Medi-Cal Provider Directory Marin County

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

Revised Date: September 17, 2021 08-85215_CPL_001 04/18/2013 PHC PROVIDERS | MARIN 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 Marin Primary Care Provider ...... 22 Bolinas ...... 22 Greenbrae ...... 22 Larkspur ...... 23 Novato ...... 25 Point Reyes ...... 29 Pt Reyes Station ...... 29 San Rafael ...... 30 Sausalito ...... 34 Marin Facilities, Pharmacy, Urgent Care & VSP List ...... 35 Hospitals Primary...... 35 Hospitals Referral ...... 35 Mental Health Services - Outpatient ...... 37 Pharmacy Network List ...... 37 Skilled Nursing Long Term Care Facilities ...... 41 Vision Service Plan (VSP) (1-800-877-7195) ...... 42 Marin Referral/Specialist Providers ...... 43 Acupuncture ...... 43 Allergy ...... 44 Ambulatory Surgery Centers ...... 44 Audiology ...... 44 Bariatric Surgery ...... 45 Behavioral Health Treatment ...... 45 Cardiovascular Disease ...... 51 Chiropractic ...... 52 Community Based Adult Services CBAS...... 53 Comprehensive Perinatal Services Program CPSP ...... 53

To verify the availability of providers, 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: September 17, 2021 Page i of ii PHC PROVIDERS | MARIN COUNTY DIRECTORY

Dermatology ...... 54 Dialysis Centers ...... 55 Durable Medical Equipment ...... 56 Endocrinology ...... 60 Family Planning ...... 61 Gastroenterology ...... 62 General Surgery ...... 63 Gynecology ...... 64 HIV AIDS Specialists ...... 66 Hearing Aid Dispenser ...... 67 Hematology...... 68 Home Health Agencies ...... 68 Home Infusion Therapy...... 69 Hospice Services ...... 70 Infectious Diseases ...... 71 Laboratory Draw Stations ...... 72 Medical Supplies ...... 73 Nephrology ...... 75 Neurology ...... 76 Nutrition Services ...... 76 Obstetrics ...... 77 Oncology...... 79 Ophthalmology...... 80 Oral Maxillofacial Surgery ...... 81 Orthopaedic Surgery...... 81 Orthotics Prosthetics ...... 83 Otolaryngology...... 84 Pain Management ...... 84 Palliative Medicine ...... 84 Pediatric Dermatology ...... 84 Pediatric Ophthalmology...... 85 Physical Medicine Rehabilitation ...... 85 Physical Therapy ...... 86 Plastic Reconstructive Surgery ...... 86 Podiatry...... 86 Pulmonary Disease ...... 87 Radiation Oncology ...... 87 Radiology ...... 87 Rheumatology...... 88 Sleep Medicine ...... 88 Speech Therapy...... 88 Telehealth Services ...... 88 Thoracic Surgery ...... 91 Urology ...... 91 INDEX ...... 93

To verify the availability of providers, 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: September 17, 2021 Page ii of ii PHC PROVIDERS | MARIN 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: September 17, 2021 Page 1 of 95 PHC PROVIDERS | MARIN 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: September 17, 2021 Page 2 of 95 PHC PROVIDERS | MARIN 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 Patients 8. Languages spoken by providers or clinical staff 9. Office locations and phone numbers

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

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

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

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

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: September 17, 2021 Page 3 of 95 PHC PROVIDERS | MARIN COUNTY DIRECTORY

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

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

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

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

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

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

Provider Address The location where services and care are rendered.

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

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

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: September 17, 2021 Page 4 of 95 PHC PROVIDERS | MARIN 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: September 17, 2021 Page 5 of 95 PHC PROVIDERS | MARIN 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: September 17, 2021 Page 6 of 95 PHC PROVIDERS | MARIN 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: September 17, 2021 Page 7 of 95 PHC PROVIDERS | MARIN 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: September 17, 2021 Page 8 of 95 PHC PROVIDERS | MARIN 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: September 17, 2021 Page 9 of 95 PHC PROVIDERS | MARIN 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: September 17, 2021 Page 10 of 95 PHC PROVIDERS | MARIN 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: September 17, 2021 Page 11 of 95 PHC PROVIDERS | MARIN 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: September 17, 2021 Page 12 of 95 PHC PROVIDERS | MARIN 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: September 17, 2021 Page 13 of 95 PHC PROVIDERS | MARIN 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: September 17, 2021 Page 14 of 95 PHC PROVIDERS | MARIN 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: September 17, 2021 Page 15 of 95 PHC PROVIDERS | MARIN 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: September 17, 2021 Page 16 of 95 PHC PROVIDERS | MARIN 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: September 17, 2021 Page 17 of 95 PHC PROVIDERS | MARIN 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: September 17, 2021 Page 18 of 95 PHC PROVIDERS | MARIN 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: September 17, 2021 Page 19 of 95 PHC PROVIDERS | MARIN 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: September 17, 2021 Page 20 of 95 PHC PROVIDERS | MARIN 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: September 17, 2021 Page 21 of 95 PHC PRIMARY CARE PROVIDERS MARIN COUNTY DIRECTORY

Bolinas Greenbrae Special Accommodations: Scales that weigh up to 350lbs

Petaluma Health Center ^1^ Marin Community Clinics ^5^

Marin Pediatric Associates ^10^ PCP PHC#: 71724-0001 PCP PHC#: 70604-0004 NPI: 1760584049 NPI: 1912091018 PCP PHC#: 22881-0002 FQHC FQHC NPI: 1588706543 Family Medicine Family Medicine, Internal Medicine Pediatrics Accepting New Patients Accepting New Patients Accepting Existing Patients No Age Limitations 19 Years and Older 0-18 Years CHDP Provider CHDP Provider 1260 South Eliseo Dr Ste 201 Assigned Hospital: MarinHealth 88 Mesa Rd Greenbrae, CA 94904 Medical Center Bolinas, CA 94924 Primary Phone: (415) 448-1500 P,EB,IB,E Primary Fax: (415) 798-3104 1100 S Eliseo Dr Ste 106 Level of Access: Limited Mon, Tue, Thu, Fri 8:00 AM - 5:00 PM Greenbrae, CA 94904 Primary Phone: (415) 663-8666 Wed 9:00 AM - 5:00 PM , P,IB,E Primary Fax: (415) 663-9532 Level of Access: Limited Mon, Wed 9:00 AM - 5:00 PM Family Medicine Primary Phone: (415) 461-8828 Primary Fax: (415) 461-3772

Perez, Xavier, MD ^6^ Family Medicine NPI: 1295812204 Mon - Fri 9:00 AM - 5:00 PM

O'Malley, Anna Kristina, MD  ^2^ License: A82813 NPI: 1447459185 Gender: Male Pediatrics

License: A100464 Spanish Meill, Jane Marten, MD ^11^ Gender: Female NPI: 1114090396 Spanish Internal Medicine License: G59472 Gender: Female

Akashi, Alaric Kazuichi, MD ^7^ Hospital Privileges: MarinHealth

Chase, Carolyn Ruth, FNP  ^3^ NPI: 1285784264 NPI: 1811024599 License: G61081 Medical Center License: 9465 Gender: Male CCS Provider

Ornstein, Kara Suzanne, MD ^12^

Gender: Female Shore, Carolyn Magdalene, MD ^8^ Spanish ♦ Internal Medicine NPI: 1023181203 License: A65492

Wrona, Diane Elizabeth, PA-C  ^4^ NPI: 1831285444 NPI: 1538112479 License: G60321 Gender: Female License: 14600 Gender: Female Hospital Privileges: MarinHealth Gender: Female Spanish Medical Center CCS Provider

Palfy, Shelley Ann, MD ^13^

Special Accommodations: Adj. Exam Charles, Joseph Bernard, FNP ^9^ Tables NPI: 1649758962 NPI: 1043282429 License: 95008352 License: A104009 Gender: Male 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: September 17, 2021 Page 22 of 95 PHC PRIMARY CARE PROVIDERS MARIN COUNTY DIRECTORY

Fabi, Mary Rose Lazo, MD ^18^ Schwartzman, Nancy Louise, MD ^14^ Internal Medicine

NPI: 1952335218 NPI: 1740489798 Akashi, Alaric Kazuichi, MD ^21^ License: A61205 License: A84008 NPI: 1285784264 Gender: Female Gender: Female License: G61081 Hospital Privileges: MarinHealth Hospital Privileges: MarinHealth Gender: Male

Medical Center Medical Center Levine, Claudia Anna, MD ^22^ CCS Provider CCS Provider NPI: 1619026572 License: C137475 Special Accommodations: Adj. Exam Gender: Female

MarinHealth Medical Network ^15^

Tables, Gurney Accommodations Shore, Carolyn Magdalene, MD ^23^ PCP PHC#: 26117-0005 ♦ Internal Medicine NPI: 1124439807 Larkspur NPI: 1831285444 Family Medicine, Internal Medicine License: G60321 Accepting Existing Patients Gender: Female 19 Years and Older Marin Community Spanish Assigned Hospital: MarinHealth

Clinics-Larkspur Clinic ^19^

Sinaiko, Robert James, MD ^24^ Medical Center PCP PHC#: 5931-0012 ♦ Allergy & Immunology NPI: 1912091018 ♦ Internal Medicine 1341 S Eliseo Dr Ste 200 FQHC NPI: 1205044831 Greenbrae, CA 94904 License: G24199 , P,EB,IB,R,E Family Medicine, Internal Medicine Accepting New Patients Gender: Male Level of Access: Basic 19 Years and Older Spanish Primary Phone: (415) 464-8169 Assigned Hospital: MarinHealth Primary Fax: (415) 925-9712 Medical Center Charles, Joseph Bernard, FNP ^25^ www.marinhealthcare.org NPI: 1649758962 Mon - Fri 9:00 AM - 5:00 PM 5 Bon Air Rd Ste 117 License: 95008352 Larkspur, CA 94939 Gender: Male Family Medicine

, P,EB,IB,T Lim, Douglas Steven, ANP ^26^

Shanaghan, Kevin J, DO ^16^ Level of Access: Limited NPI: 1407258866 NPI: 1750318283 Primary Phone: (415) 448-1500 License: 95000478 License: 20A18062 Primary Fax: (415) 448-1505 Gender: Male Gender: Male Mon - Fri 8:00 AM - 5:00 PM Special Accommodations: Adj. Exam Internal Medicine Family Medicine Tables, Scales that weigh up to El-Ghoneimy, Ahmed Kamal El-Din, 350lbs Perez, Xavier, MD ^20^

MD ^17^ NPI: 1295812204 NPI: 1942257852 License: A82813 License: A93235 Gender: Male Gender: Male Spanish Arabic Hospital Privileges: MarinHealth Medical Center

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: September 17, 2021 Page 23 of 95 PHC PRIMARY CARE PROVIDERS MARIN COUNTY DIRECTORY

Evens, Alexander Ronald, DO ^31^ MarinHealth Medical Network ^27^ Pediatrics

PCP PHC#: 23679-0018 NPI: 1114144649 Bokser, Julie Mara, MD  ^34^ NPI: 1124439807 License: 20A9461 NPI: 1780758250 Family Medicine, Internal Medicine Gender: Male License: A82447 Accepting Existing Patients Spanish Gender: Female 18 Years and Older Hospital Privileges: MarinHealth Spanish Assigned Hospital: MarinHealth Medical Center Hospital Privileges: MarinHealth Medical Center CCS Provider Medical Center CCS Provider

Redfern, Mary A, NP ^32^ 1100 Larkspur Landing Cir Ste 10 Branco, Nelson, MD  ^35^ Larkspur, CA 94939 NPI: 1447266747 NPI: 1841270451 , P,EB,IB,R,E,T License: 6418 License: A60826 Level of Access: Basic Gender: Female Gender: Male Primary Phone: (415) 924-1214 Portuguese, Spanish Primary Fax: (415) 924-1375 Special Accommodations: Adj. Exam Hospital Privileges: MarinHealth Mon - Fri 8:00 AM - 5:30 PM Tables, Hearing Impaired Medical Center Accommodations, Scales that weigh CCS Provider up to 500lbs Family Medicine Hanks, Madeleine Bartman, MD ^36^ NPI: 1952787616

Graham, John M, MD ^28^ License: A158059

NPI: 1306836366 Tamalpais Pediatrics ^33^ License: A72388 Gender: Female PCP PHC#: 22869-0002 Hospital Privileges: MarinHealth Gender: Male NPI: 1073580320 Hospital Privileges: MarinHealth Medical Center Pediatrics CCS Provider Medical Center Accepting Existing Patients

Heath, Erin Noel, MD  ^37^

Yee, Alice, DO ^29^ 0-18 Years NPI: 1881673283 NPI: 1194985879 CHDP Provider License: 20A10435 License: G65494 Assigned Hospital: MarinHealth Gender: Female Gender: Female Medical Center Cantonese Spanish Hospital Privileges: MarinHealth Hospital Privileges: MarinHealth 5 Bon Air Rd Ste 105 Medical Center Medical Center Larkspur, CA 94939 CCS Provider , EB,IB,R,E Internal Medicine LaBarbara, Allyson Marie, MD ^38^ Level of Access: Limited NPI: 1730386533 Basu, Anjuli, MD ^30^ Skilled Medical Interpreter Service NPI: 1679583579 License: A92440 Primary Phone: (415) 461-0440 Gender: Female License: A77943 Primary Fax: (415) 461-3792 Gender: Female Hospital Privileges: MarinHealth Mon - Thu 9:00 AM - 5:00 PM Medical Center Hospital Privileges: MarinHealth Fri 9:30 AM - 5:00 PM Medical Center 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: September 17, 2021 Page 24 of 95 PHC PRIMARY CARE PROVIDERS MARIN COUNTY DIRECTORY

Marin Community Clinics-Novato Lee, John Sungchull, MD  ^39^ Novato

NPI: 1790764108 Clinic ^46^ License: A72201 PCP PHC#: 18385-0018

Kaiser Permanente ^45^ Gender: Male NPI: 1912091018 PCP PHC#: 8998-0004 Hospital Privileges: MarinHealth FQHC NPI: 1336222397 Medical Center Family Medicine, Internal Medicine CCS Provider Family Medicine, Internal Medicine, Accepting New Patients Pediatrics Maisel, Jan Ellen, MD  ^40^ 19 Years and Older ♦ Pediatrics Accepting Existing Patients NPI: 1720067226 No Age Limitations 6100 Redwood Blvd License: G47504 CHDP Provider Novato, CA 94945 Gender: Female Assigned Hospital: Kaiser , P,EB,IB,E Hospital Privileges: MarinHealth Permanente Medical Center Level of Access: Limited Medical Center Primary Phone: (415) 448-1500 97 San Marin Dr CCS Provider Primary Fax: (415) 798-3198 Novato, CA 94945 Marion, Fiona Anne, MD ^41^ Mon - Thu 8:00 AM - 7:00 PM , P,EB,IB,R,E,T NPI: 1578905345 Fri 8:00 AM - 5:00 PM License: A131198 Level of Access: Basic Gender: Female Primary Phone: (415) 899-7412 Family Medicine Hospital Privileges: MarinHealth www.kp.org

Gonzalez, Carina Fabiana, MD  ^47^ Medical Center Mon - Fri 9:00 AM - 5:00 PM NPI: 1568480556 CCS Provider License: A102039 Special Accommodations: Adj. Exam Santucci, Stephen Albert, MD  ^42^ Gender: Female Tables, Hoyer Lift, Special Scales For ♦ Pediatrics Spanish NPI: 1306801287 Wheelchairs, Medical Equipment

Pujals, Elisa Victoria, MD ^48^ Access, Scales that weigh up to License: A63180 NPI: 1891058038 500lbs Gender: Male License: A135512 Spanish Gender: Female To locate a Kaiser doctor, contact Hospital Privileges: MarinHealth Spanish Medical Center Kaiser Member Services at

Ward, Lisa Maria, MD ^49^ 800-464-4000 or browse Kaiser's ♦ Family Medicine Online Provider Directory: Hanlan, Margo Elizabeth, PNP  ^43^ NPI: 1790768869 healthy.kaiserpermanente.org/ NPI: 1891034328 License: A80946 northern-california/doctors-locations#/sea License: 95002831 Gender: Female Gender: Female Spanish

Koenig, Sara Saunders, NP  ^44^ Hospital Privileges: Sutter Santa NPI: 1144475112 Rosa Regional Hospital License: 18577 Gender: Female

Special Accommodations: Adj. Exam Tables, Scales that weigh up to 450lbs

To verify the availability of providers, 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: September 17, 2021 Page 25 of 95 PHC PRIMARY CARE PROVIDERS MARIN COUNTY DIRECTORY

Internal Medicine Marin Community Clinics-South Oo, Heyman, MD ^61^

Krolikowski, Jeanette, DO ^50^ Novato Clinic ^56^ NPI: 1285052514 ♦ Internal Medicine PCP PHC#: 38385-0001 License: A139832 NPI: 1962471920 NPI: 1912091018 Gender: Female License: 20A9312 FQHC Spanish Gender: Female Family Medicine, Pediatrics CCS Provider Spanish Accepting New Patients Traverso, Mercedes Del ,

Schten, Erik Paul, MD ^51^ 0-18 Years DO ^62^ NPI: 1558461103 CHDP Provider NPI: 1063711307 License: G78089 License: 20A11491 Gender: Male 6090 Redwood Blvd Gender: Female Spanish Novato, CA 94945 Hospital Privileges: MarinHealth Hospital Privileges: Novato , P,EB,IB,R,E,T Medical Center Community Hospital Level of Access: Basic CCS Provider

Primary Phone: (415) 448-1500 Walters, Helene, MD ^63^

Albujar, Rosemary J, PA-C ^52^ Primary Fax: (415) 798-3198 NPI: 1548515877 NPI: 1659563849 Mon - Fri 8:00 AM - 5:00 PM License: A122115 License: 19241 Gender: Female Gender: Female Family Medicine French, Spanish Spanish Hospital Privileges: MarinHealth

Pujals, Elisa Victoria, MD ^57^

Ogg, Audrey Rosales, PA-C ^53^ NPI: 1891058038 Medical Center NPI: 1245757194 License: A135512 CCS Provider License: 54769 Gender: Female

Gender: Female Spanish Mark, Cherilyn Rebecca, FNP ^64^ Spanish NPI: 1508280710

Shaw, Elizabeth Anne, MD ^58^

Riedy, Emily Terese, NP ^54^ NPI: 1740443555 License: 95006134 NPI: 1124390224 License: A107652 Gender: Female

License: 21566 Gender: Female Ogg, Audrey Rosales, PA-C ^65^ Gender: Female Spanish NPI: 1245757194 Spanish License: 54769

Thompson, F Patrick, NP ^55^ Pediatrics Gender: Female NPI: 1558474023 Spanish

Hessel, Tracey Michelle, MD ^59^ License: 8927 NPI: 1780776039 Ramirez-McLaughlin, Michalle

Gender: Male License: A78717 Gonzalez, FNP ^66^ Gender: Female NPI: 1003195603 Special Accommodations: Adj. Exam Spanish License: 21040 Tables, Scales that weigh up to CCS Provider Gender: Female 440lbs Spanish

Novota, Gabriela Beatriz, MD ^60^ NPI: 1154520096 License: C155131 Special Accommodations: Adj. Exam Gender: Female Tables, Scales that weigh up to Spanish 750lbs

To verify the availability of providers, 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: September 17, 2021 Page 26 of 95 PHC PRIMARY CARE PROVIDERS MARIN COUNTY DIRECTORY

Teper, Irene, MD ^77^ MarinHealth Medical Network ^67^ Internal Medicine

PCP PHC#: 23681-0008 Basu, Anjuli, MD ^72^ NPI: 1073584520 NPI: 1124439807 NPI: 1679583579 License: A84912 Family Medicine, Internal Medicine License: A77943 Gender: Female Accepting New Patients Gender: Female Russian, Spanish 19 Years and Older Hospital Privileges: MarinHealth Hospital Privileges: Medical Center MarinHealth Medical Center 75 Rowland Way Ste 100 CCS Provider Novato Community Hospital

Novato, CA 94945 Fabi, Mary Rose Lazo, MD ^73^ CCS Provider , P,EB,IB,R,E NPI: 1740489798 License: A84008

Level of Access: Basic MarinHealth Medical Network ^78^ Primary Phone: (415) 897-9664 Gender: Female Hospital Privileges: MarinHealth PCP PHC#: 26355-0002 Primary Fax: (415) 897-2446 NPI: 1124439807 Mon - Fri 8:30 AM - 5:00 PM Medical Center CCS Provider Family Medicine, Internal Medicine Accepting Existing Patients Family Medicine Finzen, Barbara Deeken, MD ^74^ ♦ Internal Medicine 19 Years and Older

Aldahhan, Nadine, DO ^68^ NPI: 1134225352 NPI: 1609202308 75 Rowland Way Ste 200 License: 20A14150 License: G44949 Gender: Female Novato, CA 94945 Gender: Female , P,EB,IB,R,E CCS Provider Hospital Privileges: MarinHealth Medical Center Level of Access: Basic

Graham, John M, MD ^69^ CCS Provider Primary Phone: (415) 897-3174 NPI: 1306836366 Primary Fax: (415) 892-9589 License: A72388 Habis, Joseph Antoine, MD ^75^ NPI: 1760439681 www.marinhealthcare.org Gender: Male Mon - Fri 8:30 AM - 5:00 PM Hospital Privileges: MarinHealth License: G73451 Medical Center Gender: Male Spanish Family Medicine

Kubrican, Tomas, MD ^70^

Etemad, Elizabeth Landsiedel, DO ^79^ NPI: 1770751174 Hospital Privileges: MarinHealth Medical Center NPI: 1881682458 License: C129895 License: 20A6888 Gender: Male Novato Community Hospital CCS Provider Gender: Female Czech Spanish

Lowe, Elizabeth Hall, MD ^76^ Hospital Privileges: MarinHealth Hospital Privileges: MarinHealth Medical Center NPI: 1043356413 License: A070427 Medical Center

Malik, Geeta Kumari, MD ^71^ Gender: Female NPI: 1740262302 Internal Medicine License: G79541 Hospital Privileges: MarinHealth

Goswamy, Juhi, MD ^80^ Gender: Female Medical Center CCS Provider NPI: 1821448317 Hospital Privileges: Sonoma Valley License: A163175 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: September 17, 2021 Page 27 of 95 PHC PRIMARY CARE PROVIDERS MARIN COUNTY DIRECTORY

Tamalpais Pediatrics ^88^ Li, Rebecca, MD ^81^ Family Medicine

NPI: 1780918615 Dhaliwal, Tarin Singh, MD ^84^ PCP PHC#: 22868-0001 License: A106349 NPI: 1447754023 NPI: 1073580320 Gender: Female License: A164079 Pediatrics Chinese, Mandarin Gender: Male Accepting Existing Patients Hospital Privileges: Hospital Privileges: Novato 0-18 Years MarinHealth Medical Center Community Hospital CHDP Provider

Novato Community Hospital Glatt, Patricia Anne, MD ^85^ CCS Provider NPI: 1306936729 400 Professional Center Dr Ste 423

Teper, Irene, MD ^82^ License: G53034 Novato, CA 94947 NPI: 1073584520 Gender: Female , P,EB,R,E License: A84912 Hospital Privileges: Level of Access: Limited Gender: Female MarinHealth Medical Center Skilled Medical Interpreter Service Russian, Spanish Novato Community Hospital Primary Phone: (415) 892-0965

Hospital Privileges: Sweeney, Michael Alan, MD ^86^ Primary Fax: (415) 461-3792 MarinHealth Medical Center NPI: 1083798151 Mon - Thu 9:00 AM - 5:00 PM Novato Community Hospital License: G61169 Fri 9:30 AM - 5:00 PM CCS Provider Gender: Male CCS Provider Pediatrics Special Accommodations: Adj. Exam

Bokser, Julie Mara, MD  ^89^ Tables Internal Medicine NPI: 1780758250

Taylor, Clarence Leotis, MD ^87^ License: A82447 NPI: 1265456586

Sutter West Bay Medical Group ^83^ Gender: Female License: C55484 Spanish Sutter Pacific Medical Foundation Gender: Male PCP PHC#: 22872-0016 Hospital Privileges: MarinHealth NPI: 1003267196 Medical Center Special Accommodations: Adj. Exam CCS Provider Family Medicine, Internal Medicine Tables, Hearing Impaired

Branco, Nelson, MD  ^90^ Accepting Existing Patients Accommodations, Medical Equipment 19 Years and Older NPI: 1841270451 Access, Scales that weigh up to License: A60826 350lbs 101 Rowland Way Ste 200 Gender: Male Novato, CA 94945 Portuguese, Spanish , P,EB,IB,R,E,T Hospital Privileges: MarinHealth Level of Access: Basic Medical Center Primary Phone: (415) 878-7200 CCS Provider

Primary Fax: (415) 369-1387 Heath, Erin Noel, MD  ^91^ Mon - Fri 8:00 AM - 5:00 PM NPI: 1881673283 License: G65494 Gender: Female Spanish 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: September 17, 2021 Page 28 of 95 PHC PRIMARY CARE PROVIDERS MARIN COUNTY DIRECTORY

Wrona, Diane Elizabeth, PA-C  ^103^ Lee, John Sungchull, MD  ^92^ Point Reyes NPI: 1790764108 NPI: 1538112479 License: A72201 License: 14600

Petaluma Health Center ^98^ Gender: Male Gender: Female Hospital Privileges: MarinHealth PCP PHC#: 71725-0001 Medical Center NPI: 1053420844 Special Accommodations: Adj. Exam CCS Provider FQHC Tables Family Medicine Maisel, Jan Ellen, MD  ^93^ Accepting New Patients ♦ Pediatrics Pt Reyes Station NPI: 1720067226 No Age Limitations License: G47504 CHDP Provider

Gender: Female West Marin Medical Center ^104^ Hospital Privileges: MarinHealth 3 Sixth St PCP PHC#: 44293-0004 Medical Center Point Reyes, CA 94956 NPI: 1649664087 CCS Provider P,EB,IB,E Family Medicine, Internal Medicine Level of Access: Limited Marion, Fiona Anne, MD ^94^ Accepting New Patients NPI: 1578905345 Primary Phone: (415) 663-8666 19 Years and Older License: A131198 Primary Fax: (415) 663-9532 Assigned Hospital: MarinHealth Gender: Female Mon - Fri 9:00 AM - 5:00 PM Medical Center Hospital Privileges: MarinHealth Sat 9:00 AM - 3:00 PM Medical Center 11150 State Route One Box 240 CCS Provider Family Medicine Pt Reyes Station, CA 94956

Gomez-Mira, Christina, MD  ^99^ Santucci, Stephen Albert, MD  ^95^  ♦ Pediatrics NPI: 1356734859 Level of Access: Limited NPI: 1306801287 License: A134563 Primary Phone: (415) 663-1082 License: A63180 Gender: Female Primary Fax: (415) 663-9474 Gender: Male Spanish Mon - Fri 9:00 AM - 5:00 PM

Spanish O'Malley, Anna Kristina, MD  ^100^ Hospital Privileges: MarinHealth NPI: 1447459185 Family Medicine License: A100464 Medical Center Schindler, Lydia Godoy, MD ^105^ Gender: Female NPI: 1396829388 Spanish Hanlan, Margo Elizabeth, PNP  ^96^ License: G37576 NPI: 1891034328 Gender: Female

License: 95002831 Chase, Carolyn Ruth, FNP  ^101^ Spanish Gender: Female NPI: 1811024599 License: 9465 Koenig, Sara Saunders, NP  ^97^ NPI: 1144475112 Gender: Female License: 18577 Spanish

Gender: Female Joseph, Rachel Mary, FNP  ^102^ NPI: 1629551254 Special Accommodations: Adj. Exam License: 95009946 Tables, Scales that weigh up to Gender: Female 450lbs

To verify the availability of providers, 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: September 17, 2021 Page 29 of 95 PHC PRIMARY CARE PROVIDERS MARIN COUNTY DIRECTORY

Internal Medicine Special Accommodations: Adj. Exam northern-california/doctors-locations#/sea

Hamblin, Basil Colin, MD  ^106^ Tables, Hoyer Lift, Special Scales For ♦ Geriatric Medicine - Internal Wheelchairs, Medical Equipment Marin City Health and Wellness Medicine Access, Scales that weigh up to

Center ^110^ ♦ Hospice & Palliative Medicine - 500lbs Internal Medicine PCP PHC#: 48749-0001 NPI: 1114095106 To locate a Kaiser doctor, contact NPI: 1285804948 License: A76893 Kaiser Member Services at FQHC Gender: Male 800-464-4000 or browse Kaiser's Family Medicine, Internal Medicine Hospital Privileges: Petaluma Valley Online Provider Directory: Closed Enrollment Hospital healthy.kaiserpermanente.org/ 19 Years and Older northern-california/doctors-locations#/sea Assigned Hospital: MarinHealth Medical Center

Landeck, Megan Terry, FNP ^107^ NPI: 1487199535

Kaiser Permanente ^109^ License: 95005563 880 Las Gallinas Ave Ste 2 Gender: Female PCP PHC#: 22875-0001 San Rafael, CA 94903 NPI: 1336222397 P,EB Special Accommodations: Adj. Exam Family Medicine, Internal Medicine, Level of Access: Limited Tables, Scales that weigh up to Pediatrics Primary Phone: (415) 339-8813 800lbs Accepting Existing Patients Primary Fax: (415) 339-8814 No Age Limitations Mon 8:00 AM - 12:30 PM CHDP Provider Wed 8:00 AM - 5:00 PM San Rafael Assigned Hospital: Kaiser Permanente Medical Center Family Medicine

