1-800-544-0088 www.care1st.com Care1st Dual Plus Value Plan MEDICARE PROVIDER DIRECTORY 2009 SAN DIEGO COUNTY H5928_09_003_PNO_SD_SNPMKT 10/2008
Care1st Dual Plus Value Plan HMO Plan Provider Directory This directory provides a list of Care1st Dual Plus Value Plan s providers. This directory is for San Diego County, California. This directory is current as of Fall 2008. Some plan providers may have been added or removed from the list after this directory was printed. To get the most up-to-date information about Care1st Dual Plus Plan providers in your area, you can visit www.care1st.com or call our Member Services Department at 1-800-544-0088, from 8:00 a.m. to 8:00 p.m., seven days a week. TTY users should call 1-800-735-2929. Plan Care1st Dual Plus Value Plan HMO Directorio de Proveedores Este directorio contiene una lista de proveedores del plan Care1st Dual Plus Value. Este directorio es para condado de San Diego, California. Este directorio está en vigencia desde el otoño de 2008. Algunos proveedores del plan pueden haberse agregado o eliminado de la lista una vez impreso este directorio. Para obtener la información más actualizada sobre los proveedores del plan Care1st Dual Plus Value en su área, puede visitar www.care1st.com o llamar a nuestro Departamento de Servicios para Afiliados al 1-800-544-0088, de 8:00 a.m. a 8:00 p.m., los siete días de la semana. Los usuarios de TTY deben llamar al 1-800-735-2929. Section 1 Introduction (English)...1 Sección 1 Introducción (Español)...3 Section 2 List of Plan Providers (English only)/lista de Proveedores del Plan (Inglés solamente)...5 CMS approval date: 10/2008 H5928_09_003_PNO_SD_SNPMKT
Section 1 Introduction This directory provides a list of Care1st Dual Plus Value Plan s providers. To get detailed information about your health care coverage, please see your Evidence of Coverage. You will have to choose one of our plan providers that are listed in this directory to be your Primary Care Physician (PCP). The term PCP will be used throughout this directory. Generally, you must get your health care coverage from your PCP. The plan providers listed in this directory have agreed to provide you with your health care coverage. You may go to any of our plan providers listed in this directory; however some services may require a referral. If you have been going to one plan provider, you are not required to continue going to that same provider. In some cases, you may get covered services from non-plan providers. Your Primary Care Physician (PCP) Your PCP is a physician who meets state requirements and is trained to give you basic medical care. You will get your routine or basic care from your PCP. Your PCP can also coordinate the rest of the covered services you need. In most cases, you must see your PCP to get a referral before you see any other health care providers or visit a specialist. You may self-refer to an obstetrical and gynecological (OB-GYN) specialist within your contracting medical group/ipa for a routine Pap smear, pelvic exam and breast exam annually. If there are specific specialists you want to use, find out whether your PCP sends patients to these specialists. Each plan PCP has certain plan specialists they use for referrals. This means that the PCP you select determines the specialists you see. If the PCP is associated with a medical group that has a formal referral circle, you will be referred to a specialist within that subnetwork. If you are unhappy with the referral circle used by your current PCP, please follow the steps in the section, How do you find Care1st Dual Plus Value Plan providers in your area? in order to choose a new PCP. What is the service area for Care1st Dual Plus Value Plan? The counties and parts of counties in our service area are listed below. San Diego County: all zip codes How do you find Care1st Dual Plus Value Plan providers in your area? Follow these steps to choose your Primary Care Physician 1. Use the index of Primary Care Physicians located in the back of the Directory for the doctor you want. The index is in alphabetical order by the doctors last names. Write down the page number(s) listed after his or her name (these page numbers indicate their associated IPA). 2. Review the participating Medical Group/IPAs and their Participating Primary Care Physicians. 3. Select the Primary Care Physician you want. If you are a new enrollee in Care1st Health Plan: 1
4. Enter the Provider ID number found under the Primary Care Physician s name on the Care1st Health Plan enrollment form. 5. Be sure to complete all required sections on the enrollment form before signing the form. 6. Please keep your copy of the enrollment form. If you are a current member in Care1st Health Plan and are changing your Primary Care Physician: 4. Call Member Services with the Provider ID number for your new Primary Care Physician. 5. The Care1st Care Coordinator will update your membership record with your new Primary Care Physician and send you a new Member ID card. If you have questions about Care1st Dual Plus Value Plan, please call our Member Services Department at 1-800-544-0088, from 8:00 a.m. to 8:00 p.m., seven days a week. TTY users should call 1-800-735-2929. Or, visit www.care1st.com. 2
Sección 1. Introducción Este directorio contiene una lista de proveedores del plan Care1st Dual Plus Value. Para obtener información detallada sobre su cobertura de atención médica, consulte su Evidencia de Cobertura. Deberá elegir uno de los proveedores de nuestro plan entre los que se mencionan en este directorio para que sea su médico de cabecera (Primary Care Physician, PCP). El término PCP se utilizará varias veces en este directorio. En general, usted debe recibir su cobertura de atención médica por parte del PCP. Los proveedores del plan que se incluyen en este directorio han accedido a brindarle su cobertura de atención médica. Aunque usted puede dirigirse a cualquiera de los proveedores del plan que se mencionan en este directorio, algunos servicios pueden requerir una remisión. Si usted estaba visitando a un proveedor del plan, no es necesario que continúe visitando a ese mismo proveedor. En algunos casos, podrá recibir servicios que estén cubiertos por parte de proveedores que no pertenezcan al plan. Su médico de cabecera (PCP) Su PCP es un médico que cumple con requisitos del estado y está capacitado para brindarle