish

Thu 8:30 AM - 12:30 PM Jimenez, Douglas B, MD ^235^ Sat 8:00 AM - 12:00 PM NPI: 1154474781 License: A73110 Gender: Male Spanish Hospital Privileges: Sutter Santa Rosa Regional Hospital

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 37 of 150 PHC PRIMARY CARE PROVIDERS SONOMA COUNTY DIRECTORY

Francis, Adam Crawford, MD ^244^ Kulawiak, Patricia Whooley, MD ^236^ Family Medicine

♦ Family Medicine Les, Jessica Tekla, MD ^240^ NPI: 1801186648 NPI: 1487649711 NPI: 1487898334 License: A122054 License: A66816 License: A114063 Gender: Male Gender: Female Gender: Female Spanish Spanish Spanish CCS Provider

Longchamp, Carla Price, MD ^237^ Martin, Laura, MD ^245^

♦ Family Medicine Moilanen, Erin Marie, NP ^241^ NPI: 1225353923 NPI: 1972544948 NPI: 1609959667 License: A117827 License: G76332 License: 12268 Gender: Female Gender: Female Gender: Female French, Spanish Spanish Hospital Privileges: Sutter Santa CCS Provider Special Accommodations: Adj. Exam Rosa Regional Hospital Tables Rice, Kyla Monene, MD ^246^

McDonald, Laura, FNP  ^238^ NPI: 1780800615 NPI: 1366637183 Santa Rosa Community License: A99647 License: 20461 Gender: Female

Health-Lombardi Campus ^242^ Gender: Female Spanish Spanish PCP PHC#: 9828-0016 Hospital Privileges: Sutter Santa NPI: 1386712065 Rosa Regional Hospital Special Accommodations: Adj. Exam FQHC Sanchez Mendez, Enrique, MD ^247^ Tables, Hearing Impaired Family Medicine, Internal Medicine, NPI: 1710164371 Accommodations, Hoyer Lift, Scales Pediatrics License: A112138 that weigh up to 1000lbs Accepting Existing Patients Gender: Male No Age Limitations Spanish CHDP Provider Santa Rosa Community Hospital Privileges: Sutter Santa Rosa Regional Hospital Health-Elsie Allen Campus ^239^ 751 Lombardi Ct Ste B PCP PHC#: 19396-0005 Santa Rosa, CA 95407 Internal Medicine NPI: 1871651273 , P,EB,IB,R,E

Sheerin, Stephen Paul, MD ^248^ FQHC Level of Access: Basic ♦ Internal Medicine Family Medicine Primary Phone: (707) 547-2222 NPI: 1265427207 Closed Enrollment Primary Fax: (707) 547-2229 License: G28180 No Age Limitations Mon - Thu 8:00 AM - 9:00 PM Gender: Male CHDP Provider Fri 8:00 AM - 5:00 PM Spanish Sat 9:00 AM - 3:00 PM Hospital Privileges: Providence Santa 599 Bellevue Ave Ste G17 Rosa Memorial Hospital Santa Rosa, CA 95407 Family Medicine

, P,EB,IB,R,E Donlon, Deborah Tracy, MD ^243^ Level of Access: Basic NPI: 1184753121 Primary Phone: (707) 583-8777 License: A80414 Primary Fax: (707) 528-5772 Gender: Female Mon - Thu 8:00 AM - 5:00 PM Spanish Fri 8:00 AM - 4:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 38 of 150 PHC PRIMARY CARE PROVIDERS SONOMA COUNTY DIRECTORY

Pediatrics Primary Phone: (707) 578-2005 Family Medicine

Krumland, Stephen Pifer, MD ^257^ Worn, Vivian Emily, MD ^249^ Primary Fax: (707) 578-8037 ♦ Pediatrics Mon - Thu 8:00 AM - 8:00 PM NPI: 1043691066 NPI: 1073693354 Fri 8:00 AM - 5:00 PM License: A162137 License: G79284 Gender: Male Gender: Female Pediatrics Spanish

Bernard-Pearl, Dierdre Joy, MD ^254^ Italian, Spanish Lund, Erin Elizabeth, MD  ^258^ CCS Provider ♦ Pediatrics ♦ Addiction Medicine - Preventive NPI: 1619189388 Medicine

Dehesa-Rosillo, Carolina, FNP ^250^ License: A56201 NPI: 1790876720 NPI: 1770990491 Gender: Female License: A96724 License: 95000851 Gender: Female

Gender: Female Baerlocher, Ariane Daniela, NP ^255^ Spanish Spanish NPI: 1477884591 Hospital Privileges: Sutter Santa

Losada, Catherine, FNP ^251^ License: 7879 Rosa Regional Hospital Gender: Female NPI: 1164786992 Matel, Joseph Ronald, MD  ^259^ License: 21951 German, Spanish NPI: 1871792382 Gender: Female License: A100777 Spanish Special Accommodations: Adj. Exam Gender: Male Tables Zarate, Ramiro, FNP ^252^ Spanish NPI: 1669612834 Hospital Privileges: Sutter Santa License: 19317 Santa Rosa Community Rosa Regional Hospital

Gender: Male Wu, James Jerome, MD  ^260^

Health-Vista Campus ^256^ Spanish NPI: 1548404494 PCP PHC#: 18932-0016 License: A113791 Special Accommodations: Adj. Exam NPI: 1578631172 Gender: Male Tables FQHC Mandarin Family Medicine Accepting New Patients Santa Rosa Community McDonald, Laura, FNP  ^261^ No Age Limitations NPI: 1366637183

Health-Pediatric Campus ^253^ CHDP Provider License: 20461 PCP PHC#: 15634-0006 Gender: Female NPI: 1558512624 3569 Round Barn Cir Spanish FQHC Santa Rosa, CA 95403 Pediatrics P,EB,IB,R,E,T Special Accommodations: Adj. Exam Accepting New Patients Level of Access: Basic Tables, Hoyer Lift, Scales that weigh 0-18 Years Primary Phone: (707) 303-3600 up to 600lbs CHDP Provider Primary Fax: (707) 303-3611 Mon - Thu 8:30 AM - 5:00 PM, 6:00 711 Stony Point Rd Ste 17 PM - 9:00 PM Santa Rosa, CA 95407 Fri 8:30 AM - 5:00 PM , P,EB,IB,E Level of Access: Limited

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 39 of 150 PHC PRIMARY CARE PROVIDERS SONOMA COUNTY DIRECTORY

Sonoma County Indian Health Korin, Alexandra Maria, MD ^267^ Sutter Medical Group Of The

Redwoods ^273^ Project ^262^ NPI: 1063423242 PCP PHC#: 16716-0039 License: G56024 PCP PHC#: 18216-0016 NPI: 1265457980 Gender: Female NPI: 1003267196

Tribal Kruusmagi, Ellen Betty, MD ^268^ Pediatrics Family Medicine, Internal Medicine ♦ Family Medicine Accepting Existing Patients Accepting Native American Indians NPI: 1003831793 0-18 Years No Age Limitations License: G61813 CHDP Provider Accepting Existing Patients Gender: Female

No Age Limitations Steele, Don Carlos, MD ^269^ 131 Stony Cir Ste 1600 CHDP Provider ♦ Family Medicine Santa Rosa, CA 95401 NPI: 1457376170 , P,EB,IB,R,E,T 144 Stony Point Rd License: A52463 Level of Access: Basic Santa Rosa, CA 95401 Gender: Male Primary Phone: (707) 541-7800 , P,EB,IB,R,E Hospital Privileges: Sutter Santa Primary Fax: (707) 573-5428 Level of Access: Basic Rosa Regional Hospital Mon, Tue, Thu, Fri 8:00 AM - 5:00 PM Primary Phone: (707) 521-4500 Wed 8:00 AM - 6:00 PM Primary Fax: (707) 544-4626 Internal Medicine Sat 9:00 AM - 12:00 PM

Mon - Fri 8:00 AM - 5:00 PM Daniel, Lambert Nance, MD ^270^ ♦ Internal Medicine Pediatrics ♦ Medical Oncology

Family Medicine Bohn, Marjorie Ang, DO  ^274^ NPI: 1487688941

Almond, David Emmanuel, MD ^263^ NPI: 1275747214 NPI: 1295703833 License: G46387 License: 20A10201 License: A80862 Gender: Male Gender: Female Gender: Male Spanish Spanish Spanish Hospital Privileges: Sutter Santa

Boone, Donald Steven, PA ^271^

Betts, Jennifer Lynn, MD ^264^ Rosa Regional Hospital ♦ Family Medicine NPI: 1124137732 CCS Provider License: 15393

NPI: 1518965771 Coleman-Riese, Dorothy May, MD ^275^ License: A72470 Gender: Male NPI: 1427112382

Gender: Female Williams, Shannon Deirdre, FNP ^272^ License: G50619 Hospital Privileges: Sutter Santa NPI: 1023551785 Gender: Female Rosa Regional Hospital License: 95004483 Hospital Privileges: Sutter Santa Gender: Female

Coble, Meredith Jean, DO ^265^ Rosa Regional Hospital ♦ Family Medicine CCS Provider Special Accommodations: Adj. Exam

NPI: 1952524803 Prystowsky, Brian Gabriel, MD  ^276^ License: 20A9881 Tables, Hearing Impaired NPI: 1629298112 Gender: Female Accommodations, Gurney License: A108906 Accommodations, Scales that weigh

Goodwin, Mark Clifford, MD ^266^ Gender: Male NPI: 1396713434 up to 400lbs Hospital Privileges: Sutter Santa License: A70773 Rosa Regional Hospital Gender: Male CCS Provider

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 40 of 150 PHC PRIMARY CARE PROVIDERS SONOMA COUNTY DIRECTORY

Garcia, Cassandra Nicole, MD  ^286^ Zembal Jr, Thomas John, MD ^277^ Family Medicine

♦ Pediatrics Armstrong, Renee Alisa, MD  ^280^ NPI: 1467464271 NPI: 1376658716 NPI: 1093899239 License: A80685 License: G35634 License: A60984 Gender: Female Gender: Male Gender: Female Spanish Hospital Privileges: Sutter Santa Spanish Hospital Privileges: Sutter Santa Rosa Regional Hospital Hospital Privileges: Sutter Santa Rosa Regional Hospital

CCS Provider Rosa Regional Hospital Gelphman, Karen Kai Ann, MD ^287^

Awtry, Alisa Rose, MD ^281^ NPI: 1972565703

Chang, Julia Mee, NP ^278^ ♦ Infectious Disease License: G78072 NPI: 1659744423 NPI: 1801213137 Gender: Female License: 95002754 License: A138008 Hospital Privileges: Sutter Santa Gender: Female Gender: Female Rosa Regional Hospital

Korean, Spanish Hospital Privileges: Sutter Santa Hale, Demara Nicole, MD ^288^ Rosa Regional Hospital NPI: 1477846863 Special Accommodations: Adj. Exam Begert, David Lee, MD  ^282^ License: A143444 Tables, Scales that weigh up to NPI: 1184736159 Gender: Female 500lbs License: G64920 Hellings, Caroline Gail, MD  ^289^ Gender: Male NPI: 1194738906 Sutter Medical Group Of The Spanish License: G65025 Hospital Privileges: Sutter Santa Gender: Female

Redwoods ^279^ Rosa Regional Hospital Spanish Sutter Pacific Medical Foundation

Cohen, Phyllis Marie, MD ^283^ Hospital Privileges: Sutter Santa PCP PHC#: 18826-0007 NPI: 1407964000 Rosa Regional Hospital NPI: 1003267196

License: G79750 Hentz, Robert Douglas, MD ^290^ Family Medicine, Internal Medicine Gender: Female NPI: 1720012107 Accepting Existing Patients Corominas, Glency Sue Marie License: A147601 No Age Limitations

Senires, MD ^284^ Gender: Male CHDP Provider

NPI: 1336593755 Horan, Kathleen Louise, MD  ^291^ License: A158545 NPI: 1558422717 131 Stony Cir Ste 1600 Gender: Female License: G35154 Santa Rosa, CA 95401 Tagalog Gender: Female , P,EB,IB,R,E,T Hospital Privileges: Sutter Santa Hospital Privileges: Sutter Santa Level of Access: Basic Rosa Regional Hospital Rosa Regional Hospital Primary Phone: (707) 541-7700

Doniach, Tabitha, MD  ^285^ Jamalyaria, Sahar, DO ^292^ Primary Fax: (707) 573-5415 NPI: 1952344616 NPI: 1629502497 Mon, Wed 7:00 AM - 8:00 PM License: A84644 License: 20A18548 Tue, Thu, Fri 7:00 AM - 5:00 PM Gender: Female Gender: Female Sat 9:00 AM - 3:00 PM French, Spanish Sun 10:00 AM - 2:00 PM Hospital Privileges: Sutter Santa Rosa Regional Hospital

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 41 of 150 PHC PRIMARY CARE PROVIDERS SONOMA COUNTY DIRECTORY

Mesches, Jeremy Carl, MD  ^293^ Williams, Jennifer, MD  ^300^ Sutter Medical Group Of The

NPI: 1245207026 NPI: 1821050766 Redwoods ^306^ License: A61337 License: G55656 PCP PHC#: 46186-0001 Gender: Male Gender: Female NPI: 1003267196 Hospital Privileges: Sutter Santa Hospital Privileges: Sutter Santa Family Medicine Rosa Regional Hospital Rosa Regional Hospital Accepting Existing Patients

Wolf, Steven Laurence, MD ^301^ Perry, Stephen Aubrey, MD ^294^ No Age Limitations NPI: 1922539006 NPI: 1215990635 CHDP Provider License: A170641 License: A76717 Gender: Male Gender: Male 34 Mark West Springs Rd 3rd Fl

Rushton-Miller, Jill Elizabeth, MD ^295^ Spanish Santa Rosa, CA 95403 NPI: 1508096918 Hospital Privileges: Sutter Santa P,EB,IB,R,E,T License: A122346 Rosa Regional Hospital Level of Access: Basic Gender: Female Primary Phone: (707) 573-5240 Hospital Privileges: Sutter Santa Internal Medicine Primary Fax: (707) 573-5416

Rosa Regional Hospital Kates, Melanie Mary, MD ^302^ Mon - Fri 7:30 AM - 5:00 PM Silva Atkinson, Karina Garcia, MD ♦ Internal Medicine

 ^296^ NPI: 1518911965 Family Medicine NPI: 1619263217 License: G82351

Awtry, Alisa Rose, MD ^307^ License: A140079 Gender: Female ♦ Infectious Disease Gender: Female NPI: 1801213137 Hospital Privileges: Sutter Santa Baker, Emily Jo, FNP  ^303^ License: A138008 Rosa Regional Hospital NPI: 1811267552 Gender: Female

Slater, Lawrence, MD ^297^ License: 21601 Hospital Privileges: Sutter Santa NPI: 1871669788 Gender: Female Rosa Regional Hospital License: G34746 Brouillette, Leslie Anne, NP  ^304^

Brown, Benjamin Richard, MD ^308^ Gender: Male NPI: 1962652479 ♦ Family Medicine Hospital Privileges: Sutter Santa License: 95001265 NPI: 1568515112 Rosa Regional Hospital Gender: Female License: G77821

Sweeney, Michael Alan, MD ^298^ Spanish Gender: Male NPI: 1083798151 Scott, Erica Noelle, NP ^305^ Spanish License: G61169 NPI: 1376922773 Hospital Privileges: Sutter Santa Gender: Male License: 95001633 Rosa Regional Hospital CCS Provider Gender: Female CCS Provider

Teran, Kari Kathleen, MD  ^299^

Cederberg Jr, Laurie Lynn, MD ^309^ NPI: 1225048713 Special Accommodations: Adj. Exam NPI: 1457413585 License: A61873 Tables, Gurney Accommodations, License: G67287 Gender: Female Medical Equipment Access, Scales Gender: Female that weigh up to 500lbs Spanish Hospital Privileges: Sutter Santa Rosa Regional Hospital

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 42 of 150 PHC PRIMARY CARE PROVIDERS SONOMA COUNTY DIRECTORY

Sutter Medical Group Of The Lee, Jennifer Tung, MD ^310^ Family Medicine

Heckey, Robert Paul, MD ^314^ ♦ Family Medicine Redwoods ^319^ NPI: 1447288204 NPI: 1205879681 PCP PHC#: 19398-0004 License: A89100 License: G30787 NPI: 1003267196 Gender: Female Gender: Male Pediatrics Hospital Privileges: Sutter Santa Spanish Accepting Existing Patients Rosa Regional Hospital Hospital Privileges: Sutter Santa 0-18 Years

Pacheco-Clark, Ana Luisa, MD ^311^ Rosa Regional Hospital CHDP Provider

NPI: 1053352948 Rushton-Miller, Jill Elizabeth, MD ^315^ License: G62400 NPI: 1508096918 4702 Hoen Ave Gender: Female License: A122346 Santa Rosa, CA 95405 Spanish Gender: Female , P,EB,IB,R,E,T Hospital Privileges: Sutter Santa Hospital Privileges: Sutter Santa Level of Access: Basic Rosa Regional Hospital Rosa Regional Hospital Primary Phone: (707) 545-2255 Primary Fax: (707) 573-5420

Stafford, Lisa Laraine, NP ^312^ Internal Medicine Mon - Fri 8:00 AM - 5:00 PM

NPI: 1144779497 Kates, Melanie Mary, MD ^316^ License: 95004974 ♦ Internal Medicine Pediatrics Gender: Female NPI: 1518911965

Coleman-Riese, Dorothy May, MD ^320^ Spanish License: G82351 NPI: 1427112382 Gender: Female License: G50619

Special Accommodations: Medical Saverio, Malik Roberto, DO ^317^ Gender: Female Equipment Access, Scales that weigh NPI: 1700285103 Hospital Privileges: Sutter Santa up to 660lbs License: 20A17436 Rosa Regional Hospital Gender: Male CCS Provider Sutter Medical Group Of The Doyle, Nancy E, MD ^321^

Hardin, Katherine, NP ^318^

Redwoods ^313^ ♦ Pediatrics NPI: 1871085662 PCP PHC#: 19350-0009 NPI: 1851425888 License: 95009142 License: G25592 NPI: 1003267196 Gender: Female Family Medicine, Internal Medicine Gender: Female Hospital Privileges: Sutter Santa Accepting Existing Patients Special Accommodations: Adj. Exam 19 Years and Older Rosa Regional Hospital Tables CCS Provider

4700 Hoen Ave Zembal Jr, Thomas John, MD ^322^ Santa Rosa, CA 95405 ♦ Pediatrics , IB,E NPI: 1376658716 Level of Access: Limited License: G35634 Primary Phone: (707) 526-3360 Gender: Male Primary Fax: (707) 573-5406 Hospital Privileges: Sutter Santa Mon - Fri 8:00 AM - 5:00 PM Rosa Regional Hospital CCS Provider

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 43 of 150 PHC PRIMARY CARE PROVIDERS SONOMA COUNTY DIRECTORY

Special Accommodations: Adj. Exam Vezino, Brooke Nicole, MD  ^327^ Special Accommodations: Adj. Exam Tables ♦ Family Medicine Tables, Scales that weigh up to NPI: 1477752988 350lbs Sebastopol License: A100856 Gender: Female Providence Medical Group, Spanish

Sonoma ^331^ Gravenstein Community Health PCP PHC#: 34962-0001

Center ^323^ Ehrenreich, Kyla Wolff, PA-C  ^328^ NPI: 1871607762 West County Health Centers NPI: 1134359789 Family Medicine PCP PHC#: 32901-0001 License: 20387 Accepting Existing Patients NPI: 1861809501 Gender: Female 19 Years and Older FQHC Spanish Family Medicine 652 Petaluma Ave Ste B Accepting Existing Patients Special Accommodations: Adj. Exam Sebastopol, CA 95472 No Age Limitations Tables, Gurney Accommodations, Scales that weigh up to 500lbs , P,EB,IB,R,E CHDP Provider Level of Access: Basic Primary Phone: (707) 823-7616 652 Petaluma Ave Ste H Pitzen, Roger J., MD ^329^ Primary Fax: (707) 823-2803 Sebastopol, CA 95472 PCP PHC#: 15447-0002 Mon - Fri 9:00 AM - 6:00 PM , P,EB,IB,R,E NPI: 1396742524 Level of Access: Basic Family Medicine Family Medicine Primary Phone: (707) 823-3166 Accepting Existing Patients Rosa, Gregory Paul, MD ^332^ Primary Fax: (707) 869-8170 No Age Limitations NPI: 1902861453 Mon - Thu 9:00 AM - 8:00 PM CHDP Provider License: C35981 Fri 9:00 AM - 5:00 PM Gender: Male Sat 9:00 AM - 12:00 PM 555 Petaluma Ave Ste A Hospital Privileges: Providence Santa Sebastopol, CA 95472 Rosa Memorial Hospital Family Medicine , P,EB,IB,R,E

Bromer, Steven Patrick, MD ^324^

Level of Access: Basic LeVeque, Julie Ann, FNP ^333^ NPI: 1689671968 Primary Phone: (707) 823-3210 NPI: 1225115207 License: A62542 Primary Fax: (707) 823-9799 License: 5716 Gender: Male Mon - Fri 8:30 AM - 5:30 PM Gender: Female CCS Provider

Cunningham, Jason Lee, DO  ^325^ Family Medicine Special Accommodations: Adj. Exam NPI: 1811990237

Pitzen, Roger John, MD  ^330^ Tables, Scales that weigh up to License: 20A8284 ♦ Emergency Medicine 500lbs Gender: Male NPI: 1396742524 Griego, Ann-Elizabeth, MD  ^326^ License: G37034 NPI: 1780974527 Gender: Male License: A122059 Hospital Privileges: Providence Santa Gender: Female Rosa Memorial Hospital Spanish

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 44 of 150 PHC PRIMARY CARE PROVIDERS SONOMA COUNTY DIRECTORY

Sonoma Primary Phone: (707) 939-6070 Byrd, Janet Kay, FNP ^342^ Primary Fax: (707) 939-6077 NPI: 1225438294 Mon - Fri 8:30 AM - 6:00 PM License: 95000918 Sonoma Plaza Pediatrics Medical Sat 9:00 AM - 3:30 PM Gender: Female

Group, Inc. ^334^

Oswald, Holly, NP ^343^ PCP PHC#: 15638-0003 Family Medicine NPI: 1306991872 NPI: 1508973371 Ahern, Carol Ann, MD  ^337^ License: 2547 Pediatrics ♦ Family Medicine Gender: Female Accepting Existing Patients NPI: 1760546915 Spanish 0-18 Years License: G80132 Ou, Mei, FNP ^344^ CHDP Provider Gender: Female NPI: 1538783956 Spanish License: 95014001 181 Andrieux St Ste 208 Hospital Privileges: Sonoma Valley Gender: Female Sonoma, CA 95476 Hospital Cantonese , P,E Alejandro, Delaine M, DO ^338^ Ward, Crystal Johanna, FNP ^345^ Level of Access: Limited NPI: 1487816294 NPI: 1982161337 Primary Phone: (707) 935-9000 License: 20A18589 License: 95011971 Primary Fax: (707) 935-8374 Gender: Female Gender: Female Mon - Thu 9:00 AM - 5:00 PM Guerrero McCormick, Kiana, MD ^339^ Fri 9:00 AM - 4:30 PM ♦ Family Medicine Special Accommodations: Adj. Exam NPI: 1790217594 Tables, Medical Equipment Access, Pediatrics License: A158485 Scales that weigh up to 550lbs

DeTorres, Charles Francis, MD  ^335^ Gender: Female NPI: 1770510521 Spanish

Sonoma Valley Specialty Clinic ^346^ License: A62474 Reynolds, Michele Diane, MD  ^340^ Gender: Male NPI: 1740486190 PCP PHC#: 46248-0001 Hospital Privileges: Sonoma Valley License: A105224 NPI: 1215382973 Hospital Gender: Female Family Medicine Spanish Accepting Existing Patients 19 Years and Older Sonoma Valley Community Health Pediatrics

Center ^336^ 270 Perkins St

Smith, Jerome Charles, MD ^341^ PCP PHC#: 13084-0017 NPI: 1295708675 Sonoma, CA 95476 NPI: 1770669715 License: A66490 P,EB,IB,R,E FQHC Gender: Male Level of Access: Basic Family Medicine, Pediatrics Spanish Primary Phone: (707) 938-3131 Accepting New Patients Hospital Privileges: Sonoma Valley Primary Fax: (707) 938-3678 No Age Limitations Hospital Mon - Fri 8:30 AM - 5:00 PM CHDP Provider CCS Provider 19270 Sonoma Hwy 12 Sonoma, CA 95476 , P,EB,IB,R,E,T Level of Access: Basic

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 45 of 150 PHC PRIMARY CARE PROVIDERS SONOMA COUNTY DIRECTORY

Family Medicine Family Medicine Leon, Gigi Milagros, PA-C ^357^

Barker, Christopher Lewis, MD ^350^ Manuel Arguelles, Daisy C, DO ^347^ NPI: 1780897496 NPI: 1033173968 NPI: 1619029840 License: 55423 License: 20A7339 License: G32194 Gender: Female Gender: Female Gender: Male Spanish

Spanish, Tagalog CCS Provider Marcus, Laura Anne, FNP  ^358^

Chico, Patricia Diana, MD  ^351^ Mishra, Subhash, MD ^348^ NPI: 1932453990 NPI: 1285695437 NPI: 1801162565 License: 22607 License: C51768 License: A154735 Gender: Female

Gender: Male Gender: Female Steele, Todd C, NP  ^359^ Hospital Privileges: Sonoma Valley Spanish NPI: 1457788945

Hospital Green, Ellen Hier, MD ^352^ License: 23326 ♦ Family Medicine Gender: Male Special Accommodations: Adj. Exam NPI: 1033353982 Spanish Tables, Scales that weigh up to License: A113954 400lbs Gender: Female Special Accommodations: Adj. Exam Spanish Tables

Windsor Pace, Gary James, MD ^353^ ♦ Family Medicine Providence Medical Group, NPI: 1326105313

Sonoma ^360^

Alliance Medical Center ^349^ License: A52538 PCP PHC#: 34967-0001 PCP PHC#: 19393-0043 Gender: Male NPI: 1871607762 NPI: 1710218409 Spanish Family Medicine FQHC Accepting Existing Patients Family Medicine, Internal Medicine, Internal Medicine 19 Years and Older Pediatrics Rich, Stephen Michael, MD  ^354^ Accepting New Patients ♦ Internal Medicine NPI: 1730263716 8911 Lakewood Dr Ste 13 No Age Limitations Windsor, CA 95492 CHDP Provider License: G40922 Gender: Male , P,EB,IB,R,E Level of Access: Basic 8465 Old Redwood Hwy Ste 320 Primary Phone: (707) 387-3910 Windsor, CA 95492 Pediatrics Primary Fax: (707) 836-1942

, P,R,E Lawson, Amy Lynn, MD ^355^ Mon - Fri 8:00 AM - 5:00 PM Level of Access: Limited NPI: 1376566299 License: C55268 Primary Phone: (707) 433-5494 Family Medicine Primary Fax: (707) 385-2157 Gender: Female CCS Provider Boyers, Michael James, MD  ^361^ Mon 7:00 AM - 6:00 PM NPI: 1235213307 Tue, Wed 7:00 AM - 7:00 PM License: A80391 Thu, Fri 8:00 AM - 7:00 PM Bryner, Teresa Lynette, PNP  ^356^ NPI: 1720339484 Gender: Male License: 22371 Hospital Privileges: Providence Santa Gender: Female Rosa Memorial Hospital CCS Provider

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 46 of 150 PHC PRIMARY CARE PROVIDERS SONOMA COUNTY DIRECTORY

Smith, Leo Arthur, MD ^362^ NPI: 1023265816 License: A123645 Gender: Male

Anderson, Jacqueline E, FNP ^363^ NPI: 1205245255 License: 95000793 Gender: Female

Gibson, Cheryl Louise, FNP  ^364^ NPI: 1134371180 License: 18243 Gender: Female

Special Accommodations: Adj. Exam Tables, Gurney Accommodations, Scales that weigh up to 500lbs

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 47 of 150 PHC FACILITIES, PHARMACY, URGENT CARE & VSP LIST SONOMA COUNTY DIRECTORY

Hospitals Primary Providence Santa Rosa Memorial Sutter Santa Rosa Regional

Hospital ^368^ Hospital ^371^ PHC#: 2718 PHC#: 6032

Healdsburg District Hospital ^365^ NPI: 1134152549 NPI: 1740413798 PHC#: 1874 License: 140000648 License: 110000005 NPI: 1194824573 1165 Montgomery Dr 30 Mark West Springs Rd License: 110000019 Santa Rosa, CA 95405 Santa Rosa, CA 95403 1375 University Ave   Healdsburg, CA 95448 Skilled Medical Interpreter Service Skilled Medical Interpreter Service  Primary Phone: (707) 525-5300 Primary Phone: (707) 576-4000 Skilled Medical Interpreter Service Primary Fax: (707) 545-4504 24 Hours 7 Days a Week Primary Phone: (707) 431-6500 www.stjoesonoma.org CCS Provider Primary Fax: (707) 431-6363 24 Hours 7 Days a Week www.healdsburgdistricthospital.org CCS Provider 24 Hours 7 Days a Week Hospitals Referral CCS Provider

Sonoma Specialty Hospital ^369^

Adventist Health Lodi Memorial ^372^ PHC#: 36765 Kaiser Permanente Medical PHC#: 1379 NPI: 1396205050 Center ^366^ NPI: 1316938301 License: 110000091 PHC#: 4179 License: 030000056 501 Petaluma Ave NPI: 1407925928 975 South Fairmont Ave Sebastopol, CA 95472 License: 110000213  Lodi, CA 95240 401 Bicentennial Way Skilled Medical Interpreter Service  Skilled Medical Interpreter Service Santa Rosa, CA 95403 Primary Phone: (707) 823-8511 Primary Phone: (209) 334-3411  Primary Fax: (707) 829-4141 Primary Phone: (707) 393-4000 Primary Fax: (209) 333-3160 24 Hours 7 Days a Week www.kp.org www.adventisthealth.org/ 24 Hours 7 Days a Week lodimemorial

Sonoma Valley Hospital ^370^ 24 Hours 7 Days a Week PHC#: 3283 CCS Provider

Petaluma Valley Hospital ^367^ NPI: 1710063870 PHC#: 2950 License: 110000072 NPI: 1235162645 CPMC-Davies Campus ^373^ 347 Andrieux St License: 110000001 PHC#: 3969 Sonoma, CA 95476 400 N McDowell Blvd  NPI: 1265590442 Petaluma, CA 94954 Skilled Medical Interpreter Service License: 220000197  Primary Phone: (707) 935-5000 601 Duboce Ave Castro St & Duboce Skilled Medical Interpreter Service Primary Fax: (707) 935-5320 Ave Primary Phone: (707) 778-1111 www.svh.com San Francisco, CA 94117 www.stjoesonoma.org 24 Hours 7 Days a Week  24 Hours 7 Days a Week Skilled Medical Interpreter Service CCS Provider

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 48 of 150 PHC FACILITIES, PHARMACY, URGENT CARE & VSP LIST SONOMA COUNTY DIRECTORY

Primary Phone: (415) 600-6000 John Muir Medical Mercy General Hospital ^380^

Primary Fax: (714) 783-2548 Center-Concord Campus ^377^ PHC#: 2027 24 Hours 7 Days a Week PHC#: 1559 NPI: 1487694857 CCS Provider NPI: 1801821376 License: 030000062 License: 140000128 4001 J St CPMC-Mission Bernal Campus 2540 East St Sacramento, CA 95819  and Orthopedic Institute ^374^ Concord, CA 94520 PHC#: 1872  Skilled Medical Interpreter Service Primary Phone: (916) 453-4545 NPI: 1730238007 Skilled Medical Interpreter Service www.dignityhealth.org License: 220000070 Primary Phone: (925) 682-8200 24 Hours 7 Days a Week 3555 Cesar Chavez www.johnmuirhealth.com San Francisco, CA 94110 24 Hours 7 Days a Week

 Mercy Hospital of Folsom ^381^ Skilled Medical Interpreter Service John Muir Medical Center-Walnut PHC#: 1733

Primary Phone: (415) 600-6000 Creek Campus ^378^ NPI: 1356389878 24 Hours 7 Days a Week PHC#: 1655 License: 030000372 CCS Provider NPI: 1740215219 1650 Creekside Dr License: 140000265 Folsom, CA 95630  CPMC-Van Ness Campus ^375^ 1601 Ygnacio Valley Rd PHC#: 60677 Walnut Creek, CA 94596 Skilled Medical Interpreter Service Primary Phone: (916) 983-7400 NPI: 1740348929 Primary Phone: (925) 939-3000 Primary Fax: (916) 983-7406 License: 220000197 24 Hours 7 Days a Week www.dignityhealth.org 1101 Van Ness Ave CCS Provider 24 Hours 7 Days a Week San Francisco, CA 94109 Skilled Medical Interpreter Service Lucile Packard Children's

Mercy San Juan Hospital ^382^ Primary Phone: (415) 600-6000 Hospital ^379^ 24 Hours 7 Days a Week PHC#: 3069 PHC#: 2026 CCS Provider NPI: 1467442749 NPI: 1972541498 License: 070000659 License: 030000063 6501 Coyle Ave Children's Hospital Oakland ^376^ 725 Welch Rd PHC#: 1560 Palo Alto, CA 94304 Carmichael, CA 95608  NPI: 1003961251  Skilled Medical Interpreter Service Skilled Medical Interpreter Service License: 140000015 Primary Phone: (916) 537-5000 747 52nd St Primary Phone: (650) 497-8000 Referral Phone: (800) www.dignityhealth.org Oakland, CA 94609 24 Hours 7 Days a Week  995-5724 CCS Provider Skilled Medical Interpreter Service Primary Fax: (650) 725-8343 Primary Phone: (510) 428-3000 www.stanfordchildrens.org www.childrenshospitaloakland.org 24 Hours 7 Days a Week 24 Hours 7 Days a Week CCS Provider CCS Provider

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 49 of 150 PHC FACILITIES, PHARMACY, URGENT CARE & VSP LIST SONOMA COUNTY DIRECTORY

St Elizabeth Community Hospital ^386^ Methodist Hospital of Sacramento CCS Provider

^383^ PHC#: 2029 PHC#: 5072

NPI: 1467560599 NPI: 1083732853 Vibra Hospital of Sacramento ^389^ License: 030000064 License: 230000036 PHC#: 29489 7500 Hospital Dr 2550 Sister Mary Columba Dr NPI: 1134564693 Sacramento, CA 95823 Red Bluff, CA 96080 License: 030000377   330 Montrose Dr Skilled Medical Interpreter Service Skilled Medical Interpreter Service Folsom, CA 95630 Primary Phone: (916) 423-3000 Primary Phone: (530) 529-8000  www.dignityhealth.org Primary Fax: (530) 529-8165 Skilled Medical Interpreter Service 24 Hours 7 Days a Week www.dignityhealth.org Primary Phone: (916) 351-9151 CCS Provider 24 Hours 7 Days a Week Primary Fax: (916) 351-0705 CCS Provider www.vibrahealthcare.com/ sacramento Oroville Hospital ^384^ PHC#: 41763 Sutter Medical Center 24 Hours 7 Days a Week

Sacramento ^387^ NPI: 1871606269 License: 230000022 PHC#: 1933 Zuckerberg San Francisco

2767 Olive Highway NPI: 1811946734 General Hospital ^390^ Oroville, CA 95966 License: 030000102 PHC#: 1558 Skilled Medical Interpreter Service 2825 Capitol Ave NPI: 1164609962 Primary Phone: (530) 533-8500 Sacramento, CA 95816 License: 220000063 24 Hours 7 Days a Week  1001 Potrero Ave CCS Provider Skilled Medical Interpreter Service San Francisco, CA 94110 Primary Phone: (916) 887-0000  Primary Fax: (916) 733-1058 Skilled Medical Interpreter Service

Shriners Hospitals for Children ^385^ 24 Hours 7 Days a Week Primary Phone: (628) 206-8000 PHC#: 24564 CCS Provider www.zsfgcare.org NPI: 1962530451 24 Hours 7 Days a Week License: 030000620

UC Davis Medical Center ^388^ CCS Provider 2425 Stockton Blvd Sacramento, CA 95817 PHC#: 2302  NPI: 1710918545 Skilled Medical Interpreter Service License: 030000086 Primary Phone: (916) 453-2000 2315 Stockton Blvd Patient Referral Phone: (916) Sacramento, CA 95817 453-2191  Primary Fax: (916) 453-2355 Skilled Medical Interpreter Service Patient Referral Fax: (916) 453-2395 Primary Phone: (916) 734-2011 www.shrinershospitalsforchildren.org Patient Referral Phone: (800) 24 Hours 7 Days a Week 482-3284 CCS Provider www.ucdmc.ucdavis.edu/ medicalcenter 24 Hours 7 Days a Week

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 50 of 150 PHC FACILITIES, PHARMACY, URGENT CARE & VSP LIST SONOMA COUNTY DIRECTORY

CVS PHARMACY #09152 ^398^ Mental Health Services - COSTCO PHARMACY #659 ^394^ Outpatient NPI: 1033229646 NPI: 1013950898 5901 REDWOOD DR 201 W NAPA ST SUITE 29 STE 29 ROHNERT PARK, CA 94928 SONOMA, CA 95476

Beacon Health Strategies ^391^   Call Beacon Health Strategies to Primary Phone: (707) 540-9112 Primary Phone: (707) 938-4734 request information on available Primary Fax: (707) 540-9133 Primary Fax: (401) 735-1080 mental health providers, or for Mon - Fri 10:00 AM - 7:00 PM Mon - Fri 8:00 AM - 9:00 PM general questions about mental Sat 9:30 AM - 6:00 PM Sat 9:00 AM - 6:00 PM health services. You can also visit Sun 10:00 AM - 6:00 PM Beacon's website and type the word partnership on the member login CREEKSIDE PHARMACY ^395^ page. NPI: 1497814594 CVS PHARMACY #09163 ^399^ Primary Phone: (855) 765-9703 95 MONTGOMERY DR NPI: 1952344129 www.beaconhealthstrategies.com/ SANTA ROSA, CA 95404 291 N MCDOWELL BLVD member_login.aspx  PETALUMA, CA 94954 Primary Phone: (707) 525-1130  You may email Beacon Member Primary Fax: (707) 525-8099 Primary Phone: (707) 778-8666 Services at: Mon - Fri 9:00 AM - 6:00 PM Primary Fax: (401) 735-1080 [email protected] Mon - Fri 8:00 AM - 9:00 PM Sat 9:00 AM - 6:00 PM

CVS PHARMACY #00345 ^396^ Sun 10:00 AM - 6:00 PM Pharmacy Network List NPI: 1205878030 1111 S CLOVERDALE BLVD

CLOVERDALE, CA 95425 CVS PHARMACY #09393 ^400^

AMC COMMUNITY PHARMACY ^392^  NPI: 1699719039 NPI: 1457754731 Primary Phone: (707) 894-5206 2075 MENDOCINO AVE 1381 UNIVERSITY ST STE A Primary Fax: (707) 894-5596 SANTA ROSA, CA 95401 HEALDSBURG, CA 95448 Mon - Fri 9:00 AM - 7:00 PM   Sat 10:00 AM - 5:00 PM Primary Phone: (707) 542-4182 Primary Phone: (707) 385-2336 Primary Fax: (401) 735-1080 Primary Fax: (707) 433-8331 Mon - Fri 9:00 AM - 9:00 PM

CVS PHARMACY #01173 ^397^ Mon - Fri 9:00 AM - 5:30 PM Sat 9:00 AM - 6:00 PM NPI: 1285677021 Sun 10:00 AM - 6:00 PM 455 CENTER ST

COSTCO PHARMACY #41 ^393^ HEALDSBURG, CA 95448

NPI: 1114037728  CVS PHARMACY #09480 ^401^ 1900 SANTA ROSA AVE Primary Phone: (707) 433-3357 NPI: 1821031667 SANTA ROSA, CA 95407 Primary Fax: (401) 735-1080 365 E WASHINGTON ST  Mon - Fri 9:00 AM - 8:00 PM PETALUMA, CA 94952 Primary Phone: (707) 578-1711 Sat, Sun 10:00 AM - 5:00 PM  Primary Fax: (707) 578-6287 Primary Phone: (707) 778-6722 Mon - Fri 9:00 AM - 5:00 PM Primary Fax: (401) 735-1080 Sat 9:00 AM - 6:00 PM Mon - Fri 9:00 AM - 9:00 PM Sat, Sun 10:00 AM - 6:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 51 of 150 PHC FACILITIES, PHARMACY, URGENT CARE & VSP LIST SONOMA COUNTY DIRECTORY

CVS PHARMACY #09656 ^402^ CVS PHARMACY #09946 ^406^ CVS PHARMACY #17586 ^410^ NPI: 1619911062 NPI: 1659313468 NPI: 1841536463 2771 FOURTH ST 463 STONY POINT RD 401 KENILWORTH DRIVE SANTA ROSA, CA 95405 SANTA ROSA, CA 95401 PETALUMA, CA 94952    Primary Phone: (707) 528-3311 Primary Phone: (707) 526-7523 Primary Phone: (707) 775-6323 Primary Fax: (401) 735-1080 Primary Fax: (401) 735-1080 Primary Fax: (401) 735-1080 Mon - Fri 9:00 AM - 9:00 PM Mon - Fri 8:00 AM - 9:00 PM Mon - Sat 10:00 AM - 7:00 PM Sat 9:00 AM - 6:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM

CVS PHARMACY #17646 ^411^ NPI: 1861892051

CVS PHARMACY #09948 ^407^ CVS PHARMACY #09872 ^403^ 950 CODDINGTOWN CENTER NPI: 1356383178 NPI: 1649212457 SANTA ROSA, CA 95401 6877 SEBASTOPOL AVE 2700 YULUPA AVE  SEBASTOPOL, CA 95472 SANTA ROSA, CA 95405 Primary Phone: (707) 596-5588   Primary Fax: (401) 735-1080 Primary Phone: (707) 823-7209 Primary Phone: (707) 545-7500 Mon - Sat 10:00 AM - 7:00 PM Primary Fax: (401) 735-1080 Primary Fax: (401) 735-1080 Mon - Fri 9:00 AM - 8:00 PM Mon - Fri 9:00 AM - 8:00 PM

DOLLAR DRUG ^412^ Sat, Sun 10:00 AM - 6:00 PM Sat 10:00 AM - 6:00 PM Sun 10:00 AM - 5:00 PM NPI: 1538166384 1055 W COLLEGE AVE

CVS PHARMACY #09928 ^404^ SANTA ROSA, CA 95401

NPI: 1114960945 CVS PHARMACY #16293 ^408^  6378 COMMERCE BLVD NPI: 1255353868 Primary Phone: (707) 575-1313 ROHNERT PARK, CA 94928 475 ROHNERT PARK EXPY W Primary Fax: (707) 575-0104  ROHNERT PARK, CA 94928 Mon - Fri 9:00 AM - 6:00 PM Primary Phone: (707) 586-3494  Sat 10:00 AM - 2:00 PM Primary Fax: (401) 735-1080 Primary Phone: (707) 585-2420 Mon - Fri 9:00 AM - 8:00 PM Primary Fax: (401) 735-1080 DUTTON COMMUNITY Sat, Sun 10:00 AM - 6:00 PM Mon - Fri 9:00 AM - 7:00 PM

PHARMACY ^413^ Sat 9:00 AM - 5:00 PM Sun 11:00 AM - 5:00 PM NPI: 1770999708 CVS PHARMACY #09931 ^405^ 1300 NORTH DUTTON AVENUE NPI: 1235172081 SANTA ROSA, CA 95401

9030 BROOKS RD SOUTH CVS PHARMACY #16356 ^409^  WINDSOR, CA 95492 NPI: 1568484194 Primary Phone: (707) 236-6880  1980 SANTA ROSA AVE Primary Fax: (707) 236-6881 Primary Phone: (707) 837-8868 SANTA ROSA, CA 95407 Mon - Thu 8:30 AM - 6:30 PM Primary Fax: (401) 735-1080  Fri 8:30 AM - 6:00 PM Mon - Fri 9:00 AM - 8:00 PM Primary Phone: (707) 575-0982 Sat, Sun 10:00 AM - 5:00 PM Primary Fax: (401) 735-1080 Mon - Fri 9:00 AM - 9:00 PM Sat, Sun 9:00 AM - 6:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 52 of 150 PHC FACILITIES, PHARMACY, URGENT CARE & VSP LIST SONOMA COUNTY DIRECTORY

FORESTVILLE PHARMACY ^414^ KAISER ONCOLOGY PHARMACY KAISER PHARMACY 1 WEST

PHARMACY 581 ^422^ NPI: 1447584792 #586 ^418^ 6652 FRONT ST NPI: 1285782011 NPI: 1720135056 FORESTVILLE, CA 95436 401 BICENTENNIAL WAY 401 BICENTENNIAL WAY 1ST  SANTA ROSA, CA 95403 FLOOR Primary Phone: (707) 887-2260  SANTA ROSA, CA 95403 Primary Fax: (707) 887-1299 Primary Phone: (707) 571-3003  Mon - Fri 9:00 AM - 6:30 PM Primary Fax: (707) 571-3730 Primary Phone: (707) 393-4180 Sat 10:00 AM - 4:00 PM Mon - Fri 8:00 AM - 5:00 PM Primary Fax: (707) 393-4182 Mon - Fri 7:30 AM - 9:00 PM KAISER FOUNDATON HP KAISER PERMANENTE Sat 8:00 AM - 8:00 PM Sun 8:30 AM - 7:30 PM

