Capitated Providers - California Department of Managed ...

[Pages:7]Capitated Providers

RBO # Name

10522 Access IPA 10001 Access Medical Group, Inc. 10002 Accountable Health Care IPA, Inc. 10799 Advanced IPA, Inc. 10753 Advanced Medical Doctors of California 10682 Advantage Care IPA 10516 Advantage Health Network 10007 Affiliated Doctors of Orange County Medical Group 10713 Affiliated Physicians IPA 10011 AKM Medical Group 20229 Alhambra Hospital Medical Center 10798 Aligned Community Physicians 10016 All Care Medical Group, Inc. 10719 Alliance Desert Physicians 10020 Allied Healthcare Providers, Inc. 10021 Allied Physicians of California, A Professional Medical Corporation 10022 Alpha Care Medical Group 20003 Alta Bates Medical Center 10023 Alta Bates Medical Group 20049 Alta Los Angeles Hospitals, Inc. 20004 AltaMed Health Services Corporation 10025 Altamed Health Services Corporation 20180 Alvarado Hospital 10765 AMVI Care Health Network, Inc. 10028 AMVI Medical Group 10658 AMVI/Prospect Health Network Partnership 10031 Angeles IPA 10419 AppleCare Medical Group St. Francis IPA Inc. 10120 AppleCare Medical Group, Inc. 10717 Arch Health Partners

20222 Argus Health System 10786 Asian American Medical Group 10037 Asian Community Medical Group, Inc. 10038 Associated Hispanic Physicians of Southern California 10040 Axminster Medical Group, Inc. 10041 Bakersfield Family Medical Center 20241 Beacon Health Strategies 10047 Beaver Medical Group 20236 Behavioral Health & Recovery Services 10049 Bella Vista Medical Group IPA 10777 Beverly Alliance IPA dba Beverly Alianza IPA 20223 Beverly Hospital 10698 Bright Health Physicians of PIH 10058 Bristol Park Medical Group 10063 Cal Care IPA, Inc. 20014 California Hospital Medical Center

Address 880 S. Atlantic Blvd. 2701 Ocean Blvd. #112 2525 Cherry Avenue Ste. 225 4644 Lincoln Blvd., Suite 409 1032 South Garfield Avenue 1540 Bridgegate Drive 3540 Wilshire Blvd. 12966 Euclid St. #340 17215 Studebaker Rd., Ste. 331 15821 Ventura Blvd. #600 100 S. Raymond Ave. 9041 Magnolia Ave., Suite 008 2675 E. Slauson Ave. 10393 Enterprise Drive 2675 E. Slauson Ave. 1668 S. Garfield Ave. 2589 East Washington Blvd. 2450 Ashby Avenue 2000 Powell Street, Suite 200 4081 East Olympic Blvd. 500 Citadel Drive 500 Citadel Drive 6655 Alvarado Road 10362 Bolsa Avenue 600 City Parkway West, Suite 800 600 City Parkway West, Suite 800 1600 Corporate Center Drive 18 Centerpointe Drive 18 Centerpointe Drive 15611 Pomerado Road

1300 Washington Street 445 Grant Avenue, Suite 300 10855 Business Center Drive, Suite C 880 S. Atlantic Blvd., Suite 2 11539 South Hawthorne Blvd. 4580 California Avenue 5665 Plaza Drive, Suite 400 10393 Enterprise Drive 225 37th Ave. 6400 Canoga Avenue 17215 Studebaker Rd. #331 309 W. Beverly Blvd. 6557 Greenleaf Avenue 2742 Dow Avenue 2115 Compton Avenue 1401 S. Grand Avenue

Rev 6/2017

City Monterey Park Santa Monica Signal Hill Marina Del Rey Alhambra Diamond Bar Los Angeles Garden Grove Cerritos Encino Alhambra Riverside Huntington Park Redlands Huntington Park Alhambra Pasadena Berkeley Emeryville Los Angeles City of Commerce City of Commerce San Diego Westminster Orange Orange Monterey Park La Palma La Palma Poway

