l.a. care covereddirect

798
L.A. Care Covered Direct Provider Directory - Directorio de proveedores 2018 The information in this Provider Directory is accurate as of September 2018. For the most up-to-date provider information, please visit lacare.org. La información en este directorio de proveedores es precisa a partir de septiembre del 2018. Para obtener información de proveedores actualizada, por favor visite lacare.org.

Upload: others

Post on 20-Jul-2022

2 views

Category:

Documents


0 download

TRANSCRIPT

2018 L.A. Care Covered Direct Provider DirectoryL.A. Care Covered Direct™ Provider Directory - Directorio de proveedores
2018
The information in this Provider Directory is accurate as of September 2018. For the most up-to-date provider information,
please visit lacare.org.
La información en este directorio de proveedores es precisa a partir de septiembre del 2018. Para obtener información de
proveedores actualizada, por favor visite lacare.org.
Thank you for selecting L.A. Care Covered Direct™!
We are proud to provide quality care and service to L.A. Care members in Los Angeles County. To make sure that our members receive the best possible care, L.A. Care has a large network of doctors who serve all of Los Angeles County. Tis provider directory lists participating providers and facilities who work with L.A. Care to provide covered services to our members. A provider is a doctor or other health care professionals that will see you or treat you. Examples of a facility is a clinic, hospital, or urgent care center where you go to receive care.
Your Doctor is Called a Primary Care Physician or “PCP” When you joined L.A. Care, you selected a doctor for each member. If you didn’t, we selected one for you based on where you live. Tis doctor is called a Primary Care Physician or “PCP.” Tis PCP will arrange most of your care unless it is an emergency. Your PCP’s name and phone number are on your ID card.
You must get all your covered services, except for emergency services, from providers within our network that are afliated with your PCP’s medical group. If you go to providers outside the network you may have to pay a bill.
How to Select a New Doctor (PCP) Select a new doctor using this directory and following the steps below. Or fnd a doctor online. Go to lacare.org and sign in to your L.A. Care Connect member account. Te request must be received by the last day of the month to be efective the frst of the next month.
Steps to select a new doctor using this directory:
1. Find your city. In this provider directory, go to the city of your choice to fnd a list of participating clinics, doctors, specialist, and other providers near you.
2. Check the list. To help you pick, we have listed doctor’s ofce hours, specialties and the languages they speak.
You may select this
Family Practice All ages
Ob/Gyn (women only) Ages 16 & older
Pediatrics Ages 21 & younger
3. Select a doctor, clinic, or medical group. You can pick a diferent doctor for each enrolled member. However, if you pick a diferent doctor for each member, we suggest that you pick doctors who work in the same clinic or ofce.
4. Call us when you have made your choice. Let us know the name and the code number shown in the provider directory for that doctor name or medical group. Call Member Services at 1.855.270.2327 (TTY 711).
If you are receiving care now from a doctor not listed in this provider directory and you want to continue getting care from that doctor, call us right away. We will work with you and your doctor to coordinate care.
Language assistance services We ofer no-cost interpreting services, including American Sign Language, 24 hours a day, 7 days a week. An interpreter can help you talk with your doctor during the health visit. You should never use friends, family, or children as interpreters.
Call L.A. Care at 1.855.270.2327 (TTY 711) at least 10 business days before the doctor visit to request an interpreter.
Access Information for People with Disabilities
You will see that many doctor’s ofces and clinics have letters (P, B, W, E, T, R) after their phone numbers. Tese letters mean that a nurse visited the ofce and saw that the doctor’s ofce has some kind of access for people with disabilities. You can fnd doctors with these accommodations in this Provider Directory. Member Services can also help you locate a doctor who can meet your special needs.
P = PARKING: accessible (“Handicapped”) parking spaces, ramps and curbs between parking and ofces.
B = WALKWAY & ACCESS TO BUILDING: accessible walkway and entrance to the building, ramps, and stairs have handrails, doors open wide enough, door handles are easy to use, elevators are easy to use.
W = RECEPTION/WAITING: reception and waiting areas have wide enough aisles, enough room to turn around.
E = EXAM ROOM: clear path to exam room, doors open wide enough, doors are easy to open enough to turn around.
T = HEIGHT ADJUSTABLE EXAM TABLE & ACCESSIBLE SCALE: exam table moves up and down, scale has handrails and is accessible for people who use wheelchairs.
R = RESTROOM: doors are wide enough, doors are easy to open, enough room to turn around and close door, grab bars, sink is easy to get to, faucets, soap and toilet paper are easy to reach and use.
You can get more information on access by calling Member Services at 1.855.270.2327 (TTY 711).
Our Doctors’ Professional Qualifcations We are proud of our doctors and their professional training. If you have questions about the professional qualifcations of network doctors and specialists, call us. L.A. Care can tell you about the medical school they attended, their residency or board certifcation.
Important Information Some hospitals and other providers do not provide one or more of the following services that may be covered under your plan contract and that you or your family member might need: family planning; contraceptive services, including emergency contraception; sterilization, including tubal ligation at the time of labor and delivery; infertility treatments; or abortion. You should obtain more information before you enroll. Call your prospective doctor, medical group, independent practice association, or clinic, or call the health plan at 1.855.270.2327 (TTY 711) to ensure that you can obtain the health care services that you need.
You should obtain more information before you enroll. Call your prospective doctor, medical group, independent practice association or clinic.
¡Gracias por elegir L.A. Care Covered Direct™!
Estamos orgullosos de ofrecer atención médica de calidad y servicios para miembros de L.A. Care en el condado de Los Ángeles. Para asegurarnos de que nuestros miembros reciban la mejor atención posible, L.A. Care cuenta con una amplia red de médicos que brindan sus servicios a todo el condado de Los Ángeles. Este Directorio de proveedores proporciona una lista de proveedores e instalaciones participantes que trabajan con L.A. Care para ofrecer servicios cubiertos a nuestros miembros. Un proveedor es un médico u otros profesionales de la atención médica que lo verán o tratarán. Ejemplos de instalaciones son una clínica, un hospital o un centro de atención médica de urgencia al que acude para recibir atención.
A su médico se le denomina médico de atención primaria o “PCP”
Cuando usted se aflió a L.A. Care, eligió a un médico para cada miembro. Si no lo hizo, nosotros elegimos uno para usted con base en su domicilio. A este médico se le denomina médico de atención primaria (primary care physician, “PCP”). El PCP se hará cargo de la mayor parte de su atención médica a menos que sea una emergencia. El nombre y número de teléfono de su PCP se encuentra en su tarjeta de identifcación.
Usted debe recibir todos sus servicios cubiertos, excepto los servicios de emergencia, de los proveedores en nuestra red que están afliados al grupo médico de su PCP. Si usted visita a proveedores fuera de la red, es posible que deba pagar una factura.
Cómo elegir un nuevo médico (PCP)
Elija un nuevo médico usando este directorio y siga los pasos que aparecen más adelante, o encuentre un médico en línea. Vaya a lacare.org/es e ingrese a su cuenta de miembro de L.A. Care Connect. La solicitud se debe recibir antes del ultimo día del mes para que entre en vigor a partir del primer día del mes siguiente.
Pasos para elegir un nuevo médico usando este directorio:
1. Encuentre su ciudad. En este Directorio de proveedores, vaya a la ciudad de su elección para encontrar una lista de clínicas, médicos, especialistas y otros proveedores participantes cerca de usted.
