Modoc. Shasta. Lassen. Tehama Plumas. Butte. Sierra Nevada Placer. Yuba Sutter. El Dorado Alpine. Yolo Napa. Sacramento Amador Solano

Transcription

1 Del Norte Siskiyou Humboldt Modoc Shasta Trinity Lassen Tehama Plumas Butte Glenn Mendocino Colusa Yuba Sutter Lake Sierra Nevada Placer El Dorado Alpine Sacramento Amador Solano Calaveras Marin Tuolumne ContraCosta SanJoaquin San Francisco» Mariposa Alameda Stanislaus SanMateo Santa Clara Merced SantaCruz Madera Sonoma Yolo Napa SanBenito Mono Fresno Inyo Tulare Monterey Kings SanLuisObispo Kern San Bernardino SantaBarbara Ventura Los Angeles Orange HMO Network Guide Riverside San Diego Imperial (for businesses with employees) The HMO Network Guide allows you to view the participating medical groups/independent practice associations (PMGs/IPAs) that are part of the Anthem Blue Cross HMO (CaliforniaCare), Select HMO and Priority Select HMO networks. The guide is organized by county CAIEN Rev. 01/16 Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross name and symbol are registered marks of the Blue Cross Association.

2 Definition of terms PMG/IPA Participating Medical Group (PMG) or Independent Practice Association (IPA): A group of physicians organized as a legal entity that provides services to HMO members. Prime Code Anthem Blue Cross identifying number for its contracted PMGs/IPAs. County The county where the PMG/IPA offers services. HMO The Anthem Blue Cross HMO (CaliforniaCare) network. Select HMO This network is built around those PMGs/IPAs demonstrating the most efficient practice patterns and hospital referrals. Priority Select HMO This network is built around those PMGs/IPAs demonstrating the most efficient practice patterns and hospital referrals in selected Southern California counties: Los Angeles, Orange, Riverside, San Bernardino and San Diego. 1

3 Alameda 0XX AFFINITY MED GRP-EDEN/SAN LEANDRO REGION Alameda No No 0XW AFFINITY MEDICAL GROUP-ALAMEDA REGION Alameda No No 0XQ AFFINITY MEDICAL GROUP-BAY VALLEY REGION Alameda Yes No 0PG ALTA BATES MEDICAL GROUP Alameda Yes No 0PB HILL PHYSICIANS MEDICAL GROUP Alameda Yes No 7AC SELECT NETWORK/ALAMEDA Alameda Yes No 0VA SUTTER EAST BAY MEDICAL FOUNDATION Alameda No No OXU BUTTE COUNTY NETWORK Butte No No Butte Contra Costa 0XS AFFINITY MEDICAL GROUP-ROSSMOOR REGION Contra Costa Yes No 0XY AFFINITY MEDICAL GROUP-WEST COUNTY REGION Contra Costa No No OJM JOHN MUIR PHYSICIAN NETWORK Contra Costa No No 1CG SEBMF - DIABLO DIVISION Contra Costa No No 7AH SELECT NETWORK/CONTRA COSTA Contra Costa Yes No 0KQ SANTE COMMUNITY PHYSICIANS Fresno No No 7AA SELECT NETWORK/FRESNO Fresno Yes No Fresno Humboldt 0KR HUMBOLDT IPA Humboldt No No Imperial Z5R IMPERIAL COUNTY PHYSICIANS MEDICAL GROUP INC Imperial Yes No 0EY BAKERSFIELD FAMILY MEDICAL CENTER Kern Yes No XJD DELANO MEDICAL GROUP Kern No No 5MB DIGNITY HEALTH MEDICAL GROUP - MERCED Kern Yes No XJE GEMCARE MEDICAL GROUP Kern No No Z0Z HISPANIC PHYSICIANS IPA KERN Kern No No 0JH INDEPENDENCE MEDICAL GROUP Kern Yes No 7AK SELECT NETWORK/KINGS Kings Yes No Kern Kings Los Angeles 0MH ACCOUNTABLE HEALTH CARE IPA Los Angeles Yes Yes 0MT ALAMITOS IPA Los Angeles Yes No 0CK ALL CARE MEDICAL GROUP Los Angeles Yes Yes 0HZ ALLIED HEALTHCARE PROVIDERS INC. Los Angeles Yes Yes 2

