1250
Coverage for every stage of life™ 2019 Provider and Pharmacy Directory San Diego County Health Net Cal MediConnect Plan (Medicare-Medicaid Plan) H3237_19_PPD_SD_Accepted_09092018

Health Net Cal MediConnect Plan 2019 Provider and Pharmacy Dir ectory › content › dam › centene › ... · 2020-06-18 · Kidney dialysis services that y ou get at a Medicare-c

  • Upload
    others

  • View
    2

  • Download
    0

Embed Size (px)

Citation preview

  • Coverage for every stage of life™

    2019 Provider and Pharmacy Directory

    San Diego County

    Health Net Cal MediConnect Plan (Medicare-Medicaid Plan)

    H3237_19_PPD_SD_Accepted_09092018

  • If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711) from 8 a.m. to 8 p.m. Monday through Friday. After hours, on weekends and on holidays, you can leave a message. Your call will be returned the next business day. The call is free. For more information, visit www.healthnet.com/calmediconnect. 2

    ?

    H3237_19_PPD_SD_Accepted_09092018

    Health Net Cal MediConnect Plan (Medicare-Medicaid Plan)| 2019 Provider and Pharmacy Directory

    Introduction

    This Provider and Pharmacy Directory includes information about the provider and pharmacy types in Health Net Cal MediConnect and listings of all the plan’s providers and pharmacies as of the date of this Directory. The listings contain provider and pharmacy address and contact information as well as other details such as days and hours of operations, specialties, and skills. Key terms and their definitions appear in alphabetical order in the last chapter of the Member Handbook.

  • A

    www.healthnet.com/calmediconnect / 5

    Table of Contents

    A.Disclaimers..........................................................................................................................7

    B.Providers...........................................................................................................................10

    B1. Key Terms.................................................................................................................10

    B2. Choosing a Primary Care Provider (PCP).................................................................13

    B3. Long-Term Services and Supports (LTSS)...............................................................14

    B4. How to identify providers in Health Net Cal MediConnect’s network........................15

    B5. How to find Health Net Cal MediConnect providers in your area..............................16

    B6. List of network providers...........................................................................................17

    C. Health Net Cal MediConnect’s network providers............................................................21

    C1. Primary Care Providers.............................................................................................21

    C2. Specialists...............................................................................................................127

    C3. Hospitals.................................................................................................................943

    C4. Skilled Nursing Facilities.........................................................................................949

    C5. Nursing Facilities.....................................................................................................961

    C6. Home Health Agencies...........................................................................................973

    C7. Mental Health Providers..........................................................................................979

    D. Long-Term Services and Supports..............................................................................1039

    D1. Community-Based Adult Services.........................................................................1039

    D3. Long-Term Acute Care..........................................................................................1043

    E. Vision Providers...........................................................................................................1045

    F. Acupuncture Providers.................................................................................................1123

    G.List of network pharmacies...........................................................................................1193

    G1.How to identify pharmacies in Health Net Cal Mediconnect's network..................1193

    G2.Long-term supplies of prescription.........................................................................1195

    H. Health Net Cal MediConnect’s network pharmacies....................................................1199

    H1. Retail and Chain Pharmacies................................................................................1199

    H2. Mail Order Pharmacy............................................................................................1227

    H3. Home Infusion Pharmacies...................................................................................1231

    H4. Long-Term Care Pharmacies................................................................................1235

    H5. Indian Health Service / Tribal / Urban Indian Health Program (I/T/U)

    Pharmacies

    ..................1239

    H6. Specialty Pharmacies............................................................................................1243

  • A. Disclaimers

    Health Net Community Solutions, Inc. is a health plan that contracts with both Medicare and Medi-Cal to provide benefits of both programs to enrollees.

    This Directory lists health care professionals (such as doctors, nurse practitioners, and psychologists), facilities (such as hospitals or clinics), and support providers(such as Adult Day Health and Home Health providers) that you may see as a Health Net Cal MediConnect member. We also list the pharmacies that you may use to get your prescription drugs.

    We will refer to these groups as “network providers” in this Directory. These providers signed a contract with us to provide you services. This is a list of Health Net Cal MediConnect’s network providers for San Diego County, California.

    Out-of-network/non-contracted providers are under no obligation to treat Health Net Cal MediConnect Plan members, except in emergency situations. Please call our Member Services number or see your Member Handbook for more information, including the cost-sharing that applies to out-of-network services.

    You can get this document for free in other formats, such as large print, braille, or audio. Call 1-855-464-3572 (TTY: 711) from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you may be asked to leave a message. Your call will be returned within the next business day. The call is free.

    If you would like Health Net Cal MediConnect to send you member materials on an ongoing basis in other formats, such as braille or large print, or in a language other than English, please contact Member Services. Tell Member Services that you would like to place a standing request to get your materials in another format or language.

    This Directory includes providers of both Medicare and Medicaid services.

    www.healthnet.com/calmediconnect / 7

    bookmark

  • ATTENTION: If you speak English, language assistance services, free of charge, areavailable to you. Call 1-855-464-3572 (TTY: 711) from 8 a.m. to 8 p.m., Mondaythrough Friday. After hours, on weekends and on holidays, you can leave a message.Your call will be returned within the next business day. The call is free.

    ATENCIÓN: Si usted habla español, hay servicios de asistencia de idiomasdisponibles para usted sin cargo. Llame al 1-855-464-3572 (TTY: 711) de 8:00a.m. a 8:00 p.m., de lunes a viernes. Después del horario de atención, los fines desemana y los días feriados puede dejar un mensaje. Le devolveremos la llamadael siguiente día hábil. La llamada es gratuita.

    PAALALA: Kung nagsasalita ka ng Tagalog, available sa inyo ang mga serbisyong tulog sa wika, nang walang singil. Tumawag sa 1-855-464-3572 (TTY: 711)mula 8 a.m. hanggang 8 p.m., Lunes hanggang Biyernes. Paglipas ng mga orasng negosyo, tuwing Sabado at Linggo at sa pista opisyal, maaari kang mag-iwanng mensahe. Ang iyong tawag ay ibabalik sa loob ng susunod na araw ngnegosyo. Libre ang tawag.

    XIN LƯU Ý: Nếu quý vị nói tiếng Việt, chúng tôi sẵn có dịch vụ hỗ trợ ngôn ngữmiễn phí dành cho quý vị. Hãy gọi 1-855-464-3572 (TTY: 711) từ 8 giờ sáng đến8 giờ tối, từ thứ Hai đến hết thứ Sáu. Sau giờ làm việc, vào các ngày cuối tuần vàngày lễ, quý vị có thể để lại tin nhắn. Cuộc gọi của quý vị sẽ được hồi đáp vàongày làm việc hôm sau. Cuộc gọi này miễn phí.

    8 / www.healthnet.com/calmediconnect

  • The list is up-to-date as of 09/05/2019, but you need to know that:

    • Some Health Net Cal MediConnect network providers may have been added or removed from our network after this Directory was published.

    • Some Health Net Cal MediConnect providers in our network may no longer be accepting new members. If you are having trouble finding a provider who will accept new members, call Member Services at 1-855-464-3572 (TTY: 711) and we will help you.

    • To get the most up-to-date information about Health Net Cal MediConnect’s network providers in your area, visit www.healthnet.com/calmediconnect or call Member Services at 1-855-464-3572 (TTY:711), from 8 a.m. to 8 p.m., Monday through Friday. The call is free.

