2020 addendum to/suplemento al provider directory ...€¦ · 5928_20_00 1_la1_ma y _c...
TRANSCRIPT
5928_20_00 1_LA1_MA Y _C H5928_20_001 1_SP _MA Y _C
2020 Addendum to/Suplemento Al
Provider Directory Directorio de proveedores
de 2020
County/Condado: Los Angeles San Fernando and San Gabriel Valley
Please refer to your 2020 Provider Directory, for important plan information, as well as a listing of additional Blue Shield of California Promise Health Plan providers. This Addendum
is a list of updates of provider information for the month of May 2020. The hardcopy provider directory and addendum together are the most up to date provider information. You
can also visit www.blueshieldca.com/promise/medicare or call at the telephone number below for provider information.
Blue Shield of California Promise Health Plan Customer Care operations 1-800-544-0088 (TTY 711) From 8 a .m. to 8 p .m., seven days a week, from Oct. lst- Mar. 31st and 8 a.m.- 8 p.m. weekdays, from Apr. lst- Sept. 30th.
Por favor consulte su Directorio de Proveedores complementarios 2020, para información importante sobre su plan, al igual que la lista de proveedores adicionales para el plan Blue Shield of California Promise Health Plan. Este apéndice consiste en una lista de actualizaciones de la información sobre los proveedores para el mes de mayo del 2020. El directorio de proveedores y el apéndice en papel contienen la información más actualizada sobre los proveedores. También puede visitar www.blueshieldca .com/promise/medicare o llamar a Servicios para Miembros de Blue Shield of California Promise Health Plan al número de teléfono a continuación para información sobre los proveedores complementarios.
Servicios para Miembros de Blue Shield of California Promise Health Plan: 1-800-544-0088 (TTY 711) de 8:00 a.m. a 8:00 p.m., siete días a la semana, del 1 de octubre al 31 de marzo y de 8:00 a.m. a 8:00 p.m. de lunes a viernes,desde el 1 de abril hasta el 30 de septiembre.
Este suplemento fue actualizado en mayo del 2020. This addendum is current as of May 2020.
blue t. california ®
Promise Health
_LA
Table of Contents/ Tabla de Contenido
ACCOUNTABLE HEALTH CARE IPA
Primary Care Physicians/Médico de atención primaria....................................1
ALLIANCE HEALTH SYSTEM
ALLIED PHYSICIANS IPA OF CA DBA ALLIED PACIFIC IPA
ALLIED PHYSICIANS IPA OF CA-ALHAMBRA
ALPHA CARE MEDICAL GROUP INC
ALTAMED HEALTH SERVICES CORPORATION -ORANGE COUNTY
ALTAMED HEALTH SERVICES CORPORATION
ANGELES IPA
APPLECARE MEDICAL GROUP- DOWNEY
APPLECARE MEDICAL GROUP- SELECT
APPLECARE MEDICAL GROUP- WHITTIER
APPLECARE MEDICAL GROUP-ST FRANCIS
BELLA VISTA MEDICAL GROUP IPA
BLUE SHIELD PROMISE HEALTH PLAN DIRECT
CAL CARE IPA INC
COMMUNITY FAMILY CARE
CROWN CITY MEDICAL GROUP
EL PROYECTO DEL BARRIO
Specialists/Especialistas..........................................................................................2
Specialists/Especialistas..........................................................................................7
Primary Care Physicians/Médico de atención primaria....................................8
Specialists/Especialistas..........................................................................................9
Primary Care Physicians/Médico de atención primaria....................................16
Specialists/Especialistas..........................................................................................18
Specialists/Especialistas..........................................................................................24
Specialists/Especialistas..........................................................................................27
Primary Care Physicians/Médico de atención primaria....................................28
Specialists/Especialistas..........................................................................................29
Primary Care Physicians/Médico de atención primaria....................................37
Specialists/Especialistas..........................................................................................37
Primary Care Physicians/Médico de atención primaria....................................39
Specialists/Especialistas..........................................................................................39
Primary Care Physicians/Médico de atención primaria....................................41
Specialists/Especialistas..........................................................................................41
Primary Care Physicians/Médico de atención primaria....................................43
Specialists/Especialistas..........................................................................................43
Primary Care Physicians/Médico de atención primaria....................................45
Specialists/Especialistas..........................................................................................46
Specialists/Especialistas..........................................................................................57
Specialists/Especialistas..........................................................................................58
Primary Care Physicians/Médico de atención primaria....................................61
Specialists/Especialistas..........................................................................................62
Primary Care Physicians/Médico de atención primaria....................................63
Specialists/Especialistas..........................................................................................63
B
FAMILY CARE SPECIALIST IPA
Specialists/Especialistas..........................................................................................76
GLOBAL CARE MEDICAL GROUP
HEALTH CARE LA IPA
HEALTH EXCEL IPA INC
HEALTHCARE PARTNERS
HEALTHCARE PARTNERS IPA - ARCADIA
HEALTHCARE PARTNERS IPA - EAST WEST
HEALTHCARE PARTNERS IPA - GLENDALE
HEALTHCARE PARTNERS IPA - NORTHRIDGE MEDICAL GROUP
HEALTHCARE PARTNERS IPA - PASADENA
HEALTHCARE PARTNERS IPA - SFV
HEALTHCARE PARTNERS IPA-HILLCREST
HEALTHCARE PARTNERS MEDICAL GROUP - ALHAMBRA
HEALTHCARE PARTNERS MEDICAL GROUP - ARCADIA
HEALTHCARE PARTNERS MEDICAL GROUP - BURBANK
HEALTHCARE PARTNERS MEDICAL GROUP - EL MONTE
HEALTHCARE PARTNERS MEDICAL GROUP - GLEN OAKS
HEALTHCARE PARTNERS MEDICAL GROUP - GLENDALE
HEALTHCARE PARTNERS MEDICAL GROUP - GLENDORA
Primary Care Physicians/Médico de atención primaria....................................85
Specialists/Especialistas..........................................................................................85
Primary Care Physicians/Médico de atención primaria....................................101
Specialists/Especialistas..........................................................................................104
Specialists/Especialistas..........................................................................................130
Primary Care Physicians/Médico de atención primaria....................................131
Specialists/Especialistas..........................................................................................131
Primary Care Physicians/Médico de atención primaria....................................146
Specialists/Especialistas..........................................................................................146
Primary Care Physicians/Médico de atención primaria....................................148
Specialists/Especialistas..........................................................................................148
Primary Care Physicians/Médico de atención primaria....................................150
Primary Care Physicians/Médico de atención primaria....................................152
Primary Care Physicians/Médico de atención primaria....................................154
Specialists/Especialistas..........................................................................................154
Primary Care Physicians/Médico de atención primaria....................................156
Specialists/Especialistas..........................................................................................157
Specialists/Especialistas..........................................................................................159
Specialists/Especialistas..........................................................................................160
Primary Care Physicians/Médico de atención primaria....................................161
Specialists/Especialistas..........................................................................................161
Primary Care Physicians/Médico de atención primaria....................................163
Specialists/Especialistas..........................................................................................163
Specialists/Especialistas..........................................................................................166
Primary Care Physicians/Médico de atención primaria....................................167
Specialists/Especialistas..........................................................................................168
C
Specialists/Especialistas..........................................................................................169
HEALTHCARE PARTNERS MEDICAL GROUP - MAGAN
HEALTHCARE PARTNERS MEDICAL GROUP - MISSION HILLS
HEALTHCARE PARTNERS MEDICAL GROUP - MONROVIA
HEALTHCARE PARTNERS MEDICAL GROUP - MONTEBELLO
HEALTHCARE PARTNERS MEDICAL GROUP - MONTEREY PARK
HEALTHCARE PARTNERS MEDICAL GROUP - PASADENA MAIN
HEALTHCARE PARTNERS MEDICAL GROUP - SAN FERNANDO VALLEY
HEALTHCARE PARTNERS MEDICAL GROUP - TEMPLE CITY
HEALTHCARE PARTNERS MEDICAL GROUP - VALENCIA
HEALTHCARE PARTNERS MEDICAL GROUP - VAN NUYS
HEALTHCARE PARTNERS MEDICAL GROUP - WEST HILLS
HEALTHCARE PARTNERS MEDICAL GROUP-MAGNOLIA
HEALTHCARE PARTNERS MEDICAL GROUP-ROSCOE
HEALTHCARE PARTNERS MEDICAL GROUP-SANTA ANITA/SAN GABRIEL
HEALTHCARE PARTNTERS MEDICAL GROUP - DEL MAR
HEALTHCARE PARTNTERS MEDICAL GROUP - VERDUGO
HERITAGE-HIGH DESERT MEDICAL GROUP
HERITAGE-LAKESIDE MEDICAL GROUP LA
HERITAGE-LAKESIDE MEDICAL GROUP SB
HERITAGE-REGAL MEDICAL GROUP LA
HERITAGE-REGAL MEDICAL GROUP SB
Primary Care Physicians/Médico de atención primaria....................................170
Specialists/Especialistas..........................................................................................171
Specialists/Especialistas..........................................................................................172
Specialists/Especialistas..........................................................................................173
Specialists/Especialistas..........................................................................................174
Specialists/Especialistas..........................................................................................175
Specialists/Especialistas..........................................................................................176
Specialists/Especialistas..........................................................................................177
Specialists/Especialistas..........................................................................................178
Specialists/Especialistas..........................................................................................179
Specialists/Especialistas..........................................................................................180
Specialists/Especialistas..........................................................................................181
Specialists/Especialistas..........................................................................................183
Specialists/Especialistas..........................................................................................184
Specialists/Especialistas..........................................................................................185
Specialists/Especialistas..........................................................................................186
Specialists/Especialistas..........................................................................................187
Primary Care Physicians/Médico de atención primaria....................................190
Specialists/Especialistas..........................................................................................195
Primary Care Physicians/Médico de atención primaria....................................202
Primary Care Physicians/Médico de atención primaria....................................203
Specialists/Especialistas..........................................................................................209
Primary Care Physicians/Médico de atención primaria....................................217
Specialists/Especialistas..........................................................................................217
D
HERITAGE-SIERRA MEDICAL GROUP
Primary Care Physicians/Médico de atención primaria....................................219
IMPERIAL HEALTH PLAN OF CA INC- LA
LAKEWOOD IPA - ALAMITOS IPA
LAKEWOOD IPA - BROOKSHIRE
LAKEWOOD IPA - ST MARY
LAKEWOOD IPA
LASALLE MEDICAL ASSOCIATES-COACHELLA VALLEY
LASALLE MEDICAL ASSOCIATES-RIVERSIDE
LASALLE MEDICAL ASSOCIATES-SAN BERNARDINO
LOS ANGELES MEDICAL CENTER IPA
PHYSICIANS ASSOC SAN GABRIEL VALLEY
PIH HEALTH PHYSICIANS AFFILIATED PHYS
PIH HEALTH PHYSICIANS MED GRP
PIONEER PROVIDER NETWORK A MED GRP INC
PREFERRED IPA OF CALIFORNIA
PRIMARY CARE ASSOCIATES OF CALIFORNIA
PROSPECT - GATEWAY MEDICAL GROUP
PROSPECT HEALTHSOURCE MEDICAL GROUP
PROSPECT MEDICAL GROUP OC
PROSPECT MEDICAL GROUP-CORONA
Specialists/Especialistas..........................................................................................219
Primary Care Physicians/Médico de atención primaria....................................221
Specialists/Especialistas..........................................................................................222
Specialists/Especialistas..........................................................................................223
Specialists/Especialistas..........................................................................................224
Specialists/Especialistas..........................................................................................225
Specialists/Especialistas..........................................................................................226
Specialists/Especialistas..........................................................................................227
Specialists/Especialistas..........................................................................................228
Specialists/Especialistas..........................................................................................229
Primary Care Physicians/Médico de atención primaria....................................231
Specialists/Especialistas..........................................................................................232
Primary Care Physicians/Médico de atención primaria....................................234
Specialists/Especialistas..........................................................................................234
Primary Care Physicians/Médico de atención primaria....................................237
Specialists/Especialistas..........................................................................................237
Specialists/Especialistas..........................................................................................242
Primary Care Physicians/Médico de atención primaria....................................243
Primary Care Physicians/Médico de atención primaria....................................245
Specialists/Especialistas..........................................................................................245
Specialists/Especialistas..........................................................................................248
Primary Care Physicians/Médico de atención primaria....................................250
Specialists/Especialistas..........................................................................................250
Specialists/Especialistas..........................................................................................252
Specialists/Especialistas..........................................................................................253
E
PROSPECT MEDICAL GROUP-LOS ANGELES
Primary Care Physicians/Médico de atención primaria....................................254
PROSPECT MEDICAL GROUP-VAN NUYS
PROSPECT NWOC MEDICAL GROUP- OC
PROSPECT NWOC MEDICAL GROUP-LA
PROSPECT PROFESSIONAL CARE MED GRP LA
PROSPECT PROFESSIONAL CARE MED GRP OC
PROSPECT-GENESIS HEALTH CARE OF SO CA
PROSPECT-NUESTRA FAMILIA MEDICAL GROUP
PROSPECT-SAN MIGUEL IPA
SEOUL MEDICAL GROUP
SEOUL MEDICAL GROUP-OC
SEOUL MEDICAL GROUP-SC
SOUTH ATLANTIC MEDICAL GROUP IPA
SOUTHLAND ADVANTAGE MEDICAL GROUP
UNITED PHYSICIANS INTERNATIONAL INC - LA
VANTAGE MEDICAL GROUP- SB RV
Specialists/Especialistas..........................................................................................254
Primary Care Physicians/Médico de atención primaria....................................260
Specialists/Especialistas..........................................................................................260
Specialists/Especialistas..........................................................................................265
Specialists/Especialistas..........................................................................................266
Primary Care Physicians/Médico de atención primaria....................................268
Specialists/Especialistas..........................................................................................269
Specialists/Especialistas..........................................................................................277
Specialists/Especialistas..........................................................................................278
Specialists/Especialistas..........................................................................................280
Specialists/Especialistas..........................................................................................283
Specialists/Especialistas..........................................................................................286
Specialists/Especialistas..........................................................................................291
Specialists/Especialistas..........................................................................................294
Primary Care Physicians/Médico de atención primaria....................................296
Primary Care Physicians/Médico de atención primaria....................................297
Specialists/Especialistas..........................................................................................297
Specialists/Especialistas..........................................................................................299
Specialists/Especialistas..........................................................................................300
Outpatient Mental Health Providers/Proveedores de salud conductual .......302
INDEX .......................................................................................................................312
ÍNDICE......................................................................................................................312
F
LOS ANGELES COUNTY MEDICAL GROUPS ACCOUNTABLE HEALTH CARE IPA
PRIMARY CARE PHYSICIANS
Family Practice
POMONA
Paley, William DO
1501 E Holt Ave
Pomona, CA 91767-5823
(909) 623-3600
Provider ID: 100057988049
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Hebrew,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
General Practice
GLENDALE
Arslanian, Sahag MD
1241 S Glendale Ave Ste 201
Glendale, CA 91205-3388
(818) 500-7090
Provider ID: 100103413014
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Farsi, Persian,
Russian
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Internal Medicine
COVINA
Ha, Thomas MD
530 W Badillo St Ste E
Covina, CA 91722-3787
(626) 858-5370
Provider ID: 100065416039
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ROSEMEAD
Chong, Charng MD
8811 Garvey Ave Ste 101
Rosemead, CA 91770-2461
(626) 375-1505
Provider ID: 100008008025
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Mandarin,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
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.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 1
LOS ANGELES COUNTY MEDICAL GROUPS ACCOUNTABLE HEALTH CARE IPA
Cardiology
NORTHRIDGE
Fakheri, Saman MD
17075 Devonshire St Ste 201
Northridge, CA 91325-5407
(818) 366-9666
Provider ID: 100238186028
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Farsi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
Vangala, Nitanth MD
1866 N Orange Grove Ave Ste
202
Pomona, CA 91767-3042
(909) 623-8796
Provider ID: 100001173027
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Telugu
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Endocrinology
Konca, Ewa MD
520 E Foothill Blvd Ste C
Pomona, CA 91767-1200
(909) 398-4895
Provider ID: 100110359045
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Polish,
Russian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Nephrology
CLAREMONT
Hwang, Hla Myint Maung MD
138 Harvard Ave
Claremont, CA 91711-4716
(909) 622-3065
Provider ID: 100108531031
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Burmese,
Chinese, Mandarin, Spanish,
Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GLENDALE
Afsari, Rouzbeh MD
1500 S Central Ave Ste 300
Glendale, CA 91204-2587
(818) 500-4055
Provider ID: 100204956029
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 2
LOS ANGELES COUNTY MEDICAL GROUPS ACCOUNTABLE HEALTH CARE IPA
Other Language: Farsi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Minasian, Raffi MD
1500 S Central Ave Ste 300
Glendale, CA 91204-2587
(818) 500-4055
Provider ID: 100088830107
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Cantonese, Farsi, Russian,
Spanish, Tagalog,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Obstetrics / Gynecology
POMONA
Brown, John MD
1910 Royalty Dr
Pomona, CA 91767-3021
(909) 784-3346
Provider ID: 100050918065
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
TARZANA
Devore, Greggory MD
5525 Etiwanda Ave Ste 313
Tarzana, CA 91356-6127
(800) 360-3984
Provider ID: 100086203059
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ophthalmology
PASADENA
Alasil, Tarek MD
100 E California Blvd
Pasadena, CA 91105-3205
(626) 269-5326
Provider ID: 100320053080
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
Alasil, Tarek MD
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 3
LOS ANGELES COUNTY MEDICAL GROUPS ACCOUNTABLE HEALTH CARE IPA
160 E Artesia St Ste 120
Pomona, CA 91767-2920
(800) 898-2020
Provider ID: 100320053078
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST COVINA
Lin, Joseph MD
1135 S Sunset Ave Ste 210
West Covina, CA 91790-3938
(626) 653-9444
Provider ID: 100144533011
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Optometrist
LANCASTER
Glass, Sydni OD
44815 Fig Ave
Lancaster, CA 93534-3144
(661) 949-5955
Provider ID: 100337838009
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Podiatrist
ENCINO
Nalamlieng, Matthew DPM
16530 Ventura Blvd Ste 100
Encino, CA 91436-2006
(323) 264-7600
Provider ID: 100319810095
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SANTA CLARITA
Nalamlieng, Matthew DPM
23502 Lyons Ave Ste 202a
Santa Clarita, CA 91321-2538
(323) 264-7600
Provider ID: 100319810096
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 4
LOS ANGELES COUNTY MEDICAL GROUPS ACCOUNTABLE HEALTH CARE IPA
in the provider record;
demographic, phone and/or
panel status.
TARZANA
Nalamlieng, Matthew DPM
18840 Ventura Blvd Ste 204
Tarzana, CA 91356-6340
(818) 708-3333
Provider ID: 100319810094
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Registered Physical Therapist
GLENDALE
Dedace, Hadji PT
1030 S Glendale Ave Ste 506
Glendale, CA 91205-2820
(818) 846-1441
Provider ID: 100112370011
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Colon Surgery
ARCADIA
Vukasin, Petar MD
301 W Huntington Dr Ste 618
Arcadia, CA 91007-1519
(626) 898-8004
Provider ID: 100086046052
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Farsi, Serbian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Neurological
BURBANK
Salem, Ayman MD
191 S Buena Vista St Ste 370
Burbank, CA 91505-4562
(818) 562-6400
Provider ID: 100019951041
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Farsi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Orthopedic
POMONA
Gupta, Neeraj MD
160 E Artesia St Ste 360
Pomona, CA 91767-2927
(909) 629-4604
Provider ID: 100047560075
Accepting New Patients: Yes
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 5
LOS ANGELES COUNTY MEDICAL GROUPS ACCOUNTABLE HEALTH CARE IPA
Hours: M-SA 9AM-5PM
Other Language: Gujarati,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lercel, Gregory MD
160 E Artesia St Ste 360
Pomona, CA 91767-2927
(909) 629-4604
Provider ID: 100090159086
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 6
LOS ANGELES COUNTY MEDICAL GROUPS ALLIANCE HEALTH SYSTEM
SPECIALISTS TARZANA is limited access or where all
or most accessibility indicators
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.
Nephrology
GLENDALE
Arcia, John MD
435 Arden Ave Ste 380
Glendale, CA 91203-1147
(818) 240-5241
Provider ID: 100069333058
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Obstetrics / Gynecology
Devore, Greggory MD
5525 Etiwanda Ave Ste 313
Tarzana, CA 91356-6127
(800) 360-3984
Provider ID: 100086203119
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery General
POMONA
Wali, Autar MD
155 W Willow St
Pomona, CA 91768-1829
(909) 865-2626
Provider ID: 100015163021
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 7
LOS ANGELES COUNTY MEDICAL GROUPS ALLIED PHYSICIANS IPA OF CA DBA ALLIED PACIFIC IPA
PRIMARY CARE PHYSICIANS
Family Practice
BALDWIN PARK
Lee, Terry MD
14051 Ramona Pkwy
Baldwin Park, CA 91706-4114
(626) 960-3753
Provider ID: 100103456056
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
COVINA
Gin, Jeffrey MD
218 W Badillo St
Covina, CA 91723-1906
(310) 991-7718
Provider ID: 100091340019
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
EL MONTE
Rose, Daniel MD
11026 Main St
El Monte, CA 91731-2617
(626) 443-4300
Provider ID: 100093660012
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 03-APR-20
WEST COVINA
Chen, David MD
2707 E Valley Blvd Ste 203
West Covina, CA 91792-3197
(626) 965-1988
Provider ID: 100093223033
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Internal Medicine
GLENDORA
Solomon, Oliver DO
130 W Route 66 Ste 326
Glendora, CA 91740-6252
(626) 963-8588
Provider ID: 100107382011
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 8
LOS ANGELES COUNTY MEDICAL GROUPS ALLIED PHYSICIANS IPA OF CA DBA ALLIED PACIFIC IPA
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ROWLAND HEIGHTS
Yung, Tin MD
1722 Desire Ave Ste 202
Rowland Heights, CA
91748-2970
(626) 913-1288
Provider ID: 100044411025
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Chinese, Japanese,
Mandarin, Serbo-Croatian
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
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.
