<p> Medi-Cal Suspended and Ineligible Provider List: August Update</p><p>ADDITIONS: </p><p>Physician (Susp A)</p><p>Anderson, Scott Dodd, G33616 Suspended M.D. 00G336160 indefinitely effective 5150 Fair Oaks Blvd. 00G336161 4/9/2010 Ste. #101-144 Carmichael, CA and 4730 47th Ave. Sacramento, CA and 6950 65th St. Sacramento, CA</p><p>Aronsohn, Michael Valen 0101- Suspended 1289 Oletha Ln. 054509-VA indefinitely effective Los Angeles, CA 036094613-IL 4/20/2010 9831-MT</p><p>Bohlman, Gary Richard, G25154 Suspended M.D. 00G251540 indefinitely effective 43980 Mahlon Veil Rd. 00G251541 3/22/2010 #1402 Temecula, CA and 940 Sylva Ln. Ste. G Sonora, CA and 801 N. Tustin Ave. Ste. #404 Santa Ana, CA</p><p>Call, Justin D., M.D. G2658 Suspended 1958 Galaxy Dr. 00G26580 indefinitely effective Newport Beach, CA 4/13/2010</p><p>Dlugie, Paul D., M.D. G14648-CA Suspended 12002 E. Shea Blvd. 00G146480 indefinitely effective Ste. #5 28012-AZ 4/15/2010 Scottsdale, AZ and 72840 Highway 111 Ste. #165D Palm Desert, CA</p><p>Farhat, Raoul George G67658 Suspended Farhat Medical Center 00G676580 indefinitely effective 7607 Santa Monica Blvd. 3/24/2010 Ste. #27 Los Angeles, CA and 2338 Immokalee Rd. #280 Naples, FL</p><p>Fog, Joseph Richard, C43191 Suspended M.D. 00C431910 indefinitely effective 1300 N. Vermont Ave. 4/27/2010 Los Angeles, CA and 1931 N. W. Irving Portland, OR</p><p>Levin, Kenneth, M.D. GFE32363 Suspended 544 N. Indian Canyon Dr. 00G323630 indefinitely effective Palm Springs, CA 4/22/2010 and 180 Newport Center Dr. Ste. #180 Newport Beach, CA Physician (Susp A) …(continued)</p><p>McQueen, Carlton Kitridge A93692 Suspended 601 Baronne St. indefinitely effective Unit #2B 4/30/2010 New Orleans, LA</p><p>Rheinschild, Gary W., 00G133420 Suspended M.D. 00G133421 indefinitely effective 145 S. Chaparral Ct. CGP083775 4/1/2010 Ste. #101 Anaheim, CA and 5451 La Palma Ave. Ste. #22 La Palma, CA and 1211 W. La Palma Ave. Ste. #303 Anaheim, CA</p><p>Rice, James L., M.D. C32074 Suspended 8950 Villa La Jolla Dr. 00C320740 indefinitely effective La Jolla, CA 7/6/2010</p><p>Shah, Nayan R., M.D. 00A808510 Suspended 9400 Rosecrans Ave. 1457365553 indefinitely effective Bellflower, CA 7/28/2010 and 324 S. Diamond Bar Blvd. #306 Diamond Bar, CA</p><p>Osteopathic Physician and Surgeon (susp A)</p><p>Jimenez, Alfonso F., 20A6499 Suspended D.O. 00AX64990 indefinitely effective 2001 4th Ave 4/24/2009 San Diego, CA</p><p>Psychiatric Technician (susp C)</p><p>Stovall, Alicia Marie 27639 Suspended 20936 Broadway indefinitely effective Sonoma, CA 12/1/2009</p><p>Pharmaceutical Technician (susp E)</p><p>Allen, LaDonna Marie TCH57325 Suspended aka: La Donna Marie Allen indefinitely effective P.O. Box 2204 4/20/2010 San Rafael, CA</p><p>Sick Room Supply (susp F)</p><p>Apikyan, Husik Suspended 419 Griswold St. indefinitely effective Apt. #6 4/20/2010 Glendale, CA</p><p>Mid-Valley Medical Supply DME02200F Suspended Tokadjian, Stephan indefinitely