PHARMACY #521 ^415^ PHARMACY #587 ^419^ NPI: 1437206760 NPI: 1982752721

5900 STATE FARM DRIVE 3925 OLD REDWOOD HWY LARK DRUGS PHARMACY ^423^ ROHNERT PARK, CA 94928 SANTA ROSA, CA 95403 NPI: 1750484820   16251 MAIN ST Primary Phone: (707) 206-3001 Primary Phone: (707) 566-5300 GUERNEVILLE, CA 95446 Primary Fax: (707) 206-3014 Primary Fax: (707) 566-5218  Mon - Fri 8:30 AM - 6:00 PM Mon - Fri 8:30 AM - 6:00 PM Primary Phone: (707) 869-9055 Primary Fax: (707) 869-9203 KAISER HEALTH PLAN EAST KAISER PERMANENTE Mon - Fri 9:00 AM - 6:30 PM Sat 10:00 AM - 4:00 PM

PHARMACY 583 ^416^ PHARMACY #588 ^420^ NPI: 1750420550 NPI: 1447606819

401 BICENTENNIAL WAY 401 BICENTENNIAL WAY LOMBARDI ROSA PHARMACY ^424^ SANTA ROSA, CA 95403 SANTA ROSA, CA 95403 NPI: 1730599697   751 LOMBARDI CT SUITE 100 Primary Phone: (707) 393-4440 Primary Phone: (707) 393-4853 SANTA ROSA, CA 95407 Primary Fax: (707) 393-4463 Primary Fax: (707) 393-4882  Mon - Fri 8:30 AM - 6:30 PM Mon - Fri 9:30 AM - 5:00 PM Primary Phone: (707) 583-8770 Primary Fax: (707) 583-8771 KAISER HEALTH PLAN KAISER PERMANENTE Mon - Thu 8:30 AM - 6:30 PM Fri 8:30 AM - 5:30 PM

PHARMACY 201 ^417^ PHARMACY #701 ^421^ Sat 9:00 AM - 3:00 PM NPI: 1568519882 NPI: 1548762263 3900 LAKEVILLE HWY 2240 MERCURY WAY

PETALUMA, CA 94954 SANTA ROSA, CA 95407 LUCKY PHARMACY ^425^   NPI: 1427192590 Primary Phone: (707) 765-3450 Primary Phone: (707) 570-3499 939 LAKEVILLE HIGHWAY Primary Fax: (707) 765-3454 Primary Fax: (707) 570-3478 PETALUMA, CA 94952 Mon - Fri 9:00 AM - 6:00 PM Mon - Fri 9:00 AM - 6:00 PM 

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 53 of 150 PHC FACILITIES, PHARMACY, URGENT CARE & VSP LIST SONOMA COUNTY DIRECTORY

Primary Phone: (707) 762-1036 PHARMACA INTEGRATIVE RALEY'S PHARMACY #341 ^433^

Primary Fax: (707) 762-2847 PHARMACY ^429^ NPI: 1003926767 Mon - Fri 9:00 AM - 7:00 PM NPI: 1992868202 8858 LAKEWOOD DRIVE Sat 9:00 AM - 5:00 PM 303 W NAPA ST WINDSOR, CA 95492 SONOMA, CA 95476   Primary Phone: (707) 838-4319 LUCKY PHARMACY ^426^ NPI: 1871638767 Primary Phone: (707) 938-1144 Primary Fax: (707) 838-9635 915 MONTGOMERY VILLAGE CT Primary Fax: (707) 938-1513 Mon - Fri 9:00 AM - 8:00 PM SANTA ROSA, CA 95405 Mon - Fri 9:00 AM - 7:00 PM Sat 9:00 AM - 5:30 PM  Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM

Primary Phone: (707) 542-3214 RITE AID PHARMACY 04212 ^434^ Primary Fax: (707) 542-4615 NPI: 1215183496

Mon - Fri 9:00 AM - 7:00 PM PHC PHARMACY ^430^ 955 STONY POINT ROAD Sat 9:00 AM - 3:00 PM NPI: 1548689961 SANTA ROSA, CA 95407 1179 N MCDOWELL BLVD  Primary Phone: (707) 526-3015 OMNICARE OF SANTA ROSA ^427^ PETALUMA, CA 94954 NPI: 1013026608  Primary Fax: (707) 526-3878 879 SECOND ST Primary Phone: (707) 559-7612 Mon - Fri 9:00 AM - 9:00 PM SANTA ROSA, CA 95404 Primary Fax: (707) 559-7618 Sat 9:00 AM - 6:00 PM  Mon - Thu 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM Primary Phone: (888) 888-3135 Fri 9:00 AM - 5:30 PM Sat 9:00 AM - 1:00 PM

Primary Fax: (707) 578-0596 RITE AID PHARMACY 06021 ^435^ Mon - Fri 9:00 AM - 6:00 PM NPI: 1487763900

Sat 9:00 AM - 12:00 PM RALEY'S PHARMACY #329 ^431^ 1793 MARLOW ROAD NPI: 1649419268 SANTA ROSA, CA 95401 OPTUM INFUSION SERVICES 403, 157 N MCDOWELL BLVD  Primary Phone: (707) 544-8875 LLC ^428^ PETALUMA, CA 94954 Primary Fax: (707) 528-4914 NPI: 1003926460  Mon - Fri 9:00 AM - 9:00 PM 170 PROFESSIONAL CENTER DR Primary Phone: (707) 765-9100 Sat 9:00 AM - 6:00 PM STE C Primary Fax: (707) 789-0472 Sun 10:00 AM - 6:00 PM ROHNERT PARK, CA 94928 Mon - Fri 9:00 AM - 9:00 PM  Sat, Sun 9:00 AM - 5:30 PM

Primary Phone: (707) 588-8894 RITE AID PHARMACY 06023 ^436^

Primary Fax: (844) 550-8908 RALEY'S PHARMACY #337 ^432^ NPI: 1548282650 Mon - Fri 9:00 AM - 5:00 PM NPI: 1013027770 1551 FARMERS LANE 100 RALEYS TOWN CENTER SANTA ROSA, CA 95405 ROHNERT PARK, CA 94928   Primary Phone: (707) 544-4050 Primary Phone: (707) 585-3444 Primary Fax: (707) 544-8147 Primary Fax: (707) 584-8519 Mon - Fri 9:00 AM - 9:00 PM Mon - Fri 9:00 AM - 8:00 PM Sat 9:00 AM - 6:00 PM Sat 9:00 AM - 5:30 PM Sun 10:00 AM - 6:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 54 of 150 PHC FACILITIES, PHARMACY, URGENT CARE & VSP LIST SONOMA COUNTY DIRECTORY

RITE AID PHARMACY 06029 ^437^ SAFEWAY PHARMACY #0713 ^441^ SAFEWAY PHARMACY #0950 ^445^ NPI: 1073622403 NPI: 1417986431 NPI: 1285663229 525 HEALDSBURG AVENUE 100 CALISTOGA RD 16405 HWY 116 HEALDSBURG, CA 95448 SANTA ROSA, CA 95409 GUERNEVILLE, CA 95446    Primary Phone: (707) 431-1119 Primary Phone: (707) 539-2129 Primary Phone: (707) 869-0613 Primary Fax: (707) 431-0457 Primary Fax: (707) 539-2205 Primary Fax: (707) 869-1945 Mon - Fri 9:00 AM - 9:00 PM Mon - Fri 9:00 AM - 8:00 PM Mon - Fri 9:00 AM - 7:00 PM Sat 9:00 AM - 6:00 PM Sat 9:00 AM - 5:00 PM Sat, Sun 9:00 AM - 5:00 PM Sun 10:00 AM - 6:00 PM Sun 10:00 AM - 5:00 PM

SAFEWAY PHARMACY #0956 ^446^

SAFEWAY PHARMACY #0911 ^442^ RITE AID PHARMACY 06031 ^438^ NPI: 1063441004 NPI: 1174545297 NPI: 1548206154 1799 MARLOW RD 218 NORTH MAIN STREET 477 W NAPA ST SANTA ROSA, CA 95401 SEBASTOPOL, CA 95472 SONOMA, CA 95476    Primary Phone: (707) 528-3730 Primary Phone: (707) 829-3007 Primary Phone: (707) 996-3697 Primary Fax: (707) 528-0760 Primary Fax: (707) 829-5637 Primary Fax: (707) 996-0758 Mon - Fri 9:00 AM - 8:00 PM Mon - Fri 9:00 AM - 9:00 PM Mon - Fri 9:00 AM - 8:00 PM Sat 9:00 AM - 5:00 PM Sat 9:00 AM - 6:00 PM Sat 9:00 AM - 5:00 PM Sun 10:00 AM - 5:00 PM Sun 10:00 AM - 6:00 PM Sun 10:00 AM - 5:00 PM

SAFEWAY PHARMACY #0998 ^447^

SAFEWAY PHARMACY #0918 ^443^ RITE AID PHARMACY 06032 ^439^ NPI: 1306882923 NPI: 1760591127 NPI: 1255360277 1115 VINE STREET 19205 SONOMA HIGHWAY 6340 COMMERCE BLVD HEALDSBURG, CA 95448 SONOMA, CA 95476 ROHNERT PARK, CA 94928    Primary Phone: (707) 431-0128 Primary Phone: (707) 938-0281 Primary Phone: (707) 585-5980 Primary Fax: (707) 431-1403 Primary Fax: (707) 938-2649 Primary Fax: (707) 585-5984 Mon - Fri 9:00 AM - 8:00 PM Mon - Fri 9:00 AM - 9:00 PM Mon - Fri 9:00 AM - 8:00 PM Sat 9:00 AM - 5:00 PM Sat 9:00 AM - 6:00 PM Sat 9:00 AM - 5:00 PM Sun 10:00 AM - 5:00 PM Sun 10:00 AM - 6:00 PM Sun 10:00 AM - 5:00 PM

SAFEWAY PHARMACY #1265 ^448^

SAFEWAY PHARMACY #0933 ^444^ RP HEALTHCARE ^440^ NPI: 1174552186 NPI: 1619056660 NPI: 1952347585 2785 YULUPA AVE 2456 W THIRD ST 406 N MAIN ST SANTA ROSA, CA 95405 SANTA ROSA, CA 95401 SEBASTOPOL, CA 95472    Primary Phone: (707) 524-4648 Primary Phone: (707) 571-5955 Primary Phone: (707) 823-1037 Primary Fax: (707) 524-4651 Primary Fax: (707) 571-5951 Primary Fax: (707) 823-6184 Mon - Fri 9:00 AM - 6:30 PM Mon - Fri 9:00 AM - 5:00 PM Mon - Fri 9:00 AM - 8:00 PM Sat 9:00 AM - 5:00 PM Sat, Sun 9:00 AM - 5:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 55 of 150 PHC FACILITIES, PHARMACY, URGENT CARE & VSP LIST SONOMA COUNTY DIRECTORY

SAFEWAY PHARMACY #1434 ^449^ SEBASTOPOL FAMILY TUTTLE'S PHARMACIES INC ^457^

NPI: 1235175845 PHARMACY, INC. ^453^ NPI: 1679560627 9080 BROOKS RD S NPI: 1457858565 1220 SONOMA AVE WINDSOR, CA 95492 652 PETALUMA AVE STE I1 SANTA ROSA, CA 95405  SEBASTOPOL, CA 95472  Primary Phone: (707) 837-2002  Primary Phone: (707) 546-9090 Primary Fax: (707) 837-2005 Primary Phone: (707) 824-1876 Primary Fax: (707) 526-5912 Mon - Fri 9:00 AM - 8:00 PM Primary Fax: (707) 824-1877 Mon - Fri 9:00 AM - 6:00 PM Sat 9:00 AM - 5:00 PM Mon - Fri 9:00 AM - 6:30 PM Sat 9:00 AM - 2:00 PM Sun 10:00 AM - 5:00 PM

SONOMA COUNTY INDIAN VISTA CLINIC PHARMACY ^458^

SAFEWAY PHARMACY #1576 ^450^ HEALTH PROJECT PHAR ^454^ NPI: 1245873124 NPI: 1639115249 NPI: 1568461267 3569A ROUND BARN CIR 2300 MENDOCINO 144 STONY POINT RD SANTA ROSA, CA 95403 SANTA ROSA, CA 95403 SANTA ROSA, CA 95401    Primary Phone: (707) 236-6880 Primary Phone: (707) 569-3111 Primary Phone: (707) 521-4585 Primary Fax: (707) 236-6881 Primary Fax: (707) 569-3115 Primary Fax: (707) 521-4599 Mon 8:30 AM - 6:30 PM Mon - Fri 9:00 AM - 8:00 PM Mon, Tue, Thu, Fri 8:30 AM - 5:30 PM Tue - Thu 8:00 AM - 6:30 PM Sat 9:00 AM - 5:00 PM Wed 9:30 AM - 5:30 PM Fri 8:30 AM - 6:00 PM Sun 10:00 AM - 5:00 PM Sat 9:00 AM - 1:00 PM SONOMA VALLEY COMMUNITY

SAFEWAY PHARMACY #3011 ^451^ WALGREENS #3084 ^459^ PHARMACY ^455^ NPI: 1962448571 NPI: 1952759664 NPI: 1225043508 389 S MCDOWELL BLVD 19270 SONOMA HWY, SUITE A 7800 OLD REDWOOD HIGHWAY PETALUMA, CA 94954 SONOMA, CA 95476 COTATI, CA 94931    Primary Phone: (707) 766-9477 Primary Phone: (707) 939-2278 Primary Phone: (707) 795-6014 Primary Fax: (707) 762-1159 Primary Fax: (707) 939-6056 Primary Fax: (707) 795-7935 Mon - Fri 9:00 AM - 8:00 PM Mon - Fri 9:00 AM - 5:30 PM Mon - Fri 9:00 AM - 9:00 PM Sat, Sun 9:00 AM - 5:00 PM Sat, Sun 10:00 AM - 6:00 PM

TUTTLE'S HOEN PHARMACY ^456^

SANTA ROSA VA NPI: 1932196888 WALGREENS #3297 ^460^

CBOCPHARMACY ^452^ 4731 HOEN AVE NPI: 1043225329 NPI: 1497948442 SANTA ROSA, CA 95405 3093 MARLOW ROAD 3841 BRICKWAY BLVD  SANTA ROSA, CA 95403 SANTA ROSA, CA 95403 Primary Phone: (707) 528-4511   Primary Fax: (707) 528-6576 Primary Phone: (707) 569-8504 Primary Phone: (415) 750-6937 Mon - Fri 9:00 AM - 4:00 PM Primary Fax: (707) 569-9603 Primary Fax: (415) 750-2055 Mon - Fri 8:00 AM - 9:00 PM Mon - Fri 8:00 AM - 5:00 PM Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 56 of 150 PHC FACILITIES, PHARMACY, URGENT CARE & VSP LIST SONOMA COUNTY DIRECTORY

EmpRes Post Acute WALGREENS #6722 ^461^ Skilled Nursing Long Term

NPI: 1326053604 Care Facilities Rehabilitation ^468^ 4610 SONOMA HWY PHC#: 4832 SANTA ROSA, CA 95409 NPI: 1104874940

Broadway Villa Post Acute ^465^  300 Douglas St PHC#: 3807 Primary Phone: (707) 538-9275 Petaluma, CA 94952 Primary Fax: (707) 538-1574 NPI: 1871594614  Mon - Fri 8:00 AM - 9:00 PM 1250 Broadway Skilled Medical Interpreter Service Sat 9:00 AM - 6:00 PM Sonoma, CA 95476 Primary Phone: (707) 763-6887 Sun 10:00 AM - 6:00 PM  Primary Fax: (707) 763-0314 Primary Phone: (707) 938-8406 24 Hours 7 Days a Week Primary Fax: (707) 938-4400

WALMART PHARMACY 10-1755 ^462^ 24 Hours 7 Days a Week

NPI: 1114944451 Hillcrest Post Acute ^469^ 4625 REDWOOD DR PHC#: 49517

Cloverdale Healthcare Center ^466^ ROHNERT PARK, CA 94928 NPI: 1861845836 PHC#: 7699  License: 010000053 NPI: 1245225176 Primary Phone: (707) 586-3612 450 Hayes Ln 300 Cherry Creek Rd Primary Fax: (707) 586-3624 Petaluma, CA 94952 Mon - Fri 9:00 AM - 9:00 PM Cloverdale, CA 95425  Sat 9:00 AM - 7:00 PM  Primary Phone: (707) 778-8686 Primary Phone: (707) 894-5201 Sun 10:00 AM - 6:00 PM Primary Fax: (707) 778-2120 Primary Fax: (707) 891-2725 24 Hours 7 Days a Week 24 Hours 7 Days a Week

WALMART PHARMACY 10-2468 ^463^

Northvine PostAcute Care ^470^ NPI: 1255740874 Creekside Rehabilitation & 901 GOLF COURSE DR PHC#: 70395

Behavioral Health ^467^ ROHNERT PARK, CA 94928 NPI: 1558883645 PHC#: 4093  446 Arrowood Dr NPI: 1760496566 Primary Phone: (707) 540-9312 Santa Rosa, CA 95407 850 Sonoma Ave Primary Fax: (707) 540-9314 Primary Phone: (707) 528-2100 Santa Rosa, CA 95404 Mon - Fri 9:00 AM - 9:00 PM Primary Fax: (707) 206-4348 Sat, Sun 10:00 AM - 6:00 PM  Primary Phone: (707) 544-7750 24 Hours 7 Days a Week Primary Fax: (707) 578-2140

WALMART PHARMACY 10-2553 ^464^ 24 Hours 7 Days a Week Pacifica SL Grove ST LP ^471^ NPI: 1871510289 PHC#: 19838 6650 HEMBREE LN NPI: 1184124513 WINDSOR, CA 95492 725 Grove St  Healdsburg, CA 95448 Primary Phone: (707) 836-7300  Primary Fax: (707) 836-7305 Primary Phone: (707) 433-4877 Mon - Fri 9:00 AM - 9:00 PM Primary Fax: (707) 433-5974 Sat 9:00 AM - 7:00 PM 24 Hours 7 Days a Week Sun 10:00 AM - 6:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 57 of 150 PHC FACILITIES, PHARMACY, URGENT CARE & VSP LIST SONOMA COUNTY DIRECTORY

Sonoma Valley Hospital Skilled Park View Post Acute ^472^ Vision Service Plan (VSP)

PHC#: 17429 Nursing Facility ^476^ (1-800-877-7195) NPI: 1104825520 PHC#: 3283 3751 Montgomery Dr NPI: 1407938574

Cloverdale Optometry ^480^ Santa Rosa, CA 95405 347 Andrieux St NPI: 1477588051  Sonoma, CA 95476 Primary Phone: (707) 525-1250  112 W 1st St Primary Fax: (707) 331-1013 Primary Phone: (707) 935-5000 Cloverdale, CA 95425 24 Hours 7 Days a Week Primary Fax: (707) 935-5439 Primary Phone: (707) 894-3936 24 Hours 7 Days a Week Primary Fax: (707) 894-3998 Mon, Tue, Thu 9:00 AM - 5:00 PM

Petaluma Post-Acute Rehab ^473^ Wed, Fri 9:00 AM - 12:00 PM

PHC#: 68654 Summerfield Healthcare Center ^477^ PHC#: 16068 NPI: 1205316833 Hoyer, William F ^481^ 1115 B St NPI: 1619976552 NPI: 1477588051 Petaluma, CA 94952 1280 Summerfield Rd License: 6461 Primary Phone: (707) 765-3030 Santa Rosa, CA 95405 Gender: Male Primary Fax: (707) 765-6416  Mon - Fri 9:00 AM - 5:00 PM Primary Phone: (707) 539-1515

Dr Hollis L Stavn ^482^ Primary Fax: (707) 539-0630 24 Hours 7 Days a Week NPI: 1255618500 Santa Rosa Post Acute ^474^ 2305 Mendocino Ave Ste B PHC#: 67791 Santa Rosa, CA 95403

Vineyard Post Acute ^478^ NPI: 1720520273 Primary Phone: (707) 527-9137 4650 Hoen Ave PHC#: 67793 Primary Fax: (707) 545-9278 Santa Rosa, CA 95405 NPI: 1356883805 Mon - Fri 8:30 AM - 5:30 PM  101 Monroe St Primary Phone: (707) 546-0471 Petaluma, CA 94954 Stavn, Hollis L ^483^ Primary Fax: (707) 546-0613 Primary Phone: (707) 763-4109 NPI: 1194728527 24 Hours 7 Days a Week Primary Fax: (707) 763-5219 License: 6812 24 Hours 7 Days a Week Gender: Male

Sonoma Post Acute ^475^

Windsor Care Center of Petaluma ^479^ PHC#: 66233 Family Eyecare Optometry ^484^ NPI: 1154863603 PHC#: 22882 NPI: 1871645978 678 2nd St W NPI: 1255622817 9071 Conde Ln Sonoma, CA 95476 523 Hayes Ln Windsor, CA 95492 Primary Phone: (707) 938-1096 Petaluma, CA 94952 Primary Phone: (707) 836-0306 Primary Fax: (707) 938-1643  Primary Fax: (707) 836-0392 24 Hours 7 Days a Week Skilled Medical Interpreter Service Tue - Fri 9:00 AM - 5:30 PM Primary Phone: (707) 763-2457 Primary Fax: (707) 763-4860 Mon - Sun 8:00 AM - 5:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 58 of 150 PHC FACILITIES, PHARMACY, URGENT CARE & VSP LIST SONOMA COUNTY DIRECTORY

Kaplan, Eliot ^497^ Walker, John W ^485^ Primary Phone: (707) 823-9141 NPI: 1871645978 Primary Fax: (707) 823-5148 NPI: 1497765028 License: 10868 Mon - Fri 9:00 AM - 5:30 PM License: 6475 Gender: Male Gender: Male

Mintz, Norman J ^492^ NPI: 1609934785

Les A Shipley OD ^486^ License: 6087 NPI: 1437467859 Gender: Male 1430 Guerneville Rd Ste 3 Santa Rosa, CA 95403 Primary Phone: (707) 525-9920 North Bay Optometric Vision

Primary Fax: (707) 525-0844 Center ^493^ Mon - Fri 9:00 AM - 5:00 PM NPI: 1306112362 6180 State Farm Dr

Shipley, Leslie A ^487^ Rohnert Park, CA 94928 NPI: 1225011653 Primary Phone: (707) 584-7294 License: 5775 Primary Fax: (707) 584-4728 Gender: Male Mon 8:00 AM - 6:00 PM

Shipley, Margot ^488^ Tue - Thu 8:00 AM - 5:00 PM NPI: 1437467859 Fri 8:00 AM - 4:00 PM License: 14078

Gender: Female Bruns, James E ^494^ NPI: 1306926787 License: 5247

Michael C Shulkin OD ^489^ Gender: Male NPI: 1568646610 1188 Montgomery Dr

Santa Rosa, CA 95405 Petaluma Eye Care Optometric ^495^ Primary Phone: (707) 542-3404 NPI: 1578990552 Primary Fax: (707) 542-3404 1225 N McDowell Blvd Mon - Fri 9:00 AM - 5:00 PM Petaluma, CA 94954 Primary Phone: (707) 763-2020

Shulkin, Michael C ^490^ Primary Fax: (707) 763-4735 NPI: 1790893824 Mon - Wed, Fri 8:30 AM - 5:00 PM License: 7703 Thu 9:00 AM - 6:00 PM Gender: Male Sat 8:30 AM - 3:30 PM

Harris, Ronald L ^496^

Norman J Mintz OD ^491^ NPI: 1437159803 NPI: 1609934785 License: 4916 825 Gravenstein Hwy N Ste 7 Gender: Male Sebastopol, CA 95472

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 59 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Lankford, Graham C, LAc ^507^ Acupuncture Alliance Medical Center ^503^ PHC#: 19393 NPI: 1629482153 NPI: 1710218409 License: 16006

Alliance Medical Center ^498^ 8465 Old Redwood Hwy Ste 320 Gender: Male PHC#: 5062 Windsor, CA 95492 NPI: 1750399796 , P,R,E Special Accommodations: Adj. Exam 1381 University Ave Level of Access: Limited Tables, Gurney Accommodations, Healdsburg, CA 95448 Primary Phone: (707) 433-5494 Scales that weigh up to 500lbs , P,EB,IB,R Primary Fax: (707) 385-2157 Level of Access: Limited

Mon 7:00 AM - 6:00 PM James Fialk ND, LAc ^508^ Primary Phone: (707) 433-5494 Tue, Wed 7:00 AM - 7:00 PM Primary Fax: (707) 385-2157 PHC#: 66273 Thu, Fri 8:00 AM - 7:00 PM Mon - Fri 8:00 AM - 5:00 PM NPI: 1881946028 130 Petaluma Ave

Biase, Gabriella, LAc ^504^ Sebastopol, CA 95472

Biase, Gabriella, LAc ^499^ NPI: 1073039392 NPI: 1073039392 Primary Phone: (707) 492-5356 License: 13344 License: 13344 Primary Fax: (707) 492-5349 Gender: Female Gender: Female Mon - Fri 8:00 AM - 5:00 PM French, Spanish French, Spanish

Levenbach, Gidon, LAc ^505^

Fialk, James L, LAc  ^509^

Levenbach, Gidon, LAc ^500^ NPI: 1407306996 NPI: 1407306996 NPI: 1881946028 License: 16831 License: 16831 License: 18651 Gender: Male Gender: Male Gender: Male Special Accommodations: Adj. Exam Special Accommodations: Adj. Exam Tables Petaluma Acupuncture Center ^510^ Tables PHC#: 36808 Gravenstein Community Health NPI: 1851768899

Alliance Medical Center ^501^ 720 Southpoint Blvd Ste 211

Center ^506^ PHC#: 62339 Petaluma, CA 94954 PHC#: 32901 NPI: 1750399796  NPI: 1861809501 1557 Healdsburg Ave Ste 15 & 16 Primary Phone: (707) 981-7015 652 Petaluma Ave Ste H Healdsburg, CA 95448 Primary Fax: (707) 658-1649 Sebastopol, CA 95472 Mon, Fri 9:30 AM - 6:00 PM Primary Phone: (707) 433-5494 , P,EB,IB,R,E Primary Fax: (707) 385-2157 Tue 9:30 AM - 4:00 PM Level of Access: Basic Mon - Fri 8:00 AM - 5:00 PM Wed 9:30 AM - 3:00 PM Primary Phone: (707) 823-3166 Sat 9:30 AM - 1:00 PM Primary Fax: (707) 869-8170

Biase, Gabriella, LAc ^502^ Mon - Thu 9:00 AM - 8:00 PM NPI: 1073039392 Plastino, Joan Madeline, LAc ^511^ Fri 9:00 AM - 5:00 PM License: 13344 NPI: 1205984663 Sat 9:00 AM - 12:00 PM Gender: Female License: 3123 French, Spanish Gender: Female Spanish

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 60 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Petaluma Health Center ^512^ Special Accommodations: Adj. Exam Special Accommodations: Adj. Exam PHC#: 14857 Tables Tables, Hearing Impaired NPI: 1588656268 Accommodations, Gurney 1179 N McDowell Blvd Rohnert Park Community Accommodations, Medical Equipment Access, Scales that weigh up to

Petaluma, CA 94954 Acupuncture ^517^ 600lbs , P,EB,IB,R,E PHC#: 44299 Level of Access: Basic NPI: 1932558491 Primary Phone: (707) 559-7500 6040 Commerce Blvd Ste 108 Sonoma County Indian Health

Primary Fax: (707) 559-7620 Rohnert Park, CA 94928 Project ^522^ Mon - Thu 8:00 AM - 8:00 PM  PHC#: 16716 Fri 8:00 AM - 5:00 PM Primary Phone: (707) 297-9668 NPI: 1265457980 Sat 8:30 AM - 12:00 PM Primary Fax: (707) 387-1915 144 Stony Point Rd Tue, Thu 12:00 PM - 6:00 PM Santa Rosa, CA 95401

Bockman, Zachary John, LAc  ^513^ Wed, Fri 9:00 AM - 12:00 PM , P,EB,IB,R,E NPI: 1881051019 Level of Access: Basic License: 16749 Pomares, Carmen Margarita, LAc ^518^ Primary Phone: (707) 521-4500 Gender: Male NPI: 1932558491 Primary Fax: (707) 544-4626

O'Donnell, Amy Patricia, LAc  ^514^ License: 16613 Mon - Fri 8:00 AM - 5:00 PM NPI: 1962753806 Gender: Female License: 14645 Spanish Special Accommodations: Adj. Exam Gender: Female Tables, Hearing Impaired Accommodations, Gurney

Rohnert Park Health Center ^519^ Special Accommodations: Adj. Exam Accommodations, Scales that weigh PHC#: 35718 Tables up to 400lbs NPI: 1669870739 5900 State Farm Dr Ste 200

Petaluma Health Center ^515^ Rohnert Park, CA 94928 Allergy PHC#: 71726 , P,EB,IB,R,E,T NPI: 1053420844 Level of Access: Basic

Family Care Allergy and Asthma ^523^ 3 Sixth St Primary Phone: (707) 559-7600 Point Reyes, CA 94956 Primary Fax: (707) 559-7620 PHC#: 10316 P,EB,IB,E Mon - Wed 8:00 AM - 6:30 PM NPI: 1730257932 Level of Access: Limited Thu, Fri 8:00 AM - 5:00 PM Available By Referral Only Primary Phone: (415) 663-8666 No Age Limitations Primary Fax: (415) 663-9532 1383 N McDowell Blvd Ste 130

Bockman, Zachary John, LAc  ^520^ Mon - Sat 9:00 AM - 5:00 PM NPI: 1881051019 Petaluma, CA 94954 License: 16749  Primary Phone: (707) 525-0211 Richardson, Alexis Victoria, LAc ^516^ Gender: Male NPI: 1841557337 Primary Fax: (707) 525-0491

O'Donnell, Amy Patricia, LAc  ^521^ License: 13515 NPI: 1962753806 Tue - Thu 10:00 AM - 5:00 PM Gender: Female License: 14645 Gender: Female

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 61 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Caraballo Fonseca, Juline Natalia, Petrick, Maria Mikaela, MD  ^529^ Alternative Birthing Centers

MD  ^524^ ♦ Allergy & Immunology ♦ Allergy & Immunology NPI: 1396743605

Santa Rosa Birth Center ^534^ NPI: 1992146948 License: C132754 License: A155471 Gender: Female PHC#: 34830 Gender: Female Spanish NPI: 1336576370 583 Summerfield Rd Spanish Royer, Christine Anne, MD  ^530^ Santa Rosa, CA 95405 Petrick, Maria Mikaela, MD  ^525^ NPI: 1730566613 ♦ Allergy & Immunology License: A169502 , P,R,E NPI: 1396743605 Gender: Female Level of Access: Limited License: C132754 Spanish Primary Phone: (707) 539-1544 Gender: Female Primary Fax: (707) 539-0686 Spanish NorthBay Allergy and Asthma 24 Hours 7 Days a Week

Royer, Christine Anne, MD  ^526^

Assoc., Inc. ^531^ NPI: 1730566613 Ambulatory Surgery Centers License: A169502 PHC#: 33711 Gender: Female NPI: 1184731184 Available By Referral Only Spanish 4th St. Laser & Surgery Center ^535^ No Age Limitations PHC#: 16453 414 W Napa St Ste A NPI: 1902964174

Family Care Allergy and Asthma ^527^ Sonoma, CA 95476 1720 4th St PHC#: 10316  Santa Rosa, CA 95404 Primary Phone: (707) 996-0212 NPI: 1730257932  Available By Referral Only Primary Fax: (707) 258-0734 Primary Phone: (707) 546-8100 No Age Limitations Tue 2:00 PM - 5:30 PM Primary Fax: (707) 544-6438 130 Stony Point Rd Ste E Thu 9:00 AM - 5:30 PM Santa Rosa, CA 95401

North Bay Eye Associates ^536^

 Ahn, Sam Sangwoo, MD ^532^ Primary Phone: (707) 525-0211 NPI: 1558423814 PHC#: 13132 Primary Fax: (707) 525-0491 License: C147289 NPI: 1073620415 Mon - Fri 10:00 AM - 5:00 PM Gender: Male 380 Tesconi Ct Hospital Privileges: Providence Santa Rosa, CA 95401 Caraballo Fonseca, Juline Natalia, Queen of the Valley Medical Center  Primary Phone: (707) 544-3375 MD  ^528^

♦ Allergy & Immunology Keenan, Amber Rose, FNP ^533^ Primary Fax: (707) 544-0808 NPI: 1992146948 NPI: 1972022465 Mon - Fri 8:00 AM - 5:00 PM License: A155471 License: 95007120 Gender: Female Gender: Female

PDI Surgery Center ^537^ Spanish PHC#: 20486 NPI: 1598993198 1380 19th Hole Dr Windsor, CA 95492 

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 62 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Primary Phone: (707) 838-6560 Hear So Good Audiology & Primary Phone: (707) 623-9779

Primary Fax: (707) 838-8464 Hearing Aids ^541^ Primary Fax: (707) 843-3453 Mon - Fri 7:00 AM - 4:30 PM PHC#: 32948 Mon - Wed, Fri 9:00 AM - 5:00 PM NPI: 1093066441 Audiology 505A San Marin Dr Ste 130 Behavioral Health Treatment Novato, CA 94945 

Bay Area Hearing Services ^538^ Primary Phone: (415) 456-4327 To request information on services or PHC#: 28017 Primary Fax: (415) 480-6705 providers for medically necessary NPI: 1144490574 Mon - Thu 10:00 AM - 6:00 PM Behavioral Health Treatment for 1599 Tara Hills Dr Fri 10:00 AM - 5:00 PM children with behavioral problems Pinole, CA 94564 please contact the Care Coordination

Department at (800) 809-1350. #BHT#  Hear So Good Audiology & Primary Phone: (510) 724-4327

Hearing Aids ^542^ Diagnosis: Evaluation of behavioral Primary Fax: (510) 724-1959 problems in children with Mon - Thu 9:00 AM - 5:00 PM PHC#: 67367 recommendation for treatment. Fri 9:00 AM - 3:00 PM NPI: 1093066441 8911 Lakewood Dr Ste 27A Treatment: Evidence-based Windsor, CA 95492 Connect Hearing Inc. - behavioral interventions for children Primary Phone: (707) 620-5996 to improve behavioral functioning. Healdsburg ^539^ Primary Fax: (415) 480-6705 PHC#: 26360 Tue, Wed, Fri 9:30 AM - 6:00 PM NPI: 1265700942 Para solicitar información sobre 1260 Healdsburg Ave Ste 202 servicios o proveedores para

Kenwood Hearing Centers ^543^ Healdsburg, CA 95448 tratamientos para la salud conductual  PHC#: 20180 para menores con problemas Primary Phone: (707) 433-0705 NPI: 1013011048 conductuales, favor de contactar el Primary Fax: (707) 433-7595 593 N McDowell Blvd Ste C departamento de coordinación de Mon - Thu 9:00 AM - 5:00 PM Petaluma, CA 94954 atención (Care Coordination  CCS Provider Department) llamando al Primary Phone: (707) 789-9191 (800) 809-1350. Primary Fax: (707) 789-9009 Connect Hearing Inc. - Santa Mon - Thu 9:00 AM - 5:00 PM Diagnóstico: Evaluación de

Rosa ^540^ Fri 9:00 AM - 12:00 PM problemas conductuales en menores PHC#: 26360 con recomendación de tratamiento. NPI: 1265700942

Microtone Audiology ^544^ 4725 Hoen Ave Ste B Tratamiento: Intervenciones en base Santa Rosa, CA 95405 PHC#: 41349 a evidencia para menores para  NPI: 1992008320 mejorar el funcionamiento Primary Phone: (707) 542-1154 98 Montgomery Dr Ste B conductual. Primary Fax: (707) 542-4818 Santa Rosa, CA 95404 Mon - Fri 8:30 AM - 5:00 PM  CCS Provider

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 63 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Ad Astra Behavior Analytic Anova Education and Behavior Primary Phone: (916) 800-2872

Consultation, Inc. ^547^ Services ^545^ Primary Fax: (916) 800-3356 PHC#: 73723 PHC#: 37512 Mon - Fri 8:00 AM - 8:00 PM NPI: 1750964862 NPI: 1538422985 Sat 8:00 AM - 6:00 PM 2222 Cleveland Ave #1003 220 Concourse Blvd Counties Served: Solano, Sonoma, Santa Rosa, CA 95403 Santa Rosa, CA 95403 Mendocino, Yolo, Marin, Napa, Lake, Primary Phone: (800) 939-3410  Del Norte, Shasta, Siskiyou, Primary Fax: (800) 401-2230 Primary Phone: (707) 527-7032 Humboldt, Trinity, Lassen, Modoc Mon - Fri 8:00 AM - 8:00 PM Primary Fax: (707) 527-7960 Sat, Sun By Appointment Only Spanish Treatment Counties Served: Solano, Sonoma, Mon - Fri 8:00 AM - 5:00 PM Mendocino, Yolo, Marin, Napa, Lake, Counties Served: Sonoma, Marin Behavioral Health Treatment Del Norte, Shasta, Siskiyou, Services are usually provided in the Humboldt, Trinity, Lassen, Modoc Treatment child's home or community. This site address is an administrative office. Treatment Behavioral Health Treatment Services are usually provided in the Autism Center of Northern child's home or community. This site Behavioral Health Treatment California ^550^ Services are usually provided in the address is an administrative office. PHC#: 42027 child's home or community. This site NPI: 1275921587 address is an administrative office. Association of Behavior 870 Market St Ste 468-476

Consultants ^548^ San Francisco, CA 94102  Ambitions Behavioral Health ^546^ PHC#: 68852 PHC#: 43832 NPI: 1225303324 Primary Phone: (415) 391-3417 Primary Fax: (866) 656-5932 NPI: 1316488349 Services Not Provided at the Site Spanish 2372 Morse Ave Ste 534 Primary Phone: (707) 583-1656 Mon - Fri 9:00 AM - 5:00 PM Irvine, CA 92614 Mon - Fri 8:00 AM - 6:00 PM  Counties Served: Sonoma Counties Served: Solano, Sonoma, Primary Phone: (949) 325-4402 Mendocino, Yolo, Marin, Napa, Lake, Primary Fax: (800) 783-6194 Treatment Del Norte, Shasta, Siskiyou, Mon - Fri 9:00 AM - 5:00 PM Humboldt, Trinity, Lassen, Modoc Counties Served: Sonoma, Behavioral Health Treatment Mendocino, Napa, Shasta, Humboldt Services are usually provided in the Diagnosis child's home or community. This site Treatment address is an administrative office. Behavioral Health Treatment Services are usually provided in the Behavioral Health Treatment child's home or community. This site

Aura Behavioral Health ^549^ Services are usually provided in the address is an administrative office. child's home or community. This site PHC#: 66236 address is an administrative office. NPI: 1629619705 Services Not Provided at the Site

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 64 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Autism Intervention Professionals Autism Spectrum Therapies ^553^ Bridging World Behavioral

^551^

PHC#: 65658 PHC#: 37484 Services ^555^ NPI: 1457709495 NPI: 1609194000 PHC#: 32946 39201 State St 1652 W Texas St NPI: 1285071720 Fremont, CA 94538 Fairfield, CA 94533 6934 Burnett St Primary Phone: (866) 206-2008  Sebastopol, CA 95472 Primary Fax: (866) 317-1665 Primary Phone: (866) 727-8274 Primary Phone: (707) 861-3519 Mon - Fri 9:00 AM - 6:00 PM Primary Fax: (800) 459-4245 Primary Fax: (707) 634-1416 Counties Served: Solano, Sonoma, Spanish,Vietnamese Mon - Fri 9:00 AM - 5:00 PM Mendocino, Marin, Napa, Lake, Mon - Sat 8:00 AM - 8:00 PM Counties Served: Sonoma Humboldt Counties Served: Solano, Sonoma, Napa Treatment Treatment Treatment Behavioral Health Treatment Behavioral Health Treatment Services are usually provided in the Services are usually provided in the Behavioral Health Treatment child's home or community. This site child's home or community. This site Services are usually provided in the address is an administrative office. address is an administrative office. child's home or community. This site address is an administrative office. Burnett Therapeutic Services,

Autism Intervention LLC ^556^

Autism Spectrum Therapies ^554^ Professionals, LLC ^552^ PHC#: 46198 PHC#: 40013 PHC#: 62185 NPI: 1598388993 NPI: 1457709495 NPI: 1609194000 3419 Valle Verde Dr 101 H St Ste A 3558 Round Barn Blvd Ste 200 Napa, CA 94558 Petaluma, CA 94952 Santa Rosa, CA 95403 Primary Phone: (707) 299-8250  Primary Phone: (866) 727-8274 Primary Fax: (707) 635-8215 Primary Phone: (866) 206-2008 Primary Fax: (800) 459-4245 Mon - Fri 9:00 AM - 5:30 PM Primary Fax: (866) 317-1665 Mon - Fri 8:00 AM - 8:00 PM Counties Served: Solano, Sonoma, Spanish Sat 8:00 AM - 5:00 PM Napa Mon - Fri 9:00 AM - 6:00 PM Counties Served: Solano, Sonoma, Counties Served: Solano, Sonoma, Yolo, Napa Treatment Mendocino, Napa, Lake, Humboldt Treatment Behavioral Health Treatment Treatment Services are usually provided in the Behavioral Health Treatment child's home or community. This site Behavioral Health Treatment Services are usually provided in the address is an administrative office. Services are usually provided in the child's home or community. This site child's home or community. This site address is an administrative office. address is an administrative office.

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 65 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Center For Autism and Related Center for Social Dynamics Inc. ^559^ Primary Phone: (707) 553-1784

Disorders, LLC ^557^ PHC#: 66100 Primary Fax: (510) 251-8120 PHC#: 68712 NPI: 1497093355 Mon - Fri 9:00 AM - 5:00 PM NPI: 1669651675 2 Padre Pkwy Ste 101 Counties Served: Solano, Sonoma, 505 14th Street Ste 900 Rohnert Park, CA 94928 Mendocino, Yolo, Marin, Napa Oakland, CA 94612 Primary Phone: (707) 553-1784 Primary Phone: (818) 345-2345 Primary Fax: (510) 251-8120 Diagnosis, Treatment Primary Fax: (818) 758-8015 Mon - Sat 9:00 AM - 5:00 PM Mon - Fri 8:00 AM - 5:00 PM Counties Served: Solano, Sonoma, Behavioral Health Treatment Counties Served: Solano, Sonoma, Mendocino, Yolo, Marin, Napa Services are usually provided in the Mendocino, Yolo, Marin, Napa, Lake, child's home or community. This site Del Norte, Shasta, Siskiyou, Treatment address is an administrative office. Humboldt, Trinity, Lassen, Modoc Behavioral Health Treatment Cypress Adaptive Behavior

Diagnosis, Treatment Services are usually provided in the Program ^562^ child's home or community. This site PHC#: 48950 Behavioral Health Treatment address is an administrative office. NPI: 1538406897 Services are usually provided in the 3835 Cypress Dr Ste 103 child's home or community. This site

Center for Social Dynamics Inc. ^560^ Petaluma, CA 94954 is an administrative office. PHC#: 62578 Primary Phone: (707) 971-8999 NPI: 1497093355 Primary Fax: (707) 559-2466

Center for Behavioral Solutions ^558^ 8801 Folsom Blvd Ste 265 Mon - Fri 9:00 AM - 3:00 PM PHC#: 48474 Sacramento, CA 95826 Counties Served: Solano, Sonoma, NPI: 1356846083 Primary Phone: (916) 382-4447 Marin, Napa 236 Georgia St Ste 102 Primary Fax: (510) 251-8120 Vallejo, CA 94590 Mon - Sat 9:00 AM - 5:00 PM Treatment Primary Phone: (707) 552-2581 Counties Served: Solano, Sonoma, Primary Fax: (888) 722-7972 Mendocino, Yolo, Marin, Napa Behavioral Health Treatment Mon - Fri 9:00 AM - 8:00 PM Services are usually provided in the Counties Served: Solano, Sonoma, Treatment child's home or community. This site Yolo, Marin, Napa, Del Norte, Shasta, address is an administrative office. Siskiyou, Humboldt, Trinity, Modoc Behavioral Health Treatment

Services are usually provided in the EP Behavior Consulting ^563^ Treatment child's home or community. This site PHC#: 33636 address is an administrative office. NPI: 1588972277 Behavioral Health Treatment 9444 Champs De Elysees Services are usually provided in the

Center for Social Dynamics Inc. ^561^ Forestville, CA 95436 child's home or community. This site  address is an administrative office. PHC#: 62578 NPI: 1497093355 150 Glen Cove Marina Rd Ste 102 Vallejo, CA 94591

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 66 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Primary Phone: (707) 494-3020 Meskowsky, Kurt, BCBA  ^566^ Behavioral Health Treatment Primary Fax: (707) 887-2128 NPI: 1679871628 Services are usually provided in the French,Italian,Spanish License: 1-06-3197 child's home or community. This site Mon - Fri 8:00 AM - 5:00 PM Gender: Male address is an administrative office. Counties Served: Sonoma Diagnosis, Treatment

Kyo Autism Therapy, LLC ^569^ Treatment Behavioral Health Treatment PHC#: 37427 Behavioral Health Treatment Services are usually provided in the NPI: 1720212749 Services are usually provided in the child's home or community. This site Services Not Provided at the Site  child's home or community. This site address is an administrative office. Primary Phone: (877) 264-6747 address is an administrative office. Primary Fax: (877) 539-7730

Kyo Autism Therapy, LLC ^567^ Cantonese,French,German,Spanish Innovative Behavior Resources PHC#: 42041 Mon - Fri 9:00 AM - 6:00 PM

Inc ^564^ NPI: 1720212749 Counties Served: Solano, Sonoma, PHC#: 68845 Services Not Provided at the Site Marin, Napa NPI: 1245876226 Primary Phone: (877) 264-6747 Services Provided in the Home Primary Fax: (877) 539-7730 Treatment Primary Phone: (707) 303-6266 French,Spanish Primary Fax: (707) 615-7787 Mon - Fri 8:00 AM - 5:00 PM Behavioral Health Treatment Mon - Fri 8:00 AM - 9:00 PM Counties Served: Solano, Sonoma, Services are usually provided in the Counties Served: Sonoma, Napa Yolo, Marin, Napa child's home or community. This site address is an administrative office. Treatment Treatment

Kyo Autism Therapy, LLC ^570^ Behavioral Health Treatment Behavioral Health Treatment PHC#: 37426 Services are usually provided in the Services are usually provided in the NPI: 1720212749 child's home or community. This site child's home or community. This site 2455 Bennett Valley Rd Ste B302 address is an administrative office. address is an administrative office. Santa Rosa, CA 95404 Primary Phone: (877) 264-6747

Kyo Autism Therapy, LLC ^568^ Kurt Meskowsky, M.A., BCBA ^565^ Primary Fax: (877) 539-7730 PHC#: 70804 PHC#: 37425 Cantonese,French,German,Spanish NPI: 1679871628 NPI: 1720212749 Mon - Fri 8:00 AM - 5:00 PM Services Not Provided at the Site Services Not Provided at the Site Counties Served: Solano, Sonoma, Primary Phone: (916) 316-7333  Mendocino, Yolo, Napa Primary Fax: (916) 472-2429 Primary Phone: (877) 264-6747 Mon - Sun 8:00 AM - 8:00 PM Primary Fax: (877) 539-7730 Treatment Counties Served: Sonoma, Yolo, Mon - Fri 8:00 AM - 5:00 PM Marin, Napa, Shasta Counties Served: Sonoma, Marin Behavioral Health Treatment Services are usually provided in the Treatment child's home or community. This site address is an administrative office.