Dermatology
SHERMAN OAKS
Lin, Michael MD
15477 Ventura Blvd Ste 100
Sherman Oaks, CA 91403-3046
(818) 906-6900
Provider ID: 100046536041
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin, Spanish, Tagalog,
Taiwanese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Endocrinology
GLENDALE
Israelian-konaraki, Zarmen MD
801 S Chevy Chase Dr Ste 102
Glendale, CA 91205-4437
(818) 265-2264
Provider ID: 100112449021
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Farsi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WHITTIER
Eitan, Nathan MD
9200 Colima Rd Ste 200
Whittier, CA 90605-1814
(562) 945-2833
Provider ID: 100081214015
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hebrew,
Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 9
LOS ANGELES COUNTY MEDICAL GROUPS ALLIED PHYSICIANS IPA OF CA DBA ALLIED PACIFIC IPA
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Gynecologic Oncology
ARCADIA
Schlaerth, Alan MD
300 W Huntington Dr
Arcadia, CA 91007-3402
(626) 445-4411
Provider ID: 100088406026
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Mandarin, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Hematology / Oncology
ALHAMBRA
Yang, Honghao MD
1411 S Garfield Ave Ste 306 &
308
Alhambra, CA 91801-5045
(626) 802-5272
Provider ID: 100026972031
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Chinese,
Mandarin, Shanghaiese,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GLENDALE
Boghossian, Nubar MD
222 W Eulalia St Ste 100c
Glendale, CA 91204-2850
(818) 553-8160
Provider ID: 100016149067
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Farsi, French,
Korean, Mandarin,
Norwegian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
MONTEREY PARK
Gala, Kirit MD
850 S Atlantic Blvd Ste 102
Monterey Park, CA 91754-6701
(626) 292-1141
Provider ID: 100032081009
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 10
LOS ANGELES COUNTY MEDICAL GROUPS ALLIED PHYSICIANS IPA OF CA DBA ALLIED PACIFIC IPA
Nephrology
GLENDALE
Afsari, Rouzbeh MD
1500 S Central Ave Ste 300
Glendale, CA 91204-2587
(818) 500-4055
Provider ID: 100204956024
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Arfaania, Dariush MD
1505 Wilson Ter Ste 155
Glendale, CA 91206-4032
(818) 242-0475
Provider ID: 100023951040
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Farsi, Russian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Daneshvari, Sam MD
1505 Wilson Ter Ste 155
Glendale, CA 91206-4032
(818) 242-0475
Provider ID: 100019571054
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Farsi, Russian
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Minasian, Raffi MD
1500 S Central Ave Ste 300
Glendale, CA 91204-2587
(818) 500-4055
Provider ID: 100088830088
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Cantonese, Farsi, Russian,
Spanish, Tagalog,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Patrikyan, Artashes MD
1500 S Central Ave Ste 300
Glendale, CA 91204-2587
(818) 500-4055
Provider ID: 100108760047
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Farsi, Russian, Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 11
LOS ANGELES COUNTY MEDICAL GROUPS ALLIED PHYSICIANS IPA OF CA DBA ALLIED PACIFIC IPA
demographic, phone and/or
panel status.
SAN DIMAS
Bhasin, Nitin MD
1335 Cypress St Ste 205
San Dimas, CA 91773-3538
(909) 542-2770
Provider ID: 100139991034
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Obstetrics
POMONA
Curran, Mark MD
1798 N Garey Ave
Pomona, CA 91767-2918
(909) 865-9705
Provider ID: 100053278079
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Rodriguez, Maria MD
1798 N Garey Ave
Pomona, CA 91767-2918
(909) 865-9705
Provider ID: 100073840083
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Spanish, Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Optometrist
PASADENA
Ochoa, Araceli OD
2619 E Colorado Blvd Ste 150
Pasadena, CA 91107-3747
(626) 793-4166
Provider ID: 100332305015
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 17-JAN-20
SAN GABRIEL
Ochoa, Araceli OD
207 S Santa Anita St Ste 310
San Gabriel, CA 91776-1154
(626) 793-4166
Provider ID: 100332305016
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 12
LOS ANGELES COUNTY MEDICAL GROUPS ALLIED PHYSICIANS IPA OF CA DBA ALLIED PACIFIC IPA
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 17-JAN-20
Otolaryngology
MONTEREY PARK
Jaber, James MD
850 S Atlantic Blvd Ste 305
Monterey Park, CA 91754-6714
(310) 514-2640
Provider ID: 100333597031
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Podiatrist
HACIENDA HEIGHTS
Wu, Joanna DPM
3180 Colima Rd Ste A
Hacienda Heights, CA
91745-6315
(626) 961-1882
Provider ID: 100108821016
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Mandarin
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Registered Physical Therapist
SAN GABRIEL
Zheng, Hailiang PT
1418 S San Gabriel Blvd Ste B
San Gabriel, CA 91776-4605
(626) 366-2866
Provider ID: 100349077004
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Mandarin
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery General
CITY OF INDUSTRY
Sim, Kenneth MD
18605 Gale Ave Ste 180
City Of Industry, CA
91748-1344
(626) 457-6333
Provider ID: 100088589021
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Chinese, Mandarin, Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Tran, Young MD
18605 Gale Ave Ste 180
City Of Industry, CA
91748-1344
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 13
LOS ANGELES COUNTY MEDICAL GROUPS ALLIED PHYSICIANS IPA OF CA DBA ALLIED PACIFIC IPA
(626) 457-6333
Provider ID: 100105322026
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Mandarin, Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Tran, Young MD
18605 Gale Ave Ste 180
City Of Industry, CA
91748-1344
(626) 457-6333
Provider ID: 100105322026
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Mandarin, Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 11-FEB-20
Wu, Bob MD
18605 Gale Ave Ste 180
City Of Industry, CA
91748-1344
(626) 457-6333
Provider ID: 100059482020
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin, Spanish,
Taiwanese, Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 11-FEB-20
Surgery Hand Plastic
GLENDALE
Rizvi, Murtaza MD
1500 E Chevy Chase Dr Ste
401
Glendale, CA 91206-4191
(818) 863-4444
Provider ID: 100027100048
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Orthopedic
COVINA
Gomez, Gregory MD
315 N 3rd Ave Ste 302
Covina, CA 91723-1916
(626) 332-1194
Provider ID: 100352411003
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 14
401
LOS ANGELES COUNTY MEDICAL GROUPS ALLIED PHYSICIANS IPA OF CA DBA ALLIED PACIFIC IPA
panel status.
GLENDALE
Chong, Matthew MD
1500 E Chevy Chase Dr Ste
Glendale, CA 91206-4191
(818) 863-4446
Provider ID: 100141861029
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Korean,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GLENDORA
Wong, Kee MD
412 W Carroll Ave Ste 107
Glendora, CA 91741-4708
(626) 914-4890
Provider ID: 100096330017
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Mandarin
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST COVINA
Gomez, Gregory MD
1135 S Sunset Ave Ste 200
West Covina, CA 91790-3964
(626) 332-1194
Provider ID: 100352411006
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Plastic
ALHAMBRA
Wu, Dianne MD
1048 S Garfield Ave Ste 300
Alhambra, CA 91801-4768
(626) 458-7564
Provider ID: 100042522019
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Chinese, Mandarin, Spanish,
Vietnamese
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 15
LOS ANGELES COUNTY MEDICAL GROUPS ALLIED PHYSICIANS IPA OF CA-ALHAMBRA
PRIMARY CARE PHYSICIANS
Family Practice
ALHAMBRA
Aguilar, Felix MD
320 S Garfield Ave Ste 118
Alhambra, CA 91801-3887
(626) 773-3388
Provider ID: 100108334032
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Burmese,
Cantonese, Mandarin,
Spanish, Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
BALDWIN PARK
Urbina, Marvin MD
14342 Ramona Blvd
Baldwin Park, CA 91706-3241
(626) 338-4088
Provider ID: 100080477071
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
COVINA
Gin, Jeffrey MD
218 W Badillo St
Covina, CA 91723-1906
(310) 991-7718
Provider ID: 100091340022
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
MONTEREY PARK
Tai, Liang Yu DO
210 N Garfield Ave Ste 203
Monterey Park, CA 91754-1746
(626) 307-7397
Provider ID: 100075482041
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin, Taiwanese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST COVINA
Chen, David MD
2707 E Valley Blvd Ste 203
West Covina, CA 91792-3197
(626) 965-1988
Provider ID: 100093223054
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 16
LOS ANGELES COUNTY MEDICAL GROUPS ALLIED PHYSICIANS IPA OF CA-ALHAMBRA
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
General Practice
MONTEREY PARK
Chen, David MD
210 N Garfield Ave Ste 203
Monterey Park, CA 91754-1746
(626) 307-7397
Provider ID: 100112376027
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Chinese, Mandarin
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ROSEMEAD
Ruiz, Ruben MD
3012 San Gabriel Blvd
Rosemead, CA 91770-2536
(626) 572-8692
Provider ID: 100069818067
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Mandarin, Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Internal Medicine
COVINA
Ha, Thomas MD
530 W Badillo St Ste E
Covina, CA 91722-3787
(626) 858-5370
Provider ID: 100065416048
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
MONTEREY PARK
Ganata, Victor MD
210 N Garfield Ave Ste 203
Monterey Park, CA 91754-1746
(626) 307-7397
Provider ID: 100097211014
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Nie, Zetan MD
616 N Garfield Ave Ste 100
Monterey Park, CA 91754-1153
(626) 288-6888
Provider ID: 100190688013
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 17
LOS ANGELES COUNTY MEDICAL GROUPS ALLIED PHYSICIANS IPA OF CA-ALHAMBRA
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Mandarin
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
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.
Dermatology
SHERMAN OAKS
Lin, Michael MD
15477 Ventura Blvd Ste 100
Sherman Oaks, CA 91403-3046
(818) 906-6900
Provider ID: 100046536058
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin, Spanish, Tagalog,
Taiwanese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Endocrinology
GLENDALE
Israelian-konaraki, Zarmen MD
801 S Chevy Chase Dr Ste 102
Glendale, CA 91205-4437
(818) 265-2264
Provider ID: 100112449026
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Farsi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WHITTIER
Eitan, Nathan MD
9200 Colima Rd Ste 200
Whittier, CA 90605-1814
(562) 945-2833
Provider ID: 100081214021
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hebrew,
Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Gynecologic Oncology
ARCADIA
Schlaerth, Alan MD
300 W Huntington Dr
Arcadia, CA 91007-3402
(626) 445-4411
Provider ID: 100088406031
Accepting New Patients: Yes
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 18
308
LOS ANGELES COUNTY MEDICAL GROUPS ALLIED PHYSICIANS IPA OF CA-ALHAMBRA
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Mandarin, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Hematology / Oncology
ALHAMBRA
Yang, Honghao MD
1411 S Garfield Ave Ste 306 &
Alhambra, CA 91801-5045
(626) 802-5272
Provider ID: 100026972043
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Chinese,
Mandarin, Shanghaiese,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
MONTEREY PARK
Gala, Kirit MD
850 S Atlantic Blvd Ste 102
Monterey Park, CA 91754-6701
(626) 292-1141
Provider ID: 100032081010
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Nephrology
GLENDALE
Afsari, Rouzbeh MD
1500 S Central Ave Ste 300
Glendale, CA 91204-2587
(818) 500-4055
Provider ID: 100204956040
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Arfaania, Dariush MD
1505 Wilson Ter Ste 155
Glendale, CA 91206-4032
(818) 242-0475
Provider ID: 100023951056
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Farsi, Russian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 19
LOS ANGELES COUNTY MEDICAL GROUPS ALLIED PHYSICIANS IPA OF CA-ALHAMBRA
demographic, phone and/or
panel status.
Daneshvari, Sam MD
1505 Wilson Ter Ste 155
Glendale, CA 91206-4032
(818) 242-0475
Provider ID: 100019571065
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Farsi, Russian
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Minasian, Raffi MD
1500 S Central Ave Ste 300
Glendale, CA 91204-2587
(818) 500-4055
Provider ID: 100088830119
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Cantonese, Farsi, Russian,
Spanish, Tagalog,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Patrikyan, Artashes MD
1500 S Central Ave Ste 300
Glendale, CA 91204-2587
(818) 500-4055
Provider ID: 100108760059
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Farsi, Russian, Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SAN DIMAS
Bhasin, Nitin MD
1335 Cypress St Ste 205
San Dimas, CA 91773-3538
(909) 542-2770
Provider ID: 100139991035
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Obstetrics
POMONA
Curran, Mark MD
1798 N Garey Ave
Pomona, CA 91767-2918
(909) 865-9705
Provider ID: 100053278090
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 20
LOS ANGELES COUNTY MEDICAL GROUPS ALLIED PHYSICIANS IPA OF CA-ALHAMBRA
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Rodriguez, Maria MD
1798 N Garey Ave
Pomona, CA 91767-2918
(909) 865-9705
Provider ID: 100073840091
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Spanish, Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Optometrist
HACIENDA HEIGHTS
Wu, Joanna DPM
3180 Colima Rd Ste A
Hacienda Heights, CA
91745-6315
(626) 961-1882
Provider ID: 100108821018
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Mandarin
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PASADENA
Ochoa, Araceli OD
2619 E Colorado Blvd Ste 150
Pasadena, CA 91107-3747
(626) 793-4166
Provider ID: 100332305014
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 17-JAN-20
SAN GABRIEL
Ochoa, Araceli OD
207 S Santa Anita St Ste 310
San Gabriel, CA 91776-1154
(626) 793-4166
Provider ID: 100332305017
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 17-JAN-20
Otolaryngology
MONTEREY PARK
Jaber, James MD
850 S Atlantic Blvd Ste 305
Monterey Park, CA 91754-6714
(310) 514-2640
Provider ID: 100333597030
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 21
LOS ANGELES COUNTY MEDICAL GROUPS ALLIED PHYSICIANS IPA OF CA-ALHAMBRA
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Colon Surgery
ARCADIA
Vukasin, Petar MD
301 W Huntington Dr Ste 618
Arcadia, CA 91007-1519
(626) 898-8004
Provider ID: 100086046063
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Farsi, Serbian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery General
Hwee, Jonathan MD
612 W Duarte Rd Ste 804
Arcadia, CA 91007-9250
(626) 600-2094
Provider ID: 100352553013
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
CITY OF INDUSTRY
Tran, Young MD
18605 Gale Ave Ste 180
City Of Industry, CA
91748-1344
(626) 457-6333
Provider ID: 100105322024
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Mandarin, Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Tran, Young MD
18605 Gale Ave Ste 180
City Of Industry, CA
91748-1344
(626) 457-6333
Provider ID: 100105322024
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Mandarin, Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 11-FEB-20
Wu, Bob MD
18605 Gale Ave Ste 180
City Of Industry, CA
91748-1344
(626) 457-6333
Provider ID: 100059482019
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 22
LOS ANGELES COUNTY MEDICAL GROUPS ALLIED PHYSICIANS IPA OF CA-ALHAMBRA
Other Language: Chinese,
Mandarin, Spanish,
Taiwanese, Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 11-FEB-20
Surgery Orthopedic
GLENDALE
Chong, Matthew MD
1500 E Chevy Chase Dr Ste
401
Glendale, CA 91206-4191
(818) 863-4446
Provider ID: 100141861030
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Korean,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GLENDORA
Wong, Kee MD
412 W Carroll Ave Ste 107
Glendora, CA 91741-4708
(626) 914-4890
Provider ID: 100096330021
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Mandarin
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PASADENA
Borenstein, Todd MD
39 Congress St Ste 201
Pasadena, CA 91105-3021
(626) 795-0282
Provider ID: 100290672011
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Plastic
ALHAMBRA
Wu, Dianne MD
1048 S Garfield Ave Ste 300
Alhambra, CA 91801-4768
(626) 458-7564
Provider ID: 100042522024
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Chinese, Mandarin, Spanish,
Vietnamese
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 23
LOS ANGELES COUNTY MEDICAL GROUPS ALPHA CARE MEDICAL GROUP INC
SPECIALISTS 1866 N Orange Grove Ave Ste or most accessibility indicators
202 are not present.
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
POMONA
Discepolo, William MD
1866 N Orange Grove Ave Ste
202
Pomona, CA 91767-3042
(909) 623-8796
Provider ID: 100007535101
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Thumati, Ramakrishna MD
Pomona, CA 91767-3042
(909) 623-8796
Provider ID: 100006721015
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Vangala, Nitanth MD
1866 N Orange Grove Ave Ste
202
Pomona, CA 91767-3042
(909) 623-8796
Provider ID: 100001173026
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Telugu
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Gynecologic Oncology
Beck, Tiffany MD
1910 Royalty Dr
Pomona, CA 91767-3021
(949) 642-1361
Provider ID: 100323928053
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Maternal and Fetal Medicine
Curran, Mark MD
1798 N Garey Ave
Pomona, CA 91767-2918
(909) 865-9705
Provider ID: 100053278099
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 24
LOS ANGELES COUNTY MEDICAL GROUPS ALPHA CARE MEDICAL GROUP INC
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ophthalmology
Culotta, Anthony MD
160 E Artesia St Ste 120
Pomona, CA 91767-2920
(909) 629-5965
Provider ID: 100024743318
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Italian,
Mandarin, Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Khan, Ayaz DO
648 N Park Ave
Pomona, CA 91768-3621
(909) 927-8487
Provider ID: 100069844046
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Spanish, Urdu
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Pulmonary Diseases
Soriano, Nathaniel MD
1940 N Orange Grove Ave
Pomona, CA 91767-3002
(909) 865-6900
Provider ID: 100322118009
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Radiation Oncology
Gorty, Sri MD
1910 Royalty Dr
Pomona, CA 91767-3021
(909) 865-9890
Provider ID: 100010668017
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery General
Wali, Autar MD
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 25
LOS ANGELES COUNTY MEDICAL GROUPS ALPHA CARE MEDICAL GROUP INC
155 W Willow St
Pomona, CA 91768-1829
(909) 865-2626
Provider ID: 100015163020
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Neurological
Brekhus, Sharyn MD
160 E Artesia St Ste 220
Pomona, CA 91767-2921
(909) 630-7158
Provider ID: 100089863053
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Marquez, Yvette MD
160 E Artesia St Ste 220
Pomona, CA 91767-2921
(909) 865-1020
Provider ID: 100245584042
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Orthopedic
Amin, Nirav MD
160 E Artesia St Ste 255
Pomona, CA 91767-2921
(909) 596-4344
Provider ID: 100257585015
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Gujarati
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Basmajian, Hrayr MD
160 E Artesia St Ste 255
Pomona, CA 91767-2921
(909) 596-4346
Provider ID: 100168525017
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 26
LOS ANGELES COUNTY MEDICAL GROUPS ALTAMED HEALTH SERVICES CORPORATION -ORANGE COUNTY
SPECIALISTS EL MONTE accessibility needs when there
is limited access or where all
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.
Gynecologic Oncology
POMONA
Beck, Tiffany MD
1910 Royalty Dr
Pomona, CA 91767-3021
(949) 642-1361
Provider ID: 100323928041
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Physicians Assistant
Hool, Fernando PA
10050 Garvey Ave Ste 111
El Monte, CA 91733-2089
(714) 490-2750
Provider ID: 100350977005
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Podiatrist
GLENDORA
Tan, Anna DPM
412 W Carroll Ave Ste 107
Glendora, CA 91741-4708
(626) 914-4890
Provider ID: 100324847013
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 27
LOS ANGELES COUNTY MEDICAL GROUPS ALTAMED HEALTH SERVICES CORPORATION
PRIMARY CARE PHYSICIANS
Family Practice
ALHAMBRA
Aguilar, Felix MD
320 S Garfield Ave Ste 118
Alhambra, CA 91801-3887
(626) 773-3388
Provider ID: 100108334042
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Burmese,
Cantonese, Mandarin,
Spanish, Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
BALDWIN PARK
Lee, Terry MD
14051 Ramona Pkwy
Baldwin Park, CA 91706-4114
(626) 960-3753
Provider ID: 100103456052
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Urbina, Marvin MD
14342 Ramona Blvd
Baldwin Park, CA 91706-3241
(626) 338-4088
Provider ID: 100080477065
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST COVINA
Dedrick, Lane DO
1300 S Sunset Ave
West Covina, CA 91790-3342
(888) 499-9303
Provider ID: 100353173003
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
General Practice
BALDWIN PARK
Carrillo, Herman MD
14342 Ramona Blvd
Baldwin Park, CA 91706-3241
(626) 338-4088
Provider ID: 100088623068
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 28
LOS ANGELES COUNTY MEDICAL GROUPS ALTAMED HEALTH SERVICES CORPORATION
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Internal Medicine
EL MONTE
Guzman, David MD
10418 Valley Blvd Ste B
El Monte, CA 91731-3600
(888) 499-9303
Provider ID: 100322787010
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 03-FEB-20
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 Immunology
HACIENDA HEIGHTS
Wong, Stephen MD
1850 S Azusa Ave Ste 206
Hacienda Heights, CA
91745-6853
(626) 284-3400
Provider ID: 100071618043
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Burmese,
Cantonese, Mandarin,
Spanish, Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Family Practice Sports
Medicine
COVINA
Khan, Ahmed MD
315 N 3rd Ave Ste 302
Covina, CA 91723-1916
(626) 332-1194
Provider ID: 100349810011
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi, Urdu
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Gynecologic Oncology
GLENDALE
Chalian, Raffi MD
1505 Wilson Ter Ste 150
Glendale, CA 91206-4076
(818) 484-8611
Provider ID: 100330224022
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 29
LOS ANGELES COUNTY MEDICAL GROUPS ALTAMED HEALTH SERVICES CORPORATION
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
Beck, Tiffany MD
1910 Royalty Dr
Pomona, CA 91767-3021
(949) 642-1361
Provider ID: 100323928059
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Nephrology
COVINA
Gallego, Claudio MD
315 N 3rd Ave Ste 104
Covina, CA 91723-1901
(626) 332-2777
Provider ID: 100064817074
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GLENDALE
Afsari, Rouzbeh MD
1500 S Central Ave Ste 300
Glendale, CA 91204-2587
(818) 500-4055
Provider ID: 100204956032
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Arfaania, Dariush MD
1505 Wilson Ter Ste 155
Glendale, CA 91206-4032
(818) 242-0475
Provider ID: 100023951049
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Farsi, Russian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Minasian, Raffi MD
1500 S Central Ave Ste 300
Glendale, CA 91204-2587
(818) 500-4055
Provider ID: 100088830106
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Cantonese, Farsi, Russian,
Spanish, Tagalog,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 30
LOS ANGELES COUNTY MEDICAL GROUPS ALTAMED HEALTH SERVICES CORPORATION
office to discuss their specific 130 W Route 66 Ste 216 are not present.