Kansas City San Francisco Cypress Monterey Park Hawthorne Bakersfield Cypress Redlands San Mateo Woodland Hills Cerritos Montebello Whittier Tustin Corona Los Angeles

State CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

MO CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

Zip Code 91754 90405 90755 90292 91801 91765 90010 92840 90703 91436

91801-3199 92503 90255 92374 90255 91801 91107 94705 94608 90023 90040 90040 92120 92683 92868 92868 91754 90623 90623 92064

64105 94108 90630 91754 90250 93309 90630 92374 94403 91367 90703 90640 90601 92780 92881 90015

1

RBO # Name

10760 California IPA

10060 California Pacific Medical Group, Inc. dba Brown and Toland

10069 California Pacific Physicians Medical Group, Inc.

10077 Cedars-Sinai Health Associates

10078 Cedars-Sinai Medical Care Foundation

10768 Center IPA

10353 Centinela Valley IPA Medical Group

10690 Central East Bay IPA

10082 Central Valley Medical Group

10087 Children First Medical Group

20019 Children's Hospital San Diego 10090 Children's Physicians Medical Group

10649 Children's Specialists of San Diego

10091 Chinese Community Health Care Association

20021 Chinese Hospital

10092 Chino Medical Group dba My Family Medical Group

10088 CHOC Physicians Network, Inc.

10428 10094 10702 10772

Choice Medical Group CHW Medical Foundation/Medclinic of Sacramento CHWMF-Sequoia dba Sequoia Physicians Network Citrus Valley Independent Physicians, Inc.

10096 Citrus Valley Physicians Medical Group

20226 Coastal Communities Physician Network, Inc.

10749 College Health IPA

10511 Community Family Care

10101 Community Health Center Network

10756 CommunityCare IPA

10110 Crown City Medical Group

10036 DaVita Medical Group Arta Health Network California, A.P.C.

10742 DaVita Medical Group Associates California, Inc.

10639 Desert Valley Medical Group

10774 Dignity Health Medical Foundation 10766 Dignity Health Medical Group Inland Empire

10751 Doctors Choice Medical Group

20227 Doctors Hospital of Modesto

20034 East Los Angeles Doctor's Hospital

10131 El Proyecto Del Barrio

10132 Empire Physicians Medical Group, Inc.

10133 Employee Health Systems Medical Group, Inc.

10643 Encompass Medical Group

10683 Esperanza Medical Group IPA

10135 Exceptional Care Medical Group

10136 Facey Medical Foundation

10548 Facey Medical Group

10137 Family Care Specialists Medical Group

10138 Family Choice Medical Group, Inc.

Rev 6/2017

Capitated Providers

Address

75 East Santa Clara Street 1221 Broadway, Suite 700 10855 Business Center Drive, Suite C 8700 Beverly Blvd. 200 North Robertson Blvd. 17215 Studebaker Rd. 955 Overland Court, 2nd floor 1350 Treat Blvd. Suite 190 1923 Coffee Road 6425 Christie Avenue, Suite 110

3020 Children's Way, MC 5099 3860 Calle Fortunada 3030 Children's Way 445 Grant Avenue, Suite 300 845 Jackson Street 5475 Walnut Avenue 1120 West La Veta 18564 Hwy. 18 3400 Data Drive 3400 Data Drive 210 W. San Bernardino Road 43 Corporate Park, Suite 206 4580 California Avenue 5665 Plaza Drive 15821 Ventura Blvd., Suite 600 101 Callan Ave. 1166 K Street

2589 East Washington Blvd. 2175 Park Place 2175 Park Place 16850 Bear Valley Road 3400 Data Drive 3400 Data Drive 2295 Huntington Drive, Suite D 16030 Ventura Blvd. 4060 East Whittier Boulevard 8902 Woodman Ave. 34-160 Gate Way Drive 1600 Corporate Center Drive 10225 Austin Dr. 2360 Huntington Dr. 15821 Ventura Blvd. #600 15451 San Fernando Mission Blvd., Suite 200 15451 San Fernando Mission Blvd., Suite 200 955 Overland Court, 2nd floor 7631 Wyoming Street