Usted puede elegir esto:
Medicina Familiar Personas de todas las edades
Medicina General Personas de 16 años y mayores
Medicina Interna Personas de 16 años y mayores
Obstetricia/Ginecología Personas de 16 años y mayores (mujeres solamente)
Pediatría Personas de 21 años y menores
3. Elija un médico, clínica o grupo médico. Puede elegir un médico diferente para cada miembro inscrito. Sin embargo, si usted elige un médico diferente para cada miembro, le sugerimos elegir médicos que trabajen en la misma clínica o consultorio.
4. Llámenos cuando haya hecho su elección. Infórmenos el nombre y código numérico correspondiente al nombre del médico o grupo médico; se indica en el Directorio de proveedores. Llame a Servicios para los Miembros (Member Services) al 1.855.270.2327 (teléfonos de texto TTY 711).
Si usted está recibiendo atención médica por parte de un médico que no aparece en este Directorio de proveedores y desea continuar recibiendo la atención de ese médico, llámenos de inmediato. Trabajaremos con usted y su médico para coordinar la atención.
Servicios de asistencia de idiomas
Le ofrecemos servicios de interpretación sin costo, incluido el lenguaje de señas americano, las 24 horas al día, los 7 días de la semana. Un intérprete puede ayudarle a conversar con su médico durante la visita de atención médica. Nunca utilice amigos, familiares ni menores como intérpretes.
Llame a L.A. Care al 1.855.270.2327 (teléfonos de texto TTY 711) al menos 10 días hábiles antes de su visita al médico para solicitar un intérprete.
Acceso a la información para personas con discapacidades
Usted podrá ver que muchos consultorios médicos y clínicas tienen las letras (P, B, W, E, T, R) después de los números de teléfono. Esas letras signifcan que un enfermero visitó el consultorio y vio que este cuenta con algún tipo de acceso para personas con discapacidades. Usted puede encontrar médicos con esa clase de facilidades en este Directorio de proveedores. Servicios para los Miembros también puede ayudarle a localizar un médico que pueda satisfacer sus necesidades especiales.
P = ESTACIONAMIENTO: Espacios de estacionamiento accesibles (“Para discapacitados”); rampas y cunetas entre el estacionamiento y las ofcinas.
B = ANDADORES Y ACCESOS AL EDIFICIO: La pasarela y entrada al edifcio son accesibles; las rampas y escaleras cuentan con pasamanos; las puertas abren con gran amplitud; las manijas y los elevadores son fáciles de usar.
W = ÁREAS DE RECEPCIÓN/ESPERA: Las áreas de recepción y espera cuentan con pasillos lo sufcientemente amplios y espacio sufciente para girar.
E = SALA DE EXÁMENES: Con vía libre hacia la sala de exámenes; las puertas abren con amplitud; las puertas son fáciles de abrir y abren lo sufciente para girar.
T = MESAS DE EXAMEN CON ALTURA AJUSTABLE Y BÁSCULA ACCESIBLE: La mesa de exámenes se mueve hacia arriba y hacia abajo; la báscula cuenta con pasamanos y es accesible para personas que usan silla de ruedas.
R = SANITARIOS: Las puertas abren con sufciente amplitud; las puertas son fáciles de abrir, cuentan con sufciente espacio para girar y cerrar, y tienen barras de sujeción; el lavabo es fácil de acceder, y las llaves, el jabón y el papel sanitario son fáciles de alcanzar y utilizar.
Usted puede recibir más información sobre la accesibilidad llamando a Servicios para los Miembros al 1.855.270.2327 (teléfonos de texto TTY 711).
Certifcaciones de nuestros médicos profesionales
Estamos orgullosos de la certifcación profesional de nuestros médicos. Si tiene preguntas sobre las certifcaciones profesionales de nuestros médicos o especialistas, llámenos. L.A. Care puede informarle sobre la facultad de medicina a la que asistieron, su residencia y certifcación de la Junta Médica.
Información importante
Algunos hospitales y otros proveedores no proporcionan uno o más de los siguientes servicios que podrían estar cubiertos por su contrato del plan, y que usted y su familia podrían necesitar: planifcación familiar, servicios anticonceptivos, incluidos anticoncepción de emergencia; esterilización, incluida la ligadura de trompas en el momento del parto; tratamientos por infertilidad o abortos. Usted debe obtener más información antes de inscribirse. Llame a su futuro médico, grupo médico, asociación de médicos independientes o clínica del plan de salud al 1.855.270.2327 (teléfonos de texto TTY 711) para asegurarse de que pueda recibir los servicios de atención médica que usted necesita.
Usted debe obtener más información antes de inscribirse. Llame a su futuro médico, grupo médico, asociación de médicos independientes o clínica.
L.A. Care’s Provider and Hospital Networks: A Positive Member Experience For You
How Do We Select Our Providers and Hospitals to Ensure You Have a Positive Member Experience?
Network Design Criteria for Physician Providers L.A. Care’s physician provider network for L.A. Care Covered TM and L.A. Care Covered Direct TM is designed based on specifc criteria that determines the selection of the Participating Physician Groups (PPGs) and other physician providers. Physician providers are selected to provide Members’ access to multiple specialties, including but not limited to: Allergy, Cardiology, Ophthalmology, Gastroenterology, General Surgery, Nephrology, Neurology, Obstetrics and Gynecology, Orthopedics, Pulmonology, and Urology. Tis design ensures members have access to a large number of physicians in diferent felds/ specialties within a 15-mile radius or 30 minute driving time from their residence.
All physician providers, including specialists, must meet L.A. Care’s applicable credentialing requirements.
L.A. Care evaluates, on an ongoing basis, physician providers in its network for quality measures and requires physician providers, such as primary care physicians, to meet minimum clinical quality measures in many areas of care including preventive services (e.g. childhood immunizations, health screenings), managing chronic diseases (e.g. diabetes and asthma), and Prenatal and Postpartum Care. Certain physician providers are also evaluated on Member experience measures, such as getting timely appointments and how timely Members’ questions are answered when they contact the physician provider’s ofce.
In designing its criteria, L.A. Care reviews and incorporates nationally recognized measures, including those developed by the National Committee for Quality Assurance and the National Quality Forum.
L.A. Care does not use cost-related measures to select physician providers for its network.
L.A. Care uses the same physician criteria for all networks for all plans.
Network Design Criteria for Hospital Providers L.A. Care’s hospital network for L.A. Care CoveredTM and L.A. Care Covered DirectTM is selected based on specifc criteria in compliance with applicable regulations and incorporating nationally recognized measures. Tese criteria also include meeting certain Member needs, including Hospitals’ proximity to a Member’s residence (generally, within a 15-mile radius of the Member’s home); admitting privileges of physician providers who care for Members; and licensure and accreditation status, including being accredited by Te Joint Commission, an independent, nationally recognized not for proft body whose accreditation/certifcation is recognized as a symbol of quality that refects a hospital’s commitment to meeting certain performance standards.
L.A. Care does not directly use quality measures, member experience measures, patient safety measures or cost-related measures prior to selecting a hospital for its network. However, L.A. Care generally requires its network hospitals to be accredited by Te Joint Commission which may include patient satisfaction surveys as part of its accreditation standards
L.A. Care uses the same hospital criteria for all networks for all plans.
Redes de proveedores y hospitales de L.A. Care: Una experiencia positiva para miembros como usted
¿Cómo seleccionamos a nuestros proveedores y hospitales para garantizar que usted tenga una experiencia positiva como miembro?
Criterios para el diseño de la red de proveedores médicos
La red de proveedores médicos de L.A. Care para L.A. Care Covered TM y L.A. Care Covered Direct TM está diseñada con base en criterios específcos que determinan la selección del Grupo de Médicos Participantes (Participating Physician Group, PPG) y otros proveedores médicos. La selección de los proveedores médicos tiene como objetivo proporcionar a los miembros acceso a distintas especialidades, entre las que se incluyen; Alergias, Cardiología, Oftalmología, Gastroenterología, Cirugía General, Nefrología, Neurología, Obstetricia y Ginecología, Ortopedia, Neumología y Urología. Este diseño garantiza que los miembros tengan acceso a una gran cantidad de médicos en diferentes campos o especialidades dentro de un radio de 15 millas o 30 minutos en automóvil desde su casa.