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SAN DIMAS
Bhasin, Nitin MD
1335 Cypress St Ste 205
San Dimas, CA 91773-3538
(909) 542-2770
Provider ID: 100139991036
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Neurology
GLENDORA
Kundi, Mukhtair MD
Glendora, CA 91740-6251
(909) 982-2719
Provider ID: 100014498044
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Punjabi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
Osorio Flores, Martin MD
2895 N Towne Ave
Pomona, CA 91767-2009
(909) 982-2719
Provider ID: 100337695008
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST COVINA
Kundi, Mukhtair MD
1900 W Garvey Ave S Ste 166
West Covina, CA 91790-2656
(626) 960-1402
Provider ID: 100014498039
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Punjabi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Obstetrics / Gynecology
Pham, Maggie DO
1135 S Sunset Ave Ste 401
West Covina, CA 91790-3921
(626) 732-8391
Provider ID: 100349402005
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 31
LOS ANGELES COUNTY MEDICAL GROUPS ALTAMED HEALTH SERVICES CORPORATION
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Zeng, Wanchi MD
1135 S Sunset Ave Ste 401
West Covina, CA 91790-3921
(626) 732-8391
Provider ID: 100349751007
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Mandarin, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ophthalmology
Lin, Joseph MD
1135 S Sunset Ave Ste 210
West Covina, CA 91790-3938
(626) 653-9444
Provider ID: 100144533041
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WHITTIER
Shammas, Hanna MD
7957 Painter Ave Ste 101
Whittier, CA 90602-2434
(562) 464-0590
Provider ID: 100048633095
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
French, Russian, Spanish,
Urdu
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Otolaryngology
MONTEREY PARK
Jaber, James MD
850 S Atlantic Blvd Ste 305
Monterey Park, CA 91754-6714
(310) 514-2640
Provider ID: 100333597037
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 32
LOS ANGELES COUNTY MEDICAL GROUPS ALTAMED HEALTH SERVICES CORPORATION
Physicians Assistant
EL MONTE
Hool, Fernando PA
10050 Garvey Ave Ste 111
El Monte, CA 91733-2089
(714) 490-2750
Provider ID: 100350977006
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery General
MONTEREY PARK
Gelvezon, Nani DO
600 N Garfield Ave Ste 210
Monterey Park, CA 91754-1170
(626) 281-9111
Provider ID: 100350569004
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Kim, Sean MD
600 N Garfield Ave Ste 210
Monterey Park, CA 91754-1170
(626) 281-9111
Provider ID: 100311200008
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Korean
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lee, Dustin DO
600 N Garfield Ave Ste 210
Monterey Park, CA 91754-1170
(626) 281-9111
Provider ID: 100173405022
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Chinese, Mandarin, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
Wali, Autar MD
155 W Willow St
Pomona, CA 91768-1829
(909) 865-2626
Provider ID: 100015163022
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 33
401
LOS ANGELES COUNTY MEDICAL GROUPS ALTAMED HEALTH SERVICES CORPORATION
Surgery Hand
GLENDALE
Rizvi, Murtaza MD
1500 E Chevy Chase Dr Ste
Glendale, CA 91206-4191
(818) 863-4444
Provider ID: 100027100045
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Neurological
BURBANK
Salem, Ayman MD
191 S Buena Vista St Ste 370
Burbank, CA 91505-4562
(818) 562-6400
Provider ID: 100019951047
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Farsi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GLENDALE
Badr, Yaser MD
1500 E Chevy Chase Dr Ste
204
Glendale, CA 91206-4152
(818) 243-1501
Provider ID: 100200336062
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Orthopedic
COVINA
Gomez, Gregory MD
315 N 3rd Ave Ste 302
Covina, CA 91723-1916
(626) 332-1194
Provider ID: 100352411011
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Patel, Ankur MD
315 N 3rd Ave Ste 302
Covina, CA 91723-1916
(626) 332-1194
Provider ID: 100323953020
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 34
LOS ANGELES COUNTY MEDICAL GROUPS ALTAMED HEALTH SERVICES CORPORATION
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Yeranosian, Michael MD
315 N 3rd Ave Ste 302
Covina, CA 91723-1916
(626) 332-1194
Provider ID: 100332528028
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GLENDORA
Gomez, Gregory MD
412 W Carroll Ave Ste 107
Glendora, CA 91741-4708
(626) 914-4890
Provider ID: 100352411015
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Wong, Kee MD
412 W Carroll Ave Ste 107
Glendora, CA 91741-4708
(626) 914-4890
Provider ID: 100096330034
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Mandarin
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
MONTEREY PARK
Barba, David MD
880 S Atlantic Blvd Ste 205
Monterey Park, CA 91754-4782
(626) 289-0178
Provider ID: 100253231050
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST COVINA
Gomez, Gregory MD
1135 S Sunset Ave Ste 200
West Covina, CA 91790-3964
(626) 332-1194
Provider ID: 100352411013
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 35
LOS ANGELES COUNTY MEDICAL GROUPS ALTAMED HEALTH SERVICES CORPORATION
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Plastic
PASADENA
Cox, Brian MD
1044 S Fair Oaks Ave # 101
Pasadena, CA 91105-2622
(626) 449-4859
Provider ID: 100051156007
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 36
LOS ANGELES COUNTY MEDICAL GROUPS ANGELES IPA
PRIMARY CARE PHYSICIANS
Family Practice
BALDWIN PARK
Lee, Terry MD
14051 Ramona Pkwy
Baldwin Park, CA 91706-4114
(626) 960-3753
Provider ID: 100103456055
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
General Practice
ROSEMEAD
Ruiz, Ruben MD
3012 San Gabriel Blvd
Rosemead, CA 91770-2536
(626) 572-8692
Provider ID: 100069818063
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Mandarin, Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
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.
Endocrinology
WHITTIER
Eitan, Nathan MD
9200 Colima Rd Ste 200
Whittier, CA 90605-1814
(562) 945-2833
Provider ID: 100081214018
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hebrew,
Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Plastic
ALHAMBRA
Wu, Dianne MD
1048 S Garfield Ave Ste 300
Alhambra, CA 91801-4768
(626) 458-7564
Provider ID: 100042522018
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Chinese, Mandarin, Spanish,
Vietnamese
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 37
LOS ANGELES COUNTY MEDICAL GROUPS ANGELES IPA
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 38
LOS ANGELES COUNTY MEDICAL GROUPS APPLECARE MEDICAL GROUP- DOWNEY
PRIMARY CARE PHYSICIANS
Family Practice
POMONA
Sucgang, Paul DO
1159 N Park Ave
Pomona, CA 91768-3028
(909) 622-2345
Provider ID: 100080208126
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish, Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WHITTIER
Sucgang, Paul DO
12472 Washington Blvd
Whittier, CA 90602-1005
(714) 451-2230
Provider ID: 100080208105
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish, Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
General Practice
ROSEMEAD
Ruiz, Ruben MD
3012 San Gabriel Blvd
Rosemead, CA 91770-2536
(626) 572-8692
Provider ID: 100069818058
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Mandarin, Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
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.
Endocrinology
WHITTIER
Eitan, Nathan MD
9200 Colima Rd Ste 200
Whittier, CA 90605-1814
(562) 945-2833
Provider ID: 100081214017
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hebrew,
Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 39
LOS ANGELES COUNTY MEDICAL GROUPS APPLECARE MEDICAL GROUP- DOWNEY
Surgery Neurological
Minassian, Haig MD
8135 Painter Ave Ste 307
Whittier, CA 90602-3161
(562) 698-0679
Provider ID: 100072202085
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Armenian,
French, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 40
LOS ANGELES COUNTY MEDICAL GROUPS APPLECARE MEDICAL GROUP- SELECT
PRIMARY CARE PHYSICIANS
Family Practice
POMONA
Sucgang, Paul DO
1159 N Park Ave
Pomona, CA 91768-3028
(909) 622-2345
Provider ID: 100080208124
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish, Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WHITTIER
Sucgang, Paul DO
12472 Washington Blvd
Whittier, CA 90602-1005
(714) 451-2230
Provider ID: 100080208103
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish, Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
General Practice
ROSEMEAD
Ruiz, Ruben MD
3012 San Gabriel Blvd
Rosemead, CA 91770-2536
(626) 572-8692
Provider ID: 100069818059
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Mandarin, Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
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.
Surgery Neurological
WHITTIER
Minassian, Haig MD
8135 Painter Ave Ste 307
Whittier, CA 90602-3161
(562) 698-0679
Provider ID: 100072202080
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Armenian,
French, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 41
LOS ANGELES COUNTY MEDICAL GROUPS APPLECARE MEDICAL GROUP- SELECT
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 42
LOS ANGELES COUNTY MEDICAL GROUPS APPLECARE MEDICAL GROUP- WHITTIER
PRIMARY CARE PHYSICIANS
Family Practice
POMONA
Sucgang, Paul DO
1159 N Park Ave
Pomona, CA 91768-3028
(909) 622-2345
Provider ID: 100080208125
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish, Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WHITTIER
Sucgang, Paul DO
12472 Washington Blvd
Whittier, CA 90602-1005
(714) 451-2230
Provider ID: 100080208104
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish, Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
General Practice
ROSEMEAD
Ruiz, Ruben MD
3012 San Gabriel Blvd
Rosemead, CA 91770-2536
(626) 572-8692
Provider ID: 100069818060
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Mandarin, Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
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.
Endocrinology
WHITTIER
Eitan, Nathan MD
9200 Colima Rd Ste 200
Whittier, CA 90605-1814
(562) 945-2833
Provider ID: 100081214016
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hebrew,
Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 43
LOS ANGELES COUNTY MEDICAL GROUPS APPLECARE MEDICAL GROUP- WHITTIER
Surgery Neurological
Minassian, Haig MD
8135 Painter Ave Ste 307
Whittier, CA 90602-3161
(562) 698-0679
Provider ID: 100072202079
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Armenian,
French, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 44
LOS ANGELES COUNTY MEDICAL GROUPS APPLECARE MEDICAL GROUP-ST FRANCIS
PRIMARY CARE PHYSICIANS
Family Practice
POMONA
Sucgang, Paul DO
1159 N Park Ave
Pomona, CA 91768-3028
(909) 622-2345
Provider ID: 100080208127
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish, Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WHITTIER
Sucgang, Paul DO
12472 Washington Blvd
Whittier, CA 90602-1005
(714) 451-2230
Provider ID: 100080208106
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish, Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
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.
Surgery Neurological
Minassian, Haig MD
8135 Painter Ave Ste 307
Whittier, CA 90602-3161
(562) 698-0679
Provider ID: 100072202078
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Armenian,
French, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 45
LOS ANGELES COUNTY MEDICAL GROUPS BELLA VISTA MEDICAL GROUP IPA
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.
Anesthesiology Pain
Management
POMONA
Entezaralmahdi, Mahnaz MD
255 E Bonita Ave Ste 1a
Pomona, CA 91767-1923
(909) 450-0377
Provider ID: 100349437020
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Mehta, Dharmesh MD
2895 N Towne Ave
Pomona, CA 91767-2009
(909) 764-6480
Provider ID: 100039705043
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Gujarati,
Hindi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Certified Nurse Practitioner
Lucasan, Danah Majorie NP
255 E Bonita Ave # 1a
Pomona, CA 91767-1923
(909) 450-0377
Provider ID: 100352249016
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Family Practice Sports
Medicine
ENCINO
Longacre, Matthew MD
16530 Ventura Blvd Ste 100
Encino, CA 91436-2006
(323) 264-7600
Provider ID: 100233563064
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 07-JAN-20
SANTA CLARITA
Longacre, Matthew MD
23502 Lyons Ave Ste 202a
Santa Clarita, CA 91321-2538
(323) 264-7600
Provider ID: 100233563065
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Spanish
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 46
LOS ANGELES COUNTY MEDICAL GROUPS BELLA VISTA MEDICAL GROUP IPA
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 07-JAN-20
Gynecologic Oncology
GLENDALE
Chalian, Raffi MD
1505 Wilson Ter Ste 150
Glendale, CA 91206-4076
(818) 484-8611
Provider ID: 100330224012
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
Brown, John MD
1910 Royalty Dr
Pomona, CA 91767-3021
(909) 784-3346
Provider ID: 100050918062
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Beck, Tiffany MD
1910 Royalty Dr
Pomona, CA 91767-3021
(949) 642-1361
Provider ID: 100323928040
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Mendivil, Alberto MD
1910 Royalty Dr
Pomona, CA 91767-3021
(909) 784-3346
Provider ID: 100074175053
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Hematology / Oncology
GLENDALE
Quyyumi, Farah MD
1510 S Central Ave Ste 240
Glendale, CA 91204-2570
(818) 334-5425
Provider ID: 100332122039
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Spanish, Urdu
Accessibility: B; Members are
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 47
LOS ANGELES COUNTY MEDICAL GROUPS BELLA VISTA MEDICAL GROUP IPA
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Tan-chiu, Elizabeth Del Prado
MD
Contract terminated as of
4/30/2020
1510 S Central Ave Ste 240
Glendale, CA 91204-2570
(818) 384-5425
Provider ID: 100355323015
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Neurology
MISSION HILLS
Ahoubim, Daniel MD
11550 Indian Hills Rd Ste 200
Mission Hills, CA 91345-1202
(818) 877-7715
Provider ID: 100304281032
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Hebrew
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
Altamimi, Sadiq MD
2895 N Towne Ave
Pomona, CA 91767-2009
(909) 982-2719
Provider ID: 100205850018
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Desai, Bhupatrai MD
2895 N Towne Ave
Pomona, CA 91767-2009
(909) 982-2719
Provider ID: 100010644022
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Janjua, Nazli MD
2895 N Towne Ave
Pomona, CA 91767-2009
(909) 267-7495
Provider ID: 100354649006
Accepting New Patients: Yes
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 48
LOS ANGELES COUNTY MEDICAL GROUPS BELLA VISTA MEDICAL GROUP IPA
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Kahlon, Surjit MD
2895 N Towne Ave
Pomona, CA 91767-2009
(909) 982-2719
Provider ID: 100079524021
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Punjabi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ma, Kelvin MD
2895 N Towne Ave
Pomona, CA 91767-2009
(909) 982-2719
Provider ID: 100315142010
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Osorio Flores, Martin MD
2895 N Towne Ave
Pomona, CA 91767-2009
(909) 982-2719
Provider ID: 100337695006
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Popalzai, Adeel DO
2895 N Towne Ave
Pomona, CA 91767-2009
(909) 982-2719
Provider ID: 100200986023
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Spanish, Urdu
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Qazi, Faisal DO
2895 N Towne Ave
Pomona, CA 91767-2009
(909) 982-2719
Provider ID: 100111495034
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish, Urdu
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 49
LOS ANGELES COUNTY MEDICAL GROUPS BELLA VISTA MEDICAL GROUP IPA
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
TARZANA
Ahoubim, Daniel MD
18370 Burbank Blvd Ste 414
Tarzana, CA 91356-2843
(818) 877-7715
Provider ID: 100304281030
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Hebrew
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST COVINA
Kundi, Mukhtair MD
1900 W Garvey Ave S Ste 166
West Covina, CA 91790-2656
(626) 960-1402
Provider ID: 100014498055
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Punjabi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ophthalmology
PASADENA
Su, Daniel MD
301 S Fair Oaks Ave Ste 407
Pasadena, CA 91105-2562
(626) 204-1410
Provider ID: 100346794112
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Varma, Rohit MD
625 S Fair Oaks Ave Ste 265
Pasadena, CA 91105-2613
(323) 644-4445
Provider ID: 100025244022
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Punjabi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST COVINA
Lin, Joseph MD
1135 S Sunset Ave Ste 210
West Covina, CA 91790-3938
(626) 653-9444
Provider ID: 100144533031
Accepting New Patients: Yes
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 50
LOS ANGELES COUNTY MEDICAL GROUPS BELLA VISTA MEDICAL GROUP IPA
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lin, Kristie MD
1135 S Sunset Ave Ste 210
West Covina, CA 91790-3938
(626) 653-9444
Provider ID: 100144943228
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Croatian, Mandarin,
Serbo-Croatian, Sign
Language, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Pediatric Surgery Orthopedic
SANTA CLARITA
Sugi, Michelle MD
23502 Lyons Ave Ste 202a
Santa Clarita, CA 91321-2538
(818) 708-3333
Provider ID: 100285502059
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Italian,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 06-JAN-20
Physicians Assistant
ENCINO
Nazarian, Nora PA
16530 Ventura Blvd Ste 100
Encino, CA 91436-2006
(323) 264-7600
Provider ID: 100325847096
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SANTA CLARITA
Nazarian, Nora PA
23502 Lyons Ave Ste 202a
Santa Clarita, CA 91321-2538
(323) 264-7600
Provider ID: 100325847103
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 51
LOS ANGELES COUNTY MEDICAL GROUPS BELLA VISTA MEDICAL GROUP IPA
Podiatrist
ENCINO
Nalamlieng, Matthew DPM
16530 Ventura Blvd Ste 100
Encino, CA 91436-2006
(323) 264-7600
Provider ID: 100319810082
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SANTA CLARITA
Nalamlieng, Matthew DPM
23502 Lyons Ave Ste 202a
Santa Clarita, CA 91321-2538
(323) 264-7600
Provider ID: 100319810093
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
TARZANA
Nalamlieng, Matthew DPM
18840 Ventura Blvd Ste 204
Tarzana, CA 91356-6340
(818) 708-3333
Provider ID: 100319810080
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Registered Physical Therapist
AZUSA
Cervantes, Ronald PT
830 S Citrus Ave Ste 203
Azusa, CA 91702-5959
(626) 339-6514
Provider ID: 100245567010
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 31-MAR-20
CLAREMONT
Shah, Mamta PT
480 S Indian Hill Blvd
Claremont, CA 91711-5225
(909) 620-9700
Provider ID: 100348075009
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Gujarati,
Hindi, Marathi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 52
LOS ANGELES COUNTY MEDICAL GROUPS BELLA VISTA MEDICAL GROUP IPA
in the provider record;
demographic, phone and/or
panel status.
Truong, Victor PT
480 S Indian Hill Blvd
Claremont, CA 91711-5225
(909) 620-9700
Provider ID: 100317336012
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
Shah, Mamta PT
1902 Royalty Dr Ste 170
Pomona, CA 91767-3030
(909) 620-9700
Provider ID: 100348075006
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Gujarati,
Hindi, Marathi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Truong, Victor PT
1902 Royalty Dr Ste 170
Pomona, CA 91767-3030
(909) 620-9700
Provider ID: 100317336009
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery General Vascular
ALHAMBRA
Saines, Marius MD
1411 S Garfield Ave Ste 303
Alhambra, CA 91801-5043
(626) 566-8105
Provider ID: 100015377101
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: French,
Italian, Romanian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Hand
MISSION HILLS
Oheb, Jonathan MD
11550 Indian Hills Rd Ste 310
Mission Hills, CA 91345-1203
(818) 946-8424
Provider ID: 100222920023
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Hebrew, Spanish
Accessibility: B; Members are
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 53
LOS ANGELES COUNTY MEDICAL GROUPS BELLA VISTA MEDICAL GROUP IPA
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Head
MONTEREY PARK
Jaber, James MD
850 S Atlantic Blvd Ste 305
Monterey Park, CA 91754-6714
(310) 514-2640
Provider ID: 100333597023
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Neurological
BURBANK
Salem, Ayman MD
191 S Buena Vista St Ste 370
Burbank, CA 91505-4562
(818) 562-6400
Provider ID: 100019951051
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Farsi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GLENDALE
Badr, Yaser MD
1500 E Chevy Chase Dr Ste
204
Glendale, CA 91206-4152
(818) 243-1501
Provider ID: 100200336061
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Orthopedic
ENCINO
Dworsky, Erik MD
16530 Ventura Blvd Ste 100
Encino, CA 91436-2006
(323) 264-7600
Provider ID: 100332740077
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 54
LOS ANGELES COUNTY MEDICAL GROUPS BELLA VISTA MEDICAL GROUP IPA
Pelton, Kevin MD
16530 Ventura Blvd Ste 100
Encino, CA 91436-2006
(323) 264-7600
Provider ID: 100011608090
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 21-JAN-20
Reid, James MD
16530 Ventura Blvd Ste 100
Encino, CA 91436-2006
(323) 264-7600
Provider ID: 100065713074
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Malay,
Malayalam, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 06-JAN-20
NEWHALL
Dworsky, Erik MD
23502 Lyons Ave Ste 202a
Newhall, CA 91321-2538
(323) 264-7600
Provider ID: 100332740085
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Reid, James MD
23502 Lyons Ave Ste 202a
Newhall, CA 91321-2538
(323) 264-7600
Provider ID: 100065713076
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Malay,
Malayalam, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 06-JAN-20
SANTA CLARITA
Pelton, Kevin MD
23502 Lyons Ave Ste 202a
Santa Clarita, CA 91321-2538
(323) 264-7600
Provider ID: 100011608088
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Plastic
PASADENA
Yao, Caroline MD
909 S Fair Oaks Ave
Pasadena, CA 91105-2625
(626) 389-9300
Provider ID: 100352887008
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 55
LOS ANGELES COUNTY MEDICAL GROUPS BELLA VISTA MEDICAL GROUP IPA
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Mandarin
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST HILLS
Wilensky, Jonathan MD
7300 Medical Center Dr
West Hills, CA 91307-1902
(818) 981-2050
Provider ID: 100000921024
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgical Oncology
GLENDALE
Artinyan, Avo MD
1505 Wilson Ter Ste 150
Glendale, CA 91206-4076
(818) 484-8611
Provider ID: 100324605026
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
French
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 56
LOS ANGELES COUNTY MEDICAL GROUPS BLUE SHIELD PROMISE HEALTH PLAN DIRECT
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.
General Practice
LANCASTER
Farid, Samy MD
1729 W Avenue J Ste 101
Lancaster, CA 93534-2708
(661) 723-0270
Provider ID: 100090985005
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 57
LOS ANGELES COUNTY MEDICAL GROUPS CAL CARE IPA INC
Glendale, CA 91206-4032 UPDATE: There was a changeSPECIALISTS (818) 242-0475 in the provider record;
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.
Nephrology
GLENDALE
Afsari, Rouzbeh MD
1500 S Central Ave Ste 300
Glendale, CA 91204-2587
(818) 500-4055
Provider ID: 100204956033
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Daneshvari, Sam MD
1505 Wilson Ter Ste 155
Provider ID: 100019571066
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Farsi, Russian
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Farboody, Gholam MD
1505 Wilson Ter Ste 155
Glendale, CA 91206-4032
(818) 242-0475
Provider ID: 100026355052
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Fataleka, Russian, Spanish,
Turkish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
demographic, phone and/or
panel status.
Minasian, Raffi MD
1500 S Central Ave Ste 300
Glendale, CA 91204-2587
(818) 500-4055
Provider ID: 100088830102
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Cantonese, Farsi, Russian,
Spanish, Tagalog,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Patrikyan, Artashes MD
1505 Wilson Ter Ste 155
Glendale, CA 91206-4032
(818) 242-0475
Provider ID: 100108760051
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 58
LOS ANGELES COUNTY MEDICAL GROUPS CAL CARE IPA INC
Other Language: Armenian,
Farsi, Russian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ophthalmology
PASADENA
Alasil, Tarek MD
100 E California Blvd
Pasadena, CA 91105-3205
(626) 269-5326
Provider ID: 100320053081
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Bedrood, Sahar MD
100 E California Blvd
Pasadena, CA 91105-3205
(626) 568-8838
Provider ID: 100285005134
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
Alasil, Tarek MD
160 E Artesia St Ste 120
Pomona, CA 91767-2920
(800) 898-2020
Provider ID: 100320053079
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Khan, Ayaz DO
648 N Park Ave
Pomona, CA 91768-3621
(909) 927-8487
Provider ID: 100069844048
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Spanish, Urdu
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Optometrist
CITY OF INDUSTRY
Tran, Henry OD
17833 Colima Rd
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 59
LOS ANGELES COUNTY MEDICAL GROUPS CAL CARE IPA INC
City Of Industry, CA
91748-1729
(323) 221-8000
Provider ID: 100255583047
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Pediatric Cardiology
GLENDALE
Hartas, Georgios MD
411 N Central Ave Ste 250
Glendale, CA 91203-2061
(818) 839-7101
Provider ID: 100339003019
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Greek,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PASADENA
De Oliveira, Elizabeth MD
50 Bellefontaine St Ste 405
Pasadena, CA 91105-3132
(626) 796-9259
Provider ID: 100017270173
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
German, Portuguese, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Orthopedic
POMONA
Arianjam, Afshin MD
160 E Artesia St Ste 255
Pomona, CA 91767-2921
(909) 596-4346
Provider ID: 100252401020
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 60
LOS ANGELES COUNTY MEDICAL GROUPS COMMUNITY FAMILY CARE
PRIMARY CARE PHYSICIANS
your primary care physician.