Gorchoff, David B, MD  ^111^

Kaiser Permanente ^108^ 99 Montecillo Rd NPI: 1720098429 PCP PHC#: 22877-0001 San Rafael, CA 94903 License: G58183 NPI: 1336222397 , P,EB,IB,R,E,T Gender: Male Family Medicine, Internal Medicine, Level of Access: Basic Pediatrics

Primary Phone: (415) 444-2940 Spake, Colin Marin, NP  ^112^ Accepting Existing Patients www.kp.org NPI: 1730522475 No Age Limitations Mon - Fri 8:30 AM - 5:00 PM License: 22806 Assigned Hospital: Kaiser Gender: Male Permanente Medical Center Special Accommodations: Adj. Exam Tables, Special Scales For 1033 Third St Wheelchairs, Medical Equipment San Rafael, CA 94901 Access, Scales that weigh up to , P,EB,IB,R,E,T 500lbs Level of Access: Basic Primary Phone: (415) 444-2940 To locate a Kaiser doctor, contact www.kp.org Kaiser Member Services at Mon - Fri 8:30 AM - 5:00 PM 800-464-4000 or browse Kaiser's Online Provider Directory: healthy.kaiserpermanente.org/

To verify the availability of providers, 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: September 17, 2021 Page 30 of 95 PHC PRIMARY CARE PROVIDERS MARIN COUNTY DIRECTORY

Marin Community Rosenthal, Ellen Gloria, MD  ^118^ Combs, Audrey Maureen, FNP ^126^

Clinics-Campus Clinic ^113^ NPI: 1609948231 NPI: 1952844946 PCP PHC#: 26754-0009 License: G82191 License: 95005208 NPI: 1154503399 Gender: Female Gender: Female FQHC Spanish Spanish

Germain, Sunny Elizabeth, NP ^127^ Family Medicine, Internal Medicine, Webster-Longin, Maria Luz, MD ^119^ Pediatrics NPI: 1134229388 NPI: 1073693362 Accepting New Patients License: A88914 License: 15105 No Age Limitations Gender: Female Gender: Female

CHDP Provider Dutch, German, Spanish Ogg, Audrey Rosales, PA-C ^128^ Assigned Hospital: MarinHealth NPI: 1245757194 Medical Center Pediatrics License: 54769

Agarwal, Reshem, MD ^120^ Gender: Female 3260 Kerner Blvd Ste A NPI: 1659790095 Spanish

San Rafael, CA 94901 License: A147746 Sanderson, Robin Shank, FNP ^129^ , P,EB,IB,R,E Gender: Female NPI: 1780139634 Level of Access: Basic CCS Provider License: 95004562

Primary Phone: (415) 448-1500 Basir, Mariam, DO ^121^ Gender: Female Primary Fax: (415) 755-2550 NPI: 1548646417 Mon - Fri 8:00 AM - 5:00 PM License: 20A16561 Special Accommodations: Adj. Exam Gender: Female Tables, Hearing Impaired

Family Medicine Jackson, Dana Lenore, DO ^122^ Accommodations, Scales that weigh NPI: 1689060063 up to 440lbs

Blumkin, Daniel M, MD ^114^ NPI: 1215955596 License: 20A14119 License: G88501 Gender: Female Marin Community Clinics-San Portuguese, Spanish

Gender: Male Rafael Clinic ^130^ CCS Provider Cohen, Phyllis Marie, MD ^115^ PCP PHC#: 22856-0008 NPI: 1407964000 NPI: 1154503399

Acosta, Rosalba Martiza, FNP ^123^ License: G79750 FQHC Gender: Female NPI: 1073766424 License: 18503 Family Medicine, Internal Medicine, Popat, Mitesh Ghahshyam, MD  ^116^ Pediatrics NPI: 1104057397 Gender: Female Spanish Accepting New Patients License: A107005 No Age Limitations

Carroll, Phyllis Crisostomo, FNP ^124^ Gender: Male CHDP Provider Spanish NPI: 1417456351 License: 95008368 Assigned Hospital: MarinHealth Medical Center Internal Medicine Gender: Female

Charles, Joseph Bernard, FNP ^125^

McLamb, Lynette Teresa, MD ^117^ NPI: 1649758962 3110 Kerner Blvd ♦ Internal Medicine San Rafael, CA 94901 NPI: 1609946755 License: 95008352 Gender: Male , P,EB,IB,E License: G62455 Level of Access: Limited 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: September 17, 2021 Page 31 of 95 PHC PRIMARY CARE PROVIDERS MARIN COUNTY DIRECTORY

Primary Phone: (415) 448-1500 Pediatrics Combs, Audrey Maureen, FNP ^144^

Primary Fax: (415) 526-8553 Hollman, Jessica Catherine, MD ^138^ NPI: 1952844946 Mon - Fri 8:00 AM - 7:00 PM NPI: 1881787786 License: 95005208 Sat 8:00 AM - 4:00 PM License: A85256 Gender: Female Gender: Female Spanish

Family Medicine Spanish Doerr-Kashani, Pamela, FNP ^145^

Blumkin, Daniel M, MD ^131^ Hospital Privileges: MarinHealth NPI: 1801270863 NPI: 1215955596 Medical Center License: 95002634 License: G88501 Kamras, Samantha A. Goldstein, Gender: Female

Gender: Male MD ^139^ Spanish

Espino, Kareen Yesenia, MD ^132^ NPI: 1982861746 Garcia, Veronica Andrea, FNP ^146^ NPI: 1154764215 License: A101610 NPI: 1497273775 License: A132469 Gender: Female License: 95006610 Gender: Female Spanish Gender: Female

Novota, Peter Allen, MD ^133^ Hospital Privileges: MarinHealth Spanish

NPI: 1124132394 Medical Center Gutterman, Cara, FNP ^147^

License: G156549 Leavitt, Lisa Anne, MD ^140^ NPI: 1982853487 Gender: Male NPI: 1689774234 License: 18323 Spanish License: G80605 Gender: Female

Southard, Melanie Rose, DO ^134^ Gender: Female MacLaughlin, Kathryn Susan, FNP ^148^ NPI: 1104188390 Spanish NPI: 1659450427 License: 20A13078 Hospital Privileges: MarinHealth License: 16787 Gender: Female Medical Center Gender: Female

Lee, Janie Lynn, MD ^141^ Spanish Internal Medicine NPI: 1992867584 Nunnally, Janet A, FNP ^149^

Cullen, Esme B, MD ^135^ License: G56549 NPI: 1619067469 NPI: 1396109310 Gender: Female License: 14229 License: A154469 Spanish Gender: Female Gender: Female CCS Provider Ogg, Audrey Rosales, PA-C ^150^ CCS Provider Meisel, Lauren Wadland, MD ^142^ NPI: 1245757194

Magliocco, Mai Sorrel, MD ^136^ NPI: 1922201433 License: 54769 NPI: 1205102662 License: A116341 Gender: Female License: A130835 Gender: Female Spanish Gender: Female Simon, Peter John, MD ^143^ Tool, Franklin David, FNP ^151^ Portuguese, Spanish NPI: 1114244175 NPI: 1407225147

Treseler, Catherine Benzinger, MD ^137^ License: A120382 License: 95002797 ♦ Hospice & Palliative Medicine - Gender: Male Gender: Male Internal Medicine Spanish ♦ Internal Medicine CCS Provider Special Accommodations: Adj. Exam NPI: 1730251562 Tables, Scales that weigh up to License: A54301 440lbs 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: September 17, 2021 Page 32 of 95 PHC PRIMARY CARE PROVIDERS MARIN COUNTY DIRECTORY

MarinHealth Medical Network ^156^ MarinHealth Medical Network ^152^ Special Accommodations: Gurney PCP PHC#: 23682-0006 PCP PHC#: 54144-0002 Accommodations, Scales that weigh NPI: 1124439807 NPI: 1124439807 up to lbs Family Medicine, Internal Medicine Pediatrics

Accepting Existing Patients Accepting New Patients Ritter Health Center ^160^ 19 Years and Older 0-18 Years PCP PHC#: 17353-0007 Assigned Hospital: MarinHealth CHDP Provider NPI: 1417370032 Medical Center Assigned Hospital: MarinHealth FQHC Medical Center Family Medicine 4000 Civic Center Dr Ste 200B Accepting New Patients San Rafael, CA 94903 4000 Civic Center Dr Ste 205 19 Years and Older , P,EB,IB,R,E San Rafael, CA 94903 Assigned Hospital: MarinHealth Level of Access: Basic P,EB,IB,R,E Medical Center Primary Phone: (415) 492-3333 Level of Access: Basic Primary Fax: (415) 492-3425 Primary Phone: (415) 925-8965 16 Ritter St Mon - Fri 9:00 AM - 5:00 PM Primary Fax: (415) 383-3554 San Rafael, CA 94901 Mon - Fri 8:00 AM - 5:00 PM , IB,R,E Family Medicine Level of Access: Limited

Lohtia, Meenal Sunit, MD ^153^ Pediatrics Primary Phone: (415) 457-8182

NPI: 1205883121 Greenberg, Cindy J, MD  ^157^ Primary Fax: (415) 457-3490 License: A93125 NPI: 1952317042 Mon - Fri 8:00 AM - 5:00 PM Gender: Female License: G80877 Hindi Gender: Female Family Medicine Hospital Privileges: Novato Spanish

Perez, Xavier, MD ^161^ Community Hospital Hospital Privileges: MarinHealth NPI: 1295812204 Medical Center License: A82813 Internal Medicine CCS Provider Gender: Male

Habis, Joseph Antoine, MD ^154^ Reeves, Megan Darah, MD ^158^ Spanish NPI: 1760439681 NPI: 1265877336 License: G73451 License: A135475

Barbach, Tess, FNP ^162^ Gender: Male Gender: Female NPI: 1194248278 Spanish Hospital Privileges: MarinHealth License: 95007360 Hospital Privileges: Medical Center Gender: Female MarinHealth Medical Center CCS Provider

Charles, Joseph Bernard, FNP ^163^

Novato Community Hospital Sawyer, Sydney Kathryn, MD  ^159^ NPI: 1649758962 CCS Provider NPI: 1770730079 License: 95008352 License: A103811 Gender: Male

Singh, Rajdeep, FNP ^155^ Gender: Female

Kiruuta, Paul T, NP ^164^ NPI: 1104368778 Hospital Privileges: MarinHealth NPI: 1124562939 License: 95005264 Medical Center License: 95006004 Gender: Male CCS Provider Gender: Male Punjabi

To verify the availability of providers, 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: September 17, 2021 Page 33 of 95 PHC PRIMARY CARE PROVIDERS MARIN COUNTY DIRECTORY

Moreno, Paula Go, FNP ^169^ Purcell, Patricia Marie, FNP ^165^ Internal Medicine

NPI: 1609903699 NPI: 1396215943 Goswamy, Juhi, MD ^174^ License: 1047 License: 95010447 NPI: 1821448317 Gender: Female Gender: Female License: A163175

Spake, Colin Marin, NP  ^170^ Gender: Female Sausalito NPI: 1730522475

License: 22806 Kelly, Amanda Michele, PA-C ^175^ Gender: Male NPI: 1326213554 Marin City Health and Wellness License: 14985

Center ^166^ Special Accommodations: Adj. Exam Gender: Female PCP PHC#: 23087-0004 Tables, Scales that weigh up to NPI: 1285804948 450lbs FQHC Family Medicine MarinHealth Medical Network ^171^ Accepting New Patients PCP PHC#: 23768-0007 No Age Limitations NPI: 1124439807 CHDP Provider Family Medicine, Internal Medicine Assigned Hospital: MarinHealth Accepting Existing Patients Medical Center 19 Years and Older Assigned Hospital: MarinHealth 630 Drake Ave Medical Center Sausalito, CA 94965  3 Harbor Dr Ste 111 Level of Access: Limited Sausalito, CA 94965 Skilled Medical Interpreter Service , P,EB,IB,R,E Primary Phone: (415) 339-8813 Level of Access: Basic Primary Fax: (415) 339-8814 Primary Phone: (415) 683-2988 Mon - Fri 9:00 AM - 5:00 PM Primary Fax: (415) 683-2980 Family Medicine Mon - Fri 9:00 AM - 5:00 PM

Francis, Adam Crawford, MD ^167^ Family Medicine NPI: 1801186648

Aldahhan, Nadine, DO ^172^ License: A122054 NPI: 1609202308 Gender: Male License: 20A14150 Spanish Gender: Female CCS Provider CCS Provider

Forrester, Cheri Joy, MD ^173^

Marin, Maribel, FNP ^168^ NPI: 1992341762 NPI: 1841237153 License: 95011487 License: G47860 Gender: Female Gender: Female Spanish Hospital Privileges: MarinHealth Medical Center

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: September 17, 2021 Page 34 of 95 PHC FACILITIES, PHARMACY, URGENT CARE & VSP LIST MARIN COUNTY DIRECTORY

Hospitals Primary Hospitals Referral Primary Phone: (415) 600-6000 24 Hours 7 Days a Week CCS Provider

Kaiser Permanente Medical Adventist Health Lodi Memorial ^179^

Center ^176^ PHC#: 1379

CPMC-Van Ness Campus ^182^ PHC#: 16147 NPI: 1316938301 NPI: 1194895227 License: 030000056 PHC#: 60677 License: 110000357 975 South Fairmont Ave NPI: 1740348929 99 Montecillo Rd Lodi, CA 95240 License: 220000197 San Rafael, CA 94903  1101 Van Ness Ave  Skilled Medical Interpreter Service San Francisco, CA 94109 Primary Phone: (415) 444-2000 Primary Phone: (209) 334-3411 Skilled Medical Interpreter Service www.kp.org Primary Fax: (209) 333-3160 Primary Phone: (415) 600-6000 24 Hours 7 Days a Week www.adventisthealth.org/ 24 Hours 7 Days a Week lodimemorial CCS Provider 24 Hours 7 Days a Week

MarinHealth Medical Center ^177^ CCS Provider

Children's Hospital Oakland ^183^ PHC#: 2513 NPI: 1396725677 PHC#: 1560

License: 110000361 CPMC-Davies Campus ^180^ NPI: 1003961251 250 Bon Air Rd PHC#: 3969 License: 140000015 Greenbrae, CA 94904 NPI: 1265590442 747 52nd St  License: 220000197 Oakland, CA 94609 Skilled Medical Interpreter Service 601 Duboce Ave Castro St & Duboce  Primary Phone: (415) 925-7000 Ave Skilled Medical Interpreter Service www.maringeneral.org San Francisco, CA 94117 Primary Phone: (510) 428-3000 24 Hours 7 Days a Week  www.childrenshospitaloakland.org CCS Provider Skilled Medical Interpreter Service 24 Hours 7 Days a Week Primary Phone: (415) 600-6000 CCS Provider Primary Fax: (714) 783-2548

Novato Community Hospital ^178^ 24 Hours 7 Days a Week John Muir Medical PHC#: 1990 CCS Provider

Center-Concord Campus ^184^ NPI: 1104059153 License: 110000375 PHC#: 1559 180 Rowland Way CPMC-Mission Bernal Campus NPI: 1801821376

Novato, CA 94945 and Orthopedic Institute ^181^ License: 140000128  PHC#: 1872 2540 East St Skilled Medical Interpreter Service NPI: 1730238007 Concord, CA 94520 Primary Phone: (415) 209-1300 License: 220000070  24 Hours 7 Days a Week 3555 Cesar Chavez Skilled Medical Interpreter Service San Francisco, CA 94110 Primary Phone: (925) 682-8200  www.johnmuirhealth.com Skilled Medical Interpreter Service 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: September 17, 2021 Page 35 of 95 PHC FACILITIES, PHARMACY, URGENT CARE & VSP LIST MARIN COUNTY DIRECTORY

John Muir Medical Center-Walnut Mercy Hospital of Folsom ^188^ Oroville Hospital ^191^

Creek Campus ^185^ PHC#: 1733 PHC#: 41763 PHC#: 1655 NPI: 1356389878 NPI: 1871606269 NPI: 1740215219 License: 030000372 License: 230000022 License: 140000265 1650 Creekside Dr 2767 Olive Highway 1601 Ygnacio Valley Rd Folsom, CA 95630 Oroville, CA 95966 Walnut Creek, CA 94596  Skilled Medical Interpreter Service Primary Phone: (925) 939-3000 Skilled Medical Interpreter Service Primary Phone: (530) 533-8500 24 Hours 7 Days a Week Primary Phone: (916) 983-7400 24 Hours 7 Days a Week CCS Provider Primary Fax: (916) 983-7406 CCS Provider www.dignityhealth.org 24 Hours 7 Days a Week

Lucile Packard Children's Shriners Hospitals for Children ^192^

Hospital ^186^ PHC#: 24564

Mercy San Juan Hospital ^189^ PHC#: 3069 NPI: 1962530451 NPI: 1467442749 PHC#: 2026 License: 030000620 License: 070000659 NPI: 1972541498 2425 Stockton Blvd 725 Welch Rd License: 030000063 Sacramento, CA 95817 Palo Alto, CA 94304 6501 Coyle Ave   Carmichael, CA 95608 Skilled Medical Interpreter Service Skilled Medical Interpreter Service  Primary Phone: (916) 453-2000 Primary Phone: (650) 497-8000 Skilled Medical Interpreter Service Patient Referral Phone: (916) Patient Referral Phone: (800) Primary Phone: (916) 537-5000 453-2191 995-5724 www.dignityhealth.org Primary Fax: (916) 453-2355 Primary Fax: (650) 725-8343 24 Hours 7 Days a Week Patient Referral Fax: (916) 453-2395 www.stanfordchildrens.org CCS Provider www.shrinershospitalsforchildren.org 24 Hours 7 Days a Week 24 Hours 7 Days a Week CCS Provider CCS Provider

Methodist Hospital of Sacramento

^190^ PHC#: 2029

St Elizabeth Community Hospital ^193^ Mercy General Hospital ^187^ NPI: 1467560599 PHC#: 2027 License: 030000064 PHC#: 5072 NPI: 1487694857 7500 Hospital Dr NPI: 1083732853 License: 030000062 Sacramento, CA 95823 License: 230000036 4001 J St  2550 Sister Mary Columba Dr Sacramento, CA 95819 Skilled Medical Interpreter Service Red Bluff, CA 96080  Primary Phone: (916) 423-3000  Skilled Medical Interpreter Service www.dignityhealth.org Skilled Medical Interpreter Service Primary Phone: (916) 453-4545 24 Hours 7 Days a Week Primary Phone: (530) 529-8000 www.dignityhealth.org CCS Provider Primary Fax: (530) 529-8165 24 Hours 7 Days a Week www.dignityhealth.org 24 Hours 7 Days a Week 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: September 17, 2021 Page 36 of 95 PHC FACILITIES, PHARMACY, URGENT CARE & VSP LIST MARIN COUNTY DIRECTORY

Sutter Medical Center Primary Phone: (916) 351-9151 Pharmacy Network List

Sacramento ^194^ Primary Fax: (916) 351-0705 PHC#: 1933 www.vibrahealthcare.com/

AVITA PHARMACY 1021 ^199^ NPI: 1811946734 sacramento NPI: 1316547193 License: 030000102 24 Hours 7 Days a Week 1260 S ELISEO DR STE 201 2825 Capitol Ave Zuckerberg San Francisco GREENBRAE, CA 94904 Sacramento, CA 95816   General Hospital ^197^ Primary Phone: (415) 991-2120 Skilled Medical Interpreter Service PHC#: 1558 Primary Fax: (888) 417-3834 Primary Phone: (916) 887-0000 NPI: 1164609962 Mon - Fri 9:00 AM - 5:00 PM Primary Fax: (916) 733-1058 License: 220000063 24 Hours 7 Days a Week 1001 Potrero Ave

AVITA PHARMACY 1022 ^200^ CCS Provider San Francisco, CA 94110  NPI: 1861054363 3110 KERNER BOULEVARD SUITE UC Davis Medical Center ^195^ Skilled Medical Interpreter Service PHC#: 2302 Primary Phone: (628) 206-8000 A www.zsfgcare.org SAN RAFAEL, CA 94901 NPI: 1710918545  License: 030000086 24 Hours 7 Days a Week CCS Provider Primary Phone: (415) 526-8566 2315 Stockton Blvd Primary Fax: (415) 526-8566 Sacramento, CA 95817 Mon - Fri 9:00 AM - 6:00 PM  Mental Health Services - Skilled Medical Interpreter Service Outpatient

Primary Phone: (916) 734-2011 AVITA PHARMACY 1023 ^201^ Patient Referral Phone: (800) NPI: 1710549209

Beacon Health Strategies ^198^ 482-3284 6100 REDWOOD BOULEVARD www.ucdmc.ucdavis.edu/ Call Beacon Health Strategies to SUITE A medicalcenter request information on available NOVATO, CA 94945 24 Hours 7 Days a Week mental health providers, or for  CCS Provider general questions about mental Primary Phone: (415) 755-2579 health services. You can also visit Primary Fax: (415) 488-1510 Beacon's website and type the word Mon - Fri 9:00 AM - 6:00 PM

Vibra Hospital of Sacramento ^196^ partnership on the member login PHC#: 29489 page.

COSTCO PHARMACY #141 ^202^ NPI: 1134564693 Primary Phone: (855) 765-9703 License: 030000377 www.beaconhealthstrategies.com/ NPI: 1770693376 330 Montrose Dr member_login.aspx 300 VINTAGE WAY Folsom, CA 95630 NOVATO, CA 94945  You may email Beacon Member  Skilled Medical Interpreter Service Services at: Primary Phone: (415) 899-1337 [email protected] Primary Fax: (415) 899-8544 Mon - Fri 10:00 AM - 7:00 PM Sat 9:30 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: September 17, 2021 Page 37 of 95 PHC FACILITIES, PHARMACY, URGENT CARE & VSP LIST MARIN COUNTY DIRECTORY

CVS PHARMACY #01483 ^203^ CVS PHARMACY #09529 ^207^ CVS PHARMACY #16212 ^211^ NPI: 1891065447 NPI: 1326081688 NPI: 1962424754 1599 TIBURON BLVD 442 LAS GALLINAS AVE 200 VINTAGE WAY TIBURON, CA 94920 SAN RAFAEL, CA 94903 NOVATO, CA 94945    Primary Phone: (415) 435-3843 Primary Phone: (415) 479-9171 Primary Phone: (415) 895-3103 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 9:00 AM - 9:00 PM Mon - Fri 9:00 AM - 7:00 PM Sat, Sun 10:00 AM - 6:00 PM Sat, Sun 10:00 AM - 6:00 PM Sat 9:00 AM - 5:00 PM Sun 11:00 AM - 5:00 PM

CVS PHARMACY #04952 ^204^ CVS PHARMACY #09913 ^208^

NPI: 1881907939 NPI: 1821031170 CVS PHARMACY #17629 ^212^ 909 GRAND AVE 759 E BLITHEDALE AVE NPI: 1639503584 SAN RAFAEL, CA 94901 MILL VALLEY, CA 94941 125 SHORELINE PKWY   SAN RAFAEL, CA 94901 Primary Phone: (415) 258-1649 Primary Phone: (415) 389-8891  Primary Fax: (401) 735-1080 Primary Fax: (401) 735-1080 Primary Phone: (415) 299-6113 Mon - Fri 9:00 AM - 8:00 PM Mon - Fri 9:00 AM - 8:00 PM Primary Fax: (401) 735-1080 Sat, Sun 10:00 AM - 5:00 PM Sat, Sun 10:00 AM - 6:00 PM Mon - Fri 10:00 AM - 6:00 PM Sat 12:00 PM - 5:00 PM

CVS PHARMACY #09316 ^205^ CVS PHARMACY #09947 ^209^

NPI: 1427090240 NPI: 1568404374 CVS PHARMACY #17694 ^213^ 1707 GRANT AVE 2035 NOVATO BLVD NPI: 1548705734 NOVATO, CA 94945 NOVATO, CA 94947 180 DONAHUE ST   SAUSALITO, CA 94965 Primary Phone: (415) 897-4171 Primary Phone: (415) 897-9917  Primary Fax: (401) 735-1080 Primary Fax: (401) 735-1080 Primary Phone: (415) 289-0534 Mon - Fri 9:00 AM - 9:00 PM Mon - Fri 9:00 AM - 8:00 PM Primary Fax: (401) 735-1080 Sat, Sun 10:00 AM - 6:00 PM Sat, Sun 10:00 AM - 5:00 PM Mon - Fri 10:00 AM - 6:00 PM Sat 10:00 AM - 5:00 PM Sun 12:00 PM - 5:00 PM

CVS PHARMACY #09370 ^206^ CVS PHARMACY #09962 ^210^ NPI: 1326081118 NPI: 1487696290

880 SIR FRANCIS DRAKE BLVD 150 DONAHUE ST GOLDEN GATE PHARMACY ^214^ SAN ANSELMO, CA 94960 SAUSALITO, CA 94965 NPI: 1477534378   8 DIGITAL DR STE 200 Primary Phone: (415) 456-9900 Primary Phone: (415) 339-0169 NOVATO, CA 94949 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 Primary Phone: (415) 455-9042 Sat, Sun 10:00 AM - 6:00 PM Sat, Sun 10:00 AM - 5:00 PM Primary Fax: (415) 455-9318 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: September 17, 2021 Page 38 of 95 PHC FACILITIES, PHARMACY, URGENT CARE & VSP LIST MARIN COUNTY DIRECTORY

KAISER HEALTH PLAN MOB 2 LUCKY PHARMACY ^219^ Primary Phone: (415) 892-3700

PHARMACY 392 ^215^ NPI: 1184768251 Primary Fax: (415) 892-9060 NPI: 1821145152 570 MAGNOLIA AVENUE Mon - Fri 9:00 AM - 7:00 PM 99 MONTECILLO ROAD LARKSPUR, CA 94939 Sat 9:00 AM - 6:00 PM SAN RAFAEL, CA 94903  Sun 10:00 AM - 6:00 PM  Primary Phone: (415) 924-6738 Primary Phone: (415) 444-4335 Primary Fax: (415) 924-6827 RITE AID PHARMACY 05957 ^223^ Primary Fax: (415) 444-4339 Mon - Fri 9:00 AM - 7:00 PM NPI: 1295844710 Mon - Fri 9:30 AM - 5:30 PM Sat 9:00 AM - 5:00 PM 471 3RD STREET SAN RAFAEL, CA 94901

MARIN MEDICAL PHARMACY ^220^ KAISER HEALTH PLAN PHY 361 ^216^  NPI: 1780731000 NPI: 1063575694 Primary Phone: (415) 454-7744 97 SAN MARIN DRIVE 750 LAS GALLINAS AVE STE 104 Primary Fax: (415) 457-0908 NOVATO, CA 94945 SAN RAFAEL, CA 94903 Mon - Fri 9:00 AM - 9:00 PM   Sat 9:00 AM - 6:00 PM Primary Phone: (415) 899-7563 Primary Phone: (415) 479-1930 Sun 10:00 AM - 6:00 PM Primary Fax: (415) 899-7573 Primary Fax: (415) 479-0128 Mon - Fri 9:00 AM - 6:00 PM Mon - Fri 9:00 AM - 5:00 PM RITE AID PHARMACY 05958 ^224^ NPI: 1962424077 KAISER HOSPITAL MAIN OP PHARMACA INTEGRATIVE 1500 NORTHGATE MALL

PHARMACY ^221^ PHARMACY #393 ^217^ SAN RAFAEL, CA 94903 NPI: 1932266293 NPI: 1497818785  99 MONTECILLO RD 230 E BLITHEDALE AVE Primary Phone: (415) 492-0888 SAN RAFAEL, CA 94903 MILL VALLEY, CA 94941 Primary Fax: (415) 492-0501   Mon - Fri 8:00 AM - 10:00 PM Primary Phone: (415) 444-2980 Primary Phone: (415) 388-6354 Sat 9:00 AM - 6:00 PM Primary Fax: (415) 444-2476 Primary Fax: (415) 388-0326 Sun 10:00 AM - 6:00 PM Mon - Fri 8:00 AM - 10:00 PM Mon, Tue, Thu, Fri 9:00 AM - 7:00 PM Sat, Sun 8:00 AM - 6:30 PM Wed 8:00 AM - 7:00 PM RITE AID PHARMACY 05959 ^225^ Sat 9:00 AM - 6:00 PM NPI: 1023030137 KFHP DOWNTOWN SAN RAFAEL Sun 10:00 AM - 6:00 PM 431 CORTE MADERA TOWN

PHY #396 ^218^ CENTER NPI: 1417004730 PHARMACA INTEGRATIVE CORTE MADERA, CA 94925

1033 THIRD STREET PHARMACY ^222^  SAN RAFAEL, CA 94901 NPI: 1952413874 Primary Phone: (415) 924-4557  7514 REDWOOD BLVD STE 104 Primary Fax: (415) 924-8111 Primary Phone: (415) 482-6900 NOVATO, CA 94945 Mon - Fri 9:00 AM - 9:00 PM Primary Fax: (415) 482-6903  Sat 9:00 AM - 6:00 PM Mon - Fri 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: September 17, 2021 Page 39 of 95 PHC FACILITIES, PHARMACY, URGENT CARE & VSP LIST MARIN COUNTY DIRECTORY

WALGREENS #4559 ^233^ RITE AID PHARMACY 05961 ^226^ Primary Phone: (415) 472-8221 NPI: 1063521458 Primary Fax: (415) 472-8225 NPI: 1205841582 701 EAST BLITHEDALE AVE Mon - Fri 9:00 AM - 8:00 PM 227 SHORELINE HWY MILL VALLEY, CA 94941 Sat 9:00 AM - 5:00 PM MILL VALLEY, CA 94941  Sun 10:00 AM - 5:00 PM  Primary Phone: (415) 388-2546 Primary Phone: (415) 380-8402 Primary Fax: (415) 388-1326 Primary Fax: (415) 380-9064 SAFEWAY PHARMACY #2718 ^230^ Mon - Fri 9:00 AM - 9:00 PM NPI: 1790711570 Mon - Fri 8:00 AM - 9:00 PM Sat 9:00 AM - 6:00 PM 800 REDWOOD HWY FRONTAGE Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM RD # 100 Sun 10:00 AM - 6:00 PM MILL VALLEY, CA 94941