atención primaria. Es él quien le brindará su atención básica o de rutina. Su PCP puede también coordinar el resto de los servicios que están cubiertos y que usted necesita. En la mayoría de los casos, usted debe visitar al PCP para obtener una remisión antes de visitar a algún otro proveedor de atención médica o especialista. Puede ir directamente a un especialista en ginecología y obstetricia (OB-GYN) dentro del grupo médico/ipa que usted eligió para que le realicen una prueba de Papanicolaou, un examen pélvico y un examen de senos de rutina anualmente. Si hay algún especialista en particular al que desee visitar, consulte si su PCP remite pacientes a estos especialistas. El PCP de cada plan trabaja con ciertos especialistas del plan a quienes remite pacientes. Esto significa que el PCP que usted elija determinará qué especialistas visitará. Si el PCP está asociado a un grupo médico que cuenta con un círculo formal de remisión, se lo remitirá a un especialista dentro de este subgrupo. Si no está satisfecho con el círculo de remisión con el que trabaja su PCP actual, siga los pasos en la sección Cómo encuentro proveedores del plan Care1st Dual Plus Value en mi área? para elegir un nuevo PCP. Cuál es el área de servicio del plan Care1st Dual Plus Value? A continuación se mencionan los condados (y partes de estos) de nuestra área de servicio. Condado de San Diego: todos los códigos postales Cómo encuentro proveedores del plan Care1st Dual Plus Value en mi área? Siga estos pasos para elegir su médico de cabecera 1. Utilice el índice de médicos de cabecera que figura en el reverso del Directorio para elegir el médico que desee. El índice está en orden alfabético, por el apellido del médico. Escriba el número de página que figura luego del nombre del médico (estos números de página indican la IPA que se asocia a ellos). 2. Revise el grupo médico/ipa y los médicos de cabecera participantes. 3
3. Elija el médico de cabecera que desee. Si usted es un nuevo afiliado de Care1st Health Plan: 4. Ingrese el número de Identificación del Proveedor que se encuentra debajo del nombre del médico de cabecera en el formulario de inscripción a Care1st Health Plan. 5. Asegúrese de completar todos los campos obligatorios en el formulario de inscripción antes de firmarlo. 6. Conserve una copia del formulario de inscripción. Si usted es un afiliado de Care1st en la actualidad y está cambiando de médico de cabecera: 4. Comuníquese con Servicios para Afiliados con el número de Identificación del Proveedor" de su nuevo médico de cabecera. 5. El coordinador de Care1st actualizará su registro de afiliación con el nuevo médico de cabecera y le enviará una nueva tarjeta de identificación para afiliados. Si tiene dudas sobre el plan Care1st Dual Plus Value, comuníquese con nuestro Departamento de Servicios para Afiliados al 1-800-544-0088, de 8:00 a.m. a 8:00 p.m., los siete días de la semana. Los usuarios de TTY deben llamar al 1-800-735-2929. También puede visitar www.care1st.com. 4
Section 2 List of Plan Providers Cal-Net Physicians IPA Primary Care Physicians...7 Specialists...8 Cal-Net Physicians IPA - Dual Plus Primary Care Physicians...9 Specialists...9 Family Health Center of San Diego Primary Care Physicians...10 Specialists...11 La Maestra Family Clinic Primary Care Physicians...17 Specialists...18 Mountain Health & Community Services Primary Care Physicians...24 Specialists...25 Multicultural IPA Primary Care Physicians...31 Specialists...34 Multicultural IPA - Dual Plus Primary Care Physicians...37 Specialists...38 Operation Samahan Primary Care Physicians...41 Specialists...42 Vantage Medical Group Primary Care Physicians...48 Specialists...56 Vantage Medical Group - Dual Plus Primary Care Physicians...69 Specialists...72 Hospitals...85 Skilled Nursing Facilities (SNF)...87 CompCare Behavioral Health Care Inc....89 Pharmacies...93 Index...109 5
AFFILIATED HOSPITALS Scripps Mercy Chula Vista Hospital Scripps Mercy Hospital Paradise Valley Hospital For a complete listing of hospital affiliations, refer to page 85. PRIMARY CARE PHYSICIANS National City Altavas, Valerie Cynthia Provider ID: 37421 655 Euclid Ave, Suite 209 Phone: (619) 470-7000 Hours: Mon-Fri 8:00AM-5:00PM Specialty: Internal Medicine Graham, David Michael Provider ID: 37418 305 E 8th St Phone: (619) 477-0084 Hours: M,W,F 9AM-5PM Tu,F 9AM-12PM Specialty: General Practice Haque, Zahida S Provider ID: 37419 2400 E 8th St, Suite A Phone: (619) 267-4255 Hours: M,W 8AM-8PM T,Th,F 8AM-8PM Specialty: General Practice San Diego County Medical Groups CAL-NET PHYSICIANS IPA Johnson, Charlie Provider ID: 37410 2400 E 8th St, Suite A Phone: (619) 267-4225 Hours: M-F 9:00-5:00, Tagalog Specialty: Internal Medicine Masilungan, Renato B Provider ID: 37392 222 E Plaza Blvd Phone: (619) 474-8989 Hours: 9A-6P M T Th T 8A5P W 8A-1P Sat Language(s): English, Tagalog Specialty: Internal Medicine Trimor-Tamoria, Maria Flora G Provider ID: 37416 2240 E Plaza Blvd, Suite A Phone: (619) 267-5884 Hours: M-F 9:00-5:00 Language(s): English Specialty: Family Practice Uwedjojevwe, Leticia M Provider ID: 37411 655 S Euclid Ave, Suite 207 Phone: (619) 479-8380 Hours: M-F 9:00-5:00 Specialty: Internal Medicine San Diego Denysiak, Barbara Provider ID: 37413 3500 5th Ave, Suite 307 Phone: (619) 294-6500 Hours: M-F 9:00-5:00 Specialty: General Practice Gil, Gabriel Provider ID: 37388 909 Cardiff St San Diego, CA 92114 Phone: (619) 465-3121 Hours: M-Th 8:30-5, F 8:30-1 Specialty: Family Practice Manaig, Eduardo H Provider ID: 37389 2332 Reo Dr San Diego, CA 92139 Phone: (619) 267-0553 Hours: Mon-Fri 9:00-5:00PM Specialty: Internal Medicine OB/GYN SPECIALISTS You may self-refer to an obstetrical and gynecological (OB-GYN) specialist within your contracting medical group/ipa for a routine pap smear, pelvic exam and breast exam annually. Chula Vista Sefa-Boakye, Kofi 344 East H St, Suite 1402 Phone: (619) 422-2121 Hours: M-Th 9:00AM-5:00PM; F 9AM-12 Noon 7