General Practice
NORTH HOLLYWOOD
Paronian, Oganes MD
12157 Victory Blvd
North Hollywood, CA
91606-3204
(818) 275-2763
Provider ID: 100108108031
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Farsi, Romanian,
Russian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
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
Otolaryngology
VAN NUYS
Eubanks, Hayward MD
15216 Vanowen St Ste 2c
Van Nuys, CA 91405-3672
(310) 679-0676
Provider ID: 100096802023
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 61
LOS ANGELES COUNTY MEDICAL GROUPS CROWN CITY MEDICAL GROUP
SPECIALISTS Obstetrics / Gynecology
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.
Nephrology
GLENDALE
Minasian, Raffi MD
1500 S Central Ave Ste 300
Glendale, CA 91204-2587
(818) 500-4055
Provider ID: 100088830083
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Cantonese, Farsi, Russian,
Spanish, Tagalog,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PASADENA
Eboreime, Babatunde MD
2595 E Washington Blvd Ste
105
Pasadena, CA 91107-1409
(626) 794-8133
Provider ID: 100020089007
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgical Oncology
GLENDALE
Artinyan, Avo MD
1505 Wilson Ter Ste 150
Glendale, CA 91206-4076
(818) 484-8611
Provider ID: 100324605038
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
French
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 62
LOS ANGELES COUNTY MEDICAL GROUPS EL PROYECTO DEL BARRIO
PRIMARY CARE PHYSICIANS
General Practice
AZUSA
Ammari, Razan MD
150 N Azusa Ave
Azusa, CA 91702-3521
(626) 969-7885
Provider ID: 100095390021
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
BALDWIN PARK
Ammari, Razan MD
3942 Maine Ave
Baldwin Park, CA 91706-4220
(626) 678-9296
Provider ID: 100095390020
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
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.
Anesthesiology Pain
Management
AZUSA
Entezaralmahdi, Mahnaz MD
830 S Citrus Ave Ste 201
Azusa, CA 91702-5959
(626) 974-1441
Provider ID: 100349437024
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PASADENA
Entezaralmahdi, Mahnaz MD
1017 S Fair Oaks Ave
Pasadena, CA 91105-2621
(626) 403-6200
Provider ID: 100349437023
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
Entezaralmahdi, Mahnaz MD
255 E Bonita Ave Ste 1a
Pomona, CA 91767-1923
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 63
LOS ANGELES COUNTY MEDICAL GROUPS EL PROYECTO DEL BARRIO
(909) 450-0377
Provider ID: 100349437022
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Mehta, Dharmesh MD
2895 N Towne Ave
Pomona, CA 91767-2009
(909) 764-6480
Provider ID: 100039705045
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Gujarati,
Hindi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Certified Nurse Practitioner
GLENDALE
Hineman, Lisa NP
1505 Wilson Ter Ste 200
Glendale, CA 91206-4073
(818) 409-0105
Provider ID: 100304369006
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
Lucasan, Danah Majorie NP
255 E Bonita Ave # 1a
Pomona, CA 91767-1923
(909) 450-0377
Provider ID: 100352249018
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Infectious Disease
Bakman, Irene MD
255 E Bonita Ave # 1b
Pomona, CA 91767-1923
(909) 275-7470
Provider ID: 100171068029
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Russian,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Internal Medicine Sports
Medicine
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 64
LOS ANGELES COUNTY MEDICAL GROUPS EL PROYECTO DEL BARRIO
ENCINO
Longacre, Matthew MD
16530 Ventura Blvd Ste 100
Encino, CA 91436-2006
(323) 264-7600
Provider ID: 100233563043
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 07-JAN-20
SANTA CLARITA
Longacre, Matthew MD
23502 Lyons Ave Ste 202a
Santa Clarita, CA 91321-2538
(323) 264-7600
Provider ID: 100233563046
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 07-JAN-20
Maternal and Fetal Medicine
POMONA
Hanna, Gina MD
1798 N Garey Ave
Pomona, CA 91767-2918
(909) 865-9500
Provider ID: 100038458105
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Neurology
Altamimi, Sadiq MD
2895 N Towne Ave
Pomona, CA 91767-2009
(909) 982-2719
Provider ID: 100205850020
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Desai, Bhupatrai MD
2895 N Towne Ave
Pomona, CA 91767-2009
(909) 982-2719
Provider ID: 100010644033
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 65
LOS ANGELES COUNTY MEDICAL GROUPS EL PROYECTO DEL BARRIO
Janjua, Nazli MD
2895 N Towne Ave
Pomona, CA 91767-2009
(909) 267-7495
Provider ID: 100354649008
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Kahlon, Surjit MD
2895 N Towne Ave
Pomona, CA 91767-2009
(909) 982-2719
Provider ID: 100079524027
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Punjabi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ma, Kelvin MD
2895 N Towne Ave
Pomona, CA 91767-2009
(909) 982-2719
Provider ID: 100315142009
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Osorio Flores, Martin MD
2895 N Towne Ave
Pomona, CA 91767-2009
(909) 982-2719
Provider ID: 100337695007
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Popalzai, Adeel DO
2895 N Towne Ave
Pomona, CA 91767-2009
(909) 982-2719
Provider ID: 100200986026
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Spanish, Urdu
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Qazi, Faisal DO
2895 N Towne Ave
Pomona, CA 91767-2009
(909) 982-2719
Provider ID: 100111495037
Accepting New Patients: Yes
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 66
LOS ANGELES COUNTY MEDICAL GROUPS EL PROYECTO DEL BARRIO
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish, Urdu
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST COVINA
Kundi, Mukhtair MD
1900 W Garvey Ave S Ste 166
West Covina, CA 91790-2656
(626) 960-1402
Provider ID: 100014498057
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Punjabi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST HILLS
Barkodar, Leon MD
7320 Woodlake Ave Ste 250
West Hills, CA 91307-1495
(818) 593-2191
Provider ID: 100239391017
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Japanese, Russian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ophthalmology
GLENDALE
Chu, Thomas MD
1510 S Central Ave Ste 230
Glendale, CA 91204-2583
(818) 797-4870
Provider ID: 100011528331
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Korean, Mandarin, Russian,
Spanish, Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Liao, David MD
1510 S Central Ave Ste 230
Glendale, CA 91204-2583
(818) 797-4570
Provider ID: 100136799230
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Cantonese, Korean,
Mandarin, Russian, Spanish,
Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 67
LOS ANGELES COUNTY MEDICAL GROUPS EL PROYECTO DEL BARRIO
panel status.
Rahhal, Firas MD
1510 S Central Ave Ste 230
Glendale, CA 91204-2583
(818) 797-4570
Provider ID: 100009482332
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Cantonese,
French, Korean, Mandarin,
Russian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Tabandeh, Homayoun MD
1510 S Central Ave Ste 230
Glendale, CA 91204-2583
(818) 797-4870
Provider ID: 100105848278
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Farsi, Korean, Mandarin,
Russian, Spanish, Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Tran, Vinh MD
1808 Verdugo Blvd Ste 206
Glendale, CA 91208-1412
(818) 790-7611
Provider ID: 100056342023
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin, Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PASADENA
Su, Daniel MD
301 S Fair Oaks Ave Ste 407
Pasadena, CA 91105-2562
(626) 204-1410
Provider ID: 100346794109
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST COVINA
Vyas, Kunalkumar DO
1135 S Sunset Ave Ste 304
West Covina, CA 91790-3921
(626) 224-9990
Provider ID: 100346420028
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Gujarati,
Hindi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 68
LOS ANGELES COUNTY MEDICAL GROUPS EL PROYECTO DEL BARRIO
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Physicians Assistant
ENCINO
Nunez, Felipe PA
16530 Ventura Blvd Ste 100
Encino, CA 91436-2006
(323) 264-7600
Provider ID: 100089905019
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 27-MAR-20
Nazarian, Nora PA
16530 Ventura Blvd Ste 100
Encino, CA 91436-2006
(323) 264-7600
Provider ID: 100325847084
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SANTA CLARITA
Nunez, Felipe PA
23502 Lyons Ave Ste 202
Santa Clarita, CA 91321-2538
(323) 264-7600
Provider ID: 100089905020
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 27-MAR-20
Nazarian, Nora PA
23502 Lyons Ave Ste 202a
Santa Clarita, CA 91321-2538
(323) 264-7600
Provider ID: 100325847086
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
TARZANA
Nunez, Felipe PA
18840 Ventura Blvd Ste 204
Tarzana, CA 91356-6340
(818) 708-3333
Provider ID: 100089905018
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 69
LOS ANGELES COUNTY MEDICAL GROUPS EL PROYECTO DEL BARRIO
UPDATE: NEW Provider Added.
Effective_Date: 27-MAR-20
Podiatrist
Nalamlieng, Matthew DPM
18840 Ventura Blvd Ste 204
Tarzana, CA 91356-6340
(818) 708-3333
Provider ID: 100319810058
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Radiation Oncology
GLENDALE
Kazlauskas, Linas MD
222 W Eulalia St Ste 100
Glendale, CA 91204-2850
(818) 500-5885
Provider ID: 100036664070
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Lithuanian
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
MISSION HILLS
Ellerbroek, Nancy MD
15031 Rinaldi St
Mission Hills, CA 91345-1207
(818) 496-4410
Provider ID: 100070970056
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi, Hindi,
Spanish, Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Radiology Therapeutic
Tao, May MD
15031 Rinaldi St
Mission Hills, CA 91345-1207
(323) 361-2336
Provider ID: 100006523054
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Mandarin,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Radiology
NORTH HOLLYWOOD
Mahgerefteh, Shmuel MD
10767 Riverside Dr
North Hollywood, CA
91602-2324
(818) 301-6700
Provider ID: 100330417034
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 70
LOS ANGELES COUNTY MEDICAL GROUPS EL PROYECTO DEL BARRIO
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
TARZANA
Mahgerefteh, Shmuel MD
18388 Clark St Ste 115
Tarzana, CA 91356-3502
(818) 609-0911
Provider ID: 100330417038
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Mahgerefteh, Shmuel MD
5620 Wilbur Ave Ste 330
Tarzana, CA 91356-1335
(818) 345-3285
Provider ID: 100330417039
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
VAN NUYS
Eckel, Gregory MD
15107 Vanowen St
Van Nuys, CA 91405-4542
(206) 543-0065
Provider ID: 100106112089
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Mahgerefteh, Shmuel MD
14915 Burbank Blvd
Van Nuys, CA 91411-3610
(818) 909-7111
Provider ID: 100330417037
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST HILLS
Mahgerefteh, Shmuel MD
7345 Medical Center Dr Ste
130
West Hills, CA 91307-1932
(818) 710-6011
Provider ID: 100330417036
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi
Accessibility: B; Members are
urged to call the provider's
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 71
LOS ANGELES COUNTY MEDICAL GROUPS EL PROYECTO DEL BARRIO
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Registered Physical Therapist
AZUSA
Cervantes, Ronald PT
830 S Citrus Ave Ste 203
Azusa, CA 91702-5959
(626) 339-6514
Provider ID: 100245567011
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 31-MAR-20
CLAREMONT
Shah, Mamta PT
480 S Indian Hill Blvd
Claremont, CA 91711-5225
(909) 620-9700
Provider ID: 100348075027
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Gujarati,
Hindi, Marathi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
Shah, Mamta PT
1902 Royalty Dr Ste 170
Pomona, CA 91767-3030
(909) 620-9700
Provider ID: 100348075026
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Gujarati,
Hindi, Marathi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery General Vascular
ALHAMBRA
Saines, Marius MD
1411 S Garfield Ave Ste 303
Alhambra, CA 91801-5043
(626) 566-8105
Provider ID: 100015377115
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: French,
Italian, Romanian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PORTER RANCH
Eghbalieh, Sammy MD
19950 Rinaldi St # 101d
Porter Ranch, CA 91326-4141
(818) 900-6480
Provider ID: 100259391035
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 72
LOS ANGELES COUNTY MEDICAL GROUPS EL PROYECTO DEL BARRIO
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery General
POMONA
Vanyo, Lori MD
1910 Royalty Dr
Pomona, CA 91767-3021
(909) 630-7342
Provider ID: 100065668027
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Hand
ENCINO
Malafa, Menyoli MD
16530 Ventura Blvd Ste 100
Encino, CA 91436-2006
(323) 264-7600
Provider ID: 100320212054
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 27-MAR-20
SANTA CLARITA
Malafa, Menyoli MD
23502 Lyons Ave Ste 202a
Santa Clarita, CA 91321-2538
(323) 264-7600
Provider ID: 100320212056
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 27-MAR-20
Surgery Neurological
BURBANK
Salem, Ayman MD
191 S Buena Vista St Ste 370
Burbank, CA 91505-4562
(818) 562-6400
Provider ID: 100019951038
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Farsi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GLENDALE
Badr, Yaser MD
1500 E Chevy Chase Dr Ste
204
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 73
LOS ANGELES COUNTY MEDICAL GROUPS EL PROYECTO DEL BARRIO
Glendale, CA 91206-4152
(818) 243-1501
Provider ID: 100200336063
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PORTER RANCH
Spooler, Justin MD
19950 Rinaldi St Ste 101
Porter Ranch, CA 91326-4141
(818) 361-0917
Provider ID: 100185663034
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: French,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
VALENCIA
Nangiana, Jasvinder MD
26357 Mcbean Pkwy Ste 150
Valencia, CA 91355-4493
(818) 361-0917
Provider ID: 100294134032
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Orthopedic
ENCINO
Dworsky, Erik MD
16530 Ventura Blvd Ste 100
Encino, CA 91436-2006
(323) 264-7600
Provider ID: 100332740067
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
NEWHALL
Dworsky, Erik MD
23502 Lyons Ave Ste 202a
Newhall, CA 91321-2538
(323) 264-7600
Provider ID: 100332740069
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 74
LOS ANGELES COUNTY MEDICAL GROUPS EL PROYECTO DEL BARRIO
are urged to call the provider's
Surgery Plastic
PASADENA
Yao, Caroline MD
909 S Fair Oaks Ave
Pasadena, CA 91105-2625
(626) 389-9300
Provider ID: 100352887017
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Mandarin
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgical Oncology
TARZANA
Louie, Lana MD
18370 Burbank Blvd Ste 607
Tarzana, CA 91356-2833
(818) 342-2123
Provider ID: 100084471015
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B, W; Members
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 75
LOS ANGELES COUNTY MEDICAL GROUPS FAMILY CARE SPECIALIST IPA
SPECIALISTS HACIENDA HEIGHTS Other Language: Farsi,
Spanish
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 Immunology
GLENDALE
Parker, Peter Parviz MD
1106 W Glenoaks Blvd
Glendale, CA 91202-2606
(818) 242-3333
Provider ID: 100071710076
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Farsi, French, Italian, Korean,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Wong, Stephen MD
1850 S Azusa Ave Ste 206
Hacienda Heights, CA
91745-6853
(626) 284-3400
Provider ID: 100071618048
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Burmese,
Cantonese, Mandarin,
Spanish, Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Anesthesiology Pain
Management
VAN NUYS
Niamehr, Nouriel DO
14600 Sherman Way Ste 250
Van Nuys, CA 91405-2284
(818) 506-5197
Provider ID: 100160794030
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Anesthesiology
AZUSA
Seltzer, Andrew MD
830 S Citrus Ave Ste 201
Azusa, CA 91702-5959
(626) 543-1560
Provider ID: 100101231081
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Korean,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 76
LOS ANGELES COUNTY MEDICAL GROUPS FAMILY CARE SPECIALIST IPA
demographic, phone and/or
panel status.
Cardiac Electrophysiology
GLENDALE
Salazar, Miguel MD
1500 E Chevy Chase Dr Ste
201
Glendale, CA 91206-4199
(818) 863-4446
Provider ID: 100220310035
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Cardiology
Aleman, Edgar MD
500 N Central Ave Ste 800
Glendale, CA 91203-3345
(818) 240-9041
Provider ID: 100096901019
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Bornheimer, Joseph MD
1560 E Chevy Chase Dr Ste
410
Glendale, CA 91206-4140
(818) 240-4140
Provider ID: 100048982008
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Kulczycki, James MD
1560 E Chevy Chase Dr Ste
410
Glendale, CA 91206-4140
(818) 240-4140
Provider ID: 100025710012
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Khachatryan, Tigran MD
500 N Central Ave Ste 800
Glendale, CA 91203-3345
(818) 240-9041
Provider ID: 100346044007
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 77
LOS ANGELES COUNTY MEDICAL GROUPS FAMILY CARE SPECIALIST IPA
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Riffel-dalinger, Hugo MD
500 N Central Ave Ste 800
Glendale, CA 91203-3345
(818) 240-9041
Provider ID: 100087314018
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Sadrzadeh Rafie, Amir MD
500 N Central Ave Ste 800
Glendale, CA 91203-3345
(818) 240-9041
Provider ID: 100249486014
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Fataleka, Persian
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Endocrinology
Israelian-konaraki, Zarmen MD
801 S Chevy Chase Dr Ste 102
Glendale, CA 91205-4437
(818) 265-2264
Provider ID: 100112449022
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Farsi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Infectious Disease
Alborzi, Arash MD
1560 E Chevy Chase Dr Ste
335
Glendale, CA 91206-4140
(818) 550-1998
Provider ID: 100026497033
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Farsi, Korean, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Nephrology
Arfaania, Dariush MD
1505 Wilson Ter Ste 155
Glendale, CA 91206-4032
(818) 242-0475
Provider ID: 100023951042
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Farsi, Russian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 78
LOS ANGELES COUNTY MEDICAL GROUPS FAMILY CARE SPECIALIST IPA
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Daneshvari, Sam MD
1505 Wilson Ter Ste 155
Glendale, CA 91206-4032
(818) 242-0475
Provider ID: 100019571055
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Farsi, Russian
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Neurology
Lee, Lance MD
435 Arden Ave Ste 560
Glendale, CA 91203-1142
(818) 243-1501
Provider ID: 100085194022
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Korean
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ophthalmology
Chen, Katherine MD
500 N Central Ave Ste 400
Glendale, CA 91203-1928
(818) 956-1010
Provider ID: 100355764002
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Mandarin
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PASADENA
Su, Daniel MD
301 S Fair Oaks Ave Ste 407
Pasadena, CA 91105-2562
(626) 204-1410
Provider ID: 100346794128
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Physicians Assistant
ENCINO
Nazarian, Nora PA
16530 Ventura Blvd Ste 100
Encino, CA 91436-2006
(323) 264-7600
Provider ID: 100325847077
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Spanish
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 79
LOS ANGELES COUNTY MEDICAL GROUPS FAMILY CARE SPECIALIST IPA
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SANTA CLARITA
Nazarian, Nora PA
23502 Lyons Ave Ste 202a
Santa Clarita, CA 91321-2538
(323) 264-7600
Provider ID: 100325847078
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Podiatrist
ENCINO
Nalamlieng, Matthew DPM
16530 Ventura Blvd Ste 100
Encino, CA 91436-2006
(323) 264-7600
Provider ID: 100319810049
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SANTA CLARITA
Nalamlieng, Matthew DPM
23502 Lyons Ave Ste 202a
Santa Clarita, CA 91321-2538
(323) 264-7600
Provider ID: 100319810052
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
TARZANA
Nalamlieng, Matthew DPM
18840 Ventura Blvd Ste 204
Tarzana, CA 91356-6340
(818) 708-3333
Provider ID: 100319810047
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Radiology
GLENDALE
Chahin, Chadi MD
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 80
201
LOS ANGELES COUNTY MEDICAL GROUPS FAMILY CARE SPECIALIST IPA
1500 E Chevy Chase Dr Ste office to discuss their specific Badr, Yaser MD
Glendale, CA 91206-4199
(818) 409-8000
Provider ID: 100040083044
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Registered Physical Therapist
VAN NUYS
Abraham, Tomas PT
15243 Vanowen St
Van Nuys, CA 91405-3605
(818) 849-6613
Provider ID: 100109776017
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Italian,
Spanish, Swedish
Accessibility: B; Members are
urged to call the provider's
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Neurological
BURBANK
Salem, Ayman MD
191 S Buena Vista St Ste 370
Burbank, CA 91505-4562
(818) 562-6400
Provider ID: 100019951044
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Farsi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GLENDALE
1500 E Chevy Chase Dr Ste
204
Glendale, CA 91206-4152
(818) 243-1501
Provider ID: 100200336092
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Orthopedic
ENCINO
Dworsky, Erik MD
16530 Ventura Blvd Ste 100
Encino, CA 91436-2006
(323) 264-7600
Provider ID: 100332740048
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 81
LOS ANGELES COUNTY MEDICAL GROUPS FAMILY CARE SPECIALIST IPA
office to discuss their specific Other Language: Malay, Cyran, Leah MD
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Pelton, Kevin MD
16530 Ventura Blvd Ste 100
Encino, CA 91436-2006
(323) 264-7600
Provider ID: 100011608075
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 21-JAN-20
Reid, James MD
16530 Ventura Blvd Ste 100
Encino, CA 91436-2006
(323) 264-7600
Provider ID: 100065713056
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Malayalam, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 06-JAN-20
GLENDALE
Chong, Matthew MD
1500 E Chevy Chase Dr Ste
401
Glendale, CA 91206-4191
(818) 863-4446
Provider ID: 100141861035
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Korean,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
1500 E Chevy Chase Dr Ste
401
Glendale, CA 91206-4191
(818) 863-4444
Provider ID: 100136175008
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
MONTEREY PARK
Barba, David MD
880 S Atlantic Blvd Ste 205
Monterey Park, CA 91754-4782
(626) 289-0178
Provider ID: 100253231053
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 82
LOS ANGELES COUNTY MEDICAL GROUPS FAMILY CARE SPECIALIST IPA
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
NEWHALL
Dworsky, Erik MD
23502 Lyons Ave Ste 202a
Newhall, CA 91321-2538
(323) 264-7600
Provider ID: 100332740049
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Reid, James MD
23502 Lyons Ave Ste 202a
Newhall, CA 91321-2538
(323) 264-7600
Provider ID: 100065713059
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Malay,
Malayalam, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 06-JAN-20
SANTA CLARITA
Pelton, Kevin MD
23502 Lyons Ave Ste 202a
Santa Clarita, CA 91321-2538
(323) 264-7600
Provider ID: 100011608072
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Sugi, Michelle MD
23502 Lyons Ave Ste 202a
Santa Clarita, CA 91321-2538
(818) 708-3333
Provider ID: 100285502055
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Italian,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 06-JAN-20
Surgery Plastic
GLENDALE
Rizvi, Murtaza MD
1500 E Chevy Chase Dr Ste
401
Glendale, CA 91206-4191
(818) 863-4444
Provider ID: 100027100047
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 83
LOS ANGELES COUNTY MEDICAL GROUPS FAMILY CARE SPECIALIST IPA
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Urology
Ebrahimi, Kamyar MD
1560 E Chevy Chase Dr Ste
325
Glendale, CA 91206-4140
(818) 246-3300
Provider ID: 100026429012
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Bengali,
Farsi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 84
LOS ANGELES COUNTY MEDICAL GROUPS GLOBAL CARE MEDICAL GROUP
PRIMARY CARE PHYSICIANS
Internal Medicine
MISSION HILLS
Ibrahim, Nuha MD
15031 Rinaldi St
Mission Hills, CA 91345-1207
(818) 639-4333
Provider ID: 100296305005
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 02-MAR-20
Anesthesiology Pain
Management
AZUSA
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.
