2018 Provider Directory Northern California
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Kaiser Permanente Senior Advantage (HMO), Senior Advantage Medicare Medi-Cal (HMO SNP), and Medicare Cost Plans Provider Directory This directory is current as of October 1, 2017. This directory provides a list of Kaiser Permanente’s current network providers. This directory is for our Northern California service area, which includes the following counties: Alameda, Amador,* Contra Costa, El Dorado,* Fresno,* Kings,* Madera,* Marin, Mariposa,* Napa, Placer,* Sacramento, San Francisco, San Joaquin, San Mateo, Santa Clara,* Solano, Sonoma,* Stanislaus, Sutter,* Tulare,* Yolo,* and Yuba.* Counties with an asterisk * are only partly covered by our service area. If you live in a partly covered county, please see the service area description inside for the ZIP codes that are in our service area. To access Kaiser Permanente’s online provider directory, you can visit kp.org/mydoctor/connect. For any questions about the information contained in this directory (hardcopy or online), please call our Member Service Contact Center at 1-800-443-0815, seven days a week, 8 a.m. to 8 p.m. TTY users should call 711. Kaiser Permanente is an HMO plan and a Cost plan with a Medicare contract. Enrollment in Kaiser Permanente depends on contract renewal. The provider network may change at any time. You will receive notice when necessary. ATTENTION: If you speak Spanish or Chinese, language assistance services, free of charge, are available to you. Call 1-800-443-0815 (TTY: 711). ATENCIÓN: Si habla español o chino, tenemos a su disposición servicios gratuitos de asistencia con el idioma. Llame al 1-800-443-0815 (los usuarios de la línea TTY deben llamar al: 711). 注意：如果您說西班牙文或中文，您可獲得免費語言協助服務。請致電 1-800-443-0815（聽障及語 障電話專線：711）。 This document is available in a different format for the visually impaired by calling our Member Service Contact Center at the number listed above. H0524_H6052_18NCPDv2_NM Table of Contents Section 1–Introduction ...................................................................................... 1 What is the service area for Kaiser Permanente Senior Advantage, Senior Advantage Medicare Medi-Cal, and Medicare Cost plans? ......................................................................... 3 How do you find Kaiser Permanente providers in your area? .................................................... 4 Section 2–List of network providers ................................................................ 5 CENTRAL CALIFORNIA ........................................................................................................... 5 FRESNO AREA ..................................................................................................................... 5 MANTECA/TRACY AREA ................................................................................................... 11 MODESTO AREA ................................................................................................................ 13 STOCKTON AREA .............................................................................................................. 18 DIABLO AND NAPA/SOLANO ................................................................................................ 22 EAST BAY ............................................................................................................................... 48 SACRAMENTO ....................................................................................................................... 73 SAN FRANCISCO, MARIN, AND SONOMA COUNTIES ...................................................... 101 SOUTH BAY AND PENINSULA ............................................................................................ 124 Durable Medical Equipment Suppliers ................................................................................... 159 Central California ............................................................................................................... 159 South Bay and Peninsula .................................................................................................. 159 National Suppliers ............................................................................................................. 159 Section 1–Introduction This directory provides a list of care exams and advice for healthier living to Kaiser Permanente’s network providers. treating you when you’re sick. To get detailed information about your health Whether you’re new to Kaiser Permanente or care coverage, please see your a longtime member looking for a change, Evidence of Coverage. choosing a personal doctor to coordinate your Your Primary Care Provider care is easy. You can learn about each You will have to choose one of our network doctor’s certifications, specialties, languages providers listed in this directory to be your spoken, interests, and more on Primary Care Provider (PCP). The term kp.org/mydoctor/connect to help you find “PCP” will be used throughout this directory. the right fit for you. Generally, you must get your health care If you want to make a switch, you can change services from your PCP. your doctor at any time and for any reason. Your PCP meets state standards and is Care for your unique needs trained to give you primary medical care. He You can choose your personal doctor from or she will usually practice general medicine, one of the departments listed next. also called internal medicine or family practice. Women may also choose specialists • Adult or Internal Medicine (Internists) in obstetrics-gynecology whom the Medical • (Family practitioners) Group designates as Primary Care Providers. Family Medicine At some facilities, you also have the option of • Obstetrics-Gynecology (Ob-Gyn) choosing a nurse practitioner (NP) or • Pediatrics For infants, children, physician assistant (PA) to be your PCP. adolescents, and teens. Your PCP will give you most of your care. If Nurse practitioners you need a specialist, your PCP will help you At some facilities, you also have the option of choose a doctor in that field and work with choosing a nurse practitioner. him or her as part of your health care team. Nurse practitioners are registered nurses who You can choose your PCP from any of our have advanced education and training. They available primary care doctors, nurse can diagnose and treat a wide variety of practitioners, or physician assistants. Once medical conditions, write prescriptions, order you make your choice, it is effective right and interpret lab and medical imaging tests, away. If you wish, you can change your PCP and educate and give advice to members and for any reason. their families. They practice with a doctor’s Choosing or changing your doctor supervision and support according to carefully We believe that an important part of your total controlled procedures. health is building a personal relationship with your primary care doctor, physician assistant, or nurse practitioner. He or she is your supporter for your health needs and goals, helping you with everything from preventive 1 How to choose or change your To see a specialist, you usually need to get doctor your PCP’s approval first. (This is called getting a “referral” to a specialist.) However, Online you do not need a referral to get specialty Go to kp.org/mydoctor/connect. Find care from network providers in Ob-Gyn, information on the available physicians and optometry, psychiatry, and chemical choose the one who’s right for you. dependency. Phone Call the Member Outreach or physician Bills from out-of-network selection service number at the facility where providers you plan to get most of your care. Your family If you receive a bill from an out-of-network is free to choose different doctors at different provider, you should not pay the bill. Send it locations. to our Claims Department and they will let you know how much you have to pay. Getting Covered Care For Senior Advantage members, you must Claims Department use network providers except in emergency P.O. Box 24010 or urgent care situations or for out-of-area Oakland, CA 94623-1010 renal dialysis. If you obtain routine care from Emergency and urgent care out-of-network providers, neither Medicare If you have an emergency medical condition, nor Kaiser Permanente will be responsible for call 911 or go to the nearest hospital. When the costs. you have an emergency medical condition, For Kaiser Permanente Medicare Cost we cover emergency care anywhere in the members, you must use network providers for world. care to be covered by our Plan except in For ease and continuity of care, we emergency or urgent care situations. You encourage you to go to a Plan hospital may use your Original Medicare coverage Emergency Department if you are inside our separate from your Health Plan benefits and service area, but only if it is reasonable to do obtain care from out-of-network providers. If so, considering your condition or symptoms. you do so, ask the out-of-network provider to file a claim directly with Medicare. You are If you have an emergency, we will talk with responsible for Medicare coinsurance, any the doctors who are giving you emergency unmet portion of deductibles, and, for charges care to help manage and follow up on your from providers who do not participate in care. The doctors who are giving you Medicare, amounts up to the Medicare emergency care will decide when your limiting charge. condition is stable and the medical emergency is over. The “network providers” listed in this directory have agreed to provide you with your health After the emergency is over,