4 Los Angeles 0HL ALLIED PHYSICIANS OF CALIFORNIA Los Angeles Yes Yes 0BG ALTAMED MEDICAL GROUP- PICO RIVERA Los Angeles Yes Yes 0XG ANGELES IPA Los Angeles Yes Yes 0RH APPLECARE MEDICAL GROUP-DOWNEY REGION Los Angeles Yes Yes 0SI APPLECARE MEDICAL GROUP-ST.FRANCIS REGION Los Angeles Yes Yes 0Q1 AXMINSTER MEDICAL GROUP - SLAUSON Los Angeles Yes No 0AF BRIGHT HEALTH PHYSICIANS OF PIH GROUP DIVISION Los Angeles No No 0XM BRIGHT HEALTH PHSICIANS OF PIH-IPA DIVISION Los Angeles No No 7SI BROOKSHIRE IPA Los Angeles Yes Yes 0PN CEDARS-SINAI HEALTH ASSOCIATES Los Angeles No No 0UR CEDARS-SINAI MEDICAL GROUP Los Angeles No No 0TS CENTINELA VALLEY IPA Los Angeles Yes Yes 0RB CITRUS VALLEY PHYSICIANS GROUP Los Angeles Yes Yes 0T7 COMMUNITY MEDICAL GROUP OF THE WEST VALLEY Los Angeles Yes No 0ZM COMMUNITY MEDICAL GROUP-IPA Los Angeles Yes No 7MD CROWN CITY MEDICAL GROUP IPA Los Angeles Yes Yes 0AH DIAMOND BAR MEDICAL GROUP Los Angeles Yes Yes 0HA EASTLAND MEDICAL GROUP INC. Los Angeles Yes No 0UM EMPLOYEE HEALTH SYSTEM MEDICAL GROUP Los Angeles Yes Yes 0N0 FACEY MEDICAL FOUNDATION, AT MISSION HILLS Los Angeles Yes No 0GE FAMILY CARE SPECIALISTS Los Angeles Yes Yes 0CS GOOD SAMARITAN MEDICAL PRACTICE ASSOCIATION Los Angeles Yes No 2RQ GREATER NEWPORT PHYSICIAN/LONG BEACH MEMORIAL Los Angeles Yes No 0P0 HARRIMAN JONES-WILLOW/HCP Los Angeles Yes No 0DF HEALTHCARE PARTNERS IPA-NORTHRIDGE MED GRP Los Angeles Yes No 7KJ HEALTHCARE PARTNERS MEDICAL GROUP-EAST Los Angeles Yes No 0T2 HEALTHCARE PARTNERS MEDICAL GROUP-MEMBER SER Los Angeles Yes No 0EZ HIGH DESERT MEDICAL GROUP Los Angeles Yes No YS8 HUNTINGTON MEMORIAL/HCP NETWORK (IN VIVITY NETWORK ONLY) Los Angeles No No 0GM KOREAN AMERICAN MEDICAL GROUP Los Angeles Yes Yes 0DR LAKESIDE CENTRAL VALLEY Los Angeles Yes No 0SY LAKESIDE GLENDALE Los Angeles Yes No 0CJ LAKESIDE MEDICAL-BURBANK/NORTHHOLLYWOOD Los Angeles Yes No 1CP LAKESIDE NORTH VALLEY Los Angeles Yes No 0HQ LAKESIDE SANTA CLARITA VALLEY Los Angeles Yes No 0YW LAKESIDE VERDUGO HILLS Los Angeles Yes No OMR LAKEWOOD IPA INC. Los Angeles Yes Yes 3