Todos los proveedores médicos, incluidos los especialistas, deben reunir los requisitos de certifcación que correspondan.
L.A. Care evalúa, de manera continua, a los proveedores médicos de su red para garantizar las medidas de calidad y exige que los proveedores médicos, como los médicos de atención primaria, cumplan con las medidas de calidad clínica mínimas en distintas áreas de la atención médica, incluidos los servicios preventivos (esto es, vacunación infantil, evaluaciones de salud), el manejo de las enfermedades crónicas (p. ej., diabetes y asma) y la atención prenatal y posparto. Algunos proveedores médicos también son evaluados con base en las medidas relacionadas con la experiencia de los miembros, como la obtención de citas oportunas y si sus preguntas fueron respondidas de manera oportuna cuando se comunicaron con el consultorio del proveedor médico.
Al diseñar sus criterios, L.A. Care revisa e incorpora medidas reconocidas a nivel nacional, incluidas aquellas desarrolladas por el Comité Nacional de Control de Calidad (National Committee for Quality Assurance) y el National Quality Forum.
L.A. Care no usa medidas relacionadas con los costos para seleccionar proveedores médicos para su red.
L.A. Care usa el mismo criterio médico en todas las redes de sus planes.
Criterios para el diseño de la red de proveedores de hospitales
La red hospitalaria de L.A. Care para L.A. Care CoveredTM y L.A. Care Covered DirectTM se selecciona con base en criterios específcos en cumplimiento con los reglamentos aplicables y la incorporación de medidas reconocidas a nivel nacional. Estos criterios también incluyen la atención de algunas necesidades de los miembros, como la proximidad de los hospitales al lugar de residencia de los miembros (generalmente, dentro de un radio de 15 millas de la casa del miembro); privilegios para la admisión de pacientes por parte de los médicos que atienden a los miembros; licencias y acreditaciones, como la acreditación de Te Joint Commission, un organismo sin fnes de lucro, independiente, reconocido a nivel nacional cuya acreditación o certifcación es símbolo de calidad que refeja el compromiso de un hospital para reunir determinados estándares de rendimiento.
L.A. Care no utiliza directamente medidas de calidad, medidas de la experiencia de los miembros, medidas de la seguridad de los pacientes o medidas relacionadas con los costos antes de elegir hospitales para su red. Sin embargo, L.A. Care exige, por lo general, que su red hospitalaria esté acreditada por Te Joint Commission, lo que puede incluir encuestas de satisfacción de los pacientes como parte de sus estándares de acreditación.
L.A. Care usa los mismos criterios de hospitales en todas las redes de sus planes.
Nondiscrimination and Accessibility Notice
Discrimination is Against the Law
L.A. Care Health Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. L.A. Care Health Plan does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
L.A. Care Health Plan:
• Provides free aids and services to people with disabilities to communicate effectively with us, such as: Qualified sign language interpreters Written information in other formats (large print, audio, accessible electronic formats, other formats)
• Provides free language services to people whose primary language is not English, such as: Qualified interpreters Information written in other languages
If you need these services, contact Civil Rights Coordinator.
If you believe that L.A. Care Health Plan has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with:
Civil Rights Coordinator L.A. Care Health Plan 1055 West 7th Street Los Angeles, CA 90017 Phone: 1.213.694.1250 ext. 6759 (TTY 711) Fax: 1.213.689.3257 Email: [email protected].
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance the Civil Rights Coordinator is available to help you.
You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:
U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201 1.800.368.1019, 1.800.537.7697 (TDD)
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. Call 1.855.270.2327 (TTY: 711).
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1.855.270.2327 (TTY 711).
1.855.270.23270TTY711).
CHÚ Ý: Nu bn nói Ting Vit, có các dch v h tr ngôn ng min phí dành cho bn. Gi s 1.855.270.2327 (TTY: 711).
PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1.855.270.2327 (TTY: 711).
: , . 1.855.270.2327 (TTY: 711) .
,
: 1.855.270.2327 (TTY () 711):
(TTY: 711) . : 1.855.270.2327 .
: , . 1.855.270.2327 (: 711).
1.855.270.2327TTY: 711
(1.855.270.2327 1- . : 117). :
: , 1.855.270.2327 (TTY: 711) ‹
, 1.855.270.2327 (TTY: 711)
LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau 1.855.270.2327 (TTY: 711).
: 1.855.270.2327 (TTY: 711)
: 1.855.270.2327 (TTY: 711).
TABLE OF CONTENTS
Chino ..............................................................................................40 Arcadia ..........................................................................................57 Chino Hills ....................................................................................40 Arleta ..............................................................................................58 City Of Industry .........................................................................40
L.A. Care Health Plan - L.A. Care Covered Direct - September 2018 i
Artesia ............................................................................................58 Azusa .............................................................................................59 Baldwin Park ...............................................................................59 Bell ...................................................................................................60 Bell Gardens ...............................................................................62 Bellflower ......................................................................................62 Beverly Hills ................................................................................63 Burbank .........................................................................................64
PARTICIPATING SPECIALTY CARE PROVIDERS Accupuncture ...........................................................................192 Adolescent Medicine ............................................................193 Allergy ..........................................................................................193 Anesthesiology ........................................................................195 Audiology ...................................................................................200 Cardiology ..................................................................................201 Cardiovascular Disease (Md) ..........................................202 Child Development ................................................................215 Chiropractor ..............................................................................215 Dermatology .............................................................................216 Emergency Medicine ...........................................................219 Endocrinology ..........................................................................220 Family Practice .......................................................................223 Gastroenterology (Md) ........................................................224 General Dentist/Primary Care Dentist (Dds, Dmd) ................................................................................231 General Practice ....................................................................232 Genetics ......................................................................................234 Geriatric Medicine ..................................................................234 Gynecology (Do) ....................................................................235 Hematology ...............................................................................236 Hematology/Oncology (Mhc Nurse Anesthetist) ...............................................................................244 Hospice .......................................................................................245 Infectious Disease .................................................................245 Intensive Care .........................................................................248 Internal Medicine ....................................................................248 Miscellaneous Medicine .....................................................261 Neonatology .............................................................................264 Neoplastic Diseases .............................................................266
L.A. Care Health Plan - L.A. Care Covered Direct - September 2018 ii
.......................................................................273 Nephrology ................................................................................266 Neurology (Md) Obstetrics (Do) ........................................................................278 Obstetrics And Gynecology (Md) ..................................279 Occupational Medicine ........................................................293 Oncology ....................................................................................294 Ophthalmology ........................................................................295 Opthalmology, Otolaryngology, Rhinology (Do) ........................................................................320 Optometry ..................................................................................322 Other- Ancillary .......................................................................325 Otology, Laryngology, Rhinology ..................................325 Pathologic Anotomy; Clinical Pathology (Md) ...............................................................................................331 Pathology (Md) ........................................................................331 Pediataric Infectious Disease ..........................................332 Pediatric Allergy ......................................................................332 Pediatric Cardiology (Md) ..................................................332 Pediatric Critical Care Medicine .....................................336 Pediatric Endocrinology ......................................................337 Pediatric Gastroenterology ...............................................337 Pediatric Hematology/Oncology .....................................338 Pediatric Nephrology ............................................................339 Pediatric Neurology ..............................................................339 Pediatric Orthopedics ..........................................................339 Pediatric Psychiatry- Child ................................................340 Pediatric Pulmonology ........................................................340 Pediatric Sports Medicine ..................................................340 Pediatric Surgery ....................................................................340 Pediatrics ....................................................................................341 Perinatology ..............................................................................345 Peripheral Vascular Disease Or Surgery (Do) .............................................................................345 Physical Medicine And Rehabilitation .........................345 Physical Therapist .................................................................348 Podiatry .......................................................................................349 Proctology (Colon And Rectal) .......................................354 Psychiatry ...................................................................................354 Psychiatry Neurology ...........................................................358 Public Health ............................................................................358 Pulmonary Diseases ............................................................359 Radiation Oncology ..............................................................359 Radiation Therapy (Do) ......................................................363 Radiology ...................................................................................363 Rheumatology ..........................................................................369 Surgery - Cardiothoracic ....................................................371 Surgery - Cardiovascular ...................................................371 Surgery - Colon/Rectal ........................................................371 Surgery - General ..................................................................371 Surgery - Hand ........................................................................383 Surgery - Neurological ........................................................384 Surgery - Orthopedic ............................................................387 Surgery - Plastic .....................................................................396 Surgery - Thoracic .................................................................398 Surgery- Traumatic ...............................................................400 Urgent Care Facility ..............................................................400 Urology ........................................................................................400