effective aka: Stepan Tokadjian 8/16/2000 5520 Harold Way Los Angeles, CA and 13160 Sherman Way North Hollywood, CA</p><p>Chiropractor (susp J)</p><p>Castaneda, Peter DC20544 Suspended 10625 Haledon Ave. indefinitely effective Downey, CA 7/28/2010 Chiropractor (susp J) …(continued)</p><p>Cooke, Courtney Whitman 21927 Suspended 12731 Moorpark St. indefinitely effective #3 4/20/2010 Studio City, CA</p><p>DeMarco, Robert Arnold DC22643 Suspended 13501 Fiesta Rd. indefinitely effective Ocean City, MD 2/25/2010</p><p>Sihock, Franklin Donald 23985 Suspended 4590 Riverside Dr. indefinitely effective Chino, CA 5/7/2010</p><p>Whiteley, Shane Donald, DC26258 Suspended D.C. DC0262580 indefinitely effective 5722 Watt Ave. 7/28/2010 North Highlands, CA and 1068 E. 14th St. San Leandro, CA</p><p>Laboratory (susp M)</p><p>National Cardio Labs, 26897 Suspended LLC indefinitely effective P.O. Box 5460 4/20/2010 Stateline, NV</p><p>Registered Nurse (susp R)</p><p>Allen, Nicole Sharon 504969 Suspended 1485 Fieldshire Way indefinitely effective Morgan Hill, CA 2/16/2010</p><p>Alsip, Timothy Mark 564250 Suspended 15379 Oak Creek Rd. indefinitely effective #20 1/3/2010 El Cajon, CA</p><p>Amador, Melissa 562673 Suspended Antoinette indefinitely effective 16253 Stonebridge Pkwy. 2/16/2010 #613 San Diego, CA</p><p>Andersen, Anne M. 468813 Suspended aka: Anne M. Anderson indefinitely effective aka: Anne Margaret Hickey 2/16/2010 1535 Mathias Pl. Rohnert Park, CA</p><p>Baldridge, Ellen Marie 547478 Suspended 4608 Vitina Ln. indefinitely effective Palmdale, CA 1/16/2010</p><p>Bourette, Michelle Renee 706968 Suspended 28295 Via Luis indefinitely effective Laguna Niguel, CA 1/19/2010</p><p>Brown, Kelvin Gale 590541 Suspended 13212 Mettler Ave. indefinitely effective Long Beach, CA 1/16/2010</p><p>Clendenin, Dan Lee 574974 Suspended aka: Danny Lee Clendenin indefinitely effective aka: Dan L. Clendenin 2/6/2010 1404 E. Memorial Hwy. Harmony, NC</p><p>Cobia, April Lynn 652737 Suspended 900 W. Grove Pkwy. indefinitely effective #2059 2/8/2010 Tempe, AZ Registered Nurse (susp R)…(continued)</p><p>Corwin, Michele Carla 536909 Suspended aka: Michele Carla Germano indefinitely effective 2350 Peacock Ave. 12/31/2009 #102 Venura, CA</p><p>Davis, Jimmy Lee 635298 Suspended 14960 Avenida Venusto indefinitely effective Unit #77 2/8/2010 San Diego, CA</p><p>Davis, Matthew Wayne 514175 Suspended 7950 Foothills Blvd. indefinitely effective #180 1/9/2010 Roseville, CA</p><p>Davis, Terry Scott 612749 Suspended 1403 Jay St. indefinitely effective Walnut Ridge, AR 2/8/2010</p><p>Dillon, April Noel 503359 Suspended 1915 E. Portland Ave. indefinitely effective Fresno, CA 2/4/2010</p><p>Escanilla, Armand 647709 Suspended Valenzuela indefinitely effective 2336 N. Main St. 12/31/2009 Apt. B Salinas, CA and 2217 Driftwood Park Dr. Modesto, CA</p><p>Fannin, Kenneth Dwayne 679959-CA Suspended 954 Crestview 700967-TX indefinitely effective Atlanta, TX 