    Doctors and other health care professionals in Health Net Cal MediConnect’s network are listed on pages 21-1191. Pharmacies in our network are listed on pages 1199-1243.

    www.healthnet.com/calmediconnect / 9

  • B. Providers

    B1. Key terms

    This section explains key terms you’ll see in our Provider and Pharmacy Directory.

    • Providers are health care professionals and support providers such as doctors,nurses, pharmacists, therapists, and other people who provide care and services.Services include medical care, long-term services and supports (LTSS), supplies,prescription drugs, equipment and other services.

    o The term providers also includes facilities such as hospitals, clinics, and otherplaces that provide medical services, medical equipment, and long-term servicesand supports.

    o Providers that are a part of our plan's network are called network providers.

    • Network providers are the providers that have contracted with us to provideservices to members in our plan. The providers in our network generally bill usdirectly for care they give you. When you see a network provider, you usually paynothing for covered services.

    • A Primary Care Provider (PCP) is a family practice physician, a generalpractitioner, a pediatrician, a primary care clinic, or an internal medicine doctor whogives you routine health care. Your PCP will keep your medical records and get toknow your health needs over time. Your PCP will also give you a referral if youneed to see a specialist or other provider.

    • Specialists are doctors who provide health care services for a specific disease orpart of the body. There are many kinds of specialists. Here are a few examples:

    o Oncologists care for patients with cancer.

    o Cardiologists care for patients with heart conditions.

    o Orthopedists care for patients with certain bone, joint, or muscle conditions.

    10 / www.healthnet.com/calmediconnect

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

    B1. Key

    B1. Key

  • • A Medical Group is a group of PCPs, specialists, and other health care providers that work together and are contracted to work with our plan.

    • You may need a referral to see a specialist or someone that is not your PCP. A referral means that your primary care provider (PCP) must give you approval before you can see someone that is not your PCP. If you don’t get a referral,Health Net Cal MediConnect may not cover the service.

    o Referrals from your network PCP are not needed for:

    – Emergency care;

    – Urgently needed care;

    – Kidney dialysis services that you get at a Medicare-certified dialysis facility when you are outside the plan’s service area; or

    – Services from a women’s health specialist.

    o Additionally, if you are eligible to get services from Indian health providers, you may see these providers without a referral. We must pay the Indian health provider for those services even if they are out of our plan’s network.

    o More information on referrals is available in Chapter 3 of the Member Handbook.

    • You also have access to a care coordinator and a care team that you help choose.

    o A Care Coordinator helps you manage your medical providers and services.

    o Your Care Team is a group of people that will work with you to develop an Individualized Care Plan to address your health and support needs, reflecting your personal preferences and goals.

    o Your Care Team starts with your Primary Care Provider and Care Coordinator. Other team members may include behavioral health or social service expert, physician specialist, or dietician.

    o A Personal Care Plan is the list of health care goals you agree to work on with your care team.

    www.healthnet.com/calmediconnect / 11

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

  • These goals include:

    – Your physical health care;

    – Your mental health care

    – Long-term services and supports. (These are for people who needhelp to do everyday tasks like taking a bath, getting dressed, makingfood, and taking medicine.)

    • Everyone on the care team works together to make sure your care is coordinated.This means that they make sure tests and labs are done once and the results areshared with the appropriate providers. It also means that your PCP should know allmedicines you take so that he or she can reduce any negative effects. Your PCP willalways get your permission before sharing your medical information with otherproviders.

    12 / www.healthnet.com/calmediconnect

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

  • B2. Choosing a Primary Care Provider (PCP)

    You can get services from any provider who is in our network and accepting new members.

    First, you will need to choose a Primary Care Provider. You may be able to have a specialist act as your PCP. The specialist must be willing and able to provide the care you need. If you need to request a specialist to be your PCP, call our Member Services at 1-855-464-3572 (TTY: 711) from 8 a.m. to 8 p.m., Monday through Friday. The call is free.

    Our plan’s PCPs are affiliated with medical groups. When you choose your PCP, you are also choosing the affiliated medical group. This means that your PCP will be referring you to specialists and services that are also affiliated with his or her medical group.

    • If there is a particular specialist or hospital that you want to use, it is important to seewhether they are affiliated with your PCP’s medical group. You can look in thisdirectory, or ask Health Net Cal MediConnect Member Services to check to see ifthe PCP you want makes referrals to that specialist or uses that hospital.

    • If you don’t stay within your PCP’s medical group, Health Net Cal MediConnect maynot cover the service.

    To choose a PCP, go to the list of providers on page 21 and choose a provider:

    • that you use now, or

    • who has been recommended by someone you trust, or

    • whose offices are easy for you to get to.• If you want help in choosing a PCP, please call Member Services at

    1-855-464-3572 (TTY: 711) from 8 a.m. to 8 p.m., Monday through Friday.The call is free or, visit www.healthnet.com/calmediconnect.

    • If you have questions about whether we will pay for any medical service orcare that you want or need, call Member Services and ask before you getthe service or care.

    www.healthnet.com/calmediconnect / 13

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

    B2.

    B2.

  • B3. Long-term services and supports (LTSS)

    As a Health Net Cal MediConnect member, you may be able to get long-term services and supports (LTSS), such as Community-Based Adult Services (CBAS), the Multipurpose Senior Services Program (MSSP) and long-term custodial care in nursing facilities. LTSS help people who need assistance to do everyday tasks like taking a bath, getting dressed, making food, and taking medicine. Most of these services are provided at your home or in your community but could be provided in a nursing home or hospital.

    These services include Community-Based Adult Services (CBAS).

    CBAS is a community-based day health program that provides services to older persons and adults with chronic medical, cognitive, or mental health conditions and/or disabilities that are at risk of needing institutional care.

    To apply for CBAS, please contact Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711) from 8 a.m. to 8 p.m., Monday through Friday.

    Other long-term services and supports provided by Health Net Cal MediConnect include the Multipurpose Senior Services Program (MSSP) and long-term custodial care in nursing facilities. The MSSP provides services for people age 65 and older. With long-term custodial care in nursing facilities, the health plan makes sure that care is consistent and any transition is well- planned. To find providers of these service, go to page 1039 in this Directory.

    A full list of these services is available in Chapter 4 of your Member Handbook.

    14 / www.healthnet.com/calmediconnect

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

    B3.

    B3.

  • B4. How to identify providers in Health Net Cal MediConnect’s network

    You must get all of your covered services from providers within our network that are affiliated with your PCP’s medical group. If you go to providers who are not in Health Net Cal MediConnect’s network and are not affiliated with your PCP’s medical group (without prior authorization or approval from us), you will have to pay the bill.

    The exceptions to this rule are when you need urgent or emergency care or dialysis and cannot get to a provider in the plan, such as when you are away from home. You can also go outside the plan or your PCP’s medical group if Health Net Cal MediConnect gives you permission first.

    You may need a referral to see someone who is not a Primary Care Provider. There is more information about referrals in Section B1, Key terms, of this Directory on pages 10-11.

    • You may change providers within the network at any time during the year. If youhave been going to one network provider, you do not have to keep going to thatsame provider. For some providers, you may need a referral from your PCP.

    • Remember, our plan’s PCPs are affiliated with medical groups. If you change yourPCP, you may also be changing medical groups. When you ask for the change, besure to tell Member Services whether you are seeing a specialist or getting othercovered services that require PCP approval. Member Services will help make surethat you can continue your specialty care and other services when you change yourPCP.

    A prior authorization is an approval from Health Net Cal MediConnect before you can get a specific service or drug or see an out-of-network provider. Health Net Cal MediConnect may not cover the service or drug if you don’t get approval.