5 Los Angeles YMW MAVERICK MEDICAL GROUP INC Los Angeles No No 0BJ MEDICO HISPANO/CLINICA MEDICA GENERAL Los Angeles Yes Yes 69U PHYS ASSOC OF THE GREATER SAN GABRIEL VALLEY Los Angeles Yes No 0LK PIONEER PROVIDER NETWORK-LONG BEACH Los Angeles Yes Yes 0SE POMONA VALLEY MEDICAL GROUP Los Angeles No No 0NF PREMIER PHYSICIAN NETWORK/VALLEY DIVISION Los Angeles Yes Yes 0MP PROSPECT HEALTH SOURCE MEDICAL GROUP Los Angeles No No 0JS PROSPECT PROFESSIONAL CARE MEDICAL GROUP, INC. Los Angeles Yes No 1AB PRUDENT MEDICAL GROUP INC. Los Angeles Yes Yes 0YC REGAL MEDICAL GROUP Los Angeles Yes No 0YP REGAL-GLENDALE PHYSICIANS ALLIANCE Los Angeles Yes No 0U1 SEASIDE HEALTH PLAN Los Angeles Yes Yes 7AF SELECT NETWORK/LOS ANGELES Los Angeles Yes No 0YA SEOUL MEDICAL GROUP Los Angeles Yes Yes ACG SIERRA MEDICAL GROUP Los Angeles Yes No 0YK ST. MARY IPA Los Angeles No No 0JI ST. VINCENT IPA MEDICAL CORPORATION Los Angeles Yes No 0EG TORRANCE HOSPITAL IPA MEDICAL GROUP Los Angeles Yes No 7BK UCLA MED GRP-SANTA MONICA BAY PHYSICIANS Los Angeles No No 0FQ UCLA MEDICAL GROUP Los Angeles No No 0T4 WEST COVINA MEDICAL CLINIC Los Angeles Yes No Nevada 0JR SIERRA NEVADA MEDICAL ASSOCIATES Nevada Yes No Orange OZH AFFILIATED DOCTORS OF ORANGE COUNTY MEDICAL Orange Yes No 0YY AMVI MEDICAL GROUP INC. Orange Yes Yes 0WL ARTA HEALTH NETWORK Orange Yes Yes 6V7 DAEHAN PROSPECT MEDICAL GROUP INC Orange Yes No 0DJ EDINGER MEDICAL GROUP, IPA Orange No No 0YR FAMILY CHOICE MEDICAL GROUP Orange Yes Yes X08 FOUNTAIN VALLEY IPA Orange No No 0ZR GREATER NEWPORT PHYSICIANS Orange No No 5KW GREATER NEWPORT PHYSICIANS/ORANGE COAST Orange Yes No 5KY GREATER NEWPORT PHYSICIANS/SADDLEBACK Orange Yes No YNL HOAG AFFILIATED PHYSICIANS Orange No No 0V5 MEMORIALCARE BPMG/COSTA MESA Orange Yes No 4

6 Orange AFN MISSION HERITAGE MEDICAL GROUP Orange No No 0XL MISSION HOSPITAL AFFILIATED PHYSICIANS Orange No No OUW MONARCH HEALTHCARE MEDICAL GROUP Orange Yes No 0RK NOBLE AMA IPA MEDICAL GROUP Orange Yes Yes 0V3 PROSPECT GATEWAY MEDICAL GROUP Orange Yes Yes 0WY PROSPECT GENESIS HEALTHCARE Orange Yes Yes 0PY PROSPECT MEDICAL GROUP Orange Yes No ODN PROSPECT NWOC MEDICAL GROUP INC. Orange Yes Yes 1BG ST. JOSEPH HERITAGE MEDICAL GROUP/ORANGE-CHA Orange No No 0WX ST. JOSEPH HOSPITAL AFFILIATED PHYSICIANS Orange No No ODL ST. JUDE AFFILIATED PHYSICIANS Orange No No 0RD ST. JUDE HERITAGE MEDICAL GROUP Orange No No 0UL TALBERT MEDICAL GROUP/FOUNTAIN VALLEY Orange Yes No YVS UC IRVINE HEALTH AFFILIATED PHYSICIANS Orange No No YV0 UC IRVINE - ORANGE Orange No No YVT UC IRVINE - TUSTIN Orange No No Riverside 800 BMG-TRI VALLEY MEDICAL GROUP IPA Riverside No Yes ABL COACHELLA VALLEY PHYSICIANS OF PRIMECARE Riverside Yes No 0GH DESERT OASIS HEALTHCARE Riverside Yes No 0MY EMPIRE PHYSICIANS MEDICAL GROUP Riverside No No 0NL HEMET COMMUNITY MEDICAL GROUP, INC. Riverside No No ABK PRIMECARE MEDICAL GROUP OF CITRUS VALLEY Riverside Yes No OLJ PRIMECARE MEDICAL GROUP OF CORONA, INC. Riverside Yes No OTY PRIMECARE MEDICAL GROUP OF HEMET VALLEY, INC. Riverside Yes Yes 0NN PRIMECARE MEDICAL GROUP OF MORENO VALLEY Riverside Yes Yes 0LH PRIMECARE MEDICAL GROUP OF RIVERSIDE, INC. Riverside Yes No 0UG PRIMECARE MEDICAL GROUP OF SUN CITY Riverside Yes No 0HY PRIMECARE MEDICAL GROUP OF TEMECULA, INC. Riverside Yes Yes 0V9 RIVERSIDE MEDICAL CLINIC Riverside No No 0NY RIVERSIDE PHYSICIAN NETWORK Riverside Yes No 5N8 VALLEY PHYSICIANS NETWORK Riverside Yes No Sacramento 0JN HILL PHYSICIANS MEDICAL GROUP/SACRAMENTO Sacramento Yes No OKY MERCY MEDICAL GROUP Sacramento Yes No 7AD SELECT NETWORK/SACRAMENTO Sacramento Yes No 5