City

San Jose Oakland Cypress Los Angeles Beverly Hills Cerritos San Dimas Walnut Creek Modesto Emeryville

San Diego San Diego San Diego San Francisco San Francisco Chino Orange Apple Valley Rancho Cordova Rancho Cordova Covina Irvine Bakersfield Cypress Encino San Leandro Brawley

Pasadena El Segundo El Segundo Victorville Rancho Cordova Rancho Cordova San Marino Encino Los Angeles Arleta Palm Desert Monterey Park Spring Valley San Marino Encino Mission Hills Mission Hills San Dimas Westminster

State

CA CA CA CA CA CA CA CA CA CA

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

Zip Code

95113 94612 90630 90048 90211 90703 91773 94597 95355 94608

92123 92123 92123 94108 94133 91710 92868 92307 95670 95670 91723 92606 93309 90630 91436 94577 92227

91107 90245 90245 92392 95670 95670 91108 91436 90023 91331-6456 92211 91754 91978 91108 91436 91345 91345 91773 92683

2

RBO # Name

10140 Family Health Alliance Medical Group 10145 Family Practice Medical Group of San Bernardino 10764 Fenix Health Medical Group, Inc. 10722 FutureCare Medical Associates IPA 20040 Garfield Medical Center 10150 Gateway Medical Group 10151 Genesis Healthcare 20042 Glendale Memorial Hospital and Health Center 10153 Global Care Medical Group IPA 10154 Golden Empire Managed Care, A Medical Group, Inc. 10156 Good Samaritan Medical Practice Association 20043 Greater El Monte Community Hospital 10158 Greater Newport Physicians Medical Group 10515 Greater Orange County Medical Group 10517 Greater San Gabriel Valley Physicians, A Medical Corporation 10159 Greater Tri Cities IPA Medical Group, Inc. 10741 HanKook IPA, Inc. 10166 Health Care LA, A Medical Group 10770 Health Connect Medical Group, Inc. 10657 Health Network 20035 Healthcare LA, IPA 10168 HealthCare Partners Affiliates Medical Group 10171 Hemet Community Medical Group 10544 Heritage California Medical Groups 20239 Heritage Victor Valley Medical Group 10175 High Desert Medical Group 10176 High Desert Primary Care Medical Group 10177 Hill Physicians Medical Group 10179 Hispanic Physician IPA 20230 Hollywood Presbyterian Hospital 10738 Horizon Valley Medical Group 10180 Humboldt-Del Norte Independent Practice Association 20234 Huntington Memorial Hospital 10183 Imperial County Physicians Medical Group 10759 Imperial Health Holdings, A Professional Medical Corporation 10185 Independence Medical Group 10017 Independent Physician Associates Medical Group, Inc. 10737 Inland Empire Medical Network, Inc. 10188 Inland Faculty Medical Group, Inc. 10191 Inland Healthcare Group 10720 Inland Valley IPA 10787 Jade Health Care Medical Group, Inc. 10197 John Muir Physician Network 10200 Karing Physicians Medical Group, Inc. 10203 Key Medical Group 10206 Korean American Medical Group, Inc.