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 67 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Kyo Autism Therapy, LLC ^571^ McGrew Behavioral Health Nexus Therapies LLC ^576^

PHC#: 64421 Services, Inc. ^574^ PHC#: 65471 NPI: 1720212749 PHC#: 32957 NPI: 1831752781 1222 Monaco Ct Ste 2 NPI: 1689191595 490 Chadbourne Rd Ste A131 Stockton, CA 95207 120 Theresa Ave Fairfield, CA 94534  American Canyon, CA 94503 Primary Phone: (844) 636-3987 Primary Phone: (877) 264-6747  Primary Fax: (707) 402-6059 Primary Fax: (877) 539-7730 Primary Phone: (707) 561-0134 Mon - Fri 9:00 AM - 5:00 PM Mon - Fri 8:00 AM - 5:00 PM Primary Fax: (707) 561-0922 Counties Served: Solano, Sonoma, Counties Served: Solano, Sonoma, Spanish Mendocino, Yolo, Marin, Napa Yolo, Napa Mon - Fri 8:00 AM - 6:00 PM Counties Served: Solano, Sonoma, Treatment Treatment Yolo, Napa Behavioral Health Treatment Behavioral Health Treatment Treatment Services are usually provided in the Services are usually provided in the home or community. This site is an child's home or community. This site Behavioral Health Treatment administrative office. is an administrative office. Services are usually provided in the child's home or community. This site

Positive Behavior Supports Corp. ^577^ address is an administrative office.

MacLeamy, Patrick D., PSYD ^572^ PHC#: 33669 PHC#: 33647 NPI: 1528405008

Multiplicity Therapeutic Services ^575^ NPI: 1831384718 795 Folsom St Fl 1 755 Baywood Dr Ste 200 PHC#: 44626 San Francisco, CA 94107 Petaluma, CA 94954 NPI: 1124373691   680 E Cotati Ave Ste B Primary Phone: (855) 832-6727 Primary Phone: (707) 241-4746 Cotati, CA 94931 Primary Fax: (772) 675-9100 Primary Fax: (707) 772-5209  Mon - Fri 8:00 AM - 8:00 PM Mon - Fri 9:00 AM - 5:00 PM Primary Phone: (707) 822-1136 Counties Served: Solano, Sonoma, Counties Served: Solano, Sonoma, Primary Fax: (707) 633-1777 Yolo, Marin, Napa Mendocino, Marin, Napa, Lake Mon - Fri 9:00 AM - 5:00 PM Counties Served: Sonoma, Treatment

MacLeamy, Patrick D, PsyD  ^573^ Mendocino, Marin, Lake, Humboldt NPI: 1831384718 Behavioral Health Treatment License: 22989 Treatment Services are usually provided in the Gender: Male child's home or community. This site Behavioral Health Treatment address is an administrative office. Diagnosis Services are usually provided in the child's home or community. This site Behavioral Health Treatment address is an administrative office. Services are usually provided in the child's home or community. This site address is an administrative office.

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 68 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Providence Medical Group, The Family Guidance and Trumpet Behavioral Health ^583^

Therapy Center ^581^ Sonoma ^578^ PHC#: 36546 PHC#: 41768 PHC#: 66206 NPI: 1588967236 NPI: 1871607762 NPI: 1780989301 6475 Sierra Ln 1144 Sonoma Ave Ste 113 135 Keller St Ste C Dublin, CA 94568 Santa Rosa, CA 95405 Petaluma, CA 94952   Primary Phone: (619) 600-0683 Primary Phone: (925) 462-2281 Primary Phone: (707) 545-2082 Primary Fax: (619) 600-0683 Mon - Fri 8:00 AM - 7:00 PM Primary Fax: (707) 545-2083 Mon - Fri 8:00 AM - 8:00 PM Sat By Appointment Only Mon - Fri 8:00 AM - 5:00 PM Counties Served: Sonoma Counties Served: Solano, Sonoma, Counties Served: Sonoma Marin, Humboldt Diagnosis, Treatment Diagnosis Treatment Behavioral Health Treatment Behavioral Health Treatment Services are usually provided in the Behavioral Health Treatment Services are usually provided in the child's home or community. This site Services are usually provided in the child's home or community. This site address is an administrative office. child's home or community. This site address is an administrative office. address is an administrative office.

Trumpet Behavioral Health ^582^

Redwood Behavioral Services ^579^ PHC#: 36546 Cardiovascular Disease PHC#: 46158 NPI: 1588967236 NPI: 1376059485 901 O St Ste C Alliance Medical Center ^584^ Services Not Provided at the Site Arcata, CA 95521 PHC#: 5062 Primary Phone: (707) 694-8130  NPI: 1750399796 Primary Fax: (707) 754-2559 Primary Phone: (707) 497-9335 Available By Referral Only Mon - Fri 8:00 AM - 5:00 PM Primary Fax: (303) 984-4366 No Age Limitations Counties Served: Solano, Sonoma, Mon - Fri 8:00 AM - 7:00 PM 1381 University Ave Mendocino, Marin, Napa Sat By Appointment Only Healdsburg, CA 95448 Counties Served: Solano, Sonoma, , P,EB,IB,R

Rangel, Ruben E, BCBA ^580^ Marin, Humboldt NPI: 1376059485 Level of Access: Limited License: 1-17-27010 Treatment Primary Phone: (707) 433-5494 Gender: Male Primary Fax: (707) 385-2157 Spanish Behavioral Health Treatment Mon - Fri 8:00 AM - 5:00 PM Services are usually provided in the

Boylan, Barbara Ann, MD ^585^ Treatment child's home or community. This site address is an administrative office. NPI: 1013091081 Behavioral Health Treatment License: G62299 Services are usually provided in the Gender: Female child's home or community. This site address is an administrative office. Special Accommodations: Adj. Exam Tables

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 69 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Alliance Medical Center ^586^ Chang-Sing, Peter, MD ^590^ Iyer, Vivek, MD ^594^ PHC#: 62339 PHC#: 8144 ♦ Cardiovascular Disease NPI: 1750399796 NPI: 1386678902 ♦ Internal Medicine Available By Referral Only Available By Referral Only NPI: 1609036458 No Age Limitations No Age Limitations License: C155101 1557 Healdsburg Ave Ste 15 & 16 500 Doyle Park Dr Ste 302 Gender: Male Healdsburg, CA 95448 Santa Rosa, CA 95405 Hospital Privileges: MarinHealth Primary Phone: (707) 433-5494  Medical Center Primary Fax: (707) 385-2157 Primary Phone: (707) 573-7070 CCS Provider

Mon - Fri 8:00 AM - 5:00 PM Primary Fax: (707) 573-7519 Keeffe, Brian Gregory, MD ^595^ Mon - Fri 8:00 AM - 5:00 PM NPI: 1689664492 License: A69588

Boylan, Barbara Ann, MD ^587^ NPI: 1013091081 Chang-Sing, Peter David Gerald, Gender: Male Hospital Privileges: License: G62299 MD ^591^ Gender: Female ♦ Cardiovascular Disease MarinHealth Medical Center ♦ Internal Medicine Novato Community Hospital NPI: 1386678902 Sonoma Valley Hospital

Alliance Medical Center ^588^ License: G59460 CCS Provider PHC#: 19393 Gender: Male Partida, Ramon Alfonso, MD ^596^ NPI: 1710218409 Hospital Privileges: Adventist Health ♦ Internal Medicine Available By Referral Only St. Helena-Hospital NPI: 1295994440 No Age Limitations CCS Provider License: C149275 8465 Old Redwood Hwy Ste 320 Gender: Male Windsor, CA 95492 Spanish

MarinHealth Medical Network ^592^ , P,R,E Hospital Privileges: Level of Access: Limited PHC#: 37396 MarinHealth Medical Center Primary Phone: (707) 433-5494 NPI: 1124439807 Novato Community Hospital Primary Fax: (707) 385-2157 Available By Referral Only Sonoma Valley Hospital Mon 7:00 AM - 6:00 PM 18 Years and Older CCS Provider Tue, Wed 7:00 AM - 7:00 PM 651 1st St Ste L Raghupathy, Arun K, MD ^597^ Thu, Fri 8:00 AM - 7:00 PM Sonoma, CA 95476 NPI: 1245358324 Primary Phone: (707) 935-1470 License: A103439 Primary Fax: (707) 935-7817 Boylan, Barbara Ann, MD ^589^ Gender: Male NPI: 1013091081 www.marinhealthcare.org Hospital Privileges: MarinHealth License: G62299 Mon - Fri 8:30 AM - 5:00 PM Medical Center Gender: Female CCS Provider

Dey, Sujoya, MD ^593^ Special Accommodations: Adj. Exam NPI: 1003934449 Tables License: A104399 Gender: Female Hospital Privileges: MarinHealth Medical Center CCS Provider

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 70 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Rainow, Alex, MD ^598^ Providence Medical Group, Punatar, Harendra Keshavlal, MD

 ^606^ NPI: 1255577904 Sonoma ^602^ License: C154306 PHC#: 71713 ♦ Cardiovascular Disease ♦ Internal Medicine Gender: Male NPI: 1871607762 Spanish Available By Referral Only NPI: 1699773432 License: A40868 Hospital Privileges: No Age Limitations Gender: Male MarinHealth Medical Center 141 Lynch Creek Way Ste C Gujarati, Hindi, Marathi Sonoma Valley Hospital Petaluma, CA 94954 Hospital Privileges: CCS Provider Primary Phone: (707) 790-8000 Petaluma Valley Hospital Sherifi, Ines, MD ^599^ Primary Fax: (707) 757-6727 Providence Santa Rosa Memorial NPI: 1134518541 Mon - Fri 8:00 AM - 5:00 PM License: A166628 Hospital Gender: Female Sutter Santa Rosa Regional Hospital

Borses, Mary Jean, MD ^603^ Santo Domingo, Noel Eustaquio, Spanish ♦ Cardiovascular Disease

MD  ^607^ CCS Provider NPI: 1164513297 NPI: 1992797435 Wexman, Mark Peter, MD ^600^ License: G79195 License: G79253 ♦ Cardiovascular Disease Gender: Female Gender: Male ♦ Internal Medicine Hospital Privileges: Providence Santa Spanish, Tagalog NPI: 1063402816 Rosa Memorial Hospital License: G46721 Hospital Privileges: Providence Santa

Garrett, Sheryl Anne, MD  ^604^ Rosa Memorial Hospital Gender: Male ♦ Cardiovascular Disease CCS Provider Hospital Privileges: MarinHealth NPI: 1912085523 Medical Center License: G76995 CCS Provider Gender: Female Providence Medical Group,

Sonoma ^608^ Lalith Mohan, Adamane S, MD ^605^ Providence Medical Group, ♦ Cardiovascular Disease PHC#: 74353

Sonoma ^601^ ♦ Internal Medicine NPI: 1871607762 PHC#: 26499 NPI: 1982893582 Available By Referral Only NPI: 1871607762 License: A32849 No Age Limitations Available By Referral Only Gender: Male 500 Doyle Park Dr Ste 106A No Age Limitations Kannada Santa Rosa, CA 95405 108 Lynch Creek Way Ste 2 Hospital Privileges: Petaluma Valley Primary Phone: (707) 303-8330 Petaluma, CA 94954 Hospital Primary Fax: (707) 396-5658  CCS Provider Mon - Fri 8:00 AM - 5:00 PM Primary Phone: (707) 762-5078

Primary Fax: (707) 765-3340 Dhar, Sanjay Chamanlal, MD ^609^ Mon - Fri 8:30 AM - 5:00 PM NPI: 1811074586 License: A55003 Gender: Male Hospital Privileges: Providence Santa Rosa Memorial Hospital

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 71 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Halpern, Stephen Wayne, MD ^610^ Sangera, Rajveer Singh, DO ^615^ McFadden, Toni Myers, ANP  ^620^ ♦ Cardiovascular Disease ♦ Internal Medicine NPI: 1205859311 ♦ Internal Medicine NPI: 1003256546 License: 16959 NPI: 1821160599 License: 18301 Gender: Female License: G30604 Gender: Male

Gender: Male Vasiliauskas, Tomas, MD ^616^ Santa Rosa Cardiology Medical Hospital Privileges: Providence Santa NPI: 1073612529

Group, Inc. ^621^ Rosa Memorial Hospital License: C51710 Gender: Male PHC#: 8401 NPI: 1295842532 Providence Medical Group, Lithuanian, Russian Hospital Privileges: Providence Santa Available By Referral Only

Sonoma ^611^ Rosa Memorial Hospital No Age Limitations PHC#: 44087 990 Sonoma Ave Ste 2 NPI: 1871607762 Santa Rosa, CA 95404 Available By Referral Only Providence Medical Group, , IB,R,E

No Age Limitations Sonoma ^617^ Level of Access: Limited 500 Doyle Park Dr Ste G04 PHC#: 73364 Primary Phone: (707) 527-8444 Santa Rosa, CA 95405 NPI: 1871607762 Primary Fax: (707) 636-2628  Available By Referral Only Mon - Fri 9:00 AM - 5:00 PM Primary Phone: (707) 576-7100 No Age Limitations Primary Fax: (707) 576-8482 500 Doyle Park Dr Ste G05 Ballesteros, Jose Veloso, MD ^622^ Mon - Fri 9:00 AM - 5:00 PM Santa Rosa, CA 95405 ♦ Cardiovascular Disease Primary Phone: (707) 303-8336 ♦ Internal Medicine

Babajanian, Masis, MD ^612^ Primary Fax: (707) 757-6726 ♦ Interventional Cardiology ♦ Cardiovascular Disease Mon - Fri 8:00 AM - 5:00 PM NPI: 1770527269 NPI: 1609873850 License: C52195 License: A83907 Dunlap, Thomas E, MD  ^618^ Gender: Male Gender: Male ♦ Cardiovascular Disease Spanish, Tagalog Armenian, French ♦ Internal Medicine Hospital Privileges: Sutter Santa Hospital Privileges: Providence Santa NPI: 1932106002 Rosa Regional Hospital Rosa Memorial Hospital License: G44459 Hunter, John Joseph, MD ^623^

Devlin, Patrick Gerard, MD ^613^ Gender: Male ♦ Cardiovascular Disease ♦ Cardiovascular Disease Spanish ♦ Internal Medicine ♦ Internal Medicine Hospital Privileges: Providence Santa NPI: 1124062500 NPI: 1558360479 Rosa Memorial Hospital License: G57697 License: G56533 CCS Provider Gender: Male Gender: Male Patel, Vishal Ghanshyam, MD  ^619^ Hospital Privileges: Providence Santa Hospital Privileges: Providence Santa NPI: 1144455825 Rosa Memorial Hospital Rosa Memorial Hospital License: A107877 CCS Provider CCS Provider Gender: Male

Maur, Pamela, MD ^614^ Spanish NPI: 1427343532 Hospital Privileges: Providence Santa License: A168307 Rosa Memorial Hospital Gender: Female

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 72 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Sutter Medical Group of the Telemed2U ^629^ Schlais, Steven Francis, DC  ^632^

Redwoods ^624^ PHC#: 32086 NPI: 1295964492 PHC#: 35787 NPI: 1326338237 License: 25504 NPI: 1003267196 Available By Referral Only Gender: Male Available By Referral Only 18 Years and Older French No Age Limitations Telehealth Services 34 Mark West Springs Rd 3rd Fl Primary Phone: (916) 740-3721 Special Accommodations: Adj. Exam Santa Rosa, CA 95403 Primary Fax: (916) 527-0770 Tables  Mon - Fri 8:00 AM - 5:00 PM Primary Phone: (707) 573-5200 Alliance Medical Center ^633^ Primary Fax: (707) 573-5417 Kalt, Michele Sarah, MD ^630^ PHC#: 62339 Mon - Wed 8:00 AM - 8:00 PM ♦ Cardiovascular Disease NPI: 1750399796 Thu, Fri 8:00 AM - 5:00 PM NPI: 1518026186 Available By Referral Only License: A51509 No Age Limitations

Brenner, Daniel Adam, MD ^625^ Gender: Female 1557 Healdsburg Ave Ste 15 & 16 NPI: 1750561973 Hebrew, Spanish Healdsburg, CA 95448 License: A105376 Primary Phone: (707) 433-5494 Gender: Male Telehealth services must be arranged Primary Fax: (707) 385-2157

Conway, Emily Lai, MD ^626^ by your PHC doctor. To find all Mon - Fri 8:00 AM - 5:00 PM NPI: 1558599969 telehealth specialties available License: A112625 through Telemed2U look under the

Schlais, Steven Francis, DC  ^634^ Gender: Female specific specialty listed in this NPI: 1295964492 Hospital Privileges: Sutter Santa directory. License: 25504 Rosa Regional Hospital Gender: Male

Hopkins, Donald Gregory, MD ^627^ Chiropractic French ♦ Cardiovascular Disease ♦ Internal Medicine

Petaluma Health Center ^635^

NPI: 1417955287 Alliance Medical Center ^631^ License: C40570 PHC#: 5062 PHC#: 14857 Gender: Male NPI: 1750399796 NPI: 1588656268 Hospital Privileges: Sutter Santa Available By Referral Only Available By Referral Only Rosa Regional Hospital No Age Limitations No Age Limitations CCS Provider 1381 University Ave 1179 N McDowell Blvd Healdsburg, CA 95448 Petaluma, CA 94954

Marbut, Samantha Lynn, NP ^628^ , P,EB,IB,R , P,EB,IB,R,E NPI: 1720612617 Level of Access: Limited Level of Access: Basic License: 95013776 Primary Phone: (707) 433-5494 Primary Phone: (707) 559-7500 Gender: Female Primary Fax: (707) 385-2157 Primary Fax: (707) 559-7620 Mon - Fri 8:00 AM - 5:00 PM Mon - Thu 8:00 AM - 8:00 PM Fri 8:00 AM - 5:00 PM Sat 8:30 AM - 12:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 73 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Bojnowski, Donald Karol, DC  ^636^ Special Accommodations: Adj. Exam Primary Phone: (707) 939-6070 NPI: 1922385061 Tables, Hearing Impaired Primary Fax: (707) 939-6077 License: DC15527 Accommodations, Gurney Mon - Fri 8:30 AM - 6:00 PM Gender: Male Accommodations, Medical Equipment Sat 9:00 AM - 3:30 PM

Dilena, Amy Renee, DC  ^637^ Access, Scales that weigh up to

NPI: 1790914125 600lbs Lloyd, Ryan Todd, DC ^645^ License: 28977 NPI: 1366433245 Gender: Female Sonoma County Indian Health License: 28320

Rose, Samuel B, DC  ^638^ Gender: Male

Project ^642^ NPI: 1558387522 License: 32103 PHC#: 16716 Special Accommodations: Adj. Exam Gender: Male NPI: 1265457980 Tables, Medical Equipment Access, Available By Referral Only Scales that weigh up to 550lbs Special Accommodations: Adj. Exam No Age Limitations Tables 144 Stony Point Rd Santa Rosa, CA 95401 Comprehensive Perinatal , P,EB,IB,R,E Services Program CPSP

Rohnert Park Health Center ^639^ Level of Access: Basic Petaluma Health Center Primary Phone: (707) 521-4500

Santa Rosa Birth Center ^646^ PHC#: 35718 Primary Fax: (707) 544-4626 PHC#: 34830 NPI: 1669870739 Mon - Fri 8:00 AM - 5:00 PM NPI: 1336576370 Available By Referral Only 583 Summerfield Rd

No Age Limitations Wilder, Michael Bernard, DC ^643^ Santa Rosa, CA 95405 5900 State Farm Dr Ste 200 NPI: 1033286042 , P,R,E Rohnert Park, CA 94928 License: 28603 Level of Access: Limited , P,EB,IB,R,E,T Gender: Male Primary Phone: (707) 539-1544 Level of Access: Basic Primary Fax: (707) 539-0686 Primary Phone: (707) 559-7600 Special Accommodations: Adj. Exam 24 Hours 7 Days a Week Primary Fax: (707) 559-7620 Tables, Hearing Impaired Mon - Wed 8:00 AM - 6:30 PM Accommodations, Gurney Thu, Fri 8:00 AM - 5:00 PM Accommodations, Scales that weigh Dermatology up to 400lbs

Dilena, Amy Renee, DC  ^640^

Direct Dermatology ^647^ NPI: 1790914125 Sonoma Valley Community Health License: 28977 PHC#: 26509

Center ^644^ Gender: Female NPI: 1417263922 PHC#: 13084 Available By Referral Only

Rose, Samuel B, DC  ^641^ NPI: 1558387522 NPI: 1770669715 No Age Limitations License: 32103 Available By Referral Only Telehealth Services Gender: Male No Age Limitations Primary Phone: (855) 944-7546 19270 Sonoma Hwy 12 Primary Fax: (800) 572-0683 Sonoma, CA 95476 Mon - Sat 9:00 AM - 4:30 PM , P,EB,IB,R,E,T Level of Access: Basic

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 74 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Ally, Mina Sarah, MD ^648^ Reyes, Melissa, MD ^654^ NorCal Dermatology & Cosmetic ^660^ ♦ Dermatology ♦ Dermatology PHC#: 23729 NPI: 1528467099 ♦ Pediatric Dermatology NPI: 1881839520 License: A144146 NPI: 1558561498 Available By Referral Only Gender: Female License: A100703 No Age Limitations CCS Provider Gender: Female 196 Wikiup Dr

Craft, Noah Ames, MD ^649^ CCS Provider Santa Rosa, CA 95403

♦ Dermatology Tan, Belinda Hsiu Jung, MD ^655^  NPI: 1750351193 ♦ Dermatology Primary Phone: (707) 527-9517 License: A76802 ♦ Dermatopathology Primary Fax: (707) 527-9913 Gender: Male NPI: 1861690299 Mon, Wed - Fri 9:00 AM - 4:30 PM CCS Provider License: A100913 Tue 9:00 PM - 4:30 PM

David, Consuelo Veronica, MD  ^650^ Gender: Female ♦ Dermatology CCS Provider

DeGroot, Henry Eric, MD ^661^

NPI: 1689963340 Venkatesan, Aruna, MD  ^656^ NPI: 1346260411 License: A122615 ♦ Dermatology License: A55665 Gender: Female NPI: 1235457649 Gender: Male Spanish License: A113635 Hospital Privileges: Adventist Health CCS Provider Gender: Female Ukiah Valley

Gordon, Justin Stanley, MD ^651^ CCS Provider CCS Provider

♦ Dermatology Weiss, Stefan Craig, MD ^657^ NPI: 1225353568 ♦ Dermatology

Redwood Family Dermatology ^662^ License: A118547 NPI: 1578641387 Gender: Male License: A80115 PHC#: 69902 CCS Provider Gender: Male NPI: 1710913231 Available By Referral Only

Hamidi, Reyhaneh, MD  ^652^ CCS Provider No Age Limitations ♦ Dermatology Wong, David Jun Sing, MD ^658^ NPI: 1144470162 ♦ Dermatology 2725 Mendocino Ave License: A111135 NPI: 1316972201 Santa Rosa, CA 95403 Gender: Female License: A84286 P,EB,IB,E Farsi, Italian Gender: Male Primary Phone: (707) 545-4537 CCS Provider CCS Provider Primary Fax: (707) 545-6726 Mon - Fri 8:00 AM - 5:00 PM

Kafi, Reza, MD  ^653^ Wong, Reynold Clark, MD ^659^ ♦ Dermatology ♦ Dermatology

NPI: 1891737201 NPI: 1962581694 Austin, Andrea Hui, MD ^663^ License: A84048 License: G51891 ♦ Dermatology Gender: Male Gender: Male NPI: 1730311507 CCS Provider CCS Provider License: A131152 Gender: Female

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 75 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Dickey, Brianne Zechlinski, MD  ^664^ Abboud, Angela Abraham, PA ^671^ Longin, Helena Ann-Yvonne, MD ^677^ ♦ Dermatology NPI: 1114399334 ♦ Dermatology NPI: 1760725394 License: 52961 NPI: 1487628871 License: A150132 Gender: Female License: C54528 Gender: Female Arabic, Spanish Gender: Female

Silva, Heather Noel, PA-C ^672^ Hayes, Jennifer Ashley, MD  ^665^ Hospital Privileges: Sutter Santa ♦ Dermatology NPI: 1649265976 Rosa Regional Hospital

NPI: 1649599648 License: 16459 Ratnarathorn, Mondhipa, MD ^678^ License: A136325 Gender: Female ♦ Dermatology Gender: Female Spanish NPI: 1346552023

Wyble, Angela Rene, PA-C ^673^ Hong, Judith, MD  ^666^ License: A113146 ♦ Dermatology NPI: 1871588715 Gender: Female NPI: 1083949853 License: 17243 Hospital Privileges: Sutter Santa License: A110009 Gender: Female Rosa Regional Hospital

Gender: Female Santo Domingo, Diana, MD ^679^ Spanish Sutter Medical Group of the NPI: 1437350709 CCS Provider License: C168169

Redwoods ^674^

Lin, Bertha Bin-San, MD ^667^ Gender: Female ♦ Dermatology PHC#: 26208 Spanish NPI: 1043373889 NPI: 1003267196 License: G85904 Available By Referral Only

Telemed2U ^680^ Gender: Female No Age Limitations 3883 Airway Dr Ste 203 PHC#: 32086

Park, Ligaya Frances, DO  ^668^ ♦ Dermatology Santa Rosa, CA 95403 NPI: 1326338237  NPI: 1083849012 Available By Referral Only Primary Phone: (707) 521-7760 License: 20A12072 18 Years and Older Primary Fax: (707) 573-5425 Gender: Female Telehealth Services Mon - Thu 7:45 AM - 5:00 PM Primary Phone: (916) 740-3721

Peng, Albert Tse-Chien, MD  ^669^ Fri 7:45 AM - 4:00 PM ♦ Dermatology Primary Fax: (916) 527-0770 NPI: 1609862820 Mon - Fri 8:00 AM - 5:00 PM

Freeman, Jennifer Sayaka, MD ^675^ License: A75807 NPI: 1417319757 Gender: Male Tsuchiya, Arline M, MD ^681^ License: A153193 ♦ Dermatology

Sugarman, Jeffrey Louis, MD  ^670^ Gender: Female ♦ Dermatology ♦ Pediatric Dermatology Spanish ♦ Pediatric Dermatology NPI: 1114098167

Lee, Robert An-Kuo, MD ^676^ NPI: 1548255482 License: A43062 ♦ Dermatology License: G85304 Gender: Female ♦ Dermatopathology Gender: Male CCS Provider NPI: 1346300274 CCS Provider Yoon, Jessica Sonita, MD ^682^ License: A109496 ♦ Dermatology Gender: Male NPI: 1831352418 Hospital Privileges: Sutter Santa License: C156843 Rosa Regional Hospital Gender: Female CCS Provider

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 76 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Telehealth services must be arranged Satellite Healthcare Windsor ^686^ Primary Phone: (209) 943-2118 by your PHC doctor. To find all PHC#: 18180 Primary Fax: (209) 939-1212 telehealth specialties available NPI: 1548231095 Mon - Fri 8:00 AM - 5:00 PM through Telemed2U look under the 8911 Lakewood Dr Ste 16 Sat On Call specific specialty listed in this Windsor, CA 95492 directory.  Advanced Home Medical ^690^ Primary Phone: (707) 836-1091 PHC#: 32773 Dialysis Centers Primary Fax: (707) 837-1862 NPI: 1275587685 Mon - Sat 6:15 AM - 7:00 PM 312 Paseo Tesoro Walnut, CA 91789

Santa Rosa Springs Dialysis ^683^

WellBound of Santa Rosa ^687^  PHC#: 62273 Primary Phone: (909) 444-5899 NPI: 1508224726 PHC#: 19643 NPI: 1326093626 Primary Fax: (888) 518-7568 18 E Fulton Rd Mon - Fri 8:00 AM - 5:00 PM Santa Rosa, CA 95403 2301 Circadian Way Ste B Skilled Medical Interpreter Service Santa Rosa, CA 95407  Primary Phone: (707) 544-5043 Aircare Home Respiratory ^691^ Skilled Medical Interpreter Service Primary Fax: (707) 544-5063 PHC#: 39750 Primary Phone: (707) 541-3410 Mon, Wed, Fri 2:30 PM - 6:30 PM NPI: 1912962879 Primary Fax: (707) 541-3415 13311 Garden Grove Ste D Mon - Fri 9:00 AM - 5:00 PM Garden Grove, CA 92843

Satellite Healthcare Rohnert Park ^684^ Skilled Medical Interpreter Service PHC#: 30424 Durable Medical Equipment Primary Phone: (800) 487-5566 NPI: 1164767836 Mon - Fri 8:00 AM - 4:30 PM 6265 Commerce Blvd Ste 156 Sat, Sun On Call Rohnert Park, CA 94928 ActivStyle ^688^ Primary Phone: (707) 303-2040 PHC#: 20656 All Medical Supply and Primary Fax: (707) 586-1098 NPI: 1396786356

Equipment ^692^ Mon, Wed, Fri 5:30 AM - 7:30 PM 4656 E Dakota Ave Ste 104 Tue, Thu, Sat 6:00 AM - 6:00 PM Fresno, CA 93726 PHC#: 18309 Skilled Medical Interpreter Service NPI: 1184708372 Primary Phone: (559) 440-6808 921 Marin St

Satellite Healthcare Santa Rosa ^685^ Primary Fax: (559) 456-1848 Vallejo, CA 94590 PHC#: 10010 Mon - Fri 9:00 AM - 5:00 PM  NPI: 1821069907 Primary Phone: (707) 554-6701 2301 Circadian Way Ste C Primary Fax: (707) 731-0781

Active Life Medical ^689^ Santa Rosa, CA 95407 Mon - Fri 8:00 AM - 5:00 PM  PHC#: 27125 Skilled Medical Interpreter Service NPI: 1023271822

Apria Healthcare ^693^ Primary Phone: (707) 526-0717 4217 Coronado Ave Unit D Primary Fax: (707) 526-0722 Stockton, CA 95204 PHC#: 24008 Mon - Sat 5:45 AM - 9:00 PM  NPI: 1073523296 579 S Franklin St Fort Bragg, CA 95437

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 77 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Everything Medical Equipment, Primary Phone: (707) 961-1770 Biohorizon Medical ^697^

Primary Fax: (707) 961-1784 PHC#: 24020 Inc. ^701^ Mon - Fri 9:00 AM - 4:00 PM NPI: 1083690127 PHC#: 28405 3882 Del Amo Blvd Ste 604 NPI: 1336681881

Apria Healthcare ^694^ Torrance, CA 90503 2376 Athens Ave PHC#: 4575  Redding, CA 96001 NPI: 1598774903 Primary Phone: (866) 914-5159  755 Bevins St Primary Fax: (866) 914-6699 Primary Phone: (530) 223-3633 Lakeport, CA 95453 Mon - Fri 8:00 AM - 5:00 PM Primary Fax: (530) 223-3636  www.everythingmedicalonline.com Mon - Fri 8:30 AM - 6:00 PM

Primary Phone: (707) 262-7046 Byram Healthcare Centers, Inc. ^698^ Primary Fax: (707) 263-3743 Sat 9:00 AM - 5:00 PM PHC#: 27245 Sun By Appointment Only Mon - Fri 9:00 AM - 4:00 PM NPI: 1477807667 Sat, Sun On Call 5302 Rancho Rd

Huntington Beach, CA 92647 Family Medical ^702^  Apria Healthcare ^695^ PHC#: 68761 PHC#: 8149 Primary Phone: (877) 369-9093 NPI: 1396399143 NPI: 1699884718 Primary Fax: (866) 992-6331 592 Lincoln Ave 3636 N Laughlin Road Ste 190 Mon - Fri 8:30 AM - 5:00 PM Napa, CA 94558 Santa Rosa, CA 95403 Primary Phone: (707) 363-1607  California Home Medical Primary Fax: (707) 230-5566 Mon - Fri 10:00 AM - 6:00 PM Primary Phone: (707) 543-0979 Equipment ^699^ Sat 10:00 AM - 4:00 PM Primary Fax: (707) 543-5852 PHC#: 19484 Mon - Fri 8:30 AM - 5:00 PM NPI: 1063487304 Sat, Sun On Call 289 Foster City Blvd Ste A Golden State Medical, Inc. ^703^ Foster City, CA 94404 PHC#: 10777  Avella of Sacramento, Inc. ^696^ NPI: 1194717520 PHC#: 20368 Primary Phone: (800) 906-0626 200 Linden Ave Ste 100 NPI: 1295746709 Primary Fax: (650) 931-8928 Auburn, CA 95603 2288 Auburn Blvd Ste 102 Mon - Fri 8:30 AM - 5:00 PM  Sacramento, CA 95821 Primary Phone: (530) 885-0981  Connect Hearing Inc. - Primary Fax: (530) 642-6002 Mon - Fri 8:00 AM - 5:00 PM Primary Phone: (888) 792-3888 Healdsburg ^700^ Primary Fax: (888) 554-3299 PHC#: 26360 Mon - Fri 8:00 AM - 5:30 PM NPI: 1265700942 Home Oxygen Company, LLC ^704^ 1260 Healdsburg Ave Ste 202 PHC#: 19061 Healdsburg, CA 95448 NPI: 1457545923  5039 Pentecost Dr Ste C Primary Phone: (707) 433-0705 Modesto, CA 95356 Primary Fax: (707) 433-7595 Mon - Thu 9:00 AM - 5:00 PM CCS Provider

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 78 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Primary Phone: (209) 523-0202 Primary Phone: (800) 275-4524 Primary Phone: (800) 944-3422 Primary Fax: (888) 499-0202 Primary Fax: (888) 245-2295 Primary Fax: (800) 685-5678 Mon - Fri 9:00 AM - 5:00 PM 24 Hours 7 Days a Week Mon - Fri 8:30 AM - 5:00 PM Sat, Sun On Call

KCI USA, Inc. ^709^ Medline Industries, Inc. ^713^

Hometown Medical Supplies ^705^ PHC#: 12470 PHC#: 46686 PHC#: 26353 NPI: 1013904119 NPI: 1801225354 NPI: 1285772343 2400 Merced St 5701 Promontory Pkwy Ste 100 1274 Alma Court San Leandro, CA 94577 Tracy, CA 95377 San Jose, CA 95112  Primary Phone: (866) 356-4997  Primary Phone: (800) 275-4524 Primary Fax: (866) 272-8122 Primary Phone: (408) 279-3955 Primary Fax: (888) 245-2295 Mon - Fri 7:00 AM - 6:00 PM Primary Fax: (408) 516-9662 24 Hours 7 Days a Week Mon - Fri 8:00 AM - 5:00 PM

National Seating and Mobility, Inc.

^714^

Kadence Healthcare ^710^ PHC#: 13644

Jackson Medical Supply ^706^ PHC#: 32607 NPI: 1982677530 PHC#: 24035 NPI: 1003889270 3535 Industrial Dr Ste B1 NPI: 1578873592 48834 Kato Rd Ste 112A Santa Rosa, CA 95403 480 Redwood St Ste 44 Fremont, CA 94538  Vallejo, CA 94590 Primary Phone: (877) 449-8900 Primary Phone: (707) 544-2412 Primary Phone: (707) 644-4170 Primary Fax: (510) 255-6055 Primary Fax: (707) 575-6198 Primary Fax: (707) 644-4163 Mon - Fri 8:30 AM - 5:30 PM Mon - Fri 8:30 AM - 5:00 PM Mon - Fri 9:00 AM - 5:00 PM Sat 10:00 AM - 3:00 PM

Lincare, Inc. ^711^ Noland Enterprises, Inc. ^715^ PHC#: 19613 PHC#: 68783

Jackson Medical Supply ^707^ NPI: 1023222171 NPI: 1013494228 PHC#: 24036 1259 S Main St 2510 Airpark Dr Ste 103 NPI: 1104136126 Lakeport, CA 95453 Redding, CA 96001 604 Main St  Primary Phone: (530) 319-3119 Woodland, CA 95695 Primary Phone: (707) 263-1476 Primary Fax: (888) 623-4562  Primary Fax: (707) 263-5947 Mon - Fri 8:00 AM - 5:00 PM Primary Phone: (530) 661-7409 Mon - Fri 8:00 AM - 5:00 PM Primary Fax: (530) 661-7345 Sat, Sun On Call

Numotion ^716^ Mon - Fri 9:00 AM - 5:00 PM PHC#: 24456

Medequip, Inc ^712^ NPI: 1912949702

KCI USA, Inc. ^708^ PHC#: 61265 11075 Knott Ave Ste B PHC#: 12198 NPI: 1942394119 Cypress, CA 90630 NPI: 1366439358 27 Brookline Skilled Medical Interpreter Service 3951 Performance Dr Ste H Aliso Viejo, CA 92656 Primary Phone: (562) 921-0258 Sacramento, CA 95838 Primary Fax: (562) 921-3730  Mon - Fri 8:00 AM - 5:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 79 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Numotion ^717^ Numotion ^721^ Owens Medical #7 ^725^ PHC#: 25386 PHC#: 16877 PHC#: 44714 NPI: 1720221708 NPI: 1467526707 NPI: 1043627060 4010 N Chestnut Diagonal Ste 108 446 Westridge Dr 1697 Sierra Ave Fresno, CA 93726 Watsonville, CA 95076 Yuba City, CA 95993    Primary Phone: (559) 431-2035 Primary Phone: (831) 724-5544 Primary Phone: (530) 924-2768 Primary Fax: (559) 431-2083 Primary Fax: (831) 724-3334 Primary Fax: (530) 924-2769 Mon - Fri 8:00 AM - 5:00 PM Mon - Fri 8:30 AM - 5:00 PM Mon - Fri 8:00 AM - 5:00 PM

Numotion ^718^ Orthofix Inc. ^722^ Pacific Medical. Inc. - Santa Rosa ^726^ PHC#: 3189 PHC#: 12540 PHC#: 4326 NPI: 1568536860 NPI: 1235136060 NPI: 1326048893 1650 Tribute Rd 3451 Plano Pkwy 200 Montgomery Dr Ste A Sacramento, CA 95815 Lewisville, TX 75056 Santa Rosa, CA 95401  Primary Phone: (800) 535-4492  Primary Phone: (916) 489-3651 Primary Fax: (877) 246-4605 Primary Phone: (800) 726-9180 Primary Fax: (916) 489-5949 Mon - Fri 7:00 AM - 7:00 PM Primary Fax: (707) 546-3045 Mon - Fri 8:30 AM - 4:30 PM Mon - Fri By Appointment Only

Owens Healthcare #11 ^723^

Numotion ^719^ Pacific Pulmonary Services ^727^ PHC#: 28139 PHC#: 2899 NPI: 1679636013 PHC#: 20894 NPI: 1992879639 2950 Railroad Ave NPI: 1942314224 3500 Thomas Rd Ste B Redding, CA 96001 20 S Linden Ave Ste 5B Santa Clara, CA 95054  South San Francisco, CA 94080  Primary Phone: (530) 241-7573  Primary Phone: (408) 522-1200 Primary Fax: (530) 387-2053 Primary Phone: (866) 945-8489 Primary Fax: (408) 736-0203 Mon - Fri 8:00 AM - 5:00 PM Primary Fax: (833) 406-4053 Mon - Fri 8:30 AM - 5:00 PM Mon - Fri 8:00 AM - 5:00 PM

Owens Healthcare #13 ^724^

Numotion ^720^ Piner's Services ^728^ PHC#: 28140 PHC#: 11145 NPI: 1740342807 PHC#: 7148 NPI: 1710051032 2690 Main St NPI: 1407071236 3137 Tomahawk Dr Ste C Susanville, CA 96130 907 Trancas St Stockton, CA 95205  Napa, CA 94558  Primary Phone: (530) 252-4065  Primary Phone: (209) 467-1173 Primary Fax: (530) 252-4023 Primary Phone: (707) 224-7921 Primary Fax: (916) 489-5949 Mon - Fri 8:00 AM - 5:00 PM Primary Fax: (707) 253-7399 Mon - Fri 8:30 AM - 4:30 PM Mon - Thu 8:30 AM - 5:00 PM Fri 8:30 AM - 4:30 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 80 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Ron Andrews Medical Company, Precision Medical Products, Inc. ^729^ Primary Phone: (800) 999-7516

PHC#: 68678 Inc. ^733^ Primary Fax: (800) 999-7021 NPI: 1629392592 PHC#: 4219 Mon - Fri 9:00 AM - 6:00 PM 2217 Plaza Dr NPI: 1639108798 Sat, Sun On Call Rocklin, CA 95765 117 Carlos Dr

Primary Phone: (888) 963-6265 San Rafael, CA 94903 SuperCare Health ^737^ Primary Fax: (888) 393-6953  PHC#: 13800 Mon - Fri 8:00 AM - 5:00 PM Primary Phone: (415) 492-1770 NPI: 1902863202 Primary Fax: (415) 651-9625 505 Watt Dr Ste 3 Mon - Fri 8:00 AM - 5:00 PM

Prentke Romich Company ^730^ Fairfield, CA 94534 Sat 8:30 AM - 4:30 PM PHC#: 8468  Primary Phone: (888) 260-2550 NPI: 1184602518

Rotech ^734^ Primary Fax: (626) 854-2285 1022 Heyl Rd Mon - Fri 9:00 AM - 5:30 PM Wooster, OH 44691 PHC#: 16868 Sat, Sun On Call Primary Phone: (800) 262-1984 NPI: 1982684213 Primary Fax: (330) 202-5840 3181 Cleveland Ave Ste F

Mon - Fri 8:00 AM - 5:00 PM Santa Rosa, CA 95403 Tandem Diabetes Care, Inc. ^738^  PHC#: 53052 Skilled Medical Interpreter Service NPI: 1619295516 Qualmed Precision, Inc. ^731^ Primary Phone: (707) 526-4675 PHC#: 29200 11075 Roselle St Primary Fax: (707) 526-7518 San Diego, CA 92121 NPI: 1043598634 Mon - Fri 9:00 AM - 4:00 PM Primary Phone: (877) 801-6901 1495 Victor Ave Ste C Sat, Sun On Call Primary Fax: (858) 202-6722 Redding, CA 96003  Mon - Fri 8:00 AM - 5:00 PM

Shield Healthcare Centers ^735^ Primary Phone: (530) 222-4156 PHC#: 1653 Primary Fax: (530) 222-4159 Tobii Dynavox LLC ^739^ Mon - Fri 8:00 AM - 5:00 PM NPI: 1578677597 PHC#: 15725 2950 Buskirk Ave Ste 180 NPI: 1831263110 R and F Medical Equipment & Walnut Creek, CA 94597 2100 Wharton St Ste 400 

Supplies ^732^ Pittsburgh, PA 15203 Primary Phone: (800) 675-8840 Skilled Medical Interpreter Service PHC#: 19343 Primary Fax: (925) 256-1639 Primary Phone: (800) 344-1778 NPI: 1982768875 Mon - Fri 9:00 AM - 5:00 PM 1076 Horizon Dr Ste 4 Primary Fax: (866) 336-2737 Fairfield, CA 94533 Mon - Fri 8:00 AM - 5:00 PM

Solara Medical Supplies, LLC ^736^  Primary Phone: (707) 426-1770 PHC#: 65546 Zoll Services LLC ^740^ NPI: 1356716534 Primary Fax: (707) 426-1772 PHC#: 19498 2084 Otay Lakes Rd Ste 102 Mon - Fri 10:00 AM - 5:00 PM NPI: 1164535274 Chula Vista, CA 91913 121 Gamma Dr Skilled Medical Interpreter Service Pittsburgh, PA 15238

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 81 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Skilled Medical Interpreter On Site: Sutter Medical Group of the Arambulo, Maria Flordeliz Uy, MD ^750^

Spanish Redwoods ^745^ NPI: 1013169986 Primary Phone: (412) 968-3333 PHC#: 26745 License: A112913 Primary Fax: (412) 567-9676 NPI: 1003267196 Gender: Female Mon - Fri 8:00 AM - 4:30 PM Available By Referral Only Filipino, Ilocano No Age Limitations CCS Provider