WALGREENS #4625 ^234^ RITE AID PHARMACY 05963 ^227^  NPI: 1750490173 Primary Phone: (415) 360-9020 NPI: 1205841574 910 DIABLO AVENUE Primary Fax: (415) 360-9021 830 3RD ST NOVATO, CA 94947 Mon - Fri 9:00 AM - 8:00 PM SAN RAFAEL, CA 94901  Sat 9:00 AM - 5:00 PM  Primary Phone: (415) 898-1905 Sun 10:00 AM - 5:00 PM Primary Phone: (415) 455-9919 Primary Fax: (415) 898-5121 Primary Fax: (415) 455-4532 Mon - Fri 9:00 AM - 9:00 PM Mon - Fri 8:00 AM - 9:00 PM SAFEWAY PHARMACY #2828 ^231^ Sat 9:00 AM - 6:00 PM NPI: 1124064753 Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 6:00 PM 5720 NAVE DR Sun 10:00 AM - 6:00 PM NOVATO, CA 94949

WALGREENS #7445 ^235^ SAFEWAY PHARMACY #0788 ^228^  NPI: 1467483271 Primary Phone: (415) 881-9260 NPI: 1952316044 1 CAMINO ALTO Primary Fax: (415) 881-9261 820 SIR FRANCIS DRAKE BLVD MILL VALLEY, CA 94941 Mon - Fri 9:00 AM - 8:00 PM SAN ANSELMO, CA 94960  Sat 9:00 AM - 5:00 PM  Primary Phone: (415) 388-2701 Sun 10:00 AM - 5:00 PM Primary Phone: (415) 482-0191 Primary Fax: (415) 388-7142 Primary Fax: (415) 482-0194 Mon - Fri 9:00 AM - 8:00 PM Mon - Fri 8:00 AM - 9:00 PM WALGREENS #13584 ^232^ Sat 9:00 AM - 5:00 PM NPI: 1326363995 Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 5:00 PM 155 NORTHGATE ONE Sun 10:00 AM - 6:00 PM SAN RAFAEL, CA 94903

WEST MARIN PHARMACY ^236^ SAFEWAY PHARMACY #0932 ^229^  NPI: 1164451183 Primary Phone: (415) 479-2260 NPI: 1558580985 350 NORTHGATE ONE Primary Fax: (419) 479-2458 11 FOURTH STREET SAN RAFAEL, CA 94903 Mon - Fri 8:00 AM - 9:00 PM POINT REYES STATION, CA 94956  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: September 17, 2021 Page 40 of 95 PHC FACILITIES, PHARMACY, URGENT CARE & VSP LIST MARIN COUNTY DIRECTORY

Pine Ridge Care Center ^244^ Primary Phone: (415) 663-1121 Marin Post Acute ^240^ Primary Fax: (415) 663-1219 PHC#: 67792 PHC#: 32099 Mon - Fri 9:00 AM - 6:00 PM NPI: 1952849572 NPI: 1659610814 Sat 9:00 AM - 4:00 PM 234 N San Pedro Rd 45 Professional Center Pkwy Sun 10:00 AM - 4:00 PM San Rafael, CA 94903 San Rafael, CA 94903 Primary Phone: (415) 479-3450  Skilled Nursing Long Term Primary Fax: (415) 472-3732 Primary Phone: (415) 479-3610 Care Facilities 24 Hours 7 Days a Week Primary Fax: (415) 479-0313 Mon - Sun 8:00 AM - 5:00 PM

Aldersly Garden Retirement Northgate PostAcute Care ^241^

Professional Post Acute Center ^245^

Community ^237^ PHC#: 43172 PHC#: 24358 NPI: 1689053274 PHC#: 20413 NPI: 1497738363 40 Professional Center Pkwy NPI: 1811049026 326 Mission Ave San Rafael, CA 94903 81 Professional Center Pkwy San Rafael, CA 94901  San Rafael, CA 94903  Primary Phone: (415) 479-1230  Primary Phone: (415) 453-7425 Primary Fax: (415) 507-1741 Primary Phone: (415) 479-5161 Primary Fax: (415) 453-6377 24 Hours 7 Days a Week Primary Fax: (415) 491-0512 24 Hours 7 Days a Week 24 Hours 7 Days a Week

Novato Healthcare Center ^242^ San Francisco Health Care and

City View Post Acute ^238^ PHC#: 18468

Rehab ^246^ PHC#: 69525 NPI: 1417152570 NPI: 1487170890 1565 Hill Rd PHC#: 31478 1359 Pine St Novato, CA 94947 NPI: 1588974570 San Francisco, CA 94109  1477 Grove St Primary Phone: (415) 673-8405 Primary Phone: (415) 897-6161 San Francisco, CA 94117 Primary Fax: (415) 673-9862 Primary Fax: (415) 898-0561 Primary Phone: (415) 563-0565 24 Hours 7 Days a Week 24 Hours 7 Days a Week Primary Fax: (888) 469-0246 24 Hours 7 Days a Week Lawton Skilled Nursing & Pacific Heights Transitional Care

Center ^243^ San Rafael Healthcare & Wellness

Rehabilitation Center ^239^

Center ^247^ PHC#: 68782 PHC#: 65828 NPI: 1538685946 NPI: 1922522507 PHC#: 27998 1575 7th Ave 2707 Pine St NPI: 1417208109 San Francisco, CA 94122 San Francisco, CA 94115 1601 5th Ave Primary Phone: (415) 566-1200 Primary Phone: (415) 563-7600 San Rafael, CA 94901  Primary Fax: (415) 664-4316 Primary Fax: (415) 885-0942 Primary Phone: (415) 456-7170 24 Hours 7 Days a Week Mon - Fri 9:00 AM - 5:00 PM Primary Fax: (866) 741-6267 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: September 17, 2021 Page 41 of 95 PHC FACILITIES, PHARMACY, URGENT CARE & VSP LIST MARIN COUNTY DIRECTORY

South Marin Health and Wellness Eliot Kaplan OD Inc ^252^ Primary Phone: (415) 898-2320

Center ^248^ NPI: 1497953111 Primary Fax: (415) 892-7000 PHC#: 67783 61 Camino Alto Ste 100A Tue - Thu 10:00 AM - 6:00 PM NPI: 1902329782 Mill Valley, CA 94941 Fri 9:00 AM - 5:00 PM 1220 S Eliseo Dr Primary Phone: (415) 381-2020 Sat 8:00 AM - 2:00 PM Greenbrae, CA 94904 Primary Fax: (415) 381-0784

 Mon, Wed, Fri 9:00 AM - 6:00 PM Huang, Marissa D ^258^ Primary Phone: (415) 461-9700 Tue, Thu 9:00 AM - 7:00 PM NPI: 1861801177 Primary Fax: (415) 295-5109 License: 15444 Mon - Fri 8:00 AM - 5:00 PM Gender: Female Kaplan, Eliot ^253^

NPI: 1497765028 Patel, DeVal A ^259^ NPI: 1265673156 The Avenues Transitional Care License: 6475 Gender: Male License: 12526

Center ^249^ Gender: Female PHC#: 65829 NPI: 1306360987 Larkspur Landing Optometric

2043 19th Ave Corporation ^254^ San Francisco, CA 94116 NPI: 1801033691 Primary Phone: (415) 563-7600 500 Tamal Plz Ste 503 Primary Fax: (415) 885-0942 Corte Madera, CA 94925 24 Hours 7 Days a Week Primary Phone: (415) 925-9091 Primary Fax: (415) 925-9092 Vision Service Plan (VSP) Mon, Tue, Thu - Sat 9:00 AM - 5:00 (1-800-877-7195) PM Wed 9:00 AM - 8:00 PM

A and L Optometry ^250^

Day, Gina M ^255^ NPI: 1386625283 NPI: 1972725760 1551 4th St Ste 1 License: 10121 San Rafael, CA 94901 Gender: Female

Primary Phone: (415) 454-8013 Nassef, Somaia G ^256^ Primary Fax: (415) 454-8014 NPI: 1578016457 Tue - Fri 9:00 AM - 5:00 PM License: 33402 Sat 10:00 AM - 5:00 PM Gender: Female

Oppegaard, Matthew S ^251^

Novato Optometry ^257^ NPI: 1386625283 NPI: 1306402508 License: 10545 1300 Grant Ave Ste 102 Gender: Male Novato, CA 94945

To verify the availability of providers, 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: September 17, 2021 Page 42 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Acupuncture Special Accommodations: Adj. Exam Ito, Dena, LAc ^267^ Tables, Scales that weigh up to NPI: 1457893190 350lbs License: 15532 Marin Community Gender: Female

Clinics-Campus Clinic ^260^ Marin Community Clinics-Novato PHC#: 24122 Special Accommodations: Adj. Exam

Clinic ^264^ NPI: 1154503399 Tables, Scales that weigh up to 3260 Kerner Blvd Ste A PHC#: 18385 440lbs San Rafael, CA 94901 NPI: 1912091018 6100 Redwood Blvd , P,EB,IB,R,E Marin Community Clinics-South Level of Access: Basic Novato, CA 94945

Novato Clinic ^268^ Primary Phone: (415) 448-1500 , P,EB,IB,E Primary Fax: (415) 755-2550 Level of Access: Limited PHC#: 38385 Mon - Fri 8:00 AM - 5:00 PM Primary Phone: (415) 448-1500 NPI: 1912091018 Primary Fax: (415) 798-3198 6090 Redwood Blvd Mon - Thu 8:00 AM - 7:00 PM Novato, CA 94945

Ito, Dena, LAc ^261^ NPI: 1457893190 Fri 8:00 AM - 5:00 PM , P,EB,IB,R,E,T License: 15532 Level of Access: Basic

Gender: Female Ito, Dena, LAc ^265^ Primary Phone: (415) 448-1500 NPI: 1457893190 Primary Fax: (415) 798-3198 Special Accommodations: Adj. Exam License: 15532 Mon - Fri 8:00 AM - 5:00 PM Tables, Hearing Impaired Gender: Female

Accommodations, Scales that weigh Ito, Dena, LAc ^269^ up to 440lbs Special Accommodations: Adj. Exam NPI: 1457893190 Tables, Scales that weigh up to License: 15532 440lbs Gender: Female Marin Community

Clinics-Larkspur Clinic ^262^ Marin Community Clinics-San Special Accommodations: Adj. Exam PHC#: 5931 Tables, Scales that weigh up to

Rafael Clinic ^266^ NPI: 1912091018 750lbs 5 Bon Air Rd Ste 117 PHC#: 22856 Larkspur, CA 94939 NPI: 1154503399

Petaluma Health Center ^270^ , P,EB,IB,T 3110 Kerner Blvd Level of Access: Limited San Rafael, CA 94901 PHC#: 71724 Primary Phone: (415) 448-1500 , P,EB,IB,E NPI: 1760584049 Primary Fax: (415) 448-1505 Level of Access: Limited 88 Mesa Rd Mon - Fri 8:00 AM - 5:00 PM Primary Phone: (415) 448-1500 Bolinas, CA 94924 Primary Fax: (415) 526-8553 P,EB,IB,E Mon - Fri 8:00 AM - 7:00 PM Level of Access: Limited

Ito, Dena, LAc ^263^ NPI: 1457893190 Sat 8:00 AM - 4:00 PM Primary Phone: (415) 663-8666 License: 15532 Primary Fax: (415) 663-9532 Gender: Female Mon - Thu 9:00 AM - 5:00 PM

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: September 17, 2021 Page 43 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Richardson, Alexis Victoria, LAc ^271^ Allergy Primary Phone: (415) 464-0606 NPI: 1841557337 Primary Fax: (415) 464-0644 License: 13515 Mon - Fri 7:00 AM - 3:00 PM

Family Care Allergy and Asthma ^276^ Gender: Female PHC#: 69890 North Bay Regional Surgery NPI: 1730257932

Petaluma Health Center ^272^ Center ^281^ Available By Referral Only PHC#: 71725 No Age Limitations PHC#: 27833 NPI: 1053420844 4000 Civic Center Dr Ste 300 NPI: 1346425733 3 Sixth St San Rafael, CA 94903 100 Rowland Way Ste 145 Point Reyes, CA 94956 Primary Phone: (415) 847-4022 Novato, CA 94945 P,EB,IB,E Primary Fax: (707) 525-0491  Level of Access: Limited Tue - Fri 10:00 AM - 5:00 PM Primary Phone: (415) 209-2520 Primary Phone: (415) 663-8666 Primary Fax: (415) 209-2501 Primary Fax: (415) 663-9532 Caraballo Fonseca, Juline Natalia, Tue - Fri 6:00 AM - 5:00 PM Mon - Sat 9:00 AM - 5:00 PM

MD  ^277^

♦ Allergy & Immunology PDI Surgery Center ^282^

Richardson, Alexis Victoria, LAc ^273^ NPI: 1992146948 PHC#: 20486 NPI: 1841557337 License: A155471 NPI: 1598993198 License: 13515 Gender: Female 1380 19th Hole Dr Gender: Female Spanish Windsor, CA 95492

Petrick, Maria Mikaela, MD  ^278^  Special Accommodations: Adj. Exam ♦ Allergy & Immunology Primary Phone: (707) 838-6560 Tables NPI: 1396743605 Primary Fax: (707) 838-8464 License: C132754 Mon - Fri 7:00 AM - 4:30 PM Gender: Female Shevick, David A., LAc ^274^ Spanish PHC#: 37497 Audiology NPI: 1568697324 Royer, Christine Anne, MD  ^279^ 714 C St Ste 6 NPI: 1730566613

San Rafael, CA 94901 License: A169502 Bay Area Hearing Services ^283^  Gender: Female PHC#: 28017 Primary Phone: (415) 963-4453 Spanish NPI: 1144490574 Primary Fax: (415) 338-9583 1599 Tara Hills Dr Mon 8:00 AM - 5:00 PM Ambulatory Surgery Centers Pinole, CA 94564 Wed 8:00 AM - 7:00 PM  Primary Phone: (510) 724-4327

Endoscopy Center of Marin ^280^

Shevick, David Abraham, LAc ^275^ Primary Fax: (510) 724-1959 NPI: 1568697324 PHC#: 21956 Mon - Thu 9:00 AM - 5:00 PM License: 12612 NPI: 1194718056 Fri 9:00 AM - 3:00 PM Gender: Male 1100 S Eliseo Dr Ste 3 Portuguese, Spanish Greenbrae, CA 94904 

To verify the availability of providers, 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: September 17, 2021 Page 44 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Connect Hearing Inc. - Hear So Good Audiology & Perryman, Scott Vernon, MD ^290^

Hearing Aids ^287^ Healdsburg ^284^ ♦ Surgery PHC#: 26360 PHC#: 67367 NPI: 1083800999 NPI: 1265700942 NPI: 1093066441 License: A85617 1260 Healdsburg Ave Ste 202 8911 Lakewood Dr Ste 27A Gender: Male Healdsburg, CA 95448 Windsor, CA 95492 French  Primary Phone: (707) 620-5996 Hospital Privileges: Providence Primary Phone: (707) 433-0705 Primary Fax: (415) 480-6705 Queen of the Valley Medical Center Primary Fax: (707) 433-7595 Tue, Wed, Fri 9:30 AM - 6:00 PM CCS Provider Mon - Thu 9:00 AM - 5:00 PM CCS Provider Behavioral Health Treatment

Kenwood Hearing Centers ^288^ PHC#: 20180 Connect Hearing Inc. - Santa NPI: 1013011048 To request information on services or

Rosa ^285^ 593 N McDowell Blvd Ste C providers for medically necessary PHC#: 26360 Petaluma, CA 94954 Behavioral Health Treatment for NPI: 1265700942  children with behavioral problems 4725 Hoen Ave Ste B Primary Phone: (707) 789-9191 please contact the Care Coordination Santa Rosa, CA 95405 Primary Fax: (707) 789-9009 Department at (800) 809-1350. #BHT#  Mon - Thu 9:00 AM - 5:00 PM Primary Phone: (707) 542-1154 Fri 9:00 AM - 12:00 PM Diagnosis: Evaluation of behavioral Primary Fax: (707) 542-4818 problems in children with Mon - Fri 8:30 AM - 5:00 PM recommendation for treatment. Bariatric Surgery CCS Provider Treatment: Evidence-based behavioral interventions for children Whole Health Weight Loss Hear So Good Audiology & to improve behavioral functioning.

Institute ^289^

Hearing Aids ^286^

PHC#: 32948 PHC#: 46916 Para solicitar información sobre NPI: 1093066441 NPI: 1952823841 servicios o proveedores para 505A San Marin Dr Ste 130 Available By Referral Only tratamientos para la salud conductual Novato, CA 94945 No Age Limitations  165 Rowland Way Ste 200 para menores con problemas Primary Phone: (415) 456-4327 Novato, CA 94945 conductuales, favor de contactar el Primary Fax: (415) 480-6705  departamento de coordinación de Mon - Thu 10:00 AM - 6:00 PM Primary Phone: (707) 721-3500 atención (Care Coordination Fri 10:00 AM - 5:00 PM Primary Fax: (877) 854-5151 Department) llamando al Mon - Fri By Appointment Only (800) 809-1350.

To verify the availability of providers, 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: September 17, 2021 Page 45 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Diagnóstico: Evaluación de Primary Phone: (707) 527-7032 Primary Phone: (802) 487-9421 problemas conductuales en menores Primary Fax: (707) 527-7960 Primary Fax: (802) 754-2683 con recomendación de tratamiento. Spanish Mon - Fri 8:00 AM - 5:00 PM Mon - Fri 8:00 AM - 5:00 PM Counties Served: Solano, Sonoma, Tratamiento: Intervenciones en base Counties Served: Sonoma, Marin Mendocino, Yolo, Marin, Napa, Lake, a evidencia para menores para Del Norte, Shasta, Siskiyou, mejorar el funcionamiento Treatment Humboldt, Trinity, Lassen, Modoc conductual. Behavioral Health Treatment Treatment Ad Astra Behavior Analytic Services are usually provided in the child's home or community. This site Behavioral Health Treatment

Services ^291^ address is an administrative office. Services are usually provided in the PHC#: 73723 child's home or community. This site NPI: 1750964862 address is an administrative office. 2222 Cleveland Ave #1003 Aura Behavioral Health ^293^ Santa Rosa, CA 95403 PHC#: 66236 Primary Phone: (800) 939-3410 NPI: 1629619705 Autism Center of Northern

Primary Fax: (800) 401-2230 Services Not Provided at the Site California ^295^ Mon - Fri 8:00 AM - 8:00 PM Primary Phone: (916) 800-2872 PHC#: 42027 Sat, Sun By Appointment Only Primary Fax: (916) 800-3356 NPI: 1275921587 Counties Served: Solano, Sonoma, Mon - Fri 8:00 AM - 8:00 PM 870 Market St Ste 468-476 Mendocino, Yolo, Marin, Napa, Lake, Sat 8:00 AM - 6:00 PM San Francisco, CA 94102 Del Norte, Shasta, Siskiyou, Counties Served: Solano, Sonoma,  Humboldt, Trinity, Lassen, Modoc Mendocino, Yolo, Marin, Napa, Lake, Primary Phone: (415) 391-3417 Del Norte, Shasta, Siskiyou, Primary Fax: (866) 656-5932 Treatment Humboldt, Trinity, Lassen, Modoc Spanish Mon - Fri 9:00 AM - 5:00 PM Behavioral Health Treatment Treatment Counties Served: Solano, Sonoma, Services are usually provided in the Mendocino, Yolo, Marin, Napa, Lake, child's home or community. This site Behavioral Health Treatment Del Norte, Shasta, Siskiyou, address is an administrative office. Services are usually provided in the Humboldt, Trinity, Lassen, Modoc child's home or community. This site Anova Education and Behavior address is an administrative office. Diagnosis

Consultation, Inc. ^292^ Autism Advocacy and Behavioral Health Treatment PHC#: 37512 Services are usually provided in the

Intervention, LLC ^294^ NPI: 1538422985 child's home or community. This site 220 Concourse Blvd PHC#: 35740 address is an administrative office. Santa Rosa, CA 95403 NPI: 1811374440  4456 Manzanita Ave Ste 2 Clearlake, CA 95422 

To verify the availability of providers, 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: September 17, 2021 Page 46 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Behavior Treatment & Analysis, Autism Intervention Professionals Primary Phone: (408) 786-5616

^296^

PHC#: 65658 Inc. ^298^ Primary Fax: (925) 433-6555 NPI: 1457709495 PHC#: 73297 Mon - Fri 8:00 AM - 6:00 PM 39201 State St NPI: 1154843175 Counties Served: Solano, Yolo, Fremont, CA 94538 490 Chadbourne Rd Ste A138 Marin, Napa Primary Phone: (866) 206-2008 Fairfield, CA 94534 Primary Fax: (866) 317-1665 Primary Phone: (707) 702-3111 Diagnosis, Treatment Mon - Fri 9:00 AM - 6:00 PM Primary Fax: (925) 433-6555 Behavioral Health Treatment Counties Served: Solano, Sonoma, Mon - Fri 8:00 AM - 6:00 PM Services are usually provided in the Mendocino, Marin, Napa, Lake, Counties Served: Solano, Yolo, child's home or community. This site Humboldt Marin, Napa address is an administrative office. Treatment Diagnosis, Treatment Behavioral Intervention

Behavioral Health Treatment Behavioral Health Treatment Association ^301^ Services are usually provided in the Services are usually provided in the PHC#: 40720 child's home or community. This site child's home or community. This site NPI: 1609199512 address is an administrative office. address is an administrative office. 2354 Powell St Ste A Emeryville, CA 94608  Behavior Treatment and Analysis ^299^ Autism Learning Partners ^297^ Primary Phone: (510) 652-7445 PHC#: 64529 PHC#: 73299 Primary Fax: (510) 652-9288 NPI: 1942537733 NPI: 1154843175 Mon - Fri 8:00 AM - 5:00 PM 601 University Ave Ste 175 1300 First St Ste 368 Counties Served: Marin Sacramento, CA 95825 Napa, CA 94559 Primary Phone: (855) 295-3276 Primary Phone: (707) 702-3111 Treatment Primary Fax: (800) 819-7806 Primary Fax: (925) 433-6555 Mon - Fri 8:00 AM - 6:00 PM Mon - Fri 8:00 AM - 5:00 PM Behavioral Health Treatment Counties Served: Solano, Yolo, Sat 8:00 AM - 3:00 PM Services are usually provided in the Marin, Napa Counties Served: Marin, Humboldt, child's home or community. This site Lassen address is an administrative office. Diagnosis, Treatment Treatment Behavioral Health Treatment Center For Autism and Related

Behavioral Health Treatment Services are usually provided in the Disorders, LLC ^302^ Services are usually provided in the child's home or community. This site PHC#: 68712 child's home or community. This site address is an administrative office. NPI: 1669651675 address is an administrative office. 505 14th Street Ste 900 Oakland, CA 94612 Behavior Treatment and Analysis ^300^ PHC#: 73298 NPI: 1154843175 2150 N 1st St Ste 429 San Jose, CA 95131

To verify the availability of providers, 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: September 17, 2021 Page 47 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Primary Phone: (818) 345-2345 Primary Phone: (707) 552-2581 Treatment Primary Fax: (818) 758-8015 Primary Fax: (888) 722-7972 Mon - Fri 8:00 AM - 5:00 PM Mon - Fri 9:00 AM - 8:00 PM Behavioral Health Treatment Counties Served: Solano, Sonoma, Counties Served: Solano, Sonoma, Services are usually provided in the Mendocino, Yolo, Marin, Napa, Lake, Yolo, Marin, Napa, Del Norte, Shasta, child's home or community. This site Del Norte, Shasta, Siskiyou, Siskiyou, Humboldt, Trinity, Modoc address is an administrative office. Humboldt, Trinity, Lassen, Modoc Treatment

Center for Social Dynamics Inc. ^307^ Diagnosis, Treatment Behavioral Health Treatment PHC#: 62578 Behavioral Health Treatment Services are usually provided in the NPI: 1497093355 Services are usually provided in the child's home or community. This site 150 Glen Cove Marina Rd Ste 102 child's home or community. This site address is an administrative office. Vallejo, CA 94591 is an administrative office. Primary Phone: (707) 553-1784 Primary Fax: (510) 251-8120

Center for Social Dynamics Inc. ^305^ Mon - Fri 9:00 AM - 5:00 PM Center For Autism and Related PHC#: 66100 Counties Served: Solano, Sonoma,

Disorders, LLC ^303^ NPI: 1497093355 Mendocino, Yolo, Marin, Napa PHC#: 33779 2 Padre Pkwy Ste 101 NPI: 1669651675 Rohnert Park, CA 94928 Diagnosis, Treatment 1910 Olympic Blvd Ste 140 & 150 Primary Phone: (707) 553-1784 Walnut Creek, CA 94596 Primary Fax: (510) 251-8120 Behavioral Health Treatment  Mon - Sat 9:00 AM - 5:00 PM Services are usually provided in the Primary Phone: (925) 433-0990 Counties Served: Solano, Sonoma, child's home or community. This site Primary Fax: (866) 587-2383 Mendocino, Yolo, Marin, Napa address is an administrative office. Spanish Mon - Fri 8:00 AM - 7:30 PM Treatment Cypress Adaptive Behavior Counties Served: Solano, Yolo

Program ^308^ Behavioral Health Treatment Treatment Services are usually provided in the PHC#: 48950 child's home or community. This site NPI: 1538406897 Behavioral Health Treatment address is an administrative office. 3835 Cypress Dr Ste 103 Services are usually provided in the Petaluma, CA 94954 child's home or community. This site Primary Phone: (707) 971-8999

Center for Social Dynamics Inc. ^306^ address is an administrative office. Primary Fax: (707) 559-2466 PHC#: 62578 Mon - Fri 9:00 AM - 3:00 PM NPI: 1497093355 Counties Served: Solano, Sonoma,

Center for Behavioral Solutions ^304^ 8801 Folsom Blvd Ste 265 Marin, Napa PHC#: 48474 Sacramento, CA 95826 NPI: 1356846083 Primary Phone: (916) 382-4447 Treatment 236 Georgia St Ste 102 Primary Fax: (510) 251-8120 Vallejo, CA 94590 Mon - Sat 9:00 AM - 5:00 PM Counties Served: Solano, Sonoma, Mendocino, Yolo, Marin, Napa

To verify the availability of providers, 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: September 17, 2021 Page 48 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Behavioral Health Treatment Treatment Behavioral Health Treatment Services are usually provided in the Services are usually provided in the child's home or community. This site Behavioral Health Treatment child's home or community. This site address is an administrative office. Services are usually provided in the address is an administrative office. child's home or community. This site address is an administrative office.