San Diego County Medical Groups SPECIALISTS Members may not self-refer to any of the specialists listed below. To receive covered services from a specialist you must receive a referral from your primary care physician. ALLERGY MEDICINE Pendleton, Jennifer 6386 Alvarado Ct, Suite 210 Phone: (619) 286-6687 Prenner, Bruce Michael 6386 Alvarado Ct, Suite 210 Phone: (619) 286-6687 CARDIOLOGY Camacho, Benjamin O 1615 Sweetwater Rd Phone: (619) 474-2233 CAL-NET PHYSICIANS IPA OPHTHALMOLOGY Cooper, Lawrence 865 3rd Ave, Suite 121 Phone: (619) 426-3400 PSYCHIATRY Compcare Various Locations Phone: (800) 458-6139 SURGERY - ORTHOPEDIC Scalone, James Bradley 4501 Mission Bay Dr, Suite 2B San Diego, CA 92109 Phone: (858) 272-1220 ENDOCRINOLOGY Argoud, Georges 317 N El Camino Real, Suite 201 Encinitas, CA 92024 Phone: (760) 634-0064 Chu, Neelima Vemuganti 855 Third Ave, Suite 2210 Phone: (619) 691-0388 INTERNAL MEDICINE Jaramillo, Mary Dominico 910 Sycamore Ave, Suite 102 Vista, CA 92081 Phone: (760) 598-1700 8
National City Gil, Francisco Provider ID: 37385 502 S Euclid Ave, Suite 300 Phone: (619) 479-0822 Hours: 8A-5P M-Th 8A-12:30P F Specialty: Family Practice San Diego Razon-San Angel, Annabelle Provider ID: 37398 4453 Euclid Ave San Diego, CA 92115 Phone: (619) 582-9237 Hours: 9A-6P M-F Specialty: General Practice San Diego County Medical Groups CAL-NET PHYSICIANS IPA - DUAL PLUS AFFILIATED HOSPITALS OB/GYN SPECIALISTS ENDOCRINOLOGY You may self-refer to an Scripps Mercy Chula Vista obstetrical and gynecological Argoud, Georges Hospital (OB-GYN) specialist within your 317 N El Camino Real, Suite 201 Scripps Mercy Hospital contracting medical group/ipa Encinitas, CA 92024 Paradise Valley Hospital for a routine pap smear, pelvic Phone: (760) 634-0064 For a complete listing of exam and breast exam annually. hospital affiliations, refer to Chu, Neelima Vemuganti page 85. Chula Vista 855 Third Ave, Suite 2210 PRIMARY CARE Phone: (619) 691-0388 PHYSICIANS Sefa-Boakye, Kofi 344 East H St, Suite 1402 Phone: (619) 422-2121 Hours: M-Th 9:00AM-5:00PM; F 9AM-12 Noon SPECIALISTS Members may not self-refer to any of the specialists listed below. To receive covered services from a specialist you must receive a referral from your primary care physician. ALLERGY MEDICINE Pendleton, Jennifer 6386 Alvarado Ct, Suite 210 Phone: (619) 286-6687 Prenner, Bruce Michael 6386 Alvarado Ct, Suite 210 Phone: (619) 286-6687 CARDIOLOGY Camacho, Benjamin O 1615 Sweetwater Rd Phone: (619) 474-2233 INTERNAL MEDICINE Jaramillo, Mary Dominico 910 Sycamore Ave, Suite 102 Vista, CA 92081 Phone: (760) 598-1700 OPHTHALMOLOGY Cooper, Lawrence 865 3rd Ave, Suite 121 Phone: (619) 426-3400 PSYCHIATRY Compcare Various Locations Phone: (800) 458-6139 SURGERY - ORTHOPEDIC Scalone, James Bradley 4501 Mission Bay Dr, Suite 2B San Diego, CA 92109 Phone: (858) 272-1220 9
AFFILIATED HOSPITALS Scripps Mercy Chula Vista Hospital Scripps Mercy Hospital Paradise Valley Hospital For a complete listing of hospital affiliations, refer to page 85. PRIMARY CARE PHYSICIANS El Cajon Family Health Centers Of San Diego - Chase Avenue Provider ID: 25729 1111 W Chase Ave El Cajon, CA 92020 Phone: (619) 515-2499 Hours: M-F 9:00AM-5:00PM Language(s): English Specialty: Clinic (Mix Spec) Russo, Jennefer A Provider ID: 25729 1111 W Chase Ave El Cajon, CA 92020 Phone: (619) 515-2499 Hours: M-F 8:30AM-5:30PM San Diego Bulgarelli, Mark Provider ID: 25731 1809 National Ave San Diego, CA 92113 Phone: (619) 515-2300 Hours: M,T,Th 8:30-6 F,S 8:30-5 Language(s): English Specialty: Internal Medicine San Diego County Medical Groups FAMILY HEALTH CENTERS OF SAN DIEGO Castro-Rueda, Hernan Pablo Provider ID: 25731 1809 National Ave San Diego, CA 92113 Phone: (619) 515-2361 Hours: M-8:00-7:00;Tu-F-8:30-5:30;Sat-8:00-5:00 Specialty: Internal Medicine Family Health Centers Of San Diego - Beach Area Clinic Provider ID: 25608 3705 Mission Blvd San Diego, CA 92107 Phone: (619) 515-2444 Hours: M-F 9:00AM-5:00PM Specialty: Clinic (Mix Spec) Family Health Centers Of San Diego - City Heights Provider ID: 25734 5379 El Cajon Blvd San Diego, CA 92114 Phone: (619) 515-2400 Hours: M-F 9:00AM-5:00PM Language(s): English Specialty: Clinic (Mix Spec) Family Health Centers Of San Diego - Diamond Neighborhoods Provider ID: 36022 220 Euclid Ave, Suite 40 San Diego, CA 92114 Phone: (619) 515-2326 Hours: M-F 9:00AM-5:00PM Specialty: Clinic (Mix Spec) Family Health Centers Of San Diego - Downtown Provider ID: 25730 1145 Broadway San Diego, CA 92101 Phone: (619) 515-2525 Hours: M-F 9:00AM-5:00PM Language(s): English Specialty: Clinic (Mix Spec) Family Health Centers Of San Diego - Logan Heights Provider ID: 25731 1809 National Ave San Diego, CA 92113 Phone: (619) 515-2300 Hours: M-F 9:00AM-5:00PM Language(s): English Specialty: Clinic (Mix Spec) Family Health Centers Of San Diego - North Park Provider ID: 25732 3544 30Th St San Diego, CA 92104 Phone: (619) 515-2424 Hours: M-F 9:00AM-5:00PM Language(s): English Specialty: Clinic (Mix Spec) Family Health Centers Of San Diego - Sherman Heights Provider ID: 35571 2391 Island Ave San Diego, CA 92102 Phone: (619) 515-2300 Hours: M-F 9:00AM-5:00PM Language(s): English Specialty: Clinic (Mix Spec) 10
Parnell, Denise Provider ID: 25730 1145 Broadway San Diego, CA 92101 Phone: (619) 515-2525 Hours: M-F 8:00AM-12PM, 1PM -5PM Specialty: Internal Medicine Parnell, Denise Provider ID: 25608 3705 Mission Blvd San Diego, CA 92109 Phone: (619) 515-2444 Hours: M,T,W,F 8:30-5:30 Th 9-6 Specialty: Internal Medicine Shaw, Jennifer Provider ID: 25731 1809 National Ave San Diego, CA 92113 Phone: (619) 515-2300 Hours: M,T,Th 8:30-6 F,S 8:30-5 Language(s): English Spring Valley Family Health Centers Of San Diego - Grossmont Spring Valley Provider ID: 25735 8788 Jamacha Rd Spring Valley, CA 91977 Phone: (619) 515-2555 Hours: M-F 9:00AM-5:00PM Language(s): English Specialty: Clinic (Mix Spec) San Diego County Medical Groups FAMILY HEALTH CENTERS OF SAN DIEGO OB/GYN SPECIALISTS You may self-refer to an obstetrical and gynecological (OB-GYN) specialist within your contracting medical group/ipa for a routine pap smear, pelvic exam and breast exam annually. Chula Vista Sefa-Boakye, Kofi 344 East H St, Suite 1402 Phone: (619) 422-2121 Hours: M-Th 9:00AM-5:00PM; F 9AM-12 Noon Coronado Sefa-Boakye, Kofi D 230 Prospect Pl, Suite 210 Coronado, CA 92118 Phone: (619) 435-0041 Hours: Tu 11:00-6:00PM; Th 9:00-12:00 Noon La Mesa Gallens, Andrew Jay 8851 Center Dr, Suite 210 Phone: (619) 463-7775 Hours: M-F 8:30AM-5:00PM National City Carson, Latisa 502 S Euclid, Suite 302 Phone: (619) 475-9744 Hours: M-F 8:00-5:30 Vista Fenton, Douglas K 2067 W Vista Way, Suite 225 Vista, CA 92083 Phone: (760) 758-3000 Hours: M-F 9:00AM-5:00PM SPECIALISTS Members may not self-refer to any of the specialists listed below. To receive covered services from a specialist you must receive a referral from your primary care physician. CARDIOLOGY Berman, Brett Justin 480 4th Ave, Suite 401 Phone: (619) 427-8646 Camacho, Benjamin O 1615 Sweetwater Rd Phone: (619) 474-2233 Gross, Steven Alan 6386 Alvarado Ct, Suite 101 Phone: (619) 265-1237 11