2/5/2010</p><p>Ferreria, Barbara 655943 Suspended Jimenez Duram indefinitely effective 680 Evergreen Ln. 2/8/2010 Apt. #3 Port Hueneme, CA</p><p>Foster, Carolina 351198 Suspended 22826 Vermont St. indefinitely effective Unit #26 1/8/2010 Hayward, CA and 350 Newton Ave. Oakland, CA</p><p>Holland, Cheryl Gelford 285796 Suspended aka: Cheryl Heather indefinitely effective Gelford Holland 1/10/2010 8230 Rivera Ct. Springboro, OH</p><p>Huss, Anne Elizabeth 567120 Suspended P.O. Box 477 indefinitely effective Westwood, CA 2/11/2010</p><p>Jamison, Susan 227576 Suspended Vermeulen indefinitely effective aka: Susan Louise 1/7/2010 Jamison aka: Susan Louise Vermeulen 1804 Henry Ct. Ripon, CA</p><p>Jasinski, Leonard Frank 549990-CA Suspended 14834 N. 63rd Ave. RN083373 indefinitely effective Glendale, AZ LP027106-AZ 2/5/2010</p><p>Johnston, John Aaron 670931 Suspended 605 Calderwood Ct. indefinitely effective Pensacola, FL 2/6/2010 Registered Nurse (susp R)…(continued)</p><p>Kistler, Kevin William 589345 Suspended 631 Orange Grove Ave. indefinitely effective Apt. Q 2/16/2010 Burbank, CA</p><p>La Rue, James R. 534533 Suspended aka: James Ramos indefinitely effective La Rue 1/8/2010 aka: James Vanbuskirk La Rue aka: James Ramos Vanbuskirk 4588 Park Blvd. #4 San Diego, CA</p><p>Lewis, Jacinta Ulandra 708809 Suspended aka: Jacinta Lewis Brown indefinitely effective 6638 Creek Turn Dr. 1/16/2010 Rey, GA</p><p>Locklair, Susan J. 494227 Suspended 25012 Butterwood Dr. indefinitely effective Menifee, CA 1/11/2010</p><p>Lopez, David John 613337 Suspended 1614 Larch Pl. indefinitely effective La Verne, CA 4/1/2010</p><p>Lynch, Heather Viola 645733 Suspended 13751 Christian Barrett Dr. indefinitely effective Moorpark, CA 2/6/2010</p><p>Magsaysay, Charisse 574903 Suspended Christie indefinitely effective 4222 Gardenia Ave. 1/10/2010 Long Beach, CA</p><p>Mahan, Lenette Marie 480433 Suspended 4900 Secluded Oaks Ln. indefinitely effective Carmichael, CA 1/2/2010</p><p>Mariani, Barbara Ann 511096 Suspended 144 W. Canada indefinitely effective Unit B 1/7/2010 San Clemente, CA</p><p>McDonald, Kevin Joseph 483056 Suspended P.O. Box 4432 indefinitely effective Bremerton, WA 4/12/2010</p><p>Mcilrath, Julia Denise 676264 Suspended 2844 E. Main St. indefinitely effective Ste. #106 1/11/2010 PMB 101 Farmington, NM</p><p>Merrill, Patricia Lynne 502478 Suspended aka: Patricia Lynne indefinitely effective Johnson 12/30/2009 31724 Loma Linda Rd. Temecula, CA</p><p>Miles, Anita Elizabeth 599012 Suspended 24 Hillgate Pl. indefinitely effective Aliso Viejo, CA 1/16/2010</p><p>Miranda, David Frank 600687 Suspended 247 Twickenham Ave. indefinitely effective Los Angeles, CA 1/2/2010 Registered Nurse (susp R)…(continued)</p><p>Muller, Shannon K. 299746 Suspended Mahan Black indefinitely effective aka: Shannon Black 3/24/2010 Muller aka: Shannon Kay Mahan aka: Shannon Kay Black 83 Depot Rd. Santa Barbara, CA</p><p>Obanni, Kristin Helen 527322 Suspended 