DreamLane, LLC ^309^ Kyo Autism Therapy, LLC ^315^ PHC#: 46616 PHC#: 37425

NPI: 1396250080 Kurt Meskowsky, M.A., BCBA ^312^ NPI: 1720212749 4900 Hopyard Rd Ste 100 PHC#: 70804 Services Not Provided at the Site Pleasanton, CA 94588 NPI: 1679871628  Primary Phone: (424) 522-8391 Services Not Provided at the Site Primary Phone: (877) 264-6747 Primary Fax: (888) 502-7713 Primary Phone: (916) 316-7333 Primary Fax: (877) 539-7730 Mon - Fri 9:00 AM - 6:00 PM Primary Fax: (916) 472-2429 Mon - Fri 8:00 AM - 5:00 PM Counties Served: Marin Mon - Sun 8:00 AM - 8:00 PM Counties Served: Sonoma, Marin Counties Served: Sonoma, Yolo, Treatment Yoon, Jin Hee, BCBA ^310^ Marin, Napa, Shasta NPI: 1326428434 Behavioral Health Treatment License: 1-15-18173 Meskowsky, Kurt, BCBA  ^313^ Gender: Female NPI: 1679871628 Services are usually provided in the Korean License: 1-06-3197 child's home or community. This site Gender: Male address is an administrative office. Treatment Diagnosis, Treatment

Kyo Autism Therapy, LLC ^316^ Behavioral Health Treatment PHC#: 37427 Services are usually provided in the Behavioral Health Treatment NPI: 1720212749 child's home or community. This site Services are usually provided in the Services Not Provided at the Site address is an administrative office. child's home or community. This site  address is an administrative office. Primary Phone: (877) 264-6747 Juvo Autism + Behavioral Health Primary Fax: (877) 539-7730

Kyo Autism Therapy, LLC ^314^ Services ^311^ Cantonese,French,German,Spanish PHC#: 39319 PHC#: 42041 Mon - Fri 9:00 AM - 6:00 PM NPI: 1831488311 NPI: 1720212749 Counties Served: Solano, Sonoma, 1200 Concord Ave Ste 100 Services Not Provided at the Site Marin, Napa Concord, CA 94520 Primary Phone: (877) 264-6747  Primary Fax: (877) 539-7730 Treatment Primary Phone: (510) 832-4383 French,Spanish Primary Fax: (201) 957-1595 Mon - Fri 8:00 AM - 5:00 PM Behavioral Health Treatment Hindi,Spanish,Urdu Counties Served: Solano, Sonoma, Services are usually provided in the Mon - Fri 8:00 AM - 6:00 PM Yolo, Marin, Napa child's home or community. This site Counties Served: Solano, Sonoma, address is an administrative office. Yolo, Marin Treatment

To verify the availability of providers, 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: September 17, 2021 Page 49 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Learning Arts ^317^ Primary Phone: (707) 241-4746 Primary Phone: (707) 822-1136 PHC#: 61233 Primary Fax: (707) 772-5209 Primary Fax: (707) 633-1777 NPI: 1104051077 Mon - Fri 9:00 AM - 5:00 PM Mon - Fri 9:00 AM - 5:00 PM 1123 Baldwin St Counties Served: Solano, Sonoma, Counties Served: Sonoma, Salinas, CA 93906 Mendocino, Marin, Napa, Lake Mendocino, Marin, Lake, Humboldt Primary Phone: (916) 729-3098

Primary Fax: (916) 780-0119 MacLeamy, Patrick D, PsyD  ^320^ Treatment Mon - Fri 7:00 AM - 6:00 PM NPI: 1831384718 Counties Served: Marin License: 22989 Behavioral Health Treatment Gender: Male Services are usually provided in the Diagnosis, Treatment child's home or community. This site Diagnosis address is an administrative office. Behavioral Health Treatment Behavioral Health Treatment

Services are usually provided in the Nexus Therapies LLC ^323^ Services are usually provided in the child's home or community. This site PHC#: 65471 address is an administrative office. child's home or community. This site address is an administrative office. NPI: 1831752781 490 Chadbourne Rd Ste A131

Learning Arts ^318^ Fairfield, CA 94534

Maxim Healthcare Services, Inc. ^321^ PHC#: 48533 Primary Phone: (844) 636-3987 NPI: 1104051077 PHC#: 61534 Primary Fax: (707) 402-6059 2360 Irving St NPI: 1811442916 Mon - Fri 9:00 AM - 5:00 PM San Francisco, CA 94122 6475 Christie Ave Ste 350 Counties Served: Solano, Sonoma, Primary Phone: (916) 729-3098 Emeryville, CA 94608 Mendocino, Yolo, Marin, Napa Primary Fax: (916) 780-0119 Primary Phone: (510) 982-3773 Mon - Fri 9:00 AM - 7:00 PM Primary Fax: (844) 691-2086 Treatment Sat, Sun By Appointment Only Mon - Fri 8:00 AM - 5:00 PM Counties Served: Marin Sat, Sun On Call Behavioral Health Treatment Counties Served: Marin Services are usually provided in the Diagnosis, Treatment home or community. This site is an Treatment administrative office. Behavioral Health Treatment Behavioral Health Treatment

Services are usually provided in the Positive Behavior Supports Corp. ^324^ Services are usually provided in the child's home or community. This site PHC#: 33669 address is an administrative office. child's home or community. This site address is an administrative office. NPI: 1528405008 795 Folsom St Fl 1

MacLeamy, Patrick D., PSYD ^319^ San Francisco, CA 94107

Multiplicity Therapeutic Services ^322^ PHC#: 33647  Primary Phone: (855) 832-6727 NPI: 1831384718 PHC#: 44626 Primary Fax: (772) 675-9100 755 Baywood Dr Ste 200 NPI: 1124373691 Mon - Fri 8:00 AM - 8:00 PM Petaluma, CA 94954 680 E Cotati Ave Ste B  Cotati, CA 94931 Counties Served: Solano, Sonoma,  Yolo, Marin, Napa

To verify the availability of providers, 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: September 17, 2021 Page 50 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Treatment Treatment Behavioral Health Treatment Services are usually provided in the Behavioral Health Treatment Behavioral Health Treatment child's home or community. This site Services are usually provided in the Services are usually provided in the address is an administrative office. child's home or community. This site child's home or community. This site address is an administrative office. address is an administrative office. Cardiovascular Disease

Redwood Behavioral Services ^325^ Trumpet Behavioral Health ^328^

Laser Light Treatment Center ^330^ PHC#: 46158 PHC#: 36546 PHC#: 29233 NPI: 1376059485 NPI: 1588967236 Services Not Provided at the Site 901 O St Ste C NPI: 1326392168 Available By Referral Only Primary Phone: (707) 694-8130 Arcata, CA 95521 Primary Fax: (707) 754-2559  No Age Limitations Mon - Fri 8:00 AM - 5:00 PM Primary Phone: (707) 497-9335 165 Rowland Way Ste 212 Counties Served: Solano, Sonoma, Primary Fax: (303) 984-4366 Novato, CA 94945  Mendocino, Marin, Napa Mon - Fri 8:00 AM - 7:00 PM Sat By Appointment Only Primary Phone: (415) 892-9550 Counties Served: Solano, Sonoma, Primary Fax: (415) 892-9362 Rangel, Ruben E, BCBA ^326^ Mon - Thu 9:00 AM - 5:00 PM NPI: 1376059485 Marin, Humboldt License: 1-17-27010

Erickson, Joel Sherman, MD ^331^ Gender: Male Treatment ♦ Cardiovascular Disease Spanish Behavioral Health Treatment ♦ Internal Medicine NPI: 1407899479 Treatment Services are usually provided in the child's home or community. This site License: G54218 Gender: Male Behavioral Health Treatment address is an administrative office. Hospital Privileges: Providence Santa Services are usually provided in the Rosa Memorial Hospital child's home or community. This site Trumpet Behavioral Health ^329^ CCS Provider address is an administrative office. PHC#: 36546 NPI: 1588967236 Marin Community

Trumpet Behavioral Health ^327^ 6475 Sierra Ln

Clinics-Campus Clinic ^332^ PHC#: 36546 Dublin, CA 94568 PHC#: 24122 NPI: 1588967236  NPI: 1154503399 4849 Lone Tree Way Ste C Primary Phone: (925) 462-2281 Available By Referral Only Antioch, CA 94531 Mon - Fri 8:00 AM - 7:00 PM  Sat By Appointment Only No Age Limitations Primary Phone: (925) 462-2281 Counties Served: Solano, Sonoma, 3260 Kerner Blvd Ste A Mon - Fri 9:00 AM - 6:30 PM Marin, Humboldt San Rafael, CA 94901 Sat By Appointment Only , P,EB,IB,R,E Counties Served: Solano, Marin, Treatment Level of Access: Basic Napa Primary Phone: (415) 448-1500 Primary Fax: (415) 755-2550 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: September 17, 2021 Page 51 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Marin Community Gershengorn, Kent Norman, MD ^333^ Chiropractic

♦ Cardiovascular Disease Clinics-Larkspur Clinic ^340^ ♦ Internal Medicine Marin Community PHC#: 5931 NPI: 1811987621 NPI: 1912091018

Clinics-Campus Clinic ^336^ License: G20314 Available By Referral Only PHC#: 24122 Gender: Male No Age Limitations NPI: 1154503399 Hospital Privileges: MarinHealth 5 Bon Air Rd Ste 117 Available By Referral Only Medical Center Larkspur, CA 94939 CCS Provider No Age Limitations , P,EB,IB,T 3260 Kerner Blvd Ste A Level of Access: Limited San Rafael, CA 94901 Special Accommodations: Adj. Exam Primary Phone: (415) 448-1500 , P,EB,IB,R,E Tables, Hearing Impaired Primary Fax: (415) 448-1505 Level of Access: Basic Accommodations, Scales that weigh Mon - Fri 8:00 AM - 5:00 PM up to 440lbs Primary Phone: (415) 448-1500 Primary Fax: (415) 755-2550

Bliss, Robert Foster, DC ^341^ Mon - Fri 8:00 AM - 5:00 PM

Telemed2U ^334^ NPI: 1710060801 PHC#: 32086 License: DC10131

Bliss, Robert Foster, DC ^337^ Gender: Male NPI: 1326338237 NPI: 1710060801

Vanderheym, Jeffrey Neil, DC ^342^ Available By Referral Only License: DC10131 NPI: 1770621351 18 Years and Older Gender: Male Telehealth Services License: DC20020

Vanderheym, Jeffrey Neil, DC ^338^ Gender: Male Primary Phone: (916) 740-3721 NPI: 1770621351

Weldon, Barbara Jeanne, DC ^343^ Primary Fax: (916) 527-0770 License: DC20020 NPI: 1881872943 Mon - Fri 8:00 AM - 5:00 PM Gender: Male License: 24663

Weldon, Barbara Jeanne, DC ^339^ Gender: Female Kalt, Michele Sarah, MD ^335^ NPI: 1881872943 ♦ Cardiovascular Disease License: 24663 Special Accommodations: Adj. Exam NPI: 1518026186 Gender: Female License: A51509 Tables, Scales that weigh up to 350lbs Gender: Female Special Accommodations: Adj. Exam Hebrew, Spanish Tables, Hearing Impaired Accommodations, Scales that weigh Marin Community Clinics-Novato Telehealth services must be arranged up to 440lbs Clinic ^344^ by your PHC doctor. To find all PHC#: 18385 telehealth specialties available NPI: 1912091018 through Telemed2U look under the Available By Referral Only specific specialty listed in this No Age Limitations directory. 6100 Redwood Blvd Novato, CA 94945 , 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: September 17, 2021 Page 52 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Primary Phone: (415) 448-1500 Vanderheym, Jeffrey Neil, DC ^350^ Community Based Adult Primary Fax: (415) 798-3198 NPI: 1770621351 Services CBAS Mon - Thu 8:00 AM - 7:00 PM License: DC20020 Fri 8:00 AM - 5:00 PM Gender: Male

Marin Adult Day Health Center ^356^

Weldon, Barbara Jeanne, DC ^351^ PHC#: 26308 Bliss, Robert Foster, DC ^345^ NPI: 1881872943 NPI: 1710060801 License: 24663 NPI: 1487814349 License: DC10131 Gender: Female 1905 Novato Blvd Gender: Male Novato, CA 94947 

Vanderheym, Jeffrey Neil, DC ^346^ Special Accommodations: Adj. Exam NPI: 1770621351 Tables, Scales that weigh up to Primary Phone: (415) 897-6884 License: DC20020 440lbs Primary Fax: (415) 897-1585 Gender: Male Mon - Fri 9:00 AM - 4:30 PM

Weldon, Barbara Jeanne, DC ^347^ Marin Community Clinics-South NPI: 1881872943 Comprehensive Perinatal Novato Clinic ^352^ License: 24663 Services Program CPSP Gender: Female PHC#: 38385 NPI: 1912091018 Special Accommodations: Adj. Exam 6090 Redwood Blvd Marin Community

Tables, Scales that weigh up to Novato, CA 94945 Clinics-Larkspur Clinic ^357^ 440lbs , P,EB,IB,R,E,T PHC#: 5931 Level of Access: Basic NPI: 1912091018 Primary Phone: (415) 448-1500 Marin Community Clinics-San Accepting New Patients Primary Fax: (415) 798-3198 No Age Limitations

Rafael Clinic ^348^ Mon - Fri 8:00 AM - 5:00 PM 5 Bon Air Rd Ste 117 PHC#: 22856 Larkspur, CA 94939

NPI: 1154503399 Bliss, Robert Foster, DC ^353^ , P,EB,IB,T Available By Referral Only NPI: 1710060801 Level of Access: Limited No Age Limitations License: DC10131 Primary Phone: (415) 448-1500 3110 Kerner Blvd Gender: Male Primary Fax: (415) 448-1505

San Rafael, CA 94901 Vanderheym, Jeffrey Neil, DC ^354^ Mon - Fri 8:00 AM - 5:00 PM , P,EB,IB,E NPI: 1770621351 Level of Access: Limited License: DC20020

Bennett, Patrick Mulvey, MD ^358^ Primary Phone: (415) 448-1500 Gender: Male ♦ Urology

Primary Fax: (415) 526-8553 Weldon, Barbara Jeanne, DC ^355^ NPI: 1891713418 Mon - Fri 8:00 AM - 7:00 PM NPI: 1881872943 License: G78346 Sat 8:00 AM - 4:00 PM License: 24663 Gender: Male Gender: Female Hospital Privileges: MarinHealth

Bliss, Robert Foster, DC ^349^ Medical Center NPI: 1710060801 Special Accommodations: Adj. Exam CCS Provider License: DC10131 Tables, Scales that weigh up to Gender: Male 750lbs

To verify the availability of providers, 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: September 17, 2021 Page 53 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Hamidi, Reyhaneh, MD  ^371^ Byers, Robert Henry, MD ^359^ Dermatology ♦ Orthopaedic Surgery ♦ Dermatology NPI: 1750338729 NPI: 1144470162

Direct Dermatology ^366^ License: G41030 License: A111135 Gender: Male PHC#: 26509 Gender: Female Hospital Privileges: MarinHealth NPI: 1417263922 Farsi, Italian Medical Center Available By Referral Only CCS Provider No Age Limitations Sowerby, Timothy Martin, MD ^360^ Kafi, Reza, MD  ^372^ NPI: 1063475952 Telehealth Services ♦ Dermatology License: A50116 Primary Phone: (855) 944-7546 NPI: 1891737201 Gender: Male Primary Fax: (800) 572-0683 License: A84048 Hospital Privileges: MarinHealth Mon - Sat 9:00 AM - 4:30 PM Gender: Male Medical Center CCS Provider

Ally, Mina Sarah, MD ^367^ CCS Provider Reyes, Melissa, MD ^373^ ♦ Dermatology ♦ Dermatology NPI: 1528467099 Bliss, Robert Foster, DC ^361^ ♦ Pediatric Dermatology NPI: 1710060801 License: A144146 NPI: 1558561498 License: DC10131 Gender: Female License: A100703 Gender: Male CCS Provider Gender: Female

Craft, Noah Ames, MD ^368^ Cromar, Jennifer Horch, CNM ^362^ CCS Provider ♦ Dermatology NPI: 1134209927 Tan, Belinda Hsiu Jung, MD ^374^ License: 1580 NPI: 1750351193 ♦ Dermatology Gender: Female License: A76802 ♦ Dermatopathology Gender: Male Reppun, Ann, ANP ^363^ NPI: 1861690299 NPI: 1831200864 CCS Provider License: A100913

License: 11084 David, Consuelo Veronica, MD  ^369^ Gender: Female Gender: Female ♦ Dermatology CCS Provider NPI: 1689963340 Spanish Venkatesan, Aruna, MD  ^375^ License: A122615 Vanderheym, Jeffrey Neil, DC ^364^ ♦ Dermatology NPI: 1770621351 Gender: Female NPI: 1235457649 License: DC20020 Spanish License: A113635 Gender: Male CCS Provider Gender: Female

Gordon, Justin Stanley, MD ^370^ Weldon, Barbara Jeanne, DC ^365^ CCS Provider ♦ Dermatology NPI: 1881872943 Weiss, Stefan Craig, MD ^376^ License: 24663 NPI: 1225353568 ♦ Dermatology Gender: Female License: A118547 NPI: 1578641387 Gender: Male License: A80115 Special Accommodations: Adj. Exam CCS Provider Gender: Male Tables, Scales that weigh up to CCS Provider 350lbs

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: September 17, 2021 Page 54 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Tsuchiya, Arline M, MD ^386^ Wong, David Jun Sing, MD ^377^ Primary Phone: (415) 472-3903 ♦ Dermatology Primary Fax: (415) 472-2102 ♦ Dermatology NPI: 1316972201 Mon - Fri 8:00 AM - 5:00 PM ♦ Pediatric Dermatology License: A84286 NPI: 1114098167

Gender: Male Greenberg, Joseph H, MD ^382^ License: A43062 CCS Provider ♦ Dermatology Gender: Female

Wong, Reynold Clark, MD ^378^ ♦ Internal Medicine CCS Provider

♦ Dermatology NPI: 1912085937 Yoon, Jessica Sonita, MD ^387^ NPI: 1962581694 License: C35289 ♦ Dermatology License: G51891 Gender: Male NPI: 1831352418 Gender: Male CCS Provider License: C156843 CCS Provider Gender: Female

Schten, Erik P., MD ^383^ Telehealth services must be arranged

Greenberg, Joseph, MD ^379^ PHC#: 24582 by your PHC doctor. To find all PHC#: 8815 NPI: 1558461103 telehealth specialties available NPI: 1780857318 Available By Referral Only through Telemed2U look under the Available By Referral Only No Age Limitations specific specialty listed in this No Age Limitations 750 Las Gallinas Ave Ste 205 directory. 500 Professional Center Dr Ste 511 San Rafael, CA 94903 Novato, CA 94947   Primary Phone: (415) 472-3903 Dialysis Centers Primary Phone: (415) 897-9624 Primary Fax: (415) 472-2102 Primary Fax: (415) 472-2102 Tue 8:00 AM - 2:00 PM

Northgate Dialysis Center ^388^ Tue 8:15 AM - 11:45 AM Thu 8:00 AM - 5:00 PM Total Renal Care, Inc. PHC#: 23226

Schten, Erik Paul, MD ^384^ Greenberg, Joseph H, MD ^380^ ♦ Dermatology NPI: 1558461103 NPI: 1598939233 ♦ Internal Medicine License: G78089 650 Las Gallinas Ave NPI: 1912085937 Gender: Male San Rafael, CA 94903  License: C35289 Spanish Primary Phone: (415) 444-0376 Gender: Male Hospital Privileges: Novato Primary Fax: (415) 491-4014 CCS Provider Community Hospital Mon, Wed, Fri 9:00 AM - 9:00 PM Tue, Thu, Sat 6:00 AM - 7:00 PM

Telemed2U ^385^ Greenberg, Joseph, MD ^381^ PHC#: 8815 PHC#: 32086

San Rafael Dialysis ^389^ NPI: 1780857318 NPI: 1326338237 PHC#: 42073 Available By Referral Only Available By Referral Only NPI: 1023499605 No Age Limitations 18 Years and Older 1415 3rd St 750 Las Gallinas Ave Ste 205 Telehealth Services Primary Phone: (916) 740-3721 San Rafael, CA 94901 San Rafael, CA 94903   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: September 17, 2021 Page 55 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Apria Healthcare ^397^ Primary Phone: (415) 453-4437 Advanced Home Medical ^393^ Primary Fax: (415) 453-4616 PHC#: 32773 PHC#: 8149 Mon, Wed, Fri 5:00 AM - 6:00 PM NPI: 1275587685 NPI: 1699884718 312 Paseo Tesoro 3636 N Laughlin Road Ste 190

Satellite Dialysis ^390^ Walnut, CA 91789 Santa Rosa, CA 95403 PHC#: 17695   NPI: 1164493276 Primary Phone: (909) 444-5899 Primary Phone: (707) 543-0979 565 Sir Francis Drake Blvd Primary Fax: (888) 518-7568 Primary Fax: (707) 543-5852 Greenbrae, CA 94904 Mon - Fri 8:00 AM - 5:00 PM Mon - Fri 8:30 AM - 5:00 PM  Sat, Sun On Call

Primary Phone: (415) 924-8622 Aircare Home Respiratory ^394^

Primary Fax: (415) 464-9746 PHC#: 39750 Avella of Sacramento, Inc. ^398^ Mon, Wed, Fri 5:30 AM - 7:00 PM NPI: 1912962879 PHC#: 20368 Tue, Thu, Sat 6:30 AM - 4:30 PM 13311 Garden Grove Ste D NPI: 1295746709 Garden Grove, CA 92843 2288 Auburn Blvd Ste 102 Durable Medical Equipment Skilled Medical Interpreter Service Sacramento, CA 95821 Primary Phone: (800) 487-5566  Mon - Fri 8:00 AM - 4:30 PM Primary Phone: (888) 792-3888

ActivStyle ^391^ Sat, Sun On Call Primary Fax: (888) 554-3299 PHC#: 20656 Mon - Fri 8:00 AM - 5:30 PM NPI: 1396786356 All Medical Supply and 4656 E Dakota Ave Ste 104

Biohorizon Medical ^399^ Equipment ^395^ Fresno, CA 93726 Skilled Medical Interpreter Service PHC#: 18309 PHC#: 24020 Primary Phone: (559) 440-6808 NPI: 1184708372 NPI: 1083690127 Primary Fax: (559) 456-1848 921 Marin St 3882 Del Amo Blvd Ste 604 Mon - Fri 9:00 AM - 5:00 PM Vallejo, CA 94590 Torrance, CA 90503   Primary Phone: (707) 554-6701 Primary Phone: (866) 914-5159

Active Life Medical ^392^ Primary Fax: (707) 731-0781 Primary Fax: (866) 914-6699 PHC#: 27125 Mon - Fri 8:00 AM - 5:00 PM Mon - Fri 8:00 AM - 5:00 PM NPI: 1023271822 4217 Coronado Ave Unit D

Byram Healthcare Centers, Inc. ^400^ Apria Healthcare ^396^ Stockton, CA 95204  PHC#: 4575 PHC#: 27245 Primary Phone: (209) 943-2118 NPI: 1598774903 NPI: 1477807667 Primary Fax: (209) 939-1212 755 Bevins St 5302 Rancho Rd Mon - Fri 8:00 AM - 5:00 PM Lakeport, CA 95453 Huntington Beach, CA 92647  Sat On Call  Primary Phone: (707) 262-7046 Primary Phone: (877) 369-9093 Primary Fax: (707) 263-3743 Primary Fax: (866) 992-6331 Mon - Fri 9:00 AM - 4:00 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: September 17, 2021 Page 56 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

California Home Medical Primary Phone: (530) 223-3633 KCI USA, Inc. ^408^

Equipment ^401^ Primary Fax: (530) 223-3636 PHC#: 12198 PHC#: 19484 www.everythingmedicalonline.com NPI: 1366439358 NPI: 1063487304 Mon - Fri 8:30 AM - 6:00 PM 3951 Performance Dr Ste H 359 Bel Marin Keys Blvd Ste 14 Sat 9:00 AM - 5:00 PM Sacramento, CA 95838 Novato, CA 94949 Sun By Appointment Only   Primary Phone: (800) 275-4524 Primary Phone: (800) 906-0626 Primary Fax: (888) 245-2295 Golden State Medical, Inc. ^405^ Primary Fax: (650) 357-8551 PHC#: 10777 24 Hours 7 Days a Week Mon - Fri 8:30 AM - 5:00 PM NPI: 1194717520

200 Linden Ave Ste 100 KCI USA, Inc. ^409^

City Wheelchairs, Inc. ^402^ Auburn, CA 95603 PHC#: 12470 PHC#: 26661  NPI: 1013904119 NPI: 1932381779 Primary Phone: (530) 885-0981 2400 St 1485 Bayshore Blvd Ste 412 Primary Fax: (530) 642-6002 San Leandro, CA 94577 San Francisco, CA 94124 Mon - Fri 8:00 AM - 5:00 PM   Primary Phone: (800) 275-4524 Primary Phone: (415) 508-1153 Primary Fax: (888) 245-2295 Home Oxygen Company, LLC ^406^ Primary Fax: (415) 508-1083 PHC#: 19061 24 Hours 7 Days a Week Mon - Fri 10:00 AM - 4:00 PM NPI: 1457545923

5039 Pentecost Dr Ste C Kadence Healthcare ^410^ Connect Hearing Inc. - Modesto, CA 95356 PHC#: 32607

Healdsburg ^403^ Primary Phone: (209) 523-0202 NPI: 1003889270 PHC#: 26360 Primary Fax: (888) 499-0202 48834 Kato Rd Ste 112A NPI: 1265700942 Mon - Fri 9:00 AM - 5:00 PM Fremont, CA 94538 1260 Healdsburg Ave Ste 202 Sat, Sun On Call Primary Phone: (877) 449-8900 Healdsburg, CA 95448 Primary Fax: (510) 255-6055  Mon - Fri 8:30 AM - 5:30 PM Hometown Medical Supplies ^407^ Primary Phone: (707) 433-0705 PHC#: 26353 Primary Fax: (707) 433-7595

NPI: 1285772343 Medequip, Inc ^411^ Mon - Thu 9:00 AM - 5:00 PM 1274 Alma Court CCS Provider PHC#: 61265 San Jose, CA 95112 NPI: 1942394119  27 Brookline Everything Medical Equipment, Primary Phone: (408) 279-3955 Aliso Viejo, CA 92656

Inc. ^404^ Primary Fax: (408) 516-9662 Primary Phone: (800) 944-3422 PHC#: 28405 Mon - Fri 8:00 AM - 5:00 PM Primary Fax: (800) 685-5678 NPI: 1336681881 Mon - Fri 8:30 AM - 5:00 PM 2376 Athens Ave Redding, CA 96001 

To verify the availability of providers, 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: September 17, 2021 Page 57 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Medline Industries, Inc. ^412^ Numotion ^416^ Orthofix Inc. ^420^ PHC#: 46686 PHC#: 3189 PHC#: 12540 NPI: 1801225354 NPI: 1568536860 NPI: 1235136060 5701 Promontory Pkwy Ste 100 1650 Tribute Rd 3451 Plano Pkwy Tracy, CA 95377 Sacramento, CA 95815 Lewisville, TX 75056 Primary Phone: (866) 356-4997  Primary Phone: (800) 535-4492 Primary Fax: (866) 272-8122 Primary Phone: (916) 489-3651 Primary Fax: (877) 246-4605 Mon - Fri 7:00 AM - 6:00 PM Primary Fax: (916) 489-5949 Mon - Fri 7:00 AM - 7:00 PM Mon - Fri 8:30 AM - 4:30 PM

Noland Enterprises, Inc. ^413^ Owens Healthcare #11 ^421^

Numotion ^417^ PHC#: 68783 PHC#: 28139 NPI: 1013494228 PHC#: 2899 NPI: 1679636013 2510 Airpark Dr Ste 103 NPI: 1992879639 2950 Railroad Ave Redding, CA 96001 3500 Thomas Rd Ste B Redding, CA 96001 Primary Phone: (530) 319-3119 Santa Clara, CA 95054  Primary Fax: (888) 623-4562  Primary Phone: (530) 241-7573 Mon - Fri 8:00 AM - 5:00 PM Primary Phone: (408) 522-1200 Primary Fax: (530) 387-2053 Primary Fax: (408) 736-0203 Mon - Fri 8:00 AM - 5:00 PM Mon - Fri 8:30 AM - 5:00 PM

Numotion ^414^

Owens Healthcare #13 ^422^ PHC#: 24456

Numotion ^418^ NPI: 1912949702 PHC#: 28140 11075 Knott Ave Ste B PHC#: 11145 NPI: 1740342807 Cypress, CA 90630 NPI: 1710051032 2690 Main St Skilled Medical Interpreter Service 3137 Tomahawk Dr Ste C Susanville, CA 96130 Primary Phone: (562) 921-0258 Stockton, CA 95205  Primary Fax: (562) 921-3730  Primary Phone: (530) 252-4065 Mon - Fri 8:00 AM - 5:00 PM Primary Phone: (209) 467-1173 Primary Fax: (530) 252-4023 Primary Fax: (916) 489-5949 Mon - Fri 8:00 AM - 5:00 PM Mon - Fri 8:30 AM - 4:30 PM

Numotion ^415^

Owens Medical #7 ^423^ PHC#: 25386

Numotion ^419^ NPI: 1720221708 PHC#: 44714 4010 N Chestnut Diagonal Ste 108 PHC#: 16877 NPI: 1043627060 Fresno, CA 93726 NPI: 1467526707 1697 Sierra Ave  446 Westridge Dr Yuba City, CA 95993 Primary Phone: (559) 431-2035 Watsonville, CA 95076  Primary Fax: (559) 431-2083  Primary Phone: (530) 924-2768 Mon - Fri 8:00 AM - 5:00 PM Primary Phone: (831) 724-5544 Primary Fax: (530) 924-2769 Primary Fax: (831) 724-3334 Mon - Fri 8:00 AM - 5:00 PM 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: September 17, 2021 Page 58 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Pacific Pulmonary Services ^424^ Precision Medical Products, Inc. ^428^ Rotech ^432^ PHC#: 61363 PHC#: 68678 PHC#: 16868 NPI: 1952324360 NPI: 1629392592 NPI: 1982684213 340 W Fallbrook Ave Ste 109-110 2217 Plaza Dr 3181 Cleveland Ave Ste F Fresno, CA 93711 Rocklin, CA 95765 Santa Rosa, CA 95403 Skilled Medical Interpreter Service Primary Phone: (888) 963-6265  Primary Phone: (559) 449-7500 Primary Fax: (888) 393-6953 Skilled Medical Interpreter Service Primary Fax: (559) 449-7509 Mon - Fri 8:00 AM - 5:00 PM Primary Phone: (707) 526-4675 Mon - Fri 8:00 AM - 4:30 PM Primary Fax: (707) 526-7518 Sat, Sun On Call Mon - Fri 9:00 AM - 4:00 PM

Prentke Romich Company ^429^ Sat, Sun On Call PHC#: 8468

Pacific Pulmonary Services ^425^ NPI: 1184602518

Shield Healthcare Centers ^433^ PHC#: 9385 1022 Heyl Rd NPI: 1720002330 Wooster, OH 44691 PHC#: 1653 4140 Bangs Ave Ste A Primary Phone: (800) 262-1984 NPI: 1578677597 Modesto, CA 95356 Primary Fax: (330) 202-5840 2950 Buskirk Ave Ste 180 Skilled Medical Interpreter Service Mon - Fri 8:00 AM - 5:00 PM Walnut Creek, CA 94597 Primary Phone: (209) 543-8612  Primary Fax: (209) 543-8850 Primary Phone: (800) 675-8840

Qualmed Precision, Inc. ^430^ Mon - Fri 8:00 AM - 4:30 PM Primary Fax: (925) 256-1639 Sat, Sun On Call PHC#: 29200 Mon - Fri 9:00 AM - 5:00 PM NPI: 1043598634 1495 Victor Ave Ste C