PARTICIPATING PHARMACIES Acton ............................................................................................428 Agoura Hills ...............................................................................428 Alhambra ....................................................................................428 Altadena ......................................................................................429 Arcadia ........................................................................................429 Arleta ............................................................................................429 Artesia ..........................................................................................429 Avalon ..........................................................................................430 Azusa ...........................................................................................430 Baldwin Park ............................................................................430 Bell .................................................................................................430 Bell Gardens .............................................................................430 Bellflower ....................................................................................430 Beverly Hills ..............................................................................431 Burbank .......................................................................................432 Calabasas ..................................................................................433 Canoga Park ............................................................................433 Canyon Country ......................................................................433 Carson .........................................................................................433 Castaic .........................................................................................434 Cerritos ........................................................................................434 Chatsworth ................................................................................434 City Of Industry .......................................................................434 Claremont ..................................................................................434 Commerce .................................................................................435 Compton .....................................................................................435 Covina ..........................................................................................435 Cudahy ........................................................................................435 Culver City .................................................................................435
L.A. Care Health Plan - L.A. Care Covered Direct - September 2018 iii
Diamond Bar .............................................................................436 Downey .......................................................................................436 Duarte ..........................................................................................437 Eagle Rock ................................................................................437 El Monte ......................................................................................437 El Segundo ................................................................................437 Encino ..........................................................................................438 Gardena ......................................................................................438 Glendale ......................................................................................439 Glendora .....................................................................................441 Granada Hills ...........................................................................442 Hacienda Heights ..................................................................442 Harbor City ................................................................................442 Hawaiian Gardens .................................................................442 Hawthorne .................................................................................442 Hermosa Beach ......................................................................443 Hollywood ...................................................................................443 Huntington Park ......................................................................443 Inglewood ...................................................................................444 La Canada Flintridge ............................................................444 La Crescenta ............................................................................444 La Mirada ...................................................................................444 La Puente ...................................................................................445 La Verne .....................................................................................445 Lakewood ...................................................................................445 Lancaster ....................................................................................445 Lawndale ....................................................................................446 Lennox .........................................................................................446 Lomita ..........................................................................................446 Long Beach ...............................................................................446 Los Angeles ..............................................................................449 Lynwood ......................................................................................460 Malibu ...........................................................................................460 Manhattan Beach ...................................................................460 Mar Vista ....................................................................................460 Marina del Rey ........................................................................460 Maywood ....................................................................................460 Mission Hills ..............................................................................460 Monrovia .....................................................................................461 Montebello .................................................................................461 Monterey Park .........................................................................461 Montrose .....................................................................................462 Newhall ........................................................................................462 North Hills ...................................................................................462 North Hollywood .....................................................................462 Northridge ..................................................................................463 Norwalk .......................................................................................464 Pacific Palisades ....................................................................464 Pacoima ......................................................................................464 Palmdale .....................................................................................464 Palos Verdes Estates ..........................................................465 Panorama City .........................................................................465 Paramount .................................................................................465 Pasadena ...................................................................................466 Pico Rivera ................................................................................467 Playa Del Rey ..........................................................................467 Playa Vista .................................................................................467 Pomona .......................................................................................467 Porter Ranch ............................................................................468 Quartz Hill ..................................................................................468 Rancho Palos Verdes ..........................................................468 Redondo Beach ......................................................................468 Reseda ........................................................................................469 Rolling Hills Estates ..............................................................469
PARTICIPATING MENTAL HEALTH PROVIDERS Agoura Hills ...............................................................................484 Alhambra ....................................................................................484 Altadena ......................................................................................484 Arcadia ........................................................................................484 Avalon ..........................................................................................485 Azusa ...........................................................................................485 Baldwin Park ............................................................................486 Bell .................................................................................................486 Bell Gardens .............................................................................486 Bellflower ....................................................................................486 Beverly Hills ..............................................................................487 Burbank .......................................................................................488 Calabasas ..................................................................................490 Canoga Park ............................................................................490 Canyon Country ......................................................................491 Carson .........................................................................................491 Cerritos ........................................................................................491 Chatsworth ................................................................................493 City Of Industry .......................................................................493 Claremont ..................................................................................493 Commerce .................................................................................494 Compton .....................................................................................494
L.A. Care Health Plan - L.A. Care Covered Direct - September 2018 iv
Covina ..........................................................................................496 Culver City .................................................................................497 Diamond Bar .............................................................................499 Downey .......................................................................................500 Duarte ..........................................................................................500 Eagle Rock ................................................................................500 El Monte ......................................................................................501 El Segundo ................................................................................501 Encino ..........................................................................................501 Gardena ......................................................................................503 Glendale .....................................................................................504 Glendora .....................................................................................506 Granada Hills ...........................................................................508 Hacienda Heights ..................................................................508 Harbor City ................................................................................508 Hawaiian Gardens .................................................................508 Hawthorne .................................................................................509 Hermosa Beach ......................................................................509 Huntington Park ......................................................................509 Inglewood ...................................................................................509 La Canada Flintridge ............................................................510 La Crescenta ............................................................................510 La Mirada ...................................................................................511 La Puente ...................................................................................511 Lakewood ...................................................................................512 Lancaster ....................................................................................512 Lawndale ....................................................................................514 Long Beach ...............................................................................515 Los Angeles ..............................................................................521 Lynwood .....................................................................................532 Malibu ...........................................................................................533 Manhattan Beach ...................................................................533 Marina Del Rey .......................................................................533 Maywood ....................................................................................534 Mission Hills ..............................................................................534 Monrovia .....................................................................................534 Montebello .................................................................................535 Monterey Park .........................................................................535 Montrose .....................................................................................536 Newhall ........................................................................................536 North Hills ...................................................................................537 North Hollywood .....................................................................538 Northridge ..................................................................................539 Norwalk .......................................................................................540 Pacific Palisades ....................................................................540 Pacoima ......................................................................................540 Palmdale .....................................................................................540 Palos Verdes Estates ..........................................................541 Panorama City .........................................................................541 Paramount .................................................................................542 Pasadena ...................................................................................542 Pico Rivera ................................................................................545 Playa Del Rey ..........................................................................545 Pomona .......................................................................................545 Porter Ranch ............................................................................546 Quartz Hill ..................................................................................546 Redondo Beach ......................................................................547 Reseda ........................................................................................547 Rolling Hills Estates ..............................................................548 Rosemead .................................................................................548 San Dimas .................................................................................548 San Fernando ..........................................................................549 San Gabriel ...............................................................................549 San Marino ................................................................................549