Rev 6/2017

Capitated Providers

Address

15821 Ventura Blvd., Suite 600 403 East Highland Avenue 1615 Orange Tree Lane 5000 Airport Plaza Drive, Suite 150 525 North Garfield Avenue 710 North Euclid Avenue 12665 Garden Grove Blvd 1420 South Central Avenue 6400 Canoga Avenue, Suite 163 5080 California Ave. 4909 Lakewood Blvd., Suite 200 1701 South Santa Anita Avenue 330 Placentia Ave. 3220 Brea Canyon Rd. 1668 S. Garfield Ave. 3923 Waring Rd. 9896 W. Garden Grove Blvd. 20969 Ventura Blvd. 1300 N. Vermont Ave., #1008 101 North Brand Blvd. # 1500 6400 Canoga Ave. 2175 Park Place 1545 W. Florida Avenue 18107 Sherman Way 12370 Hesperia Rd. 18107 Sherman Way 17095 Main Street 2409 Camino Ramon 2208 West 7th Street 1300 N. Vermont Ave. 18564 Highway 18 2662 Harris Street 100 W. California Boulevard 6760 Top Gun Street 2804 Carlaris Rd. 1801 16th Street 3320 Tully Road, Suite 1 9140 Haven Avenue, Suite 110 952 South Mt. Vernon Ave., Suite B 1980 Orange Tree Lane 1200 Corporate Center Dr. #200 170 Columbus Avenue, Suite 368 1400 Treat Blvd. 2295 Huntington Drive, Suite D 3335 South Fairway Drive P.O. Box 6300

City

Encino San Bernardino Redlands Long Beach Monterey Park Anaheim Garden Grove Glendale Woodland Hills Bakersfield Lakewood El Monte Newport Beach Diamond Bar Alhambra Oceanside Garden Grove Woodland Hills Los Angeles Glendale Woodland Hills

El Segundo Hemet Reseda Victorville Reseda Hesperia San Ramon Los Angeles Los Angeles Apple Valley Eureka Pasadena San Diego San Marino Bakersfield Modesto Rancho Cucamonga Colton Redlands Monterey Park San Francisco Walnut Creek San Marino Visalia Cypress

State

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

Zip Code

91436 92404 92374 90815 91754 92801 92843-1920 91204 91367 93309 90712 91733 92663 91765 91801 92056 92844 91364 90027 91203 91367

90245 92543 91335 92395 91335 92345 94583 90057 90640-4308 92307 95503 91105 92121 91108 93301 95350 91730 92324 92374 91754 94133 94597 91108 93277 90630

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RBO # Name

10208 La Salle Medical Associates 10718 Lakeside Medical Organization, A Medical Group, Inc. 10211 Lakewood IPA, Inc. 10213 Leisure World Managed Care 10220 Loma Linda University Health Care 10223 Los Angeles Medical Center 20075 March Vision Care Group, Inc. 20052 Marin General Hospital 10226 Marin Individual Practice Association 10740 Maverick Medical Group, A Professional Medical Corp. 10746 MediChoice IPA Inc. 20055 Medimpact Healthcare Systems Inc. 20151 Memorial Hospital of Modesto 10730 MemorialCare Medical Foundation 20058 Mercy Healthcare Sacramento 10242 Mercy Medical Foundation 10243 Mercy Physicians Medical Group, Inc. 10778 Merit IPA 10246 Mid Cities The Independent Association Inc. 10250 Mid County Physicians Medical Group, Inc. 20061 Mills Peninsula Hospital 10253 Mills Peninsula Medical Group, Inc. 10255 Mission Community IPA 20160 Monarch Family HealthCare 10263 Monarch Healthcare, A Medical Group, Inc. 10758 Monterey Bay Independent Physician Association, Inc. 20063 Monterey Park Hospital 10757 Mosaic IPA 10266 Multi-Cultural Primary Care Medical Group 10744 My Choice Medical Group 10170 New Life Medical Group, Inc. dba Healthy New Life 10783 Nexus Health Medical Group, Inc. 10399 Nivano Physicians, Inc. 10272 Noble AMA IPA Medical Group, Inc. 10273 Noble Community Medical Associates 10274 Noble Community Medical Associates - Mid Orange 10609 North East Medical Services Medical Group 20066 NorthBay Healthcare 10790 Northern California Physicians Network 10286 Northwest Orange County Medical Group, Inc. 10607 Nuestra Familia Medical Group 10287 Oasis IPA Medical Group 10231 Omni IPA Medical Group, Inc. dba Medcore Medical Group 10289 Omnicare Medical Group 20237 OptiCare Vision Company, Inc. 10700 Orange County Advantage Medical Group, Inc.