Solara Medical Supplies, LLC ^434^ Pacific Pulmonary Services ^426^ Redding, CA 96003 PHC#: 20894  PHC#: 65546 NPI: 1942314224 Primary Phone: (530) 222-4156 NPI: 1356716534 20 S Linden Ave Ste 5B Primary Fax: (530) 222-4159 2084 Otay Lakes Rd Ste 102 South San Francisco, CA 94080 Mon - Fri 8:00 AM - 5:00 PM Chula Vista, CA 91913  Skilled Medical Interpreter Service Primary Phone: (866) 945-8489 Ron Andrews Medical Company, Primary Phone: (800) 999-7516 Primary Fax: (833) 406-4053 Primary Fax: (800) 999-7021

Inc. ^431^ Mon - Fri 8:00 AM - 5:00 PM Mon - Fri 9:00 AM - 6:00 PM PHC#: 4219 Sat, Sun On Call NPI: 1639108798

Pacific Pulmonary Services ^427^ 117 Carlos Dr

Tandem Diabetes Care, Inc. ^435^ PHC#: 18455 San Rafael, CA 94903 NPI: 1568486108  PHC#: 53052 440 Westridge Dr Primary Phone: (415) 492-1770 NPI: 1619295516 Watsonville, CA 95076 Primary Fax: (415) 651-9625 11075 Roselle St Primary Phone: (831) 722-3001 Mon - Fri 8:00 AM - 5:00 PM San Diego, CA 92121 Primary Fax: (831) 722-3065 Sat 8:30 AM - 4:30 PM Primary Phone: (877) 801-6901 Mon - Fri 8:00 AM - 4:30 PM Primary Fax: (858) 202-6722 Sat, Sun On Call 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: September 17, 2021 Page 59 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Arambulo, Maria Flordeliz Uy, MD ^444^ Timberlake II ^436^ Primary Phone: (415) 461-1780 PHC#: 25869 Primary Fax: (415) 461-7378 NPI: 1013169986 NPI: 1114247681 Mon - Fri 8:00 AM - 5:00 PM License: A112913 2953 Teagarden St Gender: Female

San Leandro, CA 94577 Gaudiani, Linda Marie, MD ^440^ Filipino, Ilocano Primary Phone: (510) 895-4403 ♦ Endocrinology, Diabetes & CCS Provider

Primary Fax: (510) 895-4002 Metabolism Bhaduri, Aditi B, MD ^445^ Mon - Fri 8:00 AM - 5:00 PM ♦ Internal Medicine NPI: 1114029329 NPI: 1730241589 License: C55649 License: G35364 Gender: Female

Tobii Dynavox LLC ^437^ Gender: Female Bengali PHC#: 15725 Hospital Privileges: MarinHealth De Leon, Mary Jeanne Soberano, NPI: 1831263110 Medical Center MD ^446^ 2100 Wharton St Ste 400 CCS Provider NPI: 1184692006

Pittsburgh, PA 15203 Uihlein, Alexander Vogel, MD ^441^ License: C164320 Skilled Medical Interpreter Service ♦ Endocrinology, Diabetes & Gender: Female Primary Phone: (800) 344-1778 Metabolism Filipino Primary Fax: (866) 336-2737 NPI: 1801043880 Nagelberg, Jodi Beth, MD ^447^ Mon - Fri 8:00 AM - 5:00 PM License: A146378 NPI: 1720474141 Gender: Male License: A146838 Hospital Privileges: MarinHealth Gender: Female

Zoll Services LLC ^438^

Medical Center Sohrevardi, Mahtab, MD ^448^ PHC#: 19498 CCS Provider NPI: 1578777033 NPI: 1164535274 License: C149677 121 Gamma Dr

Asrani, Anjali Kumar, NP ^442^ Gender: Female Pittsburgh, PA 15238 NPI: 1184279770 Farsi Skilled Medical Interpreter On Site: License: 95012390 Spanish Gender: Female Telehealth services must be arranged Primary Phone: (412) 968-3333 by your PHC doctor. To find all Primary Fax: (412) 567-9676 telehealth specialties available

Telemed2U ^443^ Mon - Fri 8:00 AM - 4:30 PM through Telemed2U look under the PHC#: 32086 specific specialty listed in this Endocrinology NPI: 1326338237 directory. Available By Referral Only 18 Years and Older

MarinHealth Medical Network ^439^ Telehealth Services PHC#: 43325 Primary Phone: (916) 740-3721 NPI: 1124439807 Primary Fax: (916) 527-0770 Available By Referral Only Mon - Fri 8:00 AM - 5:00 PM No Age Limitations 900 S Eliseo Dr Ste 201 Greenbrae, CA 94904 

To verify the availability of providers, 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: September 17, 2021 Page 60 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Heller, Bruce Gordon, MD ^458^ Family Planning Duncan, Vicki Lynn, MD ^452^ NPI: 1235230798 NPI: 1932194123 License: G46440 License: A84653

Maioriello, Michael J.,MD ^449^ Gender: Female Gender: Male PHC#: 4253 Spanish Spanish NPI: 1649283680 Maioriello, Michael J, MD ^453^ Jimenez, Douglas B, MD ^459^ Accepting New Patients NPI: 1649283680 NPI: 1154474781 No Age Limitations License: A42597 License: A73110 600 Professional Dr Ste 611 Gender: Male Gender: Male Novato, CA 94947 Spanish Spanish  Hospital Privileges: MarinHealth Hospital Privileges: Sutter Santa Primary Phone: (415) 897-6089 Medical Center Rosa Regional Hospital Primary Fax: (415) 897-4490

CCS Provider Memmel, Lisa Marie, MD ^460^ Tue, Wed, Fri 8:00 AM - 1:00 PM

Sanders, Kenneth Charles, MD ^454^ NPI: 1386842300 NPI: 1730267550 License: A105720

Maioriello, Michael J, MD ^450^ License: G64235 Gender: Female NPI: 1649283680 Gender: Male License: A42597

Butler, Tiffany Marie, PA ^461^ Gender: Male Planned Parenthood Northern NPI: 1801222443 Spanish License: 22996

California-San Rafael ^455^ Hospital Privileges: MarinHealth Gender: Female Medical Center PHC#: 24545 Spanish CCS Provider NPI: 1902108541

Gilbert, Sarah Mariko, ANP ^462^ 2 H St NPI: 1932535283 No referral required for in-network San Rafael, CA 94901 License: 23820  OB/GYN providers Gender: Female Primary Phone: (415) 459-4907

Patterson, Anna-Mary Lynn, ANP ^463^ Primary Fax: (415) 459-8873 NPI: 1437377942 Marin Pregnancy Clinic ^451^ Mon, Tue, Thu 8:30 AM - 5:00 PM License: 16541 PHC#: 26264 Wed 11:30 AM - 8:00 PM Gender: Female NPI: 1013100023 Fri 8:00 AM - 4:30 PM 1320A Grant Ave Spanish

Novato, CA 94945 Webster, Anna C, CNM ^464^ Goodman, Suzan R, MD ^456^ NPI: 1679798938  NPI: 1316098866 License: 1499 Primary Phone: (415) 892-0558 License: G82282 Gender: Female Primary Fax: (415) 892-1980 Gender: Female Swedish Mon, Thu 8:30 AM - 3:00 PM Spanish Tue 9:00 AM - 4:00 PM CCS Provider Wed, Fri 9:00 AM - 3:00 PM

Hamilton, Jessica Woodruff, MD ^457^ NPI: 1407116007 License: A123206 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: September 17, 2021 Page 61 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Gastroenterology Davis, Wendy Zaroff, MD ^469^ CCS Provider NPI: 1336293653 License: C55217

MarinHealth Gastroenterology ^475^

Jolley, John J., MD ^465^ Gender: Female PHC#: 20472 Hospital Privileges: MarinHealth PHC#: 74317 NPI: 1053607903 Medical Center NPI: 1124439807 Available By Referral Only CCS Provider Available By Referral Only No Age Limitations No Age Limitations Hogan, Christopher Michael, MD ^470^ 750 Las Gallinas Ave Ste 106 NPI: 1376867010 7120 Redwood Blvd San Rafael, CA 94903 License: A125379 Novato, CA 94945  Gender: Male Primary Phone: (415) 925-6900 Primary Phone: (415) 888-2755 Hospital Privileges: MarinHealth Primary Fax: (415) 925-6919 Primary Fax: (415) 888-2754 Medical Center Mon - Fri 8:00 AM - 5:00 PM Mon, Wed, Fri 10:00 AM - 4:00 PM CCS Provider

Thu 10:00 AM - 1:30 PM Bettinger, John Robert, MD ^476^

Lee, Natalie C, MD ^471^ NPI: 1447371505 ♦ Gastroenterology ♦ Internal Medicine Jolley, John Joseph, MD ^466^ License: A69882 NPI: 1760590269 Gender: Female NPI: 1225037500 License: G21951 Hospital Privileges: MarinHealth License: G64202 Gender: Male Medical Center Gender: Male Hospital Privileges: MarinHealth Hospital Privileges: MarinHealth

Malladi, Vikram Reddy, MD ^472^ Medical Center NPI: 1902814015 Medical Center License: A102626 CCS Provider

Gender: Male Davis, Wendy Zaroff, MD ^477^ MarinHealth Gastroenterology ^467^ Hospital Privileges: NPI: 1336293653 PHC#: 74309 License: C55217 NPI: 1124439807 MarinHealth Medical Center Zuckerberg San Francisco General Gender: Female Available By Referral Only Hospital Privileges: MarinHealth No Age Limitations Hospital CCS Provider Medical Center 200 Tamal Plaza Ste 200 CCS Provider Corte Madera, CA 94925 Sharma, Ripple, MD ^473^

Hogan, Christopher Michael, MD ^478^ Primary Phone: (415) 925-6900 ♦ Internal Medicine NPI: 1205003167 NPI: 1376867010 Primary Fax: (415) 464-0606 License: A125379 Mon - Fri 8:00 AM - 5:00 PM License: A105916 Gender: Female Gender: Male Hospital Privileges: MarinHealth Hospital Privileges: MarinHealth

Bettinger, John Robert, MD ^468^ Medical Center Medical Center ♦ Gastroenterology CCS Provider ♦ Internal Medicine CCS Provider

Lee, Natalie C, MD ^479^

Sowerby, Timothy Martin, MD ^474^ NPI: 1225037500 NPI: 1447371505 License: G64202 NPI: 1063475952 License: A50116 License: A69882 Gender: Male Gender: Female Hospital Privileges: MarinHealth Gender: Male Hospital Privileges: MarinHealth Hospital Privileges: MarinHealth Medical Center Medical Center CCS Provider Medical Center

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: September 17, 2021 Page 62 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Malladi, Vikram Reddy, MD ^480^ Shah, Keval Dipak, DO ^485^ MarinHealth Medical Network ^488^ NPI: 1902814015 ♦ Gastroenterology PHC#: 25055 License: A102626 ♦ Internal Medicine NPI: 1124439807 Gender: Male NPI: 1093035917 Available By Referral Only Hospital Privileges: License: 20A13956 No Age Limitations MarinHealth Medical Center Gender: Male 5 Bon Air Rd Ste 101 Zuckerberg San Francisco General Gujarati, Spanish Larkspur, CA 94939 Hospital  CCS Provider Telehealth services must be arranged Primary Phone: (415) 924-2515

Sharma, Ripple, MD ^481^ by your PHC doctor. To find all Primary Fax: (415) 924-2661 ♦ Internal Medicine telehealth specialties available Mon - Fri 8:00 AM - 4:30 PM NPI: 1205003167 through Telemed2U look under the License: A105916 specific specialty listed in this

Minnis, James Gary, MD ^489^ Gender: Female directory. ♦ Surgery Hospital Privileges: MarinHealth NPI: 1417169954 Medical Center General Surgery License: A116765 CCS Provider Gender: Male

Sowerby, Timothy Martin, MD ^482^ Hospital Privileges: MarinHealth

NPI: 1063475952 MarinHealth Medical Network ^486^ Medical Center License: A50116 PHC#: 24111 CCS Provider Gender: Male NPI: 1124439807 Stahl, Benjamin Ronald, MD ^490^ Hospital Privileges: MarinHealth Available By Referral Only ♦ Surgery Medical Center No Age Limitations NPI: 1760771901 CCS Provider 1350 S Eliseo Dr Ste 300 License: A143548 Greenbrae, CA 94904 Gender: Male  Hospital Privileges: MarinHealth Telemed2U ^483^ Primary Phone: (415) 842-5150 PHC#: 32086 Medical Center Primary Fax: (415) 842-5152 CCS Provider NPI: 1326338237 Mon - Fri 7:30 AM - 3:30 PM Available By Referral Only

18 Years and Older Mark Bazalgette, MD ^491^

Kelley, Leah Morton, MD ^487^ Telehealth Services NPI: 1013043314 PHC#: 47618 Primary Phone: (916) 740-3721 License: A89531 NPI: 1891806014 Primary Fax: (916) 527-0770 Gender: Female Available By Referral Only Mon - Fri 8:00 AM - 5:00 PM French, Spanish No Age Limitations CCS Provider 165 Rowland Way Ste 200

Badii, Cyrus Afshin, MD ^484^ Novato, CA 94945 NPI: 1134274350 Primary Phone: (415) 472-9945 License: G87894 Primary Fax: (415) 895-5870 Gender: Male Mon - Fri 8:00 AM - 5:00 PM Farsi

To verify the availability of providers, 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: September 17, 2021 Page 63 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Bazalgette, Mark Burrell, MD ^492^ Primary Phone: (415) 897-6089 CCS Provider ♦ Colon & Rectal Surgery Primary Fax: (415) 897-4490

NPI: 1891806014 Tue, Wed, Fri 8:00 AM - 1:00 PM Baurmann, Amelia Grace, CNM ^500^ License: A46290 NPI: 1821245952

Gender: Male Maioriello, Michael J, MD ^496^ License: 1863 Hospital Privileges: MarinHealth NPI: 1649283680 Gender: Female Medical Center License: A42597 Spanish

Gender: Male Bishop, Joleen Diane, NP ^501^ Whole Health Weight Loss Spanish NPI: 1295737435 Hospital Privileges: MarinHealth License: 21702

Institute ^493^ Medical Center Gender: Female PHC#: 46916

CCS Provider Cromar, Jennifer Horch, CNM ^502^ NPI: 1952823841 NPI: 1134209927 Available By Referral Only No referral required for in-network License: 1580 No Age Limitations OB/GYN providers Gender: Female 165 Rowland Way Ste 200

Hwang, Carolyn Rayburn, CNM ^503^ Novato, CA 94945 NPI: 1588033054  Marin Community License: 235803 Primary Phone: (707) 721-3500 Clinics-Campus Clinic ^497^ Gender: Female Primary Fax: (877) 854-5151 PHC#: 24122

Lance, Erinn Burke, CNM ^504^ Mon - Fri By Appointment Only NPI: 1154503399 NPI: 1306955414 Accepting New Patients License: 1380

Perryman, Scott Vernon, MD ^494^ No Age Limitations Gender: Female ♦ Surgery 3260 Kerner Blvd Ste A Spanish NPI: 1083800999 San Rafael, CA 94901

Reppun, Ann, ANP ^505^ License: A85617 , P,EB,IB,R,E NPI: 1831200864 Gender: Male Level of Access: Basic License: 11084 French Primary Phone: (415) 448-1500 Gender: Female Hospital Privileges: Providence Primary Fax: (415) 755-2550 Spanish Queen of the Valley Medical Center Mon - Fri 8:00 AM - 5:00 PM

Toquinto, Signy Marie, CNM ^506^ CCS Provider NPI: 1922564624 Byer, Jennifer Ellen Johnson, MD ^498^ License: 95010557 Gynecology NPI: 1578838298 Gender: Female License: A119671 Gender: Female Special Accommodations: Adj. Exam

Maioriello, Michael J.,MD ^495^ Hospital Privileges: MarinHealth Tables, Hearing Impaired PHC#: 4253 Medical Center Accommodations, Scales that weigh NPI: 1649283680 CCS Provider up to 440lbs

Accepting New Patients Jamison, Emma Louise, MD ^499^ No Age Limitations NPI: 1215390828 No referral required for in-network 600 Professional Dr Ste 611 License: A168840 OB/GYN providers Novato, CA 94947 Gender: Female  Hospital Privileges: MarinHealth Medical Center

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: September 17, 2021 Page 64 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Marin Community Primary Phone: (415) 448-1500 Cardellini, Alexis April, MD ^514^

Clinics-Larkspur Clinic ^507^ Primary Fax: (415) 798-3198 NPI: 1922242858 PHC#: 5931 Mon - Fri 8:00 AM - 5:00 PM License: A107104 NPI: 1912091018 Gender: Female

Accepting New Patients Shaw, Elizabeth Anne, MD ^511^ Hospital Privileges: MarinHealth No Age Limitations NPI: 1740443555 Medical Center 5 Bon Air Rd Ste 117 License: A107652 CCS Provider

Larkspur, CA 94939 Gender: Female DeMuth, Brian E, MD ^515^ , P,EB,IB,T Spanish NPI: 1770553950 Level of Access: Limited License: G60223 Primary Phone: (415) 448-1500 Special Accommodations: Adj. Exam Gender: Male Primary Fax: (415) 448-1505 Tables, Scales that weigh up to Hospital Privileges: MarinHealth Mon - Fri 8:00 AM - 5:00 PM 750lbs Medical Center CCS Provider No referral required for in-network Flores, Sylvia Jean, MD ^516^

Cromar, Jennifer Horch, CNM ^508^ NPI: 1134209927 OB/GYN providers NPI: 1114904307 License: 1580 License: G75624 Gender: Female Gender: Female MarinHealth Medical Network ^512^ Spanish Reppun, Ann, ANP ^509^ PHC#: 24112 NPI: 1831200864 Hospital Privileges: MarinHealth NPI: 1124439807 Medical Center License: 11084 Accepting New Patients CCS Provider Gender: Female No Age Limitations Spanish Galland, David Bernard, MD ^517^ 100A Drakes Landing Rd Ste 225 NPI: 1154392637 Greenbrae, CA 94904 License: G40814 Special Accommodations: Adj. Exam , P,EB,IB,E Gender: Male Tables, Scales that weigh up to Level of Access: Limited 350lbs Hospital Privileges: MarinHealth Primary Phone: (415) 461-7800 Medical Center Primary Fax: (415) 461-8619 CCS Provider No referral required for in-network Mon - Fri 8:00 AM - 5:00 PM OB/GYN providers Jaeger, Amber Lynn, MD ^518^ NPI: 1326281023

Brown, Elizabeth Rachel, DO ^513^ License: A125989 Marin Community Clinics-South ♦ Obstetrics & Gynecology Gender: Female

Novato Clinic ^510^ NPI: 1215281019 Hospital Privileges: MarinHealth License: 20A12407 PHC#: 38385 Medical Center Gender: Female NPI: 1912091018 CCS Provider Accepting New Patients Hospital Privileges: MarinHealth Pathi, Sujatha, MD ^519^ Medical Center No Age Limitations NPI: 1639353279 CCS Provider 6090 Redwood Blvd License: A95639 Novato, CA 94945 Gender: Female , P,EB,IB,R,E,T Hospital Privileges: MarinHealth Level of Access: Basic 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: September 17, 2021 Page 65 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Segev, Tamar Gabriela, DO ^531^ Segev, Tamar Gabriela, DO ^520^ Primary Phone: (415) 461-7800 NPI: 1972902971 Primary Fax: (415) 461-8619 NPI: 1972902971 License: 20A14091 Mon - Fri 9:00 AM - 5:00 PM License: 20A14091 Gender: Female Gender: Female

CCS Provider Brown, Elizabeth Rachel, DO ^526^ CCS Provider

Voss, Kirsten Jennifer, MD ^532^ Voss, Kirsten Jennifer, MD ^521^ ♦ Obstetrics & Gynecology NPI: 1740267939 NPI: 1215281019 NPI: 1740267939 License: A74954 License: 20A12407 License: A74954 Gender: Female Gender: Female Gender: Female Spanish Hospital Privileges: MarinHealth Spanish Hospital Privileges: MarinHealth Medical Center Hospital Privileges: MarinHealth Medical Center CCS Provider Medical Center

CCS Provider Cardellini, Alexis April, MD ^527^ CCS Provider

Wilner, Gerald Paul, MD ^533^ Wilner, Gerald Paul, MD ^522^ NPI: 1922242858 NPI: 1285730275 License: A107104 NPI: 1285730275 License: G20943 Gender: Female License: G20943 Gender: Male Hospital Privileges: MarinHealth Gender: Male Hospital Privileges: MarinHealth Medical Center Hospital Privileges: MarinHealth Medical Center CCS Provider Medical Center

CCS Provider Flores, Sylvia Jean, MD ^528^ CCS Provider NPI: 1114904307

Davis, Mary Newberry, CNM ^523^ License: G75624 No referral required for in-network NPI: 1588815534 Gender: Female OB/GYN providers License: 1505 Spanish Gender: Female Hospital Privileges: MarinHealth HIV AIDS Specialists

Wight, Linda Carol, NP ^524^ Medical Center NPI: 1962563627 CCS Provider Marin Community License: 1982 Jaeger, Amber Lynn, MD ^529^

Gender: Female NPI: 1326281023 Clinics-Campus Clinic ^534^ License: A125989 PHC#: 24122 No referral required for in-network Gender: Female NPI: 1154503399 OB/GYN providers Hospital Privileges: MarinHealth Available By Referral Only Medical Center No Age Limitations CCS Provider 3260 Kerner Blvd Ste A MarinHealth Medical Network ^525^

Pathi, Sujatha, MD ^530^ PHC#: 33778 San Rafael, CA 94901 NPI: 1639353279 , P,EB,IB,R,E NPI: 1124439807 License: A95639 Accepting New Patients Level of Access: Basic Gender: Female Primary Phone: (415) 448-1500 No Age Limitations Hospital Privileges: MarinHealth 75 Rowland Way Ste 275 Primary Fax: (415) 755-2550 Medical Center Mon - Fri 8:00 AM - 5:00 PM Novato, CA 94945 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: September 17, 2021 Page 66 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Hear So Good Audiology & Merjavy, Stephen A, MD ^535^ Hearing Aid Dispenser

NPI: 1326477993 Hearing Aids ^542^ License: A127852 PHC#: 32948

Bay Area Hearing Services ^539^ Gender: Male NPI: 1093066441 PHC#: 28017 Spanish 505A San Marin Dr Ste 130 NPI: 1144490574 Novato, CA 94945 Special Accommodations: Adj. Exam 1599 Tara Hills Dr  Tables, Hearing Impaired Pinole, CA 94564 Primary Phone: (415) 456-4327  Accommodations, Scales that weigh Primary Fax: (415) 480-6705 Primary Phone: (510) 724-4327 up to 440lbs Mon - Thu 10:00 AM - 6:00 PM Primary Fax: (510) 724-1959 Fri 10:00 AM - 5:00 PM Mon - Thu 9:00 AM - 5:00 PM

Telemed2U ^536^ Fri 9:00 AM - 3:00 PM PHC#: 32086 Hear So Good Audiology &

Hearing Aids ^543^ NPI: 1326338237 Connect Hearing Inc. - Available By Referral Only PHC#: 67367

Healdsburg ^540^ 18 Years and Older NPI: 1093066441 PHC#: 26360 Telehealth Services 8911 Lakewood Dr Ste 27A NPI: 1265700942 Primary Phone: (916) 740-3721 Windsor, CA 95492 1260 Healdsburg Ave Ste 202 Primary Fax: (916) 527-0770 Primary Phone: (707) 620-5996 Mon - Fri 8:00 AM - 5:00 PM Healdsburg, CA 95448  Primary Fax: (415) 480-6705 Primary Phone: (707) 433-0705 Tue, Wed, Fri 9:30 AM - 6:00 PM

D'Avignon, Laurie Cordaro, MD ^537^ ♦ Internal Medicine Primary Fax: (707) 433-7595

Hearing Services of Marin ^544^ NPI: 1700851433 Mon - Thu 9:00 AM - 5:00 PM License: C149571 CCS Provider PHC#: 20689 Gender: Female NPI: 1285776005 Connect Hearing Inc. - Santa 2400 Las Gallinas Ave Ste 150 Feidi, Rana Abbas, MD ^538^ San Rafael, CA 94903 NPI: 1740600972 Rosa ^541^  License: A167850 PHC#: 26360 Primary Phone: (415) 479-5675 Gender: Female NPI: 1265700942 Primary Fax: (415) 479-1767 4725 Hoen Ave Ste B Mon, Thu, Fri 9:00 AM - 5:00 PM Telehealth services must be arranged Santa Rosa, CA 95405 Tue, Wed 9:00 AM - 4:00 PM by your PHC doctor. To find all  telehealth specialties available Primary Phone: (707) 542-1154 Sat By Appointment Only through Telemed2U look under the Primary Fax: (707) 542-4818 specific specialty listed in this Mon - Fri 8:30 AM - 5:00 PM Kenwood Hearing Centers ^545^ directory. CCS Provider PHC#: 20180 NPI: 1013011048 593 N McDowell Blvd Ste C 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: September 17, 2021 Page 67 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Comprehensive Home Health Primary Phone: (707) 789-9191 Metzger, Alex Samuel, MD ^549^

Primary Fax: (707) 789-9009 NPI: 1821070590 Care & Hospice, Inc. ^553^ Mon - Thu 9:00 AM - 5:00 PM License: A79556 PHC#: 36599 Fri 9:00 AM - 12:00 PM Gender: Male NPI: 1205297702 Spanish 127 Hospital Dr Ste 202A & 202B Hematology Hospital Privileges: MarinHealth Vallejo, CA 94589 Medical Center  Primary Phone: (707) 554-4003

Marin Cancer Care, Inc. ^546^ Home Health Agencies Primary Fax: (707) 554-4043 PHC#: 23139 Mon - Fri 8:30 AM - 5:00 PM NPI: 1629370499 Sat, Sun On Call

Available By Referral Only Aveanna Healthcare ^550^ No Age Limitations PHC#: 26763

Continuum Care Hospice, LLC ^554^ 1350 S Eliseo Dr Ste 200 NPI: 1396064093 Greenbrae, CA 94904 1000 Atlantic Ave Ste 112 PHC#: 36551 , P,EB Alameda, CA 94501 NPI: 1467859900 Level of Access: Limited  5994 W Las Positas Blvd Ste 221 Primary Phone: (415) 925-5000 Skilled Medical Interpreter Service Pleasanton, CA 94588 Primary Fax: (415) 925-5050 Primary Phone: (510) 568-2201 Primary Phone: (925) 398-7548 Mon - Fri 8:00 AM - 5:00 PM Primary Fax: (877) 509-7035 Primary Fax: (510) 722-8548 Mon - Fri 8:30 AM - 5:00 PM Mon - Fri 8:00 AM - 4:30 PM Sat, Sun On Call Anderson, Kristin Nicole, MD ^547^

♦ Hematology George Mark Children's House ^555^ ♦ Internal Medicine Blize Healthcare ^551^ PHC#: 14111 ♦ Medical Oncology PHC#: 27655 NPI: 1336200245 NPI: 1962732354 NPI: 1558667485 2121 George Mark Ln License: A117104 750 Alfred Nobel Dr Ste 204 San Leandro, CA 94578 Gender: Female Hercules, CA 94547  Hospital Privileges: MarinHealth  Primary Phone: (510) 346-4624 Medical Center Primary Phone: (800) 343-2549 Primary Fax: (510) 901-7592

Galligan, Barbara Marie, MD ^548^ Primary Fax: (866) 381-9932 24 Hours 7 Days a Week NPI: 1679896013 Mon - Fri 8:00 AM - 5:00 PM License: A116627 Sat, Sun On Call Intouch Home Care, Inc. ^556^ Gender: Female Spanish PHC#: 44403

Hospital Privileges: MarinHealth By the Bay Health ^552^ NPI: 1639541758 Medical Center PHC#: 67801 4701 Patrick Henry Dr Ste 2601 NPI: 1922511807 Santa Clara, CA 95054 17 E Sir Francis Drake Blvd  Larkspur, CA 94939 Primary Phone: (408) 650-7110 Primary Phone: (415) 673-8989 Primary Fax: (408) 608-1917 Primary Fax: (707) 935-5294 Mon - Fri 9:00 AM - 5:00 PM Mon - Sun 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: September 17, 2021 Page 68 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Sutter VNA Sacramento ^561^ Sutter Care At Home ^557^ Primary Phone: (650) 497-8316 PHC#: 18022 PHC#: 7566 Primary Fax: (650) 497-8320 NPI: 1265461024 NPI: 1649209412 Mon - Fri 9:00 AM - 5:30 PM 100 Rowland Way Ste 215 8330 Ferguson Ave

Novato, CA 94945 Sacramento, CA 95828 NuFactor, Inc. ^565^   PHC#: 14520 Primary Phone: (415) 209-7700 Primary Phone: (916) 388-6200 NPI: 1861599540 Primary Fax: (855) 835-2448 Primary Fax: (916) 381-6194 44900 Winchester Rd 24 Hours 7 Days a Week Mon - Fri 8:00 AM - 5:00 PM Temecula, CA 92590 Skilled Medical Interpreter Service

Sutter Care at Home ^558^ Home Infusion Therapy Primary Phone: (800) 323-6832 PHC#: 25114 Primary Fax: (855) 270-7347 NPI: 1437188208 Mon - Fri 8:00 AM - 5:00 PM

Coram Healthcare ^562^ 2800 Leavenworth St Ste 350A PHC#: 4615 San Francisco, CA 94133 Optum Infusion Services ^566^ NPI: 1629027867 Primary Phone: (415) 749-4200 3160 Corporate Pl PHC#: 62991 Primary Fax: (888) 740-1373 Hayward, CA 94545 NPI: 1093716813  455 Reservation Rd Ste G