PARTICIPATING SKILLED NURSING FACILITY Alhambra ....................................................................................570 Anaheim ......................................................................................570 Arcadia ........................................................................................570 Artesia ..........................................................................................570 Baldwin Park ............................................................................570 Bell .................................................................................................570 Bellflower ....................................................................................570 Burbank .......................................................................................570 Canoga Park ............................................................................570 Chatsworth ................................................................................570 Claremont ..................................................................................571 Compton .....................................................................................571 Covina ..........................................................................................571 Culver City .................................................................................571 Downey .......................................................................................571 Duarte ..........................................................................................571 El Monte ......................................................................................571 Fontana .......................................................................................571 Gardena ......................................................................................571 Glendale .....................................................................................571 Glendora .....................................................................................572 Granada Hills ...........................................................................572 Hawthorne .................................................................................572 Huntington Park ......................................................................572 Inglewood ...................................................................................572 La Crescenta ............................................................................572 La Mirada ...................................................................................572 La Verne .....................................................................................572 Lake View Terrace ................................................................573 Lancaster ...................................................................................573 Lomita ..........................................................................................573 Long Beach ...............................................................................573
L.A. Care Health Plan - L.A. Care Covered Direct - September 2018 v
......................................................................................575 Los Angeles ..............................................................................573 Lynwood Maywood ....................................................................................575 Mission Hills ..............................................................................575 Montebello .................................................................................575 Monterey Park .........................................................................575 Montrose .....................................................................................575 Newhall ........................................................................................575 North Hollywood .....................................................................575 Norwalk .......................................................................................575 Ontario .........................................................................................575 Pasadena ...................................................................................575 Pico Rivera ................................................................................576 Pomona .......................................................................................576 Reseda ........................................................................................576 Rosemead .................................................................................576 San Dimas .................................................................................576 San Gabriel ...............................................................................576 San Pedro ..................................................................................576 Santa Monica ...........................................................................577 Sherman Oaks ........................................................................577 Signal Hill ...................................................................................577 South El Monte ........................................................................577 South Gate ................................................................................577 Studio City .................................................................................577 Sun Valley ..................................................................................577 Sunland .......................................................................................577 Sylmar ..........................................................................................577 Torrance ......................................................................................577 Valley Village ............................................................................578 Van Nuys ....................................................................................578 West Covina .............................................................................578 Whittier .........................................................................................578
Culver City .................................................................................702 Diamond Bar ............................................................................702 Downey .......................................................................................703 Duarte ..........................................................................................704 El Monte ......................................................................................704 Encino ..........................................................................................705 Gardena ......................................................................................705 Glendale .....................................................................................706 Glendora .....................................................................................708 Granada Hills ...........................................................................708 Hacienda Heights ..................................................................709 Hawaiian Gardens .................................................................709 Hawthorne .................................................................................709 Hollywood ..................................................................................709 Huntington Park ......................................................................709 Inglewood ...................................................................................711 La Crescenta ............................................................................711 La Mirada ...................................................................................711 La Puente ...................................................................................711 La Verne .....................................................................................712 Lakewood ...................................................................................712 Lancaster ...................................................................................713 Lawndale ....................................................................................714 Lomita ..........................................................................................714 Long Beach ...............................................................................714 Los Angeles ..............................................................................717 Lynwood .....................................................................................725 Manhattan Beach ...................................................................725 Marina Del Rey .......................................................................726 Maywood ....................................................................................726 Mission Hills ..............................................................................726 Monrovia .....................................................................................726 Montebello .................................................................................727 Monterey Park .........................................................................728 North Hills ..................................................................................729 North Hollywood .....................................................................729 Northridge ..................................................................................729 Norwalk .......................................................................................730 Pacific Palisades ....................................................................731 Palmdale .....................................................................................731 Panorama City .........................................................................731 Paramount .................................................................................731 Pasadena ...................................................................................732 Pico Rivera ................................................................................733 Playa Del Rey ..........................................................................734 Pomona .......................................................................................734 Redondo Beach ......................................................................735 Reseda ........................................................................................735 Rosemead .................................................................................736 Rowland Heights ....................................................................736 San Dimas .................................................................................737 San Fernando ..........................................................................738 San Gabriel ...............................................................................738 San Pedro ..................................................................................739 Santa Clarita .............................................................................740 Santa Fe Springs ...................................................................740 Santa Monica ...........................................................................740 Saugus ........................................................................................740 Sherman Oaks ........................................................................740 Signal Hill ...................................................................................741 South Gate ................................................................................741 South Pasadena .....................................................................741 Stevenson Ranch ..................................................................742 Studio City .................................................................................742
L.A. Care Health Plan - L.A. Care Covered Direct - September 2018 vi