Endocrinology 3883 Airway Dr Ste 201 Bhaduri, Aditi B, MD ^751^ Santa Rosa, CA 95403 NPI: 1114029329  License: C55649 Providence Medical Group, Primary Phone: (707) 521-7735 Gender: Female

Sonoma ^741^ Primary Fax: (707) 573-5422 Bengali PHC#: 49063 Mon - Fri 8:00 AM - 5:00 PM De Leon, Mary Jeanne Soberano,

NPI: 1871607762 MD ^752^ NPI: 1184692006 Available By Referral Only Magnotti, Michael, MD ^746^ No Age Limitations NPI: 1134324585 License: C164320 1162 Montgomery Dr License: C149159 Gender: Female Santa Rosa, CA 95405 Gender: Male Filipino

Nagelberg, Jodi Beth, MD ^753^

Primary Phone: (707) 890-4250 Sherchan, Pooja, MD ^747^ Primary Fax: (707) 757-6721 ♦ Endocrinology, Diabetes & NPI: 1720474141 Metabolism License: A146838 Gender: Female Chiang, Janet Ming-Shih, MD ^742^ NPI: 1225068018

♦ Endocrinology, Diabetes & License: A92348 Sohrevardi, Mahtab, MD ^754^ Metabolism Gender: Female NPI: 1578777033 ♦ Internal Medicine License: C149677 Gender: Female NPI: 1477842458 Sanabria, Sarah J, NP ^748^ License: A123449 NPI: 1548449655 Farsi Gender: Female License: 17623 Hospital Privileges: Providence Santa Gender: Female Telehealth services must be arranged Rosa Memorial Hospital by your PHC doctor. To find all CCS Provider telehealth specialties available

Telemed2U ^749^ through Telemed2U look under the

Nakai, Yuichiro David, MD ^743^ NPI: 1497739114 PHC#: 32086 specific specialty listed in this License: A76178 NPI: 1326338237 directory. Gender: Male Available By Referral Only Hospital Privileges: Providence Santa 18 Years and Older Rosa Memorial Hospital Telehealth Services Primary Phone: (916) 740-3721 Primary Fax: (916) 527-0770

Kehres, Heather Jeanne, PA-C ^744^ NPI: 1801348859 Mon - Fri 8:00 AM - 5:00 PM License: 55242 Gender: Female

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 82 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Family Planning Foot and Ankle Surgery Step Up Podiatry Group ^765^ PHC#: 20423 NPI: 1902280928

Planned Parenthood Northern Attenda Medical Group Inc ^761^ Available By Referral Only California-Santa Rosa ^755^ PHC#: 73365 No Age Limitations PHC#: 22643 NPI: 1740866615 1041 4th St Ste B NPI: 1659671600 Available By Referral Only Santa Rosa, CA 95404 1140 Sonoma Ave Bldg 3 No Age Limitations  Santa Rosa, CA 95405 1701 4th Street Ste 100 Primary Phone: (707) 568-1000  Santa Rosa, CA 95404 Primary Fax: (707) 586-1252 Primary Phone: (707) 527-7656 Primary Phone: (707) 575-6033 Tue 9:00 AM - 5:00 PM Primary Fax: (707) 527-5015 Primary Fax: (707) 573-6157 Mon - Fri 8:00 AM - 5:00 PM Mon - Thu 8:00 AM - 4:00 PM

Joba, Ameha, DPM ^766^ Fri 8:00 AM - 12:00 PM ♦ Podiatrist

Griego, Ann-Elizabeth, MD  ^756^ NPI: 1043506140 NPI: 1780974527 Korves, Ashleigh Erin, DPM  ^762^ License: 5244 License: A122059 ♦ Surgery, Foot & Ankle Gender: Male Gender: Female NPI: 1194979278 Hospital Privileges: Providence Santa Spanish License: 5436 Rosa Memorial Hospital

Hufbauer, Ellen Arabelle, MD ^757^ Gender: Female NPI: 1790838860 Hospital Privileges: Providence Santa License: A72145 Rosa Memorial Hospital Gastroenterology Gender: Female Spanish

Alliance Medical Center ^767^ Step Up Podiatry Group ^763^

Lossy, Panna Susan, MD ^758^ NPI: 1679670673 PHC#: 20423 PHC#: 5062 License: G80810 NPI: 1902280928 NPI: 1750399796 Gender: Female Available By Referral Only Available By Referral Only Spanish No Age Limitations No Age Limitations 1350 Medical Center Dr 1381 University Ave Rohnert Park, CA 94928 Healdsburg, CA 95448

Richman, Kristin Joy, CNM  ^759^ NPI: 1831392612  , P,EB,IB,R License: 2039 Primary Phone: (707) 586-9300 Level of Access: Limited Gender: Female Primary Fax: (707) 586-1252 Primary Phone: (707) 433-5494 Mon - Fri 9:00 AM - 5:00 PM Primary Fax: (707) 385-2157

Wilson, Kelly Maureen, NP ^760^ NPI: 1396959201 Fri 8:00 AM - 12:00 PM

License: 11350 Joba, Ameha, DPM ^764^ Gender: Female ♦ Podiatrist Special Accommodations: Adj. Exam NPI: 1043506140 Tables License: 5244 Gender: Male Hospital Privileges: Providence Santa Rosa Memorial Hospital

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 83 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Providence Medical Group, Ray, Rose M, FNP ^773^ General Surgery

Sonoma ^768^ NPI: 1699958884 PHC#: 26501 License: 95010994

Alexandridis, Alexis, MD ^778^ NPI: 1871607762 Gender: Female PHC#: 47595 Available By Referral Only Spanish NPI: 1487163309 No Age Limitations Shoemaker, Dane Arthur, ACNP ^774^ Available By Referral Only 500 Doyle Park Dr Ste 205 NPI: 1568713675 No Age Limitations Santa Rosa, CA 95405 License: 22212  Gender: Male 246 Perkins St Primary Phone: (707) 303-8350 Sonoma, CA 95476 Primary Fax: (707) 303-2694 Primary Phone: (707) 938-7690 Telemed2U ^775^ Mon - Fri 8:00 AM - 5:00 PM Primary Fax: (844) 581-1700 PHC#: 32086 Mon - Thu 9:00 AM - 4:00 PM NPI: 1326338237 Fri 9:00 AM - 1:00 PM

Beirne, Joshua Patrick, MD ^769^ Available By Referral Only ♦ Gastroenterology 18 Years and Older NPI: 1841216041 Alexandridis, Alexis Regina, MD ^779^ Telehealth Services License: A91482 ♦ Surgery Primary Phone: (916) 740-3721 Gender: Male NPI: 1093925182 Primary Fax: (916) 527-0770 Spanish License: C151087 Mon - Fri 8:00 AM - 5:00 PM Hospital Privileges: Providence Santa Gender: Female Rosa Memorial Hospital Hospital Privileges: Sonoma Valley

Badii, Cyrus Afshin, MD ^776^ CCS Provider Hospital NPI: 1134274350

Faust, Robert Logan, MD ^770^ License: G87894

Bozuk & Associates Surgical ^780^ ♦ Internal Medicine Gender: Male NPI: 1891766861 Farsi PHC#: 17483 License: A46484 NPI: 1609912914 Shah, Keval Dipak, DO ^777^ Gender: Male ♦ Gastroenterology Available By Referral Only Hospital Privileges: Sutter Santa ♦ Internal Medicine No Age Limitations Rosa Regional Hospital NPI: 1093035917 3835 Cypress Dr Ste 202

Gish, Robert Gareth, MD ^771^ License: 20A13956 Petaluma, CA 94954 ♦ Gastroenterology Gender: Male Primary Phone: (707) 763-3967 ♦ Internal Medicine Gujarati, Spanish Primary Fax: (707) 765-0554 ♦ Transplant Hepatology Mon - Fri 9:00 AM - 4:00 PM NPI: 1548281322 Telehealth services must be arranged License: G45632 by your PHC doctor. To find all Bozuk, Michael Ivan, MD ^781^ Gender: Male telehealth specialties available ♦ Surgery French, Spanish, Vietnamese through Telemed2U look under the NPI: 1700800604 CCS Provider specific specialty listed in this License: A73703

Hanson, Brian Lockwood, MD ^772^ directory. Gender: Male NPI: 1902916323 Czech License: G84433 Hospital Privileges: Petaluma Valley Gender: Male Hospital CCS Provider CCS Provider

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 84 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Harwood, James W., MD ^782^ Leoni, Peter V., MD ^786^ Providence Medical Group,

PHC#: 3135 PHC#: 7080 Sonoma ^790^ NPI: 1396754511 NPI: 1316907082 PHC#: 25180 Available By Referral Only Available By Referral Only NPI: 1871607762 No Age Limitations No Age Limitations Available By Referral Only 1111 Sonoma Ave Ste 320 1116 B St No Age Limitations Santa Rosa, CA 95405 Petaluma, CA 94952 106 Lynch Creek Way Ste 9B   Petaluma, CA 94954 Primary Phone: (707) 544-1260 Primary Phone: (707) 781-6926  Primary Fax: (707) 544-1263 Primary Fax: (707) 762-2145 Primary Phone: (707) 763-1575 Mon - Fri 9:30 AM - 4:30 PM Mon, Thu 9:00 AM - 4:00 PM Primary Fax: (707) 763-9172 Tue 10:00 AM - 4:00 PM Mon - Thu 9:00 AM - 5:00 PM

Harwood, James William, MD ^783^ Fri 9:00 AM - 12:00 PM

NPI: 1396754511 Leoni, Peter Vincent, MD  ^787^

License: A29940 ♦ Surgery Schulte, Brett Jon, MD ^791^ Gender: Male NPI: 1316907082 ♦ Surgery French, Spanish License: G64218 NPI: 1285637579 Hospital Privileges: Providence Santa Gender: Male License: G129199 Rosa Memorial Hospital Hospital Privileges: Petaluma Valley Gender: Male

CCS Provider Hospital Wang, James Bo, MD ^792^ NPI: 1699162024 License: A168964

Healdsburg Specialty Medical Northern California Wound Care ^788^ Gender: Male Service ^784^ PHC#: 26764 PHC#: 25560 NPI: 1194824573

Petromilli, Emily, ACNP ^793^ NPI: 1194824573 Available By Referral Only NPI: 1437527876 Available By Referral Only No Age Limitations License: 95003044 No Age Limitations 1540 Healdsburg Ave Gender: Female 1312 Prentice Dr Healdsburg, CA 95448 Healdsburg, CA 95448   Primary Phone: (707) 473-4400 Providence Medical Group,

Primary Phone: (707) 431-6314 Primary Fax: (707) 473-4405 Sonoma ^794^ Primary Fax: (707) 431-6319 Mon - Fri 8:00 AM - 5:00 PM PHC#: 62249 Mon - Fri 8:30 AM - 5:00 PM NPI: 1871607762

Suryavanshi, Dilip Singh, MD ^789^ Available By Referral Only

Tito, Joseph Michael, MD ^785^ NPI: 1104015387 No Age Limitations NPI: 1073570131 License: A112298 1162 Montgomery Dr License: C149054 Gender: Male Santa Rosa, CA 95405 Gender: Male Hindi Primary Phone: (707) 890-4250 Hospital Privileges: Healdsburg Hospital Privileges: Healdsburg Primary Fax: (707) 476-2235 District Hospital District Hospital Mon - Fri 8:00 AM - 5:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 85 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

McCray, Victor Wayne, MD ^795^ Providence Medical Group, Sonoma Valley Specialty Clinic ^805^

♦ Surgery Sonoma ^801^ PHC#: 39365 NPI: 1174783096 PHC#: 39344 NPI: 1215382973 License: A98517 NPI: 1871607762 Available By Referral Only Gender: Male Available By Referral Only No Age Limitations Hospital Privileges: Providence Santa No Age Limitations 347 Andrieux St Rosa Memorial Hospital 121 Sotoyome St Ste 203 Sonoma, CA 95476 CCS Provider Santa Rosa, CA 95405 Primary Phone: (707) 931-4219

Schmidt, Brian Frederick, MD ^796^  Primary Fax: (707) 721-8763 NPI: 1275614596 Primary Phone: (707) 579-2100 Mon - Wed 9:00 AM - 5:00 PM License: G52429 Primary Fax: (707) 523-0616 Gender: Male Mon - Fri 9:00 AM - 5:00 PM Kidd, Sabrina Ann, MD ^806^ Hospital Privileges: Providence Santa ♦ Colon & Rectal Surgery Rosa Memorial Hospital Elboim, Charles Martin, MD ^802^ ♦ Surgery CCS Provider ♦ Surgery NPI: 1053534354

Schneider, James Joseph, MD ^797^ NPI: 1770672610 License: A111326 ♦ Surgery License: C41968 Gender: Female NPI: 1760483358 Gender: Male Hospital Privileges: MarinHealth License: G58333 Hospital Privileges: Providence Santa Medical Center Gender: Male Rosa Memorial Hospital CCS Provider

Schulte, Brett Jon, MD ^798^ CCS Provider ♦ Surgery Schmidt, Brian Frederick, MD ^803^ Sutter Medical Group of the NPI: 1285637579 NPI: 1275614596

Redwoods ^807^ License: G129199 License: G52429 Gender: Male Gender: Male PHC#: 34842 NPI: 1003267196 Zamary, Kirellos Raafat, MD ^799^ Hospital Privileges: Providence Santa ♦ Surgery Rosa Memorial Hospital Available By Referral Only NPI: 1619261609 CCS Provider No Age Limitations License: A124822 34 Mark West Springs Rd 2nd Fl

Tito, Elizabeth Jean Peace, MD ^804^ Gender: Male NPI: 1629092309 Santa Rosa, CA 95403 Hospital Privileges: Providence Santa License: G148486  Rosa Memorial Hospital Gender: Female Primary Phone: (707) 541-7900 CCS Provider Hospital Privileges: Providence Santa Primary Fax: (707) 573-5413 Rosa Memorial Hospital Mon - Fri 8:30 AM - 5:00 PM

Chmiel, Dorothy Antoinette, PA-C ^800^ CCS Provider

NPI: 1174924617 Cortez, Allen William, MD ^808^ License: 55698 ♦ Surgery Gender: Female NPI: 1518916089 License: G76718 Gender: Male Hospital Privileges: Sutter Santa Rosa Regional Hospital

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 86 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Hill, Allan Stewart, MD ^809^ Peralta, Elizabeth A, MD ^814^ Drexler, Brad, MD  ^817^ ♦ Surgery ♦ Surgery ♦ Obstetrics & Gynecology NPI: 1578565438 NPI: 1215918784 NPI: 1265449607 License: G50413 License: G83732 License: G55235 Gender: Male Gender: Female Gender: Male Hospital Privileges: Sutter Santa Hospital Privileges: Sutter Santa Spanish Rosa Regional Hospital Rosa Regional Hospital Hospital Privileges:

Soto, David Joseph, MD ^810^ Healdsburg District Hospital ♦ Surgery Sutter Medical Group of the Sutter Santa Rosa Regional Hospital NPI: 1932207255

Redwoods ^815^

License: A91733 Piersol, Patricia Ellen, CNM  ^818^ Gender: Male PHC#: 20034 NPI: 1265400824 Hospital Privileges: Sutter Santa NPI: 1003267196 License: 6581 Rosa Regional Hospital Available By Referral Only Gender: Female No Age Limitations

Woodbury, Robert Orlo, MD ^811^ Spanish NPI: 1871607937 555 Petaluma Ave Ste C License: G77680 Sebastopol, CA 95472 Special Accommodations: Adj. Exam Gender: Male , P,EB,IB,R,E,T Tables Hospital Privileges: Sutter Santa Primary Phone: (707) 829-8426 Rosa Regional Hospital Primary Fax: (707) 829-6675 No referral required for in-network CCS Provider Mon - Sun By Appointment Only OB/GYN providers

Baker, Emily Jo, FNP  ^812^ Gynecology

Alliance Medical Center ^819^ NPI: 1811267552 License: 21601 PHC#: 19393

Alliance Medical Center ^816^ Gender: Female NPI: 1710218409 PHC#: 5062 Accepting New Patients No Age Limitations Sutter Medical Group of the NPI: 1750399796 Accepting New Patients 8465 Old Redwood Hwy Ste 320

Redwoods ^813^ No Age Limitations Windsor, CA 95492 PHC#: 33163 1381 University Ave , P,R,E NPI: 1003267196 Healdsburg, CA 95448 Level of Access: Limited Available By Referral Only , P,EB,IB,R Primary Phone: (707) 433-5494 No Age Limitations Level of Access: Limited Primary Fax: (707) 385-2157 3883 Airway Dr Ste 165 Primary Phone: (707) 433-5494 Mon 7:00 AM - 6:00 PM Santa Rosa, CA 95403 Primary Fax: (707) 385-2157 Tue, Wed 7:00 AM - 7:00 PM  Mon - Fri 8:00 AM - 5:00 PM Thu, Fri 8:00 AM - 7:00 PM Primary Phone: (707) 521-7799 Primary Fax: (707) 573-5431 Gladstein, Andrea Bialek, MD ^820^ Mon - Fri 9:00 AM - 5:00 PM NPI: 1881795763 License: G60217 Gender: Female

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 87 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Drexler, Brad, MD ^824^ Piersol, Patricia Ellen, CNM  ^821^ Special Accommodations: Adj. Exam NPI: 1265400824 PHC#: 20162 Tables, Scales that weigh up to License: 6581 NPI: 1265449607 400lbs Gender: Female Accepting New Patients Spanish No Age Limitations No referral required for in-network 431 March Ave Ste A OB/GYN providers Special Accommodations: Adj. Exam Healdsburg, CA 95448 Tables  Petaluma Health Center ^827^ Primary Phone: (707) 431-8843 PHC#: 14857 No referral required for in-network Primary Fax: (707) 431-0678 OB/GYN providers NPI: 1588656268 Mon - Thu 8:30 AM - 5:00 PM Accepting New Patients No Age Limitations

Drexler, Brad, MD  ^825^ Amara, D. Paul, MD ^822^ 1179 N McDowell Blvd PHC#: 19963 ♦ Obstetrics & Gynecology Petaluma, CA 94954 NPI: 1518958313 NPI: 1265449607 , P,EB,IB,R,E Accepting New Patients License: G55235 Level of Access: Basic No Age Limitations Gender: Male Primary Phone: (707) 559-7500 181 Andrieux St Ste 108 Spanish Primary Fax: (707) 559-7620 Sonoma, CA 95476 Hospital Privileges: Mon - Thu 8:00 AM - 8:00 PM  Healdsburg District Hospital Fri 8:00 AM - 5:00 PM Primary Phone: (707) 938-3300 Sutter Santa Rosa Regional Hospital Sat 8:30 AM - 12:00 PM Primary Fax: (707) 938-2315 Mon 9:00 AM - 4:00 PM No referral required for in-network Clark, Julie Diane, MD  ^828^ OB/GYN providers Tue - Thu 9:00 AM - 5:00 PM NPI: 1346216389 Fri 9:00 AM - 12:00 PM License: A98041

Occidental Area Health Center ^826^ Gender: Female

Amara, Dominic Paul, MD ^823^ West County Health Centers Spanish NPI: 1518958313 PHC#: 1881 Hospital Privileges: Petaluma Valley License: G76226 NPI: 1598768962 Hospital Gender: Male Accepting New Patients Redwood, Fiona Clare, MD  ^829^ Spanish No Age Limitations NPI: 1255323945 Hospital Privileges: Sonoma Valley 3802 Main St License: C51019 Hospital Occidental, CA 95465 Gender: Female , P,EB,IB,R,E Hospital Privileges: Petaluma Valley No referral required for in-network Level of Access: Basic Hospital OB/GYN providers Primary Phone: (707) 874-2444

Primary Fax: (707) 874-1664 James, Le Ann, CNM  ^830^ Mon - Thu 9:00 AM - 8:00 PM NPI: 1265659023 Fri 9:00 AM - 5:00 PM License: 835 Sat 9:00 AM - 12:00 PM Gender: Female

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 88 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Richman, Kristin Joy, CNM  ^831^ Providence Medical Group, Hurley, Jennifer Marie, CNM ^841^

NPI: 1831392612 Sonoma ^835^ NPI: 1588183099 License: 2039 PHC#: 31847 License: 235898 Gender: Female NPI: 1871607762 Gender: Female

Kopp-Yates, Hannah Rowena, CNM

Accepting New Patients ^842^ Special Accommodations: Adj. Exam No Age Limitations NPI: 1255783080 Tables 500 Doyle Park Dr Ste 200 License: 235831 Santa Rosa, CA 95405 Gender: Female No referral required for in-network , P,EB,IB,R,E French, German, Spanish OB/GYN providers Level of Access: Basic Schuster, Nikki Anne, CNM ^843^ Primary Phone: (707) 303-1719 NPI: 1558776237 Providence Medical Group, Primary Fax: (707) 387-3696 License: 236137 Gender: Female Sonoma ^832^ Mon - Fri 8:30 AM - 5:00 PM

Smith, Elizabeth P, CNM ^844^ PHC#: 26504 NPI: 1497016711 NPI: 1871607762 Kurss, Jonathan Michael, MD ^836^ License: 1382 Accepting New Patients NPI: 1154685121 Gender: Female No Age Limitations License: A142087 1550A Professional Dr Ste 100 Gender: Male No referral required for in-network Petaluma, CA 94954 Hospital Privileges: Providence Santa  Rosa Memorial Hospital OB/GYN providers

Primary Phone: (707) 763-2900 Sacher, Gregory Neill, MD ^837^ NPI: 1972682011 Primary Fax: (707) 763-2990 Rohnert Park Health Center ^845^ Mon - Fri 8:30 AM - 4:30 PM License: A68058 PHC#: 35718 Gender: Male NPI: 1669870739 Hospital Privileges: Providence Santa Clark, Julie Diane, MD  ^833^ Accepting New Patients NPI: 1346216389 Rosa Memorial Hospital No Age Limitations License: A98041 CCS Provider 5900 State Farm Dr Ste 200

Gender: Female Vaynberg, Dina, MD ^838^ Rohnert Park, CA 94928 Spanish NPI: 1598051575 , P,EB,IB,R,E,T Hospital Privileges: Petaluma Valley License: A132247 Level of Access: Basic Hospital Gender: Female Primary Phone: (707) 559-7600 Russian Kosinski, Anthony Paul, MD ^834^ Primary Fax: (707) 559-7620 NPI: 1588656631 Mon - Wed 8:00 AM - 6:30 PM

Allair, Hilary Ann, CNM ^839^ License: G88554 Thu, Fri 8:00 AM - 5:00 PM Gender: Male NPI: 1194337451 Spanish License: 95015669 McLeod-Waldo, Rebecca Lee, CNM Hospital Privileges: Petaluma Valley Gender: Female  ^846^

Hospital Dettloff, Renee Theresa, CNM ^840^ NPI: 1750514766 CCS Provider NPI: 1285170951 License: 1864 License: 236013 Gender: Female No referral required for in-network Gender: Female Spanish OB/GYN providers

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 89 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Special Accommodations: Adj. Exam Primary Phone: (707) 547-2222 No referral required for in-network Tables, Hearing Impaired Primary Fax: (707) 547-2229 OB/GYN providers Accommodations, Gurney Mon - Thu 8:00 AM - 9:00 PM Accommodations, Medical Equipment Fri 8:00 AM - 5:00 PM Sonoma Valley Community Health Access, Scales that weigh up to Sat 9:00 AM - 3:00 PM

Center ^854^ 600lbs PHC#: 13084

Donlon, Deborah Tracy, MD ^849^ No referral required for in-network NPI: 1184753121 NPI: 1770669715 OB/GYN providers License: A80414 Accepting New Patients Gender: Female No Age Limitations Spanish 19270 Sonoma Hwy 12 Russian River Health Center ^847^ Sonoma, CA 95476

Duncan, Parker Andrew, MD ^850^ West County Health Centers ♦ Family Medicine , P,EB,IB,R,E,T PHC#: 4770 NPI: 1033434923 Level of Access: Basic NPI: 1356344758 License: A118268 Primary Phone: (707) 939-6070 Accepting New Patients Gender: Male Primary Fax: (707) 939-6077 No Age Limitations Spanish Mon - Fri 8:30 AM - 6:00 PM 16319 3rd St Hospital Privileges: Sutter Santa Sat 9:00 AM - 3:30 PM Guerneville, CA 95446 Rosa Regional Hospital , P,EB,IB,E Amara, Dominic Paul, MD ^855^

Martin, Laura, MD ^851^ Level of Access: Limited NPI: 1225353923 NPI: 1518958313 Primary Phone: (707) 869-2849 License: A117827 License: G76226 Primary Fax: (707) 869-1477 Gender: Female Gender: Male Mon - Thu 9:00 AM - 8:00 PM French, Spanish Spanish Fri 9:00 AM - 5:00 PM Hospital Privileges: Sutter Santa Hospital Privileges: Sonoma Valley Sat 9:00 AM - 12:00 PM Rosa Regional Hospital Hospital

Levine, Stanley D, MD ^856^

Rice, Kyla Monene, MD ^852^ Special Accommodations: Adj. Exam NPI: 1780800615 ♦ Obstetrics & Gynecology Tables License: A99647 NPI: 1245250851 Gender: Female License: C21763 No referral required for in-network Spanish Gender: Male OB/GYN providers Hospital Privileges: Sutter Santa Hospital Privileges: Sonoma Valley Rosa Regional Hospital Hospital Santa Rosa Community Sanchez Mendez, Enrique, MD ^853^ Special Accommodations: Adj. Exam Health-Lombardi Campus ^848^ NPI: 1710164371 License: A112138 Tables, Medical Equipment Access, PHC#: 9828 Scales that weigh up to 550lbs NPI: 1386712065 Gender: Male Accepting New Patients Spanish Hospital Privileges: Sutter Santa No referral required for in-network No Age Limitations OB/GYN providers 751 Lombardi Ct Ste B Rosa Regional Hospital Santa Rosa, CA 95407 , P,EB,IB,R,E Special Accommodations: Adj. Exam Level of Access: Basic Tables

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 90 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Sutter Medical Group of the Kwon, Nicole Boon Jung, MD ^861^ No referral required for in-network

Redwoods ^857^ NPI: 1427349869 OB/GYN providers PHC#: 34943 License: A124134 Gender: Female

NPI: 1003267196 The Modern Woman ^866^ Accepting New Patients Hospital Privileges: Sutter Santa Rosa Regional Hospital PHC#: 70351 No Age Limitations NPI: 1902422280 34 Mark West Springs Rd 2nd Fl Pride, Matthew Barry, MD ^862^ NPI: 1588627855 Accepting New Patients Santa Rosa, CA 95403 No Age Limitations , P,EB,IB,R,E,T License: G78085 Gender: Male 990 Sonoma Ave Ste 18 Level of Access: Basic Santa Rosa, CA 95404 Primary Phone: (707) 541-7900 Spanish Hospital Privileges: Primary Phone: (707) 579-1102 Primary Fax: (707) 573-5413 Primary Fax: (707) 579-1386 Mon - Fri 8:00 AM - 5:00 PM Providence Santa Rosa Memorial Hospital Mon - Fri 9:00 AM - 5:00 PM Sutter Santa Rosa Regional Hospital

Bartlett, Tara Corinne, DO ^858^

Khawaja, Shazah, MD ^867^ ♦ Obstetrics & Gynecology Seeker, Melissa Ann, MD ^863^ NPI: 1851736342 NPI: 1083636450 NPI: 1588000863 License: C55816 License: 20A14991 License: A149145 Gender: Female Gender: Female Gender: Female Punjabi, Spanish, Urdu Hospital Privileges: Hospital Privileges: Providence Santa Rosa Memorial Hospital Privileges: Providence Santa Providence Santa Rosa Memorial Rosa Memorial Hospital Hospital Hospital Sutter Santa Rosa Regional Hospital Sutter Santa Rosa Regional Hospital

Eckert, Kirsten Elyse, CNM ^868^

Wang, Rita Y. F., MD ^864^

Dehnad, Susan Katrina, MD ^859^ NPI: 1932227758 NPI: 1306246772 ♦ Obstetrics & Gynecology License: 235674 NPI: 1922294834 License: A113061 Gender: Female Gender: Female License: A100690 Spanish Gender: Female Mandarin Hospital Privileges: Rondou, Cecelia Anne, CNM ^869^ Hospital Privileges: Sutter Santa NPI: 1285950147 Rosa Regional Hospital Providence Santa Rosa Memorial Hospital License: 1377 Kahl, Natasha Ann, MD ^860^ Gender: Female NPI: 1942252911 Sutter Santa Rosa Regional Hospital

License: A62156 Weinert, Ashley Kay, MD ^865^ NPI: 1932162419 No referral required for in-network Gender: Female OB/GYN providers Hospital Privileges: License: G76709 Providence Santa Rosa Memorial Gender: Female

Women's OBGYN, Inc. ^870^ Hospital Spanish Sutter Santa Rosa Regional Hospital Hospital Privileges: PHC#: 68847 Providence Santa Rosa Memorial NPI: 1316439979 Hospital Accepting New Patients Sutter Santa Rosa Regional Hospital No Age Limitations 1111 Sonoma Ave Ste 202 Santa Rosa, CA 95405

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 91 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Santa Rosa Orthopaedic Medical Primary Phone: (707) 575-1626 Feidi, Rana Abbas, MD ^875^

Primary Fax: (707) 575-3941 NPI: 1740600972 Group, Inc. ^878^ Mon - Fri 9:00 AM - 5:00 PM License: A167850 PHC#: 3538 Gender: Female NPI: 1518907336

Emad, Lela Maryam, MD ^871^ Available By Referral Only NPI: 1811902612 Telehealth services must be arranged No Age Limitations License: G61698 by your PHC doctor. To find all 1405 Montgomery Dr Gender: Female telehealth specialties available Santa Rosa, CA 95405 Farsi, Spanish through Telemed2U look under the , IB Hospital Privileges: Providence Santa specific specialty listed in this Level of Access: Limited Rosa Memorial Hospital directory. Primary Phone: (707) 546-1922

Logan, Susan Cameron, MD ^872^ Primary Fax: (707) 546-1897 NPI: 1982716221 Hand Surgery Mon - Fri 8:30 AM - 5:30 PM License: G69486 Gender: Female

Mazur, Kai Uwe, MD ^879^

Klein, Roger A., MD ^876^ Spanish ♦ Hand Surgery Hospital Privileges: Providence Santa PHC#: 17941 ♦ Orthopaedic Surgery Rosa Memorial Hospital NPI: 1083655252 NPI: 1558304188 Available By Referral Only License: G72305 No referral required for in-network No Age Limitations Gender: Male OB/GYN providers 1111 Sonoma Ave Ste 106 German Santa Rosa, CA 95405 Hospital Privileges: Providence Santa HIV AIDS Specialists  Rosa Memorial Hospital Primary Phone: (707) 576-0366 CCS Provider Primary Fax: (707) 576-0468

Mintalucci, Dominic J, MD ^880^

Telemed2U ^873^ Mon, Tue, Thu, Fri 9:00 AM - 5:00 PM ♦ Orthopaedic Surgery PHC#: 32086 NPI: 1114126869

NPI: 1326338237 Klein, Roger Allen, MD ^877^ License: A126421 Available By Referral Only NPI: 1083655252 Gender: Male 18 Years and Older License: G58706 Hospital Privileges: Providence Santa Telehealth Services Gender: Male Rosa Memorial Hospital Primary Phone: (916) 740-3721 Spanish Primary Fax: (916) 527-0770 Hospital Privileges: Providence Santa Santa Rosa Orthopaedic Medical Mon - Fri 8:00 AM - 5:00 PM Rosa Memorial Hospital CCS Provider Group, Inc. ^881^ PHC#: 36085

D'Avignon, Laurie Cordaro, MD ^874^ ♦ Internal Medicine NPI: 1518907336 NPI: 1700851433 Available By Referral Only License: C149571 No Age Limitations Gender: Female 34 Mark West Springs Rd Ste 300 Santa Rosa, CA 95403 , P,EB,IB,R,E Level of Access: Basic

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 92 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Primary Phone: (707) 546-1922 Primary Phone: (707) 433-0705 Hearing Services of Marin ^889^ Primary Fax: (707) 546-1897 Primary Fax: (707) 433-7595 PHC#: 20689 Mon - Fri 8:00 AM - 5:00 PM Mon - Thu 9:00 AM - 5:00 PM NPI: 1285776005 CCS Provider 2400 Las Gallinas Ave Ste 150

Mazur, Kai Uwe, MD ^882^ San Rafael, CA 94903 ♦ Hand Surgery Connect Hearing Inc. - Santa  ♦ Orthopaedic Surgery Primary Phone: (415) 479-5675 Rosa ^886^ NPI: 1558304188 PHC#: 26360 Primary Fax: (415) 479-1767 License: G72305 Mon, Thu, Fri 9:00 AM - 5:00 PM NPI: 1265700942 Gender: Male Tue, Wed 9:00 AM - 4:00 PM 4725 Hoen Ave Ste B German Sat By Appointment Only Hospital Privileges: Providence Santa Santa Rosa, CA 95405  Rosa Memorial Hospital

Primary Phone: (707) 542-1154 Kenwood Hearing Centers ^890^ CCS Provider Primary Fax: (707) 542-4818 PHC#: 20180 Mintalucci, Dominic J, MD ^883^ Mon - Fri 8:30 AM - 5:00 PM ♦ Orthopaedic Surgery NPI: 1013011048 CCS Provider NPI: 1114126869 593 N McDowell Blvd Ste C License: A126421 Petaluma, CA 94954 Gender: Male Hear So Good Audiology &  Primary Phone: (707) 789-9191 Hospital Privileges: Providence Santa Hearing Aids ^887^ Rosa Memorial Hospital PHC#: 32948 Primary Fax: (707) 789-9009 Mon - Thu 9:00 AM - 5:00 PM NPI: 1093066441 Fri 9:00 AM - 12:00 PM Hearing Aid Dispenser 505A San Marin Dr Ste 130 Novato, CA 94945

 Microtone Audiology ^891^

Bay Area Hearing Services ^884^ Primary Phone: (415) 456-4327 PHC#: 41349 PHC#: 28017 Primary Fax: (415) 480-6705 NPI: 1992008320 NPI: 1144490574 Mon - Thu 10:00 AM - 6:00 PM 98 Montgomery Dr Ste B 1599 Tara Hills Dr Fri 10:00 AM - 5:00 PM Santa Rosa, CA 95404 Pinole, CA 94564   Hear So Good Audiology & Primary Phone: (707) 623-9779 Primary Phone: (510) 724-4327 Primary Fax: (707) 843-3453 Hearing Aids ^888^ Primary Fax: (510) 724-1959 Mon - Wed, Fri 9:00 AM - 5:00 PM Mon - Thu 9:00 AM - 5:00 PM PHC#: 67367 Fri 9:00 AM - 3:00 PM NPI: 1093066441 8911 Lakewood Dr Ste 27A Windsor, CA 95492 Connect Hearing Inc. - Primary Phone: (707) 620-5996

Healdsburg ^885^ Primary Fax: (415) 480-6705 PHC#: 26360 Tue, Wed, Fri 9:30 AM - 6:00 PM NPI: 1265700942 1260 Healdsburg Ave Ste 202 Healdsburg, CA 95448 

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 93 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Hematology Holmes, Jarrod Paul, MD ^895^ Primary Phone: (707) 521-7750 NPI: 1013018035 Primary Fax: (707) 573-5427 License: A104861 Mon - Fri 8:00 AM - 5:00 PM Providence Medical Group, Gender: Male

Sonoma ^892^

Hospital Privileges: Providence Santa Cao, Ying, MD ^901^ PHC#: 31142 Rosa Memorial Hospital ♦ Internal Medicine NPI: 1871607762 CCS Provider NPI: 1326209438 Available By Referral Only Marsland, Thomas, MD ^896^ License: A123342 No Age Limitations ♦ Internal Medicine Gender: Female 110 Lynch Creek Way Ste A ♦ Medical Oncology Hospital Privileges: Sutter Santa Petaluma, CA 94954 NPI: 1477558716 Rosa Regional Hospital , EB,IB,R,E License: G140901 Kanaan, Zeyad Hashem, MD ^902^ Level of Access: Limited Gender: Male NPI: 1144412560 Primary Phone: (707) 763-0600 Hospital Privileges: Providence Santa License: A157617 Primary Fax: (707) 765-1757 Rosa Memorial Hospital Gender: Male Mon - Fri 8:00 AM - 5:00 PM CCS Provider Arabic

Pollock, YaoYao Guan, MD ^897^ Hospital Privileges: Sutter Santa

Marsland, Thomas, MD ^893^ NPI: 1154692549 Rosa Regional Hospital ♦ Internal Medicine License: A147607 Nguyen, David Minh, MD ^903^ ♦ Medical Oncology Gender: Female NPI: 1508094160 NPI: 1477558716 Mandarin License: A119373 License: G140901 Vulchi, Manasa, MD ^898^ Gender: Male Gender: Male NPI: 1760739296 Hospital Privileges: Sutter Santa Hospital Privileges: Providence Santa License: A161037 Rosa Regional Hospital Rosa Memorial Hospital Gender: Female CCS Provider CCS Provider Barajas, Cecilia Alvarez, PA-C ^904^ NPI: 1942844055

Providence Medical Group, Mortensen, Theresa Louise, FNP ^899^ License: 59046 NPI: 1972683753 Gender: Female

Sonoma ^894^

License: 13352 Fisher, Erin Michelle, PA-C ^905^ PHC#: 31141 Gender: Female NPI: 1891335766 NPI: 1871607762 License: 57574 Available By Referral Only Gender: Female No Age Limitations Sutter Medical Group of the

3555 Round Barn Cir Redwoods ^900^ Santa Rosa, CA 95403 PHC#: 20022  NPI: 1003267196 Primary Phone: (707) 528-1050 Available By Referral Only Primary Fax: (707) 525-3874 No Age Limitations Mon - Fri 8:00 AM - 5:00 PM 3883 Airway Dr Ste 220 Santa Rosa, CA 95403 

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 94 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Home Health Agencies Comprehensive Home Health Kindred at Home ^913^

Care & Hospice, Inc. ^909^ PHC#: 67711 PHC#: 36599 NPI: 1700813615

AccentCare Home Health ^906^ NPI: 1205297702 5341 Old Redwood Hwy Ste 350 PHC#: 1711 127 Hospital Dr Ste 202A & 202B Petaluma, CA 94954 NPI: 1396791307 Vallejo, CA 94589 Primary Phone: (707) 545-7114 2300 Contra Costa Blvd Ste 240  Primary Fax: (707) 545-8026 Pleasant Hill, CA 94523 Primary Phone: (707) 554-4003 Mon - Fri 8:00 AM - 5:00 PM  Primary Fax: (707) 554-4043 Skilled Medical Interpreter Service Sat, Sun On Call Mon - Fri 8:30 AM - 5:00 PM Primary Phone: (925) 356-6066 Sat, Sun On Call

Primary Fax: (925) 676-2587 Mare Island Home Health Inc. ^914^ Mon - Fri 8:00 AM - 5:00 PM PHC#: 22654

Continuum Care Hospice, LLC ^910^ Sat, Sun On Call NPI: 1740318369 PHC#: 36551 1555 Tennessee St NPI: 1467859900 Vallejo, CA 94590 At Home Nursing Services ^907^ 5994 W Las Positas Blvd Ste 221  PHC#: 20268 Pleasanton, CA 94588 Primary Phone: (707) 557-6800 NPI: 1831230218 Primary Phone: (925) 398-7548 Primary Fax: (707) 557-6801 1378A Corporate Center Pkwy Primary Fax: (510) 722-8548 Mon - Fri 8:30 AM - 5:00 PM Santa Rosa, CA 95407 Mon - Fri 8:00 AM - 4:30 PM Sat, Sun On Call Primary Phone: (707) 546-8773 Primary Fax: (707) 546-8788

St. Joseph Home Care ^915^ Mon - Fri 8:30 AM - 5:30 PM George Mark Children's House ^911^ Sat, Sun 8:30 AM - 4:00 PM PHC#: 14111 PHC#: 6510 NPI: 1336200245 NPI: 1144315052 2121 George Mark Ln 2127 Harrison Ave Ste 3

Blize Healthcare ^908^ San Leandro, CA 94578 Eureka, CA 95501 PHC#: 27655   NPI: 1558667485 Primary Phone: (510) 346-4624 Primary Phone: (707) 444-1967 750 Alfred Nobel Dr Ste 204 Primary Fax: (510) 901-7592 Primary Fax: (707) 443-8142 Hercules, CA 94547 24 Hours 7 Days a Week Mon - Fri 8:00 AM - 5:00 PM  Primary Phone: (800) 343-2549 St. Joseph Home Care Network - Primary Fax: (866) 381-9932 Healdsburg District Hospital ^912^

Mon - Fri 8:00 AM - 5:00 PM PHC#: 1874 Greater Sonoma County ^916^ Sat, Sun On Call NPI: 1194824573 PHC#: 17469 1375 University Ave NPI: 1801981634 Healdsburg, CA 95448 441 College Ave  Santa Rosa, CA 95401 Skilled Medical Interpreter Service Primary Phone: (707) 206-9124 Primary Phone: (707) 431-6500 Primary Fax: (707) 206-9420 Primary Fax: (707) 431-6363 Mon - Sun 8:00 AM - 5:00 PM 24 Hours 7 Days a Week

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 95 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

LPCH Children's Home Pharmacy ^924^ Sutter Care At Home ^917^ Home Infusion Therapy PHC#: 18022 PHC#: 9472 NPI: 1265461024 NPI: 1407864374

Coram Healthcare ^921^ 100 Rowland Way Ste 210 4600 Bohannon Dr Ste 105 PHC#: 4615 Novato, CA 94945 Menlo Park, CA 94025 NPI: 1629027867  Primary Phone: (650) 497-8316 3160 Corporate Pl Primary Phone: (415) 209-7700 Primary Fax: (650) 497-8320 Hayward, CA 94545 Primary Fax: (855) 835-2448 Mon - Fri 9:00 AM - 5:30 PM 24 Hours 7 Days a Week  Primary Phone: (510) 732-8800

Other Phone: (800) 876-9101 NuFactor, Inc. ^925^

Sutter VNA & Hospice ^918^ Primary Fax: (510) 732-8801 PHC#: 14520 PHC#: 17275 Mon - Fri 8:00 AM - 5:00 PM NPI: 1861599540 NPI: 1205865870 Sat, Sun On Call 44900 Winchester Rd 110 Stony Point Rd Ste 200A Temecula, CA 92590 Santa Rosa, CA 95401 Diplomat Specialty Infusion Skilled Medical Interpreter Service  Primary Phone: (800) 323-6832 Group ^922^ Primary Phone: (707) 535-5600 PHC#: 38590 Primary Fax: (855) 270-7347 Primary Fax: (707) 863-9043 Mon - Fri 8:00 AM - 5:00 PM Mon - Fri 8:00 AM - 4:30 PM NPI: 1346593118 1819 Aston Ave Ste 104

Carlsbad, CA 92008 Optum Infusion Services ^926^

Sutter VNA Roseville ^919^ Skilled Medical Interpreter Service PHC#: 62991 PHC#: 13078 Primary Phone: (760) 707-1486 NPI: 1093716813 NPI: 1770512535 Primary Fax: (760) 931-0516 455 Reservation Rd Ste G 3001 Lava Ridge Ct Ste 330A Mon - Fri 8:00 AM - 5:00 PM Marina, CA 93933 Roseville, CA 95661 Sat, Sun On Call Skilled Medical Interpreter Service  Primary Phone: (866) 384-8080 Primary Phone: (916) 797-7979 Humboldt Home Infusion Primary Fax: (844) 231-8065 Primary Fax: (855) 604-3223 Mon - Fri 9:00 AM - 5:00 PM Program ^923^ Mon - Sun 8:00 AM - 5:00 PM PHC#: 28663 Sat, Sun On Call NPI: 1568422319

Sutter VNA Sacramento ^920^

2612 Harrison Ave Optum Infusion Services ^927^ PHC#: 7566 Eureka, CA 95501 PHC#: 16426 NPI: 1649209412  NPI: 1003926460 8330 Ferguson Ave Primary Phone: (707) 269-4244 170 Professional Center Dr Ste C Sacramento, CA 95828 Primary Fax: (707) 269-3755 Rohnert Park, CA 94928  Mon - Fri 8:00 AM - 4:30 PM Skilled Medical Interpreter Service Primary Phone: (916) 388-6200 Sat, Sun On Call Primary Phone: (800) 708-7188 Primary Fax: (916) 381-6194 Primary Fax: (844) 550-8908 Mon - Fri 8:00 AM - 5:00 PM Mon - Fri 8:30 AM - 5:00 PM Sat, Sun On Call

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 96 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Heartland Hospice ^935^ Optum Infusion Services ^928^ Primary Phone: (510) 362-7360 PHC#: 28144 Primary Fax: (510) 460-1389 PHC#: 17030 NPI: 1417209438 Mon - Fri 8:30 AM - 5:00 PM NPI: 1750333977 4610 Northgate Blvd Ste 130 Sat, Sun On Call 3700 Old Redwood Hwy Ste 103 Sacramento, CA 95834 Santa Rosa, CA 95403 Skilled Medical Interpreter Service Hospice Services  Primary Phone: (877) 698-5415 Primary Phone: (707) 523-0111 Primary Fax: (844) 425-0128 Primary Fax: (707) 523-1034

By The Bay Health ^932^ Mon - Fri 8:00 AM - 5:30 PM Mon - Fri 8:00 AM - 5:00 PM Sat, Sun On Call PHC#: 18647 NPI: 1255381547 Sutter Medical Group of the 355 W Napa St