Sutter Care at Home ^559^ Primary Phone: (510) 732-8800 Marina, CA 93933 PHC#: 31067 Other Phone: (800) 876-9101 Skilled Medical Interpreter Service NPI: 1821027624 Primary Fax: (510) 732-8801 Primary Phone: (866) 384-8080 1700 S Amphlett Blvd Ste 300 Mon - Fri 8:00 AM - 5:00 PM Primary Fax: (844) 231-8065 San Mateo, CA 94402 Sat, Sun On Call Mon - Fri 9:00 AM - 5:00 PM Primary Phone: (650) 685-2800 Sat, Sun On Call Primary Fax: (855) 604-3216 Diplomat Specialty Infusion Mon - Fri 8:00 AM - 5:00 PM Group ^563^ Optum Infusion Services ^567^ PHC#: 38590 PHC#: 16426

Sutter VNA Roseville ^560^ NPI: 1346593118 NPI: 1003926460 PHC#: 13078 1819 Aston Ave Ste 104 170 Professional Center Dr Ste C NPI: 1770512535 Carlsbad, CA 92008 Rohnert Park, CA 94928 3001 Lava Ridge Ct Ste 330A Skilled Medical Interpreter Service Skilled Medical Interpreter Service Roseville, CA 95661 Primary Phone: (760) 707-1486 Primary Phone: (800) 708-7188  Primary Fax: (760) 931-0516 Primary Fax: (844) 550-8908 Primary Phone: (916) 797-7979 Mon - Fri 8:00 AM - 5:00 PM Mon - Fri 8:30 AM - 5:00 PM Primary Fax: (855) 604-3223 Sat, Sun On Call Sat, Sun On Call Mon - Sun 8:00 AM - 5:00 PM

LPCH Children's Home Pharmacy ^564^ PHC#: 9472 NPI: 1407864374 4600 Bohannon Dr Ste 105 Menlo Park, CA 94025

To verify the availability of providers, 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: September 17, 2021 Page 69 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Heartland Hospice ^575^ Optum Infusion Services ^568^ 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

Bridge Hospice North Bay ^572^ Mon - Fri 8:00 AM - 5:30 PM Mon - Fri 8:00 AM - 5:00 PM Sat, Sun On Call PHC#: 71582 NPI: 1326522244

Sutter Care at Home ^576^ 175 N Redwood Dr Ste 285

Optum Infusion Services 402, LLC PHC#: 37455 ^569^ San Rafael, CA 94903 PHC#: 71787 Primary Phone: (707) 376-8118 NPI: 1245264134 NPI: 1669602165 Primary Fax: (888) 551-7207 2800 Leavenworth St Ste 350B 2300 Main St Ste 150 Mon - Fri 8:00 AM - 6:00 PM San Francisco, CA 94133 Irvine, CA 60689 Sat, Sun 8:00 AM - 5:00 PM Primary Phone: (415) 749-4201 Skilled Medical Interpreter Service Primary Fax: (855) 755-6416 Primary Phone: (877) 342-9352 Mon - Fri 8:00 AM - 5:00 PM

By The Bay Health ^573^ Primary Fax: (877) 542-9352 Mon - Fri 8:30 AM - 5:00 PM PHC#: 18647 Sutter Care at Home ^577^ Sat, Sun On Call NPI: 1255381547 355 W Napa St Ste B PHC#: 21264 Sonoma, CA 95476 NPI: 1912931809 Optum Infusions Services 500, Primary Phone: (707) 935-7504 1700 S Amphlett Blvd Ste 300

Inc ^570^ Primary Fax: (707) 935-7590 San Mateo, CA 94402 PHC#: 71786 24 Hours 7 Days a Week Primary Phone: (650) 685-2830 NPI: 1699262808 Primary Fax: (650) 343-1242 4900 Rivergrade Road E120 Mon - Fri 8:00 AM - 5:00 PM

By the Bay Health ^574^ Irwindale, CA 91706 Skilled Medical Interpreter Service PHC#: 18647 Vitas Healthcare ^578^ NPI: 1255381547 Primary Phone: (844) 204-8053 PHC#: 16197 Primary Fax: (844) 225-9056 17 E Sir Francis Drake Blvd Larkspur, CA 94939 NPI: 1720122831 Mon - Fri 8:00 AM - 5:30 PM 355 Lennon Ln Ste 150 Sat, Sun On Call  Primary Phone: (415) 927-2273 Walnut Creek, CA 94598 Primary Fax: (888) 958-7460 

Soleo Health, Inc. ^571^ 24 Hours 7 Days a Week Primary Phone: (925) 930-9373 PHC#: 38559 Primary Fax: (925) 945-3850 NPI: 1235527227 Special Accommodations: Hoyer Lift 24 Hours 7 Days a Week 1324 W Winton Ave 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: September 17, 2021 Page 70 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Infectious Diseases Primary Phone: (415) 924-1214 Bock, Bonnie Virginia, MD ^587^ Primary Fax: (415) 924-1375 ♦ Internal Medicine Mon - Fri 8:00 AM - 5:30 PM NPI: 1225226558 Marin Community License: G35572

Clinics-Campus Clinic ^579^

Desruisseau, Andrew James, MD ^583^ Gender: Female PHC#: 24122 NPI: 1518945658 CCS Provider NPI: 1154503399 License: C54607 Chang, Wun-Ling, MD ^588^ Available By Referral Only Gender: Male ♦ Internal Medicine No Age Limitations Hospital Privileges: MarinHealth NPI: 1194734111 3260 Kerner Blvd Ste A Medical Center License: G86459 San Rafael, CA 94901 CCS Provider Gender: Female , P,EB,IB,R,E Evens, Alexander Ronald, DO ^584^ CCS Provider Level of Access: Basic NPI: 1114144649 D'Avignon, Laurie Cordaro, MD ^589^ Primary Phone: (415) 448-1500 License: 20A9461 ♦ Internal Medicine Primary Fax: (415) 755-2550 Gender: Male NPI: 1700851433 Mon - Fri 8:00 AM - 5:00 PM Spanish License: C149571 Hospital Privileges: MarinHealth Gender: Female

Merjavy, Stephen A, MD ^580^ Medical Center Feidi, Rana Abbas, MD ^590^ NPI: 1326477993 CCS Provider NPI: 1740600972 License: A127852 Tolliver, Gregg Leonard, MD ^585^ License: A167850 Gender: Male NPI: 1346286465 Gender: Female Spanish License: A88295 Nathan, Ramesh Vaidya, MD ^591^

Wallace, Sandra Louise, MD ^581^ Gender: Male ♦ Internal Medicine ♦ Infectious Disease Spanish NPI: 1215025291 ♦ Internal Medicine Hospital Privileges: MarinHealth License: A77898 NPI: 1235140930 Medical Center Gender: Male License: G40391 CCS Provider Pryor, Ellsworth Paxton, MD ^592^ Gender: Female ♦ Infectious Disease Special Accommodations: Adj. Exam ♦ Internal Medicine Special Accommodations: Adj. Exam Tables, Hearing Impaired NPI: 1952344988 Tables, Hearing Impaired Accommodations, Scales that weigh License: G29880 Accommodations, Scales that weigh up to 500lbs Gender: Male up to 440lbs Siddiqui, Javeed, MD ^593^ NPI: 1770563967

Telemed2U ^586^ License: A65726 MarinHealth Medical Network ^582^ PHC#: 32086 Gender: Male PHC#: 23679 NPI: 1326338237 NPI: 1124439807 Available By Referral Only Telehealth services must be arranged Available By Referral Only 18 Years and Older by your PHC doctor. To find all No Age Limitations Telehealth Services telehealth specialties available 1100 Larkspur Landing Cir Ste 10 Primary Phone: (916) 740-3721 through Telemed2U look under the Larkspur, CA 94939 Primary Fax: (916) 527-0770 specific specialty listed in this , P,EB,IB,R,E,T Mon - Fri 8:00 AM - 5:00 PM directory. 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: September 17, 2021 Page 71 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Laboratory Draw Stations Members living in Solano, Napa, Quest Diagnostics ^599^ Yolo, Sonoma and Marin Counties PHC#: 3347 must use a Quest Lab for lab NPI: 1619913449

LAB24 LLC ^594^ services. Members living in all other 75 Rowland Way Ste 101 PHC#: 65807 counties may use any lab listed in the Novato, CA 94945 NPI: 1275018871 provider directory. Primary Phone: (415) 895-3102 475 Knollcrest Dr Primary Fax: (415) 209-0920 Redding, CA 96002

Quest Diagnostics ^597^ Mon - Fri 7:00 AM - 5:00 PM Primary Phone: (530) 319-7222 Primary Fax: (530) 319-7225 PHC#: 3347 NPI: 1619913449 Members living in Solano, Napa, Mon - Thu 9:00 AM - 5:00 PM Yolo, Sonoma and Marin Counties Fri 9:00 AM - 4:30 PM 23 Reed Blvd Ste 110 Mill Valley, CA 94941 must use a Quest Lab for lab Primary Phone: (415) 490-0011 services. Members living in all other

Quest Diagnostics ^595^ Primary Fax: (415) 381-1241 counties may use any lab listed in the PHC#: 3347 Mon - Fri 7:00 AM - 5:00 PM provider directory. NPI: 1619913449 1000 S Eliseo Dr Ste 100 Members living in Solano, Napa, Quest Diagnostics ^600^ Greenbrae, CA 94904 Yolo, Sonoma and Marin Counties PHC#: 3347 Primary Phone: (415) 299-6461 must use a Quest Lab for lab NPI: 1619913449 Primary Fax: (415) 925-5150 services. Members living in all other 711 D St Ste 103 Mon - Fri 7:00 AM - 4:00 PM counties may use any lab listed in the San Rafael, CA 94901 provider directory.  Members living in Solano, Napa, Primary Phone: (415) 925-2720 Yolo, Sonoma and Marin Counties Primary Fax: (415) 482-6586 Quest Diagnostics ^598^ must use a Quest Lab for lab Mon - Fri 7:30 AM - 4:30 PM services. Members living in all other PHC#: 3347 NPI: 1619913449 counties may use any lab listed in the Members living in Solano, Napa, 447 Miller Ave provider directory. Yolo, Sonoma and Marin Counties Mill Valley, CA 94941  must use a Quest Lab for lab

Quest Diagnostics ^596^ Primary Phone: (415) 925-2800 services. Members living in all other PHC#: 3347 Primary Fax: (415) 381-9517 counties may use any lab listed in the NPI: 1619913449 Mon - Fri 7:00 AM - 2:00 PM provider directory. 5 Bon Air Rd Ste 119

Larkspur, CA 94939 Members living in Solano, Napa, Quest Diagnostics ^601^ Primary Phone: (415) 886-6080 Yolo, Sonoma and Marin Counties PHC#: 3347 Primary Fax: (415) 945-9281 must use a Quest Lab for lab NPI: 1619913449 Mon - Fri 7:00 AM - 5:00 PM services. Members living in all other 950 Las Gallinas Ave Sat 7:30 AM - 12:00 PM counties may use any lab listed in the San Rafael, CA 94903 provider directory. Primary Phone: (415) 680-1042 Primary Fax: (415) 472-1566 Mon - Fri 7:30 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: September 17, 2021 Page 72 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Home Oxygen Company, LLC ^609^ Members living in Solano, Napa, Apria Healthcare ^605^ Yolo, Sonoma and Marin Counties PHC#: 4575 PHC#: 19061 must use a Quest Lab for lab NPI: 1598774903 NPI: 1457545923 services. Members living in all other 755 Bevins St 5039 Pentecost Dr Ste C counties may use any lab listed in the Lakeport, CA 95453 Modesto, CA 95356 provider directory.  Primary Phone: (209) 523-0202 Primary Phone: (707) 262-7046 Primary Fax: (888) 499-0202 Medical Supplies Primary Fax: (707) 263-3743 Mon - Fri 9:00 AM - 5:00 PM Mon - Fri 9:00 AM - 4:00 PM Sat, Sun On Call Sat, Sun On Call

Active Life Medical ^602^

Hometown Medical Supplies ^610^ PHC#: 27125

Avella of Sacramento, Inc. ^606^ NPI: 1023271822 PHC#: 26353 4217 Coronado Ave Unit D PHC#: 20368 NPI: 1285772343 Stockton, CA 95204 NPI: 1295746709 1274 Alma Court  2288 Auburn Blvd Ste 102 San Jose, CA 95112 Primary Phone: (209) 943-2118 Sacramento, CA 95821  Primary Fax: (209) 939-1212  Primary Phone: (408) 279-3955 Mon - Fri 8:00 AM - 5:00 PM Primary Phone: (888) 792-3888 Primary Fax: (408) 516-9662 Sat On Call Primary Fax: (888) 554-3299 Mon - Fri 8:00 AM - 5:00 PM Mon - Fri 8:00 AM - 5:30 PM

Liberator Medical Supply, Inc. ^611^

Advanced Diabetes Supply ^603^

Biohorizon Medical ^607^ PHC#: 15727 PHC#: 26150 NPI: 1245259282 PHC#: 24020 NPI: 1881698439 2544 Campbell Pl Ste 150 NPI: 1083690127 1823 SE Airport Rd Carlsbad, CA 92009 3882 Del Amo Blvd Ste 604 Stuart, FL 34996 Primary Phone: (877) 869-1298 Torrance, CA 90503 Primary Phone: (877) 221-9457  Primary Fax: (877) 869-2027 Primary Fax: (888) 203-2261 Primary Phone: (866) 914-5159 Mon - Fri 8:30 AM - 5:00 PM Mon - Fri 7:30 AM - 5:00 PM Primary Fax: (866) 914-6699 Mon - Fri 8:00 AM - 5:00 PM

All Medical Supply and Numotion ^612^

Equipment ^604^ PHC#: 24456

Byram Healthcare Centers, Inc. ^608^ PHC#: 18309 NPI: 1912949702 PHC#: 27245 NPI: 1184708372 11075 Knott Ave Ste B NPI: 1477807667 921 Marin St Cypress, CA 90630 5302 Rancho Rd Vallejo, CA 94590 Skilled Medical Interpreter Service  Huntington Beach, CA 92647 Primary Phone: (562) 921-0258  Primary Phone: (707) 554-6701 Primary Fax: (562) 921-3730 Primary Phone: (877) 369-9093 Primary Fax: (707) 731-0781 Mon - Fri 8:00 AM - 5:00 PM Primary Fax: (866) 992-6331 Mon - Fri 8:00 AM - 5:00 PM 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: September 17, 2021 Page 73 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Numotion ^613^ Numotion ^617^ Ron Andrews Medical Company,

PHC#: 25386 PHC#: 16877 Inc. ^621^ NPI: 1720221708 NPI: 1467526707 PHC#: 4219 4010 N Chestnut Diagonal Ste 108 446 Westridge Dr NPI: 1639108798 Fresno, CA 93726 Watsonville, CA 95076 117 Carlos Dr   San Rafael, CA 94903 Primary Phone: (559) 431-2035 Primary Phone: (831) 724-5544  Primary Fax: (559) 431-2083 Primary Fax: (831) 724-3334 Primary Phone: (415) 492-1770 Mon - Fri 8:00 AM - 5:00 PM Mon - Fri 8:30 AM - 5:00 PM Primary Fax: (415) 651-9625 Mon - Fri 8:00 AM - 5:00 PM Sat 8:30 AM - 4:30 PM

Numotion ^614^ Owens Healthcare #13 ^618^ PHC#: 3189 PHC#: 28140

NPI: 1568536860 NPI: 1740342807 Shield Healthcare Centers ^622^ 1650 Tribute Rd 2690 Main St PHC#: 1653 Sacramento, CA 95815 Susanville, CA 96130 NPI: 1578677597   2950 Buskirk Ave Ste 180 Primary Phone: (916) 489-3651 Primary Phone: (530) 252-4065 Walnut Creek, CA 94597 Primary Fax: (916) 489-5949 Primary Fax: (530) 252-4023  Mon - Fri 8:30 AM - 4:30 PM Mon - Fri 8:00 AM - 5:00 PM Primary Phone: (800) 675-8840 Primary Fax: (925) 256-1639 Mon - Fri 9:00 AM - 5:00 PM

Numotion ^615^ Precision Medical Products, Inc. ^619^ PHC#: 2899 PHC#: 68678

NPI: 1992879639 NPI: 1629392592 Solara Medical Supplies, LLC ^623^ 3500 Thomas Rd Ste B 2217 Plaza Dr PHC#: 65546 Santa Clara, CA 95054 Rocklin, CA 95765 NPI: 1356716534  Primary Phone: (888) 963-6265 2084 Otay Lakes Rd Ste 102 Primary Phone: (408) 522-1200 Primary Fax: (888) 393-6953 Chula Vista, CA 91913 Primary Fax: (408) 736-0203 Mon - Fri 8:00 AM - 5:00 PM Skilled Medical Interpreter Service Mon - Fri 8:30 AM - 5:00 PM Primary Phone: (800) 999-7516 Primary Fax: (800) 999-7021

Prism Medical Products, LLC ^620^ Mon - Fri 9:00 AM - 6:00 PM

Numotion ^616^ PHC#: 38231 Sat, Sun On Call PHC#: 11145 NPI: 1548367063 NPI: 1710051032 4705 N Sonora Ave Ste 110

3137 Tomahawk Dr Ste C Fresno, CA 93722 Verus Healthcare ^624^ Stockton, CA 95205  PHC#: 38441  Primary Phone: (888) 244-6421 NPI: 1245221092 Primary Phone: (209) 467-1173 Primary Fax: (800) 975-6321 Available By Referral Only Primary Fax: (916) 489-5949 Mon - Fri 9:00 AM - 9:00 PM No Age Limitations Mon - Fri 8:30 AM - 4:30 PM 1569 Mallory Ln Bldg 100 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: September 17, 2021 Page 74 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Fritz, Benjamin Angus, MD ^635^ Primary Phone: (800) 487-5566 Marin Nephrology ^630^ Primary Fax: (844) 263-6691 PHC#: 22761 ♦ Internal Medicine Mon - Fri 8:00 AM - 4:30 PM NPI: 1538489109 ♦ Nephrology Sat, Sun On Call Available By Referral Only NPI: 1265482772 No Age Limitations License: A66856 Nephrology 165 Rowland Way Ste 312 Gender: Male Novato, CA 94945 Spanish  Hospital Privileges: Providence Santa

Marin Nephrology ^625^ Primary Phone: (415) 925-3075 Rosa Memorial Hospital PHC#: 22761 Primary Fax: (415) 925-3070 NPI: 1538489109 Thu 1:30 PM - 5:00 PM Telehealth services must be arranged Available By Referral Only by your PHC doctor. To find all telehealth specialties available No Age Limitations Estilo, Genevieve Kristina, MD ^631^ 1300 S Eliseo Dr Ste 104 NPI: 1558560482 through Telemed2U look under the Greenbrae, CA 94904 License: A111797 specific specialty listed in this  Gender: Female directory. Primary Phone: (415) 925-3075 Hospital Privileges: MarinHealth Primary Fax: (415) 925-3070 Medical Center West Bay Nephrology Associates ^636^ Mon - Wed 9:00 AM - 5:00 PM Sunderrajan, Salitha, MD ^632^ PHC#: 10345 Thu 9:00 AM - 12:30 PM ♦ Internal Medicine NPI: 1336117829 NPI: 1417185919 Available By Referral Only

Bajwa, Meera, MD ^626^ License: A117158 NPI: 1693957841 No Age Limitations Gender: Female 1498 Southgate Ave Ste 102 License: A83248 CCS Provider Gender: Female Daly City, CA 94015 Primary Phone: (650) 755-4490

Estilo, Genevieve Kristina, MD ^627^ Meckel, Moya Anne, NP ^633^ Primary Fax: (650) 755-2920 NPI: 1558560482 NPI: 1861046195 Mon - Fri 8:30 AM - 5:00 PM License: A111797 License: 95012301 Gender: Female Gender: Female

Angeli, Daniel, MD  ^637^ Hospital Privileges: MarinHealth NPI: 1326417916 Medical Center

Telemed2U ^634^ License: A168749

Sunderrajan, Salitha, MD ^628^ Gender: Male ♦ Internal Medicine PHC#: 32086

Chang, Warren, MD  ^638^ NPI: 1417185919 NPI: 1326338237 ♦ Internal Medicine License: A117158 Available By Referral Only ♦ Nephrology Gender: Female 18 Years and Older NPI: 1083674550 CCS Provider Telehealth Services Primary Phone: (916) 740-3721 License: A69500 Primary Fax: (916) 527-0770 Gender: Male

Meckel, Moya Anne, NP ^629^ NPI: 1861046195 Mon - Fri 8:00 AM - 5:00 PM Mandarin

Cruz, Christian Cosca, MD  ^639^ License: 95012301 Gender: Female NPI: 1023182227 License: A96754 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: September 17, 2021 Page 75 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Telemed2U ^645^ Kao, Albert Chengwei, MD  ^640^ Telehealth services must be arranged ♦ Internal Medicine PHC#: 32086 by your PHC doctor. To find all NPI: 1225099286 NPI: 1326338237 telehealth specialties available License: A75956 Available By Referral Only through Telemed2U look under the Gender: Male 18 Years and Older specific specialty listed in this Mandarin, Tagalog Telehealth Services directory.

Tseng, Robert Ra-Nien, MD  ^641^ Primary Phone: (916) 740-3721 ♦ Nephrology Primary Fax: (916) 527-0770 Nutrition Services NPI: 1053371559 Mon - Fri 8:00 AM - 5:00 PM License: A66496 Gender: Male Braden Diabetes Center-Diabetes

Belaga, Gary Allen, MD ^646^

Prevention Program ^651^ Mandarin, Tagalog ♦ Neurology NPI: 1720196744 PHC#: 2513

Ramos, Ruth Reyes, FNP  ^642^ License: G52395 NPI: 1396725677 NPI: 1194162859 Gender: Male 1100 S Eliseo Dr Ste 2 License: 22835 Greenbrae, CA 94904 Dhillon, Surisham, MD ^647^ Gender: Female NPI: 1770652299 Primary Phone: (415) 925-7370 Tagalog License: A51651 Primary Fax: (415) 925-7371 Gender: Female Mon - Fri 8:00 AM - 4:30 PM Neurology Hindi

Dragicevic, Natasa, MD ^648^

Enjoy Life Nutrition LLC ^652^ NPI: 1124386156 PHC#: 69821 Neurology Clinic of Marin ^643^ License: A169361 NPI: 1316576416 PHC#: 15901 Gender: Female NPI: 1518999010 7250 Redwood Blvd Ste 300 Levyim, Desiree, MD ^649^ Novato, CA 94945 Available By Referral Only NPI: 1497167985 Primary Phone: (415) 683-9892 No Age Limitations License: A146350 Primary Fax: (855) 450-2170 50 Red Hill Ave Gender: Female Mon - Sun By Appointment Only San Anselmo, CA 94960 Farsi Primary Phone: (415) 456-8180 Younger, Joel Bruce, MD ^650^

Primary Fax: (415) 453-4898 ♦ Neurology Healthy at Home ^653^ Mon - Fri 8:00 AM - 5:00 PM ♦ Sleep Medicine - Psychiatry & PHC#: 73270 Neurology NPI: 1508433574

Cokgor, Ilkcan, MD  ^644^ NPI: 1023088127 Telehealth Services NPI: 1235100603 License: G49108 Primary Phone: (650) 514-6640 License: A71057 Gender: Male Primary Fax: (661) 843-6128 Gender: Female CCS Provider Mon - Sun 8:00 AM - 8:00 PM Turkish Hospital Privileges: MarinHealth

Vazquez Vega, Elisa, RD ^654^ Medical Center NPI: 1447824719 CCS Provider License: 86113063 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: September 17, 2021 Page 76 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Byer, Jennifer Ellen Johnson, MD ^662^ Marin General Hospital ^655^ Obstetrics PHC#: 2513 NPI: 1578838298 NPI: 1396725677 License: A119671

Maioriello, Michael J.,MD ^659^ 250 Bon Air Rd Gender: Female PHC#: 4253 Greenbrae, CA 94904 Hospital Privileges: MarinHealth  NPI: 1649283680 Medical Center Primary Phone: (415) 925-7000 Accepting New Patients CCS Provider No Age Limitations Mon - Fri 8:00 AM - 5:00 PM Jamison, Emma Louise, MD ^663^ 600 Professional Dr Ste 611 NPI: 1215390828 Novato, CA 94947 License: A168840

Mark Bazalgette, MD ^656^  Gender: Female PHC#: 47618 Primary Phone: (415) 897-6089 Hospital Privileges: MarinHealth NPI: 1891806014 Primary Fax: (415) 897-4490 Medical Center Available By Referral Only Tue, Wed, Fri 8:00 AM - 1:00 PM CCS Provider No Age Limitations

165 Rowland Way Ste 200 Maioriello, Michael J, MD ^660^ Baurmann, Amelia Grace, CNM ^664^ Novato, CA 94945 NPI: 1649283680 NPI: 1821245952 Primary Phone: (415) 472-9945 License: A42597 License: 1863 Primary Fax: (415) 895-5870 Gender: Male Gender: Female Mon - Fri 8:00 AM - 5:00 PM Spanish Spanish Hospital Privileges: MarinHealth

Bishop, Joleen Diane, NP ^665^ Medical Center Bazalgette, Mark Burrell, MD ^657^ NPI: 1295737435 ♦ Colon & Rectal Surgery CCS Provider License: 21702 NPI: 1891806014 Gender: Female License: A46290 No referral required for in-network Cromar, Jennifer Horch, CNM ^666^ Gender: Male OB/GYN providers NPI: 1134209927 Hospital Privileges: MarinHealth License: 1580 Medical Center Marin Community Gender: Female

Hwang, Carolyn Rayburn, CNM ^667^ Clinics-Campus Clinic ^661^ Whole Health Weight Loss PHC#: 24122 NPI: 1588033054 License: 235803 Institute ^658^ NPI: 1154503399 Gender: Female PHC#: 46916 Accepting New Patients

Lance, Erinn Burke, CNM ^668^ NPI: 1952823841 No Age Limitations NPI: 1306955414 Available By Referral Only 3260 Kerner Blvd Ste A License: 1380 No Age Limitations San Rafael, CA 94901 Gender: Female 165 Rowland Way Ste 200 , P,EB,IB,R,E Spanish Novato, CA 94945 Level of Access: Basic  Primary Phone: (415) 448-1500 Reppun, Ann, ANP ^669^ Primary Phone: (707) 721-3500 Primary Fax: (415) 755-2550 NPI: 1831200864 Primary Fax: (877) 854-5151 Mon - Fri 8:00 AM - 5:00 PM License: 11084 Mon - Fri By Appointment Only 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: September 17, 2021 Page 77 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Toquinto, Signy Marie, CNM ^670^ Marin Community Clinics-South Brown, Elizabeth Rachel, DO ^677^

NPI: 1922564624 Novato Clinic ^674^ ♦ Obstetrics & Gynecology License: 95010557 PHC#: 38385 NPI: 1215281019 Gender: Female NPI: 1912091018 License: 20A12407 Accepting New Patients Gender: Female Special Accommodations: Adj. Exam No Age Limitations Hospital Privileges: MarinHealth Tables, Hearing Impaired 6090 Redwood Blvd Medical Center Accommodations, Scales that weigh Novato, CA 94945 CCS Provider up to 440lbs , P,EB,IB,R,E,T Cardellini, Alexis April, MD ^678^ Level of Access: Basic NPI: 1922242858 No referral required for in-network Primary Phone: (415) 448-1500 License: A107104 OB/GYN providers Primary Fax: (415) 798-3198 Gender: Female Mon - Fri 8:00 AM - 5:00 PM Hospital Privileges: MarinHealth Marin Community Medical Center CCS Provider

Clinics-Larkspur Clinic ^671^ Shaw, Elizabeth Anne, MD ^675^

DeMuth, Brian E, MD ^679^ PHC#: 5931 NPI: 1740443555 License: A107652 NPI: 1770553950 NPI: 1912091018 License: G60223 Accepting New Patients Gender: Female Spanish Gender: Male No Age Limitations Hospital Privileges: MarinHealth 5 Bon Air Rd Ste 117 Special Accommodations: Adj. Exam Medical Center Larkspur, CA 94939 CCS Provider , P,EB,IB,T Tables, Scales that weigh up to 750lbs Flores, Sylvia Jean, MD ^680^ Level of Access: Limited NPI: 1114904307 Primary Phone: (415) 448-1500 License: G75624 Primary Fax: (415) 448-1505 No referral required for in-network OB/GYN providers Gender: Female Mon - Fri 8:00 AM - 5:00 PM Spanish Hospital Privileges: MarinHealth

Cromar, Jennifer Horch, CNM ^672^ MarinHealth Medical Network ^676^ Medical Center NPI: 1134209927 PHC#: 24112 CCS Provider License: 1580 NPI: 1124439807 Jaeger, Amber Lynn, MD ^681^ Gender: Female Accepting New Patients NPI: 1326281023

Reppun, Ann, ANP ^673^ No Age Limitations License: A125989 NPI: 1831200864 100A Drakes Landing Rd Ste 225 Gender: Female License: 11084 Greenbrae, CA 94904 Hospital Privileges: MarinHealth Gender: Female , P,EB,IB,E Medical Center Spanish Level of Access: Limited CCS Provider Primary Phone: (415) 461-7800 Pathi, Sujatha, MD ^682^ Special Accommodations: Adj. Exam Primary Fax: (415) 461-8619 NPI: 1639353279 Tables, Scales that weigh up to Mon - Fri 8:00 AM - 5:00 PM License: A95639 350lbs Gender: Female Hospital Privileges: MarinHealth No referral required for in-network Medical Center 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: September 17, 2021 Page 78 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