Sun Valley ..................................................................................742 Sunland .......................................................................................742 Sylmar ..........................................................................................743 Tarzana .......................................................................................743 Temple City ...............................................................................743 Torrance .....................................................................................743 Valencia ......................................................................................744 Van Nuys ....................................................................................745 Walnut ..........................................................................................746 West Covina .............................................................................746 West Hills ...................................................................................748 West Hollywood ......................................................................748 Whittier ........................................................................................748 Wilmington .................................................................................749 Woodland Hills ........................................................................749
Lancaster ...................................................................................760 Lomita ..........................................................................................760 Long Beach ...............................................................................760 Los Angeles ..............................................................................761 Lynwood .....................................................................................767 Malibu ..........................................................................................768 Manhattan Beach ...................................................................768 Marina del Rey ........................................................................768 Maywood ....................................................................................768 Mission Hills ..............................................................................768 Monrovia .....................................................................................768 Montebello .................................................................................768 Monterey Park .........................................................................768 Montrose .....................................................................................768 Newhall ........................................................................................768 North Hollywood .....................................................................769 Northridge ..................................................................................769 Norwalk .......................................................................................769 Palmdale .....................................................................................769 Panorama City .........................................................................769 Paramount .................................................................................770 Pasadena ...................................................................................770 Pico Rivera ................................................................................771 Pomona .......................................................................................771 Porter Ranch ............................................................................771 Rancho Palos Verdes ..........................................................771 Redondo Beach ......................................................................771 Reseda ........................................................................................772 Rolling Hills Estates ..............................................................772 Rosemead .................................................................................772 Rowland Heights ....................................................................772 San Dimas .................................................................................773 San Gabriel ...............................................................................773 San Marino ................................................................................773 San Pedro ..................................................................................774 Santa Clarita .............................................................................774 Santa Fe Springs ...................................................................774 Santa Monica ...........................................................................774 Sherman Oaks ........................................................................774 Sierra Madre .............................................................................774 South El Monte .......................................................................775 South Gate ................................................................................775 South Pasadena .....................................................................775 Studio City .................................................................................775 Sylmar ..........................................................................................775 Tarzana .......................................................................................775 Temple City ...............................................................................775 Toluca Lake ..............................................................................776 Torrance .....................................................................................776 Tujunga .......................................................................................777 Valencia ......................................................................................777 Valley Village ............................................................................777 Van Nuys ....................................................................................777 Venice ..........................................................................................778 Walnut ..........................................................................................778 West Covina .............................................................................778 West Hills ...................................................................................779 West Hollywood ......................................................................779 West Los Angeles .................................................................779 Whittier ........................................................................................779 Wilmington .................................................................................780 Woodland Hills ........................................................................780
L.A. Care Health Plan - L.A. Care Covered Direct - September 2018 vii
INDEX OF PARTICIPATING PROVIDERS ..............................................................................782
INDEX OF LANGUAGES SPOKEN BY PRIMARY CARE PROVIDERS .......................................784
L.A. Care Health Plan - L.A. Care Covered Direct - September 2018 viii
Participating Clinics ALHAMBRA Clínicas participantes
ALHAMBRA BELL BELL GARDENS
BUDDIST TZU CHI FREE CLINIC BELL GARDENS COMMUNITY FAMILY HEALTH CARE HEALTH CENTER CENTERS OF GREATER LOS NPI: 1285782276
1000 S Garfield Ave NPI: 1972645174 ANGELES INC Alhambra, CA 91801-1801 6912 Ajax Ave NPI: 1104939990 (626) 281-3383 Bell, CA 90201-0201 6501 Garfield Ave PCMH: Y BC: N (562) 867-7999 Bell Gardens, CA 90201-0201
Accessibility: R (562) 928-9600
FAMILY PRACTICE PCMH: Y BC: N PCMH: Y BC: N
Johnson, Flora Hing-Lan (F) G33898E4Allied Pacific IPA Accepting New Members: Y
INTERNAL MEDICINE
Denq, Stephen Po-Jen (M) A65839E4Allied Pacific IPA Accepting New Members: Y
CSC COMMUNITY CENTER - SGV NPI: 1871701649 320 S Garfield Ave Ste 118 Alhambra, CA 91801-1801 (213) 808-1792
Accessibility: R PCMH: Y BC: Y
FAMILY PRACTICE
Chu, Cheryl Tam (F) A98249E6Health Care La IPA (Medpoint Mgmt) Accepting New Members: Y
Tse, Dennis Tszyi (M) G64402E6Health Care La IPA (Medpoint Mgmt) Accepting New Members: Y
INTERNAL MEDICINE
Huang, Hui Ling (F) A128748E6Health Care La IPA (Medpoint Mgmt) Accepting New Members: N
Wu, Joseph Yu-Kwong (M) G28486E4Health Care La IPA (Medpoint Mgmt) Accepting New Members: Y
GENERAL PRACTICE
Alexandre, Lucien (M) A48499E5Health Care La IPA (Medpoint Mgmt) Accepting New Members: Y
PEDIATRICS
Ruiz, Evette (F) C55545E4Health Care La IPA (Medpoint Mgmt) Accepting New Members: Y
FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES INC NPI: 1104939990 6501 Garfield Ave Bell, CA 90201-0201 (562) 928-9600 PCMH: Y BC: N Languages Spoken: English, Hindi, Korean, Mandarin, Spanish
GENERAL PRACTICE
Chun, Sophia Nam (F) G80141EHealth Care La IPA (Medpoint Mgmt) Accepting New Members: Y
NORTHEAST COMMUNITY CLINIC - BELL NPI: 1265771356 4129 Gage Ave Bell, CA 90201-0201 (323) 771-8400
Accessibility: R PCMH: Y BC: Y Languages Spoken: English, Spanish
GENERAL PRACTICE
Chun, Sophia Nam (F) G80141E3Global Care IPA (Medpoint Mgmt) Accepting New Members: Y
Koe, Lillian (F) A104910E2Health Care La IPA (Medpoint Mgmt) Accepting New Members: Y A104910E3Global Care IPA (Medpoint Mgmt) Accepting New Members: Y
Montis, Emmett Allen (M) 20A7658E4Health Care La IPA (Medpoint Mgmt) Accepting New Members: Y 20A7658E5Global Care IPA (Medpoint Mgmt) Accepting New Members: Y
Ugalde, Sergio Lopez (M) A41270E10Global Care IPA (Medpoint Mgmt) Accepting New Members: Y A41270E12Health Care La IPA (Medpoint Mgmt) Accepting New Members: Y
BELLFLOWER
THE CHILDREN'S CLINIC - BELLFLOWER NPI: 1114952777 17660 Lakewood Blvd Bellflower, CA 90706-0706 (323) 635-1140
Accessibility: R PCMH: Y BC: Y
FAMILY PRACTICE
C L
IN IC
S
Mogilevsky, Nataly (F) FAMILY PRACTICE 20A8473E2Health Care La IPA (Medpoint
Mgmt) Munoz, Ruben Alejandro (M) Accepting New Members: Y A119231E3Preferred IPA Of California Accepting New Members: N
L.A. Care Health Plan - L.A. Care Covered Direct - September 2018 9
NPI= National Provider Identifier, PCMH= Patient-Centered Medical Home, BC= Board Certified, B=Wide Entry, W=Wheelchair Access, E=Accessible Exam Rooms and Tables, L=Lifts, S= Scales, R=Bathrooms and Stall, GB=Grab Bars, P=Parking, A=Waiting Area To verify a doctor's address, call L.A. Care Health Plan at 1.855.270.2327 (TTY: 711). Remember: Be sure to clearly print the doctor's name and I.D. number on your enrollment form. Para verificar la dirección de un doctor, por favor llame a L.A. Care Health Plan al número de teléfono 1.855.270.2327(TTY: 711). Recuerde: asegúrese de escribir el nombre del doctor y número de identificación claramente en su forma de inscripción.
BELLFLOWER Participating Clinics Clínicas participantes
GENERAL PRACTICE
Suskin, Shea Elizabeth (F) A119250E2Health Care La IPA (Medpoint Mgmt) Accepting New Members: Y
PEDIATRICS
Desai, Ramesh P (M) A31923EHealth Care La IPA (Medpoint Mgmt) Accepting New Members: Y
Hamilton, Erin Christine (F) A78026EHealth Care La IPA (Medpoint Mgmt) Accepting New Members: N
Khan, Asma Masood (F) A48900EHealth Care La IPA (Medpoint Mgmt) Accepting New Members: Y
WESLEY HEALTH CENTERS NPI: 1194814343 14371 Clark Ave Bellflower, CA 90706-0706 (562) 867-7999
Accessibility: R PCMH: Y BC: N
FAMILY PRACTICE
BURBANK
ALL FOR HEALTH HEALTH FOR ALL INC NPI: 1952560732 401 S Glenoaks Blvd Ste 101 Burbank, CA 91502-1502 (818) 748-4740 PCMH: Y BC: Y
FAMILY PRACTICE
Poghosyan, Liana Robertovna (F) A101825E8Preferred IPA Of California Accepting New Members: N
ALL-INCLUSIVE COMMUNITY HEALTH CENTER NPI: 1255658068 1311 N San Fernando Blvd Burbank, CA 91504-1504 (818) 843-9900 PCMH: Y BC: Y Languages Spoken: Armenian, English, Russian, Spanish
FAMILY PRACTICE
Huverserian, Linda Jbid (F) A120212E5Preferred IPA Of California Accepting New Members: N
Ugochukwu, Ifeoma Linda (F) A132154EHealth Care La IPA (Medpoint Mgmt) Accepting New Members: N
PEDIATRICS
Featherstone, Elisha Lynnae (F) A70571E2Health Care La IPA (Medpoint Mgmt) Accepting New Members: Y
Hierro, Gloria (F) G75998E2Health Care La IPA (Medpoint Mgmt) Accepting New Members: Y
Uy, Buenaflor Ramos (F) A52237E2Health Care La IPA (Medpoint Mgmt) Accepting New Members: Y
CASTAIC
SAMUEL DIXON FAMILY HEALTH CENTER NPI: 1639439656 30257 San Martinez Rd Castaic, CA 91384-1384 (661) 257-4008 PCMH: Y BC: N
FAMILY PRACTICE
Le, Phillip Dinh (M) A66633E6Health Care La IPA (Medpoint Mgmt) Accepting New Members: Y
INTERNAL MEDICINE
Sathyaprakash, Smitha (F) A127829EHealth Care La IPA (Medpoint Mgmt) Accepting New Members: Y
PEDIATRICS
Endeno-Galima, Elizabeth Moreno (F) A76162E5Health Care La IPA (Medpoint Mgmt) Accepting New Members: Y
GENERAL PRACTICE
Agababian, Gor (M) A93668E11Preferred IPA Of California Accepting New Members: Y
Kevorkian, Siranoush H (F) A35663E14Allied Pacific IPA Accepting New Members: Y
CANOGA PARK
NORTHEAST VALLEY HEALTH CORP LAC-CANOGA PARK HLTH NPI: 1225083876 7107 Remmet Ave Canoga Park, CA 91303-1303 (818) 340-3570
Accessibility: R PCMH: Y BC: N Languages Spoken: English, Persian, Tagalog, Turkish
INTERNAL MEDICINE
Baradar-Bokaie, Babak (M) A85378E2Health Care La IPA (Medpoint Mgmt) Accepting New Members: N
Sporrong, Jeremy Dane (M) 20A13251E3Preferred IPA Of California Accepting New Members: N 20A13251E5Health Care La IPA (Medpoint Mgmt) Accepting New Members: Y
GENERAL PRACTICE
Dixon, Samuel Presley (M) G45816EPreferred IPA Of California Accepting New Members: Y G45816E4Health Care La IPA (Medpoint Mgmt) Accepting New Members: Y
L.A. Care Health Plan - L.A. Care Covered Direct - September 2018
NPI= National Provider Identifier, PCMH= Patient-Centered Medical Home, BC= Board Certified, B=Wide Entry, W=Wheelchair Access, E=Accessible Exam Rooms and Tables, L=Lifts, S= Scales, R=Bathrooms and Stall, GB=Grab Bars, P=Parking, A=Waiting Area To verify a doctor's address, call L.A. Care Health Plan at 1.855.270.2327 (TTY: 711). Remember: Be sure to clearly print the doctor's name and I.D. number on your enrollment form. Para verificar la dirección de un doctor, por favor llame a L.A. Care Health Plan al número de teléfono 1.855.270.2327(TTY: 711). Recuerde: asegúrese de escribir el nombre del doctor y número de identificación claramente en su forma de inscripción.