San Diego County Medical Groups FAMILY HEALTH CENTERS OF SAN DIEGO Guillinta, Paulo C 480 4th Ave, Suite 401 Phone: (619) 427-8646 Kotha, Purushotham 5555 Resevoir Dr, Suite 309 Phone: (619) 229-1995 Mondragon-Gonzalez, Gustavo Arturo 754 Medical Center C, Suite 106 Phone: (619) 216-3113 Mondragon, Gustavo A 765 Medical Center, Suite 211 Phone: (619) 216-3113 Sharf, Albert J 655 Euclid Ave, Suite 304 & 306 Phone: (619) 470-7700 Szkopiec, Roman K 480 4th. Ave, Suite 101 Phone: (619) 427-8646 CARDIOVASCULAR MED Friedman, Richard G 4033 Third Ave, Suite 300 Phone: (619) 299-2570 CERTIFIED NURSE PRACTITIONER Barrios, Renaldo 1809 National Ave San Diego, CA 92113 Phone: (619) 515-2361 CHIROPRACTOR Walker, David Joshua 2110 Coast Highway, Suite G Oceanside, CA 92054 Phone: (760) 967-7444 DERMATOLOGY Resh, William F 502 Euclid Ave, Suite 204 Phone: (619) 267-8303 ENDOCRINOLOGY Argoud, Georges 855 Third Ave, Suite 2210 Phone: (619) 691-0388 GASTROENTEROLOGY Goldhamer, Michael 4033 Third Ave, Suite 300 Phone: (619) 299-2570 Ponsiglione, John 3330 Third Ave, Suite 300 Phone: (619) 497-6100 INTERNAL MEDICINE Berman, Brett Justin 480 4th Ave, Suite 401 Phone: (619) 427-8646 Friedman, Richard G 4033 Third Ave, Suite 300 Phone: (619) 299-2570 Guillinta, Paulo C 480 4th Ave, Suite 401 Phone: (619) 427-8646 Kornu, Roger 15721 Pomerado Rd Phone: (619) 398-1862 Kornu, Roger 3633 Camino Del Rio, Suite 300 San Diego, CA 92108 Phone: (619) 287-9730 Kotha, Akther Jahan 5555 Reservoir Dr, Suite 309 Phone: (619) 229-1995 Kotha, Purushotham 5555 Resevoir Dr, Suite 309 Phone: (619) 229-1995 Lehman, Aaron M 150 Valpreda Rd San Marcos, CA 92069 Phone: (760) 736-6700 Thomas, Theodore 4060 Fourth Ave, Suite 220 NEPHROLOGY Alexiewicz, Jadwiga Malgorzata 7910 Frost St, Suite 220 Phone: (858) 637-4700 Baranski, Joel Justin 4060 Fourth Ave, Suite 220 12
San Diego County Medical Groups FAMILY HEALTH CENTERS OF SAN DIEGO Behrend, Terry 4060 Fourth Ave, Suite 220 Behrend, Terry 7910 Frost St, Suite 220 Phone: (858) 637-4700 Behrend, Terry 9850 Genesee Ave, Suite 810 La Jolla, CA 92037 Boiskin, Mark 9850 Genesee Ave, Suite 810 La Jolla, CA 92037 Phone: (858) 453-9460 Chung, Kenneth 4060 Fourth Ave, Suite 220 Do, Luan 5555 Reservoir Dr, Suite 207 Phone: (619) 287-0732 Fadda, George 5555 Reservoir Dr, Suite 207 Fadda, George Z 8851 Center Dr, Suite 304 Lozada-Pastorio, Elizabeth 480 Fourth Ave, Suite 509 Phone: (619) 427-1144 Miller, Lucy Mochizuki 4060 Fourth Ave, Suite 220 Miller, Lucy Mochizuki 5555 Reservoir Dr, Suite 207 Phone: (619) 287-0732 Namazy, David Stephen 7910 Frost St, Suite 210 Phone: (858) 637-4700 Patel, Bijal V 7910 Frost St, Suite 220 Phone: (858) 637-4700 Sacamay, Tagumpay 610 Euclid Ave, Suite 301 Soltero, Ricardo 4060 Fourth Ave, Suite 220 Soltero, Richardo 480 Fourth Ave, Suite 509 Phone: (619) 427-1144 Steer, Dylan Lior 9834 Genesee Ave, Suite 112 La Jolla, CA 92037 Phone: (858) 558-8151 Thomas, Theodore 4060 Fourth Ave, Suite 220 NEUROLOGY Gratianne, Roberto 360 H St Phone: (619) 585-7227 NEUROSURGERY Meyer, Scott Howard 561 Saxony Pl, Suite 102 Encinitas, CA 92024 Phone: (760) 634-5900 Meyer, Scott Howard 7930 Frost St, Suite 304 Phone: (760) 634-5900 OPHTHALMOLOGY Castillejos, David 480 Fourth Ave, Suite 412 Phone: (619) 422-1471 Castillejos, Maria 480 4th Ave, Suite 412 Phone: (619) 422-1471 Cooper, Lawrence 865 3rd Ave, Suite 121 Phone: (619) 426-3400 Cotter, Daniel Maurice 1620 Alpine Blvd, Suite 117 Alpine, CA 91901 Phone: (619) 445-2687 Cotter, Daniel Maurice 2220 Plaza Blvd, Suite H Phone: (619) 470-2700 13
San Diego County Medical Groups FAMILY HEALTH CENTERS OF SAN DIEGO Cotter, Daniel Maurice 4344 Convoy St, Suite C2 San Diego, CA 92111 Phone: (858) 565-8822 Cotter, Daniel Maurice 450 Fletcher Pkwy, Suite 112 El Cajon, CA 92020 Phone: (619) 440-5400 Cotter, Daniel Maurice 6945 El Cajon Blvd San Diego, CA 92115 Phone: (619) 697-4600 Katzman, Barry 1620 Alpine Blvd, Suite 117 Alpine, CA 91901 Phone: (619) 445-2687 Katzman, Barry 2220 Plaza Blvd, Suite H Phone: (619) 470-2700 Katzman, Barry 4344 Convoy St, Suite C2 San Diego, CA 92111 Phone: (858) 565-8822 Katzman, Barry 450 Fletcher Parkway, Suite 112 El Cajon, CA 92020 Phone: (619) 440-5400 Katzman, Barry 6945 El Cajon Bl San Diego, CA 92115 Phone: (619) 697-4600 Lee, Sally 6760 University Ave, Suite 160 San Diego, CA 92115 Phone: (619) 583-4295 Mani, Hamid 865 Third Ave, Suite 112 Phone: (619) 425-7755 Mani, Majid 865 Third Ave, Suite 112 Phone: (619) 425-7755 Mani, Nasrin 865 Third Ave, Suite 112 Phone: (619) 425-7755 Quiceno, Jose Ivan 890 Eastlake Pkwy, Suite 205 Chula Vista, CA 91915 Phone: (619) 216-0400 Rajsbaum, Martin 865 3rd Ave, Suite 121 Phone: (619) 426-3400 Shaw, Blake Robert 890 Eastlake Pkwy, Suite 205 Chula Vista, CA 91914 Phone: (619) 216-0400 Wechter, Victor 1020 E Vista Way Vista, CA 92084 Phone: (760) 940-1700 OTOLARYNGOLOGY Azer, Phillip 411 Thorn St, Suite B Phone: (619) 298-8151 Mcclain, Albert 655 Euclid Ave, Suite 401 Phone: (619) 267-8440 PHYSICAL THERAPIST Kraemer, Matthew D 1620 Alpine Blvd, Suite 211 Alpine, CA 91901 Phone: (619) 445-3168 PODIATRY Springer, Dewain 925 E Pennsylvania, Suite H Phone: (760) 747-1550 PSYCHIATRY Compcare Various Locations Phone: (800) 458-6139 RADIOLOGY Brannigan, Thomas Joseph 8881 Fletcher Pkway, Suite 102 Phone: (619) 461-1830 Brannigan, Thomas Joseph 9640H Mission Gorge Phone: (619) 258-8552 Chang, Weiling 8881 Fletcher Pkway, Suite 102 Phone: (619) 461-1830 Chang, Weiling 9640H Mission Gorge Phone: (619) 258-8552 Ellison, Harry Peter 8881 Fletcher Pkway, Suite 102 Phone: (619) 461-1830 14