CCS Provider Primary Phone: (415) 461-7800 Segev, Tamar Gabriela, DO ^694^

Segev, Tamar Gabriela, DO ^683^ Primary Fax: (415) 461-8619 NPI: 1972902971 NPI: 1972902971 Mon - Fri 9:00 AM - 5:00 PM License: 20A14091 License: 20A14091 Gender: Female

Gender: Female Brown, Elizabeth Rachel, DO ^689^ CCS Provider

CCS Provider ♦ Obstetrics & Gynecology Voss, Kirsten Jennifer, MD ^695^

Voss, Kirsten Jennifer, MD ^684^ NPI: 1215281019 NPI: 1740267939 NPI: 1740267939 License: 20A12407 License: A74954 License: A74954 Gender: Female Gender: Female Gender: Female Hospital Privileges: MarinHealth Spanish Spanish Medical Center Hospital Privileges: MarinHealth Hospital Privileges: MarinHealth CCS Provider Medical Center

Medical Center Cardellini, Alexis April, MD ^690^ CCS Provider

CCS Provider NPI: 1922242858 Wilner, Gerald Paul, MD ^696^

Wilner, Gerald Paul, MD ^685^ License: A107104 NPI: 1285730275 NPI: 1285730275 Gender: Female License: G20943 License: G20943 Hospital Privileges: MarinHealth Gender: Male Gender: Male Medical Center Hospital Privileges: MarinHealth Hospital Privileges: MarinHealth CCS Provider Medical Center

Medical Center Flores, Sylvia Jean, MD ^691^ CCS Provider CCS Provider NPI: 1114904307 License: G75624 No referral required for in-network

Davis, Mary Newberry, CNM ^686^ Gender: Female OB/GYN providers NPI: 1588815534 Spanish License: 1505 Hospital Privileges: MarinHealth Oncology Gender: Female Medical Center

Wight, Linda Carol, NP ^687^ CCS Provider

Marin Cancer Care, Inc. ^697^ NPI: 1962563627 Jaeger, Amber Lynn, MD ^692^ License: 1982 NPI: 1326281023 PHC#: 23139 Gender: Female License: A125989 NPI: 1629370499 Gender: Female Available By Referral Only No referral required for in-network Hospital Privileges: MarinHealth No Age Limitations OB/GYN providers Medical Center 1350 S Eliseo Dr Ste 200 CCS Provider Greenbrae, CA 94904

Pathi, Sujatha, MD ^693^ , P,EB MarinHealth Medical Network ^688^ NPI: 1639353279 PHC#: 33778 Level of Access: Limited License: A95639 Primary Phone: (415) 925-5000 NPI: 1124439807 Gender: Female Accepting New Patients Primary Fax: (415) 925-5050 Hospital Privileges: MarinHealth Mon - Fri 8:00 AM - 5:00 PM No Age Limitations Medical Center 75 Rowland Way Ste 275 CCS Provider Novato, CA 94945 

To verify the availability of providers, 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: September 17, 2021 Page 79 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Cunningham Jr, Emmett Thomas, Anderson, Kristin Nicole, MD ^698^ Primary Phone: (415) 927-6600

♦ Hematology Primary Fax: (415) 924-2069 MD ^708^ ♦ Internal Medicine Mon - Wed, Fri 9:00 AM - 4:00 PM ♦ Ophthalmology ♦ Medical Oncology NPI: 1083706261

NPI: 1962732354 Chen, Judy Ju-Yi, MD ^703^ License: A51186 License: A117104 NPI: 1265875611 Gender: Male Gender: Female License: A141948 Italian

Hospital Privileges: MarinHealth Gender: Female Johnson, Robert Norman, MD ^709^ Medical Center Mandarin, Spanish ♦ Ophthalmology

Galligan, Barbara Marie, MD ^699^ Hospital Privileges: California Pacific NPI: 1558339747 NPI: 1679896013 Medical Center License: G52144

License: A116627 McDonald, Henry Richard, MD ^704^ Gender: Male Gender: Female ♦ Ophthalmology Hospital Privileges: Alta Bates Spanish NPI: 1720056567 Medical Center Alta Bates Campus Hospital Privileges: MarinHealth License: G45366 CCS Provider

Medical Center Gender: Male Jumper, James Michael, MD ^710^

Lucas, Jennifer Barbara, MD ^700^ ♦ Ophthalmology NPI: 1619078979 West Coast Retina Medical NPI: 1609844687 License: A62799 License: A52949

Group, Inc. ^705^ Gender: Female Gender: Male Hospital Privileges: MarinHealth PHC#: 2976 CCS Provider NPI: 1053389064

Medical Center McDonald, Henry Richard, MD ^711^ Available By Referral Only

Metzger, Alex Samuel, MD ^701^ ♦ Ophthalmology NPI: 1821070590 No Age Limitations NPI: 1720056567 License: A79556 1445 Bush St License: G45366 Gender: Male San Francisco, CA 94109 Gender: Male  Spanish Primary Phone: (415) 972-4600 Hospital Privileges: MarinHealth Primary Fax: (415) 975-0867 William V. Good, MD ^712^ Medical Center Mon - Fri 8:00 AM - 5:00 PM PHC#: 18450 NPI: 1699866327 Ophthalmology Agarwal, Anita, MD ^706^ Available By Referral Only NPI: 1508940628 No Age Limitations West Coast Retina Medical License: C143103 2100 Webster St Ste 404 Gender: Female San Francisco, CA 94115

Group, Inc. ^702^ Hindi, Kannada Primary Phone: (415) 202-1500 PHC#: 24015 Chen, Judy Ju-Yi, MD ^707^ Primary Fax: (415) 929-7948 NPI: 1053389064 NPI: 1265875611 Mon - Thu 9:00 AM - 4:00 PM Available By Referral Only License: A141948 Fri 9:00 AM - 12:00 PM No Age Limitations Gender: Female 100 Tamal Vista Plaza Ste 120 Mandarin, Spanish Corte Madera, CA 94925 Hospital Privileges: California Pacific  Medical Center

To verify the availability of providers, call PHC Member Services at (800) 863-4155; TTY Users call (800) 735-2929 or 711. ♦ = Board Certified  = Trained in Cultural Competency. See Page 17 for a description of codes:  P EB IB R E T Revised Date: September 17, 2021 Page 80 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Shukla, Pinak Y, MD ^721^ Good, William Vance, MD  ^713^ Primary Phone: (707) 645-7210 ♦ Ophthalmology Primary Fax: (707) 645-7249 ♦ Orthopaedic Surgery ♦ Psychiatry Thu 3:00 PM - 4:00 PM NPI: 1225291545 NPI: 1699866327 License: A125214

License: G53692 Nissen, Teodoro Pedro, MD  ^717^ Gender: Male Gender: Male ♦ Orthopaedic Surgery Gujarati, Spanish French NPI: 1699791053 Hospital Privileges: MarinHealth Hospital Privileges: California Pacific License: A77901 Medical Center Medical Center Gender: Male CCS Provider

CCS Provider Hospital Privileges: Sutter Solano Solomon, Daniel Jordan, MD ^722^ Medical Center ♦ Orthopaedic Surgery Oral Maxillofacial Surgery CCS Provider ♦ Sports Medicine - Orthopaedic NPI: 1013989136 License: A54759

California Orthopedic & Spine Inc.

^718^ Mahr Elder, DDS, MD, P.C. ^714^ Gender: Male PHC#: 23738 PHC#: 22879 Sponzilli, Ernest Henry, MD ^723^ NPI: 1356546535 NPI: 1215128988 ♦ Pain Medicine Available By Referral Only Available By Referral Only ♦ Physical Medicine & Rehabilitation No Age Limitations No Age Limitations NPI: 1497709984 2 Bon Air Rd Ste 120A 1805 Novato Blvd Ste 1 License: G78425 Larkspur, CA 94939 Novato, CA 94947 Gender: Male , P,EB,IB,E Primary Phone: (415) 892-1190 Hospital Privileges: MarinHealth Level of Access: Limited Primary Fax: (415) 892-7355 Medical Center Primary Phone: (415) 927-5300 Mon - Fri 8:00 AM - 5:00 PM Su, Brian Wei-En, MD ^724^ Primary Fax: (415) 927-6860 ♦ Orthopaedic Surgery Mon - Fri 8:00 AM - 5:00 PM NPI: 1063690782 Elder, Mahr F, MD ^715^ NPI: 1841301371 License: A109113

Ehmer, Nathan Ross, DO ^719^ License: A93771 Gender: Male ♦ Orthopaedic Surgery Gender: Male Hospital Privileges: MarinHealth NPI: 1871767673 Hospital Privileges: Novato Medical Center License: 20A10366 Community Hospital Gender: Male

Elvin, Lisa V, ANP ^725^ Hospital Privileges: Providence Santa NPI: 1083746887 Orthopaedic Surgery Rosa Memorial Hospital License: 8864 CCS Provider Gender: Female

Shillingford, Jamal Nyame, MD ^720^

Bay Area Ortho Surgery and Johnk, Dorien Alina, PA-C ^726^ NPI: 1063855567 NPI: 1902469364 Sports Medicine ^716^ License: A164694 PHC#: 65720 License: 57627 Gender: Male Gender: Female NPI: 1629248109 Hospital Privileges: MarinHealth

Munger, Louisa Linsley, PA ^727^ Available By Referral Only Medical Center No Age Limitations NPI: 1598874653 7428 Redwood Blvd License: 17524 Novato, CA 94945 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: September 17, 2021 Page 81 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

California Orthopedics & Spine Kim, Paul Hyon-Uk, MD ^732^ Strahm, Kathleen Irene, PA-C ^739^

Inc. ^728^ NPI: 1265673297 NPI: 1003286360 PHC#: 18151 License: A134000 License: 52793 NPI: 1497701767 Gender: Male Gender: Female Available By Referral Only Hospital Privileges: MarinHealth Medical Center

No Age Limitations Lawler, Mark S., MD ^740^

Oechsel, Michael John, MD ^733^ 18 Bon Air Rd Marin Orthopedics and Sports Larkspur, CA 94939 ♦ Orthopaedic Surgery NPI: 1235186206 Medicine , P,EB,IB,R,E PHC#: 15916 Level of Access: Limited License: G58898 Gender: Male NPI: 1750511440 Primary Phone: (415) 927-5300 Available By Referral Only Primary Fax: (415) 927-6860 Hospital Privileges: MarinHealth Medical Center No Age Limitations Mon - Fri 8:00 AM - 5:00 PM 7100 Redwood Blvd Ste 200

Shillingford, Jamal Nyame, MD ^734^ NPI: 1063855567 Novato, CA 94945 Ehmer, Nathan Ross, DO ^729^  License: A164694 ♦ Orthopaedic Surgery Primary Phone: (415) 492-1600 Gender: Male NPI: 1871767673 Primary Fax: (415) 492-1688 Hospital Privileges: MarinHealth License: 20A10366 Mon - Fri 8:00 AM - 5:00 PM Gender: Male Medical Center

Hospital Privileges: Providence Santa Shukla, Pinak Y, MD ^735^

Lawler, Mark Shannon, MD ^741^ ♦ Orthopaedic Surgery Rosa Memorial Hospital ♦ Orthopaedic Surgery NPI: 1225291545 CCS Provider NPI: 1235238130 License: A125214 Goff, Jonathan Robert, MD ^730^ License: A69218 Gender: Male ♦ Orthopaedic Surgery Gender: Male Gujarati, Spanish NPI: 1689629388 Hospital Privileges: Novato Hospital Privileges: MarinHealth License: C52729 Community Hospital Gender: Male Medical Center Hospital Privileges: MarinHealth CCS Provider Marin Community Clinics-Novato Medical Center Solomon, Daniel Jordan, MD ^736^

Clinic ^742^ CCS Provider ♦ Orthopaedic Surgery ♦ Sports Medicine - Orthopaedic PHC#: 18385

Goltz, David Henry, MD ^731^ ♦ Orthopaedic Surgery NPI: 1013989136 NPI: 1912091018 NPI: 1104879014 License: A54759 Available By Referral Only License: G85091 Gender: Male No Age Limitations Gender: Male 6100 Redwood Blvd

Hospital Privileges: MarinHealth Johnk, Dorien Alina, PA-C ^737^ Novato, CA 94945 Medical Center NPI: 1902469364 , P,EB,IB,E CCS Provider License: 57627 Level of Access: Limited Gender: Female Primary Phone: (415) 448-1500

Munger, Louisa Linsley, PA ^738^ Primary Fax: (415) 798-3198 NPI: 1598874653 Mon - Thu 8:00 AM - 7:00 PM License: 17524 Fri 8:00 AM - 5:00 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: September 17, 2021 Page 82 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Byers, Robert Henry, MD ^743^ Primary Phone: (415) 878-0300 Primary Phone: (415) 346-9120 ♦ Orthopaedic Surgery Primary Fax: (415) 878-0301 Primary Fax: (415) 346-9135 NPI: 1750338729 Mon - Fri 9:00 AM - 5:00 PM Mon - Fri 8:00 AM - 5:00 PM License: G41030

Gender: Male Weiss, Noah Daniel, MD ^747^

Hanger Prosthetics & Orthotics ^751^ Hospital Privileges: MarinHealth ♦ Orthopaedic Surgery Medical Center NPI: 1225126444 PHC#: 22535 License: G70397 NPI: 1316011463 Special Accommodations: Adj. Exam Gender: Male 654 N El Camino Real Tables, Scales that weigh up to Hospital Privileges: Sonoma Valley San Mateo, CA 94401  440lbs Hospital Primary Phone: (650) 343-4504 Primary Fax: (650) 343-4573

Solomon, Daniel J., MD ^744^ Orthotics Prosthetics Mon - Fri 8:00 AM - 5:00 PM Marin Orthopedics and Sports Medicine

Medequip, Inc ^752^ Biohorizon Medical ^748^ PHC#: 21401 PHC#: 24020 PHC#: 61265 NPI: 1023243359 NPI: 1942394119 Available By Referral Only NPI: 1083690127 3882 Del Amo Blvd Ste 604 27 Brookline No Age Limitations Torrance, CA 90503 Aliso Viejo, CA 92656 7100 Redwood Blvd Ste 200  Primary Phone: (800) 944-3422 Novato, CA 94945 Primary Phone: (866) 914-5159  Primary Fax: (800) 685-5678 Primary Fax: (866) 914-6699 Primary Phone: (415) 492-1600 Mon - Fri 8:30 AM - 5:00 PM Mon - Fri 8:00 AM - 5:00 PM Primary Fax: (415) 492-1688 Mon - Fri 9:00 AM - 5:00 PM Pacific Medical Prosthetics and

Cranial Technologies, Inc. ^749^ Orthotics - Midtown Sacramento ^753^

Solomon, Daniel Jordan, MD ^745^ PHC#: 69478 PHC#: 21238 ♦ Orthopaedic Surgery NPI: 1629624127 NPI: 1326048893 ♦ Sports Medicine - Orthopaedic 1100 Van Ness Ave Ste 1000 3001 L St NPI: 1013989136 San Francisco, CA 94109 Sacramento, CA 95816 License: A54759 Primary Phone: (415) 960-6800  Gender: Male Primary Fax: (844) 447-5895 Primary Phone: (916) 706-1520 Mon - Fri 7:30 AM - 4:30 PM Primary Fax: (916) 706-1551 Mon - Fri 8:00 AM - 5:00 PM Weiss Orthopaedics ^746^

PHC#: 46131 Hanger Prosthetics & Orthotics ^750^ NPI: 1700150794 PHC#: 12384 Pediatric Orthotic and Prosthetic

Available By Referral Only NPI: 1518975861 Services - West, LLC ^754^ No Age Limitations 2761 Geary Blvd PHC#: 25591 100 Rowland Way Ste 200 San Francisco, CA 94118 NPI: 1811213549 Novato, CA 94945  2425 Stockton Blvd Ste 236 Sacramento, CA 95817 

To verify the availability of providers, 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: September 17, 2021 Page 83 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Frey, Robert Douglas, MD ^762^ Primary Phone: (916) 453-2170 Cartwright, Wade Randall, MD ^758^ Primary Fax: (916) 453-5024 ♦ Otolaryngology ♦ Anesthesiology Mon - Fri 8:00 AM - 4:30 PM NPI: 1376643254 ♦ Pain Medicine License: G26221 NPI: 1912934779 Gender: Male License: A85317

Support Care Services ^755^ CCS Provider Gender: Male PHC#: 6185 NPI: 1043390198 Pain Management Telehealth services must be arranged 251 Shaw Rd by your PHC doctor. To find all South San Francisco, CA 94080 telehealth specialties available 

California Orthopedic & Spine Inc. through Telemed2U look under the Primary Phone: (650) 615-9357 ^759^ specific specialty listed in this Primary Fax: (650) 615-9358 PHC#: 23738 directory. Mon - Fri 9:00 AM - 5:00 PM NPI: 1356546535 Available By Referral Only No Age Limitations Palliative Medicine

Thrive Prosthetics ^756^ 2 Bon Air Rd Ste 120A PHC#: 46868 Larkspur, CA 94939 NPI: 1699227009 , P,EB,IB,E Continuum Care Hospice ^763^ 6600 Coyle Ave Ste 2 Level of Access: Limited PHC#: 36551 Carmichael, CA 95608 Primary Phone: (415) 927-5300 NPI: 1467859900 Primary Phone: (916) 671-3417 Primary Fax: (415) 927-6860 Available By Referral Only Primary Fax: (916) 241-9344 Mon - Fri 8:00 AM - 5:00 PM No Age Limitations Mon - Fri 8:30 AM - 5:00 PM 5994 W Las Positas Blvd Ste 221 Pleasanton, CA 94588 Sponzilli, Ernest Henry, MD ^760^  Otolaryngology ♦ Pain Medicine ♦ Physical Medicine & Rehabilitation Primary Phone: (925) 398-7548 NPI: 1497709984 Primary Fax: (510) 722-8548

Cartwright, Wade, MD ^757^ License: G78425 Mon - Sat 8:30 AM - 5:00 PM PHC#: 9690 Gender: Male NPI: 1376643254 Hospital Privileges: MarinHealth Pediatric Dermatology Available By Referral Only Medical Center No Age Limitations

Telemed2U ^764^ 411 30th St Ste 401

Telemed2U ^761^ Oakland, CA 94609 PHC#: 32086  PHC#: 32086 NPI: 1326338237 Primary Phone: (510) 834-6642 NPI: 1326338237 Available By Referral Only Primary Fax: (510) 834-3115 Available By Referral Only 0-18 Years Mon 11:30 AM - 2:30 PM 18 Years and Older Telehealth Services Tue - Fri 8:30 AM - 11:30 AM Telehealth Services Primary Phone: (916) 740-3721 Primary Phone: (916) 740-3721 Primary Fax: (916) 527-0770 Primary Fax: (916) 527-0770 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: September 17, 2021 Page 84 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Kelly, Holly Creighton, MD ^771^ Tsuchiya, Arline M, MD ^765^ Physical Medicine ♦ Dermatology Rehabilitation ♦ Pain Medicine ♦ Pediatric Dermatology ♦ Physical Medicine & Rehabilitation NPI: 1114098167 NPI: 1619076528

California Orthopedic & Spine Inc. License: A43062 ^768^ License: A72149 Gender: Female PHC#: 23738 Gender: Female CCS Provider NPI: 1356546535 Hospital Privileges: Novato Available By Referral Only Community Hospital Telehealth services must be arranged No Age Limitations CCS Provider by your PHC doctor. To find all 2 Bon Air Rd Ste 120A telehealth specialties available Larkspur, CA 94939 Marin Community Clinics-Novato through Telemed2U look under the , P,EB,IB,E

Clinic ^772^ specific specialty listed in this Level of Access: Limited directory. Primary Phone: (415) 927-5300 PHC#: 18385 Primary Fax: (415) 927-6860 NPI: 1912091018 Mon - Fri 8:00 AM - 5:00 PM Available By Referral Only Pediatric Ophthalmology No Age Limitations 6100 Redwood Blvd

Sponzilli, Ernest Henry, MD ^769^ Novato, CA 94945 Nickel, Bonnie Lynn, MD ^766^ ♦ Pain Medicine , P,EB,IB,E PHC#: 4146 ♦ Physical Medicine & Rehabilitation Level of Access: Limited NPI: 1881874709 NPI: 1497709984 Primary Phone: (415) 448-1500 Available By Referral Only License: G78425 Primary Fax: (415) 798-3198 No Age Limitations Gender: Male Mon - Thu 8:00 AM - 7:00 PM 750 Las Gallinas Ave Ste 114 Hospital Privileges: MarinHealth Fri 8:00 AM - 5:00 PM San Rafael, CA 94903 Medical Center 

Gaines, Ronald Frederick, MD ^773^ Primary Phone: (415) 492-0950

Kelly, Holly, MD, Inc. ^770^ Primary Fax: (415) 492-9029 ♦ Physical Medicine & Rehabilitation PHC#: 23159 Mon, Tue, Fri - Sun 2:00 PM - 6:00 NPI: 1174607246 NPI: 1487843207 PM License: G32224 Available By Referral Only Gender: Male No Age Limitations CCS Provider

Nickel, Bonnie Lynn, MD ^767^ ♦ Ophthalmology 7100 Redwood Blvd Ste 200 NPI: 1881874709 Novato, CA 94945 Special Accommodations: Adj. Exam  License: G36248 Tables, Scales that weigh up to Primary Phone: (415) 492-1600 Gender: Female 440lbs Primary Fax: (415) 493-2542 Hospital Privileges: MarinHealth Mon - Fri 9:00 AM - 5:00 PM 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: September 17, 2021 Page 85 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Foot and Ankle Specialists of Physical Therapy Mohebali, Khashayar, MD  ^777^

♦ Plastic Surgery Marin ^781^ NPI: 1437331360 PHC#: 25254

Marin General Hospital ^774^ License: A94434 NPI: 1790968618 PHC#: 2513 Gender: Male Available By Referral Only NPI: 1396725677 Farsi No Age Limitations 250 Bon Air Rd Hospital Privileges: Sutter Santa 599 Sir Francis Drake Blvd Ste 207 Greenbrae, CA 94904 Rosa Regional Hospital  Greenbrae, CA 94904  Primary Phone: (415) 925-7000 Peysakhovich, Anya, PA ^778^ Primary Phone: (415) 461-6555 Mon - Fri 8:00 AM - 5:00 PM NPI: 1215423363 Primary Fax: (415) 461-6556 License: 58169 Mon, Tue, Thu, Fri 8:30 AM - 5:00 PM Gender: Female Novato Community Hospital ^775^ Wed 1:30 PM - 4:30 PM PHC#: 1990 Russian, Spanish

NPI: 1104059153 Fedrigo, Anthony James, DPM ^782^ 180 Rowland Way Podiatry ♦ Podiatrist Novato, CA 94945 NPI: 1962407882  License: 4298

Davis, Russell C., DPM ^779^ Primary Phone: (415) 209-1300 Gender: Male Primary Fax: (415) 209-1321 PHC#: 24361 Hospital Privileges: MarinHealth Mon - Fri 8:00 AM - 5:00 PM NPI: 1376644799 Medical Center Available By Referral Only No Age Limitations Plastic Reconstructive Surgery San Francisco Foot and Ankle 1000 S Eliseo Dr Ste 102

Center ^783^ Greenbrae, CA 94904  PHC#: 44287 Mohebali, Khashayar, MD ^776^ Primary Phone: (415) 927-3338 NPI: 1770636045 PHC#: 29116 Available By Referral Only NPI: 1881030484 Primary Fax: (415) 927-3170 Mon - Fri 8:00 AM - 5:00 PM No Age Limitations Available By Referral Only 165 Rowland Way Ste 206 No Age Limitations Novato, CA 94945

Davis, Russell C, DPM ^780^ 21 Tamal Vista Blvd Ste 103  Corte Madera, CA 94925 NPI: 1376644799 License: E2804 Primary Phone: (415) 898-9818  Primary Fax: (415) 892-3475 Primary Phone: (415) 927-7660 Gender: Male Hospital Privileges: Sutter Solano Mon, Tue, Thu 9:00 AM - 5:00 PM Primary Fax: (415) 927-7663 Fri 9:00 AM - 12:00 PM Mon, Tue, Thu 9:00 AM - 5:00 PM Medical Center Wed, 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: September 17, 2021 Page 86 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Marino, Vincent Calogero, DPM ^784^ CCS Provider Primary Phone: (415) 925-7326 ♦ Podiatrist Primary Fax: (415) 925-7333 ♦ Surgery, Foot & Ankle Special Accommodations: Adj. Exam Mon - Fri 9:00 AM - 5:00 PM NPI: 1609871342 Tables, Hearing Impaired

License: 3530 Accommodations, Scales that weigh Chang, Jennifer Shih-Yi, MD  ^791^ Gender: Male up to 500lbs NPI: 1346535044 Hospital Privileges: Novato License: A123741 Community Hospital Gender: Female

Telemed2U ^788^ Hospital Privileges: MarinHealth PHC#: 32086 Pulmonary Disease Medical Center NPI: 1326338237 CCS Provider Available By Referral Only 18 Years and Older

MarinHealth Medical Network ^785^ Telehealth Services Western Radiation Oncology, Inc. ^792^ PHC#: 23679 Primary Phone: (916) 740-3721 PHC#: 49276 NPI: 1124439807 Primary Fax: (916) 527-0770 NPI: 1881685527 Available By Referral Only Mon - Fri 8:00 AM - 5:00 PM Available By Referral Only No Age Limitations No Age Limitations 1100 Larkspur Landing Cir Ste 10

Tran, Vu Anh, MD ^789^ 100 S San Mateo Dr Larkspur, CA 94939 NPI: 1528021490 San Mateo, CA 94401 , P,EB,IB,R,E,T License: A79456 Primary Phone: (925) 487-0455 Level of Access: Basic Gender: Male Primary Fax: (925) 587-5463 Primary Phone: (415) 924-1214 CCS Provider Mon - Thu 8:00 AM - 5:00 PM Primary Fax: (415) 924-1375 Mon - Fri 8:00 AM - 5:30 PM

Telehealth services must be arranged Kurtzman, Steven Marc, MD ^793^ by your PHC doctor. To find all NPI: 1114918851

Livnat, Guy Shir, MD ^786^ telehealth specialties available License: A66136 ♦ Critical Care Medicine - Internal through Telemed2U look under the Gender: Male Medicine specific specialty listed in this ♦ Pulmonary Disease directory. NPI: 1881682656 Radiology License: A80455 Radiation Oncology Gender: Male Health Diagnostics of California, Hebrew

LLC ^794^ Hospital Privileges: MarinHealth

Marin Cancer Care, Inc. ^790^ Medical Center PHC#: 66237 CCS Provider PHC#: 23234 NPI: 1104321959 NPI: 1629370499 Available By Referral Only

Nisam, Merrill Ralph, MD ^787^ NPI: 1205824067 Available By Referral Only No Age Limitations License: G45217 No Age Limitations 1825 Civic Center Dr Ste 1 Gender: Male 1350 S Eliseo Dr Ste 100 Santa Clara, CA 95050 French Greenbrae, CA 94904 Primary Phone: (408) 296-5555  Hospital Privileges: MarinHealth Primary Fax: (408) 296-5556 Medical Center Mon - Fri 7:00 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: September 17, 2021 Page 87 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Health Diagnostics of California, Spriggs, Brenda Beatrice, MD ^800^ Telehealth Services

LLC - San Rafael ^795^ ♦ Internal Medicine PHC#: 20302 ♦ Rheumatology

Direct Dermatology ^803^ NPI: 1699706648 NPI: 1720323355 PHC#: 26509 4144 Redwood Hwy Ste B License: C33822 NPI: 1417263922 San Rafael, CA 94903 Gender: Female  Available By Referral Only Primary Phone: (415) 479-9907 Telehealth services must be arranged No Age Limitations Primary Fax: (415) 479-9908 by your PHC doctor. To find all Telehealth Services Mon - Fri 7:00 AM - 4:00 PM telehealth specialties available Primary Phone: (855) 944-7546 through Telemed2U look under the Primary Fax: (800) 572-0683 specific specialty listed in this Mon - Sat 9:00 AM - 4:30 PM Rheumatology directory.