Entezaralmahdi, Mahnaz MD
830 S Citrus Ave Ste 201
Azusa, CA 91702-5959
(626) 974-1441
Provider ID: 100349437019
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PASADENA
Entezaralmahdi, Mahnaz MD
1017 S Fair Oaks Ave
Pasadena, CA 91105-2621
(626) 403-6200
Provider ID: 100349437015
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
Entezaralmahdi, Mahnaz MD
255 E Bonita Ave Ste 1a
Pomona, CA 91767-1923
(909) 450-0377
Provider ID: 100349437013
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Mehta, Dharmesh MD
2895 N Towne Ave
Pomona, CA 91767-2009
(909) 764-6480
Provider ID: 100039705041
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Gujarati,
Hindi, Spanish
Accessibility: B; Members are
urged to call the provider's
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 85
LOS ANGELES COUNTY MEDICAL GROUPS GLOBAL CARE MEDICAL GROUP
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Certified Nurse Practitioner
GLENDALE
Hineman, Lisa NP
1505 Wilson Ter Ste 200
Glendale, CA 91206-4073
(818) 409-0105
Provider ID: 100304369004
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
Lucasan, Danah Majorie NP
255 E Bonita Ave # 1a
Pomona, CA 91767-1923
(909) 450-0377
Provider ID: 100352249017
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Family Practice Sports
Medicine
ENCINO
Longacre, Matthew MD
16530 Ventura Blvd Ste 100
Encino, CA 91436-2006
(323) 264-7600
Provider ID: 100233563062
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 07-JAN-20
SANTA CLARITA
Longacre, Matthew MD
23502 Lyons Ave Ste 202a
Santa Clarita, CA 91321-2538
(323) 264-7600
Provider ID: 100233563066
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 07-JAN-20
Gastroenterology
GLENDALE
Malamud, Ariel MD
1510 S Central Ave Ste 350
Glendale, CA 91204-2554
(213) 440-2040
Provider ID: 100024485142
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 86
LOS ANGELES COUNTY MEDICAL GROUPS GLOBAL CARE MEDICAL GROUP
Other Language: Hebrew,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LANCASTER
Pruthi, Jatinder MD
44215 15th St W Ste 209
Lancaster, CA 93534-5504
(661) 522-4507
Provider ID: 100106113015
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Gujarati,
Hindi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Gynecologic Oncology
GLENDALE
Chalian, Raffi MD
1505 Wilson Ter Ste 150
Glendale, CA 91206-4076
(818) 484-8611
Provider ID: 100330224011
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
Beck, Tiffany MD
1910 Royalty Dr
Pomona, CA 91767-3021
(949) 642-1361
Provider ID: 100323928039
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Mendivil, Alberto MD
1910 Royalty Dr
Pomona, CA 91767-3021
(909) 784-3346
Provider ID: 100074175051
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Hematology / Oncology
GLENDALE
Boghossian, Nubar MD
222 W Eulalia St Ste 100c
Glendale, CA 91204-2850
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 87
LOS ANGELES COUNTY MEDICAL GROUPS GLOBAL CARE MEDICAL GROUP
(818) 553-8160
Provider ID: 100016149075
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Farsi, French,
Korean, Mandarin,
Norwegian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Quyyumi, Farah MD
1510 S Central Ave Ste 240
Glendale, CA 91204-2570
(818) 334-5425
Provider ID: 100332122038
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Spanish, Urdu
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Tan-chiu, Elizabeth Del Prado
MD
Contract terminated as of
4/30/2020
1510 S Central Ave Ste 240
Glendale, CA 91204-2570
(818) 384-5425
Provider ID: 100355323014
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Nephrology
Arcia, John MD
435 Arden Ave Ste 380
Glendale, CA 91203-1147
(818) 240-5241
Provider ID: 100069333062
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Levitan, Daniel MD
435 Arden Ave Ste 380
Glendale, CA 91203-1147
(818) 244-9575
Provider ID: 100008527052
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: French,
Hebrew, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 88
LOS ANGELES COUNTY MEDICAL GROUPS GLOBAL CARE MEDICAL GROUP
Neurology
ENCINO
Lavian, Pouya MD
5363 Balboa Blvd Ste 242
Encino, CA 91316-2866
(818) 394-0884
Provider ID: 100148371038
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Farsi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
MISSION HILLS
Ahoubim, Daniel MD
11550 Indian Hills Rd Ste 200
Mission Hills, CA 91345-1202
(818) 877-7715
Provider ID: 100304281034
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Hebrew
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
Altamimi, Sadiq MD
2895 N Towne Ave
Pomona, CA 91767-2009
(909) 982-2719
Provider ID: 100205850017
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Desai, Bhupatrai MD
2895 N Towne Ave
Pomona, CA 91767-2009
(909) 982-2719
Provider ID: 100010644027
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Janjua, Nazli MD
2895 N Towne Ave
Pomona, CA 91767-2009
(909) 267-7495
Provider ID: 100354649004
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 89
LOS ANGELES COUNTY MEDICAL GROUPS GLOBAL CARE MEDICAL GROUP
Kahlon, Surjit MD
2895 N Towne Ave
Pomona, CA 91767-2009
(909) 982-2719
Provider ID: 100079524016
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Punjabi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Popalzai, Adeel DO
2895 N Towne Ave
Pomona, CA 91767-2009
(909) 982-2719
Provider ID: 100200986025
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Spanish, Urdu
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Qazi, Faisal DO
2895 N Towne Ave
Pomona, CA 91767-2009
(909) 982-2719
Provider ID: 100111495035
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish, Urdu
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
TARZANA
Ahoubim, Daniel MD
18370 Burbank Blvd Ste 414
Tarzana, CA 91356-2843
(818) 877-7715
Provider ID: 100304281031
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Hebrew
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST COVINA
Kundi, Mukhtair MD
1900 W Garvey Ave S Ste 166
West Covina, CA 91790-2656
(626) 960-1402
Provider ID: 100014498051
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Punjabi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 90
LOS ANGELES COUNTY MEDICAL GROUPS GLOBAL CARE MEDICAL GROUP
panel status.
Obstetrics / Gynecology
SHERMAN OAKS
Gupta, Praveen MD
4955 Van Nuys Blvd Ste 411
Sherman Oaks, CA 91403-1824
(818) 905-5525
Provider ID: 100100022020
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Gujarati,
Hindi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ophthalmology
GLENDALE
Mahdavi, Paymohn MD
1025 N Brand Blvd Ste 200
Glendale, CA 91202-3638
(818) 583-9933
Provider ID: 100347771028
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GLENDORA
Mahdavi, Paymohn MD
150 S Grand Ave Ste 1
Glendora, CA 91741-4217
(626) 335-2114
Provider ID: 100347771033
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PASADENA
Mahdavi, Paymohn MD
2619 E Colorado Blvd Ste 150
Pasadena, CA 91107-3747
(626) 793-4168
Provider ID: 100347771023
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Su, Daniel MD
301 S Fair Oaks Ave Ste 407
Pasadena, CA 91105-2562
(626) 204-1410
Provider ID: 100346794110
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 91
LOS ANGELES COUNTY MEDICAL GROUPS GLOBAL CARE MEDICAL GROUP
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Varma, Rohit MD
625 S Fair Oaks Ave Ste 265
Pasadena, CA 91105-2613
(323) 644-4445
Provider ID: 100025244025
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Punjabi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Pediatric Surgery Orthopedic
SANTA CLARITA
Sugi, Michelle MD
WEST COVINA
Lin, Joseph MD
1135 S Sunset Ave Ste 210
West Covina, CA 91790-3938
(626) 653-9444
Provider ID: 100144533030
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lin, Kristie MD
1135 S Sunset Ave Ste 210
West Covina, CA 91790-3938
(626) 653-9444
Provider ID: 100144943227
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Croatian, Mandarin,
Serbo-Croatian, Sign
Language, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Vyas, Kunalkumar DO
1135 S Sunset Ave Ste 304
West Covina, CA 91790-3921
(626) 224-9990
Provider ID: 100346420009
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Gujarati,
Hindi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
23502 Lyons Ave Ste 202a
Santa Clarita, CA 91321-2538
(818) 708-3333
Provider ID: 100285502060
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Italian,
Spanish
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 92
LOS ANGELES COUNTY MEDICAL GROUPS GLOBAL CARE MEDICAL GROUP
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 06-JAN-20
Physical Medicine /
Rehabilitation
Brar, Nikhraj MD
26357 Mcbean Pkwy Ste 150
Santa Clarita, CA 91355-4493
(818) 496-7740
Provider ID: 100294705013
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Punjabi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
VAN NUYS
Niamehr, Nouriel DO
14600 Sherman Way Ste 250
Van Nuys, CA 91405-2284
(818) 506-5197
Provider ID: 100160794032
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Physicians Assistant
ARCADIA
Sham, Benjamin PA
289 W Huntington Dr
Arcadia, CA 91007-3495
(626) 538-1538
Provider ID: 100347076014
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ENCINO
Nazarian, Nora PA
16530 Ventura Blvd Ste 100
Encino, CA 91436-2006
(323) 264-7600
Provider ID: 100325847098
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SANTA CLARITA
Nazarian, Nora PA
23502 Lyons Ave Ste 202a
Santa Clarita, CA 91321-2538
(323) 264-7600
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 93
LOS ANGELES COUNTY MEDICAL GROUPS GLOBAL CARE MEDICAL GROUP
Provider ID: 100325847101
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Podiatrist
ENCINO
Nalamlieng, Matthew DPM
16530 Ventura Blvd Ste 100
Encino, CA 91436-2006
(323) 264-7600
Provider ID: 100319810084
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LANCASTER
Hopkins, Kyle DPM
1672 W Avenue J Ste 201
Lancaster, CA 93534-2861
(661) 945-3628
Provider ID: 100351886006
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SANTA CLARITA
Nalamlieng, Matthew DPM
23502 Lyons Ave Ste 202a
Santa Clarita, CA 91321-2538
(323) 264-7600
Provider ID: 100319810091
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
TARZANA
Nalamlieng, Matthew DPM
18840 Ventura Blvd Ste 204
Tarzana, CA 91356-6340
(818) 708-3333
Provider ID: 100319810078
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Radiation Oncology
MISSION HILLS
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 94
100
LOS ANGELES COUNTY MEDICAL GROUPS GLOBAL CARE MEDICAL GROUP
Botnick, Marc MD
15031 Rinaldi St
Mission Hills, CA 91345-1207
(818) 898-4410
Provider ID: 100025830097
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hebrew,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST HILLS
Botnick, Marc MD
7301 Medical Center Dr Ste
West Hills, CA 91307-1921
(818) 884-1683
Provider ID: 100025830099
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hebrew,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Radiology
POMONA
Ho, Ralph MD
2475 N Garey Ave
Pomona, CA 91767-2139
(909) 622-3166
Provider ID: 100019535020
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
VAN NUYS
Eckel, Gregory MD
15107 Vanowen St
Van Nuys, CA 91405-4542
(206) 543-0065
Provider ID: 100106112088
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Registered Physical Therapist
AZUSA
Weber, Melissa RPT
830 S Citrus Ave Ste 203
Azusa, CA 91702-5959
(626) 339-6514
Provider ID: N/A
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 95
LOS ANGELES COUNTY MEDICAL GROUPS GLOBAL CARE MEDICAL GROUP
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
CLAREMONT
Shah, Mamta PT
480 S Indian Hill Blvd
Claremont, CA 91711-5225
(909) 620-9700
Provider ID: 100348075019
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Gujarati,
Hindi, Marathi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Truong, Victor PT
480 S Indian Hill Blvd
Claremont, CA 91711-5225
(909) 620-9700
Provider ID: 100317336013
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
Shah, Mamta PT
1902 Royalty Dr Ste 170
Pomona, CA 91767-3030
(909) 620-9700
Provider ID: 100348075015
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Gujarati,
Hindi, Marathi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Truong, Victor PT
1902 Royalty Dr Ste 170
Pomona, CA 91767-3030
(909) 620-9700
Provider ID: 100317336011
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery General Vascular
ALHAMBRA
Saines, Marius MD
1411 S Garfield Ave Ste 303
Alhambra, CA 91801-5043
(626) 566-8105
Provider ID: 100015377107
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: French,
Italian, Romanian, Spanish
Accessibility: B; Members are
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 96
LOS ANGELES COUNTY MEDICAL GROUPS GLOBAL CARE MEDICAL GROUP
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Hand
MISSION HILLS
Oheb, Jonathan MD
11550 Indian Hills Rd Ste 310
Mission Hills, CA 91345-1203
(818) 946-8424
Provider ID: 100222920028
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Hebrew, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Head
MONTEREY PARK
Jaber, James MD
850 S Atlantic Blvd Ste 305
Monterey Park, CA 91754-6714
(310) 514-2640
Provider ID: 100333597027
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Neurological
BURBANK
Nguyen, James MD
501 S Buena Vista St
Burbank, CA 91505-4809
(818) 847-4835
Provider ID: 100345393005
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Salem, Ayman MD
191 S Buena Vista St Ste 370
Burbank, CA 91505-4562
(818) 562-6400
Provider ID: 100019951052
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Farsi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GLENDALE
Badr, Yaser MD
1500 E Chevy Chase Dr Ste
204
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 97
LOS ANGELES COUNTY MEDICAL GROUPS GLOBAL CARE MEDICAL GROUP
Glendale, CA 91206-4152
(818) 243-1501
Provider ID: 100200336070
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PORTER RANCH
Spooler, Justin MD
19950 Rinaldi St Ste 101
Porter Ranch, CA 91326-4141
(818) 361-0917
Provider ID: 100185663036
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: French,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
VALENCIA
Nangiana, Jasvinder MD
26357 Mcbean Pkwy Ste 150
Valencia, CA 91355-4493
(818) 361-0917
Provider ID: 100294134033
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Orthopedic
ENCINO
Dworsky, Erik MD
16530 Ventura Blvd Ste 100
Encino, CA 91436-2006
(323) 264-7600
Provider ID: 100332740080
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Pelton, Kevin MD
16530 Ventura Blvd Ste 100
Encino, CA 91436-2006
(323) 264-7600
Provider ID: 100011608083
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 21-JAN-20
NEWHALL
Dworsky, Erik MD
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 98
LOS ANGELES COUNTY MEDICAL GROUPS GLOBAL CARE MEDICAL GROUP
23502 Lyons Ave Ste 202a
Newhall, CA 91321-2538
(323) 264-7600
Provider ID: 100332740087
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SANTA CLARITA
Pelton, Kevin MD
23502 Lyons Ave Ste 202a
Santa Clarita, CA 91321-2538
(323) 264-7600
Provider ID: 100011608079
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Plastic
PASADENA
Yao, Caroline MD
909 S Fair Oaks Ave
Pasadena, CA 91105-2625
(626) 389-9300
Provider ID: 100352887011
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Mandarin
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST HILLS
Wilensky, Jonathan MD
7300 Medical Center Dr
West Hills, CA 91307-1902
(818) 981-2050
Provider ID: 100000921023
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgical Oncology
GLENDALE
Artinyan, Avo MD
1505 Wilson Ter Ste 150
Glendale, CA 91206-4076
(818) 484-8611
Provider ID: 100324605034
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
French
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 99
LOS ANGELES COUNTY MEDICAL GROUPS GLOBAL CARE MEDICAL GROUP
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 100
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
PRIMARY CARE PHYSICIANS
Family Practice
EL MONTE
Goei, Raymond DO
9960 Baldwin Pl
El Monte, CA 91731-2204
(626) 744-2988
Provider ID: 100185407006
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Spanish, Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PACOIMA
Sanders, Jesse MD
12756 Van Nuys Blvd
Pacoima, CA 91331-1626
(818) 896-0531
Provider ID: 100007603010
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
VAN NUYS
Galat, Absalon MD
6551 Van Nuys Blvd Ste 201
Van Nuys, CA 91401-1490
(818) 765-8656
Provider ID: 100298910008
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST COVINA
Hathuc, Chinhnam DO
420 S Glendora Ave
West Covina, CA 91790-3001
(626) 598-3787
Provider ID: 100176173021
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Norton, Tracey DO
420 S Glendora Ave
West Covina, CA 91790-3001
(626) 598-3787
Provider ID: 100094947009
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 101
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Shalikar, Hamed MD
420 S Glendora Ave
West Covina, CA 91790-3001
(626) 598-3787
Provider ID: 100325611006
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Internal Medicine
CANOGA PARK
Baradar-bokaie, Babak MD
7107 Remmet Ave
Canoga Park, CA 91303-2016
(818) 702-9578
Provider ID: 100107329023
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Persian,
Turkish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
EL MONTE
Deng, Jing MD
9960 Baldwin Pl
El Monte, CA 91731-2204
(626) 744-2988
Provider ID: 100332614003
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Mandarin
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PACOIMA
Baradar-bokaie, Babak MD
12756 Van Nuys Blvd
Pacoima, CA 91331-1626
(818) 896-0531
Provider ID: 100107329022
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Persian,
Turkish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Mcintosh, David MD
12756 Van Nuys Blvd
Pacoima, CA 91331-1626
(818) 896-0531
Provider ID: 100006328004
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 102
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
VALENCIA
Tang, Jennifer MD
23763 Valencia Blvd
Valencia, CA 91355-2105
(661) 799-2952
Provider ID: 100353858003
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Tang, Jennifer MD
23413 Lyons Ave
Valencia, CA 91355-3028
(661) 593-7500
Provider ID: 100353858005
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST COVINA
Ding, Chaonan MD
420 S Glendora Ave
West Covina, CA 91790-3001
(626) 598-3787
Provider ID: 100291341004
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Mandarin
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Obstetrics / Gynecology
PACOIMA
Gordon, Edward MD
12759 Van Nuys Blvd
Pacoima, CA 91331-1627
(818) 485-8250
Provider ID: 100324043011
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Natarajan, Margaret MD
12759 Van Nuys Blvd
Pacoima, CA 91331-1627
(818) 485-8250
Provider ID: 100242131014
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Mandarin
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 103
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
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
POMONA
Discepolo, William MD
1866 N Orange Grove Ave Ste
202
Pomona, CA 91767-3042
(909) 623-8796
Provider ID: 100007535099
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Muthiah, Muthusamy MD
1866 N Orange Grove Ave Ste
202
Pomona, CA 91767-3042
(909) 623-8796
Provider ID: 100038476014
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Dutch, Hindi, Korean,
Spanish, Tagalog, Tamil,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Parikh, Gaurav MD
1866 N Orange Grove Ave Ste
202
Pomona, CA 91767-3042
(909) 398-1550
Provider ID: 100287439009
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Thumati, Ramakrishna MD
1866 N Orange Grove Ave Ste
202
Pomona, CA 91767-3042
(909) 623-8796
Provider ID: 100006721013
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 104
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
Certified Nurse Practitioner
GLENDALE
Espinoza, Elba NP
1808 Verdugo Blvd Ste 414
Glendale, CA 91208-1474
(818) 265-5400
Provider ID: 100320433008
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
NORTH HOLLYWOOD
Gallagher, Mary NP
6801 Coldwater Canyon Ave
North Hollywood, CA
91605-5162
(818) 763-8836
Provider ID: 100238504002
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PACOIMA
Mclean-madera, Jennifer NPF
12759 Van Nuys Blvd
Pacoima, CA 91331-1627
(818) 485-8250
Provider ID: 100353595002
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
Lucasan, Danah Majorie NP
255 E Bonita Ave # 1a
Pomona, CA 91767-1923
(909) 450-0377
Provider ID: 100352249009
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lott, Krystal NP
1450 E Holt Ave
Pomona, CA 91767-5822
(909) 630-7927
Provider ID: 100355064003
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Rojas, Jonathan NP
Contract terminated as of
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 105
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
4/30/2020
1450 E Holt Ave
Pomona, CA 91767-5822
(909) 630-7927
Provider ID: 100355482003
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SAN FERNANDO
Rubin, Maria NP
1600 San Fernando Rd
San Fernando, CA 91340-3115
(818) 365-8086
Provider ID: 100283805004
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 13-JAN-20
SANTA CLARITA
Termechi, Michela NP
26357 Mcbean Pkwy Ste 210
Santa Clarita, CA 91355-4497
(661) 593-7379
Provider ID: 100317259017
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SUN VALLEY
Boone, Kelly NP
7223 Fair Ave
Sun Valley, CA 91352-4964
(818) 432-4400
Provider ID: 100355887002
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 18-MAR-20
VALENCIA
Clark, Brittani NP
23763 Valencia Blvd
Valencia, CA 91355-2105
(661) 799-2952
Provider ID: 100343240003
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST COVINA
Bernal, Brenda NP
420 S Glendora Ave
West Covina, CA 91790-3001
(626) 919-5724
Provider ID: 100353714002
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 106
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Dermatology
SHERMAN OAKS
Lin, Michael MD
15477 Ventura Blvd Ste 100
Sherman Oaks, CA 91403-3046
(818) 906-6900
Provider ID: 100046536064
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin, Spanish, Tagalog,
Taiwanese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Family Practice Sports
Medicine
ENCINO
Longacre, Matthew MD
16530 Ventura Blvd Ste 100
Encino, CA 91436-2006
(323) 264-7600
Provider ID: 100233563059
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 07-JAN-20
SANTA CLARITA
Longacre, Matthew MD
23502 Lyons Ave Ste 202a
Santa Clarita, CA 91321-2538
(323) 264-7600
Provider ID: 100233563070
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 07-JAN-20
Gastroenterology
LANCASTER
Pruthi, Jatinder MD
44215 15th St W Ste 209
Lancaster, CA 93534-5504
(661) 522-4507
Provider ID: 100106113012
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Gujarati,
Hindi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
Tama, Maher MD
790 E Bonita Ave # 2
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 107
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
Pomona, CA 91767-1906
(909) 447-5893
Provider ID: 100347418030
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
French
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SAN GABRIEL
Chen, Tien-chun MD
555 W Las Tunas Dr
San Gabriel, CA 91776-1134
(213) 808-1792
Provider ID: 100340029039
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin, Taiwanese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Gynecologic Oncology
POMONA
Mendivil, Alberto MD
1910 Royalty Dr
Pomona, CA 91767-3021
(909) 784-3346
Provider ID: 100074175052
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Hematology / Oncology
GLENDALE
Boghossian, Nubar MD
222 W Eulalia St Ste 100c
Glendale, CA 91204-2850
(818) 553-8160
Provider ID: 100016149076
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Farsi, French,
Korean, Mandarin,
Norwegian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
Chaudhary, Preeti MD
1910 Royalty Dr
Pomona, CA 91767-3021
(909) 630-7342
Provider ID: 100260750011
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 108
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Infectious Disease
GLENDALE
Alborzi, Arash MD
1560 E Chevy Chase Dr Ste
335
Glendale, CA 91206-4140
(818) 550-1998
Provider ID: 100026497036
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Farsi, Korean, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Nephrology
Arcia, John MD
435 Arden Ave Ste 380
Glendale, CA 91203-1147
(818) 240-5241
Provider ID: 100069333061
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Neurology
ENCINO
Lavian, Pouya MD
5363 Balboa Blvd Ste 242
Encino, CA 91316-2866
(818) 394-0884
Provider ID: 100148371039
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Farsi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
MISSION HILLS
Ahoubim, Daniel MD
11550 Indian Hills Rd Ste 200
Mission Hills, CA 91345-1202
(818) 877-7715
Provider ID: 100304281033
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Hebrew
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
Desai, Bhupatrai MD
2895 N Towne Ave
Pomona, CA 91767-2009
(909) 982-2719
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 109
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
Provider ID: 100010644025
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Janjua, Nazli MD
2895 N Towne Ave
Pomona, CA 91767-2009
(909) 267-7495
Provider ID: 100354649005
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ma, Kelvin MD
2895 N Towne Ave
Pomona, CA 91767-2009
(909) 982-2719
Provider ID: 100315142008
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Osorio Flores, Martin MD
2895 N Towne Ave
Pomona, CA 91767-2009
(909) 982-2719
Provider ID: 100337695002
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Popalzai, Adeel DO
2895 N Towne Ave
Pomona, CA 91767-2009
(909) 982-2719
Provider ID: 100200986024
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Spanish, Urdu
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
TARZANA
Ahoubim, Daniel MD
18370 Burbank Blvd Ste 414
Tarzana, CA 91356-2843
(818) 877-7715
Provider ID: 100304281029
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 110
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
Other Language: Farsi,
Hebrew
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST COVINA
Kundi, Mukhtair MD
1900 W Garvey Ave S Ste 166
West Covina, CA 91790-2656
(626) 960-1402
Provider ID: 100014498053
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Punjabi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Obstetrics / Gynecology
PACOIMA
Gordon, Edward MD
12759 Van Nuys Blvd
Pacoima, CA 91331-1627
(818) 485-8250
Provider ID: 100324043011
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Gordon, Edward MD
12756 Van Nuys Blvd
Pacoima, CA 91331-1626
(818) 485-8250
Provider ID: 100324043012
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lee, Monica MD
12759 Van Nuys Blvd
Pacoima, CA 91331-1627
(818) 485-8250
Provider ID: 100013974013
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PASADENA
Eboreime, Babatunde MD
2595 E Washington Blvd Ste
105
Pasadena, CA 91107-1409
(626) 794-8133
Provider ID: 100020089012
Accepting New Patients: Yes
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 111
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
Hanna, Gina MD
1798 N Garey Ave
Pomona, CA 91767-2918
(909) 865-9500
Provider ID: 100038458097
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SAN FERNANDO
Poursharif, Borzouyeh MD
1600 San Fernando Rd
San Fernando, CA 91340-3115
(818) 365-8086
Provider ID: 100149511016
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
VALENCIA
Obey, Shawanda MD
23763 Valencia Blvd
Valencia, CA 91355-2105
(661) 799-2952
Provider ID: 100317342012
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Pearsall, Eldridge MD
23763 Valencia Blvd
Valencia, CA 91355-2105
(661) 799-2952
Provider ID: 100028940011
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
VAN NUYS
Delshad, George MD
15211 Vanowen St Ste 310
Van Nuys, CA 91405-3615
(818) 830-6970
Provider ID: 100020505013
Accepting New Patients: Yes
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 112
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST COVINA
Begley, Jason MD
420 S Glendora Ave
West Covina, CA 91790-3001
(626) 919-5724
Provider ID: 100199843040
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Obstetrics
POMONA
Curran, Mark MD
1798 N Garey Ave
Pomona, CA 91767-2918
(909) 865-9705
Provider ID: 100053278078
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
TARZANA
Devore, Greggory MD
5525 Etiwanda Ave Ste 313
Tarzana, CA 91356-6127
(800) 360-3984
Provider ID: 100086203055
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ophthalmology
CITY OF INDUSTRY
Chang, Tom MD
17833 Colima Rd
City Of Industry, CA
91748-1729
(323) 221-8000
Provider ID: 100013423336
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Cantonese,
Croatian, Korean, Mandarin,
Spanish, Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 113
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
panel status. office to discuss their specific (626) 335-2114
Chen, Brian MD
17833 Colima Rd
City Of Industry, CA
91748-1729
(323) 221-8000
Provider ID: 100211268086
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Cantonese, Mandarin,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Wainess, Reid MD
17833 Colima Rd
City Of Industry, CA
91748-1729
(323) 221-8000
Provider ID: 100148751140
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese
Accessibility: B; Members are
urged to call the provider's
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GLENDALE
Mahdavi, Paymohn MD
1025 N Brand Blvd Ste 200
Glendale, CA 91202-3638
(818) 583-9933
Provider ID: 100347771029
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GLENDORA
Mahdavi, Paymohn MD
150 S Grand Ave Ste 1
Glendora, CA 91741-4217
Provider ID: 100347771030
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LANCASTER
Alasil, Tarek MD
44815 Fig Ave
Lancaster, CA 93534-3144
(661) 949-5955
Provider ID: 100320053188
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 114
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
in the provider record;
demographic, phone and/or
panel status.