Rev 6/2017

Capitated Providers

Address

685 Carnegie Drive, Suite 230 777 A Flower Street 4909 Lakewood Blvd. 1901 N. Solar Drive, Suite 265 11370 Anderson St. 2115 Compton Avenue 6601 Center Drive West P.O. Box 8010 3 Hamilton Landing 700 North Brand Blvd., 10900 Westminster Avenue 10680 Treena Street 1700 Coffee Road 2742 Dow Avenue 3400 Data Drive 3160 Folsom Blvd. 3900 Fifth Avenue 590 N. Sierra Way 15821 Ventura Blvd., Suite 600 6760 Top Gun Street, Suite 100 577 Airport Blvd. 577 Airport Blvd. 820 S. Garfield Avenue #201 7 Technology Drive 7 Technology Drive 1051 E. Hillsdale Blvd. 900 South Atlantic Blvd. 2295 Huntington Drive, Suite D 1600 Corporate Center Drive 16027 Brookhurst Street, #I-276 10855 Business Center Drive, Suite C 14221 Euclid Street 900 E. Main St. Suite 301 3923 Waring Rd. 16030 Ventura Blvd. 17922 Fitch Avenue 1520 Stockton Street 1200 B. Gale Wilson Boulevard 301 E. Vanderbilt Way # 100 2600 Redondo Avenue 1920 E. 17th Street 275 N. El Cielo 2609 East Hammer Lane 15821 Ventura Blvd., Suite 600 112 Zebulon Court 10855 Business Center Drive, Suite C

City

San Bernardino Glendale Lakewood Oxnard Loma Linda Corona Los Angeles San Rafael Novato Glendale Garden Grove San Diego Modesto Tustin Rancho Cordova Sacramento San Diego San Bernardino Encino San Diego Burlingame Burlingame Alhambra Irvine Irvine Foster City Monterey Park San Marino Monterey Park Fountain Valley Cypress Garden Grove Grass Valley Oceanside Encino Irvine San Francisco Fairfield San Bernardino Long Beach Santa Ana Palm Springs Stockton Encino Rocky Mount Cypress

State

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA NC CA

Zip Code

92408 91201 90712 93036 92354 92881 90045 94912 94949 91203 92843 92131 95355 92780 95670 95816 92103 92410 91436 92121 94010 94010 91801 92618 92618 94404 91754 91108 90012 92708 90630 92843 95945 92056-4457 91436 92614 94133 94533 92408 90806 92705 92262 95210 91436 27804 90630

4

Capitated Providers

RBO # Name

10291 Orange County Physicians IPA Medical Group, Inc. 20225 Pacific Alliance Medical Center 10293 Pacific Alliance Medical Center, Inc. dba Pacific Alliance Medical Group 10685 Pacific Healthcare IPA Medical Associates 10295 Pacific Independent Physician Association 20072 Pacifica Hospital of the Valley 10298 Palo Alto Medical Foundation 20211 Palomar Health 20231 Pasadena Hospital Association 10574 Pediatric Primary Care Associated Medical Group 20219 Perform Rx 10781 Physician Care IPA, Inc. 10309 Physician Health Network 10251 Physicians Choice Medical Group, Inc. - Santa Maria 10509 Physician's Healthways Medical Corp 10312 Physicians Medical Group of San Jose 10313 Physicians Medical Group of Santa Cruz 10754 Physicians Partners IPA, Inc.

10316 Pinnacle Medical Group, Inc. 10064 Pioneer Provider Network, A Med Group 10335 Pomona Valley Medical Group, Inc., dba PROMED Health Network 10448 Preferred IPA of California, Inc. 10319 Premier Care of Northern California Medical Group, Inc. 10148 Premier Physician Network Inc. 10779 PremierCare Health Services, Inc. 10323 Primary Care Associates Medical Group, Inc. 10705 Primary Care Associates of California 10776 Prime Community Care of Central Valley, Inc. 10526 PrimeCare Medical Group of Chino Valley, Inc. 10325 PrimeCare Medical Group of Inland Valley, Inc. 10330 PrimeCare Medical Group of Redlands, Inc. 20240 ProCare Rx 10337 Professional Care Medical Group, Inc. 10338 Prospect Health Source Medical Group 10339 Prospect Medical Group 10725 Providence Care Network 20183 Providence Holy Cross Medical Center 10341 Prudent Medical Group 10578 Psychiatric Centers at San Diego 10762 QualCare Incorporated 10728 Quality Care IPA Medical Group Inc. 10715 Rady Children's Specialists of San Diego 20086 Redlands Community Hospital 10678 Redlands IPA 10665 Redlands-Yucaipa Medical Group