    • Health Net Cal MediConnect works with all the providers in our network toaccommodate the needs of people with disabilities. As applicable, the list of networkproviders in this Directory includes information about the accommodations theyprovide.

    • If you need to see a provider and are not sure if they offer the accommodations youneed, Health Net Cal MediConnect can help you. Talk to your care coordinator forassistance or call Member Services at 1-855-464-3572 (TTY: 711).

    www.healthnet.com/calmediconnect / 15

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

    B4. How

    B4. How

  • B5. How to find Health Net Cal MediConnect providers in your area

    This directory is sorted by type of provider and location. Provider types include Primary Care Providers, Specialists, Hospitals, Nursing Facilities, Skilled Nursing Facilities, Home Health Agencies, Mental Health Providers, Long-Term Services and Supports, Acupuncture Providers, and Vision Providers. Primary Care Providers and Specialists are listed by assigned medical group, and then by city or town. All other provider types are listed by city or town within each section.

    If you need help finding a provider, call Member Services at 1-855-464-3572 (TTY: 711) from 8 a.m. to 8 p.m., Monday through Friday. The call is free.

    16 / www.healthnet.com/calmediconnect

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

    B5. How

    B5. How

  • B6. List of network providers

    This Directory of Health Net Cal MediConnect’s network providers contains:

    • Health care professionals including primary care physicians, specialists, nurse practitioners, psychologists and pharmacies; and

    • Facilities including hospitals, nursing facilities, skilled nursing facilities, mental health facilities; and

    • Support providers including adult day services, assisted living, consumer- directed services, home-delivered meals, home health agencies; and

    • Vision providers; and

    • Acupuncture providers.

    Providers are listed in alphabetical order by last name. In addition to contact information, provider listings also include specialties and skills, for example, such as languages spoken or completion of cultural competence training.

    Cultural competence training is additional instruction for our health care providers that help them better understand your background, values, and beliefs to adapt services to meet your social, cultural, and language needs.

    www.healthnet.com/calmediconnect / 17

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

    B6. List

    B6. List

  • C. Health Net Cal MediConnect’s network providers

    The providers in this directory are organized alphabetically by medical group. You may get services from any of the providers on this list. For some services, you may need a referral from your PCP.

    18 / www.healthnet.com/calmediconnect

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

  • Accessibility Information

    Below is information used in the provider directory to indicate accessibility at a provider office or building site. This information is not a promise that every doctor will always have the access that you may need for a disability. You should call the doctor’s office to talk about your access needs for your disability.

    Accessibility Requirements:

    Basic: Facility represents all seven accessibility requirements, excluding

    Limited: Facility is missing one or more of the seven accessibility requirements,

    Indicator Definition Criteria ASL Signage

    (ASL) Signage with Braille and raised tactile text characters at office, elevator, and restroom doors.

    P Parking Parking spaces, including van accessible space(s), are accessible. Pathways have curb ramps between the parking lot, office, and at drop-off locations.

    EB Exterior (outside) building

    Curb ramps and other ramps to the building are wide enough for a wheelchair or scooter user. Handrails are provided on both sides of the ramp. Doors open wide enough to let a wheelchair or scooter user enter, and have handles that are easy to use.

    IB Interior (inside) building

    Doors open wide enough to let a wheelchair or scooter user enter, and have handles that are easy to use. Interior ramps are wide enough and have handrails. Stairs, if present, have handrails. The elevator has easy to hear sounds and Braille buttons within reach. The elevator has enough room for a wheelchair or scooter user to turn around. If there is a platform lift, it can be used without help.

    www.healthnet.com/calmediconnect / 19

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

  • Indicator Definition Criteria E Exam

    room The entrance to the exam room is accessible, with a clear path. The doors open wide enough to accommodate a wheelchair or scooter and are easy to open. The exam room has enough room for a wheelchair or scooter to turn around.

    PA Participant areas

    Members can get to and use all common areas and equipment with or without help.

    PD Patient diagnostic and treatment use

    Patients are able to access and use testing and treatment areas, and equipment.

    T Exam table or scale

    The exam table moves up and down and the scale is accessible with handrails to assist people with wheelchairs and scooters. The weight scale is able to accommodate a wheelchair.

    R Restroom The restroom is accessible and the doors are wide enough to accommodate a wheelchair or scooter and are easy to open. The restroom has enough room for a wheelchair or scooter to turn around and close the door. There are grab bars which allow easy transfer from wheelchair to toilet. The sink is easy to get to and the faucets, soap, and toilet paper are easy to reach and use.

    20 / www.healthnet.com/calmediconnect

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

  • www.healthnet.com/calmediconnect / 21

    San Diego County

    Provider Count: 204

    C1. Primary Care Providers

    cc

    C1.

    C1.

    3

    Physician is currently not accepting new patients.

    5

    Member should contact PCP or PPG before going to Urgent Care Center

    #

    Telephonic interpreter services are available by calling Health Net Member Services

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

    C1. P

    rim

    ary C

    are P

    ro

    vid

    ers

    21

    Gerinet Medical Associates

    PPG 5392

    16162 Beach Blvd

    Huntington Beach, CA 92647-3828

    (714) 619-8777

    Urgent Care:

    5

    Dusk To Down - Lynwood (310)639-2220

    Dusk To Down - Paramount (562) 808-2273

    HealthCare Partners -Downtown (213)861-5950

    HealthCare Partners -Montebello (323)

    720-1144

    Chula Vista Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Uwedjojevwe, Leticia M.,

    M.D.

    3

    Gender: Female

    License No: A80329

    NPI: 1891882221

    Internal Medicine

    480 Fourth Ave. # 519

    Chula Vista, CA 91910

    5392 106004

    (619) 476-9054

    Prov Language: Spanish

    Office Staff Language

    #

    :

    Accessibility: Basic(P,EB,IB,R,E)

    Cultural Competence Training Completed: No

    Provider Training and Experience:

  • 22 / www.healthnet.com/calmediconnect

    Gerinet Medical Associates PPG 5392

    C1. Primary Care Providers

    1

    Board Certified

    3

    Physician is currently not accepting new patients.

    4

    Public Transportation Accessible within half a mile of provider site

    #

    Telephonic interpreter services are available by calling Health Net Member Services

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

    National City Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Niguidula, Troy H., M.D.

    Gender: Male

    License No: A92543

    NPI: 1215948849

    Internal Medicine

    610 Euclid Ave. # 201

    4

    National City, CA 91950

    5392 129828

    (619) 267-8181

    Prov Language: Spanish, Tagalog

    Office Staff Language

    #

    : Spanish, Tagalog

    Accessibility: Limited(P,EB)

    Hours: M-F 9 AM - 5 PM

    Cultural Competence Training Completed: Yes

    Provider Training and Experience:

    Vista Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Bloom, Irving A., M.D.

    3

    Gender: Male

    License No: G32967

    NPI: 1679664502

    Internal Medicine

    1

    130 Cedar Rd. # 310

    4

    Vista, CA 92083

    5392 501524

    (760) 630-9095

    Office Staff Language

    #

    :

    Self Reported Accessibility: Limited(P,EB,IB)

    Hours: TH-F 10 AM - 4:30 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

  • www.healthnet.com/calmediconnect / 23

    Gerinet Medical Associates PPG 5392

    C1. Primary Care Providers

    C1. P

    rim

    ary C

    are P

    ro

    vid

    ers

    23

    3

    Physician is currently not accepting new patients.

    4

    Public Transportation Accessible within half a mile of provider site

    #

    Telephonic interpreter services are available by calling Health Net Member Services

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

    Vista Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Hoveida, Kevin H., M.D.