Redwoods ^936^ Optum Infusion Services 402, LLC ^929^ Sonoma, CA 95476 PHC#: 71787 Primary Phone: (707) 935-7504 PHC#: 26207 NPI: 1669602165 Primary Fax: (707) 935-7590 NPI: 1003267196 2300 Main St Ste 150 24 Hours 7 Days a Week Available By Referral Only Irvine, CA 60689 No Age Limitations Skilled Medical Interpreter Service 34 Mark West Springs Rd 2nd Fl

By the Bay Health ^933^ Primary Phone: (877) 342-9352 Santa Rosa, CA 95403 Primary Fax: (877) 542-9352 PHC#: 18647  Mon - Fri 8:30 AM - 5:00 PM NPI: 1255381547 Primary Phone: (707) 541-7900 Sat, Sun On Call 17 E Sir Francis Drake Blvd Primary Fax: (707) 573-5413 Larkspur, CA 94939 Mon - Fri 8:30 AM - 5:00 PM  Optum Infusions Services 500, Primary Phone: (415) 927-2273

Sutter VNA & Hospice ^937^ Inc ^930^ Primary Fax: (888) 958-7460 PHC#: 71786 24 Hours 7 Days a Week PHC#: 13746 NPI: 1699262808 NPI: 1104850015 4900 Rivergrade Road E120 Special Accommodations: Hoyer Lift 110 Stony Point Rd Ste 200C Irwindale, CA 91706 Santa Rosa, CA 95401  Skilled Medical Interpreter Service Continuum Care North Bay LLC ^934^ Primary Phone: (707) 535-5700 Primary Phone: (844) 204-8053 Primary Fax: (855) 755-6418 Primary Fax: (844) 225-9056 PHC#: 61643 Mon - Fri 8:00 AM - 4:30 PM Mon - Fri 8:00 AM - 5:30 PM NPI: 1649780685 Sat, Sun On Call 5401 Old Redwood Hwy Ste 110 Petaluma, CA 94954

Sutter VNA Roseville ^938^ Primary Phone: (707) 540-9838 PHC#: 10221 Soleo Health, Inc. ^931^ Primary Fax: (707) 402-6589 NPI: 1033144464 PHC#: 38559 Mon - Fri 8:00 AM - 5:00 PM 3001 Lava Ridge Ct Ste 330B NPI: 1235527227 Roseville, CA 95661 1324 W Winton Ave , P Hayward, CA 94545 

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 97 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Primary Phone: (916) 797-7850 Primary Phone: (707) 573-5234 Nathan, Ramesh Vaidya, MD ^949^ Primary Fax: (855) 755-6414 Primary Fax: (707) 573-5417 ♦ Internal Medicine Mon - Fri 8:00 AM - 4:30 PM Mon - Fri 8:00 AM - 5:00 PM NPI: 1215025291 License: A77898

Infectious Diseases Green, Gary Martin, MD ^943^ Gender: Male

NPI: 1124102108 Pryor, Ellsworth Paxton, MD ^950^ License: G80599 ♦ Infectious Disease Providence Medical Group, Gender: Male ♦ Internal Medicine

Sonoma ^939^ Hospital Privileges: Sutter Santa NPI: 1952344988 PHC#: 33640 Rosa Regional Hospital License: G29880 NPI: 1871607762 CCS Provider Gender: Male

Available By Referral Only Siddiqui, Javeed, MD ^951^ No Age Limitations NPI: 1770563967 Telemed2U ^944^ 1162 Montgomery Dr License: A65726 PHC#: 32086 Gender: Male Santa Rosa, CA 95405 NPI: 1326338237 Primary Phone: (707) 890-4250 Available By Referral Only Telehealth services must be arranged Primary Fax: (707) 476-2236 18 Years and Older Mon - Fri 8:00 AM - 5:00 PM by your PHC doctor. To find all Telehealth Services telehealth specialties available Primary Phone: (916) 740-3721 through Telemed2U look under the

Ngai, Tiffany, MD ^940^ Primary Fax: (916) 527-0770 NPI: 1215378930 specific specialty listed in this Mon - Fri 8:00 AM - 5:00 PM License: A138387 directory. Gender: Female

Bock, Bonnie Virginia, MD ^945^ Cantonese ♦ Internal Medicine Laboratory Draw Stations CCS Provider NPI: 1225226558

Thu, Ye, MD ^941^ License: G35572

LAB24 LLC ^952^ NPI: 1306180146 Gender: Female PHC#: 65807 License: A134154 CCS Provider Gender: Male NPI: 1275018871

Chang, Wun-Ling, MD ^946^ Hospital Privileges: Providence Santa ♦ Internal Medicine 475 Knollcrest Dr Rosa Memorial Hospital NPI: 1194734111 Redding, CA 96002 CCS Provider License: G86459 Primary Phone: (530) 319-7222 Gender: Female Primary Fax: (530) 319-7225 Sutter Medical Group of the CCS Provider Mon - Thu 9:00 AM - 5:00 PM Fri 9:00 AM - 4:30 PM

Redwoods ^942^ D'Avignon, Laurie Cordaro, MD ^947^ PHC#: 54116 ♦ Internal Medicine

NPI: 1003267196 NPI: 1700851433 Quest Diagnostics ^953^ Available By Referral Only License: C149571 PHC#: 3347 No Age Limitations Gender: Female NPI: 1619913449

34 Mark West Springs Rd 3rd Fl Feidi, Rana Abbas, MD ^948^ 421 March Ave Ste C Santa Rosa, CA 95403 NPI: 1740600972 Healdsburg, CA 95448 License: A167850  Gender: Female

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 98 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Primary Phone: (707) 473-9714 Members living in Solano, Napa, Medical Supplies Primary Fax: (707) 473-9238 Yolo, Sonoma and Marin Counties Mon - Fri 7:30 AM - 4:00 PM must use a Quest Lab for lab

Active Life Medical ^958^ services. Members living in all other Members living in Solano, Napa, counties may use any lab listed in the PHC#: 27125 Yolo, Sonoma and Marin Counties provider directory. NPI: 1023271822 must use a Quest Lab for lab 4217 Coronado Ave Unit D services. Members living in all other Stockton, CA 95204

Quest Diagnostics ^956^ counties may use any lab listed in the  provider directory. PHC#: 3347 Primary Phone: (209) 943-2118 NPI: 1619913449 Primary Fax: (209) 939-1212 6800 Palm Ave Ste G Mon - Fri 8:00 AM - 5:00 PM

Quest Diagnostics ^954^ Sebastopol, CA 95472 Sat On Call PHC#: 3347  NPI: 1619913449 Primary Phone: (707) 824-0459

Advanced Diabetes Supply ^959^ 1550 Professional Dr Ste B Primary Fax: (707) 824-8641 Petaluma, CA 94954 Mon - Fri 7:30 AM - 4:30 PM PHC#: 15727  NPI: 1245259282 Primary Phone: (707) 782-0278 Members living in Solano, Napa, 2544 Campbell Pl Ste 150 Primary Fax: (707) 782-0346 Yolo, Sonoma and Marin Counties Carlsbad, CA 92009 Mon - Fri 7:30 AM - 4:00 PM must use a Quest Lab for lab Primary Phone: (877) 869-1298 services. Members living in all other Primary Fax: (877) 869-2027 Members living in Solano, Napa, counties may use any lab listed in the Mon - Fri 8:30 AM - 5:00 PM Yolo, Sonoma and Marin Counties provider directory. must use a Quest Lab for lab All Medical Supply and services. Members living in all other

Equipment ^960^ Quest Diagnostics ^957^ counties may use any lab listed in the PHC#: 18309 provider directory. PHC#: 3347 NPI: 1619913449 NPI: 1184708372 386 Perkins St 921 Marin St

Quest Diagnostics ^955^ Sonoma, CA 95476 Vallejo, CA 94590 PHC#: 3347   NPI: 1619913449 Primary Phone: (707) 935-8969 Primary Phone: (707) 554-6701 990 Sonoma Ave Ste 18A Primary Fax: (707) 996-7624 Primary Fax: (707) 731-0781 Santa Rosa, CA 95404 Mon - Fri 7:00 AM - 3:30 PM Mon - Fri 8:00 AM - 5:00 PM  Primary Phone: (707) 575-7415 Members living in Solano, Napa,

Apria Healthcare ^961^ Primary Fax: (707) 575-7402 Yolo, Sonoma and Marin Counties PHC#: 4575 Mon - Fri 7:30 AM - 5:00 PM must use a Quest Lab for lab NPI: 1598774903 Sat 7:30 AM - 12:00 PM services. Members living in all other 755 Bevins St counties may use any lab listed in the Lakeport, CA 95453 provider directory. 

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 99 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Primary Phone: (707) 262-7046 Primary Phone: (209) 523-0202 Primary Phone: (877) 221-9457 Primary Fax: (707) 263-3743 Primary Fax: (888) 499-0202 Primary Fax: (888) 203-2261 Mon - Fri 9:00 AM - 4:00 PM Mon - Fri 9:00 AM - 5:00 PM Mon - Fri 7:30 AM - 5:00 PM Sat, Sun On Call Sat, Sun On Call

Numotion ^970^

Hometown Medical Supplies ^966^ Avella of Sacramento, Inc. ^962^ PHC#: 24456 PHC#: 20368 PHC#: 26353 NPI: 1912949702 NPI: 1295746709 NPI: 1285772343 11075 Knott Ave Ste B 2288 Auburn Blvd Ste 102 1274 Alma Court Cypress, CA 90630 Sacramento, CA 95821 San Jose, CA 95112 Skilled Medical Interpreter Service   Primary Phone: (562) 921-0258 Primary Phone: (888) 792-3888 Primary Phone: (408) 279-3955 Primary Fax: (562) 921-3730 Primary Fax: (888) 554-3299 Primary Fax: (408) 516-9662 Mon - Fri 8:00 AM - 5:00 PM Mon - Fri 8:00 AM - 5:30 PM Mon - Fri 8:00 AM - 5:00 PM

Numotion ^971^

Biohorizon Medical ^963^ Jackson Medical Supply ^967^ PHC#: 25386 PHC#: 24020 PHC#: 24035 NPI: 1720221708 NPI: 1083690127 NPI: 1578873592 4010 N Chestnut Diagonal Ste 108 3882 Del Amo Blvd Ste 604 480 Redwood St Ste 44 Fresno, CA 93726 Torrance, CA 90503 Vallejo, CA 94590   Primary Phone: (707) 644-4170 Primary Phone: (559) 431-2035 Primary Phone: (866) 914-5159 Primary Fax: (707) 644-4163 Primary Fax: (559) 431-2083 Primary Fax: (866) 914-6699 Mon - Fri 9:00 AM - 5:00 PM Mon - Fri 8:00 AM - 5:00 PM Mon - Fri 8:00 AM - 5:00 PM Sat 10:00 AM - 3:00 PM

Numotion ^972^

Byram Healthcare Centers, Inc. ^964^ Jackson Medical Supply ^968^ PHC#: 3189 PHC#: 27245 PHC#: 24036 NPI: 1568536860 NPI: 1477807667 NPI: 1104136126 1650 Tribute Rd 5302 Rancho Rd 604 Main St Sacramento, CA 95815 Huntington Beach, CA 92647 Woodland, CA 95695    Primary Phone: (916) 489-3651 Primary Phone: (877) 369-9093 Primary Phone: (530) 661-7409 Primary Fax: (916) 489-5949 Primary Fax: (866) 992-6331 Primary Fax: (530) 661-7345 Mon - Fri 8:30 AM - 4:30 PM Mon - Fri 8:30 AM - 5:00 PM Mon - Fri 9:00 AM - 5:00 PM

Numotion ^973^

Home Oxygen Company, LLC ^965^ Liberator Medical Supply, Inc. ^969^ PHC#: 2899 PHC#: 19061 PHC#: 26150 NPI: 1992879639 NPI: 1457545923 NPI: 1881698439 3500 Thomas Rd Ste B 5039 Pentecost Dr Ste C 1823 SE Airport Rd Santa Clara, CA 95054 Modesto, CA 95356 Stuart, FL 34996 

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 100 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Primary Phone: (408) 522-1200 Primary Phone: (707) 224-7921 Shield Healthcare Centers ^981^ Primary Fax: (408) 736-0203 Primary Fax: (707) 253-7399 PHC#: 1653 Mon - Fri 8:30 AM - 5:00 PM Mon - Thu 8:30 AM - 5:00 PM NPI: 1578677597 Fri 8:30 AM - 4:30 PM 2950 Buskirk Ave Ste 180

Numotion ^974^ Walnut Creek, CA 94597  PHC#: 11145 Precision Medical Products, Inc. ^978^ NPI: 1710051032 PHC#: 68678 Primary Phone: (800) 675-8840 3137 Tomahawk Dr Ste C NPI: 1629392592 Primary Fax: (925) 256-1639 Stockton, CA 95205 2217 Plaza Dr Mon - Fri 9:00 AM - 5:00 PM  Rocklin, CA 95765

Primary Phone: (209) 467-1173 Primary Phone: (888) 963-6265 Solara Medical Supplies, LLC ^982^ Primary Fax: (916) 489-5949 Primary Fax: (888) 393-6953 PHC#: 65546 Mon - Fri 8:30 AM - 4:30 PM Mon - Fri 8:00 AM - 5:00 PM NPI: 1356716534 2084 Otay Lakes Rd Ste 102

Numotion ^975^ Chula Vista, CA 91913 Prism Medical Products, LLC ^979^ PHC#: 16877 PHC#: 38231 Skilled Medical Interpreter Service NPI: 1467526707 NPI: 1548367063 Primary Phone: (800) 999-7516 446 Westridge Dr 4705 N Sonora Ave Ste 110 Primary Fax: (800) 999-7021 Watsonville, CA 95076 Fresno, CA 93722 Mon - Fri 9:00 AM - 6:00 PM   Sat, Sun On Call Primary Phone: (831) 724-5544 Primary Phone: (888) 244-6421 Primary Fax: (831) 724-3334 Primary Fax: (800) 975-6321 SuperCare Health ^983^ Mon - Fri 8:30 AM - 5:00 PM Mon - Fri 9:00 AM - 9:00 PM PHC#: 13800 NPI: 1902863202

Owens Healthcare #13 ^976^ Ron Andrews Medical Company, 505 Watt Dr Ste 3

PHC#: 28140 Inc. ^980^ Fairfield, CA 94534 NPI: 1740342807 PHC#: 4219  Primary Phone: (888) 260-2550 2690 Main St NPI: 1639108798 Primary Fax: (626) 854-2285 Susanville, CA 96130 117 Carlos Dr Mon - Fri 9:00 AM - 5:30 PM  San Rafael, CA 94903 Primary Phone: (530) 252-4065  Sat, Sun On Call Primary Fax: (530) 252-4023 Primary Phone: (415) 492-1770 Mon - Fri 8:00 AM - 5:00 PM Primary Fax: (415) 651-9625 Verus Healthcare ^984^ Mon - Fri 8:00 AM - 5:00 PM PHC#: 38441 Sat 8:30 AM - 4:30 PM Piner's Services ^977^ NPI: 1245221092 PHC#: 7148 Available By Referral Only NPI: 1407071236 No Age Limitations 907 Trancas St 1569 Mallory Ln Bldg 100 Napa, CA 94558 Brentwood, TN 37027  Skilled Medical Interpreter Service

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 101 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Telemed2U ^993^ Primary Phone: (800) 487-5566 Fritz, Benjamin Angus, MD ^989^ Primary Fax: (844) 263-6691 ♦ Internal Medicine PHC#: 32086 Mon - Fri 8:00 AM - 4:30 PM ♦ Nephrology NPI: 1326338237 Sat, Sun On Call NPI: 1265482772 Available By Referral Only License: A66856 18 Years and Older Nephrology Gender: Male Telehealth Services Spanish Primary Phone: (916) 740-3721 Hospital Privileges: Providence Santa Primary Fax: (916) 527-0770

Nephrology Associates ^985^ Rosa Memorial Hospital Mon - Fri 8:00 AM - 5:00 PM PHC#: 7422

NPI: 1063462950 Dutton, Kathleen McDade, ANP ^990^ Fritz, Benjamin Angus, MD ^994^ Available By Referral Only NPI: 1851466890 ♦ Internal Medicine No Age Limitations License: 15665 ♦ Nephrology 2301 Circadian Way Ste A Gender: Female NPI: 1265482772 Santa Rosa, CA 95407 License: A66856 , P,EB,IB,R,E Providence Medical Group, Gender: Male Level of Access: Basic Sonoma ^991^ Spanish Primary Phone: (707) 526-2027 PHC#: 26499 Hospital Privileges: Providence Santa Primary Fax: (707) 526-2096 NPI: 1871607762 Rosa Memorial Hospital Mon - Fri 9:00 AM - 5:30 PM Available By Referral Only No Age Limitations Telehealth services must be arranged

Barrow, Sandra, MD ^986^ 108 Lynch Creek Way Ste 2 by your PHC doctor. To find all ♦ Internal Medicine Petaluma, CA 94954 telehealth specialties available NPI: 1437380987  through Telemed2U look under the License: C157688 Primary Phone: (707) 762-5078 specific specialty listed in this Gender: Female Primary Fax: (707) 765-3340 directory. Hospital Privileges: Providence Santa Mon - Fri 8:30 AM - 5:00 PM Rosa Memorial Hospital Neurological Surgery

Calaf, Salvador Federico, MD ^987^

Osman, Farid, MD ^992^ ♦ Internal Medicine ♦ Nephrology NPI: 1053572156 NPI: 1962423103 Providence Medical Group,

License: A131449 License: A85616 Sonoma ^995^ Gender: Male Gender: Male PHC#: 33135 Spanish Farsi, French, Spanish NPI: 1871607762 Hospital Privileges: Providence Santa Hospital Privileges: Petaluma Valley Available By Referral Only Rosa Memorial Hospital Hospital No Age Limitations

Cheung, Eric Lerang, MD ^988^ CCS Provider 525 Doyle Park Dr Ste 102 NPI: 1497998777 Santa Rosa, CA 95405 License: A104269  Gender: Male Primary Phone: (707) 523-1873 Mandarin Primary Fax: (707) 523-0679 Hospital Privileges: Providence Santa Mon - Fri 8:00 AM - 4:30 PM Rosa Memorial Hospital

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 102 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Birch, Kurtis Gray, MD ^996^ Weber, Peter Broun, MD ^1002^ Gravenstein Community Health

NPI: 1659781565 ♦ Neurological Surgery Center ^1005^ License: A121149 NPI: 1639165483 West County Health Centers Gender: Male License: A53445 PHC#: 32901 Hospital Privileges: Providence Santa Gender: Male NPI: 1861809501 Rosa Memorial Hospital Hospital Privileges: Available By Referral Only

Consiglieri, Giac Donati, MD ^997^ California Pacific Medical Center No Age Limitations ♦ Neurological Surgery Novato Community Hospital 652 Petaluma Ave Ste H NPI: 1124208277 Sutter Solano Medical Center Sebastopol, CA 95472 License: A131940 CCS Provider , P,EB,IB,R,E Gender: Male Level of Access: Basic Hospital Privileges: Providence Santa Neurology Primary Phone: (707) 823-3166 Rosa Memorial Hospital Primary Fax: (707) 869-8170

Germain, Rasha, MD ^998^ Mon - Thu 9:00 AM - 8:00 PM Dignity Health Medical Group ♦ Neurological Surgery Fri 9:00 AM - 5:00 PM

North State ^1003^ NPI: 1356521389 Sat 9:00 AM - 12:00 PM License: A131813 PHC#: 73406 Gender: Female NPI: 1912288432 Bernstein, Allan Lewis, MD  ^1006^ Hospital Privileges: Providence Santa Available By Referral Only ♦ Neurology Rosa Memorial Hospital No Age Limitations NPI: 1992889067 2624 Edith Ave License: G22090

Grgich, Kyle Mitchell, PA-C ^999^ Redding, CA 96001 Gender: Male NPI: 1972018745 Primary Phone: (530) 806-1190 Spanish License: 55189 Primary Fax: (530) 229-7946 Hospital Privileges: Healdsburg Gender: Male Mon - Fri 8:00 AM - 5:00 PM District Hospital

Kwock, Jaremy Lowe, PA-C ^1000^ CCS Provider NPI: 1356491112

Servioli Verde, Maria Jose, MD ^1004^ License: 18553 NPI: 1205169109 Special Accommodations: Adj. Exam Gender: Male License: C164908 Tables, Gurney Accommodations, Gender: Female Scales that weigh up to 500lbs Sutter Medical Group of the Hospital Privileges: Mercy Medical Center-Redding Redwoods ^1001^

Petaluma Health Center ^1007^ PHC#: 20011 PHC#: 14857 NPI: 1003267196 NPI: 1588656268 Available By Referral Only Available By Referral Only No Age Limitations No Age Limitations 3883 Airway Dr Ste 202 1179 N McDowell Blvd Santa Rosa, CA 95403 Petaluma, CA 94954  , P,EB,IB,R,E Primary Phone: (707) 521-7788 Level of Access: Basic Primary Fax: (707) 573-5423 Mon - Fri 8:00 AM - 5:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 103 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Primary Phone: (707) 559-7500 Lai, Stella, MD ^1011^ CCS Provider

Primary Fax: (707) 559-7620 NPI: 1588906663 Lewton, Zachary Richard, MD ^1017^ Mon - Thu 8:00 AM - 8:00 PM License: A154245 NPI: 1346202975 Fri 8:00 AM - 5:00 PM Gender: Female License: C55988 Sat 8:30 AM - 12:00 PM CCS Provider Gender: Male

Lewton, Zachary Richard, MD ^1012^ Hospital Privileges: Providence Santa

Bernstein, Allan Lewis, MD  ^1008^ NPI: 1346202975 Rosa Memorial Hospital ♦ Neurology License: C55988 CCS Provider NPI: 1992889067 Gender: Male License: G22090 Hospital Privileges: Providence Santa

Rohnert Park Health Center ^1018^ Gender: Male Rosa Memorial Hospital Spanish CCS Provider Petaluma Health Center Hospital Privileges: Healdsburg PHC#: 35718 NPI: 1669870739

District Hospital Bedolla, Stephanie Lisette, ANP  ^1013^ Available By Referral Only CCS Provider NPI: 1265717565 License: 95002835 No Age Limitations Special Accommodations: Adj. Exam Gender: Female 5900 State Farm Dr Ste 200 Tables Spanish Rohnert Park, CA 94928 , P,EB,IB,R,E,T Level of Access: Basic Providence Medical Group, Providence Medical Group, Primary Phone: (707) 559-7600

Sonoma ^1009^ Sonoma ^1014^ Primary Fax: (707) 559-7620 PHC#: 44389 PHC#: 30990 Mon - Wed 8:00 AM - 6:30 PM NPI: 1871607762 NPI: 1871607762 Thu, Fri 8:00 AM - 5:00 PM Available By Referral Only Available By Referral Only

No Age Limitations No Age Limitations Bernstein, Allan Lewis, MD  ^1019^ 1476 Professional Dr Ste 504 1162 Montgomery Dr ♦ Neurology Petaluma, CA 94954 Santa Rosa, CA 95405 NPI: 1992889067  Primary Phone: (707) 890-4250 License: G22090 Primary Phone: (707) 303-1714 Primary Fax: (707) 303-3996 Gender: Male Primary Fax: (707) 303-3996 Mon - Fri 8:00 AM - 5:00 PM Spanish Tue 9:00 AM - 4:00 PM Hospital Privileges: Healdsburg District Hospital Ferrer, Gerrard F, DO ^1015^

Ferrer, Gerrard F, DO ^1010^ NPI: 1689719353 CCS Provider NPI: 1689719353 License: 20A14083 License: 20A14083 Gender: Male Special Accommodations: Adj. Exam Gender: Male Spanish Tables, Hearing Impaired Spanish Hospital Privileges: Providence Santa Accommodations, Gurney Hospital Privileges: Providence Santa Rosa Memorial Hospital Accommodations, Medical Equipment Rosa Memorial Hospital CCS Provider Access, Scales that weigh up to CCS Provider 600lbs Lai, Stella, MD ^1016^ NPI: 1588906663 License: A154245 Gender: Female

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 104 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Sutter Medical Group of the Belaga, Gary Allen, MD ^1024^ Primary Phone: (650) 514-6640

Redwoods ^1020^ ♦ Neurology Primary Fax: (661) 843-6128 PHC#: 20011 NPI: 1720196744 Mon - Sun 8:00 AM - 8:00 PM NPI: 1003267196 License: G52395

Available By Referral Only Gender: Male Vazquez Vega, Elisa, RD ^1030^

No Age Limitations Dhillon, Surisham, MD ^1025^ NPI: 1447824719 3883 Airway Dr Ste 202 NPI: 1770652299 License: 86113063 Santa Rosa, CA 95403 License: A51651 Gender: Female  Gender: Female Primary Phone: (707) 521-7788 Hindi Northern California Center for

Primary Fax: (707) 573-5423 Dragicevic, Natasa, MD ^1026^ Well-Being ^1031^ Mon - Fri 8:00 AM - 5:00 PM NPI: 1124386156 License: A169361 PHC#: 21319 Gender: Female NPI: 1962587964

Duncan, Max Barnett, DO ^1021^ 101 Brookwood Ave Ste A

♦ Neurology Levyim, Desiree, MD ^1027^ NPI: 1497167985 Santa Rosa, CA 95404 NPI: 1114066974  License: A146350 License: 20A5164 Primary Phone: (707) 575-6043 Gender: Female Gender: Male Primary Fax: (707) 575-1060 Farsi Hospital Privileges: Sutter Santa Mon - Fri 9:00 AM - 5:00 PM

Rosa Regional Hospital Younger, Joel Bruce, MD ^1028^ ♦ Neurology

Mendius, J Richard, MD ^1022^

Bulloch, Nora Lee, RD ^1032^ ♦ Sleep Medicine - & ♦ Neurology NPI: 1528342474 Neurology NPI: 1295765881 License: 809272 NPI: 1023088127 License: G40321 Gender: Female Gender: Male License: G49108

Muirhead, Ariel, RD ^1033^ Gender: Male Hospital Privileges: NPI: 1457808636 CCS Provider Novato Community Hospital License: 086031708 Sutter Santa Rosa Regional Hospital Gender: Female Telehealth services must be arranged CCS Provider Spanish by your PHC doctor. To find all telehealth specialties available

Telemed2U ^1023^ through Telemed2U look under the Petaluma Valley Hospital ^1034^ PHC#: 32086 specific specialty listed in this PHC#: 2950 NPI: 1326338237 directory. NPI: 1235162645 Available By Referral Only 400 N McDowell Blvd 18 Years and Older Nutrition Services Petaluma, CA 94954 Telehealth Services  Primary Phone: (916) 740-3721 Primary Phone: (707) 778-1111

Primary Fax: (916) 527-0770 Healthy at Home ^1029^ Mon - Fri 8:00 AM - 5:00 PM Mon - Fri 8:00 AM - 5:00 PM PHC#: 73270 NPI: 1508433574 Telehealth Services

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 105 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Providence Santa Rosa Memorial Obstetrics Alliance Medical Center ^1041^

Hospital ^1035^ PHC#: 19393 PHC#: 2718 NPI: 1710218409

Alliance Medical Center ^1038^ NPI: 1134152549 Accepting New Patients PHC#: 5062 1165 Montgomery Dr No Age Limitations NPI: 1750399796 Santa Rosa, CA 95405 8465 Old Redwood Hwy Ste 320 Accepting New Patients  Windsor, CA 95492 Primary Phone: (707) 525-5300 No Age Limitations , P,R,E 1381 University Ave Mon - Fri 8:00 AM - 5:00 PM Level of Access: Limited Healdsburg, CA 95448 Primary Phone: (707) 433-5494 , P,EB,IB,R Primary Fax: (707) 385-2157 Sonoma County Indian Health Level of Access: Limited Mon 7:00 AM - 6:00 PM Project ^1036^ Primary Phone: (707) 433-5494 Tue, Wed 7:00 AM - 7:00 PM PHC#: 16716 Primary Fax: (707) 385-2157 Thu, Fri 8:00 AM - 7:00 PM NPI: 1265457980 Mon - Fri 8:00 AM - 5:00 PM Available By Referral Only

Gladstein, Andrea Bialek, MD ^1042^

No Age Limitations Drexler, Brad, MD  ^1039^ NPI: 1881795763 144 Stony Point Rd ♦ Obstetrics & Gynecology License: G60217 Santa Rosa, CA 95401 NPI: 1265449607 Gender: Female , P,EB,IB,R,E License: G55235 Level of Access: Basic Gender: Male

Piersol, Patricia Ellen, CNM  ^1043^ Primary Phone: (707) 521-4500 Spanish NPI: 1265400824 Primary Fax: (707) 544-4626 Hospital Privileges: License: 6581 Mon - Fri 8:00 AM - 5:00 PM Healdsburg District Hospital Gender: Female Sutter Santa Rosa Regional Hospital Spanish Special Accommodations: Adj. Exam

Tables, Hearing Impaired Piersol, Patricia Ellen, CNM  ^1040^ Special Accommodations: Adj. Exam Accommodations, Gurney NPI: 1265400824 Tables Accommodations, Scales that weigh License: 6581 up to 400lbs Gender: Female No referral required for in-network Spanish OB/GYN providers

Sonoma Valley Hospital ^1037^ Special Accommodations: Adj. Exam PHC#: 3283 Tables Amara, D. Paul, MD ^1044^ NPI: 1710063870 PHC#: 19963 347 Andrieux St No referral required for in-network NPI: 1518958313 Sonoma, CA 95476 OB/GYN providers Accepting New Patients  No Age Limitations Primary Phone: (707) 935-5000 181 Andrieux St Ste 108 Primary Fax: (707) 935-5320 Sonoma, CA 95476 Mon - Fri 8:00 AM - 5:00 PM 

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 106 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Clark, Julie Diane, MD  ^1050^ Primary Phone: (707) 938-3300 Occidental Area Health Center ^1048^ Primary Fax: (707) 938-2315 West County Health Centers NPI: 1346216389 Mon 9:00 AM - 4:00 PM PHC#: 1881 License: A98041 Tue - Thu 9:00 AM - 5:00 PM NPI: 1598768962 Gender: Female Fri 9:00 AM - 12:00 PM Accepting New Patients Spanish No Age Limitations Hospital Privileges: Petaluma Valley

Amara, Dominic Paul, MD ^1045^ 3802 Main St Hospital

NPI: 1518958313 Occidental, CA 95465 Redwood, Fiona Clare, MD  ^1051^ License: G76226 , P,EB,IB,R,E NPI: 1255323945 Gender: Male Level of Access: Basic License: C51019 Spanish Primary Phone: (707) 874-2444 Gender: Female Hospital Privileges: Sonoma Valley Primary Fax: (707) 874-1664 Hospital Privileges: Petaluma Valley Hospital Mon - Thu 9:00 AM - 8:00 PM Hospital Fri 9:00 AM - 5:00 PM

No referral required for in-network Sat 9:00 AM - 12:00 PM James, Le Ann, CNM  ^1052^ OB/GYN providers NPI: 1265659023 Special Accommodations: Adj. Exam License: 835 Gender: Female

Drexler, Brad, MD ^1046^ Tables, Scales that weigh up to McLeod-Waldo, Rebecca Lee, CNM PHC#: 20162 400lbs

 ^1053^ NPI: 1265449607 NPI: 1750514766 Accepting New Patients No referral required for in-network OB/GYN providers License: 1864 No Age Limitations Gender: Female 431 March Ave Ste A Spanish

Healdsburg, CA 95448 Petaluma Health Center ^1049^

Richman, Kristin Joy, CNM  ^1054^  PHC#: 14857 NPI: 1831392612 Primary Phone: (707) 431-8843 NPI: 1588656268 License: 2039 Primary Fax: (707) 431-0678 Accepting New Patients Gender: Female Mon - Thu 8:30 AM - 5:00 PM No Age Limitations 1179 N McDowell Blvd Special Accommodations: Adj. Exam

Drexler, Brad, MD  ^1047^ Petaluma, CA 94954 Tables ♦ Obstetrics & Gynecology , P,EB,IB,R,E NPI: 1265449607 Level of Access: Basic No referral required for in-network License: G55235 Primary Phone: (707) 559-7500 OB/GYN providers Gender: Male Primary Fax: (707) 559-7620 Spanish Mon - Thu 8:00 AM - 8:00 PM Hospital Privileges: Fri 8:00 AM - 5:00 PM Healdsburg District Hospital Sat 8:30 AM - 12:00 PM Sutter Santa Rosa Regional Hospital

No referral required for in-network OB/GYN providers

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 107 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Providence Medical Group, Primary Phone: (707) 303-1719 Schuster, Nikki Anne, CNM ^1066^

Sonoma ^1055^ Primary Fax: (707) 387-3696 NPI: 1558776237 PHC#: 26504 Mon - Fri 8:30 AM - 5:00 PM License: 236137 NPI: 1871607762 Gender: Female

Kurss, Jonathan Michael, MD ^1059^ Accepting New Patients Smith, Elizabeth P, CNM ^1067^ No Age Limitations NPI: 1154685121 NPI: 1497016711 1550A Professional Dr Ste 100 License: A142087 License: 1382 Petaluma, CA 94954 Gender: Male Gender: Female  Hospital Privileges: Providence Santa Primary Phone: (707) 763-2900 Rosa Memorial Hospital No referral required for in-network

Primary Fax: (707) 763-2990 Sacher, Gregory Neill, MD ^1060^ OB/GYN providers Mon - Fri 8:30 AM - 4:30 PM NPI: 1972682011 License: A68058

Rohnert Park Health Center ^1068^ Gender: Male

Clark, Julie Diane, MD  ^1056^ Hospital Privileges: Providence Santa PHC#: 35718 NPI: 1346216389 NPI: 1669870739 License: A98041 Rosa Memorial Hospital CCS Provider Accepting New Patients Gender: Female No Age Limitations Spanish Vaynberg, Dina, MD ^1061^ NPI: 1598051575 5900 State Farm Dr Ste 200 Hospital Privileges: Petaluma Valley Rohnert Park, CA 94928 Hospital License: A132247 Gender: Female , P,EB,IB,R,E,T

Kosinski, Anthony Paul, MD ^1057^ Russian Level of Access: Basic NPI: 1588656631 Primary Phone: (707) 559-7600 License: G88554 Primary Fax: (707) 559-7620 Gender: Male Allair, Hilary Ann, CNM ^1062^ NPI: 1194337451 Mon - Wed 8:00 AM - 6:30 PM Spanish Thu, Fri 8:00 AM - 5:00 PM Hospital Privileges: Petaluma Valley License: 95015669 Gender: Female Hospital McLeod-Waldo, Rebecca Lee, CNM CCS Provider Dettloff, Renee Theresa, CNM ^1063^

 ^1069^ NPI: 1285170951 NPI: 1750514766 License: 236013 No referral required for in-network License: 1864 Gender: Female OB/GYN providers Gender: Female

Hurley, Jennifer Marie, CNM ^1064^ Spanish NPI: 1588183099 Providence Medical Group, License: 235898

Sonoma ^1058^ Special Accommodations: Adj. Exam Gender: Female PHC#: 31847 Tables, Hearing Impaired

Kopp-Yates, Hannah Rowena, CNM NPI: 1871607762 ^1065^ Accommodations, Gurney NPI: 1255783080 Accommodations, Medical Equipment Accepting New Patients License: 235831 No Age Limitations Access, Scales that weigh up to Gender: Female 600lbs 500 Doyle Park Dr Ste 200 French, German, Spanish Santa Rosa, CA 95405 , P,EB,IB,R,E No referral required for in-network Level of Access: Basic OB/GYN providers

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 108 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Russian River Health Center ^1070^ Donlon, Deborah Tracy, MD ^1072^ Sonoma Valley Community Health

West County Health Centers NPI: 1184753121 Center ^1077^ PHC#: 4770 License: A80414 PHC#: 13084 NPI: 1356344758 Gender: Female NPI: 1770669715 Accepting New Patients Spanish Accepting New Patients

No Age Limitations Duncan, Parker Andrew, MD ^1073^ No Age Limitations 16319 3rd St ♦ Family Medicine 19270 Sonoma Hwy 12 Guerneville, CA 95446 NPI: 1033434923 Sonoma, CA 95476 , P,EB,IB,E License: A118268 , P,EB,IB,R,E,T Level of Access: Limited Gender: Male Level of Access: Basic Primary Phone: (707) 869-2849 Spanish Primary Phone: (707) 939-6070 Primary Fax: (707) 869-1477 Hospital Privileges: Sutter Santa Primary Fax: (707) 939-6077 Mon - Thu 9:00 AM - 8:00 PM Rosa Regional Hospital Mon - Fri 8:30 AM - 6:00 PM

Fri 9:00 AM - 5:00 PM Martin, Laura, MD ^1074^ Sat 9:00 AM - 3:30 PM Sat 9:00 AM - 12:00 PM NPI: 1225353923 License: A117827

Amara, Dominic Paul, MD ^1078^ Special Accommodations: Adj. Exam Gender: Female NPI: 1518958313 Tables French, Spanish License: G76226 Hospital Privileges: Sutter Santa Gender: Male No referral required for in-network Rosa Regional Hospital Spanish

OB/GYN providers Rice, Kyla Monene, MD ^1075^ Hospital Privileges: Sonoma Valley NPI: 1780800615 Hospital License: A99647 Santa Rosa Community Levine, Stanley D, MD ^1079^ Gender: Female ♦ Obstetrics & Gynecology

Health-Lombardi Campus ^1071^ Spanish NPI: 1245250851 PHC#: 9828 Hospital Privileges: Sutter Santa License: C21763 NPI: 1386712065 Rosa Regional Hospital Gender: Male Accepting New Patients Sanchez Mendez, Enrique, MD ^1076^ Hospital Privileges: Sonoma Valley No Age Limitations NPI: 1710164371 Hospital 751 Lombardi Ct Ste B License: A112138 Santa Rosa, CA 95407 Gender: Male Special Accommodations: Adj. Exam , P,EB,IB,R,E Spanish Tables, Medical Equipment Access, Level of Access: Basic Hospital Privileges: Sutter Santa Scales that weigh up to 550lbs Primary Phone: (707) 547-2222 Rosa Regional Hospital Primary Fax: (707) 547-2229 No referral required for in-network Mon - Thu 8:00 AM - 9:00 PM Special Accommodations: Adj. Exam OB/GYN providers Fri 8:00 AM - 5:00 PM Tables Sat 9:00 AM - 3:00 PM No referral required for in-network OB/GYN providers

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 109 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Sutter Medical Group of the Kwon, Nicole Boon Jung, MD ^1084^ No referral required for in-network

Redwoods ^1080^ NPI: 1427349869 OB/GYN providers PHC#: 34943 License: A124134 Gender: Female

NPI: 1003267196 The Modern Woman ^1089^ Accepting New Patients Hospital Privileges: Sutter Santa Rosa Regional Hospital PHC#: 70351 No Age Limitations NPI: 1902422280 34 Mark West Springs Rd 2nd Fl Pride, Matthew Barry, MD ^1085^ NPI: 1588627855 Accepting New Patients Santa Rosa, CA 95403 No Age Limitations , P,EB,IB,R,E,T License: G78085 Gender: Male 990 Sonoma Ave Ste 18 Level of Access: Basic Santa Rosa, CA 95404 Primary Phone: (707) 541-7900 Spanish Hospital Privileges: Primary Phone: (707) 579-1102 Primary Fax: (707) 573-5413 Primary Fax: (707) 579-1386 Mon - Fri 8:00 AM - 5:00 PM Providence Santa Rosa Memorial Hospital Mon - Fri 9:00 AM - 5:00 PM Sutter Santa Rosa Regional Hospital

Bartlett, Tara Corinne, DO ^1081^

Khawaja, Shazah, MD ^1090^ ♦ Obstetrics & Gynecology Seeker, Melissa Ann, MD ^1086^ NPI: 1851736342 NPI: 1083636450 NPI: 1588000863 License: C55816 License: 20A14991 License: A149145 Gender: Female Gender: Female Gender: Female Punjabi, Spanish, Urdu Hospital Privileges: Hospital Privileges: Providence Santa Rosa Memorial Hospital Privileges: Providence Santa Providence Santa Rosa Memorial Rosa Memorial Hospital Hospital Hospital Sutter Santa Rosa Regional Hospital Sutter Santa Rosa Regional Hospital

Eckert, Kirsten Elyse, CNM ^1091^

Wang, Rita Y. F., MD ^1087^

Dehnad, Susan Katrina, MD ^1082^ NPI: 1932227758 NPI: 1306246772 ♦ Obstetrics & Gynecology License: 235674 NPI: 1922294834 License: A113061 Gender: Female Gender: Female License: A100690 Spanish Gender: Female Mandarin Hospital Privileges: Rondou, Cecelia Anne, CNM ^1092^ Hospital Privileges: Sutter Santa NPI: 1285950147 Rosa Regional Hospital Providence Santa Rosa Memorial Hospital License: 1377 Kahl, Natasha Ann, MD ^1083^ Gender: Female NPI: 1942252911 Sutter Santa Rosa Regional Hospital

License: A62156 Weinert, Ashley Kay, MD ^1088^ NPI: 1932162419 No referral required for in-network Gender: Female OB/GYN providers Hospital Privileges: License: G76709 Providence Santa Rosa Memorial Gender: Female

Women's OBGYN, Inc. ^1093^ Hospital Spanish Sutter Santa Rosa Regional Hospital Hospital Privileges: PHC#: 68847 Providence Santa Rosa Memorial NPI: 1316439979 Hospital Accepting New Patients Sutter Santa Rosa Regional Hospital No Age Limitations 1111 Sonoma Ave Ste 202 Santa Rosa, CA 95405

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 110 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Primary Phone: (707) 575-1626 Primary Phone: (707) 778-1111 Oncology Primary Fax: (707) 575-3941 Mon - Fri 8:00 AM - 5:00 PM Mon - Fri 9:00 AM - 5:00 PM Providence Medical Group, Providence Santa Rosa Memorial

Sonoma ^1101^

Emad, Lela Maryam, MD ^1094^

Hospital ^1098^ NPI: 1811902612 PHC#: 31142 License: G61698 PHC#: 2718 NPI: 1871607762 Gender: Female NPI: 1134152549 Available By Referral Only Farsi, Spanish 1165 Montgomery Dr No Age Limitations Hospital Privileges: Providence Santa Santa Rosa, CA 95405 110 Lynch Creek Way Ste A  Rosa Memorial Hospital Petaluma, CA 94954 Primary Phone: (707) 525-5300 , EB,IB,R,E Logan, Susan Cameron, MD ^1095^ Mon - Fri 8:00 AM - 5:00 PM NPI: 1982716221 Level of Access: Limited License: G69486 Primary Phone: (707) 763-0600 Gender: Female Sonoma Valley Hospital Hand and Primary Fax: (707) 765-1757

Spanish Physical ^1099^ Mon - Fri 8:00 AM - 5:00 PM Hospital Privileges: Providence Santa PHC#: N/A

Rosa Memorial Hospital NPI: 1710063870 Anderson, Ian Churchill, MD ^1102^ 19312 Sonoma Hwy NPI: 1518055573 No referral required for in-network Sonoma, CA 95476 License: A49481 OB/GYN providers  Gender: Male Primary Phone: (707) 935-5345 Hospital Privileges: Sutter Santa Rosa Regional Hospital Occupational Therapy Primary Fax: (707) 935-5423 Mon - Fri 7:00 AM - 5:00 PM CCS Provider

Keck, Sara Ann, MD ^1103^

Healdsburg District Hospital ^1096^ Sutter Santa Rosa Regional ♦ Medical Oncology PHC#: 1874 NPI: 1770743312

Hospital ^1100^ NPI: 1194824573 License: A104085 PHC#: 6032 1375 University Ave Gender: Female NPI: 1740413798 Healdsburg, CA 95448 Hospital Privileges: Providence Santa  30 Mark West Springs Rd Rosa Memorial Hospital Skilled Medical Interpreter Service Santa Rosa, CA 95403 CCS Provider  Primary Phone: (707) 431-6500 Keiser, Leroy Wayne, MD ^1104^ Primary Phone: (707) 576-4000 Primary Fax: (707) 431-6363 ♦ Internal Medicine Primary Fax: (707) 576-4318 24 Hours 7 Days a Week ♦ Medical Oncology Mon - Fri 8:00 AM - 5:00 PM NPI: 1417047283 License: G28436

Petaluma Valley Hospital ^1097^ Gender: Male PHC#: 2950 Hospital Privileges: Providence Santa NPI: 1235162645 Rosa Memorial Hospital 400 N McDowell Blvd CCS Provider Petaluma, CA 94954 

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 111 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Providence Medical Group, Lee, Wes Shen-Lin, MD ^1105^ CCS Provider

Lee, Wes Shen-Lin, MD ^1114^ ♦ Medical Oncology Sonoma ^1109^ NPI: 1376633149 PHC#: 31141 ♦ Medical Oncology License: G82213 NPI: 1871607762 NPI: 1376633149 Gender: Male Available By Referral Only License: G82213 Hospital Privileges: Providence Santa No Age Limitations Gender: Male Rosa Memorial Hospital 3555 Round Barn Cir Hospital Privileges: Providence Santa CCS Provider Santa Rosa, CA 95403 Rosa Memorial Hospital

Marsland, Thomas, MD ^1106^  CCS Provider

♦ Internal Medicine Primary Phone: (707) 528-1050 Marsland, Thomas, MD ^1115^ ♦ Medical Oncology Primary Fax: (707) 525-3874 ♦ Internal Medicine NPI: 1477558716 Mon - Fri 8:00 AM - 5:00 PM ♦ Medical Oncology License: G140901 NPI: 1477558716 Gender: Male License: G140901

Anderson, Ian Churchill, MD ^1110^ Hospital Privileges: Providence Santa NPI: 1518055573 Gender: Male Rosa Memorial Hospital License: A49481 Hospital Privileges: Providence Santa CCS Provider Gender: Male Rosa Memorial Hospital Hospital Privileges: Sutter Santa CCS Provider