10
CLAREMONT
PVHC AT CLAREMONT NPI: 1104111566 1601 Monte Vista Ave Ste 100 Claremont, CA 91711-1711 (909) 630-7938
Accessibility: R PCMH: Y BC: N Languages Spoken: English
FAMILY PRACTICE
Alvarez Casillas, Victor (M) A144136EPomona Valley Medical Group Accepting New Members: Y
Holstein, Lester Samuel (M) G77560E4Pomona Valley Medical Group Accepting New Members: Y
Ijadi, Jeffrey (M) A126442E2Pomona Valley Medical Group Accepting New Members: N
Styles, Duane Wesley (M) A30804E4Pomona Valley Medical Group Accepting New Members: Y
Tolentino, Maria Christina Lim (F) 20A10619E6Pomona Valley Medical Group Accepting New Members: Y
COMMERCE
SOUTH ATLANTIC - EAST LA NPI: 1417226234 5504 Whittier Blvd Commerce, CA 90022-0022 (323) 725-0167 PCMH: Y BC: N
FAMILY PRACTICE
Kahen, Dan Moshe (M) 20A11814E7Applecare Medical Group (Downey And Select Regions) Accepting New Members: Y 20A11814E8Applecare Medical Group St Francis Accepting New Members: Y 20A11814E9Bella Vista IPA (Medpoint Mgmt) Accepting New Members: Y
COMPTON
COMPTON CENTRAL HEALTH CLINIC INC NPI: 1326328444 201 N Central Ave Compton, CA 90220-0220 (310) 635-7123 PCMH: Y BC: N
GENERAL PRACTICE
Jaffe, Robert James (M) G34013E3Global Care IPA (Medpoint Mgmt) Accepting New Members: N
Kadri, Mohamad Bachir (M) A52479E2Global Care IPA (Medpoint Mgmt) Accepting New Members: N
SOUTHWEST COMMUNITY CLINIC NPI: 1558434464 349 W Compton Blvd Compton, CA 90220-0220 (424) 785-5170 PCMH: Y BC: N
GENERAL PRACTICE
Bebawy, Nagy Philips (M) A44080E2Preferred IPA Of California Accepting New Members: Y
Saied, Saied Ibrahim (M) A54467E3Global Care IPA (Medpoint Mgmt) Accepting New Members: Y A54467E5Preferred IPA Of California Accepting New Members: Y
INTERNAL MEDICINE
Abdelmelek, Sam Welson (M) A106876E11Preferred IPA Of California Accepting New Members: N A106876E12Global Care IPA (Medpoint Mgmt) Accepting New Members: N
ST JOHNS WELL CHILD AND FAMILY CENTER NPI: 1184714040 15715 S Atlantic Ave Fl 2 Compton, CA 90221-0221 (310) 604-5000 PCMH: Y BC: N Languages Spoken: English, Spanish
FAMILY PRACTICE
Lopez, Glenn Andrew (M) G59193E2Health Care La IPA (Medpoint Mgmt) Accepting New Members: N
NPI: 1902992134 15301 S San Jose Ave Compton, CA 90221-0221 (323) 541-1411
Accessibility: R PCMH: Y BC: N Languages Spoken: English, Ilocano, Spanish
FAMILY PRACTICE
Gorlitsky, Kendra Fleagle (F) G61804E12Health Care La IPA (Medpoint Mgmt) Accepting New Members: N
Lopez, Glenn Andrew (M) G59193E3Health Care La IPA (Medpoint Mgmt) Accepting New Members: N
Teleten, Nikolay (M) A134692E2Health Care La IPA (Medpoint Mgmt) Accepting New Members: N
INTERNAL MEDICINE
Jamei, Mohsen (M) A84432E4Health Care La IPA (Medpoint Mgmt) Accepting New Members: Y
ST JOHNS WELL CHILD CENTER - COMPTON NPI: 1184714040 2115 N Wilmington Ave Compton, CA 90222-0222 (310) 603-1332 PCMH: Y BC: N
FAMILY PRACTICE
Lopez, Glenn Andrew (M) G59193E4Health Care La IPA (Medpoint Mgmt) Accepting New Members: N
C L
IN IC
S
L.A. Care Health Plan - L.A. Care Covered Direct - September 2018 11
NPI= National Provider Identifier, PCMH= Patient-Centered Medical Home, BC= Board Certified, B=Wide Entry, W=Wheelchair Access, E=Accessible Exam Rooms and Tables, L=Lifts, S= Scales, R=Bathrooms and Stall, GB=Grab Bars, P=Parking, A=Waiting Area To verify a doctor's address, call L.A. Care Health Plan at 1.855.270.2327 (TTY: 711). Remember: Be sure to clearly print the doctor's name and I.D. number on your enrollment form. Para verificar la dirección de un doctor, por favor llame a L.A. Care Health Plan al número de teléfono 1.855.270.2327(TTY: 711). Recuerde: asegúrese de escribir el nombre del doctor y número de identificación claramente en su forma de inscripción.