    3

    Gender: Male

    License No: A46063

    NPI: 1508931023

    Internal Medicine

    130 Cedar Rd. # 310

    4

    Vista, CA 92083

    5392 036197

    (760) 630-9095

    Prov Language: Farsi, Spanish

    Office Staff Language

    #

    :

    Self Reported Accessibility: Limited(P,EB,IB)

    Hours: M-F 9 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

  • 24 / www.healthnet.com/calmediconnect

    C1. Primary Care Providers

    5

    Member should contact PCP or PPG before going to Urgent Care Center

    #

    Telephonic interpreter services are available by calling Health Net Member Services

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

    Scripps Coastal Medical Center - Hillcrest

    PPG 1921

    501 Washington St. Ste. 600

    San Diego, CA 92103-2239

    (619) 278-3300

    Urgent Care:

    5

    Scripps Clinic Urgent Care - Torrey Pines

    (858) 554-8638

    Rancho Bernardo - (858) 605-7171

    Scripps Coastal Med Center Vista (760)

    806-5400

    Hospitals Used:

    Scripps Green Hospital

    Scripps Memorial Hospital - Encinitas

    Scripps Memorial Hospital - La Jolla

    Scripps Mercy Hospital

    Scripps Mercy Hospital - Chula Vista

    Scripps Coastal Med. Center - Solana Beach

    (PPG 5363)

    380 Steven Ave. Ste 100

    Solana Beach, CA 92075-2068

    (858) 554-9800

    Urgent Care:

    5

    Scripps Clinic Urgent Care - Rancho Bernardo

    (858) 605-7171

    Scripps Clinic Urgent Care - Torrey Pines

    (858) 554-8638

    Hospitals Used:

    Scripps Green Hospital

    Scripps Memorial Hospital - Encinitas

    Scripps Memorial Hospital - La Jolla

    Scripps Mercy Hospital

    Scripps Mercy Hospital - Chula Vista

  • www.healthnet.com/calmediconnect / 25

    Scripps Coastal Medical Center - Hillcrest PPG 1921

    C1. Primary Care Providers

    C1. P

    rim

    ary C

    are P

    ro

    vid

    ers

    25

    5

    Member should contact PCP or PPG before going to Urgent Care Center

    #

    Telephonic interpreter services are available by calling Health Net Member Services

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

    Scripps Coastal Medical Center - Carlsbad

    (PPG 5361)

    2176 Salk Ave.

    Carlsbad, CA 92008-7346

    (760) 827-7200

    Urgent Care:

    5

    Scripps Clinic Urgent Care - Rancho Bernardo

    (858) 605-7171

    Scripps Clinic Urgent Care - Torrey Pines

    (858) 554-8638

    Hospitals Used:

    Scripps Green Hospital

    Scripps Memorial Hospital - Encinitas

    Scripps Memorial Hospital - La Jolla

    Scripps Mercy Hospital

    Scripps Mercy Hospital - Chula Vista

    Scripps Coastal Medical Center - Eastlake

    (PPG 1920)

    971 Lane Ave.

    Chula Vista, CA 91914-3501

    (619) 502-7300

    Urgent Care:

    5

    Scripps Clinic Urgent Care - Torrey Pines

    (858) 554-8638

    Rancho Bernardo - (858) 605-7171

    Hospitals Used:

    Scripps Green Hospital

    Scripps Memorial Hospital - Encinitas

    Scripps Memorial Hospital - La Jolla

    Scripps Mercy Hospital

    Scripps Mercy Hospital - Chula Vista

  • 26 / www.healthnet.com/calmediconnect

    Scripps Coastal Medical Center - Hillcrest PPG 1921

    C1. Primary Care Providers

    5

    Member should contact PCP or PPG before going to Urgent Care Center

    #

    Telephonic interpreter services are available by calling Health Net Member Services

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

    Scripps Coastal Medical Center - Encinitas

    (PPG 5142)

    477 N. El Camino Real

    Encinitas, CA 92024-1328

    (760) 633-6720

    Urgent Care:

    5

    Scripps Clinic Urgent Care - Torrey Pines

    (858) 554-8638

    Rancho Bernardo - (858) 605-7171

    Scripps Coastal Med Cen Vista (760) 806-5400

    Hospitals Used:

    Scripps Green Hospital

    Scripps Memorial Hospital - Encinitas

    Scripps Memorial Hospital - La Jolla

    Scripps Mercy Hospital

    Scripps Mercy Hospital - Chula Vista

    Scripps Coastal Medical Center - Oceanside

    (PPG 5362)

    4318 Mission Ave.

    Oceanside, CA 92057-6541

    (760) 745-2000

    Urgent Care

    5

    Scripps Clinic Urgent Care - Rancho Bernardo

    (858) 605-7171

    Scripps Clinic Urgent Care - Torrey Pines

    (858) 554-8638

    Hospitals Used:

    Scripps Green Hospital

    Scripps Memorial Hospital - Encinitas

    Scripps Memorial Hospital - La Jolla

    Scripps Mercy Hospital

    Scripps Mercy Hospital - Chula Vista

  • www.healthnet.com/calmediconnect / 27

    Scripps Coastal Medical Center - Hillcrest PPG 1921

    C1. Primary Care Providers

    C1. P

    rim

    ary C

    are P

    ro

    vid

    ers

    27

    1

    Board Certified

    4

    Public Transportation Accessible within half a mile of provider site

    5

    Member should contact PCP or PPG before going to Urgent Care Center

    #

    Telephonic interpreter services are available by calling Health Net Member Services

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

    Scripps Coastal Medical Center - Vista (PPG

    5314)

    130 Cedar Rd.

    Vista, CA 92083-5102

    (760) 806-5500

    Office Hours

    5

    Mon - Fri - 7:30am - 8:00pm

    Sat - 8:00am - 3:00pm

    Sun - 8:00am - 3:00pm

    Hospitals Used:

    Scripps Memorial Hospital - Encinitas

    Scripps Memorial Hospital - La Jolla

    Scripps Mercy Hospital

    Scripps Coastal Medical Ctr - Escondido

    (PPG 966)

    488 E. Valley Pkwy. Ste. 411

    Escondido, CA 92025-3380

    (760) 745-2000

    Urgent Care:

    5

    Scripps Clinic Urgent Care - Torrey Pines

    (858) 554-8638

    Rancho Bernardo - (858) 605-7171

    Scripps Coastal Med Cen Vista (760) 806-5400

    Hospitals Used:

    Scripps Green Hospital

    Scripps Memorial Hospital - Encinitas

    Scripps Memorial Hospital - La Jolla

    Scripps Mercy Hospital

    Scripps Mercy Hospital - Chula Vista

    Carlsbad Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Bartolome, Theresa A., M.D.

    Gender: Female

    License No: A81251

    NPI: 1184638223

    Family Practice

    1

    2176 Salk Ave.

    4

    Carlsbad, CA 92008

    5361 101129

    (760) 827-7220

    Office Staff Language

    #

    :

    Accessibility: Basic(P,EB,IB,R,E)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

  • 28 / www.healthnet.com/calmediconnect

    Scripps Coastal Medical Center - Hillcrest PPG 1921

    C1. Primary Care Providers

    1

    Board Certified

    2

    Physician is currently unavailable to new patients through this physician group.

    4

    Public Transportation Accessible within half a mile of provider site

    #

    Telephonic interpreter services are available by calling Health Net Member Services

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

    Carlsbad Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Desai, Sandhya, M.D.