Address

10855 Business Center Drive, Suite C 531 West College Street 1200 Corporate Center Drive, Suite 200 600 City Parkway West, Suite 800 9700 Flair Drive 9449 San Fernando Blvd. 795 El Camino Real 456 E. Grand Avenue 100 W. California Blvd. 550 Washington Street, Suite 300 200 Stevens Drive 3900 Kilroy Airport Way, Suite 110 732 E. Carnegie 4450 California Ave. 1540 Bridgegate Drive 75 East Santa Clara Street #95 5200 Soquel Ave. 10212 Westminster Avenue 10393 Enterprise Drive 17777 Center Court Drive, Suite 200 4150 E. Concours Street, Suite 100 1025 N. Brand Blvd. 15821 Ventura Blvd. #600 15821 Ventura Blvd. #600 5000 Airport Plaza Drive, Suite 150 1635 Lake San Marcos Drive 4909 Lakewood Blvd., Suite 200 1860 Colorado Boulevard 3990 Concours Street, 5th Floor 3990 Concours Street, 5th Floor 3990 Concours Street, 5th Floor 1267 Professional Parkway 12750 Center Court Drive 1920 East 17th Street 600 City Parkway West, Ste. # 800 2211 West Magnolia Blvd 15031 Rinaldi Street 15821 Ventura Blvd. #600 6153 Fairmount Ave. 5080 California Ave., Suite 415 17215 Studebaker Rd., Ste. 331 3020 Children's Way, MC 5046 350 Terracina Blvd. 1200 Corporate Center Drive 10393 Enterprise Drive

Rev 6/2017

City

Cypress Los Angeles Monterey Park Orange El Monte Sun Valley Palo Alto Escondido Pasadena San Diego Philadelphia Long Beach San Bernardino Bakersfield Diamond Bar San Jose Santa Cruz Garden Grove Redlands Cerritos Ontario Glendale Encino Encino Long Beach San Marcos Lakewood Los Angeles Ontario Ontario Ontario Gainesville Cerritos Santa Ana Orange Burbank Mission Hills Encino San Diego Bakersfield Cerritos San Diego Redlands Monterey Park Redlands

State

CA CA CA CA CA CA CA CA CA CA PA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA GA CA CA CA CA CA CA CA CA CA CA CA CA CA

Zip Code 90630 90012 91754 92868 91731 91352 94301 92025 91105 92103 19113 90806 92408 93309 91765 95133 95062 92843 92374 90703 91764 91202 91436 91436 90815 92069 90712 90041 91764 91764 91764 30507 90703 92705 92868 91506 91346 91436 92120 93309 90703 92123 92373 91754 92374

5

RBO # Name

10346 Regal Medical Group

10508 Regent Medical Group, Inc. 10349 River City Medical Group 10351 Riverside Medical Clinic, Inc.

10352 10747 10358 10359

Riverside Physicians Network Medical Group Saint Agnes Medical Group, Inc. San Benito Medical Associates, Inc. San Bernardino Medical Group, Inc.