COMPTON Participating Clinics Clínicas participantes
INTERNAL MEDICINE
Varghese, Shiny (F) A145929EHealth Care La IPA (Medpoint Mgmt) Accepting New Members: Y
CULVER CITY
VENICE FAMILY CLINIC - COLEN CENTER NPI: 1548201726 4700 Inglewood Blvd Ste 102 Culver City, CA 90230-0230 (310) 392-8636
Accessibility: R PCMH: Y BC: N Languages Spoken: English, Spanish
FAMILY PRACTICE
Lee, Jay Won (M) A84879E2Health Care La IPA (Medpoint Mgmt) Accepting New Members: N
GENERAL PRACTICE
Tcheng, Barbara Maria (F) A108151E5Health Care La IPA (Medpoint Mgmt) Accepting New Members: Y
PEDIATRICS
Chung, Gilmore Seisoon (M) A111111E4Health Care La IPA (Medpoint Mgmt) Accepting New Members: N
Guerrero, Alma Delia (F) A91517E2Health Care La IPA (Medpoint Mgmt) Accepting New Members: Y
Mirzaie, Goli (F) A98368E3Health Care La IPA (Medpoint Mgmt) Accepting New Members: Y
Tejani, Zarin Nasir (F) A110916E3Health Care La IPA (Medpoint Mgmt) Accepting New Members: Y
EL MONTE
ALTAMED HEALTH SERVICES - EL MONTE NPI: 1053498303 10418 Valley Blvd Ste B El Monte, CA 91731-1731 (626) 453-8466 PCMH: Y BC: Y Languages Spoken: English, Spanish
FAMILY PRACTICE
Barrera, Raul (M) A73702E2Altamed Health Services Corporation Accepting New Members: Y
Fong, Daniel (M) 20A16586EAltamed Health Services Corporation Accepting New Members: Y
Rico, Cristian (M) A81264E2Altamed Health Services Corporation Accepting New Members: N
PEDIATRICS
Moy, Jaime Muel-Kaie (F) 20A8734E2Altamed Health Services Corporation Accepting New Members: Y
Sessions, Cindy Le (F) A128551E3Altamed Health Services Corporation Accepting New Members: Y
Walker, Angela Marie (F) A128712EAltamed Health Services Corporation Accepting New Members: Y
ASIAN PACIFIC HEALTH CARE VENTURE INC - EL MONTE NPI: 1629126289 9960 Baldwin Pl El Monte, CA 91731-1731 (626) 774-2988
Accessibility: R PCMH: Y BC: Y Languages Spoken: English, Samoan, Thai
FAMILY PRACTICE
CLEAVER FAMILY WELLNESS CLINIC NPI: 1508887761 4368 Santa Anita Ave El Monte, CA 91731-1731 (626) 579-2190 PCMH: Y BC: Y Languages Spoken: English, Spanish
FAMILY PRACTICE
De Artola, Ignacio (M) G51149E7Health Care La IPA (Medpoint Mgmt) Accepting New Members: Y G51149E8Citrus Valley Physicians Group Accepting New Members: Y
SOUTHERN CALIFORNIA MEDICAL CENTER NPI: 1417104282 12100 Valley Blvd Ste 109A El Monte, CA 91732-1732 (626) 575-7500 PCMH: Y BC: N
FAMILY PRACTICE
Parsaei, Nazanin (F) A112838E3Preferred IPA Of California Accepting New Members: Y
GENERAL PRACTICE
Rasekhi, Mohammad Hassan (M) A48861E8Preferred IPA Of California Accepting New Members: Y
GARDENA
SOUTH BAY FAMILY HEALTHCARE CENTER - GARDENA NPI: 1922103860 742 W Gardena Blvd Gardena, CA 90247-0247 (310) 802-6170
Accessibility: R PCMH: Y BC: Y Languages Spoken: English, Samoan, Spanish
INTERNAL MEDICINE
Goei, Raymond Han (M) Ma'O, Kurene Tima (M) 20A6848E2Health Care La IPA (Medpoint A60552E3Health Care La IPA (Medpoint Mgmt) Mgmt) Accepting New Members: Y Accepting New Members: Y
L.A. Care Health Plan - L.A. Care Covered Direct - September 2018
NPI= National Provider Identifier, PCMH= Patient-Centered Medical Home, BC= Board Certified, B=Wide Entry, W=Wheelchair Access, E=Accessible Exam Rooms and Tables, L=Lifts, S= Scales, R=Bathrooms and Stall, GB=Grab Bars, P=Parking, A=Waiting Area To verify a doctor's address, call L.A. Care Health Plan at 1.855.270.2327 (TTY: 711). Remember: Be sure to clearly print the doctor's name and I.D. number on your enrollment form. Para verificar la dirección de un doctor, por favor llame a L.A. Care Health Plan al número de teléfono 1.855.270.2327(TTY: 711). Recuerde: asegúrese de escribir el nombre del doctor y número de identificación claramente en su forma de inscripción.
12
PEDIATRICS
Pillai, Gouri (F) A75744E2Health Care La IPA (Medpoint Mgmt) Accepting New Members: Y
GLENDALE
ALL FOR HEALTH HEALTH FOR ALL INC NPI: 1316017122 519 E Broadway Glendale, CA 91205-1205 (818) 409-3020 PCMH: Y BC: N Languages Spoken: Arabic, Armenian, English, French, Persian
GENERAL PRACTICE
Janoian, Noobar (M) A38446E8Preferred IPA Of California Accepting New Members: Y
Sayadyan, Diana Yourie (F) A88224E2Preferred IPA Of California Accepting New Members: Y
NPI: 1528138336 437 S Pacific Ave Glendale, CA 91204-1204 (818) 241-1500 PCMH: Y BC: N
GENERAL PRACTICE
Garduno, Leonardo Alfonso (M) A33758E13Preferred IPA Of California Accepting New Members: Y
COMPREHENSIVE COMMUNITY HEALTH CENTERS NPI: 1174844104 801 S Chevy Chase Dr Ste 250 Glendale, CA 91205-1205 (818) 265-2264 PCMH: Y BC: Y
FAMILY PRACTICE
Wang, Jenny (F) 20A14970EAllied Pacific IPA Accepting New Members: Y 20A14970E2Preferred IPA Of California Accepting New Members: N
GENERAL PRACTICE
Tek, Rotana Steven (M) 20A13698E5Preferred IPA Of California Accepting New Members: N
INTERNAL MEDICINE
Iqbal, Muhammad Raghib (M) A94608E5Preferred IPA Of California Accepting New Members: Y
Soe, Yuliana (F) A123559E2Preferred IPA Of California Accepting New Members: N
PEDIATRICS
Vibooshanan, Pandian Paulraj (M) C147787EPreferred IPA Of California Accepting New Members: Y
HARBOR CITY
NECC HARBOR CITY HEALTH CENTER NPI: 1831500917 1403 Lomita Blvd Ste 100 Harbor City, CA 90710-0710 (310) 784-5840
Accessibility: R PCMH: Y BC: N
FAMILY PRACTICE
Dinh, Cecilia (F) 20A15687EPreferred IPA Of California Accepting New Members: Y
PEDIATRICS
Louie, Wayley Dragon (M) A99894E4Preferred IPA Of California Accepting New Members: Y
HAWAIIAN GARDENS
HAWAIIAN GARDENS HEALTH CENTER NPI: 1699981522 22310 Wardham Ave Hawaiian Gardens, CA 90716-0716 (562) 420-2433
Accessibility: R PCMH: Y BC: N
GENERAL PRACTICE
Ugalde, Sergio Lopez (M) A41270E13Health Care La IPA (Medpoint Mgmt) Accepting New Members: N A41270E9Global Care IPA (Medpoint Mgmt) Accepting New Members: N
HAWTHORNE
NORTHEAST COMMUNITY CLINIC - HAWTHORNE NPI: 1144325473 4455 W 117Th St Ste 300 Hawthorne, CA 90250-0250 (310) 645-0444
Accessibility: E, R PCMH: Y BC: N
FAMILY PRACTICE
Johnson, Karlon Howard (M) G70613E7Preferred IPA Of California Accepting New Members: Y
Stewart, Tahira (F) A96337E5Preferred IPA Of California Accepting New Members: Y
INTERNAL MEDICINE
Lee, Kenneth Shan (M)