2821 W. 85th St. indefinitely effective Bloomington MN 2/6/2010</p><p>Paradise, Donald Scott 697019 Suspended 4982 Brookfield Rd. indefinitely effective Lee Center, NY 2/16/2010</p><p>Reddy, Shelley Renea 691489 Suspended P.O. Box 5748 indefinitely effective Monterey, CA 3/22/2010</p><p>Slinkard, Martha Ann 291440 Suspended aka: Martha Ann Adams indefinitely effective Slinkard 2/6/2010 aka: Martha Slinkard 2050 Buena Vista Ave. Unit D Alameda, CA</p><p>Spencer, Debra Marie 607199 Suspended aka: Debra Spencer indefinitely effective 240 Spruce St. 3/26/2010 Apt. #2 Arroyo Grande, CA</p><p>Strong, Marilyn Rose 305969 Suspended aka: Marilyn R. Fasanella indefinitely effective aka: Marilyn R. Russell 2/16/2010 1640 Holguin St. Lancaster, CA</p><p>Thomas, Belinda 93534 Suspended 43861 Elm Ave. indefinitely effective Lancaster, CA 3/22/2010</p><p>Traversa, Katarina 572054 Suspended Michelle indefinitely effective 446 Howie Ct. 12/30/2010 Santa Paula, CA</p><p>Van Arsdale, Judy 390017 Suspended Catherine indefinitely effective aka: Judy Peng 1/29/2010 aka:Judy C. Vanarsdale aka: Judy Catherine Vanardele aka: Judy Catherine Van Ardele aka: Judy Catherin Van Arsdale P.O. Box 501 Loma Linda CA</p><p>Vixon, Chris Emmanuel 646614 Suspended 4598 Imperial St. indefinitely effective Antioch, CA 3/26/2010</p><p>White, Judy Yvonne 418904 Suspended aka: Judy Yvonne Gross indefinitely effective 2058 Pasado Ave. 2/6/2010 Manteca, CA</p><p>Young, Gary Dale 583308 Suspended 801 White Point Rd. indefinitely effective Niceville, FL 2/8/2010 Certified Nurse Assistant (susp R)</p><p>Gonzales, John Joseph 006527 Suspended 15000 Colima Rd. indefinitely effective #22 7/20/2010 Whittier, CA</p><p>Jones, Tatiana 652996 Suspended 13600 Doty Ave. indefinitely effective #30 12/22/2009 Torrance, CA</p><p>Landis, Dania 288190 Suspended 722 Fourth St. indefinitely effective Yreka, CA 3/2/2010</p><p>Licensed Vocational Nurse (susp R)</p><p>Giles, Jill Marisa 222034 Suspended 21207 S. Avalon Blvd. indefinitely effective Apt. #222 1/15/2009 Carson, CA</p><p>Public Health Nurse (susp R)</p><p>La Rue James R. 57915 Suspended aka: James Ramos indefinitely effective La Rue 1/8/2010 aka: James Vanbuskirk La Rue aka: James Ramos Vanbuskirk 4588 Park Blvd. #4 San Diego, CA</p><p>Van Arsdale, Judy 51000 Suspended Catherine indefinitely effective aka: Judy Peng 1/29/2010 aka: Judy C. Vanarsdale aka: Judy Catherine Vanardele aka: Judy Catherine Van Ardele aka: Judy Catherin Van Arsdale P.O. Box 501 Loma Linda, CA</p><p>Vixon, Chris Emmanuel 75190 Suspended 4598 Imperial St. indefinitely effective Antioch, CA 3/26/2010</p><p>Respiratory Care Practitioner (susp S)</p><p>Bieth, Albert Dale 755 Suspended 13064 Borden Rd. indefinitely effective Herald, CA 4/20/2010</p><p>Boyle, Allen G. 22903 Suspended 4312 Baxter Pl. indefinitely effective Las Vegas, NV 1/2/2010</p><p>Chambers, Mary Margaret 15196 Suspended 247 La Mesa Dr. indefinitely effective Salinas, CA 