    2

    Gender: Female

    License No: A49458

    NPI: 1588688824

    Family Practice

    2176 Salk Ave.

    4

    Carlsbad, CA 92008

    5361 050486

    (760) 827-7250

    Office Staff Language

    #

    :

    Accessibility: Basic(P,EB,IB,R,E)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

    Carlsbad Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Hausig, Immanuel D., D.O.

    Gender: Male

    License No: 20A11913

    NPI: 1508138447

    Family Practice

    1

    2176 Salk Ave.

    4

    Carlsbad, CA 92008

    5361 195276

    (760) 827-7230

    Office Staff Language

    #

    :

    Accessibility: Basic(P,EB,IB,R,E)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

  • www.healthnet.com/calmediconnect / 29

    Scripps Coastal Medical Center - Hillcrest PPG 1921

    C1. Primary Care Providers

    C1. P

    rim

    ary C

    are P

    ro

    vid

    ers

    29

    1

    Board Certified

    4

    Public Transportation Accessible within half a mile of provider site

    #

    Telephonic interpreter services are available by calling Health Net Member Services

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

    Carlsbad Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Huynh, Vong N., M.D.

    Gender: Male

    License No: A85411

    NPI: 1841207347

    Family Practice

    1

    2176 Salk Ave.

    4

    Carlsbad, CA 92008

    5361 111213

    (760) 827-7550

    Prov Language: Vietnamese

    Office Staff Language

    #

    :

    Accessibility: Basic(P,EB,IB,R,E)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

    Carlsbad Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Ly, Stacie H., M.D.

    Gender: Female

    License No: C154258

    NPI: 1114028669

    Internal Medicine

    1

    2176 Salk Ave. # 200

    4

    Carlsbad, CA 92008

    5361 129598

    (760) 827-7200

    Office Staff Language

    #

    :

    Accessibility: Basic(P,EB,IB,R,E)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed:

    Provider Training and Experience:

  • 30 / www.healthnet.com/calmediconnect

    Scripps Coastal Medical Center - Hillcrest PPG 1921

    C1. Primary Care Providers

    1

    Board Certified

    3

    Physician is currently not accepting new patients.

    4

    Public Transportation Accessible within half a mile of provider site

    #

    Telephonic interpreter services are available by calling Health Net Member Services

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

    Carlsbad Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Newmark, Shelese R., M.D.

    3

    Gender: Female

    License No: A116290

    NPI: 1659515294

    Internal Medicine

    1

    2176 Salk Ave.

    4

    Carlsbad, CA 92008

    5361 197018

    (760) 827-7210

    Office Staff Language

    #

    :

    Accessibility: Basic(P,EB,IB,R,E)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

    Carlsbad Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Proshkina, Irina F., M.D.

    Gender: Female

    License No: A97702

    NPI: 1508944992

    Family Practice

    2176 Salk Ave. # 200

    4

    Carlsbad, CA 92008

    5361 134089

    (760) 827-7240

    Prov Language: Russian

    Office Staff Language

    #

    :

    Accessibility: Basic(P,EB,IB,R,E)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

  • www.healthnet.com/calmediconnect / 31

    Scripps Coastal Medical Center - Hillcrest PPG 1921

    C1. Primary Care Providers

    C1. P

    rim

    ary C

    are P

    ro

    vid

    ers

    31

    1

    Board Certified

    2

    Physician is currently unavailable to new patients through this physician group.

    4

    Public Transportation Accessible within half a mile of provider site

    #

    Telephonic interpreter services are available by calling Health Net Member Services

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

    Carlsbad Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Robertson, Robin C., M.D.

    2

    Gender: Female

    License No: G80815

    NPI: 1881825024

    Family Practice

    1

    2176 Salk Ave.

    4

    Carlsbad, CA 92008

    5361 052235

    (760) 827-7530

    Prov Language: Spanish

    Office Staff Language

    #

    :

    Accessibility: Basic(P,EB,IB,R,E)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

    Carlsbad Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Siksay, Marianna, M.D.

    Gender: Female

    License No: A94180

    NPI: 1780652420

    Family Practice

    1

    2176 Salk Ave.

    4

    Carlsbad, CA 92008

    5361 132930

    (760) 827-7270

    Office Staff Language

    #

    :

    Accessibility: Basic(P,EB,IB,R,E)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

  • 32 / www.healthnet.com/calmediconnect

    Scripps Coastal Medical Center - Hillcrest PPG 1921

    C1. Primary Care Providers

    1

    Board Certified

    4

    Public Transportation Accessible within half a mile of provider site

    #

    Telephonic interpreter services are available by calling Health Net Member Services

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

    Carlsbad Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Whitney, Anthony M., M.D.

    Gender: Male

    License No: G73583

    NPI: 1700897394

    Family Practice

    1

    2176 Salk Ave.

    4

    Carlsbad, CA 92008

    5361 051698

    (760) 827-7440

    Office Staff Language

    #

    :

    Accessibility: Basic(P,EB,IB,R,E)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

    Carlsbad Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Zane, Russell R., M.D.

    Gender: Male

    License No: G77358

    NPI: 1134133242

    Family Practice

    1

    2176 Salk Ave.

    4

    Carlsbad, CA 92008

    5361 046449

    (760) 827-7210

    Office Staff Language

    #

    :

    Accessibility: Basic(P,EB,IB,R,E)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

  • www.healthnet.com/calmediconnect / 33

    Scripps Coastal Medical Center - Hillcrest PPG 1921

    C1. Primary Care Providers

    C1. P

    rim

    ary C

    are P

    ro

    vid

    ers

    33

    1

    Board Certified

    4

    Public Transportation Accessible within half a mile of provider site

    #

    Telephonic interpreter services are available by calling Health Net Member Services

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

    Chula Vista Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Brunsting, David W., M.D.

    Gender: Male

    License No: G61409

    NPI: 1477582997

    Internal Medicine

    1

    971 Lane Ave.

    4

    Chula Vista, CA 91914

    1920 502064

    (619) 502-7300

    Prov Language: Spanish

    Office Staff Language

    #

    :

    Accessibility: Limited(P,EB,R)

    Hours: M-F 8:30 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

    Chula Vista Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Hasan, Stephania M., M.D.

    Gender: Female

    License No: A143367

    NPI: 1124461785

    Family Practice

    1

    971 Lane Ave.

    4

    Chula Vista, CA 91914

    1920 222220

    (619) 502-7300

    Office Staff Language

    #

    :

    Accessibility: Limited(P,EB,R)

    Hours: TH-F 8 AM - 5 PM

    Cultural Competence Training Completed:

    Provider Training and Experience:

  • 34 / www.healthnet.com/calmediconnect

    Scripps Coastal Medical Center - Hillcrest PPG 1921

    C1. Primary Care Providers

    1

    Board Certified

    4

    Public Transportation Accessible within half a mile of provider site

    #

    Telephonic interpreter services are available by calling Health Net Member Services

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

    Chula Vista Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Lee, Stephen H., M.D.

    Gender: Male

    License No: A132831

    NPI: 1992140396

    Family Practice

    971 Lane Ave.

    4

    Chula Vista, CA 91914

    1920 221900

    (619) 502-7300

    Prov Language: Korean, Spanish

    Office Staff Language

    #

    :

    Accessibility: Limited(P,EB,R)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

    Chula Vista Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Pisinger, Patricia, M.D.