PASADENA
Bedrood, Sahar MD
100 E California Blvd
Pasadena, CA 91105-3205
(626) 568-8838
Provider ID: 100285005013
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Chang, Tom MD
100 E California Blvd
Pasadena, CA 91105-3205
(626) 568-8838
Provider ID: 100013423300
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Cantonese,
Croatian, Korean, Mandarin,
Spanish, Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Mahdavi, Paymohn MD
2619 E Colorado Blvd Ste 150
Pasadena, CA 91107-3747
(626) 793-4168
Provider ID: 100347771024
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Su, Daniel MD
301 S Fair Oaks Ave Ste 407
Pasadena, CA 91105-2562
(626) 204-1410
Provider ID: 100346794111
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
Alasil, Tarek MD
160 E Artesia St Ste 120
Pomona, CA 91767-2920
(800) 898-2020
Provider ID: 100320053095
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 115
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
in the provider record;
demographic, phone and/or
panel status.
Davis, Michael MD
160 E Artesia St Ste 120
Pomona, CA 91767-2920
(909) 629-5965
Provider ID: 100030951258
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin, Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Khan, Ayaz DO
648 N Park Ave
Pomona, CA 91768-3621
(909) 927-8487
Provider ID: 100069844051
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Spanish, Urdu
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
RESEDA
Kouchouk, Amr MD
17750 Sherman Way Ste 100
Reseda, CA 91335-8331
(818) 886-6700
Provider ID: 100256446174
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST COVINA
Lin, Joseph MD
1135 S Sunset Ave Ste 210
West Covina, CA 91790-3938
(626) 653-9444
Provider ID: 100144533029
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lin, Kristie MD
1135 S Sunset Ave Ste 210
West Covina, CA 91790-3938
(626) 653-9444
Provider ID: 100144943193
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Croatian, Mandarin,
Serbo-Croatian, Sign
Language, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 116
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Optometrist
Schwartz, Lonn OD
Contract terminated as of
4/30/2020
420 S Glendora Ave
West Covina, CA 91790-3001
(626) 598-3787
Provider ID: 100190052008
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Otolaryngology
VALENCIA
Friedman, Adam MD
27879 Smyth Dr
Valencia, CA 91355-4011
(661) 259-2500
Provider ID: 100092274009
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Saadat, Daryoush MD
27879 Smyth Dr
Valencia, CA 91355-4011
(661) 259-2500
Provider ID: 100080300010
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Vadapalli, Satish MD
27879 Smyth Dr
Valencia, CA 91355-4011
(661) 259-2500
Provider ID: 100006608010
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Pediatric Cardiology
PASADENA
De Oliveira, Elizabeth MD
50 Bellefontaine St Ste 405
Pasadena, CA 91105-3132
(626) 796-9259
Provider ID: 100017270151
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
German, Portuguese, Spanish
Accessibility: B; Members are
urged to call the provider's
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 117
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
office to discuss their specific Brar, Nikhraj MD are not present.
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Pediatric Surgery Orthopedic
SANTA CLARITA
Sugi, Michelle MD
23502 Lyons Ave Ste 202a
Santa Clarita, CA 91321-2538
(818) 708-3333
Provider ID: 100285502064
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Italian,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 06-JAN-20
Physical Medicine /
Rehabilitation
26357 Mcbean Pkwy Ste 150
Santa Clarita, CA 91355-4493
(818) 496-7740
Provider ID: 100294705012
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Punjabi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Kim, Hyung MD
26357 Mcbean Pkwy Ste 210
Santa Clarita, CA 91355-4497
(661) 593-7379
Provider ID: 100088564058
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Korean,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
VAN NUYS
Niamehr, Nouriel DO
14600 Sherman Way Ste 250
Van Nuys, CA 91405-2284
(818) 506-5197
Provider ID: 100160794035
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Physicians Assistant
ARCADIA
Sham, Benjamin PA
289 W Huntington Dr
Arcadia, CA 91007-3495
(626) 538-1538
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 118
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
Provider ID: 100347076013
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ENCINO
Nazarian, Nora PA
16530 Ventura Blvd Ste 100
Encino, CA 91436-2006
(323) 264-7600
Provider ID: 100325847097
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SANTA CLARITA
Nazarian, Nora PA
23502 Lyons Ave Ste 202a
Santa Clarita, CA 91321-2538
(323) 264-7600
Provider ID: 100325847100
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SHERMAN OAKS
Hazlebeck, Michelle PA
15477 Ventura Blvd Ste 300
Sherman Oaks, CA 91403-3068
(818) 907-0322
Provider ID: 100347271003
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 04-MAR-20
Moon, Seung Hee PA
15477 Ventura Blvd Ste 300
Sherman Oaks, CA 91403-3068
(818) 907-0322
Provider ID: 100189032003
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Korean
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 04-MAR-20
VALENCIA
Guzman, Michell PA
23763 Valencia Blvd
Valencia, CA 91355-2105
(661) 799-2952
Provider ID: 100348443002
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 119
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 31-MAR-20
WEST COVINA
Flynn, Sean PA
420 S Glendora Ave
West Covina, CA 91790-3001
(626) 919-5724
Provider ID: 100341063005
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 03-MAR-20
Podiatrist
ENCINO
Nalamlieng, Matthew DPM
16530 Ventura Blvd Ste 100
Encino, CA 91436-2006
(323) 264-7600
Provider ID: 100319810083
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SANTA CLARITA
Nalamlieng, Matthew DPM
23502 Lyons Ave Ste 202a
Santa Clarita, CA 91321-2538
(323) 264-7600
Provider ID: 100319810092
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
TARZANA
Nalamlieng, Matthew DPM
18840 Ventura Blvd Ste 204
Tarzana, CA 91356-6340
(818) 708-3333
Provider ID: 100319810079
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Pulmonary Diseases
POMONA
Gordon, Joseph MD
1940 N Orange Grove Ave
Pomona, CA 91767-3002
(909) 865-6900
Provider ID: 100348970007
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 120
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 31-DEC-19
Radiation Oncology
GLENDALE
Kazlauskas, Linas MD
222 W Eulalia St Ste 100
Glendale, CA 91204-2850
(818) 500-5885
Provider ID: 100036664068
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Lithuanian
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
MISSION HILLS
Ellerbroek, Nancy MD
15031 Rinaldi St
Mission Hills, CA 91345-1207
(818) 496-4410
Provider ID: 100070970053
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi, Hindi,
Spanish, Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Radiology
NORTH HOLLYWOOD
Mahgerefteh, Shmuel MD
10767 Riverside Dr
North Hollywood, CA
91602-2324
(818) 301-6700
Provider ID: 100330417019
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
NORTHRIDGE
Bhavsar, Rajesh MD
18300 Roscoe Blvd
Northridge, CA 91325-4105
(818) 885-8520
Provider ID: 100339262056
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
Ho, Ralph MD
2475 N Garey Ave
Pomona, CA 91767-2139
(909) 622-3166
Provider ID: 100019535019
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 121
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SAN FERNANDO
Piatt, Bradford MD
1600 San Fernando Rd
San Fernando, CA 91340-3115
(818) 365-8086
Provider ID: 100058219043
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
TARZANA
Mahgerefteh, Shmuel MD
18388 Clark St Ste 115
Tarzana, CA 91356-3502
(818) 609-0911
Provider ID: 100330417027
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Mahgerefteh, Shmuel MD
5620 Wilbur Ave Ste 330
Tarzana, CA 91356-1335
(818) 345-3285
Provider ID: 100330417029
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
VAN NUYS
Eckel, Gregory MD
15107 Vanowen St
Van Nuys, CA 91405-4542
(206) 543-0065
Provider ID: 100106112087
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Mahgerefteh, Shmuel MD
14915 Burbank Blvd
Van Nuys, CA 91411-3610
(818) 909-7111
Provider ID: 100330417025
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 122
130
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
is limited access or where all Claremont, CA 91711-5225 are not present.
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST HILLS
Mahgerefteh, Shmuel MD
7345 Medical Center Dr Ste
West Hills, CA 91307-1932
(818) 710-6011
Provider ID: 100330417023
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Registered Physical Therapist
CLAREMONT
Shah, Mamta PT
480 S Indian Hill Blvd
(909) 620-9700
Provider ID: 100348075017
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Gujarati,
Hindi, Marathi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
Shah, Mamta PT
1902 Royalty Dr Ste 170
Pomona, CA 91767-3030
(909) 620-9700
Provider ID: 100348075014
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Gujarati,
Hindi, Marathi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Speech Pathologist
ENCINO
Upton, Christopher MA
15720 Ventura Blvd Ste 613
Encino, CA 91436-4710
(310) 553-2695
Provider ID: 100354180012
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LANCASTER
Upton, Christopher MA
1505 W Avenue J Ste 301
Lancaster, CA 93534-2845
(310) 553-2695
Provider ID: 100354180014
Accepting New Patients: Yes
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 123
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST COVINA
Upton, Christopher MA
933 S Sunset Ave Ste 205
West Covina, CA 91790-3410
(310) 553-2695
Provider ID: 100354180011
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery General Vascular
ALHAMBRA
Saines, Marius MD
1411 S Garfield Ave Ste 303
Alhambra, CA 91801-5043
(626) 566-8105
Provider ID: 100015377108
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: French,
Italian, Romanian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PORTER RANCH
Eghbalieh, Sammy MD
19950 Rinaldi St # 101d
Porter Ranch, CA 91326-4141
(818) 900-6480
Provider ID: 100259391022
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery General
ENCINO
Pourshahmir, Mohammad MD
5353 Balboa Blvd Ste 201
Encino, CA 91316-2865
(818) 783-7277
Provider ID: 100079092021
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi, French
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
Mohan, Ayyampalayam MD
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 124
308
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
1818 N Orange Grove Ave Ste
Pomona, CA 91767-3028
(909) 622-6050
Provider ID: 100018409005
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Tamil
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Vanyo, Lori MD
1910 Royalty Dr
Pomona, CA 91767-3021
(909) 630-7342
Provider ID: 100065668015
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Wali, Autar MD
155 W Willow St
Pomona, CA 91768-1829
(909) 865-2626
Provider ID: 100015163018
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Hand
WEST HILLS
Yaghoubian, Arezou MD
7301 Medical Center Dr Ste
208
West Hills, CA 91307-1968
(818) 342-4541
Provider ID: 100317229031
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Head
MONTEREY PARK
Jaber, James MD
850 S Atlantic Blvd Ste 305
Monterey Park, CA 91754-6714
(310) 514-2640
Provider ID: 100333597024
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 125
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
demographic, phone and/or
panel status.
Surgery Neurological
BURBANK
Nguyen, James MD
501 S Buena Vista St
Burbank, CA 91505-4809
(818) 847-4835
Provider ID: 100345393008
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Salem, Ayman MD
191 S Buena Vista St Ste 370
Burbank, CA 91505-4562
(818) 562-6400
Provider ID: 100019951037
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Farsi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GLENDALE
Badr, Yaser MD
1500 E Chevy Chase Dr Ste
204
Glendale, CA 91206-4152
(818) 243-1501
Provider ID: 100200336060
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Orthopedic
ENCINO
Dworsky, Erik MD
16530 Ventura Blvd Ste 100
Encino, CA 91436-2006
(323) 264-7600
Provider ID: 100332740076
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Pelton, Kevin MD
16530 Ventura Blvd Ste 100
Encino, CA 91436-2006
(323) 264-7600
Provider ID: 100011608084
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 126
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 21-JAN-20
Reid, James MD
16530 Ventura Blvd Ste 100
Encino, CA 91436-2006
(323) 264-7600
Provider ID: 100065713073
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Malay,
Malayalam, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 06-JAN-20
NEWHALL
Dworsky, Erik MD
23502 Lyons Ave Ste 202a
Newhall, CA 91321-2538
(323) 264-7600
Provider ID: 100332740086
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Reid, James MD
23502 Lyons Ave Ste 202a
Newhall, CA 91321-2538
(323) 264-7600
Provider ID: 100065713077
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Malay,
Malayalam, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 06-JAN-20
POMONA
Amin, Nirav MD
160 E Artesia St Ste 255
Pomona, CA 91767-2921
(909) 596-4344
Provider ID: 100257585012
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Gujarati
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Gupta, Neeraj MD
160 E Artesia St Ste 360
Pomona, CA 91767-2927
(909) 629-4604
Provider ID: 100047560073
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Gujarati,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 127
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
Hayes, Christopher MD
160 E Artesia St Ste 255
Pomona, CA 91767-2921
(909) 596-4346
Provider ID: 100317153030
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lercel, Gregory MD
160 E Artesia St Ste 360
Pomona, CA 91767-2927
(909) 629-4604
Provider ID: 100090159085
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Sharp, Lorra MD
160 E Artesia St Ste 255
Pomona, CA 91767-2921
(909) 596-4344
Provider ID: 100150329030
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SANTA CLARITA
Pelton, Kevin MD
23502 Lyons Ave Ste 202a
Santa Clarita, CA 91321-2538
(323) 264-7600
Provider ID: 100011608082
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Plastic
PASADENA
Yao, Caroline MD
909 S Fair Oaks Ave
Pasadena, CA 91105-2625
(626) 389-9300
Provider ID: 100352887010
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Mandarin
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST HILLS
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 128
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH CARE LA IPA
Wilensky, Jonathan MD
7300 Medical Center Dr
West Hills, CA 91307-1902
(818) 981-2050
Provider ID: 100000921022
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Thoracic
POMONA
Montesa, Christine MD
1940 N Orange Grove Ave Ste
B
Pomona, CA 91767-3002
(909) 865-6066
Provider ID: 100343051013
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgical Oncology
GLENDALE
Artinyan, Avo MD
1505 Wilson Ter Ste 150
Glendale, CA 91206-4076
(818) 484-8611
Provider ID: 100324605035
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
French
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 129
LOS ANGELES COUNTY MEDICAL GROUPS HEALTH EXCEL IPA INC
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.
Ophthalmology
PASADENA
Chang, Tom MD
100 E California Blvd
Pasadena, CA 91105-3205
(626) 568-8838
Provider ID: 100013423413
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Cantonese,
Croatian, Korean, Mandarin,
Spanish, Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 130
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS
PRIMARY CARE PHYSICIANS
Family Practice
COVINA
Youssefian, Steve MD
420 W Rowland St
Covina, CA 91723-2943
(626) 251-1361
Provider ID: 100332308005
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST COVINA
Chen, David MD
2707 E Valley Blvd Ste 203
West Covina, CA 91792-3197
(626) 965-1988
Provider ID: 100093223053
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
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 Immunology
GLENDALE
Parker, Peter Parviz MD
1106 W Glenoaks Blvd
Glendale, CA 91202-2606
(818) 242-3333
Provider ID: 100071710074
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Farsi, French, Italian, Korean,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
HACIENDA HEIGHTS
Wong, Stephen MD
1850 S Azusa Ave Ste 206
Hacienda Heights, CA
91745-6853
(626) 284-3400
Provider ID: 100071618045
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Burmese,
Cantonese, Mandarin,
Spanish, Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 131
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS
Anesthesiology Pain
Management
AZUSA
Entezaralmahdi, Mahnaz MD
830 S Citrus Ave Ste 201
Azusa, CA 91702-5959
(626) 974-1441
Provider ID: 100349437030
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PASADENA
Entezaralmahdi, Mahnaz MD
1017 S Fair Oaks Ave
Pasadena, CA 91105-2621
(626) 403-6200
Provider ID: 100349437027
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
Entezaralmahdi, Mahnaz MD
255 E Bonita Ave Ste 1a
Pomona, CA 91767-1923
(909) 450-0377
Provider ID: 100349437025
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Cardiology
GLENDALE
Bornheimer, Joseph MD
1560 E Chevy Chase Dr Ste
410
Glendale, CA 91206-4140
(818) 240-4140
Provider ID: 100048982011
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Kulczycki, James MD
1560 E Chevy Chase Dr Ste
410
Glendale, CA 91206-4140
(818) 240-4140
Provider ID: 100025710013
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 132
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS
demographic, phone and/or
panel status.
NORTHRIDGE
Arimie, Raluca MD
18350 Roscoe Blvd Ste 401
Northridge, CA 91325-4169
(818) 710-8045
Provider ID: 100110601010
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
French, Romanian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Fakheri, Saman MD
17075 Devonshire St Ste 201
Northridge, CA 91325-5407
(818) 366-9666
Provider ID: 100238186030
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Farsi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Cardiovascular Disease
POMONA
Discepolo, William MD
1866 N Orange Grove Ave Ste
202
Pomona, CA 91767-3042
(909) 623-8796
Provider ID: 100007535105
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Dermatology
COVINA
Chiang, Charles MD
420 W Rowland St
Covina, CA 91723-2943
(626) 251-1361
Provider ID: 100190365007
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Endocrinology
ARCADIA
Huang, Thomas MD
450 E Huntington Dr
Arcadia, CA 91006-3748
(626) 254-2172
Provider ID: 100048956003
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 133
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Singh, Nalini MD
450 E Huntington Dr
Arcadia, CA 91006-3748
(626) 254-2172
Provider ID: 100061571012
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GLENDALE
Israelian-konaraki, Zarmen MD
801 S Chevy Chase Dr Ste 102
Glendale, CA 91205-4437
(818) 265-2264
Provider ID: 100112449023
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Farsi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Gastroenterology
ARCADIA
Tarakji, Elias MD
488 E Santa Clara St Ste 103
Arcadia, CA 91006-7231
(626) 359-3330
Provider ID: 100028711013
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
French, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
COVINA
Oliver, Michael MD
420 W Rowland St
Covina, CA 91723-2943
(626) 251-1361
Provider ID: 100012522011
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GLENDORA
Mourani, Samuel MD
552 W Foothill Blvd Ste 200
Glendora, CA 91741-2470
(626) 359-3330
Provider ID: 100030958053
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 134
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
TARZANA
Hepps, Kenneth MD
5525 Etiwanda Ave Ste 110
Tarzana, CA 91356-3642
(818) 996-4796
Provider ID: 100101188017
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Gynecologic Oncology
ARCADIA
Schlaerth, Alan MD
300 W Huntington Dr
Arcadia, CA 91007-3402
(626) 445-4411
Provider ID: 100088406027
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Mandarin, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Hematology / Oncology
ALHAMBRA
Yang, Honghao MD
1411 S Garfield Ave Ste 306 &
308
Alhambra, CA 91801-5045
(626) 802-5272
Provider ID: 100026972037
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Chinese,
Mandarin, Shanghaiese,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
COVINA
Yee, Sharon MD
315 N 3rd Ave Ste 301
Covina, CA 91723-1916
(626) 541-0900
Provider ID: 100090271091
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Chinese, Mandarin
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 135
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS
demographic, phone and/or
panel status.