San Diego County Medical Groups FAMILY HEALTH CENTERS OF SAN DIEGO Ellison, Harry Peter 9640H Mission Gorge Phone: (619) 258-8552 Feng, Timothy Lee 355 E Grand Ave, Suite 3 Phone: (760) 480-6519 Goergen, Thomas Gerald 355 E Grand Ave, Suite 3 Phone: (760) 480-6519 Grebenc, Mary Lorraine 8881 Fletcher Pkway, Suite 102 Phone: (619) 461-1830 Grebenc, Mary Lorraine 9640H Mission Gorge Phone: (619) 258-8552 Jacobsen, James Christopher 8881 Fletcher Pkway, Suite 102 Phone: (619) 461-1830 Jacobsen, James Christopher 9640H Mission Gorge Phone: (619) 258-8552 Kilcheski, Thomas Stephen 8881 Fletcher Pkway, Suite 102 Phone: (619) 461-1830 Kilcheski, Thomas Stephen 9640H Mission Gorge Phone: (619) 258-8552 Lindstrom, Rabbe 355 E Grand Ave, Suite 3 Phone: (760) 480-6519 Maas Iii, Luis Carlos 8881 Fletcher Pkway, Suite 102 Phone: (619) 461-1830 Maas Iii, Luis Carlos 9640H Mission Gorge Phone: (619) 258-8552 Moore, Brian Scott 8881 Fletcher Pkway, Suite 102 Phone: (619) 461-1830 Moore, Brian Scott 9640H Mission Gorge Phone: (619) 258-8552 Nalbandian, Allen Barkev 355 E Grand Ave, Suite 3 Phone: (760) 480-6519 Rattner, Zachary 155 Camino Del Mar, Plaza #309 Del Mar, CA 92014 Phone: (619) 263-9729 Taggart, Steven James 355 E Grand Ave, Suite 3 Phone: (760) 480-1012 Trout, Tere Elizabeth 8881 Fletcher Pkway, Suite 102 Phone: (619) 461-1830 Trout, Tere Elizabeth 9640H Mission Gorge Phone: (619) 258-8552 Tuladhar, Preeti 8881 Fletcher Pkway, Suite 102 Phone: (619) 461-1830 Tuladhar, Preeti 9640H Mission Gorge Phone: (619) 258-8552 Urioste, Alexander Stephen 8881 Fletcher Pkway, Suite 102 Phone: (619) 461-1830 Urioste, Alexander Stephen 9640H Mission Gorge Phone: (619) 258-8552 Venkatesh, Vijay Balkrishna 8881 Fletcher Pkway, Suite 102 Phone: (619) 461-1830 Venkatesh, Vijay Balkrishna 9640H Mission Gorge Phone: (619) 258-8552 Yang, Peter J 8881 Fletcher Pkway, Suite 102 Phone: (619) 461-1830 Yang, Peter J 9640H Mission Gorge Phone: (619) 258-8552 15
San Diego County Medical Groups FAMILY HEALTH CENTERS OF SAN DIEGO RHEUMATOLOGY Ansari, Rashad 2023 W Vista Wy, Suite J Vista, CA 92083 Phone: (760) 724-6100 Kornu, Roger 15721 Pomerado Rd Phone: (619) 398-1862 Kornu, Roger 3633 Camino Del Rio, Suite 300 San Diego, CA 92108 Phone: (619) 287-9730 Kotha, Akther Jahan 5555 Reservoir Dr, Suite 309 Phone: (619) 229-1995 SURGERY - CARDIOTHORACIC Koumjian, Michael 5525 Grossmont Ctr, Suite 609 Phone: (619) 466-5700 Young, John Abbott 2095 W Vista Way, Suite 106 Vista, CA 92083 Phone: (760) 806-1400 SURGERY - GENERAL Browne, Barry J 7910 Frost St, Suite 220 Phone: (858) 637-4700 Greer, Edward Gerard 225 E Second Ave, Suite 350 Phone: (760) 745-2273 Yang, Jack Cheng-Yuan 550 Washington St, Suite 641 Phone: (619) 299-2600 SURGERY - ORTHOPEDIC Eves, William 480 4th Ave, Suite 307 Phone: (619) 426-3240 Lurie, Louis 480 4th Ave, Suite 307 Phone: (619) 426-3240 Milling, Paul 163 North Date St Phone: (760) 746-7965 Myer, Jonathan J 6719 Alvarado Rd, Suite 200 Phone: (619) 229-3932 Scalone, James Bradley 4501 Mission Bay Dr, Suite 2B San Diego, CA 92109 Phone: (858) 272-1220 SURGERY - PLASTIC SURGERY Nigro, Dennis 351 Santa Fe Dr, Suite 1 Encinitas, CA 92024 Phone: (760) 753-1050 Otero, Jose E 6367 Alvarado Ct, Suite 104 Phone: (619) 229-1211 SURGERY - VASCULAR SURGERY Sise, Michael J 550 Washington St, Suite 641 Phone: (619) 285-5990 Yang, Jack Cheng-Yuan 550 Washington St, Suite 641 Phone: (619) 299-2600 UROLOGY Keiller, Danny Lee 4033 Third Ave, Suite 400 Phone: (619) 299-0670 Lowe, Dalton 1901 4th Ave, Suite 200 San Diego, CA 92101 Phone: (619) 236-1111 Roberts, James Lincoln 4033 Third Ave, Suite 400 Phone: (619) 299-0670 16
AFFILIATED HOSPITALS Alvarado Hospital Scripps Mercy Hospital Paradise Valley Hospital For a complete listing of hospital affiliations, refer to page 85. PRIMARY CARE PHYSICIANS El Cajon La Maestra Family Clinic - El Cajon Provider ID: 36508 165 S First St El Cajon, CA 92019 Phone: (619) 312-0347 Hours: M-F 9:00AM-5:00PM Language(s): English Specialty: Clinic (Mix Spec) National City La Maestra Family Clinic - National City Provider ID: 36509 101 N Highland Ave, Suite A Phone: (619) 434-7308 Hours: M-F 9:00AM-5:00PM Language(s): English Specialty: Clinic (Mix Spec) San Diego Almansour, Mumtaz Provider ID: 25503 4185 Fairmount Ave San Diego, CA 92105 Phone: (619) 280-4213 Hours: W, 3PM-5PM Language(s): English Specialty: Family Practice San Diego County Medical Groups LA MAESTRA FAMILY CLINIC Baez, Beatrice Provider ID: 25503 4185 Fairmount Ave San Diego, CA 92105 Phone: (619) 280-4213 Hours: M-F 9AM-6PM Specialty: Family Practice Beck, Ellen Provider ID: 25503 4185 Fairmount Ave San Diego, CA 92105 Phone: (619) 280-4213 Hours: W 9AM-12PM Language(s): English Specialty: Family Practice Gutierrez, Loraine Provider ID: 25503 4185 Fairmount Ave San Diego, CA 92105 Phone: (619) 280-4213 Hours: M-F 9AM-5PM Specialty: Family Practice La Maestra Family Clinic - Main Clinic Provider ID: 25503 4185 Fairmount Ave San Diego, CA 92105 Phone: (619) 280-4213 Hours: M-F 9:00AM-5:00PM Language(s): English Specialty: Clinic (Mix Spec) Lee, Yong Provider ID: 25503 4185 Fairmount Ave San Diego, CA 92105 Phone: (619) 280-4213 Hours: F 9AM-6PM Language(s): English Specialty: Family Practice Matel, Emma Provider ID: 25503 4185 Fairmount Ave San Diego, CA 92105 Phone: (619) 280-4213 Hours: W, Th 9AM-6PM Language(s): English, Tagalog Specialty: General Practice Montemayor, Manuel Provider ID: 25503 4185 Fairmount Ave San Diego, CA 92105 Phone: (619) 280-4213 Hours: M-F 9AM-6PM Language(s): English, Tagalog Specialty: General Practice Priver, David Provider ID: 25503 4185 Fairmount Ave San Diego, CA 92105 Phone: (619) 280-4213 Hours: T 9-1, Th 2-6 Language(s): English Rusell, Sarah A Provider ID: 25503 4185 Fairmount San Diego, CA 92105 Phone: (619) 280-4213 Hours: M-F 9AM-5PM Specialty: Family Practice Zomorrodi, Eve Provider ID: 25503 4185 Fairmount Ave San Diego, CA 92105 Phone: (619) 280-4213 Hours: T 1-6 Language(s): English, Farsi 17
