Capitated Providers

Capitated Providers

RBO # 10522 10001 10002 10799 10753 10682 10516 10007 10713 10011 20229 10798 10016 10719 10020 10021 10022 20003 10023 20049 20004 10025 20180 10765 10028 10658 10031 10419 10120 10717

20222 10786 10037 10038 10040 10041 20241 10047 20236 10049 10777 20223 10698 10058 10063 20014

Name Access IPA Access Medical Group, Inc. Accountable Health Care IPA, Inc. Advanced IPA, Inc.

Advanced Medical Doctors of California Advantage Care IPA Advantage Health Network Affiliated Doctors of Orange County Medical Group Affiliated Physicians IPA AKM Medical Group Alhambra Hospital Medical Center Aligned Community Physicians

All Care Medical Group, Inc. Alliance Desert Physicians Allied Healthcare Providers, Inc. Allied Physicians of California, A Professional Medical Corporation Alpha Care Medical Group Alta Bates Medical Center Alta Bates Medical Group Alta Los Angeles Hospitals, Inc. AltaMed Health Services Corporation Altamed Health Services Corporation Alvarado Hospital AMVI Care Health Network, Inc. AMVI Medical Group AMVI/Prospect Health Network Partnership Angeles IPA AppleCare Medical Group St. Francis IPA Inc. AppleCare Medical Group, Inc. Arch Health Partners

Argus Health System Asian American Medical Group Asian Community Medical Group, Inc. Associated Hispanic Physicians of Southern California Axminster Medical Group, Inc. Bakersfield Family Medical Center Beacon Health Strategies Beaver Medical Group Behavioral Health & Recovery Services Bella Vista Medical Group IPA Beverly Alliance IPA dba Beverly Alianza IPA Beverly Hospital Bright Health Physicians of PIH Bristol Park Medical Group Cal Care IPA, Inc. 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 10060 10069 10077 10078

California IPA California Pacific Medical Group, Inc. dba Brown and Toland California Pacific Physicians Medical Group, Inc. Cedars-Sinai Health Associates Cedars-Sinai Medical Care Foundation

10768 10353 10690 10082 10087

Center IPA Centinela Valley IPA Medical Group Central East Bay IPA Central Valley Medical Group Children First Medical Group

20019 10090 10649 10091 20021 10092 10088

Children's Hospital San Diego Children's Physicians Medical Group Children's Specialists of San Diego Chinese Community Health Care Association Chinese Hospital Chino Medical Group dba My Family Medical Group CHOC Physicians Network, Inc.

10428 10094 10702 10772 10096 20226 10749

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

Citrus Valley Physicians Medical Group Coastal Communities Physician Network, Inc. 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 20227 20034 10131 10132 10133

Doctors Choice Medical Group Doctors Hospital of Modesto East Los Angeles Doctor's Hospital El Proyecto Del Barrio Empire Physicians Medical Group, Inc. Employee Health Systems Medical Group, Inc.

10643 10683 10135 10136 10548 10137 10138

Encompass Medical Group Esperanza Medical Group IPA Exceptional Care Medical Group Facey Medical Foundation Facey Medical Group Family Care Specialists Medical Group 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 10145 10764 10722 20040

Family Health Alliance Medical Group Family Practice Medical Group of San Bernardino Fenix Health Medical Group, Inc. FutureCare Medical Associates IPA Garfield Medical Center

10150 10151 20042 10153 10154 10156 20043

Gateway Medical Group Genesis Healthcare Glendale Memorial Hospital and Health Center Global Care Medical Group IPA Golden Empire Managed Care, A Medical Group, Inc. Good Samaritan Medical Practice Association Greater El Monte Community Hospital

10158 10515 10517 10159 10741 10166

Greater Newport Physicians Medical Group Greater Orange County Medical Group Greater San Gabriel Valley Physicians, A Medical Corporation Greater Tri Cities IPA Medical Group, Inc. HanKook IPA, Inc. 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 10544 20239 10175 10176 10177 10179 20230

Hemet Community Medical Group Heritage California Medical Groups Heritage Victor Valley Medical Group High Desert Medical Group High Desert Primary Care Medical Group Hill Physicians Medical Group Hispanic Physician IPA Hollywood Presbyterian Hospital

10738 10180 20234 10183 10759 10185 10017

Horizon Valley Medical Group Humboldt-Del Norte Independent Practice Association Huntington Memorial Hospital Imperial County Physicians Medical Group Imperial Health Holdings, A Professional Medical Corporation Independence Medical Group Independent Physician Associates Medical Group, Inc.

10737 10188 10191 10720 10787 10197

Inland Empire Medical Network, Inc. Inland Faculty Medical Group, Inc. Inland Healthcare Group Inland Valley IPA Jade Health Care Medical Group, Inc. 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

3

RBO # Name

10208 10718 10211 10213 10220

La Salle Medical Associates Lakeside Medical Organization, A Medical Group, Inc. Lakewood IPA, Inc. Leisure World Managed Care Loma Linda University Health Care

10223 20075 20052 10226

10740 10746 20055

Los Angeles Medical Center March Vision Care Group, Inc. Marin General Hospital Marin Individual Practice Association Maverick Medical Group, A Professional Medical Corp. MediChoice IPA Inc. Medimpact Healthcare Systems Inc.

20151 10730 20058 10242 10243 10778

Memorial Hospital of Modesto MemorialCare Medical Foundation Mercy Healthcare Sacramento Mercy Medical Foundation Mercy Physicians Medical Group, Inc. Merit IPA

10246 10250 20061 10253 10255 20160 10263

Mid Cities The Independent Association Inc. Mid County Physicians Medical Group, Inc. Mills Peninsula Hospital Mills Peninsula Medical Group, Inc. Mission Community IPA Monarch Family HealthCare Monarch Healthcare, A Medical Group, Inc.

10758 20063 10757 10266 10744 10170 10783

Monterey Bay Independent Physician Association, Inc. Monterey Park Hospital Mosaic IPA Multi-Cultural Primary Care Medical Group My Choice Medical Group New Life Medical Group, Inc. dba Healthy New Life Nexus Health Medical Group, Inc.

10399 10272 10273 10274 10609 20066

Nivano Physicians, Inc. Noble AMA IPA Medical Group, Inc. Noble Community Medical Associates Noble Community Medical Associates - Mid Orange North East Medical Services Medical Group NorthBay Healthcare

10790 10286 10607 10287 10231 10289 20237

Northern California Physicians Network Northwest Orange County Medical Group, Inc. Nuestra Familia Medical Group Oasis IPA Medical Group Omni IPA Medical Group, Inc. dba Medcore Medical Group Omnicare Medical Group 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 20225 10293 10685 10295

Orange County Physicians IPA Medical Group, Inc. Pacific Alliance Medical Center Pacific Alliance Medical Center, Inc. dba Pacific Alliance Medical Group Pacific Healthcare IPA Medical Associates Pacific Independent Physician Association

20072 10298 20211 20231 10574 20219 10781

Pacifica Hospital of the Valley Palo Alto Medical Foundation Palomar Health Pasadena Hospital Association Pediatric Primary Care Associated Medical Group Perform Rx Physician Care IPA, Inc.

10309 10251 10509 10312 10313 10754

Physician Health Network Physicians Choice Medical Group, Inc. - Santa Maria Physician's Healthways Medical Corp Physicians Medical Group of San Jose Physicians Medical Group of Santa Cruz 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 10325 10330 20240

PrimeCare Medical Group of Chino Valley, Inc. PrimeCare Medical Group of Inland Valley, Inc. PrimeCare Medical Group of Redlands, Inc. 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

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