    Gender: Female

    License No: A69264

    NPI: 1861428302

    Family Practice

    1

    971 Lane Ave.

    4

    Chula Vista, CA 91914

    1920 092429

    (619) 502-7300

    Prov Language: Czech, Spanish

    Office Staff Language

    #

    :

    Accessibility: Limited(P,EB,R)

    Hours: M-F 8:30 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

  • www.healthnet.com/calmediconnect / 35

    Scripps Coastal Medical Center - Hillcrest PPG 1921

    C1. Primary Care Providers

    C1. P

    rim

    ary C

    are P

    ro

    vid

    ers

    35

    1

    Board Certified

    4

    Public Transportation Accessible within half a mile of provider site

    #

    Telephonic interpreter services are available by calling Health Net Member Services

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

    Chula Vista Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Quiros, Carlos M., M.D.

    Gender: Male

    License No: A82031

    NPI: 1679502884

    Family Practice

    1

    971 Lane Ave.

    4

    Chula Vista, CA 91914

    1920 105656

    (619) 502-7300

    Prov Language: Spanish

    Office Staff Language

    #

    :

    Accessibility: Limited(P,EB,R)

    Hours: M-F 9 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

    Chula Vista Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Rocha, Nena M., M.D.

    Gender: Female

    License No: A63349

    NPI: 1669480026

    Family Practice

    1

    971 Lane Ave.

    4

    Chula Vista, CA 91914

    1920 093757

    (619) 502-7300

    Prov Language: Spanish

    Office Staff Language

    #

    :

    Accessibility: Limited(P,EB,R)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

  • 36 / www.healthnet.com/calmediconnect

    Scripps Coastal Medical Center - Hillcrest PPG 1921

    C1. Primary Care Providers

    1

    Board Certified

    4

    Public Transportation Accessible within half a mile of provider site

    #

    Telephonic interpreter services are available by calling Health Net Member Services

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

    Chula Vista Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Tran, Robert T., M.D.

    Gender: Male

    License No: A71300

    NPI: 1487645016

    Family Practice

    1

    971 Lane Ave.

    4

    Chula Vista, CA 91914

    1920 091452

    (619) 502-7300

    Prov Language: Spanish, Vietnamese

    Office Staff Language

    #

    :

    Accessibility: Limited(P,EB,R)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

    Chula Vista Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Trausch, Josefina Q., M.D.

    Gender: Female

    License No: A50160

    NPI: 1295764421

    Internal Medicine

    1

    971 Lane Ave.

    4

    Chula Vista, CA 91914

    1920 032375

    (619) 502-7300

    Office Staff Language

    #

    :

    Accessibility: Limited(P,EB,R)

    Hours: M-F 8:30 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

  • www.healthnet.com/calmediconnect / 37

    Scripps Coastal Medical Center - Hillcrest PPG 1921

    C1. Primary Care Providers

    C1. P

    rim

    ary C

    are P

    ro

    vid

    ers

    37

    1

    Board Certified

    2

    Physician is currently unavailable to new patients through this physician group.

    4

    Public Transportation Accessible within half a mile of provider site

    #

    Telephonic interpreter services are available by calling Health Net Member Services

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

    Encinitas Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Doctor, Dolly P., M.D.

    2

    Gender: Female

    License No: A49857

    NPI: 1205871456

    Internal Medicine

    1

    477 N. El Camino Real # B303

    4

    Encinitas, CA 92024

    5142 238111

    (760) 479-3900

    Office Staff Language

    #

    :

    Accessibility: Limited(P,EB,R,E)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed:

    Provider Training and Experience:

    Encinitas Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Dolgonos, Elena A., M.D.

    Gender: Female

    License No: A83291

    NPI: 1235153891

    Family Practice

    1

    477 N. El Camino Real # A208

    4

    Encinitas, CA 92024

    5142 110097

    (760) 479-3900

    Prov Language: Russian

    Office Staff Language

    #

    :

    Accessibility: Limited(P,EB,R,E)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

  • 38 / www.healthnet.com/calmediconnect

    Scripps Coastal Medical Center - Hillcrest PPG 1921

    C1. Primary Care Providers

    1

    Board Certified

    2

    Physician is currently unavailable to new patients through this physician group.

    3

    Physician is currently not accepting new patients.

    4

    Public Transportation Accessible within half a mile of provider site

    #

    Telephonic interpreter services are available by calling Health Net Member Services

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

    Encinitas Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Duong, Jennifer H., M.D.

    3

    Gender: Female

    License No: A138280

    NPI: 1063827087

    Family Practice

    1

    477 N. El Camino Real # A208

    4

    Encinitas, CA 92024

    5142 234745

    (760) 479-3900

    Office Staff Language

    #

    :

    Accessibility: Limited(P,EB,R,E)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

    Encinitas Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Fierro, Nancy L., M.D.

    2

    Gender: Female

    License No: G77146

    NPI: 1063427425

    Family Practice

    1

    477 N. El Camino Real # 208A

    4

    Encinitas, CA 92024

    5142 046678

    (760) 479-3900

    Office Staff Language

    #

    :

    Accessibility: Limited(P,EB,E)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

  • www.healthnet.com/calmediconnect / 39

    Scripps Coastal Medical Center - Hillcrest PPG 1921

    C1. Primary Care Providers

    C1. P

    rim

    ary C

    are P

    ro

    vid

    ers

    39

    1

    Board Certified

    2

    Physician is currently unavailable to new patients through this physician group.

    4

    Public Transportation Accessible within half a mile of provider site

    #

    Telephonic interpreter services are available by calling Health Net Member Services

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

    Encinitas Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Ko, David H., M.D.

    2

    Gender: Male

    License No: A69524

    NPI: 1689683690

    Internal Medicine

    1

    477 N. El Camino Real # 208A

    4

    Encinitas, CA 92024

    5142 098941

    (760) 479-3900

    Prov Language: Korean

    Office Staff Language

    #

    :

    Accessibility: Limited(P,EB,E)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

    Encinitas Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Le, Trang, M.D.

    Gender: Female

    License No: A84741

    NPI: 1528086303

    Family Practice

    477 N. El Camino Real # B303

    4

    Encinitas, CA 92024

    5142 127100

    (760) 479-3900

    Prov Language: Vietnamese

    Office Staff Language

    #

    :

    Accessibility: Limited(P,EB,R,E)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

  • 40 / www.healthnet.com/calmediconnect

    Scripps Coastal Medical Center - Hillcrest PPG 1921

    C1. Primary Care Providers

    1

    Board Certified

    2

    Physician is currently unavailable to new patients through this physician group.

    4

    Public Transportation Accessible within half a mile of provider site

    #

    Telephonic interpreter services are available by calling Health Net Member Services

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

    Encinitas Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Lin, Stacey, M.D.

    2

    Gender: Female

    License No: A82993

    NPI: 1215951603

    Family Practice

    1

    477 N. El Camino Real # 208A

    4

    Encinitas, CA 92024

    5142 102318

    (760) 479-3900

    Office Staff Language

    #

    :

    Accessibility: Limited(P,EB,E)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

    Encinitas Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Lumkong, Gerard, M.D.

    2

    Gender: Male

    License No: G80036

    NPI: 1720001977

    Family Practice

    1

    477 N. El Camino Real # B303

    4

    Encinitas, CA 92024

    5142 050552

    (760) 479-3900

    Prov Language: Spanish

    Office Staff Language

    #

    :

    Accessibility: Limited(P,EB,R,E)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

  • www.healthnet.com/calmediconnect / 41

    Scripps Coastal Medical Center - Hillcrest PPG 1921

    C1. Primary Care Providers

    C1. P

    rim

    ary C

    are P

    ro

    vid

    ers

    41

    1

    Board Certified

    2

    Physician is currently unavailable to new patients through this physician group.