OB/GYN SPECIALISTS You may self-refer to an obstetrical and gynecological (OB-GYN) specialist within your contracting medical group/ipa for a routine pap smear, pelvic exam and breast exam annually. Chula Vista Sefa-Boakye, Kofi 344 East H St, Suite 1402 Phone: (619) 422-2121 Hours: M-Th 9:00AM-5:00PM; F 9AM-12 Noon Coronado Sefa-Boakye, Kofi D 230 Prospect Pl, Suite 210 Coronado, CA 92118 Phone: (619) 435-0041 Hours: Tu 11:00-6:00PM; Th 9:00-12:00 Noon La Mesa Gallens, Andrew Jay 8851 Center Dr, Suite 210 Phone: (619) 463-7775 Hours: M-F 8:30AM-5:00PM San Diego County Medical Groups LA MAESTRA FAMILY CLINIC National City Carson, Latisa 502 S Euclid, Suite 302 Phone: (619) 475-9744 Hours: M-F 8:00-5:30 Vista Fenton, Douglas K 2067 W Vista Way, Suite 225 Vista, CA 92083 Phone: (760) 758-3000 Hours: M-F 9:00AM-5:00PM SPECIALISTS Members may not self-refer to any of the specialists listed below. To receive covered services from a specialist you must receive a referral from your primary care physician. CARDIOLOGY Berman, Brett Justin 480 4th Ave, Suite 401 Phone: (619) 427-8646 Camacho, Benjamin O 1615 Sweetwater Rd Phone: (619) 474-2233 Gross, Steven Alan 6386 Alvarado Ct, Suite 101 Phone: (619) 265-1237 Guillinta, Paulo C 480 4th Ave, Suite 401 Phone: (619) 427-8646 Kotha, Purushotham 5555 Resevoir Dr, Suite 309 Phone: (619) 229-1995 Mondragon-Gonzalez, Gustavo Arturo 754 Medical Center C, Suite 106 Phone: (619) 216-3113 Mondragon, Gustavo A 765 Medical Center, Suite 211 Phone: (619) 216-3113 Sharf, Albert J 655 Euclid Ave, Suite 304 & 306 Phone: (619) 470-7700 Szkopiec, Roman K 480 4th. Ave, Suite 101 Phone: (619) 427-8646 CARDIOVASCULAR MED Friedman, Richard G 4033 Third Ave, Suite 300 Phone: (619) 299-2570 CERTIFIED NURSE PRACTITIONER Barrios, Renaldo 1809 National Ave San Diego, CA 92113 Phone: (619) 515-2361 18
San Diego County Medical Groups LA MAESTRA FAMILY CLINIC CHIROPRACTOR Walker, David Joshua 2110 Coast Highway, Suite G Oceanside, CA 92054 Phone: (760) 967-7444 DERMATOLOGY Resh, William F 502 Euclid Ave, Suite 204 Phone: (619) 267-8303 ENDOCRINOLOGY Argoud, Georges 855 Third Ave, Suite 2210 Phone: (619) 691-0388 GASTROENTEROLOGY Goldhamer, Michael 4033 Third Ave, Suite 300 Phone: (619) 299-2570 Ponsiglione, John 3330 Third Ave, Suite 300 Phone: (619) 497-6100 INTERNAL MEDICINE Berman, Brett Justin 480 4th Ave, Suite 401 Phone: (619) 427-8646 Friedman, Richard G 4033 Third Ave, Suite 300 Phone: (619) 299-2570 Guillinta, Paulo C 480 4th Ave, Suite 401 Phone: (619) 427-8646 Kornu, Roger 15721 Pomerado Rd Phone: (619) 398-1862 Kornu, Roger 3633 Camino Del Rio, Suite 300 San Diego, CA 92108 Phone: (619) 287-9730 Kotha, Akther Jahan 5555 Reservoir Dr, Suite 309 Phone: (619) 229-1995 Kotha, Purushotham 5555 Resevoir Dr, Suite 309 Phone: (619) 229-1995 Thomas, Theodore 4060 Fourth Ave, Suite 220 NEPHROLOGY Alexiewicz, Jadwiga Malgorzata 7910 Frost St, Suite 220 Phone: (858) 637-4700 Baranski, Joel Justin 4060 Fourth Ave, Suite 220 Behrend, Terry 4060 Fourth Ave, Suite 220 Behrend, Terry 7910 Frost St, Suite 220 Phone: (858) 637-4700 Behrend, Terry 9850 Genesee Ave, Suite 810 La Jolla, CA 92037 Boiskin, Mark 9850 Genesee Ave, Suite 810 La Jolla, CA 92037 Phone: (858) 453-9460 Chung, Kenneth 4060 Fourth Ave, Suite 220 Do, Luan 5555 Reservoir Dr, Suite 207 Phone: (619) 287-0732 Fadda, George 5555 Reservoir Dr, Suite 207 Fadda, George Z 8851 Center Dr, Suite 304 Lozada-Pastorio, Elizabeth 480 Fourth Ave, Suite 509 Phone: (619) 427-1144 Miller, Lucy Mochizuki 4060 Fourth Ave, Suite 220 19
Miller, Lucy Mochizuki 5555 Reservoir Dr, Suite 207 Phone: (619) 287-0732 Namazy, David Stephen 7910 Frost St, Suite 210 Phone: (858) 637-4700 Patel, Bijal V 7910 Frost St, Suite 220 Phone: (858) 637-4700 Sacamay, Tagumpay 610 Euclid Ave, Suite 301 Soltero, Ricardo 4060 Fourth Ave, Suite 220 Soltero, Richardo 480 Fourth Ave, Suite 509 Phone: (619) 427-1144 Steer, Dylan Lior 9834 Genesee Ave, Suite 112 La Jolla, CA 92037 Phone: (858) 558-8151 Thomas, Theodore 4060 Fourth Ave, Suite 220 NEUROLOGY Gratianne, Roberto 360 H St Phone: (619) 585-7227 San Diego County Medical Groups LA MAESTRA FAMILY CLINIC NEUROSURGERY Meyer, Scott Howard 561 Saxony Pl, Suite 102 Encinitas, CA 92024 Phone: (760) 634-5900 Meyer, Scott Howard 7930 Frost St, Suite 304 Phone: (760) 634-5900 OPHTHALMOLOGY Castillejos, David 480 Fourth Ave, Suite 412 Phone: (619) 422-1471 Castillejos, Maria 480 4th Ave, Suite 412 Phone: (619) 422-1471 Cooper, Lawrence 865 3rd Ave, Suite 121 Phone: (619) 426-3400 Cotter, Daniel Maurice 1620 Alpine Blvd, Suite 117 Alpine, CA 91901 Phone: (619) 445-2687 Cotter, Daniel Maurice 2220 Plaza Blvd, Suite H Phone: (619) 470-2700 Cotter, Daniel Maurice 4344 Convoy St, Suite C2 San Diego, CA 92111 Phone: (858) 565-8822 Cotter, Daniel Maurice 450 Fletcher Pkwy, Suite 112 El Cajon, CA 92020 Phone: (619) 440-5400 Cotter, Daniel Maurice 6945 El Cajon Blvd San Diego, CA 92115 Phone: (619) 697-4600 Katzman, Barry 1620 Alpine Blvd, Suite 117 Alpine, CA 91901 Phone: (619) 445-2687 Katzman, Barry 2220 Plaza Blvd, Suite H Phone: (619) 470-2700 Katzman, Barry 4344 Convoy St, Suite C2 San Diego, CA 92111 Phone: (858) 565-8822 Katzman, Barry 450 Fletcher Parkway, Suite 112 El Cajon, CA 92020 Phone: (619) 440-5400 Katzman, Barry 6945 El Cajon Bl San Diego, CA 92115 Phone: (619) 697-4600 Lee, Sally 6760 University Ave, Suite 160 San Diego, CA 92115 Phone: (619) 583-4295 Mani, Hamid 865 Third Ave, Suite 112 Phone: (619) 425-7755 Mani, Majid 865 Third Ave, Suite 112 Phone: (619) 425-7755 20
San Diego County Medical Groups LA MAESTRA FAMILY CLINIC Mani, Nasrin 865 Third Ave, Suite 112 Phone: (619) 425-7755 Quiceno, Jose Ivan 890 Eastlake Pkwy, Suite 205 Chula Vista, CA 91915 Phone: (619) 216-0400 Rajsbaum, Martin 865 3rd Ave, Suite 121 Phone: (619) 426-3400 Shaw, Blake Robert 890 Eastlake Pkwy, Suite 205 Chula Vista, CA 91914 Phone: (619) 216-0400 Wechter, Victor 1020 E Vista Way Vista, CA 92084 Phone: (760) 940-1700 OTOLARYNGOLOGY Azer, Phillip 411 Thorn St, Suite B Phone: (619) 298-8151 Mcclain, Albert 655 Euclid Ave, Suite 401 Phone: (619) 267-8440 PHYSICAL THERAPIST Kraemer, Matthew D 1620 Alpine Blvd, Suite 211 Alpine, CA 91901 Phone: (619) 445-3168 PODIATRY Springer, Dewain 925 E Pennsylvania, Suite H Phone: (760) 747-1550 PSYCHIATRY Compcare Various Locations Phone: (800) 458-6139 RADIOLOGY Brannigan, Thomas Joseph 8881 Fletcher Pkway, Suite 102 Phone: (619) 461-1830 Brannigan, Thomas Joseph 9640H Mission Gorge Phone: (619) 258-8552 Chang, Weiling 8881 Fletcher Pkway, Suite 102 Phone: (619) 461-1830 Chang, Weiling 9640H Mission Gorge Phone: (619) 258-8552 Ellison, Harry Peter 8881 Fletcher Pkway, Suite 102 Phone: (619) 461-1830 Ellison, Harry Peter 9640H Mission Gorge Phone: (619) 258-8552 Feng, Timothy Lee 355 E Grand Ave, Suite 3 Phone: (760) 480-6519 Goergen, Thomas Gerald 355 E Grand Ave, Suite 3 Phone: (760) 480-6519 Grebenc, Mary Lorraine 8881 Fletcher Pkway, Suite 102 Phone: (619) 461-1830 Grebenc, Mary Lorraine 9640H Mission Gorge Phone: (619) 258-8552 Jacobsen, James Christopher 8881 Fletcher Pkway, Suite 102 Phone: (619) 461-1830 Jacobsen, James Christopher 9640H Mission Gorge Phone: (619) 258-8552 Kilcheski, Thomas Stephen 8881 Fletcher Pkway, Suite 102 Phone: (619) 461-1830 Kilcheski, Thomas Stephen 9640H Mission Gorge Phone: (619) 258-8552 Lindstrom, Rabbe 355 E Grand Ave, Suite 3 Phone: (760) 480-6519 21