Infectious Disease
ARCADIA
Santos-montemayor, Maria
MD
450 E Huntington Dr
Arcadia, CA 91006-3748
(626) 462-1884
Provider ID: 100017410005
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GLENDALE
Alborzi, Arash MD
1560 E Chevy Chase Dr Ste
335
Glendale, CA 91206-4140
(818) 550-1998
Provider ID: 100026497038
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Farsi, Korean, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Nephrology
COVINA
Gallego, Claudio MD
315 N 3rd Ave Ste 104
Covina, CA 91723-1901
(626) 332-2777
Provider ID: 100064817065
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GLENDALE
Afsari, Rouzbeh MD
1500 S Central Ave Ste 300
Glendale, CA 91204-2587
(818) 500-4055
Provider ID: 100204956028
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Arcia, John MD
435 Arden Ave Ste 380
Glendale, CA 91203-1147
(818) 240-5241
Provider ID: 100069333048
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 136
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS
Other Language: Spanish, 1505 Wilson Ter Ste 155 are not present.
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Arfaania, Dariush MD
1505 Wilson Ter Ste 155
Glendale, CA 91206-4032
(818) 242-0475
Provider ID: 100023951041
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Farsi, Russian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Daneshvari, Sam MD
Glendale, CA 91206-4032
(818) 242-0475
Provider ID: 100019571057
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Farsi, Russian
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Farboody, Gholam MD
1505 Wilson Ter Ste 155
Glendale, CA 91206-4032
(818) 242-0475
Provider ID: 100026355051
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Fataleka, Russian, Spanish,
Turkish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Minasian, Raffi MD
1500 S Central Ave Ste 300
Glendale, CA 91204-2587
(818) 500-4055
Provider ID: 100088830094
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Cantonese, Farsi, Russian,
Spanish, Tagalog,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Patrikyan, Artashes MD
1500 S Central Ave Ste 300
Glendale, CA 91204-2587
(818) 500-4055
Provider ID: 100108760046
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 137
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS
Other Language: Armenian,
Farsi, Russian, Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Patrikyan, Artashes MD
1505 Wilson Ter Ste 155
Glendale, CA 91206-4032
(818) 242-0475
Provider ID: 100108760052
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Farsi, Russian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Neurology
ARCADIA
Slater, Kurt DO
450 E Huntington Dr
Arcadia, CA 91006-3748
(626) 462-1884
Provider ID: 100064942004
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
COVINA
Geleris, Andrew MD
420 W Rowland St
Covina, CA 91723-2943
(626) 251-1361
Provider ID: 100081504007
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Rosenberg, Bradley MD
420 W Rowland St
Covina, CA 91723-2943
(626) 251-1361
Provider ID: 100056550011
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GLENDALE
Lee, Lance MD
435 Arden Ave Ste 560
Glendale, CA 91203-1142
(818) 243-1501
Provider ID: 100085194019
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 138
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS
Other Language: Korean
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST COVINA
Kundi, Mukhtair MD
1900 W Garvey Ave S Ste 166
West Covina, CA 91790-2656
(626) 960-1402
Provider ID: 100014498036
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Punjabi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST HILLS
Barkodar, Leon MD
7320 Woodlake Ave Ste 250
West Hills, CA 91307-1495
(818) 593-2191
Provider ID: 100239391015
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Japanese, Russian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Obstetrics / Gynecology
LANCASTER
Devore, Greggory MD
44215 15th St W Ste 112
Lancaster, CA 93534-5503
(626) 583-8911
Provider ID: 100086203072
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PASADENA
Eboreime, Babatunde MD
2595 E Washington Blvd Ste
105
Pasadena, CA 91107-1409
(626) 794-8133
Provider ID: 100020089008
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
TARZANA
Devore, Greggory MD
5525 Etiwanda Ave Ste 313
Tarzana, CA 91356-6127
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 139
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS
(800) 360-3984
Provider ID: 100086203071
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Optometrist
WEST COVINA
Chang, Christine OD
2359 S Azusa Ave
West Covina, CA 91792-1537
(626) 713-2244
Provider ID: 100096396002
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Otolaryngology
ARCADIA
Louden, Catherine MD
450 E Huntington Dr
Arcadia, CA 91006-3748
(626) 254-2172
Provider ID: 100062967003
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Pulmonary Diseases
PASADENA
Eu, Pang-chieh MD
959 E Walnut St Ste 120
Pasadena, CA 91106-5364
(626) 795-5118
Provider ID: 100279938022
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Kroe, Donald MD
959 E Walnut St Ste 120
Pasadena, CA 91106-5364
(626) 795-5118
Provider ID: 100018767016
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 140
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS
Radiation Oncology
MISSION HILLS
Ellerbroek, Nancy MD
15031 Rinaldi St
Mission Hills, CA 91345-1207
(818) 496-4410
Provider ID: 100070970055
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi, Hindi,
Spanish, Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Tao, May MD
15031 Rinaldi St
Mission Hills, CA 91345-1207
(323) 361-2336
Provider ID: 100006523050
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Mandarin,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Rheumatology
ARCADIA
Soleimani, Massoud MD
450 E Huntington Dr
Arcadia, CA 91006-3748
(626) 254-2172
Provider ID: 100092051004
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Colon Surgery
Vukasin, Petar MD
301 W Huntington Dr Ste 618
Arcadia, CA 91007-1519
(626) 898-8004
Provider ID: 100086046067
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Farsi, Serbian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery General
COVINA
Wang, David MD
420 W Rowland St
Covina, CA 91723-2943
(626) 251-1361
Provider ID: 100028825012
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 141
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GLENDORA
Mariano, Myron MD
210 S Grand Ave Ste 407
Glendora, CA 91741-4290
(626) 914-5051
Provider ID: 100089455024
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Neurological
BURBANK
Salem, Ayman MD
191 S Buena Vista St Ste 370
Burbank, CA 91505-4562
(818) 562-6400
Provider ID: 100019951039
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Farsi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GLENDALE
Badr, Yaser MD
1500 E Chevy Chase Dr Ste
204
Glendale, CA 91206-4152
(818) 243-1501
Provider ID: 100200336071
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
VALENCIA
Liker, Mark MD
23929 Mcbean Pkwy Ste 212
Valencia, CA 91355-4468
(661) 799-2542
Provider ID: 100018987042
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Orthopedic
COVINA
Bast, Steven MD
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 142
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS
420 W Rowland St
Covina, CA 91723-2943
(626) 251-1361
Provider ID: 100065373005
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GLENDALE
Solberg, Brian MD
1505 Wilson Ter Ste 310
Glendale, CA 91206-4073
(213) 455-8448
Provider ID: 100051615026
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PASADENA
Laster, Daniel MD
2627 E Washington Blvd
Pasadena, CA 91107-1412
(626) 585-2948
Provider ID: 100058132005
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
Arianjam, Afshin MD
160 E Artesia St Ste 255
Pomona, CA 91767-2921
(909) 596-4346
Provider ID: 100252401017
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Plastic
ALHAMBRA
Wu, Dianne MD
1048 S Garfield Ave Ste 300
Alhambra, CA 91801-4768
(626) 458-7564
Provider ID: 100042522022
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Chinese, Mandarin, Spanish,
Vietnamese
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 143
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS
panel status.
GLENDALE
Doudikian Scaff, Nayiri MD
1420 S Central Ave Fl 2
Glendale, CA 91204-2508
(818) 502-1900
Provider ID: 100071992013
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
French, Mandarin, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PASADENA
Cox, Brian MD
1044 S Fair Oaks Ave # 101
Pasadena, CA 91105-2622
(626) 449-4859
Provider ID: 100051156006
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Rosenfeld, Harold MD
1044 S Fair Oaks Ave # 101
Pasadena, CA 91105-2622
(626) 449-4859
Provider ID: 100066676004
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Thoracic
Cohen, Robbin MD
625 S Fair Oaks Ave Ste 400
Pasadena, CA 91105-2684
(626) 683-9000
Provider ID: 100051805014
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 24-MAR-20
Urology
DUARTE
Yuh, Bertram MD
1500 Duarte Rd
Duarte, CA 91010-3012
(626) 256-4673
Provider ID: 100033044010
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GLENDALE
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 144
325
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS
Ebrahimi, Kamyar MD
1560 E Chevy Chase Dr Ste
Glendale, CA 91206-4140
(818) 246-3300
Provider ID: 100026429013
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Bengali,
Farsi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PASADENA
Warner, Jonathan MD
630 S Raymond Ave Unit 220
Pasadena, CA 91105-3283
(626) 396-2900
Provider ID: 100262254007
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 145
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS IPA - ARCADIA
PRIMARY CARE PHYSICIANS
Internal Medicine
ARCADIA
Eng, Trang MD
450 E Huntington Dr
Arcadia, CA 91006-3748
(626) 462-1884
Provider ID: 100225170004
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: German,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
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.
Otolaryngology
DUARTE
Battaglia, Steven MD
1500 Duarte Rd
Duarte, CA 91010-3012
(626) 359-8111
Provider ID: 100067080033
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 14-APR-20
PASADENA
Battaglia, Steven MD
10 Congress St Ste 103
Pasadena, CA 91105-3027
(626) 796-6164
Provider ID: 100067080035
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 14-APR-20
Pulmonary Diseases
ARCADIA
Tabibian, Benjamin DO
301 W Huntington Dr Ste 607
Arcadia, CA 91007-1515
(626) 445-4558
Provider ID: 100209393008
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PASADENA
Tabibian, Benjamin DO
959 E Walnut St Ste 120
Pasadena, CA 91106-5364
(626) 795-5118
Provider ID: 100209393006
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 146
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS IPA - ARCADIA
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery General
GLENDORA
Mariano, Myron MD
210 S Grand Ave Ste 407
Glendora, CA 91741-4290
(626) 914-5051
Provider ID: 100089455018
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 147
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS IPA - EAST WEST
PRIMARY CARE PHYSICIANS
Family Practice
MONTEREY PARK
Tai, Liang Yu DO
210 N Garfield Ave Ste 203
Monterey Park, CA 91754-1746
(626) 307-7397
Provider ID: 100075482033
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin, Taiwanese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST COVINA
Chen, David MD
2707 E Valley Blvd Ste 203
West Covina, CA 91792-3197
(626) 965-1988
Provider ID: 100093223037
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Internal Medicine
ARCADIA
Tulpule, Radhika MD
301 W Huntington Dr Ste 327
Arcadia, CA 91007-1501
(626) 447-8129
Provider ID: 100067240029
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Spanish, Tamil, Telugu, Urdu
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 06-FEB-20
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.
Gastroenterology
GLENDORA
Mourani, Samuel MD
552 W Foothill Blvd Ste 200
Glendora, CA 91741-2470
(626) 359-3330
Provider ID: 100030958045
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 148
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS IPA - EAST WEST
Otolaryngology
DUARTE
Battaglia, Steven MD
1500 Duarte Rd
Duarte, CA 91010-3012
(626) 359-8111
Provider ID: 100067080030
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 14-APR-20
PASADENA
Battaglia, Steven MD
10 Congress St Ste 103
Pasadena, CA 91105-3027
(626) 796-6164
Provider ID: 100067080036
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 14-APR-20
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 149
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS IPA - GLENDALE
PRIMARY CARE PHYSICIANS
Family Practice
GLENDALE
Airapetian, Ara MD
801 S Chevy Chase Dr Ste 250
Glendale, CA 91205-4433
(818) 265-2264
Provider ID: 100109150048
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Korean, Russian, Spanish,
Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Babakhanians, Arthur MD
435 Arden Ave Ste 450
Glendale, CA 91203-4024
(818) 241-4129
Provider ID: 100321308029
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Farsi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
General Practice
NORTH HOLLYWOOD
Paronian, Oganes MD
12157 Victory Blvd
North Hollywood, CA
91606-3204
(818) 275-2763
Provider ID: 100108108033
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Farsi, Romanian,
Russian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Internal Medicine
BURBANK
Patel, Tejas MD
2701 W Alameda Ave Ste 607
Burbank, CA 91505-4411
(818) 842-6400
Provider ID: 100084335017
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Gujarati
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
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.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 150
300
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS IPA - GLENDALE
Otolaryngology
GLENDALE
Trenkle, Geoffrey DO
1577 E Chevy Chase Dr Ste
Glendale, CA 91206-4092
(818) 553-8013
Provider ID: 100231785215
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Cantonese,
Korean, Russian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 30-DEC-19
Pediatric Gastroenterology
PASADENA
Bultron, Gilberto MD
65 N Madison Ave Ste 701
Pasadena, CA 91101-2046
(626) 800-4059
Provider ID: 100008977032
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Bultron, Gilberto MD
100 W California Blvd
Pasadena, CA 91105-3010
(800) 463-6628
Provider ID: 100008977037
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Neurological
GLENDALE
Badr, Yaser MD
1500 E Chevy Chase Dr Ste
204
Glendale, CA 91206-4152
(818) 243-1501
Provider ID: 100200336110
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 151
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS IPA - NORTHRIDGE MEDICAL GROUP
PRIMARY CARE PHYSICIANS
Family Practice
NORTHRIDGE
Eddy-bertrand, Elizabeth MD
18350 Roscoe Blvd Ste 600
Northridge, CA 91325-4187
(818) 727-1515
Provider ID: 100093980005
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Tamil
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Groomer, Jason DO
18531 Roscoe Blvd Ste 215
Northridge, CA 91324-5975
(818) 700-0478
Provider ID: 100084396007
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 17-APR-20
Kavcioglu, Ruth MD
18460 Roscoe Blvd
Northridge, CA 91325-4107
(818) 885-5480
Provider ID: 100167245015
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Okhovat, Mehran MD
18350 Roscoe Blvd Ste 600
Northridge, CA 91325-4187
(818) 727-1515
Provider ID: 100104209005
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PANORAMA CITY
Nossett, Angela MD
8215 Van Nuys Blvd Ste 212
Panorama City, CA
91402-4834
(818) 902-9229
Provider ID: 100056653031
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SPECIALISTS
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 152
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS IPA - NORTHRIDGE MEDICAL GROUP
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.
Podiatrist
NORTHRIDGE
Binder, Robert DPM
9017 Reseda Blvd Ste 100
Northridge, CA 91324-3969
(818) 885-8400
Provider ID: 100041669033
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
RESEDA
Binder, Robert DPM
19231 Victory Blvd Ste 456
Reseda, CA 91335-6367
(818) 349-8637
Provider ID: 100041669020
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Orthopedic
GLENDALE
Bastian, Sevag MD
1505 Wilson Ter Ste 310
Glendale, CA 91206-4073
(818) 841-3936
Provider ID: 100319593017
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 153
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS IPA - PASADENA
PRIMARY CARE PHYSICIANS
General Practice
MONROVIA
Vallota, Enrique MD
513 E Lime Ave Ste 101
Monrovia, CA 91016-2982
(626) 788-0293
Provider ID: 100196611016
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Internal Medicine
PASADENA
Jung, George MD
10 Congress St Ste 208
Pasadena, CA 91105-3027
(626) 795-4210
Provider ID: 100094755005
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Manvelyan, Marina MD
2544 E Washington Blvd Ste C
Pasadena, CA 91107-1465
(626) 798-1108
Provider ID: 100109864007
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Russian, Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
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.
Gastroenterology
GLENDORA
Mourani, Samuel MD
552 W Foothill Blvd Ste 200
Glendora, CA 91741-2470
(626) 359-3330
Provider ID: 100030958044
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Otolaryngology
DUARTE
Battaglia, Steven MD
1500 Duarte Rd
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 154
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS IPA - PASADENA
Duarte, CA 91010-3012
(626) 359-8111
Provider ID: 100067080031
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 14-APR-20
PASADENA
Battaglia, Steven MD
10 Congress St Ste 103
Pasadena, CA 91105-3027
(626) 796-6164
Provider ID: 100067080037
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 14-APR-20
Delaney, Sean MD
10 Congress St Ste 103
Pasadena, CA 91105-3027
(626) 796-6164
Provider ID: 100337396009
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Mandarin,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 155
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS IPA - SFV
PRIMARY CARE PHYSICIANS
Family Practice
NORTHRIDGE
Cairo, Kathy MD
18460 Roscoe Blvd
Northridge, CA 91325-4107
(818) 885-5480
Provider ID: 100017605012
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: French,
German, Italian, Korean,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Davis, Pamela MD
18460 Roscoe Blvd
Northridge, CA 91325-4107
(818) 885-5480
Provider ID: 100072289012
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: French,
Korean, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 24-JAN-20
Davis, Pamela MD
18460 Roscoe Blvd
Northridge, CA 91325-4107
(818) 885-5480
Provider ID: 100072289012
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: French,
Korean, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Eddy-bertrand, Elizabeth MD
18350 Roscoe Blvd Ste 600
Northridge, CA 91325-4187
(818) 727-1515
Provider ID: 100093980006
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Tamil
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lev, Diana MD
18460 Roscoe Blvd
Northridge, CA 91325-4107
(818) 885-5480
Provider ID: 100017045011
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Russian,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 156
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS IPA - SFV
accessibility needs when there
Okhovat, Mehran MD is limited access or where all SPECIALISTS
18350 Roscoe Blvd Ste 600
Northridge, CA 91325-4187
(818) 727-1515
Provider ID: 100104209006
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PANORAMA CITY
Nossett, Angela MD
8215 Van Nuys Blvd Ste 212
Panorama City, CA
91402-4834
(818) 902-9229
Provider ID: 100056653020
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
General Practice
NORTH HOLLYWOOD
Paronian, Oganes MD
12157 Victory Blvd
North Hollywood, CA
91606-3204
(818) 275-2763
Provider ID: 100108108034
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Farsi, Romanian,
Russian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
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.
Dermatology
MISSION HILLS
Shear, Stuart MD
11600 Indian Hills Rd Ste 300
Mission Hills, CA 91345-1225
(818) 838-4500
Provider ID: 100062452023
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Neurological
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 157
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS IPA - SFV
ENCINO
Lobo, Bjorn MD
16260 Ventura Blvd Ste 700
Encino, CA 91436-4605
(747) 206-5424
Provider ID: 100213688037
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
VALENCIA
Lobo, Bjorn MD
23929 Mcbean Pkwy Ste 215
Valencia, CA 91355-4468
(661) 799-2542
Provider ID: 100213688036
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Orthopedic
GLENDALE
Bastian, Sevag MD
1505 Wilson Ter Ste 310
Glendale, CA 91206-4073
(818) 841-3936
Provider ID: 100319593015
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 158
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS IPA-HILLCREST
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.
Obstetrics / Gynecology
ARCADIA
Schlaerth, Alan MD
300 W Huntington Dr
Arcadia, CA 91007-3402
(626) 445-4411
Provider ID: 100088406032
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Mandarin, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 159
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS MEDICAL GROUP - ALHAMBRA
SPECIALISTS ARCADIA
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.
Gastroenterology
GLENDORA
Mourani, Samuel MD
552 W Foothill Blvd Ste 200
Glendora, CA 91741-2470
(626) 359-3330
Provider ID: 100030958052
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Hwee, Jonathan MD
612 W Duarte Rd Ste 804
Arcadia, CA 91007-9250
(626) 600-2094
Provider ID: 100352553017
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery General
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 160
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS MEDICAL GROUP - ARCADIA
PRIMARY CARE PHYSICIANS
Internal Medicine
ARCADIA
Eng, Trang MD
450 E Huntington Dr
Arcadia, CA 91006-3748
(626) 462-1884
Provider ID: 100225170005
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: German,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Gebreyes, Zewdu MD
450 E Huntington Dr
Arcadia, CA 91006-3748
(626) 254-2172
Provider ID: 100111828004
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Amharic,
Bulgarian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ho, Samuel MD
450 E Huntington Dr
Arcadia, CA 91006-3748
(626) 462-1884
Provider ID: 100047378004
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Santos-montemayor, Maria
MD
450 E Huntington Dr
Arcadia, CA 91006-3748
(626) 462-1884
Provider ID: 100017410004
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
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.
Gastroenterology
GLENDORA
Mourani, Samuel MD
552 W Foothill Blvd Ste 200
Glendora, CA 91741-2470
(626) 359-3330
Provider ID: 100030958051
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 161
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS MEDICAL GROUP - ARCADIA
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Infectious Disease
ARCADIA
Santos-montemayor, Maria
MD
450 E Huntington Dr
Arcadia, CA 91006-3748
(626) 462-1884
Provider ID: 100017410004
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Pulmonary Diseases
Tabibian, Benjamin DO
301 W Huntington Dr Ste 607
Arcadia, CA 91007-1515
(626) 445-4558
Provider ID: 100209393009
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PASADENA
Tabibian, Benjamin DO
959 E Walnut St Ste 120
Pasadena, CA 91106-5364
(626) 795-5118
Provider ID: 100209393004
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery General
ARCADIA
Hwee, Jonathan MD
612 W Duarte Rd Ste 804
Arcadia, CA 91007-9250
(626) 600-2094
Provider ID: 100352553008
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 162
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS MEDICAL GROUP - BURBANK
PRIMARY CARE PHYSICIANS
Internal Medicine
BURBANK
Patel, Tejas MD
2701 W Alameda Ave Ste 607
Burbank, CA 91505-4411
(818) 842-6400
Provider ID: 100084335014
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Gujarati
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
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.
Endocrinology
Sharifi, Maryam MD
2211 W Magnolia Blvd Ste 120
Burbank, CA 91506-1759
(818) 955-5773
Provider ID: 100353113007
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
NORTHRIDGE
Sharifi, Maryam MD
18546 Roscoe Blvd Ste 300
Northridge, CA 91324-5458
(818) 886-4028
Provider ID: 100353113009
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
VAN NUYS
Sharifi, Maryam MD
14600 Sherman Way Ste 300
Van Nuys, CA 91405-2272
(818) 781-7097
Provider ID: 100353113004
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Gastroenterology
VALLEY VILLAGE
Fisher, Henry MD
12626 Riverside Dr Ste 506
Valley Village, CA 91607-3461
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 163
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS MEDICAL GROUP - BURBANK
(818) 845-3773
Provider ID: 100011172025
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Podiatrist
NORTHRIDGE
Binder, Robert DPM
9017 Reseda Blvd Ste 100
Northridge, CA 91324-3969
(818) 885-8400
Provider ID: 100041669031
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
RESEDA
Binder, Robert DPM
19231 Victory Blvd Ste 456
Reseda, CA 91335-6367
(818) 349-8637
Provider ID: 100041669022
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Pulmonary Diseases
PASADENA
Eu, Pang-chieh MD
959 E Walnut St Ste 120
Pasadena, CA 91106-5364
(626) 795-5118
Provider ID: 100279938025
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Neurological
GLENDALE
Badr, Yaser MD
1500 E Chevy Chase Dr Ste
204
Glendale, CA 91206-4152
(818) 243-1501
Provider ID: 100200336109
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 164
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS MEDICAL GROUP - BURBANK
in the provider record;
demographic, phone and/or
panel status.