    4

    Public Transportation Accessible within half a mile of provider site

    #

    Telephonic interpreter services are available by calling Health Net Member Services

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

    Encinitas Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Vu, Diane, D.O.

    2

    Gender: Female

    License No: 20A8422

    NPI: 1134195084

    Family Practice

    1

    477 N. El Camino Real # 208A

    4

    Encinitas, CA 92024

    5142 107205

    (760) 479-3900

    Prov Language: Spanish, Vietnamese

    Office Staff Language

    #

    :

    Accessibility: Limited(P,EB,E)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

    Encinitas Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Walker, Gay M., M.D.

    Gender: Female

    License No: G63605

    NPI: 1043587009

    Internal Medicine

    1

    477 N. El Camino Real # 208A

    4

    Encinitas, CA 92024

    5142 021200

    (760) 479-3900

    Prov Language: Spanish

    Office Staff Language

    #

    :

    Accessibility: Limited(P,EB,E)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

  • 42 / www.healthnet.com/calmediconnect

    Scripps Coastal Medical Center - Hillcrest PPG 1921

    C1. Primary Care Providers

    1

    Board Certified

    4

    Public Transportation Accessible within half a mile of provider site

    #

    Telephonic interpreter services are available by calling Health Net Member Services

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

    Escondido Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Abyari, Parinaz, M.D.

    Gender: Female

    License No: A108971

    NPI: 1780880260

    Family Practice

    1

    488 E. Valley Pkwy. # 411

    4

    Escondido, CA 92025

    0966 212525

    (760) 806-5700

    Office Staff Language

    #

    :

    Accessibility: Limited(P,EB,R,E)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

    Escondido Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Ahmed, Imran, M.D.

    Gender: Male

    License No: A90089

    NPI: 1588682561

    Family Practice

    1

    488 E. Valley Pkwy. # 411

    4

    Escondido, CA 92025

    0966 117418

    (760) 806-5700

    Prov Language: Hindi, Spanish, Urdu

    Office Staff Language

    #

    :

    Accessibility: Limited(P,EB,R,E)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

  • www.healthnet.com/calmediconnect / 43

    Scripps Coastal Medical Center - Hillcrest PPG 1921

    C1. Primary Care Providers

    C1. P

    rim

    ary C

    are P

    ro

    vid

    ers

    43

    1

    Board Certified

    4

    Public Transportation Accessible within half a mile of provider site

    #

    Telephonic interpreter services are available by calling Health Net Member Services

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

    Escondido Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Ochoa, Angel J., D.O.

    Gender: Male

    License No: 20A11682

    NPI: 1679715122

    Family Practice

    1

    488 E. Valley Pkwy. # 411

    4

    Escondido, CA 92025

    0966 191786

    (760) 806-5700

    Prov Language: Spanish

    Office Staff Language

    #

    :

    Accessibility: Limited(P,EB,R,E)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

    Escondido Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Reyes, Veronica, M.D.

    Gender: Female

    License No: A90342

    NPI: 1184667842

    Family Practice

    1

    488 E. Valley Pkwy. # 411

    4

    Escondido, CA 92025

    0966 131285

    (760) 806-5700

    Office Staff Language

    #

    :

    Accessibility: Limited(P,EB,R,E)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

  • 44 / www.healthnet.com/calmediconnect

    Scripps Coastal Medical Center - Hillcrest PPG 1921

    C1. Primary Care Providers

    1

    Board Certified

    4

    Public Transportation Accessible within half a mile of provider site

    #

    Telephonic interpreter services are available by calling Health Net Member Services

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

    Escondido Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Smarandache, Adina G., M.D.

    Gender: Female

    License No: A89961

    NPI: 1124133525

    Internal Medicine

    1

    488 E. Valley Pkwy. # 411

    4

    Escondido, CA 92025

    0966 111192

    (760) 806-5700

    Prov Language: Romanian, Spanish

    Office Staff Language

    #

    :

    Accessibility: Limited(P,EB,R,E)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

    Oceanside Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Abyari, Parinaz, M.D.

    Gender: Female

    License No: A108971

    NPI: 1780880260

    Family Practice

    1

    4318 Mission Ave.

    4

    Oceanside, CA 92057

    5362 212525

    (760) 901-5030

    Office Staff Language

    #

    :

    Accessibility: Basic(P,EB,IB,R,E)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

  • www.healthnet.com/calmediconnect / 45

    Scripps Coastal Medical Center - Hillcrest PPG 1921

    C1. Primary Care Providers

    C1. P

    rim

    ary C

    are P

    ro

    vid

    ers

    45

    1

    Board Certified

    2

    Physician is currently unavailable to new patients through this physician group.

    4

    Public Transportation Accessible within half a mile of provider site

    #

    Telephonic interpreter services are available by calling Health Net Member Services

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

    Oceanside Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Amr, Hala M., M.D.

    Gender: Female

    License No: A49396

    NPI: 1891700258

    Family Practice

    1

    4318 Mission Ave.

    4

    Oceanside, CA 92057

    5362 025559

    (760) 901-5030

    Prov Language: Spanish

    Office Staff Language

    #

    :

    Accessibility: Basic(P,EB,IB,R,E)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

    Oceanside Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Bista, Madalasa, M.D.

    2

    Gender: Female

    License No: A145628

    NPI: 1174966444

    Family Practice

    4318 Mission Ave.

    4

    Oceanside, CA 92057

    5362 226133

    (760) 901-5060

    Office Staff Language

    #

    :

    Accessibility: Basic(P,EB,IB,R,E)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

  • 46 / www.healthnet.com/calmediconnect

    Scripps Coastal Medical Center - Hillcrest PPG 1921

    C1. Primary Care Providers

    1

    Board Certified

    4

    Public Transportation Accessible within half a mile of provider site

    #

    Telephonic interpreter services are available by calling Health Net Member Services

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

    Oceanside Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Chen, Connie H., M.D.

    Gender: Female

    License No: A80656

    NPI: 1851319693

    Family Practice

    1

    4318 Mission Ave.

    4

    Oceanside, CA 92057

    5362 101137

    (760) 901-5010

    Prov Language: Cantonese, Mandarin

    Office Staff Language

    #

    :

    Accessibility: Basic(P,EB,IB,R,E)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

    Oceanside Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Groth, James N., M.D.

    Gender: Male

    License No: G60566

    NPI: 1376567586

    Family Practice

    1

    4318 Mission Ave.

    4

    Oceanside, CA 92057

    5362 006489

    (760) 901-5060

    Office Staff Language

    #

    :

    Accessibility: Basic(P,EB,IB,R,E)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

  • www.healthnet.com/calmediconnect / 47

    Scripps Coastal Medical Center - Hillcrest PPG 1921

    C1. Primary Care Providers

    C1. P

    rim

    ary C

    are P

    ro

    vid

    ers

    47

    1

    Board Certified

    4

    Public Transportation Accessible within half a mile of provider site

    #

    Telephonic interpreter services are available by calling Health Net Member Services

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

    Oceanside Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Huizar, Brian R., M.D.

    Gender: Male

    License No: A95361

    NPI: 1831270883

    Family Practice

    1

    4318 Mission Ave.

    4

    Oceanside, CA 92057

    5362 144313

    (760) 901-5070

    Prov Language: Spanish

    Office Staff Language

    #

    :

    Accessibility: Basic(P,EB,IB,R,E)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

    Oceanside Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Lieu, Binh C., M.D.