San Diego County Medical Groups LA MAESTRA FAMILY CLINIC Maas Iii, Luis Carlos 8881 Fletcher Pkway, Suite 102 Phone: (619) 461-1830 Maas Iii, Luis Carlos 9640H Mission Gorge Phone: (619) 258-8552 Moore, Brian Scott 8881 Fletcher Pkway, Suite 102 Phone: (619) 461-1830 Moore, Brian Scott 9640H Mission Gorge Phone: (619) 258-8552 Nalbandian, Allen Barkev 355 E Grand Ave, Suite 3 Phone: (760) 480-6519 Rattner, Zachary 155 Camino Del Mar, Plaza #309 Del Mar, CA 92014 Phone: (619) 263-9729 Taggart, Steven James 355 E Grand Ave, Suite 3 Phone: (760) 480-1012 Trout, Tere Elizabeth 8881 Fletcher Pkway, Suite 102 Phone: (619) 461-1830 Trout, Tere Elizabeth 9640H Mission Gorge Phone: (619) 258-8552 Tuladhar, Preeti 8881 Fletcher Pkway, Suite 102 Phone: (619) 461-1830 Tuladhar, Preeti 9640H Mission Gorge Phone: (619) 258-8552 Urioste, Alexander Stephen 8881 Fletcher Pkway, Suite 102 Phone: (619) 461-1830 Urioste, Alexander Stephen 9640H Mission Gorge Phone: (619) 258-8552 Venkatesh, Vijay Balkrishna 8881 Fletcher Pkway, Suite 102 Phone: (619) 461-1830 Venkatesh, Vijay Balkrishna 9640H Mission Gorge Phone: (619) 258-8552 Yang, Peter J 8881 Fletcher Pkway, Suite 102 Phone: (619) 461-1830 Yang, Peter J 9640H Mission Gorge Phone: (619) 258-8552 RHEUMATOLOGY Ansari, Rashad 2023 W Vista Wy, Suite J Vista, CA 92083 Phone: (760) 724-6100 Kornu, Roger 15721 Pomerado Rd Phone: (619) 398-1862 Kornu, Roger 3633 Camino Del Rio, Suite 300 San Diego, CA 92108 Phone: (619) 287-9730 Kotha, Akther Jahan 5555 Reservoir Dr, Suite 309 Phone: (619) 229-1995 SURGERY - CARDIOTHORACIC Koumjian, Michael 5525 Grossmont Ctr, Suite 609 Phone: (619) 466-5700 Young, John Abbott 2095 W Vista Way, Suite 106 Vista, CA 92083 Phone: (760) 806-1400 SURGERY - GENERAL Browne, Barry J 7910 Frost St, Suite 220 Phone: (858) 637-4700 Greer, Edward Gerard 225 E Second Ave, Suite 350 Phone: (760) 745-2273 Yang, Jack Cheng-Yuan 550 Washington St, Suite 641 Phone: (619) 299-2600 22
San Diego County Medical Groups LA MAESTRA FAMILY CLINIC SURGERY - ORTHOPEDIC Eves, William 480 4th Ave, Suite 307 Phone: (619) 426-3240 Lurie, Louis 480 4th Ave, Suite 307 Phone: (619) 426-3240 Milling, Paul 163 North Date St Phone: (760) 746-7965 Myer, Jonathan J 6719 Alvarado Rd, Suite 200 Phone: (619) 229-3932 Scalone, James Bradley 4501 Mission Bay Dr, Suite 2B San Diego, CA 92109 Phone: (858) 272-1220 Yang, Jack Cheng-Yuan 550 Washington St, Suite 641 Phone: (619) 299-2600 UROLOGY Keiller, Danny Lee 4033 Third Ave, Suite 400 Phone: (619) 299-0670 Lowe, Dalton 1901 4th Ave, Suite 200 San Diego, CA 92101 Phone: (619) 236-1111 Roberts, James Lincoln 4033 Third Ave, Suite 400 Phone: (619) 299-0670 SURGERY - PLASTIC SURGERY Nigro, Dennis 351 Santa Fe Dr, Suite 1 Encinitas, CA 92024 Phone: (760) 753-1050 Otero, Jose E 6367 Alvarado Ct, Suite 104 Phone: (619) 229-1211 SURGERY - VASCULAR SURGERY Sise, Michael J 550 Washington St, Suite 641 Phone: (619) 285-5990 23
San Diego County Medical Groups MOUNTAIN HEALTH & COMMUNITY SERVICES AFFILIATED HOSPITALS Alvarado Hospital Scripps Mercy Hospital Scripps Memorial Hospital La Jolla For a complete listing of hospital affiliations, refer to page 85. PRIMARY CARE PHYSICIANS Alpine Mountain Health & Community Services - Alpine Family Med Provider ID: 30666 1600 Alpine Blvd Alpine, CA 91901 Phone: (619) 445-6200 Hours: M-F 9:00AM-5:00PM Language(s): English Specialty: Clinic (Mix Spec) Campo Hippen, Rachelle Monastra Provider ID: 30664 31115 Hwy 94 Campo, CA 91906 Phone: (619) 478-5311 Hours: Mon-Fri 8:30-5:00 Language(s): English Specialty: Family Practice Marquez, Luis Mario Provider ID: 30664 31115 Hwy 94 Campo, CA 91906 Phone: (619) 478-5311 Hours: Mon-Th 8:30-5:00 Specialty: General Practice Mountain Health & Community Services - Empire Family Medicine Provider ID: 30664 31115 Highway 94 Campo, CA 91906 Phone: (619) 478-5311 Hours: M-F 8:00-5:00 Language(s): English Specialty: Clinic (Mix Spec) Escondido Marquez, Luis Mario Provider ID: 34358 255 N Ash St, Suite 101 Escondido, CA 92027 Phone: (760) 745-5832 Hours: Mon-Th 8:30-5:00 Specialty: General Practice Mountain Health & Community Services - Escondido Provider ID: 34358 255 N Ash St, Suite 101 Escondido, CA 92027 Phone: (760) 745-5832 Hours: M-F 9:00AM-5:00PM Language(s): English Specialty: Clinic (Mix Spec) Jacumba Mountain Health & Community Services - Jacumba Provider ID: 30665 44460 Old Highway 80 Jacumba, CA 91934 Phone: (619) 766-4071 Hours: M,W,F 8:00-5:00 Language(s): English Specialty: Clinic (Mix Spec) San Diego Marquez, Luis Mario Provider ID: 34357 316 25th St San Diego, CA 92102 Phone: (619) 238-5551 Hours: Mon-Fri 8:00-5:00 Specialty: General Practice Mountain Health & Community Services - San Diego Provider ID: 34357 316 25th St San Diego, CA 92102 Phone: (619) 238-5551 Hours: M-F 9:00AM-5:00PM Language(s): English Specialty: Clinic (Mix Spec) OB/GYN SPECIALISTS You may self-refer to an obstetrical and gynecological (OB-GYN) specialist within your contracting medical group/ipa for a routine pap smear, pelvic exam and breast exam annually. Chula Vista Sefa-Boakye, Kofi 344 East H St, Suite 1402 Phone: (619) 422-2121 Hours: M-Th 9:00AM-5:00PM; F 9AM-12 Noon 24
Coronado San Diego County Medical Groups MOUNTAIN HEALTH & COMMUNITY SERVICES Sefa-Boakye, Kofi D 230 Prospect Pl, Suite 210 Coronado, CA 92118 Phone: (619) 435-0041 Hours: Tu 11:00-6:00PM; Th 9:00-12:00 Noon La Mesa Gallens, Andrew Jay 8851 Center Dr, Suite 210 Phone: (619) 463-7775 Hours: M-F 8:30AM-5:00PM National City Carson, Latisa 502 S Euclid, Suite 302 Phone: (619) 475-9744 Hours: M-F 8:00-5:30 Vista Fenton, Douglas K 2067 W Vista Way, Suite 225 Vista, CA 92083 Phone: (760) 758-3000 Hours: M-F 9:00AM-5:00PM SPECIALISTS Members may not self-refer to any of the specialists listed below. To receive covered services from a specialist you must receive a referral from your primary care physician. CARDIOLOGY Berman, Brett Justin 480 4th Ave, Suite 401 Phone: (619) 427-8646 Camacho, Benjamin O 1615 Sweetwater Rd Phone: (619) 474-2233 Gross, Steven Alan 6386 Alvarado Ct, Suite 101 Phone: (619) 265-1237 Guillinta, Paulo C 480 4th Ave, Suite 401 Phone: (619) 427-8646 Kotha, Purushotham 5555 Resevoir Dr, Suite 309 Phone: (619) 229-1995 Mondragon-Gonzalez, Gustavo Arturo 754 Medical Center C, Suite 106 Phone: (619) 216-3113 Mondragon, Gustavo A 765 Medical Center, Suite 211 Phone: (619) 216-3113 Sharf, Albert J 655 Euclid Ave, Suite 304 & 306 Phone: (619) 470-7700 Szkopiec, Roman K 480 4th. Ave, Suite 101 Phone: (619) 427-8646 CARDIOVASCULAR MED Friedman, Richard G 4033 Third Ave, Suite 300 Phone: (619) 299-2570 CERTIFIED NURSE PRACTITIONER Barrios, Renaldo 1809 National Ave San Diego, CA 92113 Phone: (619) 515-2361 CHIROPRACTOR Walker, David Joshua 2110 Coast Highway, Suite G Oceanside, CA 92054 Phone: (760) 967-7444 DERMATOLOGY Resh, William F 502 Euclid Ave, Suite 204 Phone: (619) 267-8303 ENDOCRINOLOGY Argoud, Georges 855 Third Ave, Suite 2210 Phone: (619) 691-0388 25