Providence Medical Group, Rosa Regional Hospital Pollock, YaoYao Guan, MD ^1116^ CCS Provider NPI: 1154692549 Sonoma ^1107^ License: A147607

Holmes, Jarrod Paul, MD ^1111^ PHC#: 31445 NPI: 1013018035 Gender: Female NPI: 1871607762 Mandarin Available By Referral Only License: A104861

Gender: Male Vulchi, Manasa, MD ^1117^ No Age Limitations Hospital Privileges: Providence Santa NPI: 1760739296 121 Sotoyome St Ste 203 Rosa Memorial Hospital License: A161037 Santa Rosa, CA 95405 Gender: Female  CCS Provider CCS Provider Level of Access: Limited Keck, Sara Ann, MD ^1112^ Primary Phone: (707) 525-6623 ♦ Medical Oncology

Mortensen, Theresa Louise, FNP ^1118^ Primary Fax: (707) 546-3799 NPI: 1770743312 NPI: 1972683753 Mon - Fri 9:00 AM - 5:00 PM License: A104085 Gender: Female License: 13352 Hospital Privileges: Providence Santa Gender: Female

Shaw, Amy Elizabeth, MD ^1108^ NPI: 1427127588 Rosa Memorial Hospital License: G69999 CCS Provider Sutter Medical Group of the

Keiser, Leroy Wayne, MD ^1113^ Gender: Female Redwoods ^1119^ Hospital Privileges: Providence Santa ♦ Internal Medicine PHC#: 20022 Rosa Memorial Hospital ♦ Medical Oncology NPI: 1003267196 NPI: 1417047283 Available By Referral Only License: G28436 No Age Limitations Gender: Male 3883 Airway Dr Ste 220 Hospital Privileges: Providence Santa Santa Rosa, CA 95403 Rosa Memorial Hospital 

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 112 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Primary Phone: (707) 521-7750 Ophthalmology Schluter, Sophia Wamsley, MD ^1128^ Primary Fax: (707) 573-5427 ♦ Ophthalmology Mon - Fri 8:00 AM - 5:00 PM NPI: 1982682324

Brien A. Seeley, MD ^1125^ License: A88299 PHC#: 20655 Cao, Ying, MD ^1120^ Gender: Female ♦ Internal Medicine NPI: 1972566842 Russian NPI: 1326209438 Available By Referral Only Hospital Privileges: Sonoma Valley License: A123342 No Age Limitations Hospital Gender: Female 4739 Hoen Ave CCS Provider Hospital Privileges: Sutter Santa Santa Rosa, CA 95405 Rosa Regional Hospital Primary Phone: (707) 544-2720

Eye Care Institute ^1129^ Primary Fax: (707) 544-2734 Kanaan, Zeyad Hashem, MD ^1121^ NPI: 1144412560 Mon - Fri 8:00 AM - 5:00 PM PHC#: 37468 License: A157617 NPI: 1295740991 Available By Referral Only Gender: Male Seeley, Brien Aven, MD ^1126^ Arabic ♦ Ophthalmology No Age Limitations Hospital Privileges: Sutter Santa NPI: 1972566842 1383 N McDowell Blvd Ste 100 Rosa Regional Hospital License: G27860 Petaluma, CA 94954 Gender: Male  Nguyen, David Minh, MD ^1122^ Primary Phone: (707) 546-9800 NPI: 1508094160 Hospital Privileges: Providence Santa Primary Fax: (707) 546-4112 License: A119373 Rosa Memorial Hospital Mon - Fri 8:30 AM - 5:30 PM Gender: Male CCS Provider Hospital Privileges: Sutter Santa

Ni, Nina, MD ^1130^ Rosa Regional Hospital Eye Associates of Northern ♦ Ophthalmology

California, Inc. ^1127^ NPI: 1780959734

Barajas, Cecilia Alvarez, PA-C ^1123^ PHC#: 18943 License: A137049 NPI: 1942844055 NPI: 1396939682 Gender: Female License: 59046 Available By Referral Only Mandarin Gender: Female No Age Limitations Hospital Privileges: Providence Santa

Fisher, Erin Michelle, PA-C ^1124^ 696 3rd St W Rosa Memorial Hospital NPI: 1891335766 Sonoma, CA 95476 CCS Provider License: 57574  Rich, Daniel George, MD ^1131^ Gender: Female Primary Phone: (707) 996-1900 ♦ Ophthalmology Primary Fax: (707) 996-4396 NPI: 1710965058 Mon, Wed 9:00 AM - 2:00 PM License: G60828 Tue, Thu 9:00 AM - 5:00 PM Gender: Male Spanish CCS Provider

Shah, Avni Ashok, MD ^1132^ NPI: 1598007676 License: A163015 Gender: Female

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 113 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Yang, Lillian, MD ^1139^ Yang, Lillian, MD ^1133^ CCS Provider NPI: 1871855411 NPI: 1871855411 License: A143875 License: A143875

Matthew A. Powers, MD MBA ^1144^ Gender: Female Gender: Female CCS Provider CCS Provider PHC#: 69550 NPI: 1295152379 Available By Referral Only

Garden, Valerie S., MD ^1140^ Eye Care Institute ^1134^ No Age Limitations PHC#: 37467 PHC#: 28297 3536 Mendocino Ave Ste 380 NPI: 1295740991 NPI: 1487785101 Santa Rosa, CA 95403 Available By Referral Only Available By Referral Only Primary Phone: (707) 575-5353 No Age Limitations No Age Limitations Primary Fax: (707) 523-7729 720 4th St 1140 Sonoma Ave Bldg 2A Mon - Fri 8:00 AM - 5:00 PM Santa Rosa, CA 95404 Santa Rosa, CA 95405 Sat, Sun On Call   Primary Phone: (707) 763-6400 Primary Phone: (707) 542-1225 Powers, Matthew Armstrong, MD ^1145^ Primary Fax: (707) 528-4967 Primary Fax: (707) 542-6503 ♦ Ophthalmology Mon - Fri 8:30 AM - 5:00 PM Mon - Thu 9:00 AM - 5:00 PM NPI: 1295152379 License: A139016

Garden, Valerie Sondra, MD ^1141^ Alsamarae, Arwa Mustafa, MD ^1135^ Gender: Male NPI: 1487072534 NPI: 1487785101 License: A162389 License: A52403

Meffert, Stephen A., MD ^1146^ Gender: Female Gender: Female PHC#: 9714

Ni, Nina, MD ^1136^ Hospital Privileges: Providence Santa ♦ Ophthalmology Rosa Memorial Hospital NPI: 1609879105 NPI: 1780959734 Available By Referral Only License: A137049 No Age Limitations

Ira H Schachar, MD MSc ^1142^ Gender: Female 3536 Mendocino Ave Ste 380 Mandarin PHC#: 73393 Santa Rosa, CA 95403 Hospital Privileges: Providence Santa NPI: 1316267180  Rosa Memorial Hospital Available By Referral Only Primary Phone: (707) 575-5353 CCS Provider No Age Limitations Primary Fax: (707) 523-7729 3536 Mendocino Ave Ste 380 Mon - Fri 8:00 AM - 5:30 PM

Rich, Daniel George, MD ^1137^ ♦ Ophthalmology Santa Rosa, CA 95403

NPI: 1710965058 Primary Phone: (707) 575-5353 Meffert, Stephen Armstrong, MD ^1147^ License: G60828 Primary Fax: (707) 523-7729 NPI: 1609879105 Gender: Male Mon - Fri 8:00 AM - 5:00 PM License: A51000 Spanish Sat, Sun On Call Gender: Male CCS Provider Hospital Privileges: Providence Santa

Schachar, Ira Hyman, MD  ^1143^ Rosa Memorial Hospital

Shah, Avni Ashok, MD ^1138^ NPI: 1598007676 ♦ Ophthalmology CCS Provider License: A163015 NPI: 1316267180 Gender: Female License: A131109 Gender: Male

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 114 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

North Bay Eye Associates Inc. ^1148^ Bacharach, Jason, MD ^1153^ Bacharach, Jason, MD ^1158^ PHC#: 7185 ♦ Ophthalmology ♦ Ophthalmology NPI: 1952418378 NPI: 1639160112 NPI: 1639160112 Available By Referral Only License: G73984 License: G73984 No Age Limitations Gender: Male Gender: Male 1310 Prentice Dr Ste F Hospital Privileges: Providence Santa Hospital Privileges: Providence Santa Healdsburg, CA 95448 Rosa Memorial Hospital Rosa Memorial Hospital

Bartlett, William Harold, MD ^1159^  Saidel, Michael Andrew, MD ^1154^ Primary Phone: (707) 433-9475 ♦ Ophthalmology ♦ Ophthalmology Primary Fax: (707) 431-2013 NPI: 1184780330 NPI: 1881680171 Mon - Fri 8:00 AM - 5:00 PM License: A86376 License: G85502 Gender: Male Gender: Male Hospital Privileges: Sonoma Valley Hospital Privileges: Providence Santa

Bacharach, Jason, MD ^1149^ ♦ Ophthalmology Hospital Rosa Memorial Hospital

Scott, Alan Brown, MD ^1160^ NPI: 1639160112 Scott, Alan Brown, MD ^1155^ License: G73984 ♦ Ophthalmology ♦ Ophthalmology Gender: Male NPI: 1902915697 NPI: 1902915697 Hospital Privileges: Providence Santa License: C20032 License: C20032 Rosa Memorial Hospital Gender: Male Gender: Male Hospital Privileges: California Pacific Hospital Privileges: California Pacific

Bartlett, William Harold, MD ^1150^ ♦ Ophthalmology Medical Center Medical Center NPI: 1881680171 CCS Provider CCS Provider

Shieh, Emil I, MD ^1161^ License: G85502 Weeks, Roger Dana, MD  ^1156^ Gender: Male ♦ Ophthalmology NPI: 1700960770 Hospital Privileges: Providence Santa NPI: 1235157611 License: G83344 Rosa Memorial Hospital License: A24319 Gender: Male

Gender: Male Silkiss, Rona Zel, MD  ^1162^

Shieh, Emil I, MD ^1151^ NPI: 1700960770 Hospital Privileges: Petaluma Valley ♦ Ophthalmology License: G83344 Hospital ♦ Pediatrics Gender: Male CCS Provider NPI: 1790758209 License: G45822 Gender: Female

North Bay Eye Associates Inc. ^1157^

North Bay Eye Associates Inc. ^1152^ Hospital Privileges: Alta Bates PHC#: 7185 PHC#: 7185 Medical Center Alta Bates Campus NPI: 1952418378 NPI: 1952418378 CCS Provider Available By Referral Only Available By Referral Only No Age Limitations No Age Limitations 104 Lynch Creek Way Ste 15 380 Tesconi Ct Petaluma, CA 94954 Santa Rosa, CA 95401   Primary Phone: (707) 762-3573 Primary Phone: (707) 544-3375 Primary Fax: (707) 762-6873 Primary Fax: (707) 544-0808 Mon - Fri 8:00 AM - 5:00 PM Mon - Fri 8:00 AM - 5:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 115 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Schlesinger, Thomas, MD ^1171^ North Bay Eye Associates Inc. ^1163^ Primary Phone: (707) 559-7500 PHC#: 7185 Primary Fax: (707) 559-7620 PHC#: 17340 NPI: 1952418378 Mon - Thu 8:00 AM - 8:00 PM NPI: 1922072966 Available By Referral Only Fri 8:00 AM - 5:00 PM Available By Referral Only No Age Limitations Sat 8:30 AM - 12:00 PM No Age Limitations 181 Andrieux St Ste 100 3536 Mendocino Ave Ste 380

Sonoma, CA 95476 Weeks, Roger Dana, MD  ^1168^ Santa Rosa, CA 95403  ♦ Ophthalmology  Primary Phone: (707) 996-1052 NPI: 1235157611 Primary Phone: (707) 575-5353 Primary Fax: (707) 996-6787 License: A24319 Primary Fax: (707) 523-7729 Mon - Fri 8:00 AM - 5:00 PM Gender: Male Mon - Fri 8:00 AM - 5:30 PM Hospital Privileges: Petaluma Valley Hospital

Bartlett, William Harold, MD ^1164^ Schlesinger, Thomas Kurt, MD ^1172^ ♦ Ophthalmology CCS Provider ♦ Ophthalmology NPI: 1881680171 NPI: 1922072966 License: G85502 Special Accommodations: Adj. Exam License: A78100 Gender: Male Tables Gender: Male Hospital Privileges: Providence Santa Hospital Privileges: Providence Santa Rosa Memorial Hospital Providence Medical Group, Rosa Memorial Hospital

Saidel, Michael Andrew, MD ^1165^ CCS Provider Sonoma ^1169^ ♦ Ophthalmology PHC#: 43825 NPI: 1184780330 NPI: 1871607762 Shalini Yalamanchi, MD PC ^1173^ License: A86376 Available By Referral Only Gender: Male PHC#: 32559 No Age Limitations NPI: 1457948564 Hospital Privileges: Sonoma Valley 85 Brookwood Ave Ste 10 Hospital Available By Referral Only Santa Rosa, CA 95404 No Age Limitations

Shieh, Emil I, MD ^1166^  3536 Mendocino Ave Ste 380 NPI: 1700960770 Primary Phone: (707) 387-3962 License: G83344 Santa Rosa, CA 95403 Primary Fax: (707) 838-3232  Gender: Male Mon - Fri 8:30 AM - 5:00 PM Primary Phone: (707) 575-5353 Primary Fax: (707) 523-7729

Zhang, Grace Shuang, MD ^1170^ Petaluma Health Center ^1167^ Mon - Fri 8:00 AM - 5:00 PM PHC#: 14857 ♦ Ophthalmology NPI: 1679501670 NPI: 1588656268 Yalamanchi, Shalini, MD ^1174^ Available By Referral Only License: C154185 NPI: 1013123595 No Age Limitations Gender: Female License: C131302 1179 N McDowell Blvd Mandarin Gender: Female Petaluma, CA 94954 CCS Provider , P,EB,IB,R,E Level of Access: Basic

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 116 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Klein, Roger A., MD ^1182^ Orthopaedic Surgery Harf, Robert Alan, MD ^1178^ ♦ Orthopaedic Surgery PHC#: 17941 NPI: 1023128741 Bay Area Ortho Surgery and NPI: 1083655252 License: A40626 Available By Referral Only

Sports Medicine ^1175^ Gender: Male No Age Limitations PHC#: 65721 Spanish 1111 Sonoma Ave Ste 106 NPI: 1629248109 Hospital Privileges: Sonoma Valley Santa Rosa, CA 95405 Available By Referral Only Hospital  No Age Limitations Primary Phone: (707) 576-0366 5789 State Farm Dr Ste 195 Healdsburg Specialty Medical Primary Fax: (707) 576-0468 Rohnert Park, CA 94928 Mon, Tue, Thu, Fri 9:00 AM - 5:00 PM Service ^1179^ Primary Phone: (707) 645-7210 Primary Fax: (707) 645-7249 PHC#: 25560

Klein, Roger Allen, MD ^1183^ Thu 8:00 AM - 5:00 PM NPI: 1194824573 Available By Referral Only NPI: 1083655252 License: G58706 No Age Limitations Nissen, Teodoro Pedro, MD  ^1176^ Gender: Male 1312 Prentice Dr ♦ Orthopaedic Surgery Spanish Healdsburg, CA 95448 NPI: 1699791053 Hospital Privileges: Providence Santa License: A77901  Primary Phone: (707) 431-6314 Rosa Memorial Hospital Gender: Male CCS Provider Hospital Privileges: Sutter Solano Primary Fax: (707) 431-6319 Medical Center Mon - Fri 8:30 AM - 5:00 PM

CCS Provider Paul B. Roache, MD ^1184^

Bollinger, Michael Thomas, MD ^1180^ PHC#: 64568 ♦ Orthopaedic Surgery NPI: 1255362919

Harf, Robert A., MD ^1177^ NPI: 1417941642 Available By Referral Only PHC#: 5159 License: A65404 No Age Limitations NPI: 1023128741 Gender: Male 651 1st St W Ste K Available By Referral Only Spanish Sonoma, CA 95476 No Age Limitations Hospital Privileges: Sutter Santa Primary Phone: (415) 447-0495 181 Andrieux St Ste 111 Rosa Regional Hospital Primary Fax: (415) 447-0467 Sonoma, CA 95476 CCS Provider Mon - Fri 9:00 AM - 5:00 PM  Primary Phone: (707) 996-8017 Deutsche, Kevin Richard, PA-C ^1181^

Roache, Paul Byron, MD ^1185^ Primary Fax: (707) 996-8061 NPI: 1982752440 ♦ Orthopaedic Surgery Mon - Fri 9:00 AM - 5:00 PM License: 21817 ♦ Sports Medicine - Orthopaedic Gender: Male NPI: 1255362919 License: A48445 Gender: Male Hospital Privileges: Sonoma Valley Hospital CCS Provider

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 117 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Providence Medical Group, Primary Phone: (707) 525-6620 Grafe, Michael William, MD ^1195^

Sonoma ^1186^ Primary Fax: (707) 546-2309 ♦ Hand Surgery PHC#: 42539 Mon - Thu 7:00 AM - 5:00 PM ♦ Orthopaedic Surgery NPI: 1871607762 NPI: 1922194711

Available By Referral Only Smith, Steven Allen, MD ^1190^ License: A69430 No Age Limitations ♦ Orthopaedic Surgery Gender: Male 1496 Professional Dr Ste 601 NPI: 1265416077 Spanish Petaluma, CA 94954 License: G46439 Hospital Privileges: Sutter Santa  Gender: Male Rosa Regional Hospital Primary Phone: (707) 778-1131 Hospital Privileges: Providence Santa CCS Provider

Primary Fax: (707) 778-3818 Rosa Memorial Hospital Howe, Kevin Karlye, MD ^1196^ Mon, Tue, Thu 8:00 AM - 4:30 PM CCS Provider ♦ Orthopaedic Surgery

Wed, Fri 8:00 AM - 12:00 PM Walter, Christopher Ashley, DO ^1191^ NPI: 1225124076 ♦ Orthopaedic Surgery License: A60095 NPI: 1447420732 Gender: Male

Northfield, Mark Robert, MD ^1187^ ♦ Orthopaedic Surgery License: 20A10826 Spanish NPI: 1861406316 Gender: Male Hospital Privileges: License: G77114 Hospital Privileges: Providence Santa Providence Santa Rosa Memorial Gender: Male Rosa Memorial Hospital Hospital Hospital Privileges: Petaluma Valley CCS Provider Sutter Santa Rosa Regional Hospital Hospital CCS Provider

Crawford, Tori Doolittle, NP ^1192^ CCS Provider Iezza, Alexander Paul, MD ^1197^ NPI: 1659509586 ♦ Orthopaedic Surgery

Walter, Christopher Ashley, DO ^1188^ ♦ Orthopaedic Surgery License: 18972 NPI: 1265550743 NPI: 1447420732 Gender: Female License: A92670

License: 20A10826 Hernandez, Jordan, PA-C ^1193^ Gender: Male Gender: Male NPI: 1528681202 Spanish Hospital Privileges: Providence Santa License: 58182 Hospital Privileges: Rosa Memorial Hospital Gender: Male Providence Santa Rosa Memorial CCS Provider Hospital Redwood Orthopaedic Surgery Sutter Santa Rosa Regional Hospital

Tompkins, Geoffrey Stuart, MD ^1198^ Providence Medical Group, Associates ^1194^ ♦ Orthopaedic Surgery

Sonoma ^1189^ PHC#: 8262 NPI: 1255427050 PHC#: 31444 NPI: 1215023056 License: G76351 NPI: 1871607762 Available By Referral Only Gender: Male Available By Referral Only No Age Limitations Spanish No Age Limitations 208 Concourse Blvd Hospital Privileges: Providence Santa 121 Sotoyome St Ste 101 Santa Rosa, CA 95403 Rosa Memorial Hospital Santa Rosa, CA 95405 , P,EB,IB,E CCS Provider , P,EB,IB,E Level of Access: Limited Level of Access: Basic Primary Phone: (707) 544-3400 Primary Fax: (707) 544-0137 Mon - Fri 8:30 AM - 5:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 118 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Athanassious, Christian Nabil, MD ^1210^ Yinger, Kent Estes, MD ^1199^ Primary Phone: (707) 546-1922 ♦ Orthopaedic Surgery Primary Fax: (707) 528-1602 ♦ Orthopaedic Surgery NPI: 1093815110 Mon - Fri By Appointment Only NPI: 1043471279 License: A55505 License: A124589

Gender: Male Athanassious, Christian Nabil, MD ^1206^ Gender: Male Spanish ♦ Orthopaedic Surgery Hospital Privileges: Providence Santa Hospital Privileges: NPI: 1043471279 Rosa Memorial Hospital Providence Santa Rosa Memorial License: A124589 CCS Provider

Hospital Gender: Male Bennett, Frederick Stephen, MD ^1211^ Sutter Santa Rosa Regional Hospital Hospital Privileges: Providence Santa ♦ Orthopaedic Surgery CCS Provider Rosa Memorial Hospital NPI: 1205879830 CCS Provider License: G64646

McDermott, Michael James, MD ^1207^ Garcia, Luis Emmanuel, PA-C ^1200^ Gender: Male NPI: 1104101401 ♦ Orthopaedic Surgery Hospital Privileges: Providence Santa License: 21935 NPI: 1750365102 Rosa Memorial Hospital Gender: Male License: G73655 CCS Provider

Griffin, Brittany, PA-C ^1201^ Gender: Male Degenhardt, Thomas Crane, MD ^1212^ NPI: 1467096149 Hospital Privileges: Providence Santa ♦ Orthopaedic Surgery License: 57513 Rosa Memorial Hospital NPI: 1073556635

Gender: Female Pourtaheri, Neema, MD ^1208^ License: G25938

Marks, Natalie Rachel, PA-C ^1202^ ♦ Orthopaedic Surgery Gender: Male NPI: 1023137163 NPI: 1720272313 Hospital Privileges: Providence Santa License: 16126 License: 145410 Rosa Memorial Hospital Gender: Female Gender: Male CCS Provider

See, Alison Ann, PA ^1203^ Hospital Privileges: Providence Santa Mazur, Kai Uwe, MD ^1213^ NPI: 1871075598 Rosa Memorial Hospital ♦ Hand Surgery License: 56244 ♦ Orthopaedic Surgery Gender: Female Santa Rosa Orthopaedic Medical NPI: 1558304188

Timothy, Parker Don, PA-C ^1204^ License: G72305

Group, Inc. ^1209^ NPI: 1619527371 Gender: Male License: 57489 PHC#: 3538 German Gender: Male NPI: 1518907336 Hospital Privileges: Providence Santa Spanish Available By Referral Only Rosa Memorial Hospital No Age Limitations CCS Provider 1405 Montgomery Dr Santa Rosa Orthopaedic Medical McDermott, Michael James, MD ^1214^ Santa Rosa, CA 95405 ♦ Orthopaedic Surgery

Group, Inc. ^1205^ , IB NPI: 1750365102 PHC#: 3538 Level of Access: Limited License: G73655 NPI: 1518907336 Primary Phone: (707) 546-1922 Gender: Male Available By Referral Only Primary Fax: (707) 546-1897 Hospital Privileges: Providence Santa No Age Limitations Mon - Fri 8:30 AM - 5:30 PM Rosa Memorial Hospital 167 Lynch Creek Way Petaluma, CA 94954 

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 119 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Mintalucci, Dominic J, MD ^1215^ Athanassious, Christian Nabil, MD ^1220^ Mintalucci, Dominic J, MD ^1225^ ♦ Orthopaedic Surgery ♦ Orthopaedic Surgery ♦ Orthopaedic Surgery NPI: 1114126869 NPI: 1043471279 NPI: 1114126869 License: A126421 License: A124589 License: A126421 Gender: Male Gender: Male Gender: Male Hospital Privileges: Providence Santa Hospital Privileges: Providence Santa Hospital Privileges: Providence Santa Rosa Memorial Hospital Rosa Memorial Hospital Rosa Memorial Hospital

Pourtaheri, Neema, MD ^1226^ Pourtaheri, Neema, MD ^1216^ CCS Provider

♦ Orthopaedic Surgery Bennett, Frederick Stephen, MD ^1221^ ♦ Orthopaedic Surgery NPI: 1720272313 ♦ Orthopaedic Surgery NPI: 1720272313 License: 145410 NPI: 1205879830 License: 145410 Gender: Male License: G64646 Gender: Male Hospital Privileges: Providence Santa Gender: Male Hospital Privileges: Providence Santa Rosa Memorial Hospital Hospital Privileges: Providence Santa Rosa Memorial Hospital

Schakel II, Mark E, MD ^1227^ Schakel II, Mark E, MD ^1217^ Rosa Memorial Hospital ♦ Orthopaedic Surgery CCS Provider ♦ Orthopaedic Surgery

NPI: 1083657654 Degenhardt, Thomas Crane, MD ^1222^ NPI: 1083657654 License: A43400 ♦ Orthopaedic Surgery License: A43400 Gender: Male NPI: 1073556635 Gender: Male Hospital Privileges: Providence Santa License: G25938 Hospital Privileges: Providence Santa Rosa Memorial Hospital Gender: Male Rosa Memorial Hospital CCS Provider Hospital Privileges: Providence Santa CCS Provider

Stein, Gary A, MD ^1228^ Stein, Gary A, MD ^1218^ Rosa Memorial Hospital NPI: 1952344525 CCS Provider NPI: 1952344525

License: C40149 Mazur, Kai Uwe, MD ^1223^ License: C40149 Gender: Male ♦ Hand Surgery Gender: Male Hospital Privileges: Providence Santa ♦ Orthopaedic Surgery Hospital Privileges: Providence Santa Rosa Memorial Hospital NPI: 1558304188 Rosa Memorial Hospital CCS Provider License: G72305 CCS Provider Gender: Male Santa Rosa Orthopaedic Medical German Sutter Medical Group of the Hospital Privileges: Providence Santa

Group, Inc. ^1219^ Redwoods ^1229^ Rosa Memorial Hospital PHC#: 36085 CCS Provider PHC#: 30987 NPI: 1518907336 NPI: 1003267196

McDermott, Michael James, MD ^1224^ Available By Referral Only ♦ Orthopaedic Surgery Available By Referral Only No Age Limitations NPI: 1750365102 No Age Limitations 34 Mark West Springs Rd Ste 300 License: G73655 3883 Airway Dr Ste 165 Santa Rosa, CA 95403 Gender: Male Santa Rosa, CA 95403  , P,EB,IB,R,E Hospital Privileges: Providence Santa Primary Phone: (707) 521-7799 Level of Access: Basic Rosa Memorial Hospital Primary Phone: (707) 546-1922 Primary Fax: (707) 521-8951 Primary Fax: (707) 546-1897 Mon - Fri 8:30 AM - 5:00 PM Mon - Fri 8:00 AM - 5:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 120 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Haimson, Robert Brian, MD ^1230^ Lo, Jennifer S, PA-C ^1235^ Jackson Medical Supply ^1239^ ♦ Orthopaedic Surgery NPI: 1467599290 PHC#: 24036 NPI: 1629000815 License: 15243 NPI: 1104136126 License: G64619 Gender: Female 604 Main St Gender: Male Woodland, CA 95695 Hospital Privileges: Sutter Santa Orthotics Prosthetics  Rosa Regional Hospital Primary Phone: (530) 661-7409 CCS Provider Primary Fax: (530) 661-7345

Biohorizon Medical ^1236^ Smith, Briant William, MD ^1231^ Mon - Fri 9:00 AM - 5:00 PM ♦ Orthopaedic Surgery PHC#: 24020 NPI: 1639253628 NPI: 1083690127

Medequip, Inc ^1240^ License: G61163 3882 Del Amo Blvd Ste 604 Gender: Male Torrance, CA 90503 PHC#: 61265 Hospital Privileges:  NPI: 1942394119 Providence Santa Rosa Memorial Primary Phone: (866) 914-5159 27 Brookline Hospital Primary Fax: (866) 914-6699 Aliso Viejo, CA 92656 Sutter Santa Rosa Regional Hospital Mon - Fri 8:00 AM - 5:00 PM Primary Phone: (800) 944-3422 CCS Provider Primary Fax: (800) 685-5678 Mon - Fri 8:30 AM - 5:00 PM

Hanger Prosthetics & Orthotics ^1237^

Viscogliosi, Paul, PA-C ^1232^ PHC#: 7578 NPI: 1538662937 North Bay Prosthetics and License: 55373 NPI: 1629086970 Orthotics ^1241^ Gender: Male 3663 N Laughlin Rd Ste 103 Santa Rosa, CA 95403 PHC#: 17794  NPI: 1952439796

Weiss Orthopaedics ^1233^ Primary Phone: (707) 528-7999 712 Empire St PHC#: 44022 Primary Fax: (707) 528-9742 Fairfield, CA 94533 NPI: 1700150794 Mon - Fri 8:00 AM - 5:00 PM  Available By Referral Only Primary Phone: (707) 425-5028 Primary Fax: (707) 425-5029 No Age Limitations Hittenberger Orthotics and 462 W Napa St Mon - Fri 8:00 AM - 5:00 PM

Prosthetics, LLC ^1238^ Sonoma, CA 95476 PHC#: 4214 Primary Phone: (707) 935-5600 Pacific Medical Prosthetics and Primary Fax: (707) 935-5606 NPI: 1578615746 Orthotics - Midtown Sacramento ^1242^ Available By Referral Only Mon - Fri 9:00 AM - 5:00 PM No Age Limitations PHC#: 21238 181 Lynch Creek Way Ste 101 NPI: 1326048893 Weiss, Noah Daniel, MD ^1234^ 3001 L St ♦ Orthopaedic Surgery Petaluma, CA 94954  Sacramento, CA 95816 NPI: 1225126444 Primary Phone: (707) 765-1122  License: G70397 Primary Fax: (707) 765-4571 Primary Phone: (916) 706-1520 Gender: Male Mon - Fri 8:00 AM - 5:00 PM Primary Fax: (916) 706-1551 Hospital Privileges: Sonoma Valley Mon - Fri 8:00 AM - 5:00 PM Hospital

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 121 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Pediatric Orthotic and Prosthetic Otolaryngology Pain Management

Services - West, LLC ^1243^ PHC#: 25591 MarinHealth ENT, Health & Neck Acadia Pain Management Group, NPI: 1811213549

Surgery ^1247^ Inc. ^1251^ 2425 Stockton Blvd Ste 236 PHC#: 73399 PHC#: 26073 Sacramento, CA 95817  NPI: 1124439807 NPI: 1154630044 Primary Phone: (916) 453-2170 Available By Referral Only Available By Referral Only Primary Fax: (916) 453-5024 No Age Limitations No Age Limitations Mon - Fri 8:00 AM - 4:30 PM 1701 4th St Ste 120 4704 Hoen Ave Santa Rosa, CA 95404 Santa Rosa, CA 95405 Primary Phone: (707) 523-7025 

Spectrum Orthotics & Prosthetics Primary Phone: (707) 546-7979 ^1244^ Primary Fax: (707) 523-3024 PHC#: 39429 Mon - Fri 8:00 AM - 5:00 PM Primary Fax: (707) 546-7667 NPI: 1851760086 Mon - Fri 8:30 AM - 5:30 PM

1049 4th St Ste B Cedars, Elizabeth Debra, MD ^1248^

Santa Rosa, CA 95404 NPI: 1982947404 Tran, Michael Long, MD ^1252^  License: A133374 ♦ Pain Medicine Primary Phone: (707) 528-8858 Gender: Female NPI: 1013927110 Primary Fax: (707) 528-8840 Hospital Privileges: Providence Santa License: G85353 Mon - Fri 8:00 AM - 5:00 PM Rosa Memorial Hospital Gender: Male CCS Provider Spanish, Vietnamese Hospital Privileges: Sutter Santa Homicz, Mark Raymond, MD ^1249^

Support Care Services ^1245^ ♦ Otolaryngology Rosa Regional Hospital PHC#: 6185 NPI: 1336198449 NPI: 1043390198 License: A70413 251 Shaw Rd Evolve Restorative Center ^1253^ Gender: Male South San Francisco, CA 94080 PHC#: 46691 Hospital Privileges: Providence Santa  NPI: 1215437249 Rosa Memorial Hospital Primary Phone: (650) 615-9357 Available By Referral Only CCS Provider Primary Fax: (650) 615-9358 No Age Limitations

Zechowy, Stefan Mark, MD ^1250^ Mon - Fri 9:00 AM - 5:00 PM 191 Lynch Creek Way Ste 101 ♦ Otolaryngology Petaluma, CA 94954 NPI: 1184724171 Primary Phone: (844) 527-7369 Thrive Prosthetics ^1246^ License: A74678 Primary Fax: (844) 847-4943 PHC#: 46868 Gender: Male Wed, Thu 8:00 AM - 5:00 PM NPI: 1699227009 Hospital Privileges: Providence Santa 6600 Coyle Ave Ste 2 Rosa Memorial Hospital Carmichael, CA 95608 CCS Provider Primary Phone: (916) 671-3417 Primary Fax: (916) 241-9344 Mon - Fri 8:30 AM - 5:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 122 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Pope, Jason Edward, MD ^1254^ Gruber, Allen, MD ^1258^ Sonoma County Indian Health

♦ Anesthesiology PHC#: 20542 Project ^1262^ ♦ Pain Medicine NPI: 1689747602 PHC#: 16716 NPI: 1215078647 Available By Referral Only NPI: 1265457980 License: A114663 No Age Limitations Available By Referral Only Gender: Male 4720 Hoen Ave No Age Limitations Hospital Privileges: Sonoma Valley Santa Rosa, CA 95405 144 Stony Point Rd Hospital  Santa Rosa, CA 95401 Primary Phone: (707) 595-3122 , P,EB,IB,R,E Primary Fax: (707) 843-3102 Evolve Restorative Center ^1255^ Level of Access: Basic PHC#: 46691 Tue - Thu 10:00 AM - 6:00 PM Primary Phone: (707) 521-4500 NPI: 1215437249 Primary Fax: (707) 544-4626

Gruber, Allen George, MD ^1259^ Available By Referral Only Mon - Fri 8:00 AM - 5:00 PM ♦ Anesthesiology No Age Limitations NPI: 1689747602 416 Aviation Blvd Ste B Frey, Robert Douglas, MD ^1263^ License: G55246 Santa Rosa, CA 95403 ♦ Anesthesiology  Gender: Male ♦ Pain Medicine Primary Phone: (844) 527-7369 Spanish NPI: 1912934779 Primary Fax: (844) 847-4943 Hospital Privileges: Providence Santa License: A85317 Wed, Thu 8:00 AM - 5:00 PM Rosa Memorial Hospital Gender: Male

Special Accommodations: Adj. Exam

Bhandal, Harjot Singh, MD ^1256^ Redwood Pain Institute ^1260^ Tables, Hearing Impaired NPI: 1245611250 PHC#: 43990 Accommodations, Gurney License: 147426 NPI: 1477578201 Accommodations, Scales that weigh Gender: Male Available By Referral Only up to 400lbs Hospital Privileges: Sutter Lakeside No Age Limitations Hospital 1221 Farmers Ln Ste 500

Pope, Jason Edward, MD ^1257^ Santa Rosa, CA 95405 Sonoma Valley Community Health ♦ Anesthesiology Primary Phone: (707) 308-3105 Center ^1264^ ♦ Pain Medicine Primary Fax: (707) 546-4062 PHC#: 13084 NPI: 1215078647 Mon - Fri 9:00 AM - 5:00 PM NPI: 1770669715 License: A114663 Available By Referral Only Gender: Male Ramchandani, Avinash Nari, MD ^1261^ No Age Limitations Hospital Privileges: Sonoma Valley ♦ Pain Medicine 19270 Sonoma Hwy 12 Hospital ♦ Physical Medicine & Rehabilitation Sonoma, CA 95476 NPI: 1730358532 , P,EB,IB,R,E,T License: A96965 Level of Access: Basic Gender: Male Primary Phone: (707) 939-6070 Hindi, Spanish Primary Fax: (707) 939-6077 Hospital Privileges: Providence Santa Mon - Fri 8:30 AM - 6:00 PM Rosa Memorial Hospital Sat 9:00 AM - 3:30 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 123 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Voscopoulos, Christopher John, Yang, Michael Ishu, MD ^1268^ Hau, John Y, MD ^1271^

MD  ^1265^ ♦ Anesthesiology ♦ Anesthesiology ♦ Anesthesiology ♦ Pain Medicine ♦ Pain Medicine ♦ Critical Care Medicine - Internal NPI: 1063665438 NPI: 1922231042 Medicine License: A112702 License: A123619 ♦ Pain Medicine Gender: Male Gender: Male NPI: 1942475538 Chinese, Mandarin, Taiwanese Cantonese License: A103576 Hospital Privileges: Hospital Privileges: Gender: Male Mendocino Coast District Hospital Mendocino Coast District Hospital Spanish Petaluma Valley Hospital Petaluma Valley Hospital CCS Provider Providence Santa Rosa Memorial Providence Santa Rosa Memorial Hospital Hospital Special Accommodations: Adj. Exam Sonoma Valley Hospital Sonoma Valley Hospital Tables, Medical Equipment Access, Sutter Santa Rosa Regional Hospital

Kangas, Barbara Ann, FNP ^1269^ Scales that weigh up to 550lbs Yang, Michael Ishu, MD ^1272^ NPI: 1649579343 ♦ Anesthesiology License: 20785 ♦ Pain Medicine

Summit Pain Alliance, Inc. ^1266^ Gender: Female NPI: 1063665438 PHC#: 36792 License: A112702 NPI: 1538559018 Gender: Male

Summit Pain Alliance, Inc. ^1270^ Available By Referral Only Chinese, Mandarin, Taiwanese No Age Limitations PHC#: 25579 Hospital Privileges: 157 Lynch Creek Way NPI: 1558630020 Mendocino Coast District Hospital Petaluma, CA 94954 Available By Referral Only Petaluma Valley Hospital  No Age Limitations Providence Santa Rosa Memorial Primary Phone: (707) 623-9803 392 Tesconi Ct Hospital Primary Fax: (707) 981-8950 Santa Rosa, CA 95401 Sonoma Valley Hospital Mon - Wed, Fri 8:00 AM - 5:00 PM , P,EB,IB,R,E Level of Access: Basic

Kangas, Barbara Ann, FNP ^1273^

Hau, John Y, MD ^1267^ Primary Phone: (707) 623-9803 NPI: 1649579343 ♦ Anesthesiology Primary Fax: (707) 843-3257 License: 20785 ♦ Pain Medicine Mon - Fri 8:00 AM - 5:00 PM Gender: Female NPI: 1922231042 License: A123619

Gender: Male Telemed2U ^1274^ Cantonese PHC#: 32086 Hospital Privileges: NPI: 1326338237 Mendocino Coast District Hospital Available By Referral Only Petaluma Valley Hospital 18 Years and Older Providence Santa Rosa Memorial Telehealth Services Hospital Primary Phone: (916) 740-3721 Sonoma Valley Hospital Primary Fax: (916) 527-0770 Sutter Santa Rosa Regional Hospital Mon - Fri 8:00 AM - 5:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 124 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Frey, Robert Douglas, MD ^1275^ Covec, Mark Andrew, NP ^1278^ Sue, Austin Yuen, MD ^1283^ ♦ Anesthesiology NPI: 1316162662 ♦ Hospice & Palliative Medicine - ♦ Pain Medicine License: 95001902 Family Medicine NPI: 1912934779 Gender: Male NPI: 1487916045

License: A85317 Tantarelli, Jenifer, FNP ^1279^ License: A133427 Gender: Male NPI: 1972767739 Gender: Male License: 17620 Hospital Privileges: Providence Santa Telehealth services must be arranged Gender: Female Rosa Memorial Hospital by your PHC doctor. To find all telehealth specialties available St Joseph Home Care Network- Jay, Sandy Lynn, FNP ^1284^ through Telemed2U look under the NPI: 1205982071

Santa Rosa ^1280^ specific specialty listed in this License: 9168 directory. PHC#: 6228 Gender: Female NPI: 1174065809

Shipp, Jennifer Tom, NP ^1285^ 439 College Ave Palliative Medicine NPI: 1245331271 Santa Rosa, CA 95401 License: 4494 Primary Phone: (707) 522-4307 Gender: Female Providence Medical Group, Primary Fax: (707) 585-7925 Zanetti, Jeannie Marie, ANP ^1286^ Sonoma Palliative and Supportive Mon - Fri 8:00 AM - 5:00 PM NPI: 1942692025

Care ^1276^ License: 95001066

Johanson, Gary Andrew, MD ^1281^ PHC#: 37664 Gender: Female ♦ Hospice & Palliative Medicine - NPI: 1871607762 Family Medicine Available By Referral Only NPI: 1215043229 Sutter Medical Group of the 18 Years and Older License: G32438 Redwoods ^1287^ 121 Sotoyome St Ste 201 Gender: Male PHC#: 26207 Santa Rosa, CA 95405 Hospital Privileges: Providence Santa NPI: 1003267196 , P,EB,IB,R,E Rosa Memorial Hospital Available By Referral Only Primary Phone: (707) 573-8984

Murray, Kateri, MD ^1282^ No Age Limitations Primary Fax: (707) 573-0982 ♦ Geriatric Medicine - Internal 34 Mark West Springs Rd 2nd Fl Mon, Wed, Thu 8:00 AM - 5:00 PM Medicine Santa Rosa, CA 95403 Tue 8:00 AM - 5:00 AM ♦ Internal Medicine  NPI: 1477583029 Primary Phone: (707) 541-7900

Sue, Austin Yuen, MD ^1277^ License: G61215 Primary Fax: (707) 573-5413 ♦ Hospice & Palliative Medicine - Gender: Female Mon - Fri 8:30 AM - 5:00 PM Family Medicine Hospital Privileges: Providence Santa NPI: 1487916045 Rosa Memorial Hospital Carr, Harry Bennett, MD  ^1288^ License: A133427 NPI: 1770694044 Gender: Male License: G65092 Hospital Privileges: Providence Santa Gender: Male Rosa Memorial Hospital Spanish Hospital Privileges: Sutter Santa Rosa Regional Hospital CCS Provider

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 125 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Schulman, Robert Adam, MD ^1296^ Pediatric Dermatology Luisi, Marcia Ann, MD ^1292^ ♦ Physical Medicine & Rehabilitation ♦ Pain Medicine NPI: 1053408021 ♦ Physical Medicine & Rehabilitation

Telemed2U ^1289^ License: G61709 NPI: 1174633879 PHC#: 32086 Gender: Female License: G88960 NPI: 1326338237 Hospital Privileges: Providence Santa Gender: Male Available By Referral Only Rosa Memorial Hospital 0-18 Years CCS Provider Physical Therapy Telehealth Services Primary Phone: (916) 740-3721

Satow, Kevin, MD ^1293^

Primary Fax: (916) 527-0770 Healdsburg District Hospital ^1297^ PHC#: 20359 Mon - Fri 8:00 AM - 5:00 PM PHC#: 1874 NPI: 1144278029 Available By Referral Only NPI: 1194824573 Tsuchiya, Arline M, MD ^1290^ 1375 University Ave No Age Limitations ♦ Dermatology Healdsburg, CA 95448 ♦ Pediatric Dermatology 1144 Sonoma Ave Ste 115  NPI: 1114098167 Santa Rosa, CA 95405 Skilled Medical Interpreter Service  License: A43062 Primary Phone: (707) 431-6500 Primary Phone: (707) 523-2070 Gender: Female Primary Fax: (707) 431-6363 Primary Fax: (707) 523-2037 CCS Provider 24 Hours 7 Days a Week Mon 9:00 AM - 1:00 PM Telehealth services must be arranged Tue - Thu 9:00 AM - 5:00 PM

Petaluma Valley Hospital ^1298^ by your PHC doctor. To find all telehealth specialties available Satow, Kevin Matthew, MD ^1294^ PHC#: 2950 through Telemed2U look under the ♦ Physical Medicine & Rehabilitation NPI: 1235162645 specific specialty listed in this NPI: 1144278029 400 N McDowell Blvd directory. License: G70506 Petaluma, CA 94954 Gender: Male  Hospital Privileges: Sonoma Valley Primary Phone: (707) 778-1111 Physical Medicine Hospital Mon - Fri 8:00 AM - 5:00 PM Rehabilitation

West County Integrative Medicine Providence Santa Rosa Memorial

^1295^

Luisi, Marcia A., MD ^1291^ PHC#: 69554 Hospital ^1299^ PHC#: 17795 NPI: 1174633879 PHC#: 2718 NPI: 1053408021 Available By Referral Only NPI: 1134152549 Available By Referral Only No Age Limitations 1165 Montgomery Dr No Age Limitations 95 Montgomery Dr Ste 120 Santa Rosa, CA 95405 990 Sonoma Ave Ste 3 Santa Rosa, CA 95404  Santa Rosa, CA 95404 Primary Phone: (415) 839-8399 Primary Phone: (707) 525-5300  Primary Fax: (866) 280-2348 Mon - Fri 8:00 AM - 5:00 PM Primary Phone: (707) 546-5487 Mon - Fri 9:00 AM - 5:00 PM Primary Fax: (707) 546-5488 Mon - Thu 8:30 AM - 4:30 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 126 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Rohnert Park Physical Therapy, Primary Phone: (707) 521-4500 Plastic Reconstructive Surgery

