h0148 20 141 pno sd dec sp accepted date 11 22/2020 2020 · san diego county medical groups...
TRANSCRIPT
H0148_20_141_PNO_SD_DEC_SP_Accepted Date 11/22/2020
2020 Anexo al
Directorio de proveedores y farmacias Blue Shield Promise Cal MediConnect Plan
(Medicare-Medicaid Plan)
Condado: San Diego
Consulte su Directorio de proveedores y farmacias del 2020 para obtener informaci�n
importante del plan y una lista de proveedores y farmacias adicionales de Blue
Shield Promise Cal MediConnect Plan. Este anexo es una lista de actualizaciones de
informaci�n de proveedores correspondientes al mes de diciembre. El
directorio impreso de proveedores y el anexo conforman la informaci�n de proveedores
m�s actualizada. Tambin puede ingresar en www.blueshieldca.com/promise/
calmediconnect o llamar al Departamento de Servicios para los Miembros de Blue Shield
Promise Cal MediConnect ��！＂＃＄％＆＇＄（＄�）＊＆！＆＋，＄＊－．，％��／＆！（－！，�／－０！１�％�＆２（＄！＄％－！＊＆％＃�／－０！３＆２％＄ proveedores y farmacias.
Departamento de Servicios para los Miembros de Blue Shield Promise Cal MediConnect:
1-855-905-3825 (TTY: 711) de 8:00 a. m. a 8:00 p. m., los siete d！as de la semana.
Este anexo est� vigente a diciembre 2020.
ndice de contenidos
Lista de proveedores de la red de servicios..................................................................1
COMMUNITY CARE IPA LLC
FAMILY HEALTH CENTERS OF SAN DIEGO
GREATER TRI CITIES IPA MEDICAL GROUP INC
HEALTH EXCEL IPA INC
PRIMARY CARE ASSOCIATES MEDICAL GROUP
PRIMARY CARE ASSOCIATES OF CALIFORNIA OF SAN DIEGO
SHARP COMM MEDICAL GROUP DUAL PLUS-CHULA VISTA
SHARP COMM MEDICAL GROUP DUAL PLUS-CORONADO
SHARP COMM MEDICAL GROUP DUAL PLUS-GRAYBILL
SHARP COMM MEDICAL GROUP DUAL PLUS-GROSSMONT
SHARP COMM MEDICAL GROUP DUAL PLUS-INLAND NORTH
SHARP COMM MEDICAL GROUP DUAL PLUS-METRO
UCSD MEDICAL GROUP
M�dicos de atenci�n primaria .......................................................................................1
Especialistas.......................................................................................................................2
M�dicos de atenci�n primaria .......................................................................................10
Especialistas.......................................................................................................................11
M�dicos de atenci�n primaria .......................................................................................12
Especialistas.......................................................................................................................13
M�dicos de atenci�n primaria .......................................................................................28
M�dicos de atenci�n primaria .......................................................................................29
M�dicos de atenci�n primaria .......................................................................................30
Especialistas.......................................................................................................................30
Especialistas.......................................................................................................................33
Especialistas.......................................................................................................................36
Especialistas.......................................................................................................................38
Especialistas.......................................................................................................................41
M�dicos de atenci�n primaria .......................................................................................43
Especialistas.......................................................................................................................43
Especialistas.......................................................................................................................46
Acupuntura .......................................................................................................................66
Proveedores de salud mental .........................................................................................93
Proveedores de visi�n ......................................................................................................95
Instalaciones de salud mental ........................................................................................130
Farmacia minorista y de cadena ...................................................................................133
Farmacias de infusi�n en el hogar .................................................................................148
Si tiene alguna pregunta, llame a Blue Shield Promise Cal MediConnect Plan al 1-855-905-3825
(TTY: 711), 8:00 a.m. to 8:00 p.m. los siete das de la semana. La llamada es gratuita. Para
obtener m�s informaci�n, visite www.blueshieldca.com/promise/calmediconnect
I
Farmacias de atenci�n a largo plazo ...........................................................................149
！ndice de Proveedores .....................................................................................................151
！ndice de Farmacias .........................................................................................................154
Si tiene alguna pregunta, llame a Blue Shield Promise Cal MediConnect Plan al 1-855-905-3825
(TTY: 711), 8:00 a.m. to 8:00 p.m. los siete das de la semana. La llamada es gratuita. Para
obtener m�s informaci�n, visite www.blueshieldca.com/promise/calmediconnect
II
SAN DIEGO COUNTY MEDICAL GROUPS COMMUNITY CARE IPA LLC
SAN DIEGO
92115
PRIMARY CARE PHYSICIANS
Family Practice
SAN DIEGO
92115
Internal Medicine
CHULA VISTA
91910
Le, Tram MD
5507 El Cajon Blvd # L
San Diego, CA 92115
(619) 286-2789
Provider ID: 129203
License: A105829
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Spanish,
Vietnamese
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Cava, Noli MD
Contract terminated as of
11/30/2020
374 H St Ste 202
Chula Vista, CA 91910
(619) 426-4526
Provider ID: 129160
License: G84802
Credentials and/or board
certification: No
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Spanish,
Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Vo, Sony MD
4551 El Cajon Blvd
San Diego, CA 92115
(612) 280-7185
Provider ID: 128372
License: A49788
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Bulgarian,
Chinese, Mandarin, Spanish,
Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SPECIALISTS
Members may not self-refer to
any of the specialists listed
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 1change
SAN DIEGO COUNTY MEDICAL GROUPS COMMUNITY CARE IPA LLC
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
Certified Nurse Practitioner
CARLSBAD
92011
Binavi, Hownaz NP
6010 Hidden Valley Rd Ste 120
Carlsbad, CA 92011
(760) 884-5990
Provider ID: 265369
License: NP95010956
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Kurdish,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
OCEANSIDE
92054
Chamberlin, Kaliana NP
517 N Horne St
Oceanside, CA 92054
(760) 631-5000
Provider ID: 273018
License: NP95013030
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 05-NOV-20
SAN DIEGO
92102
Watson, Christine NP
995 Gateway Center Way Ste
202
San Diego, CA 92102
(619) 264-3107
Provider ID: 270000
License: NP95006319
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Dermatology
CARLSBAD
92011
Brouha, Brook MD
6010 Hidden Valley Rd Ste 120
Carlsbad, CA 92011
(760) 884-5990
Provider ID: 267945
License: A97902
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 2change
SAN DIEGO COUNTY MEDICAL GROUPS COMMUNITY CARE IPA LLC
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: HIV/AIDS
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ENCINITAS
92024
Brouha, Brook MD
477 N El Camino Real Ste D308
Encinitas, CA 92024
(760) 436-2300
Provider ID: 267946
License: A97902
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: HIV/AIDS
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SAN DIEGO
92103
Brouha, Brook MD
4060 4th Ave Ste 415
San Diego, CA 92103
(619) 298-9809
Provider ID: 267944
License: A97902
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: HIV/AIDS
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Nephrology
CHULA VISTA
91910
Bedoya, Luis MD
340 4th Ave Ste 4
Chula Vista, CA 91910
(619) 427-1144
Provider ID: 39369
License: A51105
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Spanish
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 3change
SAN DIEGO COUNTY MEDICAL GROUPS COMMUNITY CARE IPA LLC
demographic, phone and/or (858) 558-8150 PTA: No
panel status.
Meyer, Jill MD
340 4th Ave Ste 4
Chula Vista, CA 91910
(619) 427-1144
Provider ID: 268563
License: A95882
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ENCINITAS
92024
Boiskin, Mark MD
320 Santa Fe Dr Ste 212
Encinitas, CA 92024
Provider ID: 273106
License: A52055
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Afrikaans,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Torosian, Karo DO
320 Santa Fe Dr Ste 212
Encinitas, CA 92024
(858) 558-8150
Provider ID: 272858
License: 20A12445
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Portuguese, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 03-NOV-20
Torosian, Karo DO
320 Santa Fe Dr Ste 212
Encinitas, CA 92024
(858) 558-8150
Provider ID: 272858
License: 20A12445
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Armenian,
Portuguese, Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 4change
SAN DIEGO COUNTY MEDICAL GROUPS COMMUNITY CARE IPA LLC
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Neurology
CARLSBAD
92011
Delaney, Michael MD
6010 Hidden Valley Rd Ste 200
Carlsbad, CA 92011
(760) 631-6000
Provider ID: 269103
License: C146015
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ESCONDIDO
92029
Delaney, Michael MD
1955 Citracado Pkwy Ste 102
Escondido, CA 92029
(760) 631-3000
Provider ID: 269104
License: C146015
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POWAY
92064
Delaney, Michael MD
15611 Pomerado Rd Ste 505
Poway, CA 92064
(760) 631-3000
Provider ID: 272331
License: C146015
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ophthalmology
ALPINE
91901
Patel, Gitane MD
1620 Alpine Blvd Ste 117
Alpine, CA 91901
(800) 898-2020
Provider ID: 268739
License: A108603
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 5change
SAN DIEGO COUNTY MEDICAL GROUPS COMMUNITY CARE IPA LLC
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Gujarati,
Hindi, Spanish, Tagalog,
Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
EL CAJON
92020
Miller, Douglas MD
450 Fletcher Pkwy Ste 112
El Cajon, CA 92020
(800) 898-2020
Provider ID: 68144
License: G52627
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Patel, Gitane MD
450 Fletcher Pkwy Ste 112
El Cajon, CA 92020
(800) 898-2020
Provider ID: 268740
License: A108603
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Gujarati,
Hindi, Spanish, Tagalog,
Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Patel, Sarjan MD
450 Fletcher Pkwy Ste 112
El Cajon, CA 92020
(800) 898-2020
Provider ID: 268799
License: A114976
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Gujarati,
Hindi, Spanish, Tagalog,
Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 6change
SAN DIEGO COUNTY MEDICAL GROUPS COMMUNITY CARE IPA LLC
demographic, phone and/or
panel status.
Prabhu, Sujata MD
450 Fletcher Pkwy Ste 112
El Cajon, CA 92020
(800) 898-2020
Provider ID: 268917
License: A115965
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish,
Tagalog, Telugu
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ESCONDIDO
92025
Morrison-reyes, Joshua MD
830 W Valley Pkwy Ste 300
Escondido, CA 92025
(800) 898-2020
Provider ID: 269179
License: A125435
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Armenian,
Cantonese, Indonesian,
Mandarin, Tagalog,
Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
NATIONAL CITY
91950
Montgomery, Gordon MD
655 Euclid Ave Ste 302
National City, CA 91950
(800) 898-2020
Provider ID: 268980
License: G31591
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Farsi,
Korean, Spanish, Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Patel, Sarjan MD
2240 E Plaza Blvd Ste F And G
National City, CA 91950
(800) 898-2020
Provider ID: 268800
License: A114976
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 7change
SAN DIEGO COUNTY MEDICAL GROUPS COMMUNITY CARE IPA LLC
Other Language: Gujarati,
Hindi, Spanish, Tagalog,
Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SAN DIEGO
92115
Katzman, Barry MD
6945 El Cajon Blvd
San Diego, CA 92115
(800) 898-2020
Provider ID: 247366
License: A34834
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Spanish,
Tagalog, Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Prabhu, Sujata MD
6945 El Cajon Blvd
San Diego, CA 92115
(800) 898-2020
Provider ID: 268916
License: A115965
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish,
Tagalog, Telugu
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Optometrist
VISTA
92083
Gee, Jennifer OD
134 Grapevine Rd
Vista, CA 92083
(760) 631-5000
Provider ID: 273114
License: OPT14671
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 8change
SAN DIEGO COUNTY MEDICAL GROUPS COMMUNITY CARE IPA LLC
92084
Gee, Jennifer OD
1000 Vale Terrace Dr
Vista, CA 92084
(760) 631-5000
Provider ID: 273113
License: OPT14671
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Radiology Diagnostic
CHULA VISTA
91910
Tiefenbrun, Jonathan MD
340 4th Ave Ste 4
Chula Vista, CA 91910
(619) 427-1144
Provider ID: 66135
License: G85951
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: French,
Spanish
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery General
SAN DIEGO
92123
Mueller, George MD
7910 Frost St Ste 250
San Diego, CA 92123
(858) 565-0104
Provider ID: 54298
License: A41127
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish,
Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 9change
SAN DIEGO COUNTY MEDICAL GROUPS FAMILY HEALTH CENTERS OF SAN DIEGO
PRIMARY CARE PHYSICIANS
Family Practice
NATIONAL CITY
91950
Lanuza, Mark DO
1000 Euclid Ave
National City, CA 91950
(619) 515-2399
Provider ID: 273008
License: 20A18460
Credentials and/or board
certification: No
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 10change
SAN DIEGO COUNTY MEDICAL GROUPS GREATER TRI CITIES IPA MEDICAL GROUP INC
SPECIALISTS demographic, phone and/or
panel status. Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
Dermatology
OCEANSIDE
92056
Angra, Kunal MD
3629 Vista Way
Oceanside, CA 92056
(760) 757-7546
License: A161745
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 11change
SAN DIEGO COUNTY MEDICAL GROUPS HEALTH EXCEL IPA INC
PRIMARY CARE PHYSICIANS
Family Practice
SAN DIEGO
92115
Le, Tram MD
5507 El Cajon Blvd # L
San Diego, CA 92115
(619) 286-2789
Provider ID: 126910
License: A105829
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Spanish,
Vietnamese
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
General Practice
CARLSBAD
92009
Alexander, Sandra MD
1905 Calle Barcelona Ste 211
Carlsbad, CA 92009
(858) 554-1212
Provider ID: 272563
License: C169320
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Internal Medicine
LA JOLLA
92037
Wright, C Michael MD
9850 Genesee Ave Ste 320
La Jolla, CA 92037
(858) 554-1212
Provider ID: 269505
License: G58919
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: French
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 12change
SAN DIEGO COUNTY MEDICAL GROUPS HEALTH EXCEL IPA INC
Anesthesiology Pain
Management
CARLSBAD
92011
Truong, Ngoc DO
6010 Hidden Valley Rd Ste 110
Carlsbad, CA 92011
(760) 607-5350
Provider ID: 273552
License: 20A13556
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
CHULA VISTA
91910
Truong, Ngoc DO
340 Fourth Ave Ste 19
Chula Vista, CA 91910
(619) 761-5308
Provider ID: 273553
License: 20A13556
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Anesthesiology
SAN DIEGO
92108
Kinnaird, Sherry MD
Contract terminated as of
1/31/2021
7525 Metropolitan Dr Ste 302
San Diego, CA 92108
(619) 325-1161
Provider ID: 254631
License: A147036
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Chinese,
Mandarin
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Cardiac Electrophysiology
LA JOLLA
92037
Hamzei, Ali MD
9850 Genesee Ave Ste 780
La Jolla, CA 92037
(858) 824-2900
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 13change
SAN DIEGO COUNTY MEDICAL GROUPS HEALTH EXCEL IPA INC
Provider ID: 272340
License: A62682
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Hamzei, Ali MD
9850 Genesee Ave Ste 780
La Jolla, CA 92037
(858) 824-2900
Provider ID: 272340
License: A62682
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 23-OCT-20
Cardiovascular Disease
Avalos, Roy MD
9850 Genesee Ave Ste 780
La Jolla, CA 92037
(858) 824-2900
Provider ID: 272508
License: A68893
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Avalos, Roy MD
9850 Genesee Ave Ste 780
La Jolla, CA 92037
(858) 824-2900
Provider ID: 272508
License: A68893
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 28-OCT-20
Certified Nurse Practitioner
CARLSBAD
92011
Batac, Nadine NP
6010 Hidden Valley Rd Ste 110
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 14change
SAN DIEGO COUNTY MEDICAL GROUPS HEALTH EXCEL IPA INC
Carlsbad, CA 92011
(858) 432-7880
Provider ID: 254563
License: NP21763
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Binavi, Hownaz NP
6010 Hidden Valley Rd Ste 120
Carlsbad, CA 92011
(760) 884-5990
Provider ID: 272946
License: NP95010956
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Kurdish,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ENCINITAS
92024
Huynh, Melvyn NP
662 Encinitas Blvd Ste 220
Encinitas, CA 92024
(833) 446-6363
Provider ID: 271794
License: NP95002765
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 10-OCT-20
Myers, Jesse NP
477 N El Camino Real Ste A308
Encinitas, CA 92024
(760) 436-8881
Provider ID: 271841
License: NP18224
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Nyagaya, Linda NP
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 15change
SAN DIEGO COUNTY MEDICAL GROUPS HEALTH EXCEL IPA INC
662 Encinitas Blvd Ste 220
Encinitas, CA 92024
(833) 446-6363
Provider ID: 271805
License: NP95009642
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 10-OCT-20
SAN DIEGO
92102
Watson, Christine NP
995 Gateway Center Way Ste
202
San Diego, CA 92102
(619) 264-3107
Provider ID: 212672
License: NP95006319
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
92103
Medilo, Lovella NP
4033 3rd Ave Ste 430
San Diego, CA 92103
(619) 578-3740
Provider ID: 273463
License: NP95010904
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
92108
Batac, Nadine NP
7525 Metropolitan Dr Ste 302
San Diego, CA 92108
(619) 761-5308
Provider ID: 254564
License: NP21763
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 16change
SAN DIEGO COUNTY MEDICAL GROUPS HEALTH EXCEL IPA INC
panel status. 6010 Hidden Valley Rd Ste 120 certification: No
Dermatology
CARLSBAD
92011
Brouha, Brook MD
6010 Hidden Valley Rd Ste 120
Carlsbad, CA 92011
(760) 884-5990
Provider ID: 272987
License: A97902
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: HIV/AIDS
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Riley, Jessica DO
Carlsbad, CA 92011
(760) 884-5990
Provider ID: 265582
License: 20A16345
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ENCINITAS
92024
Brouha, Brook MD
477 N El Camino Real Ste D308
Encinitas, CA 92024
(760) 436-2300
Provider ID: 272988
License: A97902
Credentials and/or board
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: HIV/AIDS
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SAN DIEGO
92103
Brouha, Brook MD
4060 4th Ave Ste 415
San Diego, CA 92103
(619) 298-9809
Provider ID: 216780
License: A97902
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 17change
SAN DIEGO COUNTY MEDICAL GROUPS HEALTH EXCEL IPA INC
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
Special Expertise: HIV/AIDS
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Infectious Disease
LA JOLLA
92037
Miller, Howard MD
9834 Genesee Ave Ste 310
La Jolla, CA 92037
(858) 457-8600
Provider ID: 273257
License: C38875
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Miller, Howard MD
9834 Genesee Ave Ste 310
La Jolla, CA 92037
(858) 457-8600
Provider ID: 273257
License: C38875
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 11-NOV-20
Internal Medicine Critical
Care Medicine
ENCINITAS
92024
Smilde, Renee MD
662 Encinitas Blvd Ste 220
Encinitas, CA 92024
(833) 446-6363
Provider ID: 271804
License: A70175
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Dutch
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 10-OCT-20
Internal Medicine
LA JOLLA
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 18change
SAN DIEGO COUNTY MEDICAL GROUPS HEALTH EXCEL IPA INC
92037
Charlat, Martin MD
9850 Genesee Ave Ste 780
La Jolla, CA 92037
(858) 824-2900
Provider ID: 272332
License: G64921
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: French
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 23-OCT-20
Charlat, Martin MD
9850 Genesee Ave Ste 780
La Jolla, CA 92037
(858) 824-2900
Provider ID: 272332
License: G64921
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: French
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Hong, Eric MD
9850 Genesee Ave Ste 780
La Jolla, CA 92037
(858) 824-2900
Provider ID: 272353
License: A101767
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 23-OCT-20
Maternal and Fetal Medicine
SAN DIEGO
92130
Ahn, Jennifer MD
12264 El Camino Real Ste 204
San Diego, CA 92130
(858) 794-7700
Provider ID: 273140
License: C160026
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 19change
SAN DIEGO COUNTY MEDICAL GROUPS HEALTH EXCEL IPA INC
Nephrology
CHULA VISTA
91910
Bedoya, Luis MD
340 4th Ave Ste 4
Chula Vista, CA 91910
(619) 427-1144
Provider ID: 210600
License: A51105
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Spanish
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Meyer, Jill MD
340 4th Ave Ste 4
Chula Vista, CA 91910
(619) 427-1144
Provider ID: 212814
License: A95882
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Neurology
CARLSBAD
92011
Delaney, Michael MD
6010 Hidden Valley Rd Ste 200
Carlsbad, CA 92011
(760) 631-6000
Provider ID: 252864
License: C146015
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ESCONDIDO
92029
Delaney, Michael MD
1955 Citracado Pkwy Ste 102
Escondido, CA 92029
(760) 631-3000
Provider ID: 252865
License: C146015
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 20change
SAN DIEGO COUNTY MEDICAL GROUPS HEALTH EXCEL IPA INC
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POWAY
92064
Delaney, Michael MD
15611 Pomerado Rd Ste 505
Poway, CA 92064
(760) 631-3000
Provider ID: 252866
License: C146015
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ophthalmology
ALPINE
91901
Patel, Gitane MD
1620 Alpine Blvd Ste 117
Alpine, CA 91901
(800) 898-2020
Provider ID: 244861
License: A108603
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Gujarati,
Hindi, Spanish, Tagalog,
Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
CHULA VISTA
91911
Montgomery, Gordon MD
835 3rd Ave Ste A
Chula Vista, CA 91911
(619) 425-7755
Provider ID: 272246
License: G31591
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi,
Korean, Spanish, Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 21-OCT-20
Montgomery, Gordon MD
835 3rd Ave Ste A
Chula Vista, CA 91911
(619) 425-7755
Provider ID: 272246
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 21change
SAN DIEGO COUNTY MEDICAL GROUPS HEALTH EXCEL IPA INC
License: G31591
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi,
Korean, Spanish, Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
EL CAJON
92020
Miller, Douglas MD
450 Fletcher Pkwy Ste 112
El Cajon, CA 92020
(800) 898-2020
Provider ID: 244937
License: G52627
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Patel, Gitane MD
450 Fletcher Pkwy Ste 112
El Cajon, CA 92020
(800) 898-2020
Provider ID: 244862
License: A108603
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Gujarati,
Hindi, Spanish, Tagalog,
Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Patel, Sarjan MD
450 Fletcher Pkwy Ste 112
El Cajon, CA 92020
(800) 898-2020
Provider ID: 244916
License: A114976
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Gujarati,
Hindi, Spanish, Tagalog,
Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 22change
SAN DIEGO COUNTY MEDICAL GROUPS HEALTH EXCEL IPA INC
demographic, phone and/or
panel status.
Prabhu, Sujata MD
450 Fletcher Pkwy Ste 112
El Cajon, CA 92020
(800) 898-2020
Provider ID: 244911
License: A115965
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish,
Tagalog, Telugu
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LA MESA
91942
Montgomery, Gordon MD
8851 Center Dr Ste 406
La Mesa, CA 91942
(619) 425-7755
Provider ID: 272247
License: G31591
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi,
Korean, Spanish, Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Montgomery, Gordon MD
8851 Center Dr Ste 406
La Mesa, CA 91942
(619) 425-7755
Provider ID: 272247
License: G31591
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Farsi,
Korean, Spanish, Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 21-OCT-20
NATIONAL CITY
91950
Patel, Sarjan MD
2240 E Plaza Blvd Ste F And G
National City, CA 91950
(800) 898-2020
Provider ID: 244917
License: A114976
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Gujarati,
Hindi, Spanish, Tagalog,
Vietnamese
Cultural Competency: NR
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 23change
SAN DIEGO COUNTY MEDICAL GROUPS HEALTH EXCEL IPA INC
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SAN DIEGO
92103
El Khatib, Nora MD
4060 4th Ave Ste 640
San Diego, CA 92103
(619) 642-2240
Provider ID: 272327
License: A140794
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Arabic,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 22-OCT-20
92115
Katzman, Barry MD
6945 El Cajon Blvd
San Diego, CA 92115
(800) 898-2020
Provider ID: 244922
License: A34834
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Spanish,
Tagalog, Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Prabhu, Sujata MD
6945 El Cajon Blvd
San Diego, CA 92115
(800) 898-2020
Provider ID: 244910
License: A115965
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish,
Tagalog, Telugu
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Optometrist
ESCONDIDO
92025
Willey, Melissa OD
830 W Valley Pkwy Ste 300
Escondido, CA 92025
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 24change
SAN DIEGO COUNTY MEDICAL GROUPS HEALTH EXCEL IPA INC
(800) 898-2020 Accessibility: B; Members present.
Provider ID: 272610
License: OPT14415
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 28-OCT-20
LA JOLLA
92037
Moshtaghi, Mehri OD
9850 Genesee Ave Ste 310
La Jolla, CA 92037
(800) 898-2020
Provider ID: 272496
License: OPT13972
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SAN DIEGO
92111
Tonnu, Anh OD
4344 Convoy St Ste C2
San Diego, CA 92111
(800) 898-2020
Provider ID: 272621
License: OPT11318
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
UPDATE: NEW Provider Added.