GASTROENTEROLOGY Goldhamer, Michael 4033 Third Ave, Suite 300 Phone: (619) 299-2570 Ponsiglione, John 3330 Third Ave, Suite 300 Phone: (619) 497-6100 INTERNAL MEDICINE Berman, Brett Justin 480 4th Ave, Suite 401 Phone: (619) 427-8646 Friedman, Richard G 4033 Third Ave, Suite 300 Phone: (619) 299-2570 Guillinta, Paulo C 480 4th Ave, Suite 401 Phone: (619) 427-8646 Kornu, Roger 15721 Pomerado Rd Phone: (619) 398-1862 San Diego County Medical Groups MOUNTAIN HEALTH & COMMUNITY SERVICES Kornu, Roger 3633 Camino Del Rio, Suite 300 San Diego, CA 92108 Phone: (619) 287-9730 Kotha, Akther Jahan 5555 Reservoir Dr, Suite 309 Phone: (619) 229-1995 Kotha, Purushotham 5555 Resevoir Dr, Suite 309 Phone: (619) 229-1995 Thomas, Theodore 4060 Fourth Ave, Suite 220 NEPHROLOGY Alexiewicz, Jadwiga Malgorzata 7910 Frost St, Suite 220 Phone: (858) 637-4700 Baranski, Joel Justin 4060 Fourth Ave, Suite 220 Behrend, Terry 4060 Fourth Ave, Suite 220 Behrend, Terry 7910 Frost St, Suite 220 Phone: (858) 637-4700 Behrend, Terry 9850 Genesee Ave, Suite 810 La Jolla, CA 92037 Boiskin, Mark 9850 Genesee Ave, Suite 810 La Jolla, CA 92037 Phone: (858) 453-9460 Chung, Kenneth 4060 Fourth Ave, Suite 220 Do, Luan 5555 Reservoir Dr, Suite 207 Phone: (619) 287-0732 Fadda, George 5555 Reservoir Dr, Suite 207 Fadda, George Z 8851 Center Dr, Suite 304 Lozada-Pastorio, Elizabeth 480 Fourth Ave, Suite 509 Phone: (619) 427-1144 Miller, Lucy Mochizuki 4060 Fourth Ave, Suite 220 Miller, Lucy Mochizuki 5555 Reservoir Dr, Suite 207 Phone: (619) 287-0732 Namazy, David Stephen 7910 Frost St, Suite 210 Phone: (858) 637-4700 Patel, Bijal V 7910 Frost St, Suite 220 Phone: (858) 637-4700 Sacamay, Tagumpay 610 Euclid Ave, Suite 301 Soltero, Ricardo 4060 Fourth Ave, Suite 220 26
San Diego County Medical Groups MOUNTAIN HEALTH & COMMUNITY SERVICES Soltero, Richardo 480 Fourth Ave, Suite 509 Phone: (619) 427-1144 Steer, Dylan Lior 9834 Genesee Ave, Suite 112 La Jolla, CA 92037 Phone: (858) 558-8151 Thomas, Theodore 4060 Fourth Ave, Suite 220 NEUROLOGY Gratianne, Roberto 360 H St Phone: (619) 585-7227 NEUROSURGERY Meyer, Scott Howard 561 Saxony Pl, Suite 102 Encinitas, CA 92024 Phone: (760) 634-5900 Meyer, Scott Howard 7930 Frost St, Suite 304 Phone: (760) 634-5900 OPHTHALMOLOGY Castillejos, David 480 Fourth Ave, Suite 412 Phone: (619) 422-1471 Castillejos, Maria 480 4th Ave, Suite 412 Phone: (619) 422-1471 Cooper, Lawrence 865 3rd Ave, Suite 121 Phone: (619) 426-3400 Cotter, Daniel Maurice 1620 Alpine Blvd, Suite 117 Alpine, CA 91901 Phone: (619) 445-2687 Cotter, Daniel Maurice 2220 Plaza Blvd, Suite H Phone: (619) 470-2700 Cotter, Daniel Maurice 4344 Convoy St, Suite C2 San Diego, CA 92111 Phone: (858) 565-8822 Cotter, Daniel Maurice 450 Fletcher Pkwy, Suite 112 El Cajon, CA 92020 Phone: (619) 440-5400 Cotter, Daniel Maurice 6945 El Cajon Blvd San Diego, CA 92115 Phone: (619) 697-4600 Katzman, Barry 1620 Alpine Blvd, Suite 117 Alpine, CA 91901 Phone: (619) 445-2687 Katzman, Barry 2220 Plaza Blvd, Suite H Phone: (619) 470-2700 Katzman, Barry 4344 Convoy St, Suite C2 San Diego, CA 92111 Phone: (858) 565-8822 Katzman, Barry 450 Fletcher Parkway, Suite 112 El Cajon, CA 92020 Phone: (619) 440-5400 Katzman, Barry 6945 El Cajon Bl San Diego, CA 92115 Phone: (619) 697-4600 Lee, Sally 6760 University Ave, Suite 160 San Diego, CA 92115 Phone: (619) 583-4295 Mani, Hamid 865 Third Ave, Suite 112 Phone: (619) 425-7755 Mani, Majid 865 Third Ave, Suite 112 Phone: (619) 425-7755 Mani, Nasrin 865 Third Ave, Suite 112 Phone: (619) 425-7755 Quiceno, Jose Ivan 890 Eastlake Pkwy, Suite 205 Chula Vista, CA 91915 Phone: (619) 216-0400 Rajsbaum, Martin 865 3rd Ave, Suite 121 Phone: (619) 426-3400 Shaw, Blake Robert 890 Eastlake Pkwy, Suite 205 Chula Vista, CA 91914 Phone: (619) 216-0400 27
San Diego County Medical Groups MOUNTAIN HEALTH & COMMUNITY SERVICES Wechter, Victor 1020 E Vista Way Vista, CA 92084 Phone: (760) 940-1700 OTOLARYNGOLOGY Azer, Phillip 411 Thorn St, Suite B Phone: (619) 298-8151 Mcclain, Albert 655 Euclid Ave, Suite 401 Phone: (619) 267-8440 PHYSICAL THERAPIST Kraemer, Matthew D 1620 Alpine Blvd, Suite 211 Alpine, CA 91901 Phone: (619) 445-3168 PODIATRY Springer, Dewain 925 E Pennsylvania, Suite H Phone: (760) 747-1550 PSYCHIATRY Compcare Various Locations Phone: (800) 458-6139 RADIOLOGY Brannigan, Thomas Joseph 8881 Fletcher Pkway, Suite 102 Phone: (619) 461-1830 Brannigan, Thomas Joseph 9640H Mission Gorge Phone: (619) 258-8552 Chang, Weiling 8881 Fletcher Pkway, Suite 102 Phone: (619) 461-1830 Chang, Weiling 9640H Mission Gorge Phone: (619) 258-8552 Ellison, Harry Peter 8881 Fletcher Pkway, Suite 102 Phone: (619) 461-1830 Ellison, Harry Peter 9640H Mission Gorge Phone: (619) 258-8552 Feng, Timothy Lee 355 E Grand Ave, Suite 3 Phone: (760) 480-6519 Goergen, Thomas Gerald 355 E Grand Ave, Suite 3 Phone: (760) 480-6519 Grebenc, Mary Lorraine 8881 Fletcher Pkway, Suite 102 Phone: (619) 461-1830 Grebenc, Mary Lorraine 9640H Mission Gorge Phone: (619) 258-8552 Jacobsen, James Christopher 8881 Fletcher Pkway, Suite 102 Phone: (619) 461-1830 Jacobsen, James Christopher 9640H Mission Gorge Phone: (619) 258-8552 Kilcheski, Thomas Stephen 8881 Fletcher Pkway, Suite 102 Phone: (619) 461-1830 Kilcheski, Thomas Stephen 9640H Mission Gorge Phone: (619) 258-8552 Lindstrom, Rabbe 355 E Grand Ave, Suite 3 Phone: (760) 480-6519 Maas Iii, Luis Carlos 8881 Fletcher Pkway, Suite 102 Phone: (619) 461-1830 Maas Iii, Luis Carlos 9640H Mission Gorge Phone: (619) 258-8552 Moore, Brian Scott 8881 Fletcher Pkway, Suite 102 Phone: (619) 461-1830 Moore, Brian Scott 9640H Mission Gorge Phone: (619) 258-8552 28