20205 San Diego Medical Services Enterprise 10362 San Diego Physicians Medical Group, Inc. 10366 San Jose Medical Group

10368 San Judas Medical Group IPA 10369 San Luis Obispo Select IPA 10373 Sansum Clinic

10376 10378 20092 10384

Santa Barbara Select IPA Santa Clara County IPA Santa Clara Valley Health Center Sant? Community Physicians IPA Medical Corporation

10387 Scripps Medical Foundation/Scripps Clinic 10388 Scripps Physicians, A Medical Corporation 10389 SeaView IPA

10729 10750 10773 10390

Sejong IPA Inc. Select Healthcare System, Inc. Senior First IPA dba Choiceone IPA Seoul Medical Group

10393 Serra Community Medical Clinic Inc. 10394 Sharp Community Medical Group, Inc. 10677 Sharp HealthCare

10396 10706 10398 10642

Sharp Rees-Stealy Corporation Sierra Medical Group Holding Co, Inc. dba Sierra MG Sierra Primary Care Medical Group Solano Regional Medical Group

10414 South Atlantic Medical Group 10513 Southern California Children's Healthcare Network 10686 Southland Advantage Medical Group, Inc.

10418 Southland San Gabriel Valley Medical Group, Inc. 20129 St. Francis Medical Center 10514 St. Joseph Heritage Healthcare

10424 20133 20131 10430

St. Joseph Hospital Affiliated Physicians St. Mary Medical Center St. Mary Medical Center (Long Beach) St. Peter Medical Group, Inc.

10431 St. Vincent IPA Medical Corporation 20187 St. Vincent's Medical Center

Rev 6/2017

Capitated Providers

Address

8510 Balboa Blvd. 10855 Business Center Drive, Suite C 7311 Greenhaven Drive, Ste. 250 3660 Arlington Avenue 1650 Iowa Avenue 15821 Ventura Blvd., Ste. 600 1525 Rollins Rd., Ste. B 1700 North Waterman Avenue 10405 San Diego Mission Road 6760 Top Gun Street 400 Race Street 1080 N. Western Ave. 4550 California Ave., Suite 500 470 South Patterson Ave. 1901 N. Solar Drive, Suite 265 1051 E. Hillsdale Blvd., Suite 750 750 South Bascon Avenue 1180 E. Shaw Avenue 4275 Campus Point 4275 Campus Point Court, Suite 227 1901 N. Solar Drive 1032 South Garfield Avenue 11100 Warner Ave., Suite 162 17215 Studebaker Road 5000 Airport Plaza Drive, Suite 150 9375 San Fernando Road 8695 Spectrum Center Blvd. 8695 Spectrum Center Blvd. 8695 Spectrum Center Court 44469 North 10th Street West 44469 North 10th Street West 1234 Empire Street 5504 East Whittier Boulevard 1200 Corporate Center Drive, Suite 200 10855 Business Center Drive, Suite C 820 South Garfield Avenue, Ste. 201A 3630 East Imperial Highway 200 W. Center Street Promenade 101 East Valencia Mesa Dr. 18300 Highway 18 P.O. Box 887 10855 Business Center Drive, Suite C 17215 Studebaker Rd. Suite 220 2800 Main Street

City

Northridge Cypress Sacramento Riverside Riverside Encino Burlingame San Bernardino San Diego San Diego San Jose Los Angeles Bakersfield Santa Barbara Oxnard Foster City San Jose Fresno San Diego San Diego Oxnard Alhambra Fountain Valley Cerritos Long Beach Sun Valley San Diego San Diego San Diego Lancaster Lancaster Fairfield Los Angeles Monterey Park Cypress Alhambra Lynwood Anaheim Fullerton Apple Valley Long Beach Cypress Cerritos Bridgeport

State

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CT

Zip Code

91325 90630 95831 92506 92507 91436 94010 92404 92108 92121 95126 90029 93309 93111 93036 94404 95128 93710 92121 92121 93036 91801 92708 90703 90815 91352 92123 92123 92101 93534 93534-3396 94533 90022 91754 90630 91801 90262 92805 92835-3809 92307 90801 90630 90703 06606

6

RBO # Name

10434 Starcare Medical Group, Inc. dba Gateway Medical Group

10435 Stewart & Stewart Medical Group 10704 Superior Choice Medical Group, Inc. 10692 Sutter East Bay Medical Foundation

10669 10438 20135 20188

Sutter East Bay Medical Foundation Diablo Division Sutter Independent Physicians, A Medical Group Sutter Medical Center - Sacramento Sutter Medical Center of Santa Rosa