Effective_Date: 28-OCT-20
92115
Tonnu, Anh OD
6945 El Cajon Blvd
San Diego, CA 92115
(800) 898-2020
Provider ID: 272620
License: OPT11318
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 28-OCT-20
Pediatrics
SAN YSIDRO
92173
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 25change
SAN DIEGO COUNTY MEDICAL GROUPS HEALTH EXCEL IPA INC
Ogbonnaya-whittlesey,
Sandra MD
4004 Beyer Blvd
San Ysidro, CA 92173
(619) 205-6341
Provider ID: 273351
License: A122336
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 12-NOV-20
Physical Medicine /
Rehabilitation
CARLSBAD
92011
Lutfy, Patricia MD
6010 Hidden Valley Rd Ste 110
Carlsbad, CA 92011
(858) 432-7880
Provider ID: 254630
License: A133725
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
CHULA VISTA
91910
Lutfy, Patricia MD
340 Fourth Ave Ste 19
Chula Vista, CA 91910
(858) 432-7880
Provider ID: 254629
License: A133725
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Registered Physical Therapist
CARLSBAD
92011
Farrar, Courtney PT
6010 Hidden Valley Rd Ste 110
Carlsbad, CA 92011
(760) 607-5350
Provider ID: 255874
License: PT292062
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 26change
SAN DIEGO COUNTY MEDICAL GROUPS HEALTH EXCEL IPA INC
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 27change
SAN DIEGO COUNTY MEDICAL GROUPS PRIMARY CARE ASSOCIATES MEDICAL GROUP
PRIMARY CARE PHYSICIANS
Internal Medicine
VISTA
92081
Brar, Karanbir MD
1926 Via Ctr Ste A
Vista, CA 92081
(760) 940-7000
Provider ID: 272283
License: A124869
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 28change
SAN DIEGO COUNTY MEDICAL GROUPS PRIMARY CARE ASSOCIATES OF CALIFORNIA OF SAN DIEGO
PRIMARY CARE PHYSICIANS
Internal Medicine
CHULA VISTA
91910
Cava, Noli MD
374 H St Ste 202
Chula Vista, CA 91910
(619) 426-4526
Provider ID: 208307
License: G84802
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Spanish,
Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 29change
SAN DIEGO COUNTY MEDICAL GROUPS SHARP COMM MEDICAL GROUP DUAL PLUS-CHULA VISTA
PRIMARY CARE PHYSICIANS
Internal Medicine
CHULA VISTA
91910
Cava, Noli MD
374 H St Ste 202
Chula Vista, CA 91910
(619) 426-4526
Provider ID: 53482
License: G84802
Credentials and/or board
certification: No
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Spanish,
Tagalog
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
Maternal and Fetal Medicine
SAN DIEGO
92130
Ahn, Jennifer MD
12264 El Camino Real Ste 204
San Diego, CA 92130
(858) 794-7700
Provider ID: 273141
License: C160026
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Nephrology
CHULA VISTA
91910
Meyer, Jill MD
340 4th Ave Ste 4
Chula Vista, CA 91910
(619) 427-1144
Provider ID: 55805
License: A95882
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 30change
SAN DIEGO COUNTY MEDICAL GROUPS SHARP COMM MEDICAL GROUP DUAL PLUS-CHULA VISTA
ENCINITAS
92024
Boiskin, Mark MD
320 Santa Fe Dr Ste 212
Encinitas, CA 92024
(858) 558-8150
Provider ID: 110874
License: A52055
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Afrikaans,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Physical Medicine /
Rehabilitation
CHULA VISTA
91910
Lutfy, Patricia MD
340 Fourth Ave Ste 19
Chula Vista, CA 91910
(858) 432-7880
Provider ID: 270821
License: A133725
Credentials and/or board
certification: Yes
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Neurological
SAN DIEGO
92123
Udani, Vikram MD
5395 Ruffin Rd Ste 102
San Diego, CA 92123
(858) 598-5291
Provider ID: 272118
License: A104381
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: French,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 19-OCT-20
Udani, Vikram MD
5395 Ruffin Rd Ste 102
San Diego, CA 92123
(858) 598-5291
Provider ID: 272118
License: A104381
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 31change
SAN DIEGO COUNTY MEDICAL GROUPS SHARP COMM MEDICAL GROUP DUAL PLUS-CHULA VISTA
Other Language: French,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 32change
SAN DIEGO COUNTY MEDICAL GROUPS SHARP COMM MEDICAL GROUP DUAL PLUS-CORONADO
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
Maternal and Fetal Medicine
SAN DIEGO
92130
Ahn, Jennifer MD
12264 El Camino Real Ste 204
San Diego, CA 92130
(858) 794-7700
License: C160026
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Nephrology
CHULA VISTA
91910
Bedoya, Luis MD
340 4th Ave Ste 4
Chula Vista, CA 91910
(619) 427-1144
License: A51105
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Spanish
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Meyer, Jill MD
340 4th Ave Ste 4
Chula Vista, CA 91910
(619) 427-1144
License: A95882
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ENCINITAS
92024
Boiskin, Mark MD
320 Santa Fe Dr Ste 212
Encinitas, CA 92024
(858) 558-8150
License: A52055
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 33change
SAN DIEGO COUNTY MEDICAL GROUPS SHARP COMM MEDICAL GROUP DUAL PLUS-CORONADO
PTA: No
Other Language: Afrikaans,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery General
CORONADO
92118
Farinas, Leah MD
230 Prospect Pl Ste 220
Coronado, CA 92118
(619) 286-8803
License: A88077
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 16-OCT-20
SAN DIEGO
92120
Farinas, Leah MD
6699 Alvarado Rd Ste 2309
San Diego, CA 92120
(619) 286-8803
License: A88077
Credentials and/or board
certification: No
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Neurological
92123
Udani, Vikram MD
5395 Ruffin Rd Ste 102
San Diego, CA 92123
(858) 598-5291
License: A104381
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: French,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 19-OCT-20
Udani, Vikram MD
5395 Ruffin Rd Ste 102
San Diego, CA 92123
(858) 598-5291
License: A104381
Credentials and/or board
certification: No
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 34change
SAN DIEGO COUNTY MEDICAL GROUPS SHARP COMM MEDICAL GROUP DUAL PLUS-CORONADO
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: French,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 35change
SAN DIEGO COUNTY MEDICAL GROUPS SHARP COMM MEDICAL GROUP DUAL PLUS-GRAYBILL
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
Cardiology
POWAY
92064
Vanichsarn, Christopher MD
15611 Pomerado Rd Fl 4
Poway, CA 92064
(858) 592-2696
License: A129210
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 16-NOV-20
Maternal and Fetal Medicine
SAN DIEGO
92130
Ahn, Jennifer MD
12264 El Camino Real Ste 204
San Diego, CA 92130
(858) 794-7700
License: C160026
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ophthalmology
FALLBROOK
92028
Clements, Douglas MD
521 E Elder St Ste 102
Fallbrook, CA 92028
(951) 698-4575
License: G19360
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Podiatrist
OCEANSIDE
92054
Wong, Amy DPM
2119 S El Camino Real
Oceanside, CA 92054
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 36change
SAN DIEGO COUNTY MEDICAL GROUPS SHARP COMM MEDICAL GROUP DUAL PLUS-GRAYBILL
(760) 757-3070
License: DPM5540
Credentials and/or board
certification: No
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 21-OCT-20
Surgery Neurological
SAN DIEGO
92123
Udani, Vikram MD
5395 Ruffin Rd Ste 102
San Diego, CA 92123
(858) 598-5291
License: A104381
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: French,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 19-OCT-20
Udani, Vikram MD
5395 Ruffin Rd Ste 102
San Diego, CA 92123
(858) 598-5291
License: A104381
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: French,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 37change
SAN DIEGO COUNTY MEDICAL GROUPS SHARP COMM MEDICAL GROUP DUAL PLUS-GROSSMONT
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
Maternal and Fetal Medicine
SAN DIEGO
92130
Ahn, Jennifer MD
12264 El Camino Real Ste 204
San Diego, CA 92130
(858) 794-7700
License: C160026
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Nephrology
CHULA VISTA
91910
Bedoya, Luis MD
340 4th Ave Ste 4
Chula Vista, CA 91910
(619) 427-1144
License: A51105
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Spanish
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Meyer, Jill MD
340 4th Ave Ste 4
Chula Vista, CA 91910
(619) 427-1144
License: A95882
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ENCINITAS
92024
Boiskin, Mark MD
320 Santa Fe Dr Ste 212
Encinitas, CA 92024
(858) 558-8150
License: A52055
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 38change
SAN DIEGO COUNTY MEDICAL GROUPS SHARP COMM MEDICAL GROUP DUAL PLUS-GROSSMONT
PTA: No
Other Language: Afrikaans,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Obstetrics / Gynecology
LA MESA
91942
Robison, Caitlin MD
8860 Center Dr Ste 360
La Mesa, CA 91942
(619) 403-5700
License: A167849
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery General
Avulov, Vadim DO
5565 Grossmont Center Dr Ste
221
La Mesa, CA 91942
(619) 462-8100
License: 20A13344
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Russian
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 22-OCT-20
Surgery Neurological
SAN DIEGO
92123
Udani, Vikram MD
5395 Ruffin Rd Ste 102
San Diego, CA 92123
(858) 598-5291
License: A104381
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: French,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 19-OCT-20
Udani, Vikram MD
5395 Ruffin Rd Ste 102
San Diego, CA 92123
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 39change
SAN DIEGO COUNTY MEDICAL GROUPS SHARP COMM MEDICAL GROUP DUAL PLUS-GROSSMONT
(858) 598-5291
License: A104381
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: French,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 40change
SAN DIEGO COUNTY MEDICAL GROUPS SHARP COMM MEDICAL GROUP DUAL PLUS-INLAND NORTH
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
Cardiology
POWAY
92064
Vanichsarn, Christopher MD
15611 Pomerado Rd Fl 4
Poway, CA 92064
(858) 592-2696
License: A129210
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 16-NOV-20
Maternal and Fetal Medicine
SAN DIEGO
92130
Ahn, Jennifer MD
12264 El Camino Real Ste 204
San Diego, CA 92130
(858) 794-7700
License: C160026
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Neurology
CARLSBAD
92011
Delaney, Michael MD
6010 Hidden Valley Rd Ste 200
Carlsbad, CA 92011
(760) 631-6000
License: C146015
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ESCONDIDO
92029
Delaney, Michael MD
1955 Citracado Pkwy Ste 102
Escondido, CA 92029
(760) 631-3000
License: C146015
Credentials and/or board
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 41change
SAN DIEGO COUNTY MEDICAL GROUPS SHARP COMM MEDICAL GROUP DUAL PLUS-INLAND NORTH
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Neurological
SAN DIEGO
92123
Udani, Vikram MD
5395 Ruffin Rd Ste 102
San Diego, CA 92123
(858) 598-5291
License: A104381
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: French,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 19-OCT-20
Udani, Vikram MD
5395 Ruffin Rd Ste 102
San Diego, CA 92123
(858) 598-5291
License: A104381
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: French,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 42change
SAN DIEGO COUNTY MEDICAL GROUPS SHARP COMM MEDICAL GROUP DUAL PLUS-METRO
PRIMARY CARE PHYSICIANS
Internal Medicine
SAN DIEGO
92115
demographic, phone and/or
panel status. SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
Interventional Cardiology
Ansari, Julia MD your primary care physician. 3131 Berger Ave Ste 200
Vo, Sony MD
Cardiology
92123
San Diego, CA 921234551 El Cajon Blvd
(858) 244-6800San Diego, CA 92115
Provider ID: 272768(612) 280-7185
License: C167513Provider ID: 124731
Credentials and/or boardLicense: A49788 Bhatt, Jiken MD certification: NoCredentials and/or board 3131 Berger Ave Ste 200 Accepting New Members: Yescertification: No San Diego, CA 92123 Hours: M-SA 9AM-5PMAccepting New Members: No (858) 244-6800 PTA: NoHours: M-SA 9AM-5PM Provider ID: 272478 Cultural Competency: NRPTA: Yes License: A138631 Accessibility: B; Members Other Language: Bulgarian, Credentials and/or board should call the provider’sChinese, Mandarin, Spanish, certification: No office to discuss theirVietnamese Accepting New Members: No accessibility needs when thereCultural Competency: NR Hours: M-SA 9AM-5PM is limited access or whenAccessibility: B; Members PTA: No accessibility indicators are notshould call the provider’s Other Language: Spanish present.office to discuss their Cultural Competency: NR UPDATE: There was a changeaccessibility needs when there Accessibility: B; Members in the provider record;is limited access or when should call the provider’s demographic, phone and/oraccessibility indicators are not office to discuss their panel status.present. accessibility needs when there
UPDATE: There was a change is limited access or when
in the provider record; accessibility indicators are not
demographic, phone and/or present.
panel status. UPDATE: There was a change
in the provider record;
Maternal and Fetal Medicine
92130
Ahn, Jennifer MD
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 43change
SAN DIEGO COUNTY MEDICAL GROUPS SHARP COMM MEDICAL GROUP DUAL PLUS-METRO
12264 El Camino Real Ste 204 Credentials and/or board office to discuss their
San Diego, CA 92130
(858) 794-7700
Provider ID: 273145
License: C160026
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Nephrology
CHULA VISTA
91910
Bedoya, Luis MD
340 4th Ave Ste 4
Chula Vista, CA 91910
(619) 427-1144
Provider ID: 39369
License: A51105
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Other Language: Spanish
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Meyer, Jill MD
340 4th Ave Ste 4
Chula Vista, CA 91910
(619) 427-1144
Provider ID: 55805
License: A95882
Credentials and/or board
certification: Yes
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: Yes
Cultural Competency: NR
Accessibility: B, W; Members
should call the provider’s
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ENCINITAS
92024
Boiskin, Mark MD
320 Santa Fe Dr Ste 212
Encinitas, CA 92024
(858) 558-8150
Provider ID: 110874
License: A52055
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Afrikaans,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 44change
SAN DIEGO COUNTY MEDICAL GROUPS SHARP COMM MEDICAL GROUP DUAL PLUS-METRO
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Neurological
SAN DIEGO
92123
Udani, Vikram MD
5395 Ruffin Rd Ste 102
San Diego, CA 92123
(858) 598-5291
Provider ID: 272116
License: A104381
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: French,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 19-OCT-20
Udani, Vikram MD
5395 Ruffin Rd Ste 102
San Diego, CA 92123
(858) 598-5291
Provider ID: 272116
License: A104381
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: French,
Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 45change
SAN DIEGO COUNTY MEDICAL GROUPS UCSD MEDICAL GROUP
SPECIALISTS
Members may not self-refer to
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
Allergy Immunology
SAN DIEGO
92103
Choi, Sun MD
4168 Front St
San Diego, CA 92103
(800) 926-8273
License: A150029
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
92122
Choi, Sun MD
8899 University Center Ln
San Diego, CA 92122
(800) 926-8273
License: A150029
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Anesthesiology
LA JOLLA
92037
Campbell, Stephen MD
9300 Campus Point Dr
La Jolla, CA 92037
(800) 926-8273
License: A169622
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Iwata, Kathryn MD
9300 Campus Point Dr
La Jolla, CA 92037
(800) 926-8273
License: A153425
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 46change
SAN DIEGO COUNTY MEDICAL GROUPS UCSD MEDICAL GROUP
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Klatman, Kathryn MD
9300 Campus Point Dr
La Jolla, CA 92037
(800) 926-8273
License: A166832
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Pham, John MD
9300 Campus Point Dr
La Jolla, CA 92037
(800) 926-8273
License: A169100
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Yoder, Andrea MD
9300 Campus Point Dr
La Jolla, CA 92037
(800) 926-8273
License: A146004
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SAN DIEGO
92103
Campbell, Stephen MD
200 W Arbor Dr
San Diego, CA 92103
(800) 926-8273
License: A169622
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 47change
SAN DIEGO COUNTY MEDICAL GROUPS UCSD MEDICAL GROUP
is limited access or when 200 W Arbor Dr Accessibility: B; Members
accessibility indicators are not San Diego, CA 92103 should call the provider’s
present. (800) 926-8273 office to discuss their
UPDATE: There was a change License: A166832 accessibility needs when there
in the provider record; Credentials and/or board is limited access or when
demographic, phone and/or certification: No accessibility indicators are not
panel status. Accepting New Members: Yes present.
Hours: M-SA 9AM-5PM UPDATE: There was a change
PTA: No in the provider record;
Iwata, Kathryn MD Cultural Competency: NR demographic, phone and/or
200 W Arbor Dr Accessibility: B; Members panel status.
San Diego, CA 92103 should call the provider’s
(800) 926-8273 office to discuss their
License: A153425 accessibility needs when there Yoder, Andrea MD
Credentials and/or board is limited access or when 200 W Arbor Dr
certification: No accessibility indicators are not San Diego, CA 92103
Accepting New Members: Yes present. (800) 926-8273
Hours: M-SA 9AM-5PM UPDATE: There was a change License: A146004
PTA: No in the provider record; Credentials and/or board
Cultural Competency: NR demographic, phone and/or certification: No
Accessibility: B; Members panel status. Accepting New Members: Yes
should call the provider’s Hours: M-SA 9AM-5PM
office to discuss their PTA: No
accessibility needs when there Pham, John MD Cultural Competency: NR
is limited access or when 200 W Arbor Dr Accessibility: B; Members
accessibility indicators are not San Diego, CA 92103 should call the provider’s
present. (800) 926-8273 office to discuss their
UPDATE: There was a change License: A169100 accessibility needs when there
in the provider record; Credentials and/or board is limited access or when
demographic, phone and/or certification: No accessibility indicators are not
panel status. Accepting New Members: Yes present.
Hours: M-SA 9AM-5PM UPDATE: There was a change
PTA: No in the provider record;
Klatman, Kathryn MD Cultural Competency: NR demographic, phone and/or
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 48change
SAN DIEGO COUNTY MEDICAL GROUPS UCSD MEDICAL GROUP
panel status. certification: No92122
Certified Nurse Practitioner
LA JOLLA
92093
Nacoste, Lakeisha NP
3855 Health Sciences Dr
La Jolla, CA 92093
(858) 822-5210
License: NP95007600
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Dermatology
SAN DIEGO
Elsensohn, Ashley MD
8899 University Center Ln Ste
350
San Diego, CA 92122
(800) 926-8273
License: A148423
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Singh, Gaurav MD
8899 University Center Ln Ste
350
San Diego, CA 92122
(800) 926-8273
License: A168460
Credentials and/or board
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Gastroenterology
LA JOLLA
92037
Anand, Gobind MD
9350 Campus Point Dr
La Jolla, CA 92037
(619) 543-2347
License: A120739
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 49change
SAN DIEGO COUNTY MEDICAL GROUPS UCSD MEDICAL GROUP
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SAN DIEGO
92103
Anand, Gobind MD
200 W Arbor Dr
San Diego, CA 92103
(619) 543-2347
License: A120739
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Hematology / Oncology
LA JOLLA
92093
Vu, Peter MD
3855 Health Sciences Dr
La Jolla, CA 92093
(800) 926-8273
License: A149741
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SAN DIEGO
92103
Vu, Peter MD
200 W Arbor Dr
San Diego, CA 92103
(800) 926-8273
License: A149741
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Hospitalist MD/DO
LA JOLLA
92037
Asghar, Ali MD
9300 Campus Point Dr
La Jolla, CA 92037
(800) 926-8273
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 50change
SAN DIEGO COUNTY MEDICAL GROUPS UCSD MEDICAL GROUP
License: A157514
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Hindi,
Punjabi, Urdu
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SAN DIEGO
92103
Asghar, Ali MD
200 W Arbor Dr
San Diego, CA 92103
(800) 926-8273
License: A157514
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Hindi,
Punjabi, Urdu
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Spilman, Samantha MD
200 W Arbor Dr
San Diego, CA 92103
(800) 926-8273
License: A161231
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Infectious Disease
LA JOLLA
92037
Taremi, Mahnaz MD
9300 Campus Point Dr
La Jolla, CA 92037
(800) 926-8273
License: C162369
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 51change
SAN DIEGO COUNTY MEDICAL GROUPS UCSD MEDICAL GROUP
Internal Medicine Critical
Care Medicine
Tran, Linh MD
9300 Campus Point Dr
La Jolla, CA 92037
(800) 926-8273
License: A122603
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 14-OCT-20
SAN DIEGO
92103
Tran, Linh MD
200 W Arbor Dr
San Diego, CA 92103
(800) 926-8273
License: A122603
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 14-OCT-20
Internal Medicine
LA JOLLA
92037
Holmer, Ariela MD
9300 Campus Point Dr
La Jolla, CA 92037
(800) 926-8273
License: A149594
Credentials and/or board
certification: No
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Nephrology
Potok, Olivia MD
9350 Campus Point Dr
La Jolla, CA 92037
(800) 926-8273
License: A141725
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 52change
SAN DIEGO COUNTY MEDICAL GROUPS UCSD MEDICAL GROUP
Obstetrics / Gynecology
ENCINITAS
92024
Shah, Nemi MD
1200 Garden View Rd Ste 100
Encinitas, CA 92024
(800) 926-8273
License: A168801
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LA JOLLA
92093
Binder, Pratibha MD
3855 Health Sciences Dr
La Jolla, CA 92093
(800) 926-8273
License: A149945
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
OCEANSIDE
92056
Binder, Pratibha MD
4002 Vista Way
Oceanside, CA 92056
(800) 926-8273
License: A149945
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SAN DIEGO
92103
Shah, Nemi MD
4168 Front St
San Diego, CA 92103
(800) 926-8273
License: A168801
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 53change
SAN DIEGO COUNTY MEDICAL GROUPS UCSD MEDICAL GROUP
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
92121
Orand-medica, Alexa MD
9333 Genesee Ave Ste 340
San Diego, CA 92121
(800) 926-8273
License: A154785
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Shah, Nemi MD
4520 Executive Dr Ste 360
San Diego, CA 92121
(800) 926-8273
License: A168801
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ophthalmology
LA JOLLA
92037
Ang, Michael MD
9300 Campus Point Dr
La Jolla, CA 92037
(800) 926-8273
License: A132776
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
92093
Ang, Michael MD
9415 Campus Point Dr
La Jolla, CA 92093
(800) 926-8273
License: A132776
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 54change
SAN DIEGO COUNTY MEDICAL GROUPS UCSD MEDICAL GROUP
present. (800) 926-8273 office to discuss their
UPDATE: There was a change License: A169030 accessibility needs when there
in the provider record; Credentials and/or board is limited access or when
demographic, phone and/or certification: No accessibility indicators are not
panel status. Accepting New Members: Yes present.
Hours: M-SA 9AM-5PM UPDATE: There was a change
PTA: No in the provider record;
Baxter, Sally MD Cultural Competency: NR demographic, phone and/or
9415 Campus Point Dr Accessibility: B; Members panel status.
La Jolla, CA 92093 should call the provider’s
(800) 926-8273 office to discuss their
License: A140952 accessibility needs when there Phan, Ryan MD
Credentials and/or board is limited access or when 9415 Campus Point Dr
certification: No accessibility indicators are not La Jolla, CA 92093
Accepting New Members: Yes present. (800) 926-8273
Hours: M-SA 9AM-5PM UPDATE: There was a change License: A168006
PTA: No in the provider record; Credentials and/or board
Cultural Competency: NR demographic, phone and/or certification: No
Accessibility: B; Members panel status. Accepting New Members: Yes
should call the provider’s Hours: M-SA 9AM-5PM
office to discuss their PTA: No
accessibility needs when there Li, Alexandria MD Cultural Competency: NR
is limited access or when 9415 Campus Point Dr Accessibility: B; Members
accessibility indicators are not La Jolla, CA 92093 should call the provider’s
present. (800) 926-8273 office to discuss their
UPDATE: There was a change License: A168107 accessibility needs when there
in the provider record; Credentials and/or board is limited access or when
demographic, phone and/or certification: No accessibility indicators are not
panel status. Accepting New Members: Yes present.
Hours: M-SA 9AM-5PM UPDATE: There was a change
PTA: No in the provider record;
Beazer, Alex MD Cultural Competency: NR demographic, phone and/or
9415 Campus Point Dr Accessibility: B; Members panel status.
La Jolla, CA 92093 should call the provider’s
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 55change
SAN DIEGO COUNTY MEDICAL GROUPS UCSD MEDICAL GROUP
Zhao, Yue MD
9415 Campus Point Dr
La Jolla, CA 92093
(800) 926-8273
License: A167987
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Chinese,
Mandarin
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SAN DIEGO
92103
Ang, Michael MD
200 W Arbor Dr
San Diego, CA 92103
(800) 926-8273
License: A132776
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Baxter, Sally MD
4060 4th Ave Ste 610
San Diego, CA 92103
(800) 926-8273
License: A140952
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Baxter, Sally MD
200 W Arbor Dr Ste 101
San Diego, CA 92103
(800) 926-8273
License: A140952
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Beazer, Alex MD
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 56change
SAN DIEGO COUNTY MEDICAL GROUPS UCSD MEDICAL GROUP
200 W Arbor Dr
San Diego, CA 92103
(800) 926-8273
License: A169030
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Li, Alexandria MD
200 W Arbor Dr
San Diego, CA 92103
(800) 926-8273
License: A168107
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Osteopathic Manipulative
Therapy
LA JOLLA
92037
Portera, Ariel DO
9300 Campus Point Dr
La Jolla, CA 92037
(800) 926-8273
License: 20A16832
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SAN DIEGO
92121
Portera, Ariel DO
9333 Genesee Ave Ste 200
San Diego, CA 92121
(800) 926-8273
License: 20A16832
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 57change
SAN DIEGO COUNTY MEDICAL GROUPS UCSD MEDICAL GROUP
Otolaryngology
LA JOLLA
92037
Greene, Jacqueline MD
9300 Campus Point Dr Ste Lla
La Jolla, CA 92037
(800) 926-8273
License: A161242
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SAN DIEGO
92103
Greene, Jacqueline MD
200 W Arbor Dr
San Diego, CA 92103
(800) 926-8273
License: A161242
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Pathology
LA JOLLA
92093
Backer, Kyle MD
3855 Health Sciences Dr
La Jolla, CA 92093
(800) 926-8273
License: A155221
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Physicians Assistant
ENCINITAS
92024
Sutton, Brian PA
1200 Garden View Rd Ste 200
Encinitas, CA 92024
(760) 598-1776
License: PA18573
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 58change
SAN DIEGO COUNTY MEDICAL GROUPS UCSD MEDICAL GROUP
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 21-OCT-20
Sutton, Brian PA
1200 Garden View Rd Ste 200
Encinitas, CA 92024
(760) 598-1776
License: PA18573
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SAN DIEGO
92103
Nguyen, Vivian PA
200 W Arbor Dr
San Diego, CA 92103
(800) 926-8273
License: PA55483
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Vietnamese
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Psychologist
LA JOLLA
92037
Edmonds, Emily PhD
8950 Villa La Jolla Dr Ste C101
La Jolla, CA 92037
(858) 534-7792
License: PSY28672
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Maginot-chesher, Tamara
PSYD
9300 Campus Point Dr
La Jolla, CA 92037
(858) 534-7792
License: PSY28678
Credentials and/or board
certification: No
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 59change
SAN DIEGO COUNTY MEDICAL GROUPS UCSD MEDICAL GROUP
accessibility needs when there Noniyeva, Yuliana PhD Hours: M-SA 9AM-5PM
is limited access or when 8950 Villa La Jolla Dr Ste C101 PTA: No
accessibility indicators are not La Jolla, CA 92037 Other Language: Russian,
present. (858) 534-7797 Spanish
UPDATE: There was a change License: PSY29607 Cultural Competency: NR
in the provider record; Credentials and/or board Accessibility: B; Members
demographic, phone and/or certification: No should call the provider’s
panel status. Accepting New Members: Yes office to discuss their
Hours: M-SA 9AM-5PM accessibility needs when there
PTA: No is limited access or when
Merritt, Victoria PhD Other Language: Russian, accessibility indicators are not
8950 Villa La Jolla Dr Ste C101 Spanish present.
La Jolla, CA 92037 Cultural Competency: NR UPDATE: There was a change
(800) 926-8273 Accessibility: B; Members in the provider record;
License: PSY30492 should call the provider’s demographic, phone and/or
Credentials and/or board office to discuss their panel status.
certification: No accessibility needs when there
Accepting New Members: Yes is limited access or when
Hours: M-SA 9AM-5PM accessibility indicators are not Zlatar, Zvinka PhD
PTA: No present. 9444 Medical Center Dr
Cultural Competency: NR UPDATE: There was a change La Jolla, CA 92037
Accessibility: B; Members in the provider record; (800) 926-8273
should call the provider’s demographic, phone and/or License: PSY26230
office to discuss their panel status. Credentials and/or board
accessibility needs when there certification: No
is limited access or when Accepting New Members: Yes
accessibility indicators are not Noniyeva, Yuliana PhD Hours: M-SA 9AM-5PM
present. 9300 Campus Point Dr PTA: No
UPDATE: There was a change La Jolla, CA 92037 Other Language: Spanish
in the provider record; (858) 534-7797 Cultural Competency: NR
demographic, phone and/or License: PSY29607 Accessibility: B; Members
panel status. Credentials and/or board should call the provider’s
certification: No office to discuss their
Accepting New Members: Yes accessibility needs when there
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 60change
SAN DIEGO COUNTY MEDICAL GROUPS UCSD MEDICAL GROUP
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 30-OCT-20
SAN DIEGO
92103
Norman, Marc PHD
200 W Arbor Dr
San Diego, CA 92103
(619) 543-2827
License: PSY16278
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 04-NOV-20
Norman, Marc PHD
200 W Arbor Dr
San Diego, CA 92103
(619) 543-2827 Accessibility: B; Members
License: PSY16278 should call the provider’s
Credentials and/or board office to discuss their
certification: No accessibility needs when there
Accepting New Members: Yes is limited access or when
Hours: M-SA 9AM-5PM accessibility indicators are not
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
is limited access or when
accessibility indicators are not
present.