12/31/2009</p><p>Gomez, Rebecca 24706 Suspended Adrianne indefinitely effective P.O. Box 4150 4/21/2010 Arcata, CA</p><p>Hurt, Paul David 5034 Suspended 873 Kincaid St. indefinitely effective Inglewood, CA 4/14/2010 Respiratory Care Practitioner (susp S) …(continued)</p><p>Porche, Wanda Marie 7502 Suspended 1721 E. Colton Ave. indefinitely effective #46 12/31/2009 Redlands, CA</p><p>Tavlian, Mark G. 4332 Suspended 25 Acapulco Ct. indefinitely effective Novato, CA 12/31/2009</p><p>Employee (susp T)</p><p>Dabao, Corazon Gina Suspended Genona indefinitely effective 13148 Herrick Ave. 7/6/2010 Sylmar, CA</p><p>Guillen, Rosemarie S. Suspended 14455 Red Hill Ave. indefinitely effective Apt. D 7/6/2010 Tustin, CA</p><p>Hearn, Belinda G. Suspended 1147 Country Rd. indefinitely effective #54 4/20/2010 Myrtle, MS</p><p>Hoseley, Sharon Kay Suspended 596 S. Gamay Ln. indefinitely effective Boise, ID 4/20/2010</p><p>Kendrick, Erika Eva Suspended Renee indefinitely effective aka: Erika Eva Renee 7/13/2010 Frazier 3461 Harmony Ln. Sacramento, CA</p><p>Mojica, Yolanda Flores Suspended 5032 Flamingo Cir. indefinitely effective Huntington Beach, CA 7/6/2010</p><p>Business Owner (susp T)</p><p>Tokadjian, Stephan DME02200F Suspended aka: Stepan Tokadjian indefinitely effective Mid-Valley Medical Supply 8/16/2000 5520 Harold Way Los Angeles, CA and 13160 Sherman Way North Hollywood, CA</p><p>Owner/Operator (susp T)</p><p>Apikyan, Husik Suspended 419 Griswold St. indefinitely effective Apt. #6 4/20/2010 Glendale, CA</p><p>In-Home Support Services Provider (susp U)</p><p>Allen, Raymond Lee Suspended 9545 Palm Ln. indefinitely effective Fontana, CA 4/20/2010</p><p>Craig, Karen M. Suspended 9808 Dartmoor Way indefinitely effective Elk Grove, CA 4/20/2010 REINSTATEMENTS:</p><p>Physician (susp A)</p><p>Witana, Sarath, M.D. A50338 5/23/2010 (removed from pg. 93) 126 Avocado Ave. 00A503380 Ste. #106 00A503381 Perris, CA 1801960646 and 24060 Fir Ave. Ste. A Moreno Valley, CA and 1733 Vista View Terrace Riverside, CA</p><p>CORRECTIONS:</p><p>(Corrections to existing list are bolded)</p><p>Physician (susp A)</p><p>Lyons, Lawrence 8848 Suspended (corrected on pg. 54) aka: Lyons, Lawrence PSY088480 indefinitely effective aka: Lyons, Lawrence PSY088481 5/22/2006 Gerald PSY088482 Psychological Solutions, PSY088483 Inc. PE0088480 18663 Ventura Blvd. Ste #232 Tarzana, CA and 435 Arden Ave. Ste #440 Glendale, CA and 2016 Bulrush Ln. Cardiff, CA and 9035 Campo Rd. San Diego, CA and 633 Warner Ave. Los Angeles, CA</p><p>Psychologist (susp C)</p><p>Lyons, Lawrence 8848 Suspended (corrected on pg. 6) aka: Lyons, Lawrence PSY088480 indefinitely effective aka: Lyons, Lawrence PSY088481 5/22/2006 Gerald PSY088482 Psychological Solutions, PSY088483 Inc. PE0088480 18663 Ventura Blvd. Ste #232 Tarzana, CA and 435 Arden Ave. Ste #440 Glendale, CA and 2016 Bulrush Ln. Cardiff, CA and 9035 Campo Rd. San Diego, CA and 633 Warner Ave. Los Angeles, CA</p>