7 Sacramento 0XA SUTTER INDEPENDENT PHYSICIANS Sacramento No No 0WW SUTTER MEDICAL GROUP Sacramento No No 0MW UC DAVIS MEDICAL GROUP Sacramento No No San Benito 0TM SAN BENITO MEDICAL ASSOCIATES San Benito No No San Bernardino 0K3 BEAVER MEDICAL GROUP San Bernardino Yes No AFF BMG-ALLIANCE DESERT PHYSICIANS San Bernardino No No Z1I CHAFFEY MEDICAL GROUP-BMG San Bernardino Yes No 0DS CHOICE MEDICAL GROUP San Bernardino Yes No 0GP INLAND HEALTHCARE GROUP, INC. San Bernardino No No ORN LAKE ARROWHEAD NETWORK San Bernardino No No 0RS LA SALLE MEDICAL ASSOCIATES San Bernardino Yes Yes OX6 LOMA LINDA UNIVERSITY HEALTH CARE ADMINISTRA San Bernardino No No 0SK MY FAMILY MEDICAL GROUP San Bernardino Yes Yes 0FB PINNACLE MEDICAL GROUP San Bernardino Yes Yes 0GK PRIMECARE MEDICAL GROUP OF CHINO VALLEY, INC. San Bernardino Yes Yes 0TX PRIMECARE MEDICAL GROUP OF INLAND VALLEY, INC. San Bernardino Yes No OUA PRIMECARE MEDICAL GROUP OF REDLANDS, INC. San Bernardino Yes Yes ABJ PRIMECARE MEDICAL GROUP OF SAN BERNARDINO San Bernardino Yes Yes OYN REDLANDS YUCAIPA MEDICAL GROUP San Bernardino Yes No 1BX SAN BERNARDINO MEDICAL GROUP INC. San Bernardino No No 0ZP ST MARY HIGH DESERT MEDICAL GROUP San Bernardino No No 0YH UPLAND MEDICAL GROUP San Bernardino Yes No San Diego ABC ENCOMPASS MEDICAL GROUP San Diego Yes Yes 99R GRAYBILL MEDICAL GROUP San Diego Yes No 0TI GREATER TRI CITIES IPA San Diego Yes Yes ECP MERCY PHYSICIANS MEDICAL GROUP, INC. San Diego No No 0DQ MULTICULTURAL PRIMARY CARE MEDICAL GROUP San Diego Yes Yes 0WD PRIMARY CARE ASSOCIATES MEDICAL GROUP San Diego Yes Yes ZM5 RADY CHILDRENS HEALTH NETWORK San Diego Yes Yes 0ZN SCRIPPS PHYSICIANS MEDICAL GROUP (formerly San Diego Physicians Medical Group) San Diego Yes No 6