Inc ^1300^ Primary Fax: (707) 544-4626 PHC#: 20303 Mon - Fri 8:00 AM - 5:00 PM

Eiler J. Sommerhaug, MD Inc. ^1307^ NPI: 1659531838 PHC#: 21522 7840 Old Redwood Hwy Special Accommodations: Adj. Exam NPI: 1619166881 Cotati, CA 94931 Tables, Hearing Impaired  Accommodations, Gurney Available By Referral Only Primary Phone: (707) 795-1636 Accommodations, Scales that weigh No Age Limitations Primary Fax: (707) 795-2273 up to 400lbs 106 Lynch Creek Way Ste 8 Mon - Fri 9:00 AM - 5:00 PM Petaluma, CA 94954  Sonoma Valley Hospital Hand and Primary Phone: (707) 763-3545

Warnock, Iden Jean-Franco, PT ^1301^ Physical ^1305^ NPI: 1588707384 Primary Fax: (707) 658-1449 PHC#: N/A Mon, Wed 8:00 AM - 4:00 PM License: 8789 NPI: 1710063870 Gender: Male 19312 Sonoma Hwy Sommerhaug, Eiler John, MD ^1308^ French Sonoma, CA 95476 ♦ Plastic Surgery  NPI: 1659353555 Sever Effectiveness Strategies Primary Phone: (707) 935-5345 License: G81043

Inc. ^1302^ Primary Fax: (707) 935-5423 Gender: Male PHC#: 15849 Mon - Fri 7:00 AM - 5:00 PM Hospital Privileges: Providence Santa NPI: 1790055036 Rosa Memorial Hospital 6478 Mirabel Rd Sutter Santa Rosa Regional CCS Provider

Forestville, CA 95436 Hospital ^1306^  PHC#: 6032 Podiatry Primary Phone: (707) 887-0185 NPI: 1740413798 Primary Fax: (707) 887-1681 30 Mark West Springs Rd

Alliance Medical Center ^1309^ Mon - Wed, Fri 9:00 AM - 5:00 PM Santa Rosa, CA 95403  PHC#: 5062

Sever, Mark Joseph, PT ^1303^ Primary Phone: (707) 576-4000 NPI: 1750399796 NPI: 1972662278 Primary Fax: (707) 576-4318 Available By Referral Only License: 11388 Mon - Fri 8:00 AM - 5:00 PM No Age Limitations Gender: Male 1381 University Ave CCS Provider Healdsburg, CA 95448 , P,EB,IB,R Sonoma County Indian Health Level of Access: Limited Primary Phone: (707) 433-5494 Project ^1304^ PHC#: 16716 Primary Fax: (707) 385-2157 NPI: 1265457980 Mon - Fri 8:00 AM - 5:00 PM 144 Stony Point Rd Santa Rosa, CA 95401 , P,EB,IB,R,E Level of Access: Basic

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 127 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Valdez, Emerson Adner, DPM  ^1310^ Primary Phone: (707) 546-2107 Primary Phone: (707) 823-4325 NPI: 1427314731 Primary Fax: (707) 573-0315 Primary Fax: (707) 823-4975 License: 5281 Mon, Tue 8:00 AM - 4:30 PM Tue, Thu 8:00 AM - 5:00 PM Gender: Male Wed 8:00 AM - 12:00 PM

Spanish Fri, Sat By Appointment Only Karaoglan, Deha Kaya, DPM ^1318^ NPI: 1518926252

Special Accommodations: Adj. Exam Hoyal, Ralph Paul, DPM ^1314^ License: E4703 Tables NPI: 1265498828 Gender: Male License: 1879 Turkish Gender: Male Hospital Privileges: Providence Santa

D'Costa, Walter F., DPM ^1311^ Danish, Spanish Rosa Memorial Hospital PHC#: 15842 NPI: 1548336605 North Bay Foot and Ankle Center, Available By Referral Only Karaoglan, Deha K., DPM ^1315^

No Age Limitations PHC#: 17460 Inc. ^1319^ 2281 Cleveland Ave NPI: 1518926252 PHC#: 15167 Santa Rosa, CA 95403 Available By Referral Only NPI: 1912017021 , P,EB,IB No Age Limitations Available By Referral Only Level of Access: Limited 1041 4th St Ste B No Age Limitations Primary Phone: (707) 544-3337 Santa Rosa, CA 95404 1400 Professional Dr Ste 102 Primary Fax: (707) 544-0608 , P,EB,IB,R Petaluma, CA 94954 Mon - Thu 8:00 AM - 5:00 PM Level of Access: Limited  Primary Phone: (707) 526-4777 Primary Phone: (707) 769-8481 Primary Fax: (707) 769-0751 D'Costa, Walter Francis, DPM  ^1312^ Primary Fax: (707) 526-8809 NPI: 1548336605 Mon, Wed 9:00 AM - 5:00 PM Mon - Fri 9:00 AM - 5:00 PM License: 2603

Redko, Peter, DPM ^1320^ Gender: Male Karaoglan, Deha Kaya, DPM ^1316^ Hospital Privileges: NPI: 1518926252 ♦ Podiatrist Frank R Howard Memorial Hospital License: E4703 NPI: 1750456687 Sutter Santa Rosa Regional Hospital Gender: Male License: 4517 Turkish Gender: Male Hospital Privileges: Providence Santa Spanish, Ukrainian

Hoyal, Ralph P., DPM ^1313^ Rosa Memorial Hospital Hospital Privileges: Sonoma Valley PHC#: 15547 Hospital NPI: 1265498828

Available By Referral Only Karaoglan, Deha K., DPM ^1317^

Northern California Wound Care ^1321^ No Age Limitations PHC#: 17460 1041 4th St Ste B NPI: 1518926252 PHC#: 26764 Santa Rosa, CA 95404 Available By Referral Only NPI: 1194824573  No Age Limitations Available By Referral Only 7005 Hazel Cotter Ct Ste G1 No Age Limitations Sebastopol, CA 95472 1540 Healdsburg Ave  Healdsburg, CA 95448 

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 128 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Primary Phone: (707) 473-4400 Providence Medical Group, De Tablan, Naomi Estolas, DPM ^1330^

Primary Fax: (707) 473-4405 Sonoma ^1326^ NPI: 1679986970 Mon - Fri 8:00 AM - 5:00 PM PHC#: 42114 License: 5341 NPI: 1871607762 Gender: Female

Wargula, Alanna Lee, DPM ^1322^ Available By Referral Only French NPI: 1336277730 No Age Limitations Hospital Privileges: Providence Santa License: 4707 1162 Montgomery Dr Rosa Memorial Hospital

Gender: Female Santa Rosa, CA 95405 Johnson, Michael Alan, DPM ^1331^ Hospital Privileges: Sutter Lakeside Primary Phone: (707) 789-0900 NPI: 1205847209 Hospital Primary Fax: (707) 789-0996 License: E3671 Mon - Fri 8:00 AM - 5:00 PM Gender: Male Hospital Privileges: Petaluma Valley

Petaluma Health Center ^1323^ Hospital PHC#: 14857 De Tablan, Naomi Estolas, DPM ^1327^ NPI: 1588656268 NPI: 1679986970 Available By Referral Only License: 5341 Rachel Hoyal DPM Inc., A

No Age Limitations Gender: Female Professional Corp. ^1332^ 1179 N McDowell Blvd French PHC#: 22067 Petaluma, CA 94954 Hospital Privileges: Providence Santa NPI: 1841618386 , P,EB,IB,R,E Rosa Memorial Hospital Available By Referral Only

Level of Access: Basic Johnson, Michael Alan, DPM ^1328^ No Age Limitations Primary Phone: (707) 559-7500 NPI: 1205847209 1041 4th St Ste B Primary Fax: (707) 559-7620 License: E3671 Santa Rosa, CA 95404 Mon - Thu 8:00 AM - 8:00 PM Gender: Male  Fri 8:00 AM - 5:00 PM Hospital Privileges: Petaluma Valley Primary Phone: (707) 546-2107 Sat 8:30 AM - 12:00 PM Hospital Primary Fax: (707) 573-0315 Mon, Tue 8:00 AM - 4:30 PM Wed 8:00 AM - 12:00 PM Joba, Ameha, DPM ^1324^ Providence Medical Group, Fri, Sat By Appointment Only ♦ Podiatrist Sonoma-Lynch Creek Podiatry ^1329^ NPI: 1043506140 PHC#: 29323

Hoyal, Rachel Ann, DPM ^1333^ License: 5244 NPI: 1871607762 Gender: Male Available By Referral Only ♦ Podiatrist NPI: 1598991366 Hospital Privileges: Providence Santa No Age Limitations License: 4883 Rosa Memorial Hospital 108 Lynch Creek Way Ste 3 Gender: Female Werner, Diana A, DPM  ^1325^ Petaluma, CA 94954 NPI: 1578884524  Spanish License: 4898 Primary Phone: (707) 789-0900 Hospital Privileges: Providence Santa Gender: Female Primary Fax: (707) 789-0996 Rosa Memorial Hospital Spanish Mon - Thu 8:30 AM - 5:00 PM Fri 8:30 AM - 2:00 PM Special Accommodations: Adj. Exam Tables

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 129 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Rohnert Park Health Center ^1334^ Schumacher, Edmund William, Sonoma Valley Community Health

Center ^1340^ Petaluma Health Center DPM ^1337^ PHC#: 35718 ♦ Podiatrist PHC#: 13084 NPI: 1669870739 NPI: 1164451431 NPI: 1770669715 Available By Referral Only License: 3507 Available By Referral Only No Age Limitations Gender: Male No Age Limitations 5900 State Farm Dr Ste 200 Hospital Privileges: 19270 Sonoma Hwy 12 Rohnert Park, CA 94928 Providence Queen of the Valley Sonoma, CA 95476 , P,EB,IB,R,E,T Medical Center , P,EB,IB,R,E,T Level of Access: Basic Sonoma Valley Hospital Level of Access: Basic Primary Phone: (707) 559-7600 Primary Phone: (707) 939-6070 Primary Fax: (707) 559-7620 Sonoma County Indian Health Primary Fax: (707) 939-6077

Mon - Wed 8:00 AM - 6:30 PM Project ^1338^ Mon - Fri 8:30 AM - 6:00 PM Thu, Fri 8:00 AM - 5:00 PM PHC#: 16716 Sat 9:00 AM - 3:30 PM NPI: 1265457980

Werner, Diana A, DPM  ^1335^ Available By Referral Only Sawicki, Andrew John, DPM ^1341^ NPI: 1578884524 No Age Limitations ♦ Podiatrist License: 4898 144 Stony Point Rd NPI: 1306834163 Gender: Female Santa Rosa, CA 95401 License: 2876 Spanish , P,EB,IB,R,E Gender: Male Level of Access: Basic Polish Special Accommodations: Adj. Exam Primary Phone: (707) 521-4500 Tables, Hearing Impaired Primary Fax: (707) 544-4626 Special Accommodations: Adj. Exam Accommodations, Gurney Mon - Fri 8:00 AM - 5:00 PM Tables, Medical Equipment Access, Accommodations, Medical Equipment Scales that weigh up to 550lbs Access, Scales that weigh up to

Hollander, John Dirk, DPM  ^1339^ 600lbs

♦ Podiatrist Step Up Podiatry Group ^1342^ NPI: 1104822758 PHC#: 20423

Schumacher, Edmund W., DPM ^1336^ License: 2845 NPI: 1902280928 PHC#: 4713 Gender: Male Available By Referral Only NPI: 1164451431 No Age Limitations Available By Referral Only Special Accommodations: Adj. Exam 1350 Medical Center Dr No Age Limitations Tables, Hearing Impaired Rohnert Park, CA 94928 379 Perkins St Accommodations, Gurney  Sonoma, CA 95476 Accommodations, Scales that weigh Primary Phone: (707) 586-9300  up to 400lbs Primary Fax: (707) 586-1252 Primary Phone: (707) 996-3013 Mon - Fri 9:00 AM - 5:00 PM Primary Fax: (707) 996-4390 Mon - Fri By Appointment Only

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 130 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Kim, Steven Park, DPM ^1347^ Joba, Ameha, DPM ^1343^ Pulmonary Disease ♦ Podiatrist NPI: 1306877006 NPI: 1043506140 License: 4506 Healdsburg Specialty Medical License: 5244 Gender: Male

Service ^1351^ Gender: Male Hospital Privileges: Sutter Santa Hospital Privileges: Providence Santa Rosa Regional Hospital PHC#: 25560 NPI: 1194824573 Rosa Memorial Hospital Nguyen, Aidan Ngoc, DPM ^1348^ ♦ Surgery, Foot & Ankle Available By Referral Only NPI: 1275750747 No Age Limitations

Step Up Podiatry Group ^1344^ License: E4510 1312 Prentice Dr PHC#: 20423 Gender: Male Healdsburg, CA 95448 NPI: 1902280928 Hospital Privileges: Sutter Santa  Available By Referral Only Rosa Regional Hospital Primary Phone: (707) 431-6314 No Age Limitations Primary Fax: (707) 431-6319 1041 4th St Ste B Mon - Fri 8:30 AM - 5:00 PM

Santa Rosa, CA 95404 Walter F. D'Costa ^1349^  PHC#: 62373 Lekander, Gary Michael, MD ^1352^ Primary Phone: (707) 568-1000 NPI: 1154770048 ♦ Critical Care Medicine - Internal Primary Fax: (707) 586-1252 Available By Referral Only Medicine Tue 9:00 AM - 5:00 PM No Age Limitations NPI: 1174697783 2281 Cleveland Ave License: G85799

Joba, Ameha, DPM ^1345^ Santa Rosa, CA 95403 Gender: Male ♦ Podiatrist , P,EB,IB Hospital Privileges: Healdsburg NPI: 1043506140 Level of Access: Limited District Hospital License: 5244 Primary Phone: (707) 544-3337 CCS Provider Gender: Male Primary Fax: (707) 544-0608 Hospital Privileges: Providence Santa Mon - Thu 8:00 AM - 5:00 PM

James Marco Steele, MD ^1353^ Rosa Memorial Hospital PHC#: 64724

Grierson, Kevin Robert, DPM ^1350^ Sutter Medical Group of the NPI: 1154770048 NPI: 1548298060 License: 5579 Available By Referral Only

Redwoods ^1346^ Gender: Male No Age Limitations PHC#: 36242 Hospital Privileges: Providence Santa 3867 Montgomery Dr NPI: 1003267196 Rosa Memorial Hospital Santa Rosa, CA 95405 Available By Referral Only Primary Phone: (707) 525-3786 No Age Limitations Primary Fax: (707) 525-3791 3883 Airway Dr Ste 165 Mon, Fri 9:00 AM - 3:00 PM Santa Rosa, CA 95403  Primary Phone: (707) 521-7799 Primary Fax: (707) 573-5431 Mon - Fri 9:00 AM - 5:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 131 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Steele, James Marco, MD ^1354^ Providence Medical Group, Bedolla, Stephanie Lisette, ANP 

^1362^

♦ Critical Care Medicine - Internal Sonoma ^1357^ NPI: 1265717565 Medicine PHC#: 42012 License: 95002835 ♦ Internal Medicine NPI: 1871607762 Gender: Female ♦ Pulmonary Disease Available By Referral Only Spanish NPI: 1548298060 No Age Limitations Morrison, Tara Marie, FNP ^1363^ License: G50248 1476 Professional Dr Ste 504 NPI: 1538552864 Gender: Male Petaluma, CA 94954 License: 95013673 German, Spanish  Gender: Female Hospital Privileges: Providence Santa Primary Phone: (707) 781-7231 Rosa Memorial Hospital Primary Fax: (707) 781-7364 Sutter Medical Group of the CCS Provider Mon - Fri By Appointment Only

Redwoods ^1364^ PHC#: 24592

Morrison, Tara Marie, FNP ^1358^ Mehta, Ketan C., MD ^1355^ NPI: 1003267196 NPI: 1538552864 PHC#: 6335 Available By Referral Only License: 95013673 NPI: 1942331608 No Age Limitations Gender: Female Available By Referral Only 34 Mark West Springs Rd Ste 310 18 Years and Older Santa Rosa, CA 95403 3867 Montgomery Dr Providence Medical Group, 

Santa Rosa, CA 95405 Sonoma ^1359^ Primary Phone: (707) 573-5261  PHC#: 30975 Primary Fax: (707) 573-5414 Primary Phone: (707) 525-3780 NPI: 1871607762 Mon - Thu 8:00 AM - 4:30 PM Primary Fax: (707) 525-3783 Available By Referral Only Fri 8:30 AM - 12:00 PM Mon By Appointment Only No Age Limitations Tue 8:00 AM - 5:00 PM 585 W College Ave Ste A Deshpande, Abhijit G, MD ^1365^ Santa Rosa, CA 95401 NPI: 1326018821

Mehta, Ketan C, MD ^1356^  License: C143486 ♦ Internal Medicine Primary Phone: (707) 526-3500 Gender: Male ♦ Pulmonary Disease Primary Fax: (707) 573-8342 Hindi, Marathi NPI: 1942331608 Mon - Fri 9:00 AM - 5:00 PM Hospital Privileges: Sutter Santa License: A41306 Rosa Regional Hospital Gender: Male Khan, Kamran Alam, MD ^1366^ Belogorsky, Eugene, MD ^1360^ Gujarati, Hindi NPI: 1184657538 ♦ Pulmonary Disease License: G29625 NPI: 1164684007 Gender: Male License: C169124 Hospital Privileges: Providence Santa Gender: Male Rosa Memorial Hospital Hospital Privileges: Sutter Santa Rosa Regional Hospital Hill, Shana Mackenzie, MD ^1361^ ♦ Internal Medicine NPI: 1871767020 License: A112894 Gender: Female CCS Provider

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 132 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Scharfen, Cindy Okada, MD ^1374^ Minaie, Arash, DO ^1367^ Radiation Oncology ♦ Critical Care Medicine - Internal ♦ Radiation Oncology Medicine NPI: 1861582322 Providence Medical Group, ♦ Internal Medicine License: G67266

Sonoma ^1370^ ♦ Pulmonary Disease Gender: Female NPI: 1649538786 PHC#: 31142 Hospital Privileges: Providence Santa License: 20A16216 NPI: 1871607762 Rosa Memorial Hospital Gender: Male Available By Referral Only CCS Provider Farsi No Age Limitations Hospital Privileges: 110 Lynch Creek Way Ste A Providence Medical Group, Alta Bates Summit Medical Center Petaluma, CA 94954

Sonoma ^1375^ Sutter Santa Rosa Regional Hospital , EB,IB,R,E Level of Access: Limited PHC#: 31141 Primary Phone: (707) 763-0600 NPI: 1871607762

Telemed2U ^1368^ Primary Fax: (707) 765-1757 Available By Referral Only PHC#: 32086 Mon - Fri 8:00 AM - 5:00 PM No Age Limitations NPI: 1326338237 3555 Round Barn Cir Available By Referral Only Santa Rosa, CA 95403

Bisignani, Mark, MD ^1371^ 18 Years and Older NPI: 1487655882  Telehealth Services License: G151223 Primary Phone: (707) 528-1050 Primary Phone: (916) 740-3721 Gender: Male Primary Fax: (707) 525-3874 Primary Fax: (916) 527-0770 Hospital Privileges: Providence Santa Mon - Fri 8:00 AM - 5:00 PM Mon - Fri 8:00 AM - 5:00 PM Rosa Memorial Hospital

CCS Provider Bisignani, Mark, MD ^1376^ NPI: 1487655882 Tran, Vu Anh, MD ^1369^

David, Frederick Charles, MD ^1372^ ♦ Pulmonary Disease ♦ Therapeutic Radiology License: G151223 ♦ Sleep Medicine - Internal Medicine NPI: 1982793808 Gender: Male NPI: 1528021490 License: G34598 Hospital Privileges: Providence Santa License: A79456 Gender: Male Rosa Memorial Hospital Gender: Male Hospital Privileges: Providence Santa CCS Provider

Vietnamese Rosa Memorial Hospital David, Frederick Charles, MD ^1377^ CCS Provider CCS Provider ♦ Therapeutic Radiology NPI: 1982793808

Paulsson, Anna K, MD ^1373^ Telehealth services must be arranged NPI: 1134562333 License: G34598 by your PHC doctor. To find all License: A136094 Gender: Male telehealth specialties available Gender: Female Hospital Privileges: Providence Santa through Telemed2U look under the Hospital Privileges: Petaluma Valley Rosa Memorial Hospital specific specialty listed in this Hospital CCS Provider directory. Hla, Ommar Tin, MD ^1378^ ♦ Radiation Oncology NPI: 1942225511 License: G158948 Gender: Female

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 133 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Scharfen, Cindy Okada, MD ^1379^ Rao, Nikhil Gadahad, MD ^1384^ Petaluma Valley Hospital ^1387^ ♦ Radiation Oncology ♦ Radiation Oncology PHC#: 2950 NPI: 1861582322 NPI: 1275737850 NPI: 1235162645 License: G67266 License: C140465 Available By Referral Only Gender: Female Gender: Male No Age Limitations Hospital Privileges: Providence Santa Hospital Privileges: Petaluma Valley 400 N McDowell Blvd Rosa Memorial Hospital Hospital Petaluma, CA 94954 CCS Provider  Radiology Primary Phone: (707) 778-1111 Mon - Fri 8:00 AM - 5:00 PM Rohnert Park Cancer Center ^1380^ PHC#: 19892

Healdsburg District Hospital ^1385^ NPI: 1649280520 Providence Santa Rosa Memorial PHC#: 1874

Available By Referral Only Hospital ^1388^ NPI: 1194824573 No Age Limitations Available By Referral Only PHC#: 2718 301 Professional Center Dr No Age Limitations NPI: 1134152549 Rohnert Park, CA 94928 Available By Referral Only  1375 University Ave Healdsburg, CA 95448 No Age Limitations Primary Phone: (707) 584-2200 1165 Montgomery Dr Primary Fax: (707) 584-7582  Skilled Medical Interpreter Service Santa Rosa, CA 95405 Mon - Fri 8:00 AM - 5:00 PM Primary Phone: (707) 431-6500  Primary Fax: (707) 431-6363 Primary Phone: (707) 525-5300

Fields, Marc Thomas, MD ^1381^ Mon - Fri 8:00 AM - 5:00 PM ♦ Radiation Oncology 24 Hours 7 Days a Week NPI: 1730143066

Sutter Pacific Medical Foundation License: C52087 Health Diagnostics of California, ^1389^

Gender: Male LLC - San Rafael ^1386^ PHC#: 20808 Hospital Privileges: Sutter Santa PHC#: 20302 NPI: 1003267196 Rosa Regional Hospital NPI: 1699706648 Available By Referral Only CCS Provider 4144 Redwood Hwy Ste B No Age Limitations 3883 Airway Dr Ste 100 Hawkins, Peter Gilbert, MD ^1382^ San Rafael, CA 94903 NPI: 1962820621  Santa Rosa, CA 95403 License: A161883 Primary Phone: (415) 479-9907 Primary Phone: (707) 521-4480 Gender: Male Primary Fax: (415) 479-9908 Primary Fax: (707) 521-4460 24 Hours 7 Days a Week Lee, Irwin Hubert, MD ^1383^ Mon - Fri 7:00 AM - 4:00 PM ♦ Radiation Oncology NPI: 1861510760 License: A103038 Gender: Male Hospital Privileges: Sutter Santa Rosa Regional Hospital CCS Provider

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 134 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Whisler, Donald Lloyd, MD ^1396^ Rheumatology Zweig, Richard Travers, MD  ^1393^ ♦ Internal Medicine NPI: 1639516149 ♦ Rheumatology License: A155450

Alliance Medical Center ^1390^ NPI: 1124102298 Gender: Male PHC#: 5062 License: G36363 Hospital Privileges: Providence Santa NPI: 1750399796 Gender: Male Rosa Memorial Hospital Available By Referral Only CCS Provider CCS Provider No Age Limitations 1381 University Ave Special Accommodations: Adj. Exam

Rohnert Park Health Center ^1397^ Healdsburg, CA 95448 Tables , P,EB,IB,R Petaluma Health Center Level of Access: Limited PHC#: 35718

Petaluma Health Center ^1394^ Primary Phone: (707) 433-5494 NPI: 1669870739 Primary Fax: (707) 385-2157 PHC#: 14857 Available By Referral Only Mon - Fri 8:00 AM - 5:00 PM NPI: 1588656268 No Age Limitations Available By Referral Only 5900 State Farm Dr Ste 200 No Age Limitations Rohnert Park, CA 94928

Zweig, Richard Travers, MD  ^1391^ ♦ Internal Medicine 1179 N McDowell Blvd , P,EB,IB,R,E,T ♦ Rheumatology Petaluma, CA 94954 Level of Access: Basic NPI: 1124102298 , P,EB,IB,R,E Primary Phone: (707) 559-7600 License: G36363 Level of Access: Basic Primary Fax: (707) 559-7620 Gender: Male Primary Phone: (707) 559-7500 Mon - Wed 8:00 AM - 6:30 PM CCS Provider Primary Fax: (707) 559-7620 Thu, Fri 8:00 AM - 5:00 PM Mon - Thu 8:00 AM - 8:00 PM Special Accommodations: Adj. Exam Fri 8:00 AM - 5:00 PM Special Accommodations: Adj. Exam Tables Sat 8:30 AM - 12:00 PM Tables, Hearing Impaired Accommodations, Gurney Special Accommodations: Adj. Exam Accommodations, Medical Equipment

Alliance Medical Center ^1392^ Tables Access, Scales that weigh up to PHC#: 19393 600lbs NPI: 1710218409 Providence Medical Group, Available By Referral Only

Sonoma ^1395^ Sutter Medical Group of the No Age Limitations

Redwoods ^1398^ 8465 Old Redwood Hwy Ste 320 PHC#: 61510 Windsor, CA 95492 NPI: 1871607762 PHC#: 20024 , P,R,E Available By Referral Only NPI: 1003267196 Level of Access: Limited No Age Limitations Available By Referral Only Primary Phone: (707) 433-5494 1162 Montgomery Dr No Age Limitations Primary Fax: (707) 385-2157 Santa Rosa, CA 95405 3883 Airway Dr Ste 130 Mon 7:00 AM - 6:00 PM Primary Phone: (707) 890-4250 Santa Rosa, CA 95403 Tue, Wed 7:00 AM - 7:00 PM Primary Fax: (707) 476-2238  Thu, Fri 8:00 AM - 7:00 PM Mon - Fri 8:00 AM - 5:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 135 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Steele, James Marco, MD ^1408^ Primary Phone: (707) 521-7799 Shibuya, Barry Eiichi, MD ^1405^ Primary Fax: (707) 521-7703 ♦ Rheumatology ♦ Critical Care Medicine - Internal Mon, Tue, Thu, Fri 8:30 AM - 5:00 PM NPI: 1275746935 Medicine Wed 8:30 AM - 12:00 PM License: A72682 ♦ Internal Medicine Gender: Male ♦ Pulmonary Disease

Hofeling, Todd J, MD ^1399^ Spriggs, Brenda Beatrice, MD ^1406^ NPI: 1548298060 NPI: 1447451935 ♦ Internal Medicine License: G50248 License: A112651 ♦ Rheumatology Gender: Male Gender: Male NPI: 1720323355 German, Spanish Hospital Privileges: Sutter Santa License: C33822 Hospital Privileges: Providence Santa Rosa Regional Hospital Gender: Female Rosa Memorial Hospital

Kremer, Lisa Brandabur, MD ^1400^ CCS Provider NPI: 1144262213 Telehealth services must be arranged License: G76815 by your PHC doctor. To find all Providence Medical Group, Gender: Female telehealth specialties available

Sonoma ^1409^ Hospital Privileges: Sutter Santa through Telemed2U look under the Rosa Regional Hospital specific specialty listed in this PHC#: 30990 CCS Provider directory. NPI: 1871607762 Available By Referral Only

Maniscalco, David Lawrence, MD ^1401^ No Age Limitations NPI: 1386031268 Sleep Medicine License: A168882 1162 Montgomery Dr Gender: Male Santa Rosa, CA 95405 Primary Phone: (707) 890-4250

James Marco Steele, MD ^1407^ Primary Fax: (707) 303-3996 PHC#: 64724 Telemed2U ^1402^ Mon - Fri 8:00 AM - 5:00 PM PHC#: 32086 NPI: 1548298060 Available By Referral Only

NPI: 1326338237 Lewton, Zachary Richard, MD ^1410^ No Age Limitations Available By Referral Only NPI: 1346202975 3867 Montgomery Dr 18 Years and Older License: C55988 Santa Rosa, CA 95405 Telehealth Services Gender: Male Primary Phone: (707) 525-3786 Primary Phone: (916) 740-3721 Hospital Privileges: Providence Santa Primary Fax: (707) 525-3791 Primary Fax: (916) 527-0770 Rosa Memorial Hospital Mon, Fri 9:00 AM - 3:00 PM Mon - Fri 8:00 AM - 5:00 PM CCS Provider

Al Nahlawi, Basma, MD ^1403^ Providence Medical Group, NPI: 1144455262

Sonoma ^1411^ License: A115924 Gender: Female PHC#: 30975 CCS Provider NPI: 1871607762 Available By Referral Only

Butts, Melissa Sue, DO ^1404^ ♦ Internal Medicine No Age Limitations NPI: 1790945756 585 W College Ave Ste A License: 20A16394 Santa Rosa, CA 95401  Gender: Female

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 136 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Primary Phone: (707) 526-3500 Providence Santa Rosa Memorial Roache, Paul Byron, MD ^1420^

Primary Fax: (707) 573-8342 Hospital ^1417^ ♦ Orthopaedic Surgery Mon - Fri 9:00 AM - 5:00 PM PHC#: 2718 ♦ Sports Medicine - Orthopaedic NPI: 1134152549 NPI: 1255362919

Ackroyd, Gregory Todd, MD ^1412^ 1165 Montgomery Dr License: A48445 NPI: 1538192984 Santa Rosa, CA 95405 Gender: Male License: A84348  Hospital Privileges: Sonoma Valley Gender: Male Primary Phone: (707) 525-5300 Hospital Hospital Privileges: Providence Santa Mon - Fri 8:00 AM - 5:00 PM CCS Provider Rosa Memorial Hospital CCS Provider Sutter Santa Rosa Regional Suboxone/Buprenorphine Treatment Hospital ^1418^

Epidendio-Sloan, Melissa A, NP ^1413^ NPI: 1417940040 PHC#: 6032

License: 10586 NPI: 1740413798 Alexander Valley Healthcare ^1421^ Gender: Female 30 Mark West Springs Rd PHC#: 8332-0009 Santa Rosa, CA 95403 Morrison, Tara Marie, FNP ^1414^ NPI: 1033534466  NPI: 1538552864 FQHC Primary Phone: (707) 576-4000 License: 95013673 Accepting New Patients Primary Fax: (707) 576-4318 Gender: Female No Age Limitations Mon - Fri 8:00 AM - 5:00 PM Wetmore, Angela, PA ^1415^ 6 Tarman Dr NPI: 1467889451 Cloverdale, CA 95425 License: 23268 Sports Medicine , P,IB,E Gender: Female Level of Access: Limited Primary Phone: (707) 894-4229

Paul B. Roache, MD ^1419^ Speech Therapy Primary Fax: (707) 894-2954 PHC#: 64568 Mon - Fri 8:00 AM - 7:00 PM NPI: 1255362919

Healdsburg District Hospital ^1416^ Available By Referral Only

Wheeler, Cary Lynn, DO ^1422^ PHC#: 1874 No Age Limitations NPI: 1427366426 NPI: 1194824573 651 1st St W Ste K License: 20A12450 1375 University Ave Sonoma, CA 95476 Gender: Female Healdsburg, CA 95448 Primary Phone: (415) 447-0495 Spanish  Primary Fax: (415) 447-0467 Skilled Medical Interpreter Service Mon - Fri 9:00 AM - 5:00 PM Pile, Elizabeth Lomax, NP ^1423^ Primary Phone: (707) 431-6500 NPI: 1881058022 Primary Fax: (707) 431-6363 License: 95002663 24 Hours 7 Days a Week Gender: Female Spanish

Special Accommodations: Adj. Exam Tables

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 137 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Gravenstein Community Health Primary Phone: (707) 884-4005 Petaluma Health Center ^1430^

Center ^1424^ Primary Fax: (707) 884-4625 PHC#: 14857-0017 West County Health Centers Mon - Fri 8:00 AM - 6:00 PM NPI: 1588656268 PHC#: 32901-0001 FQHC

NPI: 1861809501 Bertolli, Thomas Arnold, MD  ^1427^ Accepting New Patients FQHC NPI: 1811089717 No Age Limitations Accepting Existing Patients License: A38824 1179 N McDowell Blvd No Age Limitations Gender: Male Petaluma, CA 94954 652 Petaluma Ave Ste H CCS Provider , P,EB,IB,R,E Sebastopol, CA 95472 Level of Access: Basic , P,EB,IB,R,E Special Accommodations: Adj. Exam Primary Phone: (707) 559-7500 Level of Access: Basic Tables, Gurney Accommodations Primary Fax: (707) 559-7620 Primary Phone: (707) 823-3166 Mon - Thu 8:00 AM - 8:00 PM

Primary Fax: (707) 869-8170 Occidental Area Health Center ^1428^ Fri 8:00 AM - 5:00 PM Mon - Thu 9:00 AM - 8:00 PM West County Health Centers Sat 8:30 AM - 12:00 PM Fri 9:00 AM - 5:00 PM PHC#: 1881-0017

Sat 9:00 AM - 12:00 PM NPI: 1598768962 Chi, Carlin Li-An, MD  ^1431^ FQHC NPI: 1497843122

Griego, Ann-Elizabeth, MD  ^1425^ Accepting Existing Patients License: A71794 NPI: 1780974527 No Age Limitations Gender: Female License: A122059 Open to Residents of Occidental & Spanish

Gender: Female Neighboring Area Choe, Jonathan Young, MD  ^1432^ Spanish 3802 Main St NPI: 1518959170 Occidental, CA 95465 License: A80237 Special Accommodations: Adj. Exam , P,EB,IB,R,E Gender: Male Tables, Gurney Accommodations, Level of Access: Basic Spanish Scales that weigh up to 500lbs Primary Phone: (707) 874-2444 Hospital Privileges: Petaluma Valley Primary Fax: (707) 874-1664 Hospital

Gomez, Ulysses, MD  ^1433^

Gualala Medical Clinic ^1426^ Mon - Thu 9:00 AM - 8:00 PM NPI: 1427508241 Redwood Coast Medical Services Fri 9:00 AM - 5:00 PM Sat 9:00 AM - 12:00 PM License: A145425 PHC#: 6608-0004 Gender: Male NPI: 1962530725 Spanish FQHC Kirkconnell, Molly Rebecca, MD ^1429^

Greer, Karl Anton, MD  ^1434^ Accepting New Patients NPI: 1154659373 License: A126516 NPI: 1396010740 No Age Limitations License: A127109 46900 Ocean Dr Gender: Female Spanish Gender: Male Gualala, CA 95445 Spanish , EB,IB,E Special Accommodations: Adj. Exam Hospital Privileges: Level of Access: Limited Petaluma Valley Hospital Skilled Medical Interpreter Service Tables, Scales that weigh up to 400lbs Sutter Santa Rosa Regional Hospital

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 138 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Oryn, Danielle Estee, DO  ^1435^ Gomez, Ulysses, MD  ^1439^ Russian River Health Center ^1443^ ♦ Clinical Informatics NPI: 1427508241 West County Health Centers NPI: 1376535070 License: A145425 PHC#: 4770-0010 License: 20A8962 Gender: Male NPI: 1356344758 Gender: Female Spanish FQHC

Spanish Greer, Karl Anton, MD  ^1440^ Accepting Existing Patients Hospital Privileges: Petaluma Valley NPI: 1396010740 No Age Limitations Hospital License: A127109 16319 3rd St

Pendleton, John Douglas, MD  ^1436^ Gender: Male Guerneville, CA 95446 NPI: 1326030024 Spanish , P,EB,IB,E License: A91072 Hospital Privileges: Level of Access: Limited Gender: Male Petaluma Valley Hospital Primary Phone: (707) 869-2849 Spanish Sutter Santa Rosa Regional Hospital Primary Fax: (707) 869-1477

Hospital Privileges: Petaluma Valley Oryn, Danielle Estee, DO  ^1441^ Mon - Thu 9:00 AM - 8:00 PM Hospital ♦ Clinical Informatics Fri 9:00 AM - 5:00 PM NPI: 1376535070 Sat 9:00 AM - 12:00 PM Special Accommodations: Adj. Exam License: 20A8962 Tables Gender: Female

Davey, Michelle, DO  ^1444^ Spanish ♦ Family Medicine Hospital Privileges: Petaluma Valley

Rohnert Park Health Center ^1437^ NPI: 1366445785 Hospital Petaluma Health Center License: 20A7876 Pendleton, John Douglas, MD  ^1442^ Gender: Female PHC#: 35718-0005 NPI: 1326030024 NPI: 1669870739 Spanish License: A91072 Hospital Privileges: Sutter Santa FQHC Gender: Male Accepting New Patients Rosa Regional Hospital Spanish Garrison-Jakel, Jared Nikolaus, No Age Limitations Hospital Privileges: Petaluma Valley

MD  ^1445^ 5900 State Farm Dr Ste 200 Hospital Rohnert Park, CA 94928 NPI: 1962728550 , P,EB,IB,R,E,T License: A117594 Special Accommodations: Adj. Exam Gender: Male Level of Access: Basic Tables, Hearing Impaired Primary Phone: (707) 559-7600 Hospital Privileges: Sutter Santa Accommodations, Gurney Rosa Regional Hospital Primary Fax: (707) 559-7620 Accommodations, Medical Equipment Mon - Wed 8:00 AM - 6:30 PM Access, Scales that weigh up to Thu, Fri 8:00 AM - 5:00 PM Special Accommodations: Adj. Exam 600lbs Tables

Choe, Jonathan Young, MD  ^1438^ NPI: 1518959170 License: A80237 Gender: Male Spanish Hospital Privileges: Petaluma Valley Hospital

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 139 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Santa Rosa Community Telehealth Services Hamidi, Reyhaneh, MD  ^1454^

Health-Vista Campus ^1446^ ♦ Dermatology PHC#: 18932-0016 NPI: 1144470162

Direct Dermatology ^1449^ NPI: 1578631172 License: A111135 PHC#: 26509 FQHC Gender: Female Accepting New Patients NPI: 1417263922 Farsi, Italian Available By Referral Only No Age Limitations CCS Provider No Age Limitations 3569 Round Barn Cir Kafi, Reza, MD  ^1455^ Telehealth Services Santa Rosa, CA 95403 ♦ Dermatology P,EB,IB,R,E,T Primary Phone: (855) 944-7546 NPI: 1891737201 Primary Fax: (800) 572-0683 Level of Access: Basic License: A84048 Mon - Sat 9:00 AM - 4:30 PM Primary Phone: (707) 303-3600 Gender: Male Primary Fax: (707) 303-3611 CCS Provider

Ally, Mina Sarah, MD ^1450^ Mon - Thu 8:30 AM - 5:00 PM, 6:00 Reyes, Melissa, MD ^1456^ ♦ Dermatology PM - 9:00 PM ♦ Dermatology NPI: 1528467099 Fri 8:30 AM - 5:00 PM ♦ Pediatric Dermatology License: A144146 NPI: 1558561498 Gender: Female License: A100703

Lund, Erin Elizabeth, MD  ^1447^ CCS Provider ♦ Addiction Medicine - Preventive Gender: Female

Craft, Noah Ames, MD ^1451^ Medicine CCS Provider ♦ Dermatology NPI: 1790876720 Tan, Belinda Hsiu Jung, MD ^1457^ NPI: 1750351193 License: A96724 ♦ Dermatology License: A76802 Gender: Female ♦ Dermatopathology Gender: Male Spanish NPI: 1861690299 CCS Provider Hospital Privileges: Sutter Santa License: A100913

David, Consuelo Veronica, MD  ^1452^ Rosa Regional Hospital Gender: Female ♦ Dermatology CCS Provider

Matel, Joseph Ronald, MD  ^1448^ NPI: 1689963340 NPI: 1871792382 Venkatesan, Aruna, MD  ^1458^ License: A122615 License: A100777 ♦ Dermatology Gender: Female Gender: Male NPI: 1235457649 Spanish Spanish License: A113635 CCS Provider Hospital Privileges: Sutter Santa Gender: Female

Gordon, Justin Stanley, MD ^1453^ Rosa Regional Hospital CCS Provider ♦ Dermatology Weiss, Stefan Craig, MD ^1459^ Special Accommodations: Adj. Exam NPI: 1225353568 ♦ Dermatology Tables, Hoyer Lift, Scales that weigh License: A118547 NPI: 1578641387 up to 600lbs Gender: Male License: A80115 CCS Provider Gender: Male CCS Provider

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 140 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Bhaduri, Aditi B, MD ^1471^ Wong, David Jun Sing, MD ^1460^ CCS Provider ♦ Dermatology NPI: 1114029329 NPI: 1316972201 Telehealth services must be arranged License: C55649 License: A84286 by your PHC doctor. To find all Gender: Female Gender: Male telehealth specialties available Bengali

CCS Provider through Telemed2U look under the Bock, Bonnie Virginia, MD ^1472^

Wong, Reynold Clark, MD ^1461^ specific specialty listed in this ♦ Internal Medicine ♦ Dermatology directory. NPI: 1225226558 NPI: 1962581694 License: G35572 License: G51891 Gender: Female

Telemed2U ^1466^ Gender: Male CCS Provider PHC#: 32086

CCS Provider Butts, Melissa Sue, DO ^1473^ NPI: 1326338237 ♦ Internal Medicine Available By Referral Only NPI: 1790945756

Healthy at Home ^1462^ 18 Years and Older License: 20A16394 PHC#: 73270 Telehealth Services Gender: Female NPI: 1508433574 Primary Phone: (916) 740-3721

Chang, Wun-Ling, MD ^1474^ Telehealth Services Primary Fax: (916) 527-0770 ♦ Internal Medicine Primary Phone: (650) 514-6640 Mon - Fri 8:00 AM - 5:00 PM NPI: 1194734111 Primary Fax: (661) 843-6128 License: G86459 Mon - Sun 8:00 AM - 8:00 PM Al Nahlawi, Basma, MD ^1467^ Gender: Female NPI: 1144455262 CCS Provider

Vazquez Vega, Elisa, RD ^1463^ License: A115924

D'Avignon, Laurie Cordaro, MD ^1475^ NPI: 1447824719 Gender: Female ♦ Internal Medicine License: 86113063 CCS Provider NPI: 1700851433 Gender: Female Arambulo, Maria Flordeliz Uy, MD ^1468^ License: C149571 NPI: 1013169986 Gender: Female License: A112913

Telemed2U ^1464^ De Leon, Mary Jeanne Soberano, Gender: Female PHC#: 32086 MD ^1476^ Filipino, Ilocano NPI: 1184692006 NPI: 1326338237 CCS Provider Available By Referral Only License: C164320

Badii, Cyrus Afshin, MD ^1469^ 0-18 Years Gender: Female NPI: 1134274350 Filipino Telehealth Services License: G87894 Primary Phone: (916) 740-3721 Dhillon, Surisham, MD ^1477^ Gender: Male NPI: 1770652299 Primary Fax: (916) 527-0770 Farsi Mon - Fri 8:00 AM - 5:00 PM License: A51651

Belaga, Gary Allen, MD ^1470^ Gender: Female ♦ Neurology Hindi Tsuchiya, Arline M, MD ^1465^ NPI: 1720196744 ♦ Dermatology License: G52395 ♦ Pediatric Dermatology Gender: Male NPI: 1114098167 License: A43062 Gender: Female

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 141 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Dorman, Brian Wallace, MD ^1478^ Nagelberg, Jodi Beth, MD ^1485^ Tabibian, Leila, MD ^1493^ ♦ Urology NPI: 1720474141 ♦ Urology NPI: 1447278122 License: A146838 NPI: 1821176629 License: G24506 Gender: Female License: A70921

Gender: Male Nathan, Ramesh Vaidya, MD ^1486^ Gender: Female Hospital Privileges: Providence St ♦ Internal Medicine Farsi

Joseph Hospital NPI: 1215025291 Tran, Vu Anh, MD ^1494^ CCS Provider License: A77898 ♦ Pulmonary Disease

Dragicevic, Natasa, MD ^1479^ Gender: Male ♦ Sleep Medicine - Internal Medicine

NPI: 1124386156 Pryor, Ellsworth Paxton, MD ^1487^ NPI: 1528021490 License: A169361 ♦ Infectious Disease License: A79456 Gender: Female ♦ Internal Medicine Gender: Male

Feidi, Rana Abbas, MD ^1480^ NPI: 1952344988 Vietnamese NPI: 1740600972 License: G29880 CCS Provider

License: A167850 Gender: Male Tsuchiya, Arline M, MD ^1495^

Gender: Female Shah, Keval Dipak, DO ^1488^ ♦ Dermatology

Frey, Robert Douglas, MD ^1481^ ♦ Gastroenterology ♦ Pediatric Dermatology ♦ Anesthesiology ♦ Internal Medicine NPI: 1114098167 ♦ Pain Medicine NPI: 1093035917 License: A43062 NPI: 1912934779 License: 20A13956 Gender: Female License: A85317 Gender: Male CCS Provider

Gender: Male Gujarati, Spanish Yoon, Jessica Sonita, MD ^1496^

Shibuya, Barry Eiichi, MD ^1489^ Fritz, Benjamin Angus, MD ^1482^ ♦ Dermatology ♦ Internal Medicine ♦ Rheumatology NPI: 1831352418 ♦ Nephrology NPI: 1275746935 License: C156843 NPI: 1265482772 License: A72682 Gender: Female

License: A66856 Gender: Male Younger, Joel Bruce, MD ^1497^

Gender: Male Siddiqui, Javeed, MD ^1490^ ♦ Neurology Spanish NPI: 1770563967 ♦ Sleep Medicine - Psychiatry & Hospital Privileges: Providence Santa License: A65726 Neurology Rosa Memorial Hospital Gender: Male NPI: 1023088127