Orff, Henry PhD
4520 Executive Dr Ste P2
UPDATE: There was a change San Diego, CA 92121
in the provider record; (844) 757-5337
demographic, phone and/or License: PSY27099
panel status. Credentials and/or board
certification: No
92121 Accepting New Members: Yes
Hours: M-SA 9AM-5PM
Maginot-chesher, Tamara
PSYD
4510 Executive Dr
San Diego, CA 92121
(858) 534-8019
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
License: PSY28678
Credentials and/or board
accessibility needs when there
is limited access or when
certification: No
Accepting New Members: No
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 61change
SAN DIEGO COUNTY MEDICAL GROUPS UCSD MEDICAL GROUP
panel status. (800) 926-8273 should call the provider’s
License: PT40270 office to discuss their
Credentials and/or board accessibility needs when there
certification: No is limited access or when
Accepting New Members: Yes accessibility indicators are not
Registered Physical Therapist
Vasko, Benjamin PT Hours: M-SA 9AM-5PM present.
4010 Sorrento Valley Blvd Ste PTA: No UPDATE: There was a change
300 Cultural Competency: NR in the provider record;
San Diego, CA 92121 Accessibility: B; Members demographic, phone and/or
(858) 793-7860 should call the provider’s panel status.
License: PT295391 office to discuss their
Credentials and/or board accessibility needs when there
certification: No is limited access or when
Accepting New Members: Yes accessibility indicators are not
Hours: M-SA 9AM-5PM present.
PTA: No UPDATE: There was a change
Cultural Competency: NR in the provider record;
Surgery Colon Surgery
LA JOLLA
92037
Liu, Shanglei MDAccessibility: B; Members demographic, phone and/or 9300 Campus Point Drshould call the provider’s panel status. La Jolla, CA 92037office to discuss their (800) 926-8273accessibility needs when there 92127 License: A128073is limited access or when Credentials and/or boardaccessibility indicators are not Bartz, Bryan PT certification: Nopresent. 16950 Via Tazon Accepting New Members: YesUPDATE: There was a change San Diego, CA 92127 Hours: M-SA 9AM-5PMin the provider record; (800) 926-8273 PTA: Nodemographic, phone and/or License: PT40270 Cultural Competency: NRpanel status. Credentials and/or board Accessibility: B; Members certification: No should call the provider’sAccepting New Members: Yes92122 office to discuss theirHours: M-SA 9AM-5PM accessibility needs when thereBartz, Bryan PT PTA: No is limited access or when8929 University Center Ln Ste Cultural Competency: NR accessibility indicators are not200 Accessibility: B; Members present.San Diego, CA 92122
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 62change
SAN DIEGO COUNTY MEDICAL GROUPS UCSD MEDICAL GROUP
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SAN DIEGO
92103
Liu, Shanglei MD
200 W Arbor Dr
San Diego, CA 92103
(800) 926-8273
License: A128073
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Critical Care
LA JOLLA
92037
Tadlock, Matthew MD
9300 Campus Point Dr
La Jolla, CA 92037
(800) 926-8273
License: C54740
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SAN DIEGO
92103
Tadlock, Matthew MD
200 W Arbor Dr
San Diego, CA 92103
(800) 926-8273
License: C54740
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery General Vascular
Cajas-monson, Luis MD
200 W Arbor Dr
San Diego, CA 92103
(800) 926-8273
License: A124195
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 63change
SAN DIEGO COUNTY MEDICAL GROUPS UCSD MEDICAL GROUP
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
92121
Cajas-monson, Luis MD
4520 Executive Dr Ste 111
San Diego, CA 92121
(800) 926-8273
License: A124195
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Neurological
92103
Tomlin, Jeffrey MD
200 W Arbor Dr Fl 1
San Diego, CA 92103
(858) 657-8540
License: C161473
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 04-NOV-20
Surgical Oncology
LA JOLLA
92037
Race, Alice MD
9300 Campus Point Dr
La Jolla, CA 92037
(800) 926-8273
License: A169163
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Mandarin
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SAN DIEGO
92121
Race, Alice MD
4520 Executive Dr
San Diego, CA 92121
(800) 926-8273
License: A169163
Credentials and/or board
certification: No
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 64change
SAN DIEGO COUNTY MEDICAL GROUPS UCSD MEDICAL GROUP
Accepting New Members: Yes
Hours: M-SA 9AM-5PM
PTA: No
Other Language: Mandarin
Cultural Competency: NR
Accessibility: B; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
(*) CNP: Certified Nurse Practitioners NP: Nurse Practitioners PA: Physician Assistant CNM: Certified nurse
midwives CNS: Certified Nurse Specialists
Accessibility code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal Mediconnect Plan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. (**)Provides TeleServices Only
Call Member Services if you need information about a provider’s other credentials and/or certifications,
completion of cultural competence training, and/or areas of training and experience. This list is subject to 65change
SAN DIEGO COUNTY ACUPUNCTURE PROVIDERS
BONITA
91902
Laffen, Julie LAc
4514 Bonita Rd
Bonita, CA 91902
(619) 663-9417
License: AC12657
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU,TH 2PM-8PM, SA
11AM-3PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
CARDIFF
92007
Vighne, Sarita LAc
2045 San Elijo Ave
Cardiff, CA 92007
(858) 381-0228
www.acuworks-ca.com
License: AC13632
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: SU 10AM-4PM, M,TH
8AM-8PM
PTA: No
Other Language: Hindi,
Marathi
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 18-NOV-20
CARLSBAD
92008
Scarlett, Yvonne LAc
2890 Pio Pico Dr Ste 104
Carlsbad, CA 92008
(760) 637-5069
www.redlotuswellnesscenter.c
om
License: AC16118
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU 10AM-7PM, F
8:30AM-4PM
PTA: No
Cultural Competency: NR
Accessibility: P, R, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
92009
Wood, Lee DC
6986 El Camino Real Ste F
Carlsbad, CA 92009
(760) 438-9548
www.lacostachiropractic.com
License: DC12586
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 6:45AM-6PM, SA
6:45AM-12PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, R, W;
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
66
SAN DIEGO COUNTY ACUPUNCTURE PROVIDERS
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 18-NOV-20
CHULA VISTA
91910
Good, Georgia LAc
885 Canarios Ct Ste 110
Chula Vista, CA 91910
(619) 656-5102
www.Bodywise-Acupuncture.
com
License: AC15584
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W 9AM-5:30PM, F
9AM-12PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
91914
Good, Georgia LAc
955 Lane Ave Ste 201
Chula Vista, CA 91914
(619) 421-9521
www.bodywise-acupuncture.
com
License: AC15584
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU,TH 8:30AM-5:30PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Kanomata, Atsushi LAc
821 Kuhn Dr Ste 101
Chula Vista, CA 91914
(619) 432-2477
www.pbacu.com
License: AC9802
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU,TH 10AM-7PM, F
12PM-7PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
DEL MAR
92014
Beckwith, Valerie LAc
12865 Pointe Del Mar Way Ste
120
Del Mar, CA 92014
(858) 350-5825
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
67
SAN DIEGO COUNTY ACUPUNCTURE PROVIDERS
www.pointdelmaracupunctur
e.com
License: AC11352
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU,TH,F 9AM-6PM, W,SA
8AM-2PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 18-NOV-20
EL CAJON
92020
Tran, Quang LAc
504 S Magnolia Ave
El Cajon, CA 92020
(858) 761-5317
License: AC11040
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,F 8:30AM-4PM, W
10AM-6PM
PTA: No
Other Language: Vietnamese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ENCINITAS
92024
Alavi, Matt LAc
317 N El Camino Real Ste 306
Encinitas, CA 92024
(858) 673-4400
www.activemedhealth.com
License: AC10549
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-6PM, SA
12PM-3PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Hemingway, Dodie LAc
2210 Encinitas Blvd Ste E
Encinitas, CA 92024
(858) 229-4408
acupuncturebydodie.com
License: AC6279
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-W 9AM-6PM, TH
9AM-8PM, F 9AM-5PM, SA
10AM-2PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 18-NOV-20
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
68
SAN DIEGO COUNTY ACUPUNCTURE PROVIDERS
Sietsema, Kendra DC
272 N El Camino Real Ste C
Encinitas, CA 92024
(612) 889-9722
License: DC34724
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 18-NOV-20
Steindorf, Dana LAc
317 N El Camino Real Ste 306
Encinitas, CA 92024
(858) 673-4400
www.activemedhealth.com
License: AC13834
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-6PM, SA
12PM-4PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ueda-lang, Noriko LAc
1200 Garden View Rd Ste 200
Encinitas, CA 92024
(800) 926-8273
License: 18263
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Japanese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 18-NOV-20
ESCONDIDO
92025
Ahadi, Rana LAc
2065 S Escondido Blvd Ste 105
Escondido, CA 92025
(760) 565-2225
License: AC18702
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,TH 9AM-6PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 18-NOV-20
Kwak, Hyoshin LAc
106 S Grape St Ste 10
Escondido, CA 92025
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
69
SAN DIEGO COUNTY ACUPUNCTURE PROVIDERS
(213) 568-5470
License: AC16939
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 10AM-6PM, SA
9AM-2PM
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 18-NOV-20
92026
Bieg, Greg LAc
1556 Corte Capriana
Escondido, CA 92026
(619) 698-8688
License: AC3222
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W 10AM-12:30PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
FALLBROOK
92028
Maxwell, Denise DC
3429 Avocado Vista Ln
Fallbrook, CA 92028
(760) 310-5272
License: DC22074
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SU 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 18-NOV-20
Maxwell, Duke DC
3429 Avocado Vista Ln
Fallbrook, CA 92028
(760) 917-3989
www.drdukechiro.com
License: DC22407
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU,TH-SA 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 18-NOV-20
Wachner, Kristelyn LAc
1309 S Mission Rd
Fallbrook, CA 92028
(760) 690-5900
www.nhcare.org
License: 11690
Credentials and/or board
certification: No
Accepting New Members: Yes
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
70
SAN DIEGO COUNTY ACUPUNCTURE PROVIDERS
Hours: TU,TH,F 8AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 18-NOV-20
IMPERIAL BEACH
91932
Stewart, R Bruce LAc
600 Palm Ave Ste 112
Imperial Beach, CA 91932
(619) 392-0937
www.sagetraditions.com
License: AC6392
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU-TH 9:30AM-6PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 18-NOV-20
LA JOLLA
92037
Carson, Amy LAc
8950 Villa La Jolla Dr Ste B212
La Jolla, CA 92037
(858) 210-0969
www.myaculife.com
License: 18697
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-TH 11AM-7PM
PTA: No
Other Language: Italian
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 18-NOV-20
Robar, Julia LAc
8950 Villa La Jolla Dr Ste B212
La Jolla, CA 92037
(858) 210-0969
www.myaculife.com
License: AC13701
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-TH 11AM-7PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 18-NOV-20
Ueda-lang, Noriko LAc
9300 Campus Point Dr
La Jolla, CA 92037
(800) 926-8273
License: 18263
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Japanese
Cultural Competency: NR
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
71
SAN DIEGO COUNTY ACUPUNCTURE PROVIDERS
Accessibility: P, EB, R, W; Hours: Contact facility for
Members should call the Ueda-lang, Noriko LAc hours of operation
provider’s office to discuss 9350 Campus Point Dr Ste 1d PTA: No
their accessibility needs when La Jolla, CA 92037 Other Language: Japanese
there is limited access or when (844) 747-0474 Cultural Competency: NR
accessibility indicators are not License: 18263 Accessibility: P, EB, R, W;
present. Credentials and/or board Members should call the
UPDATE: NEW Provider Added. certification: No provider’s office to discuss
Effective_Date: 18-NOV-20 Accepting New Members: Yes their accessibility needs when
Hours: Contact facility for there is limited access or when
hours of operation accessibility indicators are not
Ueda-lang, Noriko LAc PTA: No present.
9350 Campus Point Dr Ste 2c Other Language: Japanese UPDATE: NEW Provider Added.
La Jolla, CA 92037 Cultural Competency: NR Effective_Date: 18-NOV-20
(844) 747-0474 Accessibility: P, EB, R, W;
License: 18263 Members should call the
Credentials and/or board provider’s office to discuss Ueda-lang, Noriko LAc
certification: No their accessibility needs when 9350 Campus Point Dr
Accepting New Members: Yes there is limited access or when La Jolla, CA 92037
Hours: Contact facility for accessibility indicators are not (844) 747-0474
hours of operation present. License: 18263
PTA: No UPDATE: NEW Provider Added. Credentials and/or board
Other Language: Japanese Effective_Date: 18-NOV-20 certification: No
Cultural Competency: NR Accepting New Members: Yes
Accessibility: P, EB, R, W; Hours: Contact facility for
Members should call the Ueda-lang, Noriko LAc hours of operation
provider’s office to discuss 8910 Villa La Jolla Dr Ste 200 PTA: No
their accessibility needs when La Jolla, CA 92037 Other Language: Japanese
there is limited access or when (844) 747-0474 Cultural Competency: NR
accessibility indicators are not License: 18263 Accessibility: P, EB, R, W;
present. Credentials and/or board Members should call the
UPDATE: NEW Provider Added. certification: No provider’s office to discuss
Effective_Date: 18-NOV-20 Accepting New Members: Yes their accessibility needs when
there is limited access or when
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
72
SAN DIEGO COUNTY ACUPUNCTURE PROVIDERS
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 18-NOV-20
92093
Ueda-lang, Noriko LAc
9400 Campus Point Dr
La Jolla, CA 92093
(844) 747-0474
License: 18263
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Japanese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 18-NOV-20
LA MESA
91942
Caruthers, Timothy DC
5360 Jackson Dr Ste 116
La Mesa, CA 91942
(619) 464-2225
License: DC15884
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,F 9AM-6PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 18-NOV-20
Smyth, Carolyn LAc
9131 Fletcher Pkwy Ste 108
La Mesa, CA 91942
(619) 431-0547
www.warriorwithinwellness.co
m
License: AC17515
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 18-NOV-20
OCEANSIDE
92054
Allen, Jennifer LAc
2171 S El Camino Real Ste 205
Oceanside, CA 92054
(646) 552-5150
www.buoyantholistic.com
License: AC17744
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-TH 9AM-7PM, F
9AM-3PM
PTA: No
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
73
SAN DIEGO COUNTY ACUPUNCTURE PROVIDERS
Hemphill, Victoria LAc
701 Seagaze Dr Ste B
Oceanside, CA 92054
(760) 504-4258
www.acupunctureoceanside.
com
License: 18911
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-SA 9AM-7PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 18-NOV-20
Jantzi, Marc LAc
1826 S Coast Hwy
Oceanside, CA 92054
(760) 453-5179
www.oceanacu.com
License: AC15038
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: SA,SU 10AM-5PM,
M,TU,TH 9AM-8PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POWAY
92064
Alavi, Matt LAc
15611 Pomerado Rd Ste 100s
Poway, CA 92064
(858) 673-4400
www.activemedhealth.com
License: AC10549
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-6PM, SA
9AM-12PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Mishoulam, David LAc
15644 Pomerado Rd Ste 304
Poway, CA 92064
(858) 883-3867
www.davidmishoulamlac.com
License: AC17173
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: W 10AM-5PM, F
9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
74
SAN DIEGO COUNTY ACUPUNCTURE PROVIDERS
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Steindorf, Dana LAc
15611 Pomerado Rd Ste 100s
Poway, CA 92064
(858) 673-4400
www.activemedhealth.com
License: AC13834
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-6PM, SA
9AM-12PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Tiik, Brita LAc
15611 Pomerado Rd Ste 520
Poway, CA 92064
(858) 673-4400
www.activemedhealth.com
License: 18854
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
RANCHO SANTA FE
92067
Livingood, Brandon DC
18025 Calle Ambiente Ste 204
Rancho Santa Fe, CA 92067
(858) 367-8660
www.100percentchiropractic.
com
License: DC33936
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,TH 8AM-6PM, TU
2PM-6PM, F 8AM-12PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 18-NOV-20
SAN DIEGO
92101
Godes, Marianna LAc
319 Laurel St
San Diego, CA 92101
(858) 337-9559
essentialwellnesscentre.com
License: AC12945
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,F 9AM-1PM, TU,TH
1PM-7PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R; Members
should call the provider’s
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
75
SAN DIEGO COUNTY ACUPUNCTURE PROVIDERS
office to discuss their demographic, phone and/or License: DC22543
accessibility needs when there panel status. Credentials and/or board
is limited access or when certification: No
accessibility indicators are not 92103 Accepting New Members: Yes
present. Hours: M,F 8:30AM-5PM, TU
UPDATE: There was a change Ellithorpe, Theresa LAc 8:30AM-12PM, W 8:30AM-6PM
in the provider record; 2801 4th Ave PTA: No
demographic, phone and/or San Diego, CA 92103 Cultural Competency: NR
panel status. (619) 200-5280 Accessibility: P, R, W; Members
License: AC6050 should call the provider’s
Credentials and/or board office to discuss their
Miyashiro, Wendi LAc certification: No accessibility needs when there
624 Broadway Ste 504 Accepting New Members: Yes is limited access or when
San Diego, CA 92101 Hours: TU,TH 9AM-5PM accessibility indicators are not
(858) 740-1838 PTA: No present.
www.acupuncture-sandiego. Cultural Competency: NR UPDATE: NEW Provider Added.
com Accessibility: EB, R, W; Effective_Date: 18-NOV-20
License: AC10383 Members should call the
Credentials and/or board provider’s office to discuss
certification: No their accessibility needs when Gonzalez, Andres LAc
Accepting New Members: Yes there is limited access or when 3969 4th Ave Ste 302
Hours: TU 8:30AM-1:30PM accessibility indicators are not San Diego, CA 92103
PTA: No present. (619) 581-3201
Other Language: Spanish UPDATE: There was a change License: AC15708
Cultural Competency: NR in the provider record; Credentials and/or board
Accessibility: P, EB, R, W; demographic, phone and/or certification: No
Members should call the panel status. Accepting New Members: Yes
provider’s office to discuss Hours: SA,SU 8AM-5PM
their accessibility needs when PTA: No
there is limited access or when Frazier, Suzanne DC Other Language: Spanish,
accessibility indicators are not 2911 4th Ave Mandarin
present. San Diego, CA 92103 Cultural Competency: NR
UPDATE: There was a change (619) 299-5600 Accessibility: P, EB, R, W;
in the provider record; www.murphyfrazier.com Members should call the
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
76
SAN DIEGO COUNTY ACUPUNCTURE PROVIDERS
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 18-NOV-20
Kreth, Elisa LAc
1080 University Ave Ste H201
San Diego, CA 92103
(619) 840-1875
www.delmarchiropracticsports
.com
License: AC10637
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Murphy, Colleen DC
2911 4th Ave
San Diego, CA 92103
(619) 299-5600
www.murphyfrazier.com
License: DC22786
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,F 8:30AM-5PM, TU
8:30AM-12PM, W 8:30AM-6PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 18-NOV-20
Reyes, Estela LAc
330 Lewis St
San Diego, CA 92103
(619) 889-2180
License: AC18494
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,TH 8AM-4PM, W
1PM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ueda-lang, Noriko LAc
330 Lewis St
San Diego, CA 92103
(800) 926-8273
License: 18263
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Japanese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
77
SAN DIEGO COUNTY ACUPUNCTURE PROVIDERS
their accessibility needs when San Diego, CA 92103 PTA: No
there is limited access or when (800) 926-8273 Other Language: Spanish,
accessibility indicators are not License: 18263 Vietnamese
present. Credentials and/or board Cultural Competency: NR
UPDATE: NEW Provider Added. certification: No Accessibility: P, EB, R, W;
Effective_Date: 18-NOV-20 Accepting New Members: Yes Members should call the
Hours: Contact facility for provider’s office to discuss
hours of operation their accessibility needs when
Ueda-lang, Noriko LAc PTA: No there is limited access or when
330 Lewis St Ste 400 Other Language: Japanese accessibility indicators are not
San Diego, CA 92103 Cultural Competency: NR present.
(844) 747-0474 Accessibility: P, EB, R, W; UPDATE: There was a change
License: 18263 Members should call the in the provider record;
Credentials and/or board provider’s office to discuss demographic, phone and/or
certification: No their accessibility needs when panel status.
Accepting New Members: Yes there is limited access or when
Hours: Contact facility for accessibility indicators are not 92107 hours of operation present.
PTA: No UPDATE: NEW Provider Added. Jantzi, Marc LAc
Other Language: Japanese Effective_Date: 18-NOV-20 4847 Newport Ave
Cultural Competency: NR San Diego, CA 92107
Accessibility: P, EB, R, W; 92105 (619) 550-9747
Members should call the www.oceanacu.com
provider’s office to discuss Bui, Mai DC License: AC15038
their accessibility needs when 5354 University Ave Ste 3 Credentials and/or board
there is limited access or when San Diego, CA 92105 certification: No
accessibility indicators are not (619) 692-3211 Accepting New Members: Yes
present. mbspinecenter.com Hours: SA,SU 12PM-5PM, TU,W,F
UPDATE: NEW Provider Added. License: DC31634 9AM-8PM
Effective_Date: 18-NOV-20 Credentials and/or board PTA: No
certification: No Other Language: Spanish
Accepting New Members: Yes Cultural Competency: NR
Ueda-lang, Noriko LAc Hours: M-TH 9AM-5PM, F Accessibility: P, EB, R, W;
200 W Arbor Dr 9AM-3PM, SA 9AM-1PM Members should call the
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
78
SAN DIEGO COUNTY ACUPUNCTURE PROVIDERS
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
92108
Badiei, Maria LAc
5005 Texas St Ste 101
San Diego, CA 92108
(818) 359-7765
www.maryabadiei.com
License: 14514
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M 1:30PM-6PM, F
7:30AM-1:45PM, SA
8AM-1:30PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Bieg, Greg LAc
7801 Mission Center Ct Ste 330
San Diego, CA 92108
(619) 698-8688
www.bieghealthandfitness.co
m
License: AC3222
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W 9AM-3:30PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Corcoran, Christina LAc
2727 Camino Del Rio S Ste 104
San Diego, CA 92108
(443) 812-9690
www.christinacorcoran.com
License: AC17842
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W 2PM-7:30PM, TU,F
9AM-1:30PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 18-NOV-20
Hamlett, James LAc
2801 Camino Del Rio S Ste
204-3
San Diego, CA 92108
(619) 504-9952
License: AC18150
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: W-F 8AM-6PM, SA
8AM-12PM
PTA: No
Cultural Competency: NR
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
79
SAN DIEGO COUNTY ACUPUNCTURE PROVIDERS
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 18-NOV-20
Novak, Erika LAc
8885 Rio San Diego Dr Ste 357
San Diego, CA 92108
(858) 450-0196
www.sdacupuncture.net
License: AC4544
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU,TH 1PM-7PM
PTA: No
Other Language: Hungarian
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ohashi-kim, Evelyn LAc
2667 Camino Del Rio S Ste 201
San Diego, CA 92108
(619) 693-8559
www.nccaomdiplomates.com
/drava
License: AC18487
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Japanese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Yahagi, Tamie LAc
2425 Camino Del Rio S Ste 180
San Diego, CA 92108
(619) 294-2225
http://drrosemarieflores.com/
License: AC16032
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-5PM, SA
9AM-2PM
PTA: No
Other Language: Japanese
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
UPDATE: NEW Provider Added.
Effective_Date: 18-NOV-20
92109
Batten, Melissa LAc
4428 Ingraham St
San Diego, CA 92109
(858) 616-6400
License: AC13942
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M 8AM-5PM, TH
8AM-4PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
80
SAN DIEGO COUNTY ACUPUNCTURE PROVIDERS
their accessibility needs when Other Language: Chinese,
there is limited access or when Mandarin
accessibility indicators are not Szablak, Sharron LAc Cultural Competency: NR
present. 4666 Cass St Accessibility: P, EB, R, W;
UPDATE: There was a change San Diego, CA 92109 Members should call the
in the provider record; (619) 889-2480 provider’s office to discuss
demographic, phone and/or www.westcoastacu.com their accessibility needs when
panel status. License: 18757 there is limited access or when
Credentials and/or board accessibility indicators are not
certification: No present.
Kanomata, Atsushi LAc Accepting New Members: Yes UPDATE: NEW Provider Added.