8 San Diego AAB SCRIPPS CLINIC TORREY PINES San Diego No No ABA SCRIPPS COASTAL MEDICAL CENTER San Diego No No 7AE SELECT NETWORK/SAN DIEGO San Diego Yes No 0HP SHARP COMMUNITY MEDICAL GROUP San Diego Yes No Z42 SHARP COMMUNITY MEDICAL GROUP - ARCH San Diego Yes No 24F SHARP COMMUNITY MEDICAL GROUP/INLAND NORTH San Diego Yes No 0AW SHARP REES-STEALY MEDICAL GROUP, SAN DIEGO San Diego Yes Yes 1CR UCSD MED GRP-FAM MED/LEWIS San Diego Yes No X8V UCSD PHYSICIAN NETWORK-PRIMARY CARE San Diego Yes No San Francisco 0KC BROWN AND TOLAND MEDICAL GROUP San Francisco No No 0LE CHINESE COMMUNITY HEALTH CARE ASSOCIATION San Francisco Yes No 0UC HILL PHYSICIANS MEDICAL GROUP/SAN FRANCISCO San Francisco No No OXR SAN FRANCISCO NETWORK San Francisco No No 7AL SELECT NETWORK/SAN FRANCISCO San Francisco Yes No San Joaquin OYZ HILL PHYSICIANS MEDICAL GROUP/SAN JOAQUIN San Joaquin No No 0ZV MEDCORE MEDICAL GROUP San Joaquin Yes No San Luis Obispo 1BS COASTAL COMMUNITIES PHYSICIAN NETWORK San Luis Obispo No No San Mateo Z06 PALO ALTO MEDICAL FOUNDATION/MILLS PENINSULA DIVISION San Mateo No No 5PN PENINSULA MEDICAL CLINIC San Mateo No No ACF SEQUOIA PHYSICIANS NETWORK San Mateo No No Santa Barbara 0L5 PHYSICIANS CHOICE Santa Barbara No No 0X0 SANSUM CLINIC Santa Barbara No No 0DG SANTA BARBARA SELECT IPA MED GROUP Santa Barbara No No Santa Clara 2K9 AFFINITY MEDICAL GROUP - SOUTH BAY Santa Clara No No 0KM DCHS MEDICAL FOUNDATION Santa Clara No No 0JF PALO ALTO MEDICAL FOUNDATION/CAMINO SITE Santa Clara No No 0KN PALO ALTO MEDICAL FOUNDATION Santa Clara No No 0UK PHYSICIANS MEDICAL GROUP OF SAN JOSE Santa Clara Yes No 13Q PREMIER CARE OF NORTHERN CALIFORNIA INC Santa Clara No No 7 *Group is closed to new members.

9 Santa Clara 0MM SANTA CLARA IPA Santa Clara Yes No 7AB SELECT NETWORK/SANTA CLARA Santa Clara Yes No 0YS SILICON VALLEY NETWORK Santa Clara No No Santa Cruz ADK PALO ALTO FOUNDATION/SANTA CRUZ SITE Santa Cruz No No 0ER PHYSICIANS MEDICAL GROUP OF SANTA CRUZ COUNTY Santa Cruz Yes No Shasta 0RE SHASTA/TEHEMA COUNTY NETWORK Shasta No No 0KS HILL PHYSICIANS MEDICAL GROUP/SOLANO Solano No No 1CF SUTTER REGIONAL MEDICAL FOUNDATION Solano No No Solano Sonoma 0JZ MERITAGE MEDICAL NETWORK Sonoma No No 0RG SONOMA COUNTY NETWORK Sonoma No No 0XK SUTTER PACIFIC MEDICAL FOUNDATION Sonoma No No Stanislaus 0KJ ALLCARE IPA Stanislaus Yes No 7AJ SELECT NETWORK/STANISLAUS Stanislaus Yes No 0WF SUTTER GOULD MEDICAL FOUNDATION Stanislaus No No 1CL COASTAL COMMUNITIES PHYSICIAN NETWORK Tulare Yes No AED KEY MEDICAL GROUP Tulare Yes No 7AG SELECT NETWORK/TULARE Tulare Yes No Tulare Tuolumne 0RW TUOLUMNE COUNTY NETWORK Tuolumne No No Ventura 0LY COMMUNITY MED GRP OF VENTURA CTY - IPA Ventura Yes No 0LZ COMMUNITY MED GRP OF VENTURA CTY- SIMI VALLE Ventura Yes No 0GN SEAVIEW IPA Ventura Yes No 1CB VALLEY CARE IPA Ventura Yes No 8DK VALLEY CARE SELECT IPA Ventura Yes No 0KK SUTTER WEST MEDICAL GROUP Yolo No No 0KW WOODLAND CLINIC MEDICAL GROUP Yolo Yes No Yolo Mexico Y84 SIMNSA N/A Yes Yes 8

10 Notes 9

11 Notes 10

12 12499CAIEN Rev. 01/16 Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross name and symbol are registered marks of the Blue Cross Association.