    Gender: Male

    License No: A75402

    NPI: 1518977735

    Family Practice

    1

    4318 Mission Ave.

    4

    Oceanside, CA 92057

    5362 094944

    (760) 901-5010

    Prov Language: Cantonese, Vietnamese

    Office Staff Language

    #

    :

    Accessibility: Basic(P,EB,IB,R,E)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

  • 48 / www.healthnet.com/calmediconnect

    Scripps Coastal Medical Center - Hillcrest PPG 1921

    C1. Primary Care Providers

    1

    Board Certified

    2

    Physician is currently unavailable to new patients through this physician group.

    4

    Public Transportation Accessible within half a mile of provider site

    #

    Telephonic interpreter services are available by calling Health Net Member Services

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

    Oceanside Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Nickles, Julie P., D.O.

    Gender: Female

    License No: 20A16650

    NPI: 1285665570

    Family Practice

    4318 Mission Ave.

    4

    Oceanside, CA 92057

    5362 249052

    (760) 901-5010

    Office Staff Language

    #

    :

    Accessibility: Basic(P,EB,IB,R,E)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed:

    Provider Training and Experience:

    Oceanside Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Novak, Georganne K., M.D.

    2

    Gender: Female

    License No: A54601

    NPI: 1063426294

    Family Practice

    1

    4318 Mission Ave.

    4

    Oceanside, CA 92057

    5362 060713

    (760) 901-5020

    Prov Language: Spanish

    Office Staff Language

    #

    :

    Accessibility: Basic(P,EB,IB,R,E)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

  • www.healthnet.com/calmediconnect / 49

    Scripps Coastal Medical Center - Hillcrest PPG 1921

    C1. Primary Care Providers

    C1. P

    rim

    ary C

    are P

    ro

    vid

    ers

    49

    1

    Board Certified

    4

    Public Transportation Accessible within half a mile of provider site

    #

    Telephonic interpreter services are available by calling Health Net Member Services

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

    Oceanside Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Ochoa, Angel J., D.O.

    Gender: Male

    License No: 20A11682

    NPI: 1679715122

    Family Practice

    1

    4318 Mission Ave.

    4

    Oceanside, CA 92057

    5362 191786

    (760) 901-5010

    Prov Language: Spanish

    Office Staff Language

    #

    :

    Accessibility: Basic(P,EB,IB,R,E)

    Hours: M 8 AM - 12 PM, TU,TH 11 AM - 7 PM,

    W,F 8 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

    Oceanside Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Petyn, Richard K., M.D.

    Gender: Male

    License No: A51659

    NPI: 1376625004

    Internal Medicine

    1

    4318 Mission Ave.

    4

    Oceanside, CA 92057

    5362 027131

    (760) 901-5060

    Prov Language: Polish, Russian, Spanish

    Office Staff Language

    #

    :

    Accessibility: Basic(P,EB,IB,R,E)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

  • 50 / www.healthnet.com/calmediconnect

    Scripps Coastal Medical Center - Hillcrest PPG 1921

    C1. Primary Care Providers

    1

    Board Certified

    3

    Physician is currently not accepting new patients.

    4

    Public Transportation Accessible within half a mile of provider site

    #

    Telephonic interpreter services are available by calling Health Net Member Services

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

    Oceanside Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Tan, Sandra H., M.D.

    Gender: Female

    License No: A64303

    NPI: 1972527489

    Family Practice

    1

    4318 Mission Ave.

    4

    Oceanside, CA 92057

    5362 074181

    (760) 901-5010

    Office Staff Language

    #

    :

    Accessibility: Basic(P,EB,IB,R,E)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

    Oceanside Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Tran, Anhthu V., M.D.

    3

    Gender: Female

    License No: A124241

    NPI: 1710292297

    Family Practice

    1

    4318 Mission Ave.

    4

    Oceanside, CA 92057

    5362 238050

    (760) 901-5020

    Office Staff Language

    #

    :

    Accessibility: Basic(P,EB,IB,R,E)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed:

    Provider Training and Experience:

  • www.healthnet.com/calmediconnect / 51

    Scripps Coastal Medical Center - Hillcrest PPG 1921

    C1. Primary Care Providers

    C1. P

    rim

    ary C

    are P

    ro

    vid

    ers

    51

    1

    Board Certified

    4

    Public Transportation Accessible within half a mile of provider site

    #

    Telephonic interpreter services are available by calling Health Net Member Services

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

    San Diego Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Churchill, Emily S., M.D.

    Gender: Female

    License No: A78464

    NPI: 1831129469

    Internal Medicine

    1

    501 Washington St. # 600

    4

    San Diego, CA 92103

    1921 106611

    (619) 278-3300

    Prov Language: Spanish

    Office Staff Language

    #

    : Farsi, Spanish

    Accessibility: Basic(P,EB,IB,R,E)

    Hours: M-F 8:30 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

    San Diego Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Devereaux, Michael C., M.D.

    Gender: Male

    License No: G52576

    NPI: 1922038512

    Internal Medicine

    1

    501 Washington St. # 525

    San Diego, CA 92103

    1921 021731

    (619) 278-3300

    Office Staff Language

    #

    :

    Accessibility: Basic(P,EB,IB,R,E)

    Hours: M-F 8:30 AM - 5:30 PM

    Cultural Competence Training Completed: No

    Experience: HIV/AIDS

    Provider Training and Experience:

  • 52 / www.healthnet.com/calmediconnect

    Scripps Coastal Medical Center - Hillcrest PPG 1921

    C1. Primary Care Providers

    1

    Board Certified

    2

    Physician is currently unavailable to new patients through this physician group.

    4

    Public Transportation Accessible within half a mile of provider site

    #

    Telephonic interpreter services are available by calling Health Net Member Services

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

    San Diego Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Dodge, John M., M.D.

    2

    Gender: Male

    License No: G67831

    NPI: 1770510489

    Internal Medicine

    1

    501 Washington St. # 600

    4

    San Diego, CA 92103

    1921 024575

    (619) 278-3360

    Prov Language: Spanish

    Office Staff Language

    #

    : Farsi, Spanish

    Accessibility: Basic(P,EB,IB,R,E)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

    San Diego Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Jarebica, Sanja, M.D.

    Gender: Female

    License No: A92886

    NPI: 1053301432

    Family Practice

    501 Washington St. # 600

    4

    San Diego, CA 92103

    1921 133436

    (619) 278-3360

    Prov Language: Spanish

    Office Staff Language

    #

    : Farsi, Spanish

    Accessibility: Basic(P,EB,IB,R,E)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed: No

    Provider Training and Experience:

  • www.healthnet.com/calmediconnect / 53

    Scripps Coastal Medical Center - Hillcrest PPG 1921

    C1. Primary Care Providers

    C1. P

    rim

    ary C

    are P

    ro

    vid

    ers

    53

    1

    Board Certified

    4

    Public Transportation Accessible within half a mile of provider site

    #

    Telephonic interpreter services are available by calling Health Net Member Services

    If you have questions, please call Health Net Cal MediConnect at 1-855-464-3572 (TTY: 711)

    from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

    leave a message. Your call will be returned within the next business day. The call is free. For more

    information, visit www.healthnet.com/calmediconnect.

    San Diego Specialty/

    Primary Care Physicians PPG/Phy #

    as

    Kim, Brian, M.D.

    Gender: Male

    License No: A103297

    NPI: 1114022522

    Family Practice

    1

    501 Washington St. # 600

    4

    San Diego, CA 92103

    1921 144044

    (619) 278-3300

    Prov Language: Spanish

    Office Staff Language

    #

    : Farsi, Spanish

    Accessibility: Basic(P,EB,IB,R,E)

    Hours: M-F 8 AM - 5 PM

    Cultural Competence Training Completed