2180 Garnet Ave Ste 1i Hours: Contact facility for Effective_Date: 18-NOV-20
San Diego, CA 92109 hours of operation
(619) 432-2477 PTA: No 92110 www.pbacu.com Cultural Competency: NR
License: AC9802 Members should call the Mishoulam, David LAc
Credentials and/or board provider’s office to discuss 3990 Old Town Ave Ste B107
certification: No their accessibility needs. San Diego, CA 92110
Accepting New Members: Yes UPDATE: NEW Provider Added. (619) 952-3100
Hours: M,SA 12PM-6PM, W Effective_Date: 18-NOV-20 www.davidmishoulamlac.com
10AM-6PM License: AC17173
PTA: No Credentials and/or board
Cultural Competency: NR Wang, Minchen LAc certification: No
Accessibility: P, EB, R, W; 3023 Bunker Hill St Ste 206 Accepting New Members: Yes
Members should call the San Diego, CA 92109 Hours: TU 9AM-6PM, TH
provider’s office to discuss (858) 688-7294 1PM-6PM
their accessibility needs when www.pbacupuncture.com PTA: No
there is limited access or when License: AC6456 Cultural Competency: NR
accessibility indicators are not Credentials and/or board Accessibility: P, EB, R, W;
present. certification: No Members should call the
UPDATE: There was a change Accepting New Members: Yes provider’s office to discuss
in the provider record; Hours: M,W 9AM-6PM, F their accessibility needs when
demographic, phone and/or 10AM-6PM there is limited access or when
panel status. PTA: No accessibility indicators are not
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
81
SAN DIEGO COUNTY ACUPUNCTURE PROVIDERS
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Simpson, Victoria DC
3646 Midway Dr Ste B
San Diego, CA 92110
(619) 317-1225
wallerwallnesschiropractic.co
m
License: DC34763
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU,TH 9AM-6PM, SA
9AM-11AM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 18-NOV-20
92111
Cho, Kyu Ok LAc
8303 Clairemont Mesa Blvd Ste
104
San Diego, CA 92111
(858) 866-6081
www.mbracu.com
License: AC15015
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,TU,TH,F 10AM-5PM, SA
10AM-1PM
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 18-NOV-20
Ferguson, Leland DC
4861 Convoy St
San Diego, CA 92111
(858) 458-5144
www.sandiegobackpainchiro
practic.com
License: DC29983
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-TH 9AM-6PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Hollander, Eric LAc
7969 Engineer Rd Ste 209
San Diego, CA 92111
(619) 817-6447
www.acupuncturesandiego.o
rg
License: AC6281
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU,W 2PM-6:30PM, SA
9:30AM-4PM
PTA: No
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
82
SAN DIEGO COUNTY ACUPUNCTURE PROVIDERS
UPDATE: NEW Provider Added.
Effective_Date: 18-NOV-20
Joo, David DC
4655 Ruffner St Ste 120
San Diego, CA 92111
(858) 292-0256
License: DC30021
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,F 9AM-6PM, SA
9:30AM-1PM
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 18-NOV-20
92116
Laffen, Julie LAc
2852 Adams Ave
San Diego, CA 92116
(619) 663-9417
License: AC12657
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: W,F 2PM-8PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
92117
Deleon, Antoinette LAc
5252 Balboa Ave Ste 207
San Diego, CA 92117
(858) 859-1959
www.ACUSD.com
License: AC18145
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-5PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 18-NOV-20
Pontecorvo, Robert LAc
5222 Balboa Ave Ste 43
San Diego, CA 92117
(877) 909-0508
hozhohealth.com
License: AC15877
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: SA,SU 8:30AM-2:30PM,
W 10AM-7:30PM, F
1PM-7:30PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
83
SAN DIEGO COUNTY ACUPUNCTURE PROVIDERS
panel status.
Truong, Lawrence DC
5252 Balboa Ave Ste 601
San Diego, CA 92117
(858) 384-6320
www.truongchiropractic.com
License: DC29548
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,F 8:30AM-12PM, TU
1:30AM-6PM, TH 1:30PM-6PM
PTA: No
Other Language: Vietnamese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
92120
Ohashi-kim, Evelyn LAc
4455 Twain Ave Ste H1
San Diego, CA 92120
(619) 693-8559 Hours: SU 8AM-4PM, W
www.nccaomdiplomates.com 9:30AM-4PM
/drava PTA: No
License: AC18487 Other Language: Mandarin
Credentials and/or board Cultural Competency: NR
certification: No Accessibility: P, EB, R, W;
Accepting New Members: Yes Members should call the
Hours: M 2PM-7PM, TH provider’s office to discuss
2AM-7PM, F 4AM-7PM their accessibility needs when
PTA: No there is limited access or when
Other Language: Japanese accessibility indicators are not
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
Chang, Xuan LAc;DOM
10951 Sorrento Valley Rd Ste
1d
demographic, phone and/or San Diego, CA 92121
panel status. (619) 871-6068
License: AC6357
92121 Credentials and/or board
certification: No
Chang, Guang Di LAc
6727 Flanders Dr Ste 107
Accepting New Members: Yes
Hours: SU 2PM-6PM, TU,F
San Diego, CA 92121 1PM-6PM, TH 3PM-6PM
(626) 765-5678 PTA: No
License: 12747
Credentials and/or board
certification: No
Accepting New Members: Yes
Other Language: Chinese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
84
SAN DIEGO COUNTY ACUPUNCTURE PROVIDERS
provider’s office to discuss Accepting New Members: Yes
their accessibility needs when Kreth, Elisa LAc Hours: M,W,TH 1PM-7PM
there is limited access or when 10054 Mesa Ridge Ct Ste 116 PTA: No
accessibility indicators are not San Diego, CA 92121 Other Language: Hungarian
present. (619) 840-1875 Cultural Competency: NR
UPDATE: There was a change License: AC10637 Accessibility: P, EB, R, W;
in the provider record; Credentials and/or board Members should call the
demographic, phone and/or certification: No provider’s office to discuss
panel status. Accepting New Members: Yes their accessibility needs when
Hours: TU,TH 10AM-5PM, W there is limited access or when
10AM-1PM accessibility indicators are not
Kangleon, Greg DC PTA: No present.
6540 Lusk Blvd Ste C134 Cultural Competency: NR UPDATE: There was a change
San Diego, CA 92121 Accessibility: P, EB, R, W; in the provider record;
(858) 361-1341 Members should call the demographic, phone and/or
www.kangleonchiropractic.co provider’s office to discuss panel status.
m their accessibility needs when
License: DC25216 there is limited access or when
Credentials and/or board accessibility indicators are not Pontecorvo, Robert LAc
certification: No present. 10951 Sorrento Valley Rd Ste
Accepting New Members: Yes UPDATE: There was a change 1d
Hours: M-SU 9AM-6PM in the provider record; San Diego, CA 92121
PTA: No demographic, phone and/or (877) 909-0508
Cultural Competency: NR panel status. License: AC15877
Accessibility: P, EB, R, W; Credentials and/or board
Members should call the certification: No
provider’s office to discuss Novak, Erika LAc Accepting New Members: Yes
their accessibility needs when 5665 Oberlin Dr Ste 104 Hours: Contact facility for
there is limited access or when San Diego, CA 92121 hours of operation
accessibility indicators are not (858) 450-0196 PTA: No
present. www.sdacupuncture.net Other Language: Spanish
UPDATE: NEW Provider Added. License: AC4544 Cultural Competency: NR
Effective_Date: 18-NOV-20 Credentials and/or board Accessibility: P, EB, R, W;
certification: No Members should call the
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
85
SAN DIEGO COUNTY ACUPUNCTURE PROVIDERS
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ueda-lang, Noriko LAc
9333 Genesee Ave Ste 200
San Diego, CA 92121
(844) 747-0474
License: 18263
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Japanese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 18-NOV-20
92123
Julian, Fides LAc
3675 Ruffin Rd Ste 135
San Diego, CA 92123
(619) 800-0190
www.upperbodyacupuncture
.com
License: AC18652
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W 10AM-7PM
PTA: No
Other Language: Tagalog
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 18-NOV-20
Miyashiro, Wendi LAc
4180 Ruffin Rd Ste 165
San Diego, CA 92123
(858) 740-1838
www.acupuncture-sandiego.
com
License: AC10383
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W 9AM-5PM, F
9AM-1PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
92124
Weishoff, Ariel DC
10793 Tierrasanta Blvd Ste A
San Diego, CA 92124
(858) 573-1505
www.purespasd.com
License: DC34556
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,F 10AM-6PM, TU,TH
10AM-7PM, SA 9AM-5PM
PTA: No
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
86
SAN DIEGO COUNTY ACUPUNCTURE PROVIDERS
Cultural Competency: NR
Accessibility: P, W; Members
should call the provider’s
office to discuss their
accessibility needs when there
is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 18-NOV-20
92126
Bui, Mai DC
10717 Camino Ruiz Ste 238
San Diego, CA 92126
(619) 692-3211
mbspinecenter.com
License: DC31634
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W 9AM-6PM, F
9AM-2PM
PTA: No
Other Language: Spanish,
Vietnamese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Hwang, Soo Chun LAc
9474 Kearny Villa Rd Ste 113
San Diego, CA 92126
(619) 415-6124
License: AC17544
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: SU 11AM-3PM, F,SA
10AM-2PM
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 18-NOV-20
Johnson, Bob DC
9265 Activity Rd Ste 111
San Diego, CA 92126
(858) 578-5775
www.drbobj.com
License: DC17721
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-TH 9AM-5:30PM, F
9AM-4PM, SA 9AM-11:30AM
PTA: No
Other Language: Spanish,
Italian
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 18-NOV-20
Leach, Michelle DC
9474 Kearny Villa Rd Ste 113
San Diego, CA 92126
(858) 578-2070
www.healbyhand.com
License: DC27254
Credentials and/or board
certification: No
Accepting New Members: Yes
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
87
SAN DIEGO COUNTY ACUPUNCTURE PROVIDERS
Hours: M 10:45AM-1PM, TU there is limited access or when San Diego, CA 92126
1PM-7:30PM, W 1:30AM-4PM, accessibility indicators are not (858) 761-5317
TH 12PM-6:30PM, F present. License: AC11040
9:30AM-3PM UPDATE: NEW Provider Added. Credentials and/or board
PTA: No Effective_Date: 18-NOV-20 certification: No
Cultural Competency: NR Accepting New Members: Yes
Accessibility: P, EB, R, W; Hours: Contact facility for
Members should call the Tom, Jennifer LAc hours of operation
provider’s office to discuss 9474 Kearny Villa Rd Ste 113 PTA: No
their accessibility needs when San Diego, CA 92126 Other Language: Vietnamese
there is limited access or when (858) 578-2070 Cultural Competency: NR
accessibility indicators are not www.healbyhand.com Accessibility: P, EB, R, W;
present. License: AC16199 Members should call the
UPDATE: NEW Provider Added. Credentials and/or board provider’s office to discuss
Effective_Date: 18-NOV-20 certification: No their accessibility needs when
Accepting New Members: Yes there is limited access or when
Hours: TU,TH 1PM-7PM, F accessibility indicators are not
Morton, Thomas LAc 9AM-1PM, SA 8AM-1PM present.
9474 Kearny Villa Rd Ste 113 PTA: No UPDATE: There was a change
San Diego, CA 92126 Cultural Competency: NR in the provider record;
(858) 578-2070 Accessibility: P, EB, R, W; demographic, phone and/or
http://healbyhand.com/ Members should call the panel status.
License: AC17779 provider’s office to discuss
Credentials and/or board their accessibility needs when
certification: No there is limited access or when Tran, Quang LAc
Accepting New Members: Yes accessibility indicators are not 9625 Black Mountain Rd Ste
Hours: TH 12PM-6:30PM, F,SA present. 306
9AM-5PM UPDATE: NEW Provider Added. San Diego, CA 92126
PTA: No Effective_Date: 18-NOV-20 (858) 761-5317
Cultural Competency: NR License: AC11040
Accessibility: P, EB, R, W; Credentials and/or board
Members should call the Tran, Quang LAc certification: No
provider’s office to discuss 9888 Carroll Centre Rd Unit Accepting New Members: Yes
their accessibility needs when 225a
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
88
SAN DIEGO COUNTY ACUPUNCTURE PROVIDERS
Hours: TU,TH 9AM-5PM, SA provider’s office to discuss UPDATE: NEW Provider Added.
9AM-2PM their accessibility needs when Effective_Date: 18-NOV-20
PTA: No there is limited access or when
Other Language: Vietnamese accessibility indicators are not 92128 Cultural Competency: NR present.
Accessibility: P, EB, R, W; UPDATE: There was a change Badiei, Maria LAc
Members should call the in the provider record; 16776 Bernardo Center Dr Ste
provider’s office to discuss demographic, phone and/or 211
their accessibility needs when panel status. San Diego, CA 92128
there is limited access or when (818) 359-7765
accessibility indicators are not 92127 www.maryabadiei.com
present. License: 14514
UPDATE: There was a change Dickson, Jay DC Credentials and/or board
in the provider record; 15817 Bernardo Center Dr Ste certification: No
demographic, phone and/or 105 Accepting New Members: Yes
panel status. San Diego, CA 92127 Hours: TU,TH 8AM-5PM
(858) 674-7200 PTA: No
www.herringchiro.com Cultural Competency: NR
Truong, Lawrence DC License: DC17097 Accessibility: P, EB, R, W;
10717 Camino Ruiz Ste 164 Credentials and/or board Members should call the
San Diego, CA 92126 certification: No provider’s office to discuss
(858) 384-6320 Accepting New Members: Yes their accessibility needs when
www.truongchiropractic.com Hours: M 8:30AM-12PM, TU there is limited access or when
License: DC29548 7:30AM-7PM, W,F 8:30AM-6PM, accessibility indicators are not
Credentials and/or board TH 3PM-7PM present.
certification: No PTA: No UPDATE: There was a change
Accepting New Members: Yes Cultural Competency: NR in the provider record;
Hours: M,W 1:30PM-5PM, TU,TH Accessibility: P, EB, R, W; demographic, phone and/or
8:30AM-12PM Members should call the panel status.
PTA: No provider’s office to discuss
Other Language: Vietnamese their accessibility needs when
Cultural Competency: NR there is limited access or when Tran, Nga DC
Accessibility: P, EB, R, W; accessibility indicators are not 11650 Iberia Pl Ste 125
Members should call the present. San Diego, CA 92128
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
89
SAN DIEGO COUNTY ACUPUNCTURE PROVIDERS
(858) 798-5235
www.healthylivingchiro.net
License: DC30931
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-6PM
PTA: No
Other Language: Vietnamese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
92130
Friend, Yunhee LAc
11622 El Camino Real Ste 100
San Diego, CA 92130
(858) 229-1502
License: AC17436
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M-F 9AM-5PM, SA
9AM-1PM
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 18-NOV-20
92131
Joo, David DC
9855 Erma Rd Ste 104
San Diego, CA 92131
(858) 292-0256
www.joochiro.com
License: DC30021
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU,TH 8AM-7PM
PTA: No
Other Language: Korean
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 18-NOV-20
Ueda-lang, Noriko LAc
9909 Mira Mesa Blvd Ste 200
San Diego, CA 92131
(844) 747-0474
License: 18263
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Japanese
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 18-NOV-20
SANTEE
92071
Hamlett, James LAc
9530 Cuyamaca St Ste 104
Santee, CA 92071
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
90
SAN DIEGO COUNTY ACUPUNCTURE PROVIDERS
(619) 504-9952
License: AC18150
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 18-NOV-20
SOLANA BEACH
92075
Webster, Ross DC
222 N Acacia Ave
Solana Beach, CA 92075
(760) 630-0426
License: DC20836
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W 9AM-12PM, TU,TH
2PM-6PM, SA 11AM-4PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
VISTA
92081
Clark, John DC
1116 Sycamore Ave Ste C
Vista, CA 92081
(760) 598-1021
License: DC17275
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: TU,TH 3PM-7PM, W,F
9AM-1PM, SA 9AM-12PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 18-NOV-20
Tosczak, Melissa DC
1938 Via Ctr Ste B
Vista, CA 92081
(760) 758-4325
www.touchofhealthchiropract
ic.com
License: DC29235
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W,TH 8:30AM-6:30PM,
TU 2AM-6PM
PTA: No
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 18-NOV-20
92084
Webster, Ross DC
850 E Vista Way Ste A
Vista, CA 92084
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
91
SAN DIEGO COUNTY ACUPUNCTURE PROVIDERS
(760) 630-7700
www.northcountyspineanddis
ccenter.com
License: DC20836
Credentials and/or board
certification: No
Accepting New Members: Yes
Hours: M,W 2PM-6PM, TU,TH,F
9AM-1PM
PTA: No
Other Language: Spanish
Cultural Competency: NR
Accessibility: P, EB, R, W;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
92
SAN DIEGO COUNTY MENTAL HEALTH PROVIDERS
SAN DIEGO
92129
Chaudhri, Yashwant MD
9995 Carmel Mountain Rd Ste
B10 & B11
San Diego, CA 92129
(844) 200-2426
License: A67679
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M,TU,TH,F
8:30AM-5:30PM, W 10AM-7PM
PTA: No
Other Language: Hindi, Urdu
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Chauhan, Smit PSY
9995 Carmel Mountain Rd Ste
B10 & B11
San Diego, CA 92129
(844) 200-2426
License: A123312
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M,TU,TH,F
8:30AM-5:30PM, W 10AM-7PM
PTA: No
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Graham, Debra Jeanne NPA
9995 Carmel Mountain Rd Ste
B10 & B11
San Diego, CA 92129
(844) 200-2426
License: NP15657
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M,TU,TH,F
8:30AM-5:30PM, W 10AM-7PM
PTA: No
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Hodge, Roger PSY
9995 Carmel Mountain Rd Ste
B10 & B11
San Diego, CA 92129
(844) 200-2426
License: 26148
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: M,TU,TH,F
8:30AM-5:30PM, W 10AM-7PM
PTA: No
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
VISTA
92083
Motaghed, Hengameh PSY
550 W Vista Way Ste 107
Vista, CA 92083
(858) 922-4959
License: 12707
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
93
SAN DIEGO COUNTY MENTAL HEALTH PROVIDERS
Credentials and/or board
certification: Not Applicable
Accepting New Members: Yes
Hours: W 8AM-8PM
PTA: No
Other Language: Farsi
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
94
SAN DIEGO COUNTY VISION PROVIDERS
ALPINE
91901
Alden, Ashley OD
1620 Alpine Blvd Ste 117
Alpine, CA 91901
(619) 445-2687
License: 33536
Accepting New Members: Yes
Hours: M,W 9AM-5PM, TU
10AM-6PM, TH 8AM-5PM, F
9AM-4PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Aoto, Kim OD
1620 Alpine Blvd Ste 117
Alpine, CA 91901
(619) 445-2687
License: 14524
Accepting New Members: Yes
Hours: M,W 9AM-5PM, TU
10AM-6PM, TH 8AM-5PM, F
9AM-4PM
PTA: No
Other Language: Spanish,
Vietnamese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Binder, Nicholas MD
1620 Alpine Blvd Ste 117
Alpine, CA 91901
(619) 445-2687
License: A124698
Accepting New Members: Yes
Hours: M,W 9AM-5PM, TU
10AM-6PM, TH 8AM-5PM, F
9AM-4PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Castiello, John OD
1620 Alpine Blvd Ste 117
Alpine, CA 91901
(619) 445-2687
License: 6177
Accepting New Members: Yes
Hours: M,W 9AM-5PM, TU
10AM-6PM, TH 8AM-5PM, F
9AM-4PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
95
SAN DIEGO COUNTY VISION PROVIDERS
Dyer, Sharon OD
1620 Alpine Blvd Ste 117
Alpine, CA 91901
(619) 445-2687
License: 33450
Accepting New Members: Yes
Hours: M,W 9AM-5PM, TU
10AM-6PM, TH 8AM-5PM, F
9AM-4PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Katzman, Barry MD
1620 Alpine Blvd Ste 117
Alpine, CA 91901
(619) 445-2687
License: A34834
Accepting New Members: Yes
Hours: M,W 9AM-5PM, TU
10AM-6PM, TH 8AM-5PM, F
9AM-4PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Mcgraw, Joseph MD
1620 Alpine Blvd Ste 117
Alpine, CA 91901
(619) 445-2687
License: A155228
Accepting New Members: Yes
Hours: M,W 9AM-5PM, TU
10AM-6PM, TH 8AM-5PM, F
9AM-4PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Miller, Douglas MD
1620 Alpine Blvd Ste 117
Alpine, CA 91901
(619) 445-2687
License: G52627
Accepting New Members: Yes
Hours: M,W 9AM-5PM, TU
10AM-6PM, TH 8AM-5PM, F
9AM-4PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Morrison Reyes, Joshua MD
1620 Alpine Blvd Ste 117
Alpine, CA 91901
(619) 445-2687
License: A125435
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
96
SAN DIEGO COUNTY VISION PROVIDERS
Accepting New Members: Yes
Hours: M,W 9AM-5PM, TU
10AM-6PM, TH 8AM-5PM, F
9AM-4PM
PTA: No
Other Language: Indonesian,
Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Patel, Gitane MD
1620 Alpine Blvd Ste 117
Alpine, CA 91901
(619) 445-2687
License: A108603
Accepting New Members: Yes
Hours: M,W 9AM-5PM, TU
10AM-6PM, TH 8AM-5PM, F
9AM-4PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Patel, Sarjan MD
1620 Alpine Blvd Ste 117
Alpine, CA 91901
(619) 445-2687
License: A114976
Accepting New Members: Yes
Hours: M,W 9AM-5PM, TU
10AM-6PM, TH 8AM-5PM, F
9AM-4PM
PTA: No
Other Language: Gujarati,
Hindi, Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Prabhu, Sujata MD
1620 Alpine Blvd Ste 117
Alpine, CA 91901
(619) 445-2687
License: A115965
Accepting New Members: Yes
Hours: M,W 9AM-5PM, TU
10AM-6PM, TH 8AM-5PM, F
9AM-4PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ramolia, Anika OD
1620 Alpine Blvd Ste 117
Alpine, CA 91901
(619) 445-2687
License: 13802
Accepting New Members: Yes
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
97
SAN DIEGO COUNTY VISION PROVIDERS
Hours: M,W 9AM-5PM, TU
10AM-6PM, TH 8AM-5PM, F
9AM-4PM
PTA: No
Other Language: Hindi
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Soriano, Catherine OD
1620 Alpine Blvd Ste 117
Alpine, CA 91901
(619) 445-2687
License: 13109
Accepting New Members: Yes
Hours: M,W 9AM-5PM, TU
10AM-6PM, TH 8AM-5PM, F
9AM-4PM
PTA: No
Other Language: Spanish,
Tagalog
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
BONITA
91902
Kikunaga, Henry OD
180 Otay Lakes Rd Ste 201
Bonita, CA 91902
(619) 267-9900
License: 13186
Accepting New Members: Yes
Hours: M,TU,TH 8AM-5PM, W
8AM-7PM, F 8AM-4PM, SA
8AM-12PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 21-OCT-20
Mason, Daniel OD
180 Otay Lakes Rd Ste 201
Bonita, CA 91902
(619) 267-9900
License: 7989
Accepting New Members: Yes
Hours: M,TU,TH 8AM-5PM, W
8AM-7PM, F 8AM-4PM, SA
8AM-12PM
PTA: Yes
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 21-OCT-20
CHULA VISTA
91910
Admire, Kim OD
555 Broadway Ste 1021
Chula Vista, CA 91910
(619) 427-6253
License: 10752
Accepting New Members: Yes
Hours: M-SA 10AM-6PM
PTA: No
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
98
SAN DIEGO COUNTY VISION PROVIDERS
Other Language: German, Bianes, Beverly OD their accessibility needs when
French, Spanish 374 E H St Ste 1708 there is limited access or when
Cultural Competency: CC Chula Vista, CA 91910 accessibility indicators are not
Accessibility: P, EB, IB, E, R; (619) 425-7990 present.
Members should call the License: 9841 UPDATE: NEW Provider Added.
provider’s office to discuss Accepting New Members: Yes Effective_Date: 21-OCT-20
their accessibility needs when Hours: M,W-F 8:30AM-5:30PM,
there is limited access or when TU 8:30AM-5PM, SA
accessibility indicators are not 8:30AM-1PM Owen, James OD
present. PTA: Yes 374 E H St Ste 1708
UPDATE: NEW Provider Added. Cultural Competency: CC Chula Vista, CA 91910
Effective_Date: 21-OCT-20 Accessibility: P, EB, IB, E, R; (619) 425-7990
Members should call the License: 8966
provider’s office to discuss Accepting New Members: Yes
Bergmark, Jamie OD their accessibility needs when Hours: M,W-F 8:30AM-5:30PM,
555 Broadway Ste 1021 there is limited access or when TU 8:30AM-5PM, SA
Chula Vista, CA 91910 accessibility indicators are not 8:30AM-1PM
(619) 427-6253 present. PTA: Yes
License: 33657 UPDATE: NEW Provider Added. Cultural Competency: CC
Accepting New Members: Yes Effective_Date: 21-OCT-20 Accessibility: P, EB, IB, E, R;
Hours: M-SA 10AM-6PM Members should call the
PTA: No provider’s office to discuss
Cultural Competency: CC Dean, Moena OD their accessibility needs when
Accessibility: P, EB, IB, E, R; 555 Broadway Ste 1021 there is limited access or when
Members should call the Chula Vista, CA 91910 accessibility indicators are not
provider’s office to discuss (619) 427-6253 present.
their accessibility needs when License: 33955 UPDATE: NEW Provider Added.
there is limited access or when Accepting New Members: Yes Effective_Date: 01-OCT-20
accessibility indicators are not Hours: M-SA 10AM-6PM
present. PTA: No
UPDATE: NEW Provider Added. Cultural Competency: CC Pack, John OD
Effective_Date: 21-OCT-20 Accessibility: P, EB, IB, E, R; 374 E H St Ste 1708
Members should call the Chula Vista, CA 91910
provider’s office to discuss (619) 425-7990
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
99
SAN DIEGO COUNTY VISION PROVIDERS
License: 9684 their accessibility needs when License: 33685
Accepting New Members: Yes there is limited access or when Accepting New Members: Yes
Hours: M,W-F 8:30AM-5:30PM, accessibility indicators are not Hours: M-SA 10AM-6PM
TU 8:30AM-5PM, SA present. PTA: No
8:30AM-1PM UPDATE: NEW Provider Added. Cultural Competency: CC
PTA: Yes Effective_Date: 21-OCT-20 Accessibility: P, EB, IB, E, R;
Other Language: Spanish Members should call the
Cultural Competency: CC provider’s office to discuss
Accessibility: P, EB, IB, E, R; Swikard, Ioana OD their accessibility needs when
Members should call the 555 Broadway Ste 1021 there is limited access or when
provider’s office to discuss Chula Vista, CA 91910 accessibility indicators are not
their accessibility needs when (619) 427-6253 present.
there is limited access or when License: 9860 UPDATE: NEW Provider Added.
accessibility indicators are not Accepting New Members: Yes Effective_Date: 01-OCT-20
present. Hours: M-SA 10AM-6PM
UPDATE: NEW Provider Added. PTA: No
Effective_Date: 21-OCT-20 Other Language: Romanian, Thach, Queen OD
Spanish 374 E H St Ste 1708
Cultural Competency: CC Chula Vista, CA 91910
Perez, Judi OD Accessibility: P, EB, IB, E, R; (619) 425-7990
374 E H St Ste 1708 Members should call the License: 33685
Chula Vista, CA 91910 provider’s office to discuss Accepting New Members: Yes
(619) 425-7990 their accessibility needs when Hours: M,W-F 8:30AM-5:30PM,
License: 13210 there is limited access or when TU 8:30AM-5PM, SA
Accepting New Members: Yes accessibility indicators are not 8:30AM-1PM
Hours: M,W-F 8:30AM-5:30PM, present. PTA: Yes
TU 8:30AM-5PM, SA UPDATE: NEW Provider Added. Cultural Competency: CC
8:30AM-1PM Effective_Date: 23-OCT-20 Accessibility: P, EB, IB, E, R;
PTA: Yes Members should call the
Other Language: Spanish provider’s office to discuss
Cultural Competency: CC Thach, Queen OD their accessibility needs when
Accessibility: P, EB, IB, E, R; 555 Broadway Ste 1021 there is limited access or when
Members should call the Chula Vista, CA 91910 accessibility indicators are not
provider’s office to discuss (619) 427-6253 present.