Kalt, Michele Sarah, MD ^1483^ Sohrevardi, Mahtab, MD ^1491^ License: G49108 ♦ Cardiovascular Disease NPI: 1578777033 Gender: Male NPI: 1518026186 License: C149677 CCS Provider License: A51509 Gender: Female Gender: Female Farsi Telehealth services must be arranged

Hebrew, Spanish Spriggs, Brenda Beatrice, MD ^1492^ by your PHC doctor. To find all

Levyim, Desiree, MD ^1484^ ♦ Internal Medicine telehealth specialties available NPI: 1497167985 ♦ Rheumatology through Telemed2U look under the License: A146350 NPI: 1720323355 specific specialty listed in this Gender: Female License: C33822 directory. Farsi Gender: Female

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 142 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Thoracic Surgery Deeik, Ramzi K, MD ^1501^ Primary Phone: (707) 303-8323 ♦ Surgery Primary Fax: (707) 525-1033 ♦ Thoracic Surgery (Cardiothoracic Wed 8:00 AM - 5:00 PM

Korver, Keith F., MD ^1498^ Vascular Surgery) PHC#: 15840 NPI: 1093746182 Glamore, Michael James, MD  ^1505^ NPI: 1942316849 License: A79076 NPI: 1033522842 Accepting Existing Patients Gender: Male License: A161424 No Age Limitations Hospital Privileges: Providence Santa Gender: Male 3510 Unocal Pl Ste 207 Rosa Memorial Hospital Santa Rosa, CA 95403 Providence Medical Group, Primary Phone: (707) 569-7860

Urology Sonoma ^1506^ Primary Fax: (707) 545-5408 Mon - Fri By Appointment Only PHC#: 40617 Healdsburg Specialty Medical NPI: 1871607762 Available By Referral Only

Service ^1502^ Korver, Keith Forrest, MD ^1499^ No Age Limitations ♦ Surgery PHC#: 25560 ♦ Thoracic Surgery (Cardiothoracic 510 Doyle Park Dr NPI: 1194824573 Santa Rosa, CA 95405 Vascular Surgery) Available By Referral Only NPI: 1316946130  No Age Limitations Primary Phone: (707) 303-8323 License: G52235 1312 Prentice Dr Gender: Male Primary Fax: (707) 525-1033 Healdsburg, CA 95448 Mon - Fri 9:00 AM - 5:00 PM Spanish  Hospital Privileges: Providence Santa Primary Phone: (707) 431-6314 Rosa Memorial Hospital Glamore, Michael James, MD  ^1507^ Primary Fax: (707) 431-6319 NPI: 1033522842 Mon - Fri 8:30 AM - 5:00 PM License: A161424 Northern CA Minimally Invasive Gender: Male

Martin, David, MD ^1503^ Cardiothoracic Surgery ^1500^

James, Robert Edward, MD ^1508^ PHC#: 25792 ♦ Urology ♦ Urology NPI: 1225036320 NPI: 1619236452 NPI: 1558380683 Available By Referral Only License: A82729 License: G62449 Gender: Male No Age Limitations Gender: Male Hospital Privileges: Healdsburg 500 Doyle Park Dr Ste G05 Hospital Privileges: Providence Santa District Hospital Santa Rosa, CA 95405 Rosa Memorial Hospital  CCS Provider Primary Phone: (707) 921-5440 Providence Medical Group, Kaplan, Adam Geoffrey, MD ^1509^

Primary Fax: (707) 921-5880 Sonoma ^1504^ ♦ Urology Mon - Fri 1:00 PM - 5:00 PM PHC#: 65911 NPI: 1306078050 NPI: 1871607762 License: A114706 Available By Referral Only Gender: Male No Age Limitations Spanish 108 Lynch Creek Way Ste 2 Hospital Privileges: Providence Santa Petaluma, CA 94954 Rosa Memorial Hospital

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 143 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

McAdams, Paul Doey, MD ^1510^ Kaplan, Adam Geoffrey, MD ^1514^ Fletcher, Sophie Anna, MD ^1518^ ♦ Urology ♦ Urology ♦ Female Pelvic Medicine & NPI: 1083690259 NPI: 1306078050 Reconstructive Surgery License: G128434 License: A114706 ♦ Urology Gender: Male Gender: Male NPI: 1093924714 Hospital Privileges: Providence Santa Spanish License: C56168 Rosa Memorial Hospital Hospital Privileges: Providence Santa Gender: Female CCS Provider Rosa Memorial Hospital Hospital Privileges: Sutter Santa

McAdams, Paul Doey, MD ^1515^ Palleschi, James Reginald, MD ^1511^ Rosa Regional Hospital ♦ Urology ♦ Urology CCS Provider

NPI: 1528088705 NPI: 1083690259 Palleschi, James Reginald, MD ^1519^ License: A24352 License: G128434 ♦ Urology Gender: Male Gender: Male NPI: 1528088705 Hospital Privileges: Hospital Privileges: Providence Santa License: A24352 Providence Santa Rosa Memorial Rosa Memorial Hospital Gender: Male Hospital CCS Provider Hospital Privileges: Sutter Medical Center Sacramento Providence Santa Rosa Memorial CCS Provider Sutter Medical Group of the Hospital Sutter Medical Center Sacramento

Redwoods ^1516^ Providence Medical Group, CCS Provider PHC#: 26207 Rodriguez III, Joseph Fernando, Sonoma ^1512^ NPI: 1003267196

MD ^1520^ PHC#: 61760 Available By Referral Only NPI: 1295174969 NPI: 1871607762 No Age Limitations License: A168973 Available By Referral Only 34 Mark West Springs Rd 2nd Fl Gender: Male No Age Limitations Santa Rosa, CA 95403 Spanish  462 W Napa St Hospital Privileges: Sutter Santa Primary Phone: (707) 541-7900 Sonoma, CA 95476 Rosa Regional Hospital Primary Phone: (707) 525-4051 Primary Fax: (707) 573-5413 Primary Fax: (707) 525-1033 Mon - Fri 8:30 AM - 5:00 PM

Von Sydow, Nora L., NP ^1521^ Mon - Fri 8:00 AM - 5:00 PM NPI: 1235538570

Duckett, Thomas Matthew, MD ^1517^ License: 95001184 ♦ Urology James, Robert Edward, MD ^1513^ Gender: Female ♦ Urology NPI: 1790700532 NPI: 1558380683 License: G58176

License: G62449 Gender: Male Telemed2U ^1522^ Gender: Male Hospital Privileges: PHC#: 32086 Hospital Privileges: Providence Santa Providence Santa Rosa Memorial NPI: 1326338237 Rosa Memorial Hospital Hospital Available By Referral Only CCS Provider Sutter Santa Rosa Regional Hospital 18 Years and Older Telehealth Services Primary Phone: (916) 740-3721 Primary Fax: (916) 527-0770 Mon - Fri 8:00 AM - 5:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 144 of 150 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY SONOMA COUNTY DIRECTORY

Dorman, Brian Wallace, MD ^1523^ Causey, Marlin Wayne, MD ^1526^ ♦ Urology ♦ Surgery NPI: 1447278122 ♦ Vascular Surgery License: G24506 NPI: 1023214848 Gender: Male License: A124591 Hospital Privileges: Providence St Gender: Male Joseph Hospital CCS Provider

CCS Provider Jicha, Douglas Louis, MD ^1527^

Tabibian, Leila, MD ^1524^ ♦ Surgery ♦ Urology ♦ Vascular Surgery NPI: 1821176629 NPI: 1306879325 License: A70921 License: G76380 Gender: Female Gender: Male Farsi Hospital Privileges: Providence Santa Rosa Memorial Hospital Telehealth services must be arranged CCS Provider

by your PHC doctor. To find all Ko, Sae Hee, MD ^1528^ telehealth specialties available ♦ Surgery through Telemed2U look under the ♦ Vascular Surgery specific specialty listed in this NPI: 1407141757 directory. License: A126003 Gender: Female Vascular Surgery Hospital Privileges: Providence Santa Rosa Memorial Hospital CCS Provider Providence Medical Group,

Sonoma ^1525^ Wound Care PHC#: 30982 NPI: 1871607762

Available By Referral Only Northern California Wound Care ^1529^ No Age Limitations PHC#: 26764 1162 Montgomery Dr NPI: 1194824573 Santa Rosa, CA 95405 Available By Referral Only Level of Access: Limited No Age Limitations Primary Phone: (707) 890-4250 1540 Healdsburg Ave Primary Fax: (707) 476-2240 Healdsburg, CA 95448 Mon - Fri 8:00 AM - 5:00 PM  Primary Phone: (707) 473-4400 Primary Fax: (707) 473-4405 Mon - Fri 8:00 AM - 5:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 145 of 150 PHC PROVIDER INDEX | SONOMA COUNTY DIRECTORY

INDEX

A Betts, Jennifer Lynn, MD ...... 40 Cloverdale ...... 22 Bhaduri, Aditi B, MD ...... 82, 141 Coble, Meredith Jean, DO ...... 40 Abboud, Angela Abraham, PA ...... 76 Bhandal, Harjot Singh, MD ...... 123 Cohen, Phyllis Marie, MD ...... 41 Ackroyd, Gregory Todd, MD ...... 137 Biase, Gabriella, LAc ...... 60 Coleman-Riese, Dorothy May, MD ...... 40, 43 Acupuncture ...... 60, 61 Birch, Kurtis Gray, MD ...... 103 Comprehensive Perinatal Services Program Ahern, Carol Ann, MD...... 45 Bisignani, Mark, MD ...... 133 CPSP...... 74 Ahmed, Safi, MD ...... 26, 31 Black, Laura Ann, NP...... 25 Connick, Megan, MD ...... 28, 32 Ahn, Sam Sangwoo, MD ...... 62 Bocc, Edward, PA ...... 24 Consiglieri, Giac Donati, MD ...... 103 Al Nahlawi, Basma, MD ...... 136, 141 Bock, Bonnie Virginia, MD ...... 98, 141 Conway, Emily Lai, MD...... 73 Albeg, Jonathan Casey, MD ...... 25 Bockman, Zachary John, LAc ...... 61 Corominas, Glency Sue Marie Senires, MD ... 41 Alejandro, Delaine M, DO ...... 45 Bohn, Marjorie Ang, DO...... 40 Cortez, Allen William, MD ...... 86 Alexandridis, Alexis Regina, MD...... 84 Bojnowski, Donald Karol, DC ...... 74 Covec, Mark Andrew, NP ...... 125 Allair, Hilary Ann, CNM ...... 89, 108 Bollinger, Michael Thomas, MD ...... 117 Craft, Noah Ames, MD...... 75, 140 Allergy ...... 61, 62 Boone, Donald Steven, PA ...... 40 Crawford, Tori Doolittle, NP...... 118 Ally, Mina Sarah, MD ...... 75, 140 Borses, Mary Jean, MD ...... 71 Cueto-Salas, Martha Elena, MD ...... 26 Almond, David Emmanuel, MD ...... 40 Boyers, Michael James, MD ...... 46 Culhane, Elizabeth Suzanne, MD ...... 36 Alsamarae, Arwa Mustafa, MD ...... 114 Boylan, Barbara Ann, MD ...... 69, 70 Cunningham, Jason Lee, DO ...... 44 Alternative Birthing Centers ...... 62 Bozuk, Michael Ivan, MD ...... 84 Alvarez, Juana Rosa, FNP...... 24 Brenner, Daniel Adam, MD ...... 73 Amara, Dominic Paul, MD ...... 88, 90, 107, 109 Britt, Deborah Schulte, MD ...... 36 D Ambulatory Surgery Centers ...... 62 Brittell, Barbara Mary, PA-C ...... 22 Ammerman, Seth David, MD ...... 23 Bromer, Steven Patrick, MD ...... 44 D'Avignon, Laurie Cordaro, MD ...... 92, 98, 141 Anderson, Ian Churchill, MD ...... 111, 112 Brotherton, Anne Nelson, FNP...... 28, 32 D'Costa, Walter Francis, DPM ...... 128 Anderson, Jacqueline E, FNP...... 47 Brouillette, Leslie Anne, NP ...... 42 Danes, Gabriel Nociti, MD ...... 34 Andolsen, Richard Joseph, MD ...... 24 Brown, Benjamin Richard, MD ...... 42 Daniel, Lambert Nance, MD ...... 40 Arambulo, Maria Flordeliz Uy, MD ...... 82, 141 Brunn, Anna Teresa, FNP ...... 36 Davey, Michelle, DO ...... 23, 139 Armstrong, Renee Alisa, MD ...... 41 Bruns, James E ...... 59 David, Consuelo Veronica, MD...... 75, 140 Ashcroft, Andrew Burns, MD ...... 26, 31 Bryant, Kathryn Anne, FNP...... 29 David, Frederick Charles, MD ...... 133 Athanassious, Christian Nabil, MD ...... 119, 120 Bryner, Teresa Lynette, PNP...... 46 Davis, Victoria Moore, MD ...... 25 Audiology ...... 63 Budman, Margo Vanessa, MD...... 34 De Leon, Mary Jeanne Soberano, MD ... 82, 141 Austin, Andrea Hui, MD ...... 75 Bulloch, Nora Lee, RD ...... 105 De Pala Jr, Armando Villafuerte, MD ...... 29 Awtry, Alisa Rose, MD ...... 41, 42 Butts, Melissa Sue, DO ...... 136, 141 De Tablan, Naomi Estolas, DPM ...... 129 Byrd, Janet Kay, FNP...... 45 DeCastro, Marlon Cheng, MD ...... 35 DeGroot, Henry Eric, MD ...... 75 B DeTorres, Charles Francis, MD ...... 45 C DeVille, DeEtte Martene, MD ...... 23 Babajanian, Masis, MD ...... 72 Deeik, Ramzi K, MD ...... 143 Bacharach, Jason, MD ...... 115 Calaf, Salvador Federico, MD ...... 102 Degenhardt, Thomas Crane, MD ...... 119, 120 Badii, Cyrus Afshin, MD ...... 84, 141 Cao, Ying, MD ...... 94, 113 Dehesa-Rosillo, Carolina, FNP ...... 39 Baerlocher, Ariane Daniela, NP ...... 39 Caraballo Fonseca, Juline Natalia, MD ...... 62 Dehnad, Susan Katrina, MD ...... 91, 110 Baker, Emily Jo, FNP...... 42, 87 Cardiovascular Disease ...... 69, 70, 71, 72, 73 Della Lana, David Francis, MD ...... 29, 31, 35 Ballesteros, Jose Veloso, MD ...... 72 Carr, Harry Bennett, MD ...... 125 Dermatology ...... 74, 75, 76 Barajas, Cecilia Alvarez, PA-C ...... 94, 113 Casarotti, Kimberly Ann, FNP ...... 29 Deshpande, Abhijit G, MD ...... 132 Barker, Christopher Lewis, MD ...... 23, 46 Causey, Marlin Wayne, MD ...... 145 Dettloff, Renee Theresa, CNM ...... 89, 108 Barrow, Sandra, MD ...... 102 Cedars, Elizabeth Debra, MD ...... 122 Deutsche, Kevin Richard, PA-C...... 117 Bartlett, Tara Corinne, DO ...... 91, 110 Cederberg Jr, Laurie Lynn, MD ...... 42 Devlin, Patrick Gerard, MD ...... 72 Bartlett, William Harold, MD ...... 115, 116 Chakkalakel, Sherin Ann, FNP...... 30 Dey, Sujoya, MD ...... 70 Baylor, Anna Louise, MD ...... 27, 31 Chang, Julia Mee, NP ...... 41 Dhar, Sanjay Chamanlal, MD ...... 71 Bedolla, Stephanie Lisette, ANP...... 104, 132 Chang, Wun-Ling, MD ...... 98, 141 Dhillon, Surisham, MD ...... 105, 141 Begert, David Lee, MD ...... 41 Chang-Sing, Peter David Gerald, MD ...... 70 Dialysis Centers ...... 77 Behavioral Health Treatment64, 65, 66, 67, 68, Chase, Carolyn Ruth, FNP ...... 30 Dickey, Benjamin William, MD ...... 36 69 Chen, Iun-Iu Aileen, DO...... 27, 31 Dickey, Brianne Zechlinski, MD ...... 76 Beirne, Joshua Patrick, MD ...... 84 Cheung, Eric Lerang, MD ...... 102 Diel, Joanna Renee, FNP ...... 28, 32 Belaga, Gary Allen, MD ...... 105, 141 Chi, Carlin Li-An, MD ...... 27, 31, 138 Dilena, Amy Renee, DC...... 74 Belogorsky, Eugene, MD ...... 132 Chiang, Janet Ming-Shih, MD ...... 82 Doniach, Tabitha, MD ...... 41 Benenhaley, Leesa Elaine, FNP ...... 28, 32 Chico, Patricia Diana, MD ...... 23, 46 Donlon, Deborah Tracy, MD ...... 38, 90, 109 Bennett, Frederick Stephen, MD ...... 119, 120 Chiropractic ...... 73, 74 Doolittle, Laurie McGuire, MD ...... 29 Bernard-Pearl, Dierdre Joy, MD ...... 39 Chmiel, Dorothy Antoinette, PA-C ...... 86 Dorman, Brian Wallace, MD ...... 142, 145 Bernstein, Allan Lewis, MD ...... 103, 104 Choe, Jonathan Young, MD ...... 27, 31, 138, 139 Doyle, Nancy E, MD ...... 43 Bertolli, Thomas Arnold, MD ...... 22, 138 Clark, Julie Diane, MD ...... 88, 89, 107, 108 Dragicevic, Natasa, MD ...... 105, 142

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 146 of 150 PHC PROVIDER INDEX | SONOMA COUNTY DIRECTORY

Drexler, Brad, MD ...... 87, 88, 106, 107 Gladstein, Andrea Bialek, MD...... 87, 106 Holmes, Scott Michael, DO ...... 28, 32 Duckett, Thomas Matthew, MD ...... 144 Glamore, Michael James, MD ...... 143 Home Health Agencies ...... 95, 96 Duncan, Corinne Nicole, NP ...... 37 Gomez, Ulysses, MD ...... 27, 31, 138, 139 Home Infusion Therapy ...... 96, 97 Duncan, Max Barnett, DO ...... 105 Gomez-Mira, Christina, MD ...... 31 Homicz, Mark Raymond, MD ...... 122 Duncan, Parker Andrew, MD ...... 90, 109 Gonzalez, Jenelle Venus, FNP ...... 28 Hong, Judith, MD ...... 76 Dunlap, Thomas E, MD ...... 72 Goodwin, Mark Clifford, MD ...... 40 Hopkins, Donald Gregory, MD ...... 73 Durable Medical Equipment ... 77, 78, 79, 80, 81 Gordon, Justin Stanley, MD ...... 75, 140 Horan, Kathleen Louise, MD ...... 41 Dutton, Kathleen McDade, ANP...... 102 Grafe, Michael William, MD ...... 118 Hospice Services ...... 97 Green, Ellen Hier, MD...... 37, 46 Hospitals Primary...... 48 Green, Gary Martin, MD ...... 98 Hospitals Referral ...... 48, 49, 50 E Greenfield, Daniel Joseph, MD ...... 36 Howe, Kevin Karlye, MD ...... 118 Greer, Karl Anton, MD ...... 27, 31, 138, 139 Hoyal, Rachel Ann, DPM ...... 129 Eckert, Kirsten Elyse, CNM ...... 91, 110 Grgich, Kyle Mitchell, PA-C ...... 103 Hoyal, Ralph Paul, DPM ...... 128 Edouard, Philippe Robert, MD ...... 27, 32 Griego, Ann-Elizabeth, MD ...... 44, 83, 138 Hoyer, William F...... 58 Ehrenreich, Kyla Wolff, PA-C ...... 44 Grierson, Kevin Robert, DPM ...... 131 Hufbauer, Ellen Arabelle, MD ...... 83 Ekstrom, Anna V, DO ...... 24 Griffin, Brittany, PA-C...... 119 Hunter, John Joseph, MD ...... 72 Elboim, Charles Martin, MD ...... 86 Gruber, Allen George, MD ...... 123 Hurley, Jennifer Marie, CNM ...... 89, 108 Elder Jr, William James, MD...... 25 Gualala ...... 22 Eliaser, Gerald Eugene, MD ...... 23 Guerneville ...... 22, 23 Emad, Lela Maryam, MD ...... 92, 111 Guerrero McCormick, Kiana, MD ...... 45 I Endocrinology ...... 82 Gynecology ...... 87, 88, 89, 90, 91, 92 Epidendio-Sloan, Melissa A, NP ...... 137 Iezza, Alexander Paul, MD ...... 118 Ewing, Harold Jesse, PA-C ...... 22 Iezza, Heather Ariagno, MD ...... 36 H Infectious Diseases ...... 98 Iutzi, Cassie Jane, MD ...... 27, 32 F HIV AIDS Specialists ...... 92 Iyer, Vivek, MD ...... 70 Haimson, Robert Brian, MD ...... 121 Falk, Lois Richardson, NP ...... 22 Hale, Demara Nicole, MD ...... 41 Family Planning ...... 83 Halpern, Stephen Wayne, MD ...... 72 J Faust, Robert Logan, MD ...... 84 Hameed, Fasih Abdul, MD...... 27, 32 Feidi, Rana Abbas, MD...... 92, 98, 142 Hamidi, Reyhaneh, MD ...... 75, 140 Jamalyaria, Sahar, DO ...... 41 Ferguson, Monica Odetta, MD ...... 35 Hand Surgery...... 92, 93 James, Le Ann, CNM...... 88, 107 Ferrer, Gerrard F, DO ...... 104 Hand, Carolyn, NP ...... 22 James, Robert Edward, MD ...... 143, 144 Fialk, James L, LAc ...... 60 Hanson, Brian Lockwood, MD ...... 84 Jay, Sandy Lynn, FNP...... 125 Fields, Marc Thomas, MD ...... 134 Hardin, Katherine, NP ...... 43 Jicha, Douglas Louis, MD ...... 145 Finnemore, Rebecca Katz, MD ...... 27, 31 Harf, Robert Alan, MD ...... 117 Jimenez, Douglas B, MD ...... 37 Fisher, Erin Michelle, PA-C ...... 94, 113 Harner, Rex Dell, MD...... 34 Joba, Ameha, DPM...... 83, 129, 131 Fito, Dennis Allen Minas, MD ...... 22 Harris, Ronald L ...... 59 Johanson, Gary Andrew, MD ...... 125 Fletcher, Sophie Anna, MD ...... 144 Harwood, James William, MD ...... 85 Johnson, Michael Alan, DPM...... 129 Foorohar, Afsoon, DO ...... 22 Hau, John Y, MD ...... 124 Joseph, Rachel Mary, FNP ...... 33 Foot and Ankle Surgery ...... 83 Hauf, Zuo-Fen, MD ...... 34 Francis, Adam Crawford, MD ...... 38 Hawkins, Peter Gilbert, MD ...... 134 Freeman, Jennifer Sayaka, MD ...... 76 Hayes, Jennifer Ashley, MD ...... 76 K French, Anne Margaret, MD ...... 37 Hayre-Kwan, Surani, FNP...... 23 Kafi, Reza, MD ...... 75, 140 Frey, Robert Douglas, MD ...... 123, 125, 142 Healdsburg ...... 23, 24, 25 Fritz, Benjamin Angus, MD ...... 102, 142 Kahl, Natasha Ann, MD ...... 91, 110 Hearing Aid Dispenser ...... 93 Kalt, Michele Sarah, MD ...... 73, 142 Heckey, Robert Paul, MD ...... 43 Kanaan, Zeyad Hashem, MD ...... 94, 113 G Hedrick, Guadalupe Nieto, MD ...... 24 Kangas, Barbara Ann, FNP...... 124 Helgerson, Erin Joy, MD ...... 27, 32 Kaplan, Adam Geoffrey, MD ...... 143, 144 Garcia, Cassandra Nicole, MD ...... 41 Heller, Cassandra Jean, DO ...... 23 Kaplan, Eliot ...... 59 Garcia, Luis Emmanuel, PA-C ...... 119 Hellings, Caroline Gail, MD ...... 41 Karaoglan, Deha Kaya, DPM ...... 128 Garcia, Mario Marin, PA-C...... 28, 32 Hematology...... 94 Kates, Melanie Mary, MD ...... 25, 42, 43 Garden, Valerie Sondra, MD ...... 114 Hentz, Robert Douglas, MD ...... 41 Keck, Sara Ann, MD ...... 111, 112 Garrett, Sheryl Anne, MD ...... 71 Herman, Jennifer Nicole, FNP ...... 23 Keeffe, Brian Gregory, MD ...... 70 Garrison-Jakel, Jared Nikolaus, MD ...... 23, 139 Hernandez, Jordan, PA-C...... 118 Keenan, Amber Rose, FNP...... 62 Gastroenterology ...... 83, 84 Hewitt, Janet Marie, FNP ...... 31 Kehres, Heather Jeanne, PA-C ...... 82 Geissler Meka, Jillian Durrell, FNP ...... 28, 33 Hill, Allan Stewart, MD ...... 87 Keighley, Ember, MD ...... 23 Gelphman, Karen Kai Ann, MD ...... 41 Hill, Shana Mackenzie, MD ...... 132 Keiser, Leroy Wayne, MD ...... 111, 112 General Surgery ...... 84, 85, 86, 87 Hla, Ommar Tin, MD ...... 133 Khalsa, Dalbir Kaur, PA-C ...... 28, 33 Germain, Rasha, MD ...... 103 Hoeft, Jena Nicole, PA...... 28, 33 Khan, Kamran Alam, MD ...... 132 Gibson, Cheryl Louise, FNP ...... 47 Hofeling, Todd J, MD ...... 136 Khawaja, Shazah, MD ...... 91, 110 Gikuhi, Jotham Kahoro, FNP ...... 30 Hollander, John Dirk, DPM ...... 130 Kidd, Sabrina Ann, MD ...... 86 Gish, Robert Gareth, MD ...... 84 Holmes, Jarrod Paul, MD ...... 94, 112 Kim, Steven Park, DPM ...... 131

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 147 of 150 PHC PROVIDER INDEX | SONOMA COUNTY DIRECTORY

Kirkconnell, Molly Rebecca, MD ...... 25, 138 Manuel Arguelles, Daisy C, DO ...... 46 Nissen, Teodoro Pedro, MD ...... 117 Klein, Roger Allen, MD ...... 92, 117 Marbut, Samantha Lynn, NP...... 73 Northfield, Mark Robert, MD ...... 118 Ko, Sae Hee, MD ...... 145 Marcus, Laura Anne, FNP...... 24, 46 Nutrition Services ...... 105, 106 Komatsu, Judith, ANP...... 28, 33 Marianella, Larry, MD ...... 35 Kopp-Yates, Hannah Rowena, CNM ...... 89, 108 Markoff, William Aaron, MD ...... 36 Korin, Alexandra Maria, MD...... 40 Marks, Natalie Rachel, PA-C ...... 119 O Korver, Keith Forrest, MD ...... 143 Marsland, Thomas, MD ...... 94, 112 Korves, Ashleigh Erin, DPM ...... 83 Martin, David, MD ...... 143 O'Donnell, Amy Patricia, LAc...... 61 Kosinski, Anthony Paul, MD ...... 89, 108 Martin, Grace Tandoc, MD ...... 29 O'Malley, Anna Kristina, MD ...... 30 Kremer, Lisa Brandabur, MD ...... 136 Martin, Laura, MD ...... 38, 90, 109 Obstetrics ...... 106, 107, 108, 109, 110, 111 Krumland, Stephen Pifer, MD ...... 39 Matalon, Eran Y, MD ...... 35 Occidental ...... 25 Kruusmagi, Ellen Betty, MD ...... 40 Matel, Joseph Ronald, MD ...... 39, 140 Occupational Therapy...... 111 Kulawiak, Patricia Whooley, MD ...... 38 Maur, Pamela, MD ...... 72 Oncology...... 111, 112, 113 Kurss, Jonathan Michael, MD ...... 89, 108 Mazur, Kai Uwe, MD ...... 92, 93, 119, 120 Ophthalmology...... 113, 114, 115, 116 Kwock, Jaremy Lowe, PA-C ...... 103 McAdams, Paul Doey, MD...... 144 Orthopaedic Surgery...... 117, 118, 119, 120, 121 Kwon, Nicole Boon Jung, MD ...... 91, 110 McCray, Victor Wayne, MD...... 86 Orthotics Prosthetics ...... 121, 122 Kylstra, Trieneke Ann, MD ...... 36 McDermott, Michael James, MD ...... 119, 120 Oryn, Danielle Estee, DO ...... 27, 32, 139 McDonald, Laura, FNP ...... 38, 39 Osman, Farid, MD ...... 102 McFadden, Toni Myers, ANP ...... 72 Oswald, Holly, NP ...... 45 L McLaughlin, Eleanor R, FNP ...... 30 Otolaryngology...... 122 McLeod-Waldo, Rebecca Lee, CNM89, 107, Ou, Mei, FNP ...... 45 Labbe, Susannah Rachael, NP...... 24 108 Laboratory Draw Stations ...... 98, 99 Medical Supplies ...... 99, 100, 101 Lai, Stella, MD ...... 104 Meffert, Stephen Armstrong, MD ...... 114 P Lalith Mohan, Adamane S, MD ...... 71 Mehta, Ketan C, MD ...... 132 Lankford, Graham C, LAc ...... 60 P Williams, Victoria Lorraine, DO ...... 27, 32 Mendius, J Richard, MD ...... 105 Pace, Gary James, MD ...... 23, 46 Lawson, Amy Lynn, MD ...... 24, 46 Mental Health Services - Outpatient ...... 51 LeVeque, Julie Ann, FNP ...... 44 Pacheco-Clark, Ana Luisa, MD...... 43 Mesches, Jeremy Carl, MD ...... 42 Pain Management ...... 122, 123, 124, 125 Lee, Irwin Hubert, MD ...... 134 Meskowsky, Kurt, BCBA ...... 67 Lee, Jennifer Tung, MD ...... 43 Palleschi, James Reginald, MD ...... 144 Mihalik, John Michael, MD ...... 23 Palliative Medicine ...... 125 Lee, Robert An-Kuo, MD ...... 76 Minaie, Arash, DO ...... 133 Lee, Wes Shen-Lin, MD ...... 112 Palma, Lynne Dee, FNP ...... 28, 33 Mintalucci, Dominic J, MD ...... 92, 93, 120 Papsco, Mary Catherine, FNP ...... 37 Lekander, Gary Michael, MD ...... 131 Mintz, Norman J ...... 59 Leon, Federico George, MD ...... 35 Park, Ligaya Frances, DO ...... 76 Mishra, Subhash, MD ...... 46 Partida, Ramon Alfonso, MD ...... 70 Leon, Gigi Milagros, PA-C ...... 24, 46 Moilanen, Erin Marie, NP ...... 38 Leoni, Peter Vincent, MD ...... 85 Patel, Vishal Ghanshyam, MD ...... 72 Moore, Jessicca Lee, FNP...... 28, 33 Paulsson, Anna K, MD...... 133 Les, Jessica Tekla, MD ...... 38 Moore, Rain Becker, MD ...... 25 Levenbach, Gidon, LAc ...... 60 PeBenito, Milana Julia, MD ...... 27, 32 Morris, Cynthia, MD ...... 36 Pearson, Lisa Feth, MD ...... 27, 32 Levine, Natalie Enid, FNP...... 28, 33 Morrison, Tara Marie, FNP...... 132, 137 Levine, Stanley D, MD ...... 90, 109 Pediatric Dermatology ...... 126 Morse, Jonathan Mark, MD ...... 31 Pelavin, Paula Erin, PA-C ...... 28, 33 Levyim, Desiree, MD ...... 105, 142 Mortensen, Theresa Louise, FNP ...... 94, 112 Lewis, Joel M, DO ...... 37 Pendleton, John Douglas, MD ...... 27, 32, 139 Muirhead, Ariel, RD ...... 105 Peng, Albert Tse-Chien, MD ...... 76 Lewton, Zachary Richard, MD ...... 104, 136 Mulligan, Marie Ann, MD ...... 37 Licht, Nurit, MD ...... 27, 32 Peralta, Elizabeth A, MD...... 87 Mullikin, Mallory Paige, FNP ...... 30 Perry, Stephen Aubrey, MD ...... 42 Lin, Bertha Bin-San, MD ...... 76 Murray, Kateri, MD...... 125 Lloyd, Ryan Todd, DC ...... 74 Petaluma ...... 25, 26, 27, 28, 29, 30 Lo, Jennifer S, PA-C ...... 121 Petrick, Maria Mikaela, MD ...... 62 Logan, Susan Cameron, MD ...... 92, 111 N Petromilli, Emily, ACNP...... 85 Long, Colette, FNP ...... 28, 33 Peyton, Krista Joy Lennice, PA-C...... 28 Longchamp, Carla Price, MD ...... 38 Nagelberg, Jodi Beth, MD ...... 82, 142 Pharmacy Network List 51, 52, 53, 54, 55, 56, Longin, Helena Ann-Yvonne, MD ...... 76 Nakai, Yuichiro David, MD ...... 82 57 Losada, Catherine, FNP ...... 39 Nathan, Ramesh Vaidya, MD ...... 98, 142 Physical Medicine Rehabilitation ...... 126 Lossy, Panna Susan, MD ...... 83 Neal, Thomas Alan, MD...... 25 Physical Therapy ...... 126, 127 Lozanov, Nikola Yuliev, MD ...... 26 Negrin, Cheryl Ann, FNP...... 28, 33 Piersol, Patricia Ellen, CNM ...... 87, 88, 106 Luisi, Marcia Ann, MD...... 126 Nephrology ...... 102 Pile, Elizabeth Lomax, NP ...... 22, 137 Lund, Erin Elizabeth, MD ...... 39, 140 Neurological Surgery ...... 102, 103 Pineda, Christina Helena, ANP...... 28, 33 Lundergan, Faye Susan, MD ...... 26 Neurology ...... 103, 104, 105 Pitzen, Roger John, MD ...... 44 Ngai, Tiffany, MD ...... 98 Plastic Reconstructive Surgery ...... 127 Nguyen, Aidan Ngoc, DPM ...... 131 Plastino, Joan Madeline, LAc ...... 60 M Nguyen, David Minh, MD ...... 94, 113 Podiatry...... 127, 128, 129, 130, 131 Ni, Nina, MD ...... 113, 114 Point Reyes ...... 30 MacLeamy, Patrick D, PsyD ...... 68 Nicol, Annie Marie, NP...... 28, 33 Pollock, YaoYao Guan, MD ...... 94, 112 Magnotti, Michael, MD ...... 82 Nimtz, John Walter, MD ...... 35 Pomares, Carmen Margarita, LAc ...... 61 Maniscalco, David Lawrence, MD ...... 136 Pope, Emily Ann Ferrell, NP ...... 36

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 148 of 150 PHC PROVIDER INDEX | SONOMA COUNTY DIRECTORY

Pope, Jason Edward, MD ...... 123 Saverio, Malik Roberto, DO ...... 43 Stewart, Christopher James, FNP ...... 37 Pourtaheri, Neema, MD ...... 119, 120 Sawicki, Andrew John, DPM...... 130 Suazo, Gisselle Elizabeth, FNP ...... 29, 33 Powell, Hilary Rose, PA-C ...... 28, 33 Schachar, Ira Hyman, MD ...... 114 Suboxone/ Powers, Matthew Armstrong, MD ...... 114 Schakel II, Mark E, MD ...... 120 Buprenorphine Treatment137, 138, 139, Pride, Matthew Barry, MD...... 91, 110 Scharfen, Cindy Okada, MD ...... 133, 134 140 Prosser III, Kenneth Frederick, MD ...... 36 Schlais, Steven Francis, DC ...... 73 Sue, Austin Yuen, MD ...... 125 Pryor, Ellsworth Paxton, MD ...... 98, 142 Schlesinger, Thomas Kurt, MD ...... 116 Sugarman, Jeffrey Louis, MD ...... 76 Prystowsky, Brian Gabriel, MD ...... 40 Schluter, Sophia Wamsley, MD ...... 113 Suryavanshi, Dilip Singh, MD ...... 85 Pulmonary Disease ...... 131, 132, 133 Schmidt, Brian Frederick, MD ...... 86 Sweeney, Michael Alan, MD ...... 42 Punatar, Harendra Keshavlal, MD ...... 71 Schneider, James Joseph, MD ...... 86 Pycard, Randa Aleasha, FNP ...... 28, 33 Schulman, Robert Adam, MD ...... 126 Schulte, Brett Jon, MD ...... 85, 86 T Schumacher, Edmund William, DPM...... 130 R Schuster, Nikki Anne, CNM ...... 89, 108 Tabibian, Leila, MD ...... 142, 145 Scott, Alan Brown, MD...... 115 Tan, Belinda Hsiu Jung, MD ...... 75, 140 Radiation Oncology ...... 133, 134 Scott, Erica Noelle, NP ...... 42 Tantarelli, Jenifer, FNP...... 125 Radiology ...... 134 Sebastopol ...... 44 Telehealth Services ...... 140, 141, 142 Raghupathy, Arun K, MD ...... 70 See, Alison Ann, PA ...... 119 Teran, Kari Kathleen, MD ...... 42 Rainow, Alex, MD ...... 71 Seeker, Melissa Ann, MD ...... 91, 110 Terry, Carey Robert, MD ...... 23 Rake, Linda Ann, PA ...... 24 Seeley, Brien Aven, MD ...... 113 Thoracic Surgery ...... 143 Ramchandani, Avinash Nari, MD...... 123 Servioli Verde, Maria Jose, MD ...... 103 Thu, Ye, MD ...... 98 Ranadive, Rajesh Krishnanath, MD ...... 29 Sever, Mark Joseph, PT...... 127 Timothy, Parker Don, PA-C...... 119 Ranadive, Rajina, MD ...... 29 Shah, Avni Ashok, MD ...... 113, 114 Tito, Elizabeth Jean Peace, MD ...... 86 Rangel, Ruben E, BCBA ...... 69 Shah, Keval Dipak, DO ...... 84, 142 Tito, Joseph Michael, MD ...... 85 Rao, Nikhil Gadahad, MD ...... 134 Shaw, Amy Elizabeth, MD ...... 112 Tompkins, Geoffrey Stuart, MD ...... 118 Ratiani, Lauren Michelle, FNP ...... 35 Sheerin, Stephen Paul, MD ...... 38 Toth, Thomas Lawrence, MD ...... 23 Ratnarathorn, Mondhipa, MD ...... 76 Shende, Urmila A, MD ...... 28, 32 Tran, Michael Long, MD ...... 122 Ray, Rose M, FNP ...... 84 Sherchan, Pooja, MD ...... 82 Tran, Vu Anh, MD ...... 133, 142 Redko, Peter, DPM ...... 128 Sherifi, Ines, MD ...... 71 Trapnell, James Gregg, MD ...... 37 Redwood, Fiona Clare, MD ...... 88, 107 Shibuya, Barry Eiichi, MD ...... 136, 142 Tsuchiya, Arline M, MD ...... 76, 126, 141, 142 Rehder, Megan, FNP ...... 28, 33 Shieh, Emil I, MD ...... 115, 116 Reyes, Melissa, MD ...... 75, 140 Shipley, Leslie A ...... 59 Reynolds, Michele Diane, MD ...... 45 Shipley, Margot ...... 59 U Rheumatology...... 135, 136 Shipp, Jennifer Tom, NP ...... 125 Rhodes, Jessica Davis, MD ...... 27, 32 Upton, Sean Rae, NP ...... 29, 33 Shoemaker, Dane Arthur, ACNP ...... 84 Urology ...... 143, 144, 145 Rice, Kyla Monene, MD ...... 38, 90, 109 Shulkin, Michael C ...... 59 Rich, Daniel George, MD ...... 113, 114 Siddiqui, Javeed, MD ...... 98, 142 Rich, Stephen Michael, MD ...... 46 Siegemund, Ronald Dieter, MD ...... 24 V Richardson, Alexis Victoria, LAc ...... 61 Silkiss, Rona Zel, MD ...... 115 Richman, Kristin Joy, CNM ...... 83, 89, 107 Silva Atkinson, Karina Garcia, MD...... 42 Valdez, Emerson Adner, DPM ...... 128 Roache, Paul Byron, MD ...... 117, 137 Silva, Heather Noel, PA-C ...... 76 Van Dissel, Ghislaine N.S., DO ...... 34 Rodriguez III, Joseph Fernando, MD ...... 144 Skilled Nursing Long Term Care Facilities 57, 58 Vascular Surgery...... 145 Rohnert Park ...... 30, 31, 32, 33, 34 Slater, Lawrence, MD ...... 42 Vasiliauskas, Tomas, MD ...... 72 Romero, Whitney Lorraine, ANP...... 28, 33 Sleep Medicine ...... 136, 137 Vaynberg, Dina, MD ...... 89, 108 Rondou, Cecelia Anne, CNM...... 91, 110 Smith, Briant William, MD ...... 121 Vazquez Vega, Elisa, RD ...... 105, 141 Rosa, Gregory Paul, MD ...... 29, 44 Smith, Elizabeth P, CNM ...... 89, 108 Venkatesan, Aruna, MD ...... 75, 140 Rose, Samuel B, DC ...... 74 Smith, Jean Ernst, MD ...... 24 Vezino, Brooke Nicole, MD ...... 44 Royer, Christine Anne, MD ...... 62 Smith, Jerome Charles, MD ...... 45 Villanueva, Cresolito Alcantara, FNP...... 30 Rushton-Miller, Jill Elizabeth, MD ...... 42, 43 Smith, Leo Arthur, MD ...... 35, 47 Viscogliosi, Paul, PA-C ...... 121 Smith, Steven Allen, MD ...... 118 Vision Service Plan (VSP) Sohrevardi, Mahtab, MD ...... 82, 142 (1-800-877-7195) ...... 58, 59 S Sommerhaug, Eiler John, MD ...... 127 Von Sydow, Nora L., NP ...... 144 Sacher, Gregory Neill, MD ...... 89, 108 Sonoma ...... 45, 46 Voscopoulos, Christopher John, MD ...... 124 Saidel, Michael Andrew, MD ...... 115, 116 Soto, David Joseph, MD ...... 87 Vulchi, Manasa, MD ...... 94, 112 Sanabria, Sarah J, NP ...... 82 Speech Therapy ...... 137 Sanchez Mendez, Enrique, MD ...... 38, 90, 109 Sports Medicine ...... 137 Sandhu, Amrita, DO...... 27, 32 Spriggs, Brenda Beatrice, MD ...... 136, 142 W Stafford, Lisa Laraine, NP...... 43 Sangera, Rajveer Singh, DO ...... 72 Walker, John W...... 59 Stavn, Hollis L ...... 58 Santa Rosa Walter, Christopher Ashley, DO ...... 118 Steele, Don Carlos, MD ...... 40 ...... 34, 35, 36, 37, 38, 39, 40, 41, 42, 43 Wang, James Bo, MD ...... 85 Steele, James Marco, MD ...... 132, 136 Santo Domingo, Diana, MD ...... 76 Wang, Rita Y. F., MD ...... 91, 110 Steele, Todd C, NP ...... 46 Santo Domingo, Noel Eustaquio, MD ...... 71 Ward, Crystal Johanna, FNP ...... 45 Stein, Gary A, MD ...... 120 Satow, Kevin Matthew, MD ...... 126 Wargula, Alanna Lee, DPM ...... 129

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 149 of 150 PHC PROVIDER INDEX | SONOMA COUNTY DIRECTORY

Warnock, Iden Jean-Franco, PT ...... 127 Warren, Jennifer Elizabeth, FNP...... 37 Weber, Peter Broun, MD ...... 103 Weeks, Roger Dana, MD ...... 115, 116 Weinert, Ashley Kay, MD ...... 91, 110 Weiss, Noah Daniel, MD ...... 121 Weiss, Stefan Craig, MD ...... 75, 140 Werner, Diana A, DPM ...... 129, 130 Wetmore, Angela, PA ...... 137 Wetmore, Dustin Kyle, PA-C ...... 30 Wexman, Mark Peter, MD ...... 71 Wheeler, Cary Lynn, DO ...... 22, 137 Whisler, Donald Lloyd, MD ...... 135 Wilder, Michael Bernard, DC ...... 74 Wiley, Wendy Patricia, PA ...... 25 Williams, Jennifer, MD ...... 42 Williams, Lauren Althea, PA-C ...... 29, 33 Williams, Shannon Deirdre, FNP ...... 40 Wilson, Kelly Maureen, NP ...... 83 Windsor...... 46, 47 Wolf, Steven Laurence, MD ...... 42 Wong, David Jun Sing, MD ...... 75, 141 Wong, Melissa Kari, NP ...... 29, 33 Wong, Reynold Clark, MD ...... 75, 141 Woodbury, Robert Orlo, MD ...... 87 Worn, Vivian Emily, MD ...... 39 Wound Care ...... 145 Wrona, Diane Elizabeth, PA-C ...... 30 Wu, James Jerome, MD ...... 39 Wyble, Angela Rene, PA-C ...... 76

Y Yalamanchi, Shalini, MD...... 116 Yang, Lillian, MD...... 114 Yang, Michael Ishu, MD...... 124 Yinger, Kent Estes, MD ...... 119 Yoon, Jessica Sonita, MD ...... 76, 142 Younger, Joel Bruce, MD ...... 105, 142

Z Zamary, Kirellos Raafat, MD...... 86 Zanetti, Jeannie Marie, ANP ...... 125 Zarate, Ramiro, FNP...... 39 Zechowy, Stefan Mark, MD ...... 122 Zembal Jr, Thomas John, MD ...... 41, 43 Zhang, Grace Shuang, MD ...... 116 Zweig, Richard Travers, MD ...... 135

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: October 1, 2021 Page 150 of 150 Phone:(800) 863-4155 http://www.partnershiphp.org

Revision Date: October 1, 2021