10664 Sutter Medical Foundation - West Division 10441 Sutter Medical Group Yolo Division 10721 Sutter Pacific Medical Foundation

10440 Sutter Valley Medical Foundation 10447 The Permanente Medical Group, Inc. 10735 Torrance Health Association, Inc.

10449 20137 20194 10727

Torrance Hospital Independent Practice Association Torrance Memorial Medical Center Tri City Medical Center TriValley Medical Group

20233 U. S. Behavioral Health Plan, California 10462 UC Davis Medical Group 20140 UCI Medical Group

10465 10467 20142 10472

UCLA Medical Group UCSD Healthcare Network UCSD Medical Group United Care Medical Group

10726 United Physicians International, Inc. 10477 Universal Care Medical Group 10763 University Healthcare Alliance

10663 20238 10480 20144

Upland Medical Group, A Professional Medical Corp. US Script Valley Care Physicians IPA Medical Associates, Inc. Valley Presbyterian Hospital

10488 Vantage Medical Group 10739 Verity Medical Foundation 10494 VVIPA Medical Group, Inc.

10497 Watts Health Care Corporation 10499 West Covina Plan IPA 20147 White Memorial Medical Center

20196 20208 10503 10504

Whittier Hospital Medical Center Windstone Behavioral Health Woodland Clinic - CHW Medical Foundation Woodland Clinic Medical Group

20148 Woodland Memorial Hospital 10793 Ximed IPA, Inc.

Rev 6/2017

Capitated Providers

Address

17922 Fitch Ave. 1024 South Garfield Ave. 10855 Business Center Drive, Suite C 3687 Mt. Diablo Blvd. 3901 Lone Tree Way 2800 L Street 2200 River Plaza 3325 Chanate Rd. 2720 Low Court 1801 Hanover Dr. 2015 Steiner St. 2750 Gateway Oaks Ste. 100 1950 Franklin Street 3330 Lomita Boulevard 2355 Crenshaw Blvd. 3330 Lomita Blvd. 2380 Camino Vida Roble 10393 Enterprise Drive P.O. Box 30602 2300 Stockton Blvd. 200 South Manchester 10920 Wilshire Blvd. 200 West Arbor Drive 200 West Arbor Drive 600 City Parkway West, Suite 400 5000 Airport Plaza Drive, Suite 150 1600 East Hill St. 7999 Gateway Blvd, 2nd Fl., MC5941 4150 E. Concours Street 2425 West Shaw Avenue 751 E Daily Drive, Ste. 120 15107 Vanowen Street 2115 Compton Avenue 400 Race Street 12370 Hesperia Road, Suite 3 10300 Compton Ave. 605 East Badillo Street 1720 Cesar E. Chavez Avenue 9080 Colima Road 151 Kalmus Drive 3400 Data Drive 1207 Fairchild Ct. 3400 Data Drive 9850 Genesee Avenue, Suite 900

City

Irvine Alhambra Cypress Lafayette Antioch Sacramento Sacramento Santa Rosa Fairfield Davis San Francisco Sacramento Oakland Torrance Torrance Torrance Carlsbad Redlands Salt Lake City Sacramento Orange Los Angeles San Diego San Diego Orange Long Beach Signal Hill Newark Ontario Fresno Camarillo Van Nuys Corona San Jose Victorville Los Angeles Covina Los Angeles Whittier Costa Mesa Rancho Cordova Woodland Rancho Cordova La Jolla

State

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA UT CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

Zip Code

92614 91801 90630 94549 94509 95816 95833 95404 94533 95616 94109 95833 94612 90505 90501 90505 92009 92374 84130 95817-2202 92868 90095 92103 92103 92868 90815 90806-3682 94560 91764-4989 93711 93010 91405 92881 95126 92395 90002 91723 90033 90605 92626 95670 95695 95670 92037

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