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
100
SAN DIEGO COUNTY VISION PROVIDERS
UPDATE: NEW Provider Added.
Effective_Date: 01-OCT-20
Trajano, Charmine OD
374 E H St Ste 1708
Chula Vista, CA 91910
(619) 425-7990
License: 14993
Accepting New Members: Yes
Hours: M,W-F 8:30AM-5:30PM,
TU 8:30AM-5PM, SA
8:30AM-1PM
PTA: Yes
Other Language: Tagalog
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 21-OCT-20
91911
Evans, Robert OD
330 Oxford St Ste 214
Chula Vista, CA 91911
(619) 420-3010
License: 4834
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-MAR-09
91914
Bianes, Beverly OD
890 Eastlake Pkwy Ste 102
Chula Vista, CA 91914
(619) 216-3937
License: 9841
Accepting New Members: Yes
Hours: TU,W,F 9AM-6PM, TH
10AM-6PM, SA 8:30AM-1PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 21-OCT-20
Owen, James OD
890 Eastlake Pkwy Ste 102
Chula Vista, CA 91914
(619) 216-3937
License: 8966
Accepting New Members: Yes
Hours: TU,W,F 9AM-6PM, TH
10AM-6PM, SA 8:30AM-1PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-OCT-20
Pack, John OD
890 Eastlake Pkwy Ste 102
Chula Vista, CA 91914
(619) 216-3937
License: 9684
Accepting New Members: Yes
Hours: TU,W,F 9AM-6PM, TH
10AM-6PM, SA 8:30AM-1PM
PTA: No
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
101
SAN DIEGO COUNTY VISION PROVIDERS
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 21-OCT-20
Perez, Judi OD
890 Eastlake Pkwy Ste 102
Chula Vista, CA 91914
(619) 216-3937
License: 13210
Accepting New Members: Yes
Hours: TU,W,F 9AM-6PM, TH
10AM-6PM, SA 8:30AM-1PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 21-OCT-20
Trajano, Charmine OD
890 Eastlake Pkwy Ste 102
Chula Vista, CA 91914
(619) 216-3937
License: 14993
Accepting New Members: Yes
Hours: TU,W,F 9AM-6PM, TH
10AM-6PM, SA 8:30AM-1PM
PTA: No
Other Language: Tagalog
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 21-OCT-20
CORONADO
92118
Katzman, Lee MD
801 Orange Ave Ste 204
Coronado, CA 92118
(619) 437-4406
License: A135673
Accepting New Members: Yes
Hours: M,W,TH 9AM-4:30PM, TU
9AM-3PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
EL CAJON
92020
Alden, Ashley OD
225 W Madison Ave Ste 1
El Cajon, CA 92020
(619) 442-0844
License: 33536
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
102
SAN DIEGO COUNTY VISION PROVIDERS
demographic, phone and/or
panel status.
Alden, Ashley OD
450 Fletcher Pkwy Ste 112
El Cajon, CA 92020
(619) 440-5400
License: 33536
Accepting New Members: Yes
Hours: M-F 8:30AM-6PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Aoto, Kim OD
450 Fletcher Pkwy Ste 112
El Cajon, CA 92020
(619) 440-5400
License: 14524
Accepting New Members: Yes
Hours: M-F 8:30AM-6PM
PTA: No
Other Language: Spanish,
Vietnamese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Bergmark, Jamie OD
303 E Main St
El Cajon, CA 92020
(619) 444-1153
License: 33657
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 21-OCT-20
Binder, Nicholas MD
450 Fletcher Pkwy Ste 112
El Cajon, CA 92020
(619) 440-5400
License: A124698
Accepting New Members: Yes
Hours: M-F 8:30AM-6PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Castiello, John OD
450 Fletcher Pkwy Ste 112
El Cajon, CA 92020
(619) 440-5400
License: 6177
Accepting New Members: Yes
Hours: M-F 8:30AM-6PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
103
SAN DIEGO COUNTY VISION PROVIDERS
Members should call the Dyer, Sharon OD Members should call the
provider’s office to discuss 450 Fletcher Pkwy Ste 112 provider’s office to discuss
their accessibility needs when El Cajon, CA 92020 their accessibility needs when
there is limited access or when (619) 440-5400 there is limited access or when
accessibility indicators are not License: 33450 accessibility indicators are not
present. Accepting New Members: Yes present.
UPDATE: There was a change Hours: M-F 8:30AM-6PM UPDATE: NEW Provider Added.
in the provider record; PTA: No Effective_Date: 01-MAR-09
demographic, phone and/or Cultural Competency: CC
panel status. Accessibility: P, EB, IB, E, R;
Members should call the Katzman, Barry MD
provider’s office to discuss 450 Fletcher Pkwy Ste 112
Chang, Tom MD their accessibility needs when El Cajon, CA 92020
225 W Madison Ave Ste 1 there is limited access or when (619) 440-5400
El Cajon, CA 92020 accessibility indicators are not License: A34834
(619) 442-0844 present. Accepting New Members: Yes
License: A69909 UPDATE: There was a change Hours: M-F 8:30AM-6PM
Accepting New Members: Yes in the provider record; PTA: No
Hours: M-F 8AM-5PM demographic, phone and/or Other Language: Spanish
PTA: Yes panel status. Cultural Competency: CC
Cultural Competency: CC Accessibility: P, EB, IB, E, R;
Accessibility: P, EB, IB, E, R; Members should call the
Members should call the Evans, Robert OD provider’s office to discuss
provider’s office to discuss 510 S Magnolia Ave their accessibility needs when
their accessibility needs when El Cajon, CA 92020 there is limited access or when
there is limited access or when (619) 444-9012 accessibility indicators are not
accessibility indicators are not License: 4834 present.
present. Accepting New Members: Yes UPDATE: There was a change
UPDATE: There was a change Hours: Contact facility for in the provider record;
in the provider record; hours of operation demographic, phone and/or
demographic, phone and/or PTA: No panel status.
panel status. Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R; Kouchak, Yasmin OD
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
104
SAN DIEGO COUNTY VISION PROVIDERS
450 Fletcher Pkwy Ste 112 present. Accepting New Members: Yes
El Cajon, CA 92020 UPDATE: There was a change Hours: M-F 8:30AM-6PM
(619) 440-5400 in the provider record; PTA: No
License: 14601 demographic, phone and/or Other Language: Indonesian,
Accepting New Members: Yes panel status. Spanish
Hours: M-F 8:30AM-6PM Cultural Competency: CC
PTA: No Accessibility: P, EB, IB, E, R;
Cultural Competency: CC Miller, Douglas MD Members should call the
Accessibility: P, EB, IB, E, R; 450 Fletcher Pkwy Ste 112 provider’s office to discuss
Members should call the El Cajon, CA 92020 their accessibility needs when
provider’s office to discuss (619) 440-5400 there is limited access or when
their accessibility needs when License: G52627 accessibility indicators are not
there is limited access or when Accepting New Members: Yes present.
accessibility indicators are not Hours: M-F 8:30AM-6PM UPDATE: There was a change
present. PTA: No in the provider record;
UPDATE: NEW Provider Added. Cultural Competency: CC demographic, phone and/or
Effective_Date: 03-AUG-20 Accessibility: P, EB, IB, E, R; panel status.
Members should call the
provider’s office to discuss
Mcgraw, Joseph MD their accessibility needs when Patel, Gitane MD
450 Fletcher Pkwy Ste 112 there is limited access or when 450 Fletcher Pkwy Ste 112
El Cajon, CA 92020 accessibility indicators are not El Cajon, CA 92020
(619) 440-5400 present. (619) 440-5400
License: A155228 UPDATE: There was a change License: A108603
Accepting New Members: Yes in the provider record; Accepting New Members: Yes
Hours: M-F 8:30AM-6PM demographic, phone and/or Hours: M-F 8:30AM-6PM
PTA: No panel status. PTA: No
Cultural Competency: CC Cultural Competency: CC
Accessibility: P, EB, IB, E, R; Accessibility: P, EB, IB, E, R;
Members should call the Morrison Reyes, Joshua MD Members should call the
provider’s office to discuss 450 Fletcher Pkwy Ste 112 provider’s office to discuss
their accessibility needs when El Cajon, CA 92020 their accessibility needs when
there is limited access or when (619) 440-5400 there is limited access or when
accessibility indicators are not License: A125435 accessibility indicators are not
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
105
SAN DIEGO COUNTY VISION PROVIDERS
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Patel, Sarjan MD
450 Fletcher Pkwy Ste 112
El Cajon, CA 92020
(619) 440-5400
License: A114976
Accepting New Members: Yes
Hours: M-F 8:30AM-6PM
PTA: No
Other Language: Gujarati,
Hindi, Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Prabhu, Sujata MD
450 Fletcher Pkwy Ste 112
El Cajon, CA 92020
(619) 440-5400
License: A115965
Accepting New Members: Yes
Hours: M-F 8:30AM-6PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ramolia, Anika OD
450 Fletcher Pkwy Ste 112
El Cajon, CA 92020
(619) 440-5400
License: 13802
Accepting New Members: Yes
Hours: M-F 8:30AM-6PM
PTA: No
Other Language: Hindi
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Soriano, Catherine OD
450 Fletcher Pkwy Ste 112
El Cajon, CA 92020
(619) 440-5400
License: 13109
Accepting New Members: Yes
Hours: M-F 8:30AM-6PM
PTA: No
Other Language: Spanish,
Tagalog
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ENCINITAS
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
106
SAN DIEGO COUNTY VISION PROVIDERS
Members should call the Mcgraw, Joseph MD92024 provider’s office to discuss 320 Santa Fe Dr Ste 104
Alden, Ashley OD their accessibility needs when Encinitas, CA 92024
320 Santa Fe Dr Ste 104 there is limited access or when (760) 943-7141
Encinitas, CA 92024 accessibility indicators are not License: A155228
(760) 943-7141 present. Accepting New Members: Yes
License: 33536 UPDATE: There was a change Hours: M-F 8AM-5PM
Accepting New Members: Yes in the provider record; PTA: Yes
Hours: M-F 8AM-5PM demographic, phone and/or Cultural Competency: CC
PTA: Yes panel status. Accessibility: P, EB, IB, E, R;
Cultural Competency: CC Members should call the
Accessibility: P, EB, IB, E, R; provider’s office to discuss
Members should call the Johnson, Brandon MD their accessibility needs when
provider’s office to discuss 320 Santa Fe Dr Ste 104 there is limited access or when
their accessibility needs when Encinitas, CA 92024 accessibility indicators are not
there is limited access or when (760) 943-7141 present.
accessibility indicators are not License: C166066 UPDATE: There was a change
present. Accepting New Members: Yes in the provider record;
UPDATE: There was a change Hours: M-F 8AM-5PM demographic, phone and/or
in the provider record; PTA: Yes panel status.
demographic, phone and/or Cultural Competency: CC
panel status. Accessibility: P, EB, IB, E, R;
Members should call the Morrison Reyes, Joshua MD
provider’s office to discuss 320 Santa Fe Dr Ste 104
Chang, Tom MD their accessibility needs when Encinitas, CA 92024
320 Santa Fe Dr Ste 104 there is limited access or when (760) 943-7141
Encinitas, CA 92024 accessibility indicators are not License: A125435
(760) 943-7141 present. Accepting New Members: Yes
License: A69909 UPDATE: There was a change Hours: M-F 8AM-5PM
Accepting New Members: Yes in the provider record; PTA: Yes
Hours: M-F 8AM-5PM demographic, phone and/or Other Language: Indonesian,
PTA: Yes panel status. Spanish
Cultural Competency: CC Cultural Competency: CC
Accessibility: P, EB, IB, E, R; Accessibility: P, EB, IB, E, R;
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
107
SAN DIEGO COUNTY VISION PROVIDERS
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Vinh, John OD
320 Santa Fe Dr Ste 104
Encinitas, CA 92024
(760) 943-7141
License: 14177
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ESCONDIDO
92025
Alden, Ashley OD
830 W Valley Pkwy Ste 300
Escondido, CA 92025
(760) 743-5872
License: 33536
Accepting New Members: Yes
Hours: M 8:30AM-5PM, TU,TH
9AM-5PM, W 10AM-6PM, F
7:30AM-3:30PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Aoto, Kim OD
830 W Valley Pkwy Ste 300
Escondido, CA 92025
(760) 743-5872
License: 14524
Accepting New Members: Yes
Hours: M 8:30AM-5PM, TU,TH
9AM-5PM, W 10AM-6PM, F
7:30AM-3:30PM
PTA: No
Other Language: Spanish,
Vietnamese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Binder, Nicholas MD
830 W Valley Pkwy Ste 300
Escondido, CA 92025
(760) 743-5872
License: A124698
Accepting New Members: Yes
Hours: M 8:30AM-5PM, TU,TH
9AM-5PM, W 10AM-6PM, F
7:30AM-3:30PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
108
SAN DIEGO COUNTY VISION PROVIDERS
their accessibility needs when Dyer, Sharon OD Cultural Competency: CC
there is limited access or when 830 W Valley Pkwy Ste 300 Accessibility: P, EB, IB, E, R;
accessibility indicators are not Escondido, CA 92025 Members should call the
present. (760) 743-5872 provider’s office to discuss
UPDATE: There was a change License: 33450 their accessibility needs when
in the provider record; Accepting New Members: Yes there is limited access or when
demographic, phone and/or Hours: M 8:30AM-5PM, TU,TH accessibility indicators are not
panel status. 9AM-5PM, W 10AM-6PM, F present.
7:30AM-3:30PM UPDATE: TERMED Provider.
PTA: No Effective Date: 14-OCT-20
Castiello, John OD Cultural Competency: CC
830 W Valley Pkwy Ste 300 Accessibility: P, EB, IB, E, R;
Escondido, CA 92025 Members should call the Katzman, Barry MD
(760) 743-5872 provider’s office to discuss 830 W Valley Pkwy Ste 300
License: 6177 their accessibility needs when Escondido, CA 92025
Accepting New Members: Yes there is limited access or when (760) 743-5872
Hours: M 8:30AM-5PM, TU,TH accessibility indicators are not License: A34834
9AM-5PM, W 10AM-6PM, F present. Accepting New Members: Yes
7:30AM-3:30PM UPDATE: There was a change Hours: M 8:30AM-5PM, TU,TH
PTA: No in the provider record; 9AM-5PM, W 10AM-6PM, F
Cultural Competency: CC demographic, phone and/or 7:30AM-3:30PM
Accessibility: P, EB, IB, E, R; panel status. PTA: No
Members should call the Other Language: Spanish
provider’s office to discuss Cultural Competency: CC
their accessibility needs when Jockin, Yvette MD Accessibility: P, EB, IB, E, R;
there is limited access or when 625 Citracado Pkwy Members should call the
accessibility indicators are not Escondido, CA 92025 provider’s office to discuss
present. (760) 755-7600 their accessibility needs when
UPDATE: There was a change License: G83342 there is limited access or when
in the provider record; Accepting New Members: Yes accessibility indicators are not
demographic, phone and/or Hours: M-F 8:30AM-4:30PM present.
panel status. PTA: No UPDATE: There was a change
Other Language: Dutch, in the provider record;
Flemish, Spanish demographic, phone and/or
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
109
SAN DIEGO COUNTY VISION PROVIDERS
panel status. PTA: No in the provider record;
Cultural Competency: CC demographic, phone and/or
Accessibility: P, EB, IB, E, R; panel status.
Kouchak, Yasmin OD Members should call the
830 W Valley Pkwy Ste 300 provider’s office to discuss
Escondido, CA 92025 their accessibility needs when Morrison Reyes, Joshua MD
(760) 743-5872 there is limited access or when 830 W Valley Pkwy Ste 300
License: 14601 accessibility indicators are not Escondido, CA 92025
Accepting New Members: Yes present. (760) 743-5872
Hours: M 8:30AM-5PM, TU,TH UPDATE: There was a change License: A125435
9AM-5PM, W 10AM-6PM, F in the provider record; Accepting New Members: Yes
7:30AM-3:30PM demographic, phone and/or Hours: M 8:30AM-5PM, TU,TH
PTA: No panel status. 9AM-5PM, W 10AM-6PM, F
Cultural Competency: CC 7:30AM-3:30PM
Accessibility: P, EB, IB, E, R; PTA: No
Members should call the Miller, Douglas MD Other Language: Indonesian,
provider’s office to discuss 830 W Valley Pkwy Ste 300 Spanish
their accessibility needs when Escondido, CA 92025 Cultural Competency: CC
there is limited access or when (760) 743-5872 Accessibility: P, EB, IB, E, R;
accessibility indicators are not License: G52627 Members should call the
present. Accepting New Members: Yes provider’s office to discuss
UPDATE: NEW Provider Added. Hours: M 8:30AM-5PM, TU,TH their accessibility needs when
Effective_Date: 03-AUG-20 9AM-5PM, W 10AM-6PM, F there is limited access or when
7:30AM-3:30PM accessibility indicators are not
PTA: No present.
Mcgraw, Joseph MD Cultural Competency: CC UPDATE: There was a change
830 W Valley Pkwy Ste 300 Accessibility: P, EB, IB, E, R; in the provider record;
Escondido, CA 92025 Members should call the demographic, phone and/or
(760) 743-5872 provider’s office to discuss panel status.
License: A155228 their accessibility needs when
Accepting New Members: Yes there is limited access or when
Hours: M 8:30AM-5PM, TU,TH accessibility indicators are not Patel, Gitane MD
9AM-5PM, W 10AM-6PM, F present. 830 W Valley Pkwy Ste 300
7:30AM-3:30PM UPDATE: There was a change Escondido, CA 92025
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
110
SAN DIEGO COUNTY VISION PROVIDERS
(760) 743-5872
License: A108603
Accepting New Members: Yes
Hours: M 8:30AM-5PM, TU,TH
9AM-5PM, W 10AM-6PM, F
7:30AM-3:30PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Patel, Sarjan MD
830 W Valley Pkwy Ste 300
Escondido, CA 92025
(760) 743-5872
License: A114976
Accepting New Members: Yes
Hours: M 8:30AM-5PM, TU,TH
9AM-5PM, W 10AM-6PM, F
7:30AM-3:30PM
PTA: No
Other Language: Gujarati,
Hindi, Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Prabhu, Sujata MD
830 W Valley Pkwy Ste 300
Escondido, CA 92025
(760) 743-5872
License: A115965
Accepting New Members: Yes
Hours: M 8:30AM-5PM, TU,TH
9AM-5PM, W 10AM-6PM, F
7:30AM-3:30PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ramolia, Anika OD
830 W Valley Pkwy Ste 300
Escondido, CA 92025
(760) 743-5872
License: 13802
Accepting New Members: Yes
Hours: M 8:30AM-5PM, TU,TH
9AM-5PM, W 10AM-6PM, F
7:30AM-3:30PM
PTA: No
Other Language: Hindi
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Soriano, Catherine OD
830 W Valley Pkwy Ste 300
Escondido, CA 92025
(760) 743-5872
License: 13109
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
111
SAN DIEGO COUNTY VISION PROVIDERS
Accepting New Members: Yes
Hours: M 8:30AM-5PM, TU,TH
9AM-5PM, W 10AM-6PM, F
7:30AM-3:30PM
PTA: No
Other Language: Spanish,
Tagalog
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
FALLBROOK
92028
Cahoon, Benjamin OD
521 E Elder St Ste 102
Fallbrook, CA 92028
(760) 728-5728
License: 33877
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: TERMED Provider.
Effective Date: 14-OCT-20
George, Bruce OD
1102 S Main Ave
Fallbrook, CA 92028
(760) 723-8417
License: 7696
Accepting New Members: Yes
Hours: M,F 1PM-5PM, W
1PM-6PM
PTA: Yes
Other Language: Korean,
Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LA JOLLA
92037
Alden, Ashley OD
9850 Genesee Ave Ste 310
La Jolla, CA 92037
(858) 457-3010
License: 33536
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Johnson, Brandon MD
9850 Genesee Ave Ste 310
La Jolla, CA 92037
(858) 457-3010
License: C166066
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
112
SAN DIEGO COUNTY VISION PROVIDERS
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lee, Sally DO
9834 Genesee Ave Ste 427
La Jolla, CA 92037
(858) 276-1013
License: 20A8088
Accepting New Members: Yes
Hours: TU 1PM-6PM, W-F
10AM-6PM
PTA: No
Other Language: Spanish,
Chinese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Vinh, John OD
9850 Genesee Ave Ste 310
La Jolla, CA 92037
(858) 457-3010
License: 14177
Accepting New Members: Yes
Hours: Contact facility for
hours of operation
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LA MESA
91942
Cook, Glenn MD
7877 Parkway Dr Ste 100
La Mesa, CA 91942
(619) 460-3711
License: G63727
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Huang, Flora OD
7090 Parkway Dr Ste A
La Mesa, CA 91942
(619) 460-2020
License: 34082
Accepting New Members: Yes
Hours: M,F 9AM-6PM, TU,TH
9AM-7PM, W 8AM-5PM, SA
9AM-12:30PM
PTA: No
Other Language: Chinese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
113
SAN DIEGO COUNTY VISION PROVIDERS
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-OCT-20
Katzman, Lee MD
7877 Parkway Dr Ste 100
La Mesa, CA 91942
(619) 460-3711
License: A135673
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lee, Sally DO
5965 Severin Dr
La Mesa, CA 91942
(619) 583-4295
License: 20A8088
Accepting New Members: Yes
Hours: M-TH 10AM-5PM, F
10AM-6PM
PTA: Yes
Other Language: Spanish,
Chinese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Peterson, Steven OD
7090 Parkway Dr Ste A
La Mesa, CA 91942
(619) 286-2810
License: 7554
Accepting New Members: Yes
Hours: M 10AM-6:30PM, TU-TH
9AM-5PM, F 9AM-4:30PM, SA
9AM-12:30PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 23-OCT-20
Yeghiazarian, Mark OD
7090 Parkway Dr Ste A
La Mesa, CA 91942
(619) 460-2020
License: 34021
Accepting New Members: Yes
Hours: M,F 9AM-6PM, TU,TH
9AM-7PM, W 8AM-5PM, SA
9AM-12:30PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 21-OCT-20
LAKESIDE
92040
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
114
SAN DIEGO COUNTY VISION PROVIDERS
Fleming, John OD
9710 Winter Gardens Blvd Ste
A
Lakeside, CA 92040
(619) 443-1075
License: 8461
Accepting New Members: Yes
Hours: M,TU,TH 9AM-5PM, W
9AM-6PM, F 8:30AM-4PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Johnson, Christopher OD
9710 Winter Gardens Blvd Ste
A
Lakeside, CA 92040
(619) 443-1075
License: 15100
Accepting New Members: Yes
Hours: M,TU,TH 9AM-5PM, W
9AM-6PM, F 8:30AM-4PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
NATIONAL CITY
91950
Alden, Ashley OD
655 Euclid Ave Ste 302
National City, CA 91950
(619) 472-1010
License: 33536
Accepting New Members: Yes
Hours: M,TU,TH 8AM-6PM, W
8:30AM-5PM, F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Aoto, Kim OD
2240 E Plaza Blvd Ste Fg
National City, CA 91950
(619) 470-2700
License: 14524
Accepting New Members: Yes
Hours: M-F 8:30AM-5PM, SA
8:30AM-3PM
PTA: No
Other Language: Spanish,
Vietnamese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Binder, Nicholas MD
2240 E Plaza Blvd Ste Fg
National City, CA 91950
(619) 470-2700
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
115
SAN DIEGO COUNTY VISION PROVIDERS
License: A124698 accessibility indicators are not (619) 470-2700
Accepting New Members: Yes present. License: A34834
Hours: M-F 8:30AM-5PM, SA UPDATE: There was a change Accepting New Members: Yes
8:30AM-3PM in the provider record; Hours: M-F 8:30AM-5PM, SA
PTA: No demographic, phone and/or 8:30AM-3PM
Cultural Competency: CC panel status. PTA: No
Accessibility: P, EB, IB, E, R; Other Language: Spanish
Members should call the Cultural Competency: CC
provider’s office to discuss Dyer, Sharon OD Accessibility: P, EB, IB, E, R;
their accessibility needs when 2240 E Plaza Blvd Ste Fg Members should call the
there is limited access or when National City, CA 91950 provider’s office to discuss
accessibility indicators are not (619) 470-2700 their accessibility needs when
present. License: 33450 there is limited access or when
UPDATE: There was a change Accepting New Members: Yes accessibility indicators are not
in the provider record; Hours: M-F 8:30AM-5PM, SA present.
demographic, phone and/or 8:30AM-3PM UPDATE: There was a change
panel status. PTA: No in the provider record;
Cultural Competency: CC demographic, phone and/or
Accessibility: P, EB, IB, E, R; panel status.