Ally, Mina Sarah, MD ^804^ ♦ Dermatology Telemed2U ^796^ Sleep Medicine NPI: 1528467099 PHC#: 32086 License: A144146 NPI: 1326338237

REM Sleep Diagnostics, Inc. ^801^ Gender: Female Available By Referral Only CCS Provider 18 Years and Older PHC#: 17006

Craft, Noah Ames, MD ^805^ Telehealth Services NPI: 1316056195 ♦ Dermatology Primary Phone: (916) 740-3721 750 Mason St Ste 205 NPI: 1750351193 Primary Fax: (916) 527-0770 Vacaville, CA 95688 License: A76802 Mon - Fri 8:00 AM - 5:00 PM  Primary Phone: (707) 469-8400 Gender: Male Primary Fax: (707) 469-8469 CCS Provider

Al Nahlawi, Basma, MD ^797^

David, Consuelo Veronica, MD  ^806^ NPI: 1144455262 Mon - Fri 8:30 AM - 5:00 PM ♦ Dermatology License: A115924 NPI: 1689963340 Gender: Female Speech Therapy License: A122615 CCS Provider Gender: Female

Butts, Melissa Sue, DO ^798^ Spanish Marin General Hospital ^802^ ♦ Internal Medicine CCS Provider NPI: 1790945756 PHC#: 2513

Gordon, Justin Stanley, MD ^807^ License: 20A16394 NPI: 1396725677 ♦ Dermatology Gender: Female 250 Bon Air Rd Greenbrae, CA 94904 NPI: 1225353568 Shibuya, Barry Eiichi, MD ^799^ License: A118547 ♦ Rheumatology  Gender: Male NPI: 1275746935 Primary Phone: (415) 925-7000 CCS Provider License: A72682 Mon - Fri 8:00 AM - 5:00 PM 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: September 17, 2021 Page 88 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Hamidi, Reyhaneh, MD  ^808^ Wong, David Jun Sing, MD ^814^ Arambulo, Maria Flordeliz Uy, MD ^820^ ♦ Dermatology ♦ Dermatology NPI: 1013169986 NPI: 1144470162 NPI: 1316972201 License: A112913 License: A111135 License: A84286 Gender: Female Gender: Female Gender: Male Filipino, Ilocano Farsi, Italian CCS Provider CCS Provider

Badii, Cyrus Afshin, MD ^821^ CCS Provider Wong, Reynold Clark, MD ^815^

Kafi, Reza, MD  ^809^ ♦ Dermatology NPI: 1134274350 ♦ Dermatology NPI: 1962581694 License: G87894 NPI: 1891737201 License: G51891 Gender: Male License: A84048 Gender: Male Farsi

Gender: Male CCS Provider Belaga, Gary Allen, MD ^822^ CCS Provider ♦ Neurology

Reyes, Melissa, MD ^810^ NPI: 1720196744

Healthy at Home ^816^ ♦ Dermatology License: G52395 ♦ Pediatric Dermatology PHC#: 73270 Gender: Male NPI: 1508433574

NPI: 1558561498 Bhaduri, Aditi B, MD ^823^ License: A100703 Telehealth Services NPI: 1114029329 Gender: Female Primary Phone: (650) 514-6640 License: C55649 CCS Provider Primary Fax: (661) 843-6128 Gender: Female Mon - Sun 8:00 AM - 8:00 PM

Tan, Belinda Hsiu Jung, MD ^811^ Bengali

♦ Dermatology Bock, Bonnie Virginia, MD ^824^

♦ Dermatopathology Vazquez Vega, Elisa, RD ^817^ ♦ Internal Medicine NPI: 1861690299 NPI: 1447824719 NPI: 1225226558 License: A100913 License: 86113063 License: G35572 Gender: Female Gender: Female Gender: Female CCS Provider CCS Provider

Telemed2U ^818^ Venkatesan, Aruna, MD  ^812^ Butts, Melissa Sue, DO ^825^ ♦ Dermatology PHC#: 32086 ♦ Internal Medicine NPI: 1235457649 NPI: 1326338237 NPI: 1790945756 License: A113635 Available By Referral Only License: 20A16394 Gender: Female 18 Years and Older Gender: Female

CCS Provider Telehealth Services Chang, Wun-Ling, MD ^826^

Weiss, Stefan Craig, MD ^813^ Primary Phone: (916) 740-3721 ♦ Internal Medicine ♦ Dermatology Primary Fax: (916) 527-0770 NPI: 1194734111 NPI: 1578641387 Mon - Fri 8:00 AM - 5:00 PM License: G86459 License: A80115 Gender: Female Gender: Male CCS Provider

Al Nahlawi, Basma, MD ^819^

CCS Provider NPI: 1144455262 D'Avignon, Laurie Cordaro, MD ^827^ License: A115924 ♦ Internal Medicine Gender: Female NPI: 1700851433 CCS Provider License: C149571 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: September 17, 2021 Page 89 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

De Leon, Mary Jeanne Soberano, Kalt, Michele Sarah, MD ^835^ Sohrevardi, Mahtab, MD ^843^

MD ^828^ ♦ Cardiovascular Disease NPI: 1578777033 NPI: 1184692006 NPI: 1518026186 License: C149677 License: C164320 License: A51509 Gender: Female Gender: Female Gender: Female Farsi

Filipino Hebrew, Spanish Spriggs, Brenda Beatrice, MD ^844^

Levyim, Desiree, MD ^836^ Dhillon, Surisham, MD ^829^ ♦ Internal Medicine NPI: 1770652299 NPI: 1497167985 ♦ Rheumatology License: A51651 License: A146350 NPI: 1720323355 Gender: Female Gender: Female License: C33822 Hindi Farsi Gender: Female

Nagelberg, Jodi Beth, MD ^837^ Tabibian, Leila, MD ^845^ Dorman, Brian Wallace, MD ^830^ ♦ Urology NPI: 1720474141 ♦ Urology NPI: 1447278122 License: A146838 NPI: 1821176629 License: G24506 Gender: Female License: A70921

Gender: Male Nathan, Ramesh Vaidya, MD ^838^ Gender: Female Hospital Privileges: Providence St ♦ Internal Medicine Farsi

Joseph Hospital NPI: 1215025291 Tran, Vu Anh, MD ^846^ CCS Provider License: A77898 NPI: 1528021490

Dragicevic, Natasa, MD ^831^ Gender: Male License: A79456

NPI: 1124386156 Pryor, Ellsworth Paxton, MD ^839^ Gender: Male License: A169361 ♦ Infectious Disease CCS Provider

Gender: Female ♦ Internal Medicine Tsuchiya, Arline M, MD ^847^

Feidi, Rana Abbas, MD ^832^ NPI: 1952344988 ♦ Dermatology NPI: 1740600972 License: G29880 ♦ Pediatric Dermatology License: A167850 Gender: Male NPI: 1114098167

Gender: Female Shah, Keval Dipak, DO ^840^ License: A43062

Frey, Robert Douglas, MD ^833^ ♦ Gastroenterology Gender: Female ♦ Anesthesiology ♦ Internal Medicine CCS Provider

♦ Pain Medicine NPI: 1093035917 Yoon, Jessica Sonita, MD ^848^ NPI: 1912934779 License: 20A13956 ♦ Dermatology License: A85317 Gender: Male NPI: 1831352418 Gender: Male Gujarati, Spanish License: C156843

Shibuya, Barry Eiichi, MD ^841^ Fritz, Benjamin Angus, MD ^834^ Gender: Female

♦ Internal Medicine ♦ Rheumatology Younger, Joel Bruce, MD ^849^ ♦ Nephrology NPI: 1275746935 ♦ Neurology NPI: 1265482772 License: A72682 ♦ Sleep Medicine - Psychiatry & License: A66856 Gender: Male Neurology

Gender: Male Siddiqui, Javeed, MD ^842^ NPI: 1023088127 Spanish NPI: 1770563967 License: G49108 Hospital Privileges: Providence Santa License: A65726 Gender: Male Rosa Memorial 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: September 17, 2021 Page 90 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Telehealth services must be arranged Thoracic Surgery Anastassiou, Peter Thomas, MD ^855^ by your PHC doctor. To find all ♦ Thoracic Surgery (Cardiothoracic telehealth specialties available Vascular Surgery)

Korver, Keith F., MD ^852^ through Telemed2U look under the NPI: 1912904806 specific specialty listed in this PHC#: 24004 License: A43203 directory. NPI: 1790819613 Gender: Male Available By Referral Only Greek, Spanish No Age Limitations Hospital Privileges: California Pacific

Telemed2U ^850^ 2 Bon Air Rd Ste 100 Medical Center PHC#: 32086 Larkspur, CA 94939 CCS Provider NPI: 1326338237 , P,EB,IB,R Available By Referral Only Level of Access: Limited Urology 0-18 Years Primary Phone: (707) 569-7860 Telehealth Services Primary Fax: (707) 545-5408 Primary Phone: (916) 740-3721

Mon - Fri By Appointment Only MarinHealth Medical Network ^856^ Primary Fax: (916) 527-0770 PHC#: 36775 Mon - Fri 8:00 AM - 5:00 PM Korver, Keith Forrest, MD ^853^ NPI: 1124439807 ♦ Surgery Available By Referral Only

Tsuchiya, Arline M, MD ^851^ ♦ Thoracic Surgery (Cardiothoracic ♦ Dermatology No Age Limitations Vascular Surgery) 1240 S Eliseo Dr Ste 200 ♦ Pediatric Dermatology NPI: 1316946130 NPI: 1114098167 Greenbrae, CA 94904 License: G52235  License: A43062 Gender: Male Primary Phone: (415) 461-4000 Gender: Female Spanish Primary Fax: (415) 461-6907 CCS Provider Hospital Privileges: Providence Santa www.marinhealthcare.org Rosa Memorial Hospital Mon - Fri 9:00 AM - 5:00 PM Telehealth services must be arranged by your PHC doctor. To find all

Bennett, Patrick Mulvey, MD ^857^ Peter T. Anastassiou, MD ^854^ telehealth specialties available ♦ Urology through Telemed2U look under the PHC#: 6977 NPI: 1891713418 specific specialty listed in this NPI: 1912904806 License: G78346 directory. Available By Referral Only Gender: Male No Age Limitations Hospital Privileges: MarinHealth 2100 Webster St Ste 200 Medical Center San Francisco, CA 94115 CCS Provider Primary Phone: (415) 820-5600

Chan, Robert Ching, MD ^858^ Primary Fax: (415) 820-5601 ♦ Urology Mon - Thu 8:30 AM - 5:00 PM NPI: 1295980647 Fri 8:30 AM - 4:00 PM License: A157982 Gender: Male 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: September 17, 2021 Page 91 of 95 PHC SPECIALIST PROVIDERS – AVAILABLE BY REFERRAL ONLY MARIN COUNTY DIRECTORY

Neuwirth, Harry, MD ^859^ Telehealth services must be arranged NPI: 1326067919 by your PHC doctor. To find all License: C41137 telehealth specialties available Gender: Male through Telemed2U look under the Hospital Privileges: Novato specific specialty listed in this Community Hospital directory. CCS Provider

Yu, Rhunjay James, MD ^860^ ♦ Urology NPI: 1255527024 License: A101554 Gender: Male Chinese, Mandarin Hospital Privileges: MarinHealth Medical Center CCS Provider

Telemed2U ^861^ PHC#: 32086 NPI: 1326338237 Available By Referral Only 18 Years and Older Telehealth Services Primary Phone: (916) 740-3721 Primary Fax: (916) 527-0770 Mon - Fri 8:00 AM - 5:00 PM

Dorman, Brian Wallace, MD ^862^ ♦ Urology NPI: 1447278122 License: G24506 Gender: Male Hospital Privileges: Providence St Joseph Hospital CCS Provider

Tabibian, Leila, MD ^863^ ♦ Urology NPI: 1821176629 License: A70921 Gender: Female Farsi

To verify the availability of providers, 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: September 17, 2021 Page 92 of 95 PHC PROVIDER INDEX | MARIN COUNTY DIRECTORY

INDEX

A Chang, Warren, MD ...... 75 Finzen, Barbara Deeken, MD ...... 27 Chang, Wun-Ling, MD ...... 71, 89 Flores, Sylvia Jean, MD ...... 65, 66, 78, 79 , Rosalba Martiza, FNP...... 31 Charles, Joseph Bernard, FNP ..... 22, 23, 31, 33 Forrester, Cheri Joy, MD ...... 34 Acupuncture ...... 43, 44 Chase, Carolyn Ruth, FNP ...... 22, 29 Francis, Adam Crawford, MD ...... 34 Agarwal, Anita, MD ...... 80 Chen, Judy Ju-Yi, MD ...... 80 Frey, Robert Douglas, MD ...... 84, 90 Agarwal, Reshem, MD ...... 31 Chiropractic ...... 52, 53 Fritz, Benjamin Angus, MD ...... 75, 90 Akashi, Alaric Kazuichi, MD ...... 22, 23 Cohen, Phyllis Marie, MD ...... 31 Al Nahlawi, Basma, MD ...... 88, 89 Cokgor, Ilkcan, MD ...... 76 Albujar, Rosemary J, PA-C ...... 26 Combs, Audrey Maureen, FNP...... 31, 32 G Aldahhan, Nadine, DO ...... 27, 34 Community Based Adult Services CBAS...... 53 Allergy ...... 44 Comprehensive Perinatal Services Program Gaines, Ronald Frederick, MD ...... 85 Ally, Mina Sarah, MD ...... 54, 88 CPSP...... 53, 54 Galland, David Bernard, MD ...... 65 Ambulatory Surgery Centers ...... 44 Craft, Noah Ames, MD...... 54, 88 Galligan, Barbara Marie, MD ...... 68, 80 Anastassiou, Peter Thomas, MD ...... 91 Cromar, Jennifer Horch, CNM 54, 64, 65, 77, 78 Garcia, Veronica Andrea, FNP...... 32 Anderson, Kristin Nicole, MD ...... 68, 80 Cruz, Christian Cosca, MD ...... 75 Gastroenterology ...... 62, 63 Angeli, Daniel, MD ...... 75 Cullen, Esme B, MD ...... 32 Gaudiani, Linda Marie, MD ...... 60 Arambulo, Maria Flordeliz Uy, MD ...... 60, 89 Cunningham Jr, Emmett Thomas, MD ...... 80 General Surgery ...... 63, 64 Asrani, Anjali Kumar, NP...... 60 Germain, Sunny Elizabeth, NP ...... 31 Audiology ...... 44, 45 Gershengorn, Kent Norman, MD ...... 52 D Gilbert, Sarah Mariko, ANP...... 61 Glatt, Patricia Anne, MD ...... 28 B D'Avignon, Laurie Cordaro, MD ...... 67, 71, 89 Goff, Jonathan Robert, MD ...... 82 David, Consuelo Veronica, MD...... 54, 88 Goltz, David Henry, MD ...... 82 Badii, Cyrus Afshin, MD ...... 63, 89 Davis, Mary Newberry, CNM ...... 66, 79 Gomez-Mira, Christina, MD ...... 29 Bajwa, Meera, MD ...... 75 Davis, Russell C, DPM ...... 86 Gonzalez, Carina Fabiana, MD ...... 25 Barbach, Tess, FNP ...... 33 Davis, Wendy Zaroff, MD ...... 62 Good, William Vance, MD...... 81 Bariatric Surgery ...... 45 Day, Gina M ...... 42 Goodman, Suzan R, MD ...... 61 Basir, Mariam, DO ...... 31 De Leon, Mary Jeanne Soberano, MD ..... 60, 90 Gorchoff, David B, MD ...... 30 Basu, Anjuli, MD ...... 24, 27 DeMuth, Brian E, MD ...... 65, 78 Gordon, Justin Stanley, MD ...... 54, 88 Baurmann, Amelia Grace, CNM ...... 64, 77 Dermatology ...... 54, 55 Goswamy, Juhi, MD...... 27, 34 Bazalgette, Mark Burrell, MD ...... 64, 77 Desruisseau, Andrew James, MD ...... 71 Graham, John M, MD ...... 24, 27 Behavioral Health Treatment46, 47, 48, 49, 50, Dhaliwal, Tarin Singh, MD ...... 28 Greenberg, Cindy J, MD ...... 33 51 Dhillon, Surisham, MD ...... 76, 90 Greenberg, Joseph H, MD ...... 55 Belaga, Gary Allen, MD ...... 76, 89 Dialysis Centers ...... 55, 56 Greenbrae ...... 22, 23 Bennett, Patrick Mulvey, MD ...... 53, 91 Doerr-Kashani, Pamela, FNP ...... 32 Gutterman, Cara, FNP ...... 32 Bettinger, John Robert, MD ...... 62 Dorman, Brian Wallace, MD ...... 90, 92 Gynecology ...... 64, 65, 66 Bhaduri, Aditi B, MD ...... 60, 89 Dragicevic, Natasa, MD ...... 76, 90 Bishop, Joleen Diane, NP ...... 64, 77 Duncan, Vicki Lynn, MD ...... 61 Bliss, Robert Foster, DC ...... 52, 53, 54 Durable Medical Equipment ... 56, 57, 58, 59, 60 H Blumkin, Daniel M, MD ...... 31, 32 Bock, Bonnie Virginia, MD ...... 71, 89 HIV AIDS Specialists ...... 66, 67 Bokser, Julie Mara, MD ...... 24, 28 E Habis, Joseph Antoine, MD ...... 27, 33 Bolinas ...... 22 Hamblin, Basil Colin, MD ...... 30 Branco, Nelson, MD ...... 24, 28 Ehmer, Nathan Ross, DO ...... 81, 82 Hamidi, Reyhaneh, MD ...... 54, 89 Brown, Elizabeth Rachel, DO ...... 65, 66, 78, 79 El-Ghoneimy, Ahmed Kamal El-Din, MD ...... 23 Hamilton, Jessica Woodruff, MD ...... 61 Butler, Tiffany Marie, PA ...... 61 Elder, Mahr F, MD ...... 81 Hanks, Madeleine Bartman, MD ...... 24 Butts, Melissa Sue, DO ...... 88, 89 Elvin, Lisa V, ANP ...... 81 Hanlan, Margo Elizabeth, PNP ...... 25, 29 Byer, Jennifer Ellen Johnson, MD ...... 64, 77 Endocrinology ...... 60 Hearing Aid Dispenser ...... 67 Byers, Robert Henry, MD...... 54, 83 Erickson, Joel Sherman, MD ...... 51 Heath, Erin Noel, MD ...... 24, 28 Espino, Kareen Yesenia, MD ...... 32 Heller, Bruce Gordon, MD ...... 61 Estilo, Genevieve Kristina, MD ...... 75 Hematology...... 68 C Etemad, Elizabeth Landsiedel, DO ...... 27 Hessel, Tracey Michelle, MD ...... 26 Evens, Alexander Ronald, DO ...... 24, 71 Hogan, Christopher Michael, MD ...... 62 Caraballo Fonseca, Juline Natalia, MD ...... 44 Hollman, Jessica Catherine, MD ...... 32 Cardellini, Alexis April, MD ...... 65, 66, 78, 79 Home Health Agencies ...... 68, 69 Cardiovascular Disease ...... 51, 52 F Home Infusion Therapy ...... 69, 70 Carroll, Phyllis Crisostomo, FNP...... 31 Hospice Services ...... 70 Cartwright, Wade Randall, MD ...... 84 Fabi, Mary Rose Lazo, MD ...... 23, 27 Hospitals Primary...... 35 Chan, Robert Ching, MD ...... 91 Family Planning ...... 61 Hospitals Referral ...... 35, 36, 37 Chang, Jennifer Shih-Yi, MD ...... 87 Fedrigo, Anthony James, DPM ...... 86 Huang, Marissa D ...... 42 Feidi, Rana Abbas, MD...... 67, 71, 90

To verify the availability of providers, 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: September 17, 2021 Page 93 of 95 PHC PROVIDER INDEX | MARIN COUNTY DIRECTORY

Hwang, Carolyn Rayburn, CNM ...... 64, 77 M P MacLaughlin, Kathryn Susan, FNP...... 32 Pain Management ...... 84 I MacLeamy, Patrick D, PsyD ...... 50 Palfy, Shelley Ann, MD ...... 22 Magliocco, Mai Sorrel, MD ...... 32 Palliative Medicine ...... 84 Infectious Diseases ...... 71 Maioriello, Michael J, MD ...... 61, 64, 77 Patel, DeVal A ...... 42 Ito, Dena, LAc ...... 43 Maisel, Jan Ellen, MD ...... 25, 29 Pathi, Sujatha, MD ...... 65, 66, 78, 79 Malik, Geeta Kumari, MD ...... 27 Patterson, Anna-Mary Lynn, ANP ...... 61 Malladi, Vikram Reddy, MD ...... 62, 63 Pediatric Dermatology ...... 84, 85 J Marin, Maribel, FNP ...... 34 Pediatric Ophthalmology...... 85 Jackson, Dana Lenore, DO ...... 31 Marino, Vincent Calogero, DPM ...... 87 Perez, Xavier, MD...... 22, 23, 33 Jaeger, Amber Lynn, MD ...... 65, 66, 78, 79 Marion, Fiona Anne, MD ...... 25, 29 Perryman, Scott Vernon, MD ...... 45, 64 Jamison, Emma Louise, MD ...... 64, 77 Mark, Cherilyn Rebecca, FNP ...... 26 Petrick, Maria Mikaela, MD ...... 44 Jimenez, Douglas B, MD ...... 61 McDonald, Henry Richard, MD ...... 80 Peysakhovich, Anya, PA ...... 86 Johnk, Dorien Alina, PA-C ...... 81, 82 McLamb, Lynette Teresa, MD ...... 31 Pharmacy Network List ...... 37, 38, 39, 40 Johnson, Robert Norman, MD ...... 80 Meckel, Moya Anne, NP...... 75 Physical Medicine Rehabilitation ...... 85 Jolley, John Joseph, MD...... 62 Medical Supplies ...... 73, 74 Physical Therapy ...... 86 Joseph, Rachel Mary, FNP ...... 29 Meill, Jane Marten, MD ...... 22 Plastic Reconstructive Surgery ...... 86 Jumper, James Michael, MD ...... 80 Meisel, Lauren Wadland, MD ...... 32 Podiatry...... 86, 87 Memmel, Lisa Marie, MD ...... 61 Point Reyes ...... 29 Mental Health Services - Outpatient ...... 37 Popat, Mitesh Ghahshyam, MD ...... 31 K Merjavy, Stephen A, MD ...... 67, 71 Pryor, Ellsworth Paxton, MD ...... 71, 90 Meskowsky, Kurt, BCBA ...... 49 Pt Reyes Station ...... 29, 30 Kafi, Reza, MD ...... 54, 89 Metzger, Alex Samuel, MD ...... 68, 80 Pujals, Elisa Victoria, MD ...... 25, 26 Kalt, Michele Sarah, MD ...... 52, 90 Minnis, James Gary, MD ...... 63 Pulmonary Disease ...... 87 Kamras, Samantha A. Goldstein, MD ...... 32 Mohebali, Khashayar, MD ...... 86 Purcell, Patricia Marie, FNP...... 34 Kao, Albert Chengwei, MD ...... 76 Moreno, Paula Go, FNP...... 34 Kaplan, Eliot ...... 42 Munger, Louisa Linsley, PA ...... 81, 82 Kelley, Leah Morton, MD ...... 63 R Kelly, Amanda Michele, PA-C ...... 34 Kelly, Holly Creighton, MD ...... 85 N Radiation Oncology ...... 87 Kim, Paul Hyon-Uk, MD ...... 82 Radiology ...... 87, 88 Kiruuta, Paul T, NP...... 33 Nagelberg, Jodi Beth, MD ...... 60, 90 Ramirez-McLaughlin, Koenig, Sara Saunders, NP...... 25, 29 Nassef, Somaia G ...... 42 Michalle Gonzalez, FNP...... 26 Korver, Keith Forrest, MD ...... 91 Nathan, Ramesh Vaidya, MD ...... 71, 90 Ramos, Ruth Reyes, FNP...... 76 Krolikowski, Jeanette, DO ...... 26 Nephrology ...... 75, 76 Rangel, Ruben E, BCBA ...... 51 Kubrican, Tomas, MD ...... 27 Neurology ...... 76 Redfern, Mary A, NP...... 24 Kurtzman, Steven Marc, MD ...... 87 Neuwirth, Harry, MD ...... 92 Reeves, Megan Darah, MD ...... 33 Nickel, Bonnie Lynn, MD ...... 85 Reppun, Ann, ANP ...... 54, 64, 65, 77, 78 Nisam, Merrill Ralph, MD ...... 87 Reyes, Melissa, MD ...... 54, 89 L Nissen, Teodoro Pedro, MD ...... 81 Rheumatology...... 88 Novato ...... 25, 26, 27, 28, 29 Richardson, Alexis Victoria, LAc ...... 44 LaBarbara, Allyson Marie, MD ...... 24 Novota, Gabriela Beatriz, MD ...... 26 Riedy, Emily Terese, NP...... 26 Laboratory Draw Stations ...... 72 Novota, Peter Allen, MD ...... 32 Rosenthal, Ellen Gloria, MD ...... 31 Lance, Erinn Burke, CNM ...... 64, 77 Nunnally, Janet A, FNP ...... 32 Royer, Christine Anne, MD ...... 44 Landeck, Megan Terry, FNP...... 30 Nutrition Services ...... 76, 77 Larkspur ...... 23, 24, 25 Lawler, Mark Shannon, MD ...... 82 S Leavitt, Lisa Anne, MD...... 32 O Lee, Janie Lynn, MD ...... 32 San Rafael ...... 30, 31, 32, 33, 34 Lee, John Sungchull, MD ...... 25, 29 O'Malley, Anna Kristina, MD ...... 22, 29 Sanders, Kenneth Charles, MD ...... 61 Lee, Natalie C, MD ...... 62 Obstetrics ...... 77, 78, 79 Sanderson, Robin Shank, FNP...... 31 Levine, Claudia Anna, MD ...... 23 Oechsel, Michael John, MD ...... 82 Santucci, Stephen Albert, MD...... 25, 29 Levyim, Desiree, MD ...... 76, 90 Ogg, Audrey Rosales, PA-C ...... 26, 31, 32 Sausalito ...... 34 Li, Rebecca, MD ...... 28 Oncology...... 79, 80 Sawyer, Sydney Kathryn, MD ...... 33 Lim, Douglas Steven, ANP...... 23 Oo, Heyman, MD ...... 26 Schindler, Lydia Godoy, MD ...... 29 Livnat, Guy Shir, MD...... 87 Ophthalmology...... 80, 81 Schten, Erik Paul, MD ...... 26, 55 Lohtia, Meenal Sunit, MD ...... 33 Oppegaard, Matthew S ...... 42 Schwartzman, Nancy Louise, MD ...... 23 Lowe, Elizabeth Hall, MD ...... 27 Oral Maxillofacial Surgery ...... 81 Segev, Tamar Gabriela, DO ...... 66, 79 Lucas, Jennifer Barbara, MD ...... 80 Ornstein, Kara Suzanne, MD ...... 22 Shah, Keval Dipak, DO ...... 63, 90 Orthopaedic Surgery...... 81, 82, 83 Shanaghan, Kevin J, DO ...... 23 Orthotics Prosthetics ...... 83, 84 Sharma, Ripple, MD ...... 62, 63 Otolaryngology...... 84 Shaw, Elizabeth Anne, MD ...... 26, 65, 78 Shevick, David Abraham, LAc ...... 44

To verify the availability of providers, 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: September 17, 2021 Page 94 of 95 PHC PROVIDER INDEX | MARIN COUNTY DIRECTORY

Shibuya, Barry Eiichi, MD ...... 88, 90 Webster, Anna C, CNM ...... 61 Shillingford, Jamal Nyame, MD ...... 81, 82 Webster-Longin, Maria Luz, MD ...... 31 Shore, Carolyn Magdalene, MD ...... 22, 23 Weiss, Noah Daniel, MD ...... 83 Shukla, Pinak Y, MD ...... 81, 82 Weiss, Stefan Craig, MD ...... 54, 89 Siddiqui, Javeed, MD ...... 71, 90 Weldon, Barbara Jeanne, DC ...... 52, 53, 54 Simon, Peter John, MD ...... 32 Wight, Linda Carol, NP ...... 66, 79 Sinaiko, Robert James, MD ...... 23 Wilner, Gerald Paul, MD ...... 66, 79 Singh, Rajdeep, FNP ...... 33 Wong, David Jun Sing, MD ...... 55, 89 Skilled Nursing Long Term Care Facilities 41, 42 Wong, Reynold Clark, MD ...... 55, 89 Sleep Medicine ...... 88 Wrona, Diane Elizabeth, PA-C ...... 22, 29 Sohrevardi, Mahtab, MD ...... 60, 90 Solomon, Daniel Jordan, MD ...... 81, 82, 83 Southard, Melanie Rose, DO ...... 32 Y Sowerby, Timothy Martin, MD...... 54, 62, 63 Spake, Colin Marin, NP...... 30, 34 Yee, Alice, DO ...... 24 Speech Therapy ...... 88 Yoon, Jessica Sonita, MD ...... 55, 90 Sponzilli, Ernest Henry, MD ...... 81, 84, 85 Yoon, Jin Hee, BCBA ...... 49 Spriggs, Brenda Beatrice, MD ...... 88, 90 Younger, Joel Bruce, MD ...... 76, 90 Stahl, Benjamin Ronald, MD ...... 63 Yu, Rhunjay James, MD ...... 92 Strahm, Kathleen Irene, PA-C ...... 82 Su, Brian Wei-En, MD ...... 81 Sunderrajan, Salitha, MD ...... 75 Sweeney, Michael Alan, MD ...... 28

T Tabibian, Leila, MD ...... 90, 92 Tan, Belinda Hsiu Jung, MD ...... 54, 89 Taylor, Clarence Leotis, MD...... 28 Telehealth Services ...... 88, 89, 90, 91 Teper, Irene, MD ...... 27, 28 Thompson, F Patrick, NP...... 26 Thoracic Surgery ...... 91 Tolliver, Gregg Leonard, MD ...... 71 Tool, Franklin David, FNP ...... 32 Toquinto, Signy Marie, CNM ...... 64, 78 Tran, Vu Anh, MD ...... 87, 90 Traverso, Mercedes Del Carmen, DO ...... 26 Treseler, Catherine Benzinger, MD ...... 32 Tseng, Robert Ra-Nien, MD ...... 76 Tsuchiya, Arline M, MD ...... 55, 85, 90, 91

U Uihlein, Alexander Vogel, MD ...... 60 Urology ...... 91, 92

V Vanderheym, Jeffrey Neil, DC ...... 52, 53, 54 Vazquez Vega, Elisa, RD ...... 76, 89 Venkatesan, Aruna, MD ...... 54, 89 Vision Service Plan (VSP) (1-800-877-7195) ...... 42 Voss, Kirsten Jennifer, MD ...... 66, 79

W Wallace, Sandra Louise, MD ...... 71 Walters, Helene, MD ...... 26 Ward, Lisa Maria, MD ...... 25

To verify the availability of providers, 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: September 17, 2021 Page 95 of 95 Phone:(800) 863-4155 http://www.partnershiphp.org

Revision Date: September 17, 2021