Castiello, John OD Members should call the
2240 E Plaza Blvd Ste Fg provider’s office to discuss
National City, CA 91950 their accessibility needs when Mcgraw, Joseph MD
(619) 470-2700 there is limited access or when 2240 E Plaza Blvd Ste Fg
License: 6177 accessibility indicators are not National City, CA 91950
Accepting New Members: Yes present. (619) 470-2700
Hours: M-F 8:30AM-5PM, SA UPDATE: There was a change License: A155228
8:30AM-3PM in the provider record; Accepting New Members: Yes
PTA: No demographic, phone and/or Hours: M-F 8:30AM-5PM, SA
Cultural Competency: CC panel status. 8:30AM-3PM
Accessibility: P, EB, IB, E, R; PTA: No
Members should call the Cultural Competency: CC
provider’s office to discuss Katzman, Barry MD Accessibility: P, EB, IB, E, R;
their accessibility needs when 2240 E Plaza Blvd Ste Fg Members should call the
there is limited access or when National City, CA 91950 provider’s office to discuss
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
116
SAN DIEGO COUNTY VISION PROVIDERS
their accessibility needs when 2240 E Plaza Blvd Ste Fg Other Language: Indonesian,
there is limited access or when National City, CA 91950 Spanish
accessibility indicators are not (619) 470-2700 Cultural Competency: CC
present. License: A125435 Accessibility: P, EB, IB, E, R;
UPDATE: There was a change Accepting New Members: Yes Members should call the
in the provider record; Hours: M-F 8:30AM-5PM, SA provider’s office to discuss
demographic, phone and/or 8:30AM-3PM their accessibility needs when
panel status. PTA: No there is limited access or when
Other Language: Indonesian, accessibility indicators are not
Spanish present.
Mcgraw, Joseph MD Cultural Competency: CC UPDATE: There was a change
655 Euclid Ave Ste 302 Accessibility: P, EB, IB, E, R; in the provider record;
National City, CA 91950 Members should call the demographic, phone and/or
(619) 472-1010 provider’s office to discuss panel status.
License: A155228 their accessibility needs when
Accepting New Members: Yes there is limited access or when
Hours: M,TU,TH 8AM-6PM, W accessibility indicators are not Patel, Gitane MD
8:30AM-5PM, F 8AM-5PM present. 2240 E Plaza Blvd Ste Fg
PTA: Yes UPDATE: There was a change National City, CA 91950
Cultural Competency: CC in the provider record; (619) 470-2700
Accessibility: P, EB, IB, E, R; demographic, phone and/or License: A108603
Members should call the panel status. Accepting New Members: Yes
provider’s office to discuss Hours: M-F 8:30AM-5PM, SA
their accessibility needs when 8:30AM-3PM
there is limited access or when Morrison Reyes, Joshua MD PTA: No
accessibility indicators are not 655 Euclid Ave Ste 302 Cultural Competency: CC
present. National City, CA 91950 Accessibility: P, EB, IB, E, R;
UPDATE: There was a change (619) 472-1010 Members should call the
in the provider record; License: A125435 provider’s office to discuss
demographic, phone and/or Accepting New Members: Yes their accessibility needs when
panel status. Hours: M,TU,TH 8AM-6PM, W there is limited access or when
8:30AM-5PM, F 8AM-5PM accessibility indicators are not
PTA: Yes present.
Morrison Reyes, Joshua MD UPDATE: There was a change
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
117
SAN DIEGO COUNTY VISION PROVIDERS
in the provider record;
demographic, phone and/or
panel status.
Patel, Sarjan MD
2240 E Plaza Blvd Ste Fg
National City, CA 91950
(619) 470-2700
License: A114976
Accepting New Members: Yes
Hours: M-F 8:30AM-5PM, SA
8:30AM-3PM
PTA: No
Other Language: Gujarati,
Hindi, Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Prabhu, Sujata MD
2240 E Plaza Blvd Ste Fg
National City, CA 91950
(619) 470-2700
License: A115965
Accepting New Members: Yes
Hours: M-F 8:30AM-5PM, SA
8:30AM-3PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ramolia, Anika OD
2240 E Plaza Blvd Ste Fg
National City, CA 91950
(619) 470-2700
License: 13802
Accepting New Members: Yes
Hours: M-F 8:30AM-5PM, SA
8:30AM-3PM
PTA: No
Other Language: Hindi
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Soriano, Catherine OD
2240 E Plaza Blvd Ste Fg
National City, CA 91950
(619) 470-2700
License: 13109
Accepting New Members: Yes
Hours: M-F 8:30AM-5PM, SA
8:30AM-3PM
PTA: No
Other Language: Spanish,
Tagalog
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
118
SAN DIEGO COUNTY VISION PROVIDERS
Vinh, John OD
655 Euclid Ave Ste 302
National City, CA 91950
(619) 472-1010
License: 14177
Accepting New Members: Yes
Hours: M,TU,TH 8AM-6PM, W
8:30AM-5PM, F 8AM-5PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SAN DIEGO
92105
Huynh, Paul MD
4844 University Ave Ste A
San Diego, CA 92105
(619) 283-1303
License: A79141
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Other Language: Vietnamese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Pousti, Sheiva OD
3560 Fairmount Ave Ste A
San Diego, CA 92105
(619) 431-2020
License: 10403
Accepting New Members: Yes
Hours: M-SU 9AM-6PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 30-SEP-20
92111
Alden, Ashley OD
4344 Convoy St Ste C2
San Diego, CA 92111
(858) 565-8822
License: 33536
Accepting New Members: Yes
Hours: M 10AM-6PM, TU
8:30AM-5PM, W 7:30AM-4PM,
TH 9:30AM-5PM, F 8AM-4PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Aoto, Kim OD
4344 Convoy St Ste C2
San Diego, CA 92111
(858) 565-8822
License: 14524
Accepting New Members: Yes
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
119
SAN DIEGO COUNTY VISION PROVIDERS
Hours: M 10AM-6PM, TU their accessibility needs when
8:30AM-5PM, W 7:30AM-4PM, there is limited access or when Castiello, John OD
TH 9:30AM-5PM, F 8AM-4PM accessibility indicators are not 4344 Convoy St Ste C2
PTA: No present. San Diego, CA 92111
Other Language: Spanish, UPDATE: There was a change (858) 565-8822
Vietnamese in the provider record; License: 6177
Cultural Competency: CC demographic, phone and/or Accepting New Members: Yes
Accessibility: P, EB, IB, E, R; panel status. Hours: M 10AM-6PM, TU
Members should call the 8:30AM-5PM, W 7:30AM-4PM,
provider’s office to discuss TH 9:30AM-5PM, F 8AM-4PM
their accessibility needs when Boeck, Carl OD PTA: No
there is limited access or when 7246 Clairemont Mesa Blvd Cultural Competency: CC
accessibility indicators are not San Diego, CA 92111 Accessibility: P, EB, IB, E, R;
present. (858) 560-8581 Members should call the
UPDATE: There was a change License: 6620 provider’s office to discuss
in the provider record; Accepting New Members: Yes their accessibility needs when
demographic, phone and/or Hours: M-F 9AM-5PM, SA there is limited access or when
panel status. 9AM-1PM accessibility indicators are not
PTA: No present.
Other Language: German, UPDATE: There was a change
Binder, Nicholas MD Spanish in the provider record;
4344 Convoy St Ste C2 Cultural Competency: CC demographic, phone and/or
San Diego, CA 92111 Accessibility: P, EB, IB, E, R; panel status.
(858) 565-8822 Members should call the
License: A124698 provider’s office to discuss
Accepting New Members: Yes their accessibility needs when Dyer, Sharon OD
Hours: M 10AM-6PM, TU there is limited access or when 4344 Convoy St Ste C2
8:30AM-5PM, W 7:30AM-4PM, accessibility indicators are not San Diego, CA 92111
TH 9:30AM-5PM, F 8AM-4PM present. (858) 565-8822
PTA: No UPDATE: There was a change License: 33450
Cultural Competency: CC in the provider record; Accepting New Members: Yes
Accessibility: P, EB, IB, E, R; demographic, phone and/or Hours: M 10AM-6PM, TU
Members should call the panel status. 8:30AM-5PM, W 7:30AM-4PM,
provider’s office to discuss TH 9:30AM-5PM, F 8AM-4PM
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
120
SAN DIEGO COUNTY VISION PROVIDERS
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Hoang, Kevin OD
4898 Convoy St Ste 103
San Diego, CA 92111
(858) 565-1001
License: 34401
Accepting New Members: Yes
Hours: M 9AM-4PM, TU,TH
10AM-7PM, W,F 9AM-6PM, SA
9AM-5PM
PTA: Yes
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: TERMED Provider.
Effective Date: 22-OCT-20
Katzman, Barry MD
4344 Convoy St Ste C2
San Diego, CA 92111
(858) 565-8822
License: A34834
Accepting New Members: Yes
Hours: M 10AM-6PM, TU
8:30AM-5PM, W 7:30AM-4PM,
TH 9:30AM-5PM, F 8AM-4PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Mcgraw, Joseph MD
4344 Convoy St Ste C2
San Diego, CA 92111
(858) 565-8822
License: A155228
Accepting New Members: Yes
Hours: M 10AM-6PM, TU
8:30AM-5PM, W 7:30AM-4PM,
TH 9:30AM-5PM, F 8AM-4PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Miller, Douglas MD
4344 Convoy St Ste C2
San Diego, CA 92111
(858) 565-8822
License: G52627
Accepting New Members: Yes
Hours: M 10AM-6PM, TU
8:30AM-5PM, W 7:30AM-4PM,
TH 9:30AM-5PM, F 8AM-4PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
121
SAN DIEGO COUNTY VISION PROVIDERS
there is limited access or when PTA: No
accessibility indicators are not Patel, Gitane MD Other Language: Gujarati,
present. 4344 Convoy St Ste C2 Hindi, Spanish
UPDATE: There was a change San Diego, CA 92111 Cultural Competency: CC
in the provider record; (858) 565-8822 Accessibility: P, EB, IB, E, R;
demographic, phone and/or License: A108603 Members should call the
panel status. Accepting New Members: Yes provider’s office to discuss
Hours: M 10AM-6PM, TU their accessibility needs when
8:30AM-5PM, W 7:30AM-4PM, there is limited access or when
Morrison Reyes, Joshua MD TH 9:30AM-5PM, F 8AM-4PM accessibility indicators are not
4344 Convoy St Ste C2 PTA: No present.
San Diego, CA 92111 Cultural Competency: CC UPDATE: There was a change
(858) 565-8822 Accessibility: P, EB, IB, E, R; in the provider record;
License: A125435 Members should call the demographic, phone and/or
Accepting New Members: Yes provider’s office to discuss panel status.
Hours: M 10AM-6PM, TU their accessibility needs when
8:30AM-5PM, W 7:30AM-4PM, there is limited access or when
TH 9:30AM-5PM, F 8AM-4PM accessibility indicators are not Prabhu, Sujata MD
PTA: No present. 4344 Convoy St Ste C2
Other Language: Indonesian, UPDATE: There was a change San Diego, CA 92111
Spanish in the provider record; (858) 565-8822
Cultural Competency: CC demographic, phone and/or License: A115965
Accessibility: P, EB, IB, E, R; panel status. Accepting New Members: Yes
Members should call the Hours: M 10AM-6PM, TU
provider’s office to discuss 8:30AM-5PM, W 7:30AM-4PM,
their accessibility needs when Patel, Sarjan MD TH 9:30AM-5PM, F 8AM-4PM
there is limited access or when 4344 Convoy St Ste C2 PTA: No
accessibility indicators are not San Diego, CA 92111 Other Language: Spanish
present. (858) 565-8822 Cultural Competency: CC
UPDATE: There was a change License: A114976 Accessibility: P, EB, IB, E, R;
in the provider record; Accepting New Members: Yes Members should call the
demographic, phone and/or Hours: M 10AM-6PM, TU provider’s office to discuss
panel status. 8:30AM-5PM, W 7:30AM-4PM, their accessibility needs when
TH 9:30AM-5PM, F 8AM-4PM there is limited access or when
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
122
SAN DIEGO COUNTY VISION PROVIDERS
accessibility indicators are not 7246 Clairemont Mesa Blvd Cultural Competency: CC
present. San Diego, CA 92111 Accessibility: P, EB, IB, E, R;
UPDATE: There was a change (858) 560-8581 Members should call the
in the provider record; License: 6791 provider’s office to discuss
demographic, phone and/or Accepting New Members: Yes their accessibility needs when
panel status. Hours: M-F 9AM-5PM, SA there is limited access or when
9AM-1PM accessibility indicators are not
PTA: No present.
Ramolia, Anika OD Cultural Competency: CC UPDATE: There was a change
4344 Convoy St Ste C2 Accessibility: P, EB, IB, E, R; in the provider record;
San Diego, CA 92111 Members should call the demographic, phone and/or
(858) 565-8822 provider’s office to discuss panel status.
License: 13802 their accessibility needs when
Accepting New Members: Yes there is limited access or when
Hours: M 10AM-6PM, TU accessibility indicators are not Wu, Eva OD
8:30AM-5PM, W 7:30AM-4PM, present. 7330 Clrmt Msa Blvd Ste A102
TH 9:30AM-5PM, F 8AM-4PM UPDATE: There was a change San Diego, CA 92111
PTA: No in the provider record; (858) 292-4498
Other Language: Hindi demographic, phone and/or License: 14743
Cultural Competency: CC panel status. Accepting New Members: Yes
Accessibility: P, EB, IB, E, R; Hours: M-W,F,SU 10AM-7PM, SA
Members should call the 10AM-7:30PM
provider’s office to discuss Soriano, Catherine OD PTA: Yes
their accessibility needs when 4344 Convoy St Ste C2 Other Language: Spanish,
there is limited access or when San Diego, CA 92111 Chinese
accessibility indicators are not (858) 565-8822 Cultural Competency: CC
present. License: 13109 Accessibility: P, EB, IB, E, R;
UPDATE: There was a change Accepting New Members: Yes Members should call the
in the provider record; Hours: M 10AM-6PM, TU provider’s office to discuss
demographic, phone and/or 8:30AM-5PM, W 7:30AM-4PM, their accessibility needs when
panel status. TH 9:30AM-5PM, F 8AM-4PM there is limited access or when
PTA: No accessibility indicators are not
Other Language: Spanish, present.
Schisler, Ronald OD Tagalog UPDATE: TERMED Provider.
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
123
SAN DIEGO COUNTY VISION PROVIDERS
Effective Date: 22-OCT-20
92115
Alden, Ashley OD
6945 El Cajon Blvd
San Diego, CA 92115
(619) 697-4600
License: 33536
Accepting New Members: Yes
Hours: M 7:30AM-4:30PM, TU
8AM-5PM, W 8:30AM-5PM, TH
8AM-6PM, F 8AM-4PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Aoto, Kim OD
6945 El Cajon Blvd
San Diego, CA 92115
(619) 697-4600
License: 14524
Accepting New Members: Yes
Hours: M 7:30AM-4:30PM, TU
8AM-5PM, W 8:30AM-5PM, TH
8AM-6PM, F 8AM-4PM
PTA: No
Other Language: Spanish,
Vietnamese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Binder, Nicholas MD
6945 El Cajon Blvd
San Diego, CA 92115
(619) 697-4600
License: A124698
Accepting New Members: Yes
Hours: M 7:30AM-4:30PM, TU
8AM-5PM, W 8:30AM-5PM, TH
8AM-6PM, F 8AM-4PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Castiello, John OD
6945 El Cajon Blvd
San Diego, CA 92115
(619) 697-4600
License: 6177
Accepting New Members: Yes
Hours: M 7:30AM-4:30PM, TU
8AM-5PM, W 8:30AM-5PM, TH
8AM-6PM, F 8AM-4PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
124
SAN DIEGO COUNTY VISION PROVIDERS
Katzman, Barry MD
6945 El Cajon Blvd
San Diego, CA 92115
(619) 697-4600
License: A34834
Accepting New Members: Yes
Hours: M 7:30AM-4:30PM, TU
8AM-5PM, W 8:30AM-5PM, TH
8AM-6PM, F 8AM-4PM
PTA: No
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Kouchak, Yasmin OD
6945 El Cajon Blvd
San Diego, CA 92115
(619) 697-4600
License: 14601
Accepting New Members: Yes
Hours: M 7:30AM-4:30PM, TU
8AM-5PM, W 8:30AM-5PM, TH
8AM-6PM, F 8AM-4PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 03-AUG-20
Mcgraw, Joseph MD
6945 El Cajon Blvd
San Diego, CA 92115
(619) 697-4600
License: A155228
Accepting New Members: Yes
Hours: M 7:30AM-4:30PM, TU
8AM-5PM, W 8:30AM-5PM, TH
8AM-6PM, F 8AM-4PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Miller, Douglas MD
6945 El Cajon Blvd
San Diego, CA 92115
(619) 697-4600
License: G52627
Accepting New Members: Yes
Hours: M 7:30AM-4:30PM, TU
8AM-5PM, W 8:30AM-5PM, TH
8AM-6PM, F 8AM-4PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Morrison Reyes, Joshua MD
6945 El Cajon Blvd
San Diego, CA 92115
(619) 697-4600
License: A125435
Accepting New Members: Yes
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
125
SAN DIEGO COUNTY VISION PROVIDERS
Hours: M 7:30AM-4:30PM, TU their accessibility needs when
8AM-5PM, W 8:30AM-5PM, TH there is limited access or when
8AM-6PM, F 8AM-4PM accessibility indicators are not Prabhu, Sujata MD
PTA: No present. 6945 El Cajon Blvd
Other Language: Indonesian, UPDATE: There was a change San Diego, CA 92115
Spanish in the provider record; (619) 697-4600
Cultural Competency: CC demographic, phone and/or License: A115965
Accessibility: P, EB, IB, E, R; panel status. Accepting New Members: Yes
Members should call the Hours: M 7:30AM-4:30PM, TU
provider’s office to discuss 8AM-5PM, W 8:30AM-5PM, TH
their accessibility needs when Patel, Sarjan MD 8AM-6PM, F 8AM-4PM
there is limited access or when 6945 El Cajon Blvd PTA: No
accessibility indicators are not San Diego, CA 92115 Other Language: Spanish
present. (619) 697-4600 Cultural Competency: CC
UPDATE: There was a change License: A114976 Accessibility: P, EB, IB, E, R;
in the provider record; Accepting New Members: Yes Members should call the
demographic, phone and/or Hours: M 7:30AM-4:30PM, TU provider’s office to discuss
panel status. 8AM-5PM, W 8:30AM-5PM, TH their accessibility needs when
8AM-6PM, F 8AM-4PM there is limited access or when
PTA: No accessibility indicators are not
Patel, Gitane MD Other Language: Gujarati, present.
6945 El Cajon Blvd Hindi, Spanish UPDATE: There was a change
San Diego, CA 92115 Cultural Competency: CC in the provider record;
(619) 697-4600 Accessibility: P, EB, IB, E, R; demographic, phone and/or
License: A108603 Members should call the panel status.
Accepting New Members: Yes provider’s office to discuss
Hours: M 7:30AM-4:30PM, TU their accessibility needs when
8AM-5PM, W 8:30AM-5PM, TH there is limited access or when Soriano, Catherine OD
8AM-6PM, F 8AM-4PM accessibility indicators are not 6945 El Cajon Blvd
PTA: No present. San Diego, CA 92115
Cultural Competency: CC UPDATE: There was a change (619) 697-4600
Accessibility: P, EB, IB, E, R; in the provider record; License: 13109
Members should call the demographic, phone and/or Accepting New Members: Yes
provider’s office to discuss panel status.
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
126
SAN DIEGO COUNTY VISION PROVIDERS
Hours: M 7:30AM-4:30PM, TU
8AM-5PM, W 8:30AM-5PM, TH
8AM-6PM, F 8AM-4PM
PTA: No
Other Language: Spanish,
Tagalog
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
92117
Bainter, Patricia MD
3737 Moraga Ave Ste A105
San Diego, CA 92117
(858) 273-0200
License: G86883
Accepting New Members: Yes
Hours: M-TH 8AM-5PM, F
8AM-4PM
PTA: Yes
Other Language: French,
Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 18-MAY-09
92123
Jockin, Yvette MD
7910 Frost St Ste 200
San Diego, CA 92123
(858) 309-7702
License: G83342
Accepting New Members: Yes
Hours: M-F 7AM-5PM
PTA: No
Other Language: Dutch,
Flemish, Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: TERMED Provider.
Effective Date: 15-OCT-20
92126
Huynh, Paul MD
10737 Camino Ruiz Ste 100
San Diego, CA 92126
(858) 549-3200
License: A79141
Accepting New Members: Yes
Hours: M-F 8AM-5PM
PTA: Yes
Other Language: Vietnamese
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
92127
Cahoon, Benjamin OD
16615 Dove Canyon Rd Ste
105
San Diego, CA 92127
(858) 487-7900
License: 33877
Accepting New Members: Yes
Hours: M-F 9AM-6PM, SA
9AM-4PM
PTA: No
Cultural Competency: CC
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
127
SAN DIEGO COUNTY VISION PROVIDERS
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: TERMED Provider.
Effective Date: 14-OCT-20
SAN MARCOS
92078
Hoang, Kevin OD
640 Grand Ave Ste 101
San Marcos, CA 92078
(760) 736-0020
License: 34401
Accepting New Members: Yes
Hours: TU-F 9AM-5PM, SA
9AM-2PM
PTA: Yes
Other Language: Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: TERMED Provider.
Effective Date: 22-OCT-20
SANTEE
92071
Boeck, Carl OD
9621 Mission Gorge Rd Ste 106
Santee, CA 92071
(619) 449-2000
License: 6620
Accepting New Members: Yes
Hours: M 8AM-8PM, TU,TH
9AM-6PM, W,F 9AM-5PM, SA
9AM-1PM
PTA: Yes
Other Language: German,
Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Schisler, Ronald OD
9621 Mission Gorge Rd Ste 106
Santee, CA 92071
(619) 449-2000
License: 6791
Accepting New Members: Yes
Hours: M 8AM-8PM, TU,TH
9AM-6PM, W,F 9AM-5PM, SA
9AM-1PM
PTA: Yes
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SPRING VALLEY
91977
Fleming, John OD
9628 Campo Rd Ste C
Spring Valley, CA 91977
(619) 463-9318
License: 8461
Accepting New Members: Yes
Hours: M,W,TH 9AM-5PM, TU
9AM-5:30PM, F 9AM-4PM, SA
9AM-12PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
128
SAN DIEGO COUNTY VISION PROVIDERS
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Johnson, Christopher OD
9628 Campo Rd Ste C
Spring Valley, CA 91977
(619) 463-9318
License: 15100
Accepting New Members: Yes
Hours: M,W,TH 9AM-5PM, TU
9AM-5:30PM, F 9AM-4PM, SA
9AM-12PM
PTA: No
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
VISTA
92084
George, Bruce OD
931 Anza Ave Ste B
Vista, CA 92084
(760) 758-2340
License: 7696
Accepting New Members: Yes
Hours: M,TH,F 9AM-5PM, TU,W
9AM-6PM
PTA: Yes
Other Language: Korean,
Spanish
Cultural Competency: CC
Accessibility: P, EB, IB, E, R;
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
129
100
SAN DIEGO COUNTY MENTAL HEALTH FACILITIES
CARLSBAD
92008
North County Health Services -
Carlsbad Family Medicine
1295 Carlsbad Village Dr Ste
Carlsbad, CA 92008
(760) 736-6767
NPI#: 1255347704
Hours: M-F 8AM-5PM
PTA: No
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs when
there is limited access or when
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-APR-16
CHULA VISTA
91910
San Ysidro Health Center -
Chula Vista Medical Plaza
678 Third Ave
Chula Vista, CA 91910
(619) 662-4100
NPI#: 1326486861
Hours: M-F 8AM-5PM
PTA: No
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
UPDATE: NEW Provider Added.
Effective_Date: 01-APR-16
ENCINITAS
92024
North County Health Services -
Encinitas Health Center
1130 2nd St
Encinitas, CA 92024
(760) 736-6767
NPI#: 1447267349
Hours: M-F 8AM-5PM
PTA: No
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
UPDATE: NEW Provider Added.
Effective_Date: 22-SEP-16
ESCONDIDO
92025
Neighborhood Healthcare -
Prenatal
488 E Valley Pkwy Ste 404
Escondido, CA 92025
(760) 466-9800
NPI#: 1932622446
Hours: M-F 8AM-5PM
PTA: No
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
UPDATE: NEW Provider Added.
Effective_Date: 21-SEP-16
IMPERIAL BEACH
91932
Imperial Beach Health Center
949 Palm Ave
Imperial Beach, CA 91932
(619) 429-3733
NPI#: 1790718351
Hours: M-TH 8AM-8PM, F
8AM-5PM, SA 8AM-12PM
PTA: No
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
UPDATE: NEW Provider Added.
Effective_Date: 23-OCT-20
Integrated Health Partners -
Imperial Beach Health Center
949 Palm Ave
Imperial Beach, CA 91932
(619) 429-3733
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
130
SAN DIEGO COUNTY MENTAL HEALTH FACILITIES
NPI#: 1790718351
Hours: M-TH 8AM-8PM, F
8AM-5PM, SA 8AM-12PM
PTA: No
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
UPDATE: TERMED Provider.
Effective Date: 22-OCT-20
NATIONAL CITY
91950
San Ysidro Health Center -
National City Family Clinic
1136 D Ave
National City, CA 91950
(619) 662-4100
NPI#: 1003869363
Hours: M-F 8AM-5PM
PTA: No
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
UPDATE: NEW Provider Added.
Effective_Date: 01-APR-16
OCEANSIDE
92054
North County Health Project ,
Inc.
619 Crouch St Ste 100
Oceanside, CA 92054
(760) 736-6767
NPI#: 1639185317
Hours: M-TH 7:30AM-6:30PM
PTA: No
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
UPDATE: NEW Provider Added.
Effective_Date: 01-JUL-18
North County Health Services -
Mission Mesa Pediatrics
2210 Mesa Dr Ste 300
Oceanside, CA 92054
(760) 966-3306
NPI#: 1255347894
Hours: M-F 7:30AM-8PM, SA
8AM-4:30PM
PTA: No
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
UPDATE: NEW Provider Added.
Effective_Date: 22-SEP-16
North County Health Services -
Oceanside-carlsbad Health
Cen
605 Crouch St
Oceanside, CA 92054
(760) 736-6767
NPI#: 1639185317
Hours: M-W 8AM-7PM, TH-SA
8AM-5PM
PTA: No
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
UPDATE: NEW Provider Added.
Effective_Date: 22-SEP-16
92058
North County Health Services -
La Mission
3220 Mission Ave Ste 1
Oceanside, CA 92058
(760) 736-6767
NPI#: 1639185317
Hours: M-F 8AM-5PM
PTA: No
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
UPDATE: NEW Provider Added.
Effective_Date: 01-APR-16
SAN DIEGO
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
131
SAN DIEGO COUNTY MENTAL HEALTH FACILITIES
92109
Family Health Centers Of San
Diego - Beach Area Family
Healt
3705 Mission Blvd
San Diego, CA 92109
(619) 515-2338
NPI#: 1386689701
Hours: M-W,F 8:30AM-5PM
PTA: No
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
UPDATE: NEW Provider Added.
Effective_Date: 01-APR-16
92154
Integrated Health Partners -
Nestor Community Health
Center
1016 Outer Rd
San Diego, CA 92154
(619) 429-3733
NPI#: 1215246996
Hours: M,TU,TH 8AM-8PM, W,F
8AM-5PM, SA 8AM-12PM
PTA: No
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
UPDATE: TERMED Provider.
Effective Date: 22-OCT-20 their accessibility needs.
UPDATE: NEW Provider Added.
Effective_Date: 01-APR-16
Nestor Community Health
Center
1016 Outer Rd
San Diego, CA 92154
(619) 429-3733
NPI#: 1215246996
Hours: M,TU,TH 8AM-8PM, W,F
8AM-5PM, SA 8AM-12PM
PTA: No
Cultural Competency: NR
Members should call the
provider’s office to discuss
their accessibility needs.
UPDATE: NEW Provider Added.
Effective_Date: 23-OCT-20
SAN MARCOS
92069
North County Health Services -
San Marcos Health Center
150 Valpreda Rd
San Marcos, CA 92069
(760) 736-6700
NPI#: 1245246917
Hours: M-F 8AM-6PM, SA
8AM-5PM
PTA: No
Cultural Competency: NR
Members should call the
provider’s office to discuss
Accessiblity code explanations: P: Parking EB: Exterior Building IB: Interior Building R: Restroom E:Exam
Room T: Exam Table/Scale W: Wheelchair ME: Medical Equipment SR: Self reported: This information is
self-reported by the provider. Blue Shield Promise Cal Mediconnect Plan has not verified this information
PTA: Public Transportation Accessible within half a mile of provider site. Cultural Competency: CC : Cultural
Competency reported NR: Cultural Competency not reported. Interpreting services are available for all
providers through Blue Shield Promise Cal MediconnectPlan at no cost. An advance notice is needed for
face-to- face and ASL interpreting services. To request services, contact Blue Shield Promise Cal
Mediconnect Plan Member Services. If you have questions, please call Blue Shield Promise Cal
Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m.– 8:00 p.m., seven days a week. The call is free. For
more information, visit www.blueshieldca.com/promise/calmediconnect. Call Member Services at
1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a week. , if you need information about a
facility’s licensing information, other credentials and/or certifications, and/or days and hours of operation.
This list is subject to change.
132
SAN DIEGO COUNTY PHARMACIES
RETAIL PHARMACIES
ALPINE
91901
Sav-on Pharmacy 0704 •
2955 Alpine Blvd
Alpine, CA 91901
(619) 445-0601
TTY: 711
Hours: SU 10AM-6PM, M-F
9AM-9PM, SA 9AM-6PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
BORREGO SPRINGS
92004
Borrego Community Health
Foundation •
590 Palm Canyon Dr
Borrego Springs, CA 92004
(760) 767-3047
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
9AM-5:30PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
CARLSBAD
92009
Cvs Pharmacy 09528 •
7740 Rancho Santa Fe Rd
Carlsbad, CA 92009
(760) 753-5115
TTY: 711
Hours: SU 9AM-6PM, M-F
8AM-9PM, SA 9AM-7PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Pharmaca Integrative
Pharmacy 027 •
6985 El Camino Real Ste A103
Carlsbad, CA 92009
(760) 444-3810
TTY: 711
Hours: SU 10AM-6PM, M-F
9AM-8PM, SA 9AM-6PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
92011
Price Rite Pharmacy •
6010 Hidden Valley Rd Ste 135
Carlsbad, CA 92011
(760) 893-8331
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
9AM-5:30PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
CHULA VISTA
91910
Chulavista Pharmacy •
384 H St Ste 100
Chula Vista, CA 91910
(619) 781-8177
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
9AM-6PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Cvs Pharmacy 08859 •
16 3rd Ave
•=This pharmacy supports electronic prescribing.
•= Extended supply of maintenance medications available at this location.
You can go to any of the pharmacies in our network
Interpreting services are available for all providers through Blue Shield Promise Cal Mediconnect Plan at
no cost. An advance notice is needed for face-to- face and ASL interpreting services. To request services,
contact Blue Shield Promise Cal Mediconnect Plan Member Services. If you have questions, please call
Blue Shield Promise Cal Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a
week. The call is free. For more information, visit www.blueshieldca.com/promise/calmediconnect.
This list is subject to change
133
SAN DIEGO COUNTY PHARMACIES
Chula Vista, CA 91910
(619) 425-1910
TTY: 711
Hours: SA,SU 10AM-6PM, M-F
9AM-9PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Cvs Pharmacy 09240 •
380 E H St
Chula Vista, CA 91910
(619) 426-0866
TTY: 711
Hours: SA,SU 10AM-6PM, M-F
9AM-9PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Medical Center Pharmacy 1 •
340 4th Ave Ste 1
Chula Vista, CA 91910
(619) 422-9291
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
9AM-5:30PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Sharp Rees Stealy Pharmacy 2 •
525 3rd Ave Ste A
Chula Vista, CA 91910
(619) 420-7120
TTY: 711
Hours: SU 12AM-12AM, M-F
8AM-7PM, SA 8:30AM-1:30PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
91911
Otay Pharmacy •
1637 3rd Ave Ste A
Chula Vista, CA 91911
(619) 934-9999
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
8:30AM-5PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
South County Hematology
Oncology •
769 Medical Center Ct Ste 202
Chula Vista, CA 91911
(619) 482-8430
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
9AM-5PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Veterans Home Of Ca Chula
Vista
700 E Naples Ct
Chula Vista, CA 91911
(619) 482-6020
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
8:30AM-5PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
91915
Walgreens 7867 •
1430 Eastlake Pkwy
•=This pharmacy supports electronic prescribing.
•= Extended supply of maintenance medications available at this location.
You can go to any of the pharmacies in our network
Interpreting services are available for all providers through Blue Shield Promise Cal Mediconnect Plan at
no cost. An advance notice is needed for face-to- face and ASL interpreting services. To request services,
contact Blue Shield Promise Cal Mediconnect Plan Member Services. If you have questions, please call
Blue Shield Promise Cal Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a
week. The call is free. For more information, visit www.blueshieldca.com/promise/calmediconnect.
This list is subject to change
134
SAN DIEGO COUNTY PHARMACIES
Chula Vista, CA 91915
(619) 591-7042
TTY: 711
Hours: SU 10AM-6PM, M-F
8AM-9PM, SA 9AM-6PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
CORONADO
92118
Sharp Coronado Hospital And
Healthcare Center •
230 Prospect Pl Ste 110
Coronado, CA 92118
(619) 522-3996
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
9AM-6:30PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Sharp Coronado Hospital
Pharmacy •
250 Prospect Pl
Coronado, CA 92118
(619) 522-3717
TTY: 711
Hours: SA,SU 7AM-8PM, M-F
5:30AM-10PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
EL CAJON
92019
Rite Aid Pharmacy 05623 •
2516 Jamacha Rd
El Cajon, CA 92019
(619) 670-9769
TTY: 711
Hours: SU 10AM-6PM, M-F
8AM-10PM, SA 9AM-6PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
92020
Cvs Pharmacy 09173 •
2760 Fletcher Pkwy
El Cajon, CA 92020
(619) 461-4411
TTY: 711
Hours: SU 10AM-6PM, M-F
8AM-10PM, SA 9AM-6PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
92021
Medicine Care Pharmacy Ii •
1685 E Main St Ste 101
El Cajon, CA 92021
(619) 383-2757
TTY: 711
Hours: SA,SU 10AM-3PM, M-F
9AM-8PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Mollison Pharmacy •
505 N Mollison Ave # 101
El Cajon, CA 92021
(619) 446-6444
TTY: 711
Hours: SU 12AM-12AM, M-F
9AM-5:30PM, SA 9AM-1PM
UPDATE: There was a change
in the provider record;
•=This pharmacy supports electronic prescribing.
•= Extended supply of maintenance medications available at this location.
You can go to any of the pharmacies in our network
Interpreting services are available for all providers through Blue Shield Promise Cal Mediconnect Plan at
no cost. An advance notice is needed for face-to- face and ASL interpreting services. To request services,
contact Blue Shield Promise Cal Mediconnect Plan Member Services. If you have questions, please call
Blue Shield Promise Cal Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a
week. The call is free. For more information, visit www.blueshieldca.com/promise/calmediconnect.
This list is subject to change
135
SAN DIEGO COUNTY PHARMACIES
demographic, phone and/or
panel status.
ENCINITAS
92024
Cvs Pharmacy 09135 •
129 N El Camino Real
Encinitas, CA 92024
(760) 942-2269
TTY: 711
Hours: SA,SU 8AM-8PM, M-F
7AM-10PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
North Coast Medical
Pharmacy •
477 N El Camino Real Ste B101
Encinitas, CA 92024
(760) 943-1191
TTY: 711
Hours: SU 12AM-12AM, M-F
9AM-6PM, SA 9AM-2PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Rite Aid Pharmacy 06465 •
4455 Manchester Ave
Encinitas, CA 92024
(760) 943-9423
TTY: 711
Hours: SU 10AM-6PM, M-F
9AM-9PM, SA 9AM-6PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ucsd-sdcc Retail Pharmacy 7 •
1200 Garden View Rd Ste 103
Encinitas, CA 92024
(760) 536-7686
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
9:30AM-3:30PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ESCONDIDO
92025
Cvs Pharmacy 09108 •
1655 S Centre City Pkwy
Escondido, CA 92025
(760) 746-9400
TTY: 711
Hours: SU 10AM-6PM, M-F
8AM-9PM, SA 9AM-6PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Felicita Pharmacy 1 •
625 Citracado Pkwy Ste 106
Escondido, CA 92025
(760) 432-8520
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
9AM-5PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Mercy Care Pharmacy •
488 E Valley Pkwy Ste 101
Escondido, CA 92025
(760) 294-0014
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
9AM-5:30PM
•=This pharmacy supports electronic prescribing.
•= Extended supply of maintenance medications available at this location.
You can go to any of the pharmacies in our network
Interpreting services are available for all providers through Blue Shield Promise Cal Mediconnect Plan at
no cost. An advance notice is needed for face-to- face and ASL interpreting services. To request services,
contact Blue Shield Promise Cal Mediconnect Plan Member Services. If you have questions, please call
Blue Shield Promise Cal Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a
week. The call is free. For more information, visit www.blueshieldca.com/promise/calmediconnect.
This list is subject to change
136
SAN DIEGO COUNTY PHARMACIES
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Vons Pharmacy 2344 •
351 W Felicita Ave
Escondido, CA 92025
(760) 480-4900
TTY: 711
Hours: SA,SU 9AM-5PM, M-F
9AM-9PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
92026
Cvs Pharmacy 09103 •
318 W El Norte Pkwy
Escondido, CA 92026
(760) 489-1505
TTY: 711
Hours: M-SU 12AM-11:59PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LA JOLLA
92037
California Cancer Associates
For Research And Excellence •
9850 Genesee Ave Ste 560
La Jolla, CA 92037
(858) 552-1410
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
8AM-5PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Cvs Pharmacy 09195 •
8831 Villa La Jolla Dr
La Jolla, CA 92037
(858) 457-4480
TTY: 711
Hours: M-SU 12AM-11:59PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
La Jolla Discount •
9850 Genesee Ave Ste 160
La Jolla, CA 92037
(858) 622-1800
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
9AM-6PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ralphs Pharmacy 703108 •
8657 Villa La Jolla Dr
La Jolla, CA 92037
(858) 597-0108
TTY: 711
Hours: M-SU 9AM-9PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Vons Pharmacy 2323 •
7544 Girard Ave
La Jolla, CA 92037
(858) 454-0932
TTY: 711
Hours: SA,SU 9AM-5PM, M-F
9AM-9PM
UPDATE: There was a change
in the provider record;
•=This pharmacy supports electronic prescribing.
•= Extended supply of maintenance medications available at this location.
You can go to any of the pharmacies in our network
Interpreting services are available for all providers through Blue Shield Promise Cal Mediconnect Plan at
no cost. An advance notice is needed for face-to- face and ASL interpreting services. To request services,
contact Blue Shield Promise Cal Mediconnect Plan Member Services. If you have questions, please call
Blue Shield Promise Cal Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a
week. The call is free. For more information, visit www.blueshieldca.com/promise/calmediconnect.
This list is subject to change
137
SAN DIEGO COUNTY PHARMACIES
demographic, phone and/or
panel status.
92093
Ucsd Moores Cancer Center 6 •
3855 Health Science Dr Mail
Code 0845
La Jolla, CA 92093
(858) 822-6088
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
8:30AM-6PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LA MESA
91942
Cancer Center Oncology
Medical Group •
5555 Grossmont Center Dr
La Mesa, CA 91942
(619) 644-3030
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
8:30AM-5PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Cvs Pharmacy 09169 •
5500 Grossmont Center Dr Ste
410
La Mesa, CA 91942
(619) 462-9592
TTY: 711
Hours: SU 10AM-6PM, M-F
8AM-9PM, SA 9AM-6PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Medical Arts Pharmacy •
8851 Center Dr Ste 110
La Mesa, CA 91942
(619) 461-8551
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
9AM-5:30PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LAKESIDE
92040
Rite Aid Pharmacy 05632 •
9532 Winter Gardens Blvd
Lakeside, CA 92040
(619) 390-7342
TTY: 711
Hours: SU 10AM-6PM, M-F
8AM-10PM, SA 9AM-6PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
NATIONAL CITY
91950
Palm Care Pharmacy •
101 N Highland Ave Ste E F G
National City, CA 91950
(619) 434-8338
TTY: 711
Hours: SA,SU 9AM-2PM, M-F
9AM-6PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Plaza Pharmacy •
2220 E Plaza Blvd Ste L
•=This pharmacy supports electronic prescribing.
•= Extended supply of maintenance medications available at this location.
You can go to any of the pharmacies in our network
Interpreting services are available for all providers through Blue Shield Promise Cal Mediconnect Plan at
no cost. An advance notice is needed for face-to- face and ASL interpreting services. To request services,
contact Blue Shield Promise Cal Mediconnect Plan Member Services. If you have questions, please call
Blue Shield Promise Cal Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a
week. The call is free. For more information, visit www.blueshieldca.com/promise/calmediconnect.
This list is subject to change
138
SAN DIEGO COUNTY PHARMACIES
National City, CA 91950
(619) 267-0768
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
9AM-6PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
OCEANSIDE
92057
Cvs Pharmacy 09532 •
4615 Frazee Rd
Oceanside, CA 92057
(760) 433-9597
TTY: 711
Hours: SU 10AM-6PM, M-F
8AM-9PM, SA 9AM-6PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POWAY
92064
1st Choice Pharmacy •
13025 Pomerado Rd Ste A
Poway, CA 92064
(858) 218-3180
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
9:30AM-6PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Cvs Pharmacy 09105 •
12358 Poway Rd
Poway, CA 92064
(858) 748-9220
TTY: 711
Hours: SU 10AM-6PM, M-F
9AM-9PM, SA 9AM-6PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
RAMONA
92065
Cvs Pharmacy 09194 •
1810 Main St
Ramona, CA 92065
(760) 789-9062
TTY: 711
Hours: SU 10AM-6PM, M-F
8AM-9PM, SA 9AM-6PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SAN DIEGO
92101
Remedy 1 •
320 W Cedar St Ste 103
San Diego, CA 92101
(000) 000-0000
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
9AM-6PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
92102
Medical Center Pharmacy 13 •
610 Gateway Center Way Ste
A
San Diego, CA 92102
(619) 262-4373
TTY: 711
•=This pharmacy supports electronic prescribing.
•= Extended supply of maintenance medications available at this location.
You can go to any of the pharmacies in our network
Interpreting services are available for all providers through Blue Shield Promise Cal Mediconnect Plan at
no cost. An advance notice is needed for face-to- face and ASL interpreting services. To request services,
contact Blue Shield Promise Cal Mediconnect Plan Member Services. If you have questions, please call
Blue Shield Promise Cal Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a
week. The call is free. For more information, visit www.blueshieldca.com/promise/calmediconnect.
This list is subject to change
139
SAN DIEGO COUNTY PHARMACIES
Hours: SA,SU 12AM-12AM, M-F
9AM-5:30PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
92103
Ahf Pharmacy 2034 •
3940 4th Ave Ste 150
San Diego, CA 92103
(619) 574-9700
TTY: 711
Hours: SU 12AM-12AM, M-F
9AM-6PM, SA 10AM-2PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ucsd Medical Center
Pharmacy 2 •
200 W Arbor Dr Rm I317
San Diego, CA 92103
(619) 543-3279
TTY: 711
Hours: SA,SU 9AM-5PM, M-F
8:30AM-7PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ucsd Medical Offices South
Pharmacy 3 •
4168 Front St Rm 1-127
San Diego, CA 92103
(619) 543-5934
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
8:30AM-6PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
92104
Cvs Pharmacy 09141 •
3151 University Ave
San Diego, CA 92104
(619) 283-7366
TTY: 711
Hours: M-SU 12AM-11:59PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
92105
La Maestra Community
Pharmacy •
4060 Fairmount Ave
San Diego, CA 92105
(619) 564-7014
TTY: 711
Hours: SU 12AM-12AM, M-F
8:30AM-6PM, SA 9:30AM-2PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Medical Center Pharmacy 11 •
4074 Fairmount Ave
San Diego, CA 92105
(619) 284-1141
TTY: 711
Hours: SU 12AM-12AM, M-F
9AM-6PM, SA 9AM-2PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Mkt Specialty Pharmacy •
4153 University Ave Ste B
San Diego, CA 92105
(619) 333-2260
TTY: 711
•=This pharmacy supports electronic prescribing.
•= Extended supply of maintenance medications available at this location.
You can go to any of the pharmacies in our network
Interpreting services are available for all providers through Blue Shield Promise Cal Mediconnect Plan at
no cost. An advance notice is needed for face-to- face and ASL interpreting services. To request services,
contact Blue Shield Promise Cal Mediconnect Plan Member Services. If you have questions, please call
Blue Shield Promise Cal Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a
week. The call is free. For more information, visit www.blueshieldca.com/promise/calmediconnect.
This list is subject to change
140
SAN DIEGO COUNTY PHARMACIES
Hours: SU 12AM-12AM, M-F
9AM-6PM, SA 9AM-2PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
92106
Point Loma Cabrillo Drug •
955 Catalina Blvd Ste 102a
San Diego, CA 92106
(619) 630-2710
TTY: 711
Hours: SU 10AM-2PM, M-F
9AM-6PM, SA 9AM-5PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
92110
Ralphs Pharmacy 703201 •
3345 Sports Arena Blvd
San Diego, CA 92110
(619) 222-5818
TTY: 711
Hours: SA,SU 10AM-6PM, M-F
9AM-9PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
92111
Good Morning Pharmacy •
7655 Clairemont Mesa Blvd Ste
306
San Diego, CA 92111
(858) 268-1660
TTY: 711
Hours: SU 12AM-12AM, M-F
9:30AM-6PM, SA
9:30AM-1:30PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
92113
Cvs Pharmacy 09193 •
1380 S 43rd St
San Diego, CA 92113
(619) 263-8116
TTY: 711
Hours: SU 10AM-6PM, M-F
8AM-9PM, SA 9AM-6PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Eldahmy Wellness Pharmacy •
1985 National Ave Ste 1103
San Diego, CA 92113
(619) 331-1111
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
9AM-6PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Medical Center Pharmacy 12 •
2995 National Ave
San Diego, CA 92113
(619) 525-1551
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
9AM-5:30PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
92115
Dawn Pharmacy •
4776 El Cajon Blvd Ste 105
San Diego, CA 92115
•=This pharmacy supports electronic prescribing.
•= Extended supply of maintenance medications available at this location.
You can go to any of the pharmacies in our network
Interpreting services are available for all providers through Blue Shield Promise Cal Mediconnect Plan at
no cost. An advance notice is needed for face-to- face and ASL interpreting services. To request services,
contact Blue Shield Promise Cal Mediconnect Plan Member Services. If you have questions, please call
Blue Shield Promise Cal Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a
week. The call is free. For more information, visit www.blueshieldca.com/promise/calmediconnect.
This list is subject to change
141
SAN DIEGO COUNTY PHARMACIES
(619) 287-1206
TTY: 711
Hours: SU 12AM-12AM, M-W,F
9AM-5PM, TH,SA 9AM-2PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Khanh Pharmacy •
4575 El Cajon Blvd Ste C
San Diego, CA 92115
(619) 280-0199
TTY: 711
Hours: SU 12AM-12AM, M-F
9AM-7PM, SA 9AM-5PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Rite Aid Pharmacy 05651 •
6405 El Cajon Blvd
San Diego, CA 92115
(619) 286-3470
TTY: 711
Hours: SU 10AM-6PM, M-F
8AM-10PM, SA 9AM-6PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
92120
Alvarado Community
Pharmacy •
6367 Alvarado Ct Ste 109
San Diego, CA 92120
(619) 287-7697
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
9AM-5PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
92121
La Vita Compounding
Pharmacy •
3978 Sorrento Valley Blvd Ste
300
San Diego, CA 92121
(858) 453-2500
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
8:30AM-5PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Omnicare Of San Diego •
5601 Oberlin Dr Ste 124
San Diego, CA 92121
(858) 453-8948
TTY: 711
Hours: SA,SU 8AM-11PM, M-F
8AM-12AM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
92123
Cvs Pharmacy 08833 •
3332 Sandrock Rd
San Diego, CA 92123
(858) 278-0047
TTY: 711
Hours: SU 10AM-6PM, M-F
8AM-9PM, SA 9AM-6PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Frost Medical Pharmacy •
7910 Frost St Ste 130
•=This pharmacy supports electronic prescribing.
•= Extended supply of maintenance medications available at this location.
You can go to any of the pharmacies in our network
Interpreting services are available for all providers through Blue Shield Promise Cal Mediconnect Plan at
no cost. An advance notice is needed for face-to- face and ASL interpreting services. To request services,
contact Blue Shield Promise Cal Mediconnect Plan Member Services. If you have questions, please call
Blue Shield Promise Cal Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a
week. The call is free. For more information, visit www.blueshieldca.com/promise/calmediconnect.
This list is subject to change
142
SAN DIEGO COUNTY PHARMACIES
San Diego, CA 92123
(858) 560-1911
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
9AM-5:30PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Medical Oncology Associates
Of San Diego A Medical
Group Inc •
3075 Health Center Dr Ste 102
San Diego, CA 92123
(858) 637-7888
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
8AM-5PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Sharp Specialty Pharmacy
Services
3558 Ruffin Rd Ste 101
San Diego, CA 92123
(858) 627-5644
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
8AM-6PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
92126
Pharmerica 7039 •
8930 Activity Rd Ste K
San Diego, CA 92126
(858) 693-4123
TTY: 711
Hours: SA,SU 9AM-8PM, M-F
8AM-10PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
92127
Cvs Pharmacy 03914 •
11655 Duenda Rd # B1/b2
San Diego, CA 92127
(858) 385-0223
TTY: 711
Hours: SA,SU 10AM-5PM, M-F
9AM-9PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ralphs Pharmacy 703105 •
10525 4s Commons Dr
San Diego, CA 92127
(858) 675-7028
TTY: 711
Hours: SA,SU 10AM-6PM, M-F
9AM-9PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
92128
Med Plus Pharmacy •
13220 Evening Creek Dr S
San Diego, CA 92128
(858) 668-1736
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
9AM-5PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
92129
Cvs Pharmacy 09197 •
•=This pharmacy supports electronic prescribing.
•= Extended supply of maintenance medications available at this location.
You can go to any of the pharmacies in our network
Interpreting services are available for all providers through Blue Shield Promise Cal Mediconnect Plan at
no cost. An advance notice is needed for face-to- face and ASL interpreting services. To request services,
contact Blue Shield Promise Cal Mediconnect Plan Member Services. If you have questions, please call
Blue Shield Promise Cal Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a
week. The call is free. For more information, visit www.blueshieldca.com/promise/calmediconnect.
This list is subject to change
143
SAN DIEGO COUNTY PHARMACIES
9225 Twin Trails Dr
San Diego, CA 92129
(858) 538-8770
TTY: 711
Hours: SU 10AM-6PM, M-F
8AM-9PM, SA 9AM-6PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
92130
Carmel Valley Pharmacy •
12750 Carmel Country Rd Ste
A101
San Diego, CA 92130
(858) 481-4990
TTY: 711
Hours: SU 12AM-12AM, M-F
9AM-6PM, SA 10AM-2PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Rite Aid Pharmacy 05666 •
3515 Del Mar Heights Rd
San Diego, CA 92130
(858) 792-7040
TTY: 711
Hours: SA,SU 9AM-7PM, M-F
6AM-10PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
92131
Cvs Pharmacy 09102 •
10575 Scripps Poway Pkwy
San Diego, CA 92131
(858) 547-3939
TTY: 711
Hours: SU 10AM-6PM, M-F
8AM-10PM, SA 9AM-6PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Vons Pharmacy 2107 •
10675 Scripps Poway Pkwy
San Diego, CA 92131
(858) 693-1545
TTY: 711
Hours: SA,SU 9AM-5PM, M-F
9AM-9PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SAN MARCOS
92069
Cvs Pharmacy 07127 •
1302 W Mission Rd
San Marcos, CA 92069
(760) 471-7205
TTY: 711
Hours: SA,SU 10AM-6PM, M-F
9AM-9PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
92078
Cvs Pharmacy 09166 •
734 S Rancho Santa Fe Rd
San Marcos, CA 92078
(760) 599-0353
TTY: 711
Hours: SU 10AM-6PM, M-F
8AM-9PM, SA 9AM-6PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
•=This pharmacy supports electronic prescribing.
•= Extended supply of maintenance medications available at this location.
You can go to any of the pharmacies in our network
Interpreting services are available for all providers through Blue Shield Promise Cal Mediconnect Plan at
no cost. An advance notice is needed for face-to- face and ASL interpreting services. To request services,
contact Blue Shield Promise Cal Mediconnect Plan Member Services. If you have questions, please call
Blue Shield Promise Cal Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a
week. The call is free. For more information, visit www.blueshieldca.com/promise/calmediconnect.
This list is subject to change
144
SAN DIEGO COUNTY PHARMACIES
Quality-care Pharmacy •
727 W San Marcos Blvd Ste 113
San Marcos, CA 92078
(760) 744-5959
TTY: 711
Hours: SU 12AM-12AM, M-F
9AM-5:30PM, SA 9AM-2PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ralphs Pharmacy 703683 •
306 S Twin Oaks Valley Rd
San Marcos, CA 92078
(760) 891-0618
TTY: 711
Hours: SA,SU 10AM-6PM, M-F
9AM-9PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SANTEE
92071
All Care Pharmacy •
8790 Cuyamaca St Ste B
Santee, CA 92071
(619) 449-0908
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
9AM-6PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Cvs Pharmacy 09145 •
9730 Mission Gorge Rd
Santee, CA 92071
(619) 448-5110
TTY: 711
Hours: M-SU 12AM-11:59PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Edgemoor Hospital Pharmacy
655 Park Center Dr
Santee, CA 92071
(619) 596-6340
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
8:30AM-5PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Santee Community Pharmacy •
9836 N Magnolia Ave
Santee, CA 92071
(619) 334-0028
TTY: 711
Hours: SU 12AM-12AM, M-F
9AM-6PM, SA 10AM-2PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Vons Pharmacy 1897 •
9643 Mission Gorge Rd
Santee, CA 92071
(619) 596-5977
TTY: 711
Hours: SA,SU 9AM-5PM, M-F
9AM-9PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SOLANA BEACH
•=This pharmacy supports electronic prescribing.
•= Extended supply of maintenance medications available at this location.
You can go to any of the pharmacies in our network
Interpreting services are available for all providers through Blue Shield Promise Cal Mediconnect Plan at
no cost. An advance notice is needed for face-to- face and ASL interpreting services. To request services,
contact Blue Shield Promise Cal Mediconnect Plan Member Services. If you have questions, please call
Blue Shield Promise Cal Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a
week. The call is free. For more information, visit www.blueshieldca.com/promise/calmediconnect.
This list is subject to change
145
SAN DIEGO COUNTY PHARMACIES
92075
Cvs Pharmacy 09187 •
683 Lomas Santa Fe Dr
Solana Beach, CA 92075
(858) 755-6697
TTY: 711
Hours: SU 10AM-6PM, M-F
8AM-10PM, SA 9AM-6PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SPRING VALLEY
91977
Rite Aid Pharmacy 05620 •
661 Sweetwater Rd
Spring Valley, CA 91977
(619) 463-9848
TTY: 711
Hours: SU 10AM-6PM, M-F
7AM-11PM, SA 9AM-7PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
VALLEY CENTER
92082
Community Pharmacy Of
Valley Center •
29115 Valley Center Rd Ste F
Valley Center, CA 92082
(760) 749-1156
TTY: 711
Hours: SU 12AM-12AM, M-F
9AM-6PM, SA 9AM-1PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
VISTA
92081
Cvs Pharmacy 08836 •
1631 S Melrose Dr
Vista, CA 92081
(760) 727-4221
TTY: 711
Hours: SU 10AM-6PM, M-F
9AM-9PM, SA 9AM-6PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
92083
Cedar Park Pharmacy •
130 Cedar Rd
Vista, CA 92083
(760) 630-8806
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
9AM-6PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Cvs Pharmacy 09574 •
883 S Santa Fe Ave
Vista, CA 92083
(760) 630-2134
TTY: 711
Hours: SU 10AM-6PM, M-F
8AM-9PM, SA 9AM-6PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Greenfield Pharmacy •
2067 W Vista Way Ste 195
Vista, CA 92083
(760) 842-1700
TTY: 711
•=This pharmacy supports electronic prescribing.
•= Extended supply of maintenance medications available at this location.
You can go to any of the pharmacies in our network
Interpreting services are available for all providers through Blue Shield Promise Cal Mediconnect Plan at
no cost. An advance notice is needed for face-to- face and ASL interpreting services. To request services,
contact Blue Shield Promise Cal Mediconnect Plan Member Services. If you have questions, please call
Blue Shield Promise Cal Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a
week. The call is free. For more information, visit www.blueshieldca.com/promise/calmediconnect.
This list is subject to change
146
SAN DIEGO COUNTY PHARMACIES
Hours: SU 12AM-12AM, M-F
9AM-6PM, SA 9AM-2PM
demographic, phone and/or
panel status.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Med Care Pharmacy •
161 Thunder Dr Ste 100
Vista, CA 92083
(760) 758-7650
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
8:30AM-6PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
92084
Cvs Pharmacy 08857 •
1441 N Santa Fe Ave
Vista, CA 92084
(760) 414-1681
TTY: 711
Hours: SA,SU 10AM-6PM, M-F
9AM-9PM
UPDATE: There was a change
in the provider record;
•=This pharmacy supports electronic prescribing.
•= Extended supply of maintenance medications available at this location.
You can go to any of the pharmacies in our network
Interpreting services are available for all providers through Blue Shield Promise Cal Mediconnect Plan at
no cost. An advance notice is needed for face-to- face and ASL interpreting services. To request services,
contact Blue Shield Promise Cal Mediconnect Plan Member Services. If you have questions, please call
Blue Shield Promise Cal Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a
week. The call is free. For more information, visit www.blueshieldca.com/promise/calmediconnect.
This list is subject to change
147
SAN DIEGO COUNTY PHARMACIES
HOME INFUSION PHARMACIES
Blue Shield Promise Cal
MediConnect Plan will cover
home infusion therapy when
using a network home infusion
pharmacy if:
• Your prescription drug is
on your plan’s formulary or
you have a formulary
exception;
• Blue Shield Promise Cal
MediConnect Plan has
approved your prescription
drug for home infusion
therapy; and
• Your prescription is
written by an authorized
prescriber
For more information, please
call Blue Shield Promise Cal
MediConnect Plan at
1-855-905-3825 (TTY: 711) 8:00
a.m. to 8:00 p.m. seven days a
week.
Hours: SA,SU 8AM-11PM, M-F
8AM-12AM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SAN DIEGO
92121
Omnicare Of San Diego •
5601 Oberlin Dr Ste 124
San Diego, CA 92121
(858) 453-8948
TTY: 711
•=This pharmacy supports electronic prescribing.
•= Extended supply of maintenance medications available at this location.
You can go to any of the pharmacies in our network
Interpreting services are available for all providers through Blue Shield Promise Cal Mediconnect Plan at
no cost. An advance notice is needed for face-to- face and ASL interpreting services. To request services,
contact Blue Shield Promise Cal Mediconnect Plan Member Services. If you have questions, please call
Blue Shield Promise Cal Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a
week. The call is free. For more information, visit www.blueshieldca.com/promise/calmediconnect.
This list is subject to change
148
SAN DIEGO COUNTY PHARMACIES
LONG-TERM CARE
PHARMACIES
Residents of a long-term care
facility may access their
prescription drugs covered
under Blue Shield Promise Cal
MediConnect Plan through
the facility’s long-term care
pharmacy or another network
long-term care pharmacy.
Blue Shield Promise Cal
MediConnect Plan has a
process in place to assist you
in obtaining prescription drugs
when you are in a long-term
care (LTC) facility. If you are in
an LTC facility and are
prescribed a non-formulary
drug, we will authorize a
one-time, 30-day supply of the
medication prescribed for
transition purposes.
If you are on a complicated
medication regimen, or a
regimen where safety
concerns do not permit you to
be transitioned sooner, up to a
6-month transitional period will
be allowed. This transition
period will also be allowed for
patients with multiple
medications and with multiple
physicians providing care.
For more information, please
call Blue Shield Promise Cal
MediConnect Plan at
1-855-905-3825 (TTY: 711) 8:00
a.m. to 8:00 p.m. seven days a
week.
CHULA VISTA
91911
Veterans Home Of Ca Chula
Vista
700 E Naples Ct
Chula Vista, CA 91911
(619) 482-6020
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
8:30AM-5PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
CORONADO
92118
Sharp Coronado Hospital
Pharmacy •
250 Prospect Pl
Coronado, CA 92118
(619) 522-3717
TTY: 711
Hours: SA,SU 7AM-8PM, M-F
5:30AM-10PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
EL CAJON
92021
Medicine Care Pharmacy Ii •
1685 E Main St Ste 101
El Cajon, CA 92021
(619) 383-2757
TTY: 711
Hours: SA,SU 10AM-3PM, M-F
9AM-8PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SAN DIEGO
92121
Omnicare Of San Diego •
5601 Oberlin Dr Ste 124
San Diego, CA 92121
(858) 453-8948
TTY: 711
•=This pharmacy supports electronic prescribing.
•= Extended supply of maintenance medications available at this location.
You can go to any of the pharmacies in our network
Interpreting services are available for all providers through Blue Shield Promise Cal Mediconnect Plan at
no cost. An advance notice is needed for face-to- face and ASL interpreting services. To request services,
contact Blue Shield Promise Cal Mediconnect Plan Member Services. If you have questions, please call
Blue Shield Promise Cal Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a
week. The call is free. For more information, visit www.blueshieldca.com/promise/calmediconnect.
This list is subject to change
149
SAN DIEGO COUNTY PHARMACIES
Hours: SA,SU 8AM-11PM, M-F
8AM-12AM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
92126
Pharmerica 7039 •
8930 Activity Rd Ste K
San Diego, CA 92126
(858) 693-4123
TTY: 711
Hours: SA,SU 9AM-8PM, M-F
8AM-10PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
92128
Med Plus Pharmacy •
13220 Evening Creek Dr S
San Diego, CA 92128
(858) 668-1736
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
9AM-5PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SAN MARCOS
92078
Quality-care Pharmacy •
727 W San Marcos Blvd Ste 113
San Marcos, CA 92078
(760) 744-5959
TTY: 711
Hours: SU 12AM-12AM, M-F
9AM-5:30PM, SA 9AM-2PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SANTEE
92071
All Care Pharmacy •
8790 Cuyamaca St Ste B
Santee, CA 92071
(619) 449-0908
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
9AM-6PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Edgemoor Hospital Pharmacy
655 Park Center Dr
Santee, CA 92071
(619) 596-6340
TTY: 711
Hours: SA,SU 12AM-12AM, M-F
8:30AM-5PM
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
•=This pharmacy supports electronic prescribing.
•= Extended supply of maintenance medications available at this location.
You can go to any of the pharmacies in our network
Interpreting services are available for all providers through Blue Shield Promise Cal Mediconnect Plan at
no cost. An advance notice is needed for face-to- face and ASL interpreting services. To request services,
contact Blue Shield Promise Cal Mediconnect Plan Member Services. If you have questions, please call
Blue Shield Promise Cal Mediconnect at 1-855-905-3825 (TTY: 711), 8:00 a.m. – 8:00 p.m., seven days a
week. The call is free. For more information, visit www.blueshieldca.com/promise/calmediconnect.
This list is subject to change
150
PROVIDER INDEX
A Admire, Kim .............................98
Ahadi, Rana ............................69
Ahn, Jennifer 30, 33, 36, 38,
41, 43, 19
Alavi, Matt ........................ 74, 68
Alden, Ashley 103, 107, 108,
112, 115, 119, 124, 95, 102
Alexander, Sandra .................12
Allen, Jennifer .........................73
Anand, Gobind ............... 50, 49
Ang, Michael ................... 56, 54
Angra, Kunal ...........................11
Ansari, Julia .............................43
Aoto, Kim 108, 115, 119, 124,
95, 103
Asghar, Ali ........................ 51, 50
Avalos, Roy .............................14
Avulov, Vadim ........................39
B Backer, Kyle ............................58
Badiei, Maria .................... 89, 79
Bainter, Patricia ....................127
Bartz, Bryan .............................62
Batac, Nadine ................. 16, 14
Batten, Melissa ........................80
Baxter, Sally ...................... 56, 55
Beazer, Alex ..................... 56, 55
Beckwith, Valerie ...................67
Bedoya, Luis .. 3, 33, 38, 44, 20
Bergmark, Jamie ........... 99, 103
Bhatt, Jiken .............................43
Bianes, Beverly ............... 99, 101
Bieg, Greg ........................ 79, 70
Binavi, Hownaz .................. 2, 15
Binder, Nicholas 108, 115, 120,
124, 95, 103
Binder, Pratibha ......................53
Boeck, Carl .................. 128, 120
Boiskin, Mark . 33, 38, 4, 44, 31
Brar, Karanbir ..........................28
Brouha, Brook ............... 2, 3, 17
Bui, Mai ............................. 87, 78
Cahoon, Benjamin ...... 127, 112
Cajas-monson, Luis ......... 64, 63
Campbell, Stephen ........ 47, 46
Carson, Amy ...........................71
Caruthers, Timothy .................73
Castiello, John 109, 116, 120,
124, 95, 103
Cava, Noli ................... 29, 30, 1
Chamberlin, Kaliana ................2
Chang, Guang Di ..................84
Chang, Tom ................. 107, 104
Chang, Xuan ..........................84
Charlat, Martin .......................19
Chaudhri, Yashwant ..............93
Chauhan, Smit ........................93
Cho, Kyu Ok ............................82
Choi, Sun .................................46
Clark, John ..............................91
Clements, Douglas .................36
Cook, Glenn .........................113
Corcoran, Christina ................79
D Dean, Moena .........................99
Delaney, Michael 21, 41, 5, 20
Deleon, Antoinette ................83
Dickson, Jay ............................89
Dyer, Sharon 109, 116, 120,
96, 104
E Edmonds, Emily ......................59
El Khatib, Nora ........................24
Ellithorpe, Theresa ..................76
Elsensohn, Ashley ...................49
Evans, Robert ............... 104, 101
F Family Health Centers Of San
Diego - Beach Area Family
Healt ......................................132
Farinas, Leah ...........................34
Farrar, Courtney .....................26
Ferguson, Leland ....................82
Fleming, John .............. 128, 115
Frazier, Suzanne ......................76
Friend, Yunhee .......................90
G
Gee, Jennifer ....................... 9, 8
George, Bruce ............. 129, 112
Godes, Marianna ...................75
Gonzalez, Andres ...................76
Good, Georgia ......................67
Graham, Debra Jeanne .......93
Greene, Jacqueline ..............58
H Hamlett, James ............... 90, 79
Hamzei, Ali ....................... 14, 13
Hemingway, Dodie ................68
Hemphill, Victoria ...................74
Hoang, Kevin ............... 128, 121
Hodge, Roger .........................93
Hollander, Eric ........................82
Holmer, Ariela .........................52
Hong, Eric ................................19
Huang, Flora .........................113
Huynh, Melvyn ........................15
Huynh, Paul .................. 127, 119
Hwang, Soo Chun ..................87
I Imperial Beach Health Center
130
Integrated Health Partners -
Imperial Beach Health Center
130
Integrated Health Partners -
Nestor Community Health
Center ...................................132
Iwata, Kathryn ................. 48, 46
J Jantzi, Marc ..................... 78, 74
Jockin, Yvette .............. 127, 109
Johnson, Bob ..........................87
Johnson, Brandon ....... 112, 107
Johnson, Christopher .. 129, 115
Joo, David ........................ 90, 83
Julian, Fides .............................86
K Kangleon, Greg ......................85
Kanomata, Atsushi .......... 81, 67
Katzman, Barry 109, 116, 121,
125, 24, 8, 96, 104
For more information, please call Blue Shield Promise Cal Mediconnect Plan at 1-855- 905-
3825, (TTY: 711), 8 a.m. to 8 p.m., seven days a week. This list is subject to change.
151
C
PROVIDER INDEX Katzman, Lee ............... 114, 102
Kikunaga, Henry .....................98
Kinnaird, Sherry .......................13
Klatman, Kathryn ............. 48, 47
Kouchak, Yasmin 110, 125, 104
Kreth, Elisa ........................ 85, 77
Kwak, Hyoshin .........................69
L Laffen, Julie ...................... 83, 66
Lanuza, Mark ..........................10
Le, Tram .............................. 12, 1
Leach, Michelle ......................87
Lee, Sally ...................... 114, 113
Li, Alexandria ................... 57, 55
Liu, Shanglei ..................... 63, 62
Livingood, Brandon ................75
Lutfy, Patricia ................... 31, 26
M Maginot-chesher, Tamara 61,
59
Mason, Daniel .........................98
Maxwell, Denise .....................70
Maxwell, Duke ........................70
Mcgraw, Joseph 107, 110,
116, 117, 121, 125, 96, 105
Medilo, Lovella .......................16
Merritt, Victoria .......................60
Meyer, Jill 30, 33, 38, 4, 44, 20
Miller, Douglas 110, 121, 125,
22, 6, 96, 105
Miller, Howard .........................18
Mishoulam, David ........... 81, 74
Miyashiro, Wendi ............. 86, 76
Montgomery, Gordon 23, 7, 21
Morrison Reyes, Joshua 107,
110, 117, 122, 125, 96, 105
Morrison-reyes, Joshua ............7
Morton, Thomas .....................88
Moshtaghi, Mehri ...................25
Motaghed, Hengameh .........93
Mueller, George .......................9
Murphy, Colleen .....................77
Myers, Jesse ............................15
N Nacoste, Lakeisha ..................49
Neighborhood Healthcare -
Prenatal .................................130
Nestor Community Health
Center ...................................132
Nguyen, Vivian .......................59
Noniyeva, Yuliana ..................60
Norman, Marc ........................61
North County Health Project ,
Inc. .........................................131
North County Health Services -
Carlsbad Family Medicine ..130
North County Health Services -
Encinitas Health Center .......130
North County Health Services -
La Mission ..............................131
North County Health Services -
Mission Mesa Pediatrics .......131
North County Health Services -
Oceanside-carlsbad Health
Cen ........................................131
North County Health Services -
San Marcos Health Center .132
Novak, Erika ..................... 85, 80
Nyagaya, Linda ......................15
O Ogbonnaya-whittlesey, Sandra
26
Ohashi-kim, Evelyn .......... 84, 80
Orand-medica, Alexa ...........54
Orff, Henry ...............................61
Owen, James ................ 99, 101
P Pack, John ..................... 99, 101
Patel, Gitane 110, 117, 122,
126, 21, 22, 5, 6, 97, 105
Patel, Sarjan 111, 118, 122,
126, 22, 23, 6, 7, 97, 106
Perez, Judi .................... 102, 100
Peterson, Steven ..................114
Pham, John ...................... 48, 47
Phan, Ryan ..............................55
Pontecorvo, Robert ........ 85, 83
Portera, Ariel ...........................57
Potok, Olivia ............................52
Pousti, Sheiva ........................119
Prabhu, Sujata 111, 118, 122,
126, 23, 24, 7, 8, 97, 106
R Race, Alice .............................64
Ramolia, Anika 111, 118, 123,
97, 106
Reyes, Estela ...........................77
Riley, Jessica ...........................17
Robar, Julia .............................71
Robison, Caitlin .......................39
S San Ysidro Health Center -
Chula Vista Medical Plaza ..130
San Ysidro Health Center -
National City Family Clinic ..131
Scarlett, Yvonne .....................66
Schisler, Ronald ........... 128, 123
Shah, Nemi ....................... 54, 53
Sietsema, Kendra ...................69
Simpson, Victoria ....................82
Singh, Gaurav .........................49
Smilde, Renee .........................18
Smyth, Carolyn .......................73
Soriano, Catherine 111, 118,
123, 126, 98, 106
Spilman, Samantha ...............51
Steindorf, Dana ............... 75, 69
Stewart, R Bruce .....................71
Sutton, Brian ..................... 59, 58
Swikard, Ioana ......................100
Szablak, Sharron .....................81
T Tadlock, Matthew ..................63
Taremi, Mahnaz ......................51
Thach, Queen ......................100
Tiefenbrun, Jonathan ..............9
Tiik, Brita ...................................75
Tom, Jennifer ..........................88
Tomlin, Jeffrey .........................64
Tonnu, Anh ..............................25
Torosian, Karo ...........................4
Tosczak, Melissa ......................91
Trajano, Charmine ...... 102, 101
Tran, Linh .................................52
Tran, Nga .................................89
For more information, please call Blue Shield Promise Cal Mediconnect Plan at 1-855- 905-
3825, (TTY: 711), 8 a.m. to 8 p.m., seven days a week. This list is subject to change.
152
V
PROVIDER INDEX Tran, Quang ..................... 88, 68
Truong, Lawrence ........... 89, 84
Truong, Ngoc ..........................13
U Udani, Vikram 34, 37, 39, 42,
45, 31
Ueda-lang, Noriko 71, 72, 73,
77, 78, 86, 90, 69
Vanichsarn, Christopher . 41, 36
Vasko, Benjamin .....................62
Vighne, Sarita .........................66
Vinh, John ........... 113, 119, 108
Vo, Sony ............................. 43, 1
Vu, Peter ..................................50
W Wachner, Kristelyn ..................70
Wang, Minchen ......................81
Watson, Christine .............. 2, 16
Webster, Ross ..........................91
Weishoff, Ariel .........................86
Willey, Melissa .........................24
Wong, Amy .............................36
Wood, Lee ..............................66
Wright, C Michael ..................12
Wu, Eva .................................123
Y Yahagi, Tamie .........................80
Yeghiazarian, Mark ..............114
Yoder, Andrea ................. 48, 47
Z Zhao, Yue ................................56
Zlatar, Zvinka ...........................60
For more information, please call Blue Shield Promise Cal Mediconnect Plan at 1-855- 905-
3825, (TTY: 711), 8 a.m. to 8 p.m., seven days a week. This list is subject to change.
153
PHARMACY INDEX
1 1st Choice Pharmacy .... 139
A Ahf Pharmacy 2034 ....... 140
All Care Pharmacy ........ 145,
150
Alvarado Community
Pharmacy ....................... 142
B Borrego Community Health
Foundation ..................... 133
C California Cancer Associates
For Research And Excellence
137
Cancer Center Oncology
Medical Group ............... 138
Carmel Valley Pharmacy 144
Cedar Park Pharmacy ... 146
Chulavista Pharmacy .... 133
Community Pharmacy Of
Valley Center .................. 146
Cvs Pharmacy 03914 ..... 143
Cvs Pharmacy 07127 ..... 144
Cvs Pharmacy 08833 ..... 142
Cvs Pharmacy 08836 ..... 146
Cvs Pharmacy 08857 ..... 147
Cvs Pharmacy 08859 ..... 133
Cvs Pharmacy 09102 ..... 144
Cvs Pharmacy 09103 ..... 137
Cvs Pharmacy 09105 ..... 139
Cvs Pharmacy 09108 ..... 136
Cvs Pharmacy 09135 ..... 136
Cvs Pharmacy 09141 ..... 140
Cvs Pharmacy 09145 ..... 145
Cvs Pharmacy 09166 ..... 144
Cvs Pharmacy 09169 ..... 138
Cvs Pharmacy 09173 ..... 135
Cvs Pharmacy 09187 ..... 146
Cvs Pharmacy 09193 ..... 141
Cvs Pharmacy 09194 ..... 139
Cvs Pharmacy 09195 ..... 137
Cvs Pharmacy 09197 ..... 143
Cvs Pharmacy 09240 ..... 134
Cvs Pharmacy 09528 ..... 133
Cvs Pharmacy 09532 ..... 139
Cvs Pharmacy 09574 ..... 146
D Dawn Pharmacy ............ 141
E Edgemoor Hospital Pharmacy
145, 150
Eldahmy Wellness Pharmacy
141
F Felicita Pharmacy 1 ....... 136
Frost Medical Pharmacy 142
G Good Morning Pharmacy 141
Greenfield Pharmacy .... 146
K Khanh Pharmacy ........... 142
L La Jolla Discount ............ 137
La Maestra Community
Pharmacy ....................... 140
La Vita Compounding
Pharmacy ....................... 142
M Med Care Pharmacy .... 147
Med Plus Pharmacy ....... 143,
150
Medical Arts Pharmacy . 138
Medical Center Pharmacy 11
140
Medical Center Pharmacy 12
141
Medical Center Pharmacy 13
139
Medical Center Pharmacy 1
134
Medical Oncology Associates
Of San Diego A Medical
Group Inc ........................ 143
Medicine Care Pharmacy Ii
135, 149
Mercy Care Pharmacy . 136
Mkt Specialty Pharmacy 140
Mollison Pharmacy ......... 135
N North Coast Medical
Pharmacy ....................... 136
O Omnicare Of San Diego 142,
148, 149
Otay Pharmacy .............. 134
P Palm Care Pharmacy .... 138
Pharmaca Integrative
Pharmacy 027 ................ 133
Pharmerica 7039 ............ 143,
150
Plaza Pharmacy ............. 138
Point Loma Cabrillo Drug 141
Price Rite Pharmacy ...... 133
Q Quality-care Pharmacy . 145,
150
R Ralphs Pharmacy 703105 143
Ralphs Pharmacy 703108 137
Ralphs Pharmacy 703201 141
Ralphs Pharmacy 703683 145
Remedy 1 ........................ 139
Rite Aid Pharmacy 05620 146
Rite Aid Pharmacy 05623 135
Rite Aid Pharmacy 05632 138
Rite Aid Pharmacy 05651 142
Rite Aid Pharmacy 05666 144
Rite Aid Pharmacy 06465 136
S Santee Community Pharmacy
145
Sav-on Pharmacy 0704 . 133
Sharp Coronado Hospital And
Healthcare Center ......... 135
Sharp Coronado Hospital
Pharmacy ....................... 135,
149
For more information, please call Blue Shield Promise Cal Mediconnect Plan at 1-855- 905-
3825, (TTY: 711), 8 a.m. to 8 p.m., seven days a week. This list is subject to change.
154
PHARMACY INDEX Sharp Rees Stealy Pharmacy 2
134
Sharp Specialty Pharmacy
Services ........................... 143
South County Hematology
Oncology ........................ 134
U Ucsd Medical Center
Pharmacy 2 .................... 140
Ucsd Medical Offices South
Pharmacy 3 .................... 140
Ucsd Moores Cancer Center 6
138
Ucsd-sdcc Retail Pharmacy 7
136
V Veterans Home Of Ca Chula
Vista ................................. 134,
149
Vons Pharmacy 1897 ..... 145
Vons Pharmacy 2107 ..... 144
Vons Pharmacy 2323 ..... 137
Vons Pharmacy 2344 ..... 137
W Walgreens 7867 .............. 134
For more information, please call Blue Shield Promise Cal Mediconnect Plan at 1-855- 905-
3825, (TTY: 711), 8 a.m. to 8 p.m., seven days a week. This list is subject to change.
155
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