Surgery Orthopedic
Bastian, Sevag MD
1505 Wilson Ter Ste 310
Glendale, CA 91206-4073
(818) 841-3936
Provider ID: 100319593012
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 165
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS MEDICAL GROUP - EL MONTE
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.
Otolaryngology
GLENDALE
Trenkle, Geoffrey DO
1577 E Chevy Chase Dr Ste
300
Glendale, CA 91206-4092
(818) 553-8013
Provider ID: 100231785217
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Cantonese,
Korean, Russian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 30-DEC-19
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 166
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS MEDICAL GROUP - GLEN OAKS
Gastroenterology
GLENDORA
PRIMARY CARE PHYSICIANS
Internal Medicine
PASADENA
Gomez, Luciano MD
988 S Fair Oaks Ave
Pasadena, CA 91105-2626
(626) 799-4192
Provider ID: 100064909006
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
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.
Mourani, Samuel MD
552 W Foothill Blvd Ste 200
Glendora, CA 91741-2470
(626) 359-3330
Provider ID: 100030958049
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 167
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS MEDICAL GROUP - GLENDALE
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.
Pediatric Gastroenterology
PASADENA
Bultron, Gilberto MD
65 N Madison Ave Ste 701
Pasadena, CA 91101-2046
(626) 800-4059
Provider ID: 100008977034
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Bultron, Gilberto MD
100 W California Blvd
Pasadena, CA 91105-3010
(800) 463-6628
Provider ID: 100008977038
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Neurological
GLENDALE
Badr, Yaser MD
1500 E Chevy Chase Dr Ste
204
Glendale, CA 91206-4152
(818) 243-1501
Provider ID: 100200336107
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 168
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS MEDICAL GROUP - GLENDORA
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.
Certified Nurse Practitioner
GLENDORA
Chan, Hoi Man Carman NP
130 W Route 66 Ste 208
Glendora, CA 91740-6251
(626) 335-4079
Provider ID: 100338281006
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Mandarin
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 24-APR-20
Gastroenterology
Mourani, Samuel MD
552 W Foothill Blvd Ste 200
Glendora, CA 91741-2470
(626) 359-3330
Provider ID: 100030958048
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Cardiovascular
Mariano, Myron MD
210 S Grand Ave Ste 407
Glendora, CA 91741-4290
(626) 914-5051
Provider ID: 100089455015
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 169
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS MEDICAL GROUP - MAGAN
Obstetrics / Gynecology
ARCADIA
PRIMARY CARE PHYSICIANS
General Practice
COVINA
Youssefian, Steve MD
420 W Rowland St
Covina, CA 91723-2943
(626) 251-1361
Provider ID: 100332308003
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
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.
Schlaerth, Alan MD
300 W Huntington Dr
Arcadia, CA 91007-3402
(626) 445-4411
Provider ID: 100088406033
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Mandarin, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 170
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS MEDICAL GROUP - MISSION HILLS
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.
Dermatology
MISSION HILLS
Shear, Stuart MD
11600 Indian Hills Rd Ste 300
Mission Hills, CA 91345-1225
(818) 838-4500
Provider ID: 100062452024
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 171
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS MEDICAL GROUP - MONROVIA
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.
Gastroenterology
GLENDORA
Mourani, Samuel MD
552 W Foothill Blvd Ste 200
Glendora, CA 91741-2470
(626) 359-3330
Provider ID: 100030958050
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 172
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS MEDICAL GROUP - MONTEBELLO
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.
Otolaryngology
GLENDALE
Trenkle, Geoffrey DO
1577 E Chevy Chase Dr Ste
300
Glendale, CA 91206-4092
(818) 553-8013
Provider ID: 100231785225
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Cantonese,
Korean, Russian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 30-DEC-19
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 173
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS MEDICAL GROUP - MONTEREY PARK
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.
Otolaryngology
GLENDALE
Trenkle, Geoffrey DO
1577 E Chevy Chase Dr Ste
300
Glendale, CA 91206-4092
(818) 553-8013
Provider ID: 100231785216
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Cantonese,
Korean, Russian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 30-DEC-19
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 174
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS MEDICAL GROUP - PASADENA MAIN
SPECIALISTS PASADENA accessibility needs when there
is limited access or where all
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.
Gastroenterology
GLENDORA
Mourani, Samuel MD
552 W Foothill Blvd Ste 200
Glendora, CA 91741-2470
(626) 359-3330
Provider ID: 100030958047
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Infectious Disease
Nieberg, Paul MD
950 S Arroyo Pkwy Fl 3
Pasadena, CA 91105-3932
(626) 304-0782
Provider ID: 100082184010
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Neurology
GLENDALE
Lee, Lance MD
435 Arden Ave Ste 560
Glendale, CA 91203-1142
(818) 243-1501
Provider ID: 100085194027
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Korean
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 175
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS MEDICAL GROUP - SAN FERNANDO VALLEY
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.
Surgery Orthopedic
GLENDALE
Bastian, Sevag MD
1505 Wilson Ter Ste 310
Glendale, CA 91206-4073
(818) 841-3936
Provider ID: 100319593018
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 176
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS MEDICAL GROUP - TEMPLE CITY
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.
Gastroenterology
GLENDORA
Mourani, Samuel MD
552 W Foothill Blvd Ste 200
Glendora, CA 91741-2470
(626) 359-3330
Provider ID: 100030958046
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 177
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS MEDICAL GROUP - VALENCIA
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.
Surgery Orthopedic
GLENDALE
Bastian, Sevag MD
1505 Wilson Ter Ste 310
Glendale, CA 91206-4073
(818) 841-3936
Provider ID: 100319593013
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 178
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS MEDICAL GROUP - VAN NUYS
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.
Podiatrist
NORTHRIDGE
Binder, Robert DPM
9017 Reseda Blvd Ste 100
Northridge, CA 91324-3969
(818) 885-8400
Provider ID: 100041669034
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
RESEDA
Binder, Robert DPM
19231 Victory Blvd Ste 456
Reseda, CA 91335-6367
(818) 349-8637
Provider ID: 100041669021
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 179
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS MEDICAL GROUP - WEST HILLS
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.
Optometrist
MISSION HILLS
Spahi, Sarah OD
15336 Devonshire St Ste 4
Mission Hills, CA 91345-2763
(818) 345-2010
Provider ID: 100354090005
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
RESEDA
Spahi, Sarah OD
7217 Reseda Blvd
Reseda, CA 91335-3046
(818) 361-4020
Provider ID: 100354090003
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Orthopedic
GLENDALE
Bastian, Sevag MD
1505 Wilson Ter Ste 310
Glendale, CA 91206-4073
(818) 841-3936
Provider ID: 100319593014
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 180
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS MEDICAL GROUP-MAGNOLIA
SPECIALISTS NORTHRIDGE or most accessibility indicators
are not present.
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.
Dermatology
MISSION HILLS
Shear, Stuart MD
11600 Indian Hills Rd Ste 300
Mission Hills, CA 91345-1225
(818) 838-4500
Provider ID: 100062452028
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Podiatrist
Binder, Robert DPM
9017 Reseda Blvd Ste 100
Northridge, CA 91324-3969
(818) 885-8400
Provider ID: 100041669030
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
RESEDA
Binder, Robert DPM
19231 Victory Blvd Ste 456
Reseda, CA 91335-6367
(818) 349-8637
Provider ID: 100041669023
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Pulmonary Diseases
PASADENA
Eu, Pang-chieh MD
959 E Walnut St Ste 120
Pasadena, CA 91106-5364
(626) 795-5118
Provider ID: 100279938024
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Orthopedic
GLENDALE
Bastian, Sevag MD
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 181
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS MEDICAL GROUP-MAGNOLIA
1505 Wilson Ter Ste 310
Glendale, CA 91206-4073
(818) 841-3936
Provider ID: 100319593011
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 182
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS MEDICAL GROUP-ROSCOE
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.
Surgery Orthopedic
GLENDALE
Bastian, Sevag MD
1505 Wilson Ter Ste 310
Glendale, CA 91206-4073
(818) 841-3936
Provider ID: 100319593016
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 183
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNERS MEDICAL GROUP-SANTA ANITA/SAN GABRIEL
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.
Gastroenterology
GLENDORA
Mourani, Samuel MD
552 W Foothill Blvd Ste 200
Glendora, CA 91741-2470
(626) 359-3330
Provider ID: 100030958067
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 184
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNTERS MEDICAL GROUP - DEL MAR
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.
Gastroenterology
GLENDORA
Mourani, Samuel MD
552 W Foothill Blvd Ste 200
Glendora, CA 91741-2470
(626) 359-3330
Provider ID: 100030958043
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 185
LOS ANGELES COUNTY MEDICAL GROUPS HEALTHCARE PARTNTERS MEDICAL GROUP - VERDUGO
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.
Gastroenterology
GLENDORA
Mourani, Samuel MD
552 W Foothill Blvd Ste 200
Glendora, CA 91741-2470
(626) 359-3330
Provider ID: 100030958042
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 186
LOS ANGELES COUNTY MEDICAL GROUPS HERITAGE-HIGH DESERT MEDICAL GROUP
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.
Dermatology
SHERMAN OAKS
Lin, Michael MD
15477 Ventura Blvd Ste 100
Sherman Oaks, CA 91403-3046
(818) 906-6900
Provider ID: 100046536054
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin, Spanish, Tagalog,
Taiwanese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Gastroenterology
LANCASTER
Pruthi, Jatinder MD
44215 15th St W Ste 209
Lancaster, CA 93534-5504
(661) 522-4507
Provider ID: 100106113011
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Gujarati,
Hindi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Internal Medicine Critical
Care Medicine
Rosado, Ariosto MD
44215 15th St W Ste 115
Lancaster, CA 93534-5503
(661) 948-8000
Provider ID: 100347886008
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Obstetrics / Gynecology
Farid, Samy MD
1729 W Avenue J Ste 101
Lancaster, CA 93534-2708
(661) 723-0270
Provider ID: 100090985004
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Swanson, Gary MD
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 187
LOS ANGELES COUNTY MEDICAL GROUPS HERITAGE-HIGH DESERT MEDICAL GROUP
1729 W Avenue J Ste 101
Lancaster, CA 93534-2708
(661) 949-5193
Provider ID: 100047938007
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Radiation Oncology
PALMDALE
Torossian, Artour MD
38660 Medical Center Dr Ste
A120
Palmdale, CA 93551-4385
(661) 948-5928
Provider ID: 100332471004
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Radiology
LANCASTER
Hill, Jennifer MD
1600 W Avenue J
Lancaster, CA 93534-2814
(661) 949-5720
Provider ID: 100007848061
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Rice, Kevin MD
1600 W Avenue J
Lancaster, CA 93534-2814
(661) 949-5700
Provider ID: 100008600049
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Registered Physical Therapist
PALMDALE
Calderon, Mario PT
3167 Rancho Vista Blvd Ste D
Palmdale, CA 93551-5517
(661) 266-9578
Provider ID: 100352967003
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 188
LOS ANGELES COUNTY MEDICAL GROUPS HERITAGE-HIGH DESERT MEDICAL GROUP
Rheumatology
LANCASTER
Weber, Hans MD
43839 15th St W Ste 108
Lancaster, CA 93534-4756
(661) 726-3932
Provider ID: 100008077009
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: German
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 25-MAR-20
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 189
LOS ANGELES COUNTY MEDICAL GROUPS HERITAGE-LAKESIDE MEDICAL GROUP LA
PRIMARY CARE PHYSICIANS
Family Practice
ARLETA
Arceo, Ruth MD
9043 Woodman Ave Ste C
Arleta, CA 91331-6493
(818) 221-3096
Provider ID: 100084521028
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
AZUSA
Govil, Vishal DO
459 S Azusa Ave Ste F
Azusa, CA 91702-4945
(909) 623-4050
Provider ID: 100341474006
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
BALDWIN PARK
Urbina, Marvin MD
14342 Ramona Blvd
Baldwin Park, CA 91706-3241
(626) 338-4088
Provider ID: 100080477053
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GLENDALE
Airapetian, Ara MD
801 S Chevy Chase Dr Ste 250
Glendale, CA 91205-4433
(818) 265-2264
Provider ID: 100109150034
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Korean, Russian, Spanish,
Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Akopyan, Oganes MD
800 S Central Ave Ste 308
Glendale, CA 91204-4644
(818) 409-3020
Provider ID: 100110707030
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 190
LOS ANGELES COUNTY MEDICAL GROUPS HERITAGE-LAKESIDE MEDICAL GROUP LA
UPDATE: NEW Provider Added.
Effective_Date: 09-APR-20
Akopyan, Oganes MD
519 E Broadway
Glendale, CA 91205-1110
(818) 409-3020
Provider ID: 100110707044
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 09-APR-20
Akopyan, Oganes MD
519 E Broadway
Glendale, CA 91205-1110
(818) 409-3020
Provider ID: 100110707044
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Babakhanians, Arthur MD
435 Arden Ave Ste 450
Glendale, CA 91203-4024
(818) 241-4129
Provider ID: 100321308026
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Farsi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Han, David MD
1901 Broadview Dr
Glendale, CA 91208-1201
(818) 246-3306
Provider ID: 100109554010
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Korean
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Yoon, Esther MD
1901 Broadview Dr
Glendale, CA 91208-1201
(818) 246-3306
Provider ID: 100138707014
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Korean,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 28-JAN-20
Yoon, Esther MD
1901 Broadview Dr
Glendale, CA 91208-1201
(818) 246-3306
Provider ID: 100138707014
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 191
LOS ANGELES COUNTY MEDICAL GROUPS HERITAGE-LAKESIDE MEDICAL GROUP LA
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Korean,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
NORTH HOLLYWOOD
Zamorano, Antonio DO
8065 Webb Ave Ste A
North Hollywood, CA
91605-1505
(818) 927-0021
Provider ID: 100134323086
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SAN FERNANDO
Buch, Vishaal MD
732 Mott St Ste 100
San Fernando, CA 91340-4240
(818) 963-5690
Provider ID: 100352395005
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Gujarati,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST COVINA
Chen, David MD
2707 E Valley Blvd Ste 203
West Covina, CA 91792-3197
(626) 965-1988
Provider ID: 100093223034
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
General Practice
BALDWIN PARK
Carrillo, Herman MD
14342 Ramona Blvd
Baldwin Park, CA 91706-3241
(626) 338-4088
Provider ID: 100088623057
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GLENDALE
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 192
LOS ANGELES COUNTY MEDICAL GROUPS HERITAGE-LAKESIDE MEDICAL GROUP LA
Arslanian, Sahag MD
1241 S Glendale Ave Ste 201
Glendale, CA 91205-3388
(818) 500-7090
Provider ID: 100103413013
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Farsi, Persian,
Russian
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
NORTH HILLS
Ezra, Eshagh MD
15424 Nordhoff St Ste B
North Hills, CA 91343-6952
(805) 222-5803
Provider ID: 100109095028
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SAN GABRIEL
Yau, Edwin MD
415 W Valley Blvd Ste C
San Gabriel, CA 91776-3728
(626) 943-9240
Provider ID: 100178750008
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SANTA CLARITA
Bai, Jilin MD
25775 Mcbean Pkwy Ste 106
Santa Clarita, CA 91355-3702
(661) 362-8100
Provider ID: 100258857028
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
VAN NUYS
Khalili, Manoutcher MD
6330 Van Nuys Blvd
Van Nuys, CA 91401-2610
(818) 994-9822
Provider ID: 100070687025
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 193
LOS ANGELES COUNTY MEDICAL GROUPS HERITAGE-LAKESIDE MEDICAL GROUP LA
in the provider record;
demographic, phone and/or
panel status.
Internal Medicine
COVINA
Ha, Thomas MD
530 W Badillo St Ste E
Covina, CA 91722-3787
(626) 858-5370
Provider ID: 100065416044
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GLENDALE
Gabrielyan, Aram MD
3217 N Verdugo Rd Ste 1
Glendale, CA 91208-1676
(818) 369-7470
Provider ID: 100352037006
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Gabrielyan, Aram MD
3217 N Verdugo Rd Ste 2
Glendale, CA 91208-1675
(818) 369-7470
Provider ID: 100352037007
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SHERMAN OAKS
Viswanathan, Dushyant MD
4555 Sherman Oaks Ave
Sherman Oaks, CA 91403-3011
(888) 250-2246
Provider ID: 100215060010
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WOODLAND HILLS
Burstein, Samuel MD
6325 Topanga Canyon Blvd
Ste 224
Woodland Hills, CA 91367-2017
(818) 222-2443
Provider ID: 100109979008
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Russian
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 194
LOS ANGELES COUNTY MEDICAL GROUPS HERITAGE-LAKESIDE MEDICAL GROUP LA
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
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 Immunology
HACIENDA HEIGHTS
Wong, Stephen MD
1850 S Azusa Ave Ste 206
Hacienda Heights, CA
91745-6853
(626) 284-3400
Provider ID: 100071618050
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Burmese,
Cantonese, Mandarin,
Spanish, Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Cardiology
GLENDALE
Bornheimer, Joseph MD
1560 E Chevy Chase Dr Ste
410
Glendale, CA 91206-4140
(818) 240-4140
Provider ID: 100048982009
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
NORTHRIDGE
Arimie, Raluca MD
18350 Roscoe Blvd Ste 401
Northridge, CA 91325-4169
(818) 710-8045
Provider ID: 100110601008
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
French, Romanian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
Muthiah, Muthusamy MD
1866 N Orange Grove Ave Ste
202
Pomona, CA 91767-3042
(909) 623-8796
Provider ID: 100038476015
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Dutch, Hindi, Korean,
Spanish, Tagalog, Tamil,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 195
LOS ANGELES COUNTY MEDICAL GROUPS HERITAGE-LAKESIDE MEDICAL GROUP LA
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Thumati, Ramakrishna MD
1866 N Orange Grove Ave Ste
202
Pomona, CA 91767-3042
(909) 623-8796
Provider ID: 100006721014
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Cardiovascular Disease
MISSION HILLS
Yee, Ting MD
14901 Rinaldi St Ste 110
Mission Hills, CA 91345-1253
(818) 782-5041
Provider ID: 100062637021
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Chinese, Mandarin
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Dermatology
SHERMAN OAKS
Lin, Michael MD
15477 Ventura Blvd Ste 100
Sherman Oaks, CA 91403-3046
(818) 906-6900
Provider ID: 100046536044
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin, Spanish, Tagalog,
Taiwanese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Endocrinology
GLENDALE
Israelian-konaraki, Zarmen MD
801 S Chevy Chase Dr Ste 102
Glendale, CA 91205-4437
(818) 265-2264
Provider ID: 100112449024
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Farsi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 196
LOS ANGELES COUNTY MEDICAL GROUPS HERITAGE-LAKESIDE MEDICAL GROUP LA
Gastroenterology
TARZANA
Hepps, Kenneth MD
5525 Etiwanda Ave Ste 110
Tarzana, CA 91356-3642
(818) 996-4796
Provider ID: 100101188019
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST HILLS
Arimie, Calin MD
7320 Woodlake Ave Ste 260
West Hills, CA 91307-1470
(818) 706-2447
Provider ID: 100113010013
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: French,
Italian, Romanian, Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Nephrology
GLENDALE
Arfaania, Dariush MD
1505 Wilson Ter Ste 155
Glendale, CA 91206-4032
(818) 242-0475
Provider ID: 100023951046
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Farsi, Russian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Daneshvari, Sam MD
1505 Wilson Ter Ste 155
Glendale, CA 91206-4032
(818) 242-0475
Provider ID: 100019571059
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Farsi, Russian
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Minasian, Raffi MD
1500 S Central Ave Ste 300
Glendale, CA 91204-2587
(818) 500-4055
Provider ID: 100088830104
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Cantonese, Farsi, Russian,
Spanish, Tagalog,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 197
LOS ANGELES COUNTY MEDICAL GROUPS HERITAGE-LAKESIDE MEDICAL GROUP LA
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Patrikyan, Artashes MD
1505 Wilson Ter Ste 155
Glendale, CA 91206-4032
(818) 242-0475
Provider ID: 100108760053
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Farsi, Russian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Neurology
Lee, Lance MD
435 Arden Ave Ste 560
Glendale, CA 91203-1142
(818) 243-1501
Provider ID: 100085194021
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Korean
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST COVINA
Kundi, Mukhtair MD
1900 W Garvey Ave S Ste 166
West Covina, CA 91790-2656
(626) 960-1402
Provider ID: 100014498041
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Punjabi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Obstetrics / Gynecology
GLENDALE
Arslanian, Sahag MD
1241 S Glendale Ave Ste 201
Glendale, CA 91205-3388
(818) 500-7090
Provider ID: 100103413013
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Farsi, Persian,
Russian
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ophthalmology
ENCINO
Kopelow, Stanley MD
16311 Ventura Blvd Ste 750
Encino, CA 91436-4325
(818) 990-3623
Provider ID: 100095653010
Accepting New Patients: Yes
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 198
320
LOS ANGELES COUNTY MEDICAL GROUPS HERITAGE-LAKESIDE MEDICAL GROUP LA
Hours: M-SA 9AM-5PM
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST HILLS
Graditor, Marshall MD
7345 Medical Center Dr Ste
West Hills, CA 91307-1962
(818) 704-7766
Provider ID: 100030109010
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Optometrist
BURBANK
Felestian, Carol OD
2625 W Alameda Ave Ste 208
Burbank, CA 91505-4823
(818) 845-3557
Provider ID: 100205210005
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Podiatrist
SHERMAN OAKS
Lim, Thomas DPM
4955 Van Nuys Blvd Ste 107
Sherman Oaks, CA 91403-1806
(800) 989-0225
Provider ID: 100098849049
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Korean,
Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Pulmonary Diseases
PASADENA
Kroe, Donald MD
959 E Walnut St Ste 120
Pasadena, CA 91106-5364
(626) 795-5118
Provider ID: 100018767017
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 199
LOS ANGELES COUNTY MEDICAL GROUPS HERITAGE-LAKESIDE MEDICAL GROUP LA
Radiology Diagnostic
LANCASTER
Tirman, Phillip MD
1600 W Avenue J
Lancaster, CA 93534-2814
(661) 949-5000
Provider ID: 100044066133
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Radiology
Hill, Jennifer MD
1600 W Avenue J
Lancaster, CA 93534-2814
(661) 949-5720
Provider ID: 100007848062
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Rice, Kevin MD
1600 W Avenue J
Lancaster, CA 93534-2814
(661) 949-5700
Provider ID: 100008600048
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery General
POMONA
Wali, Autar MD
155 W Willow St
Pomona, CA 91768-1829
(909) 865-2626
Provider ID: 100015163019
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Orthopedic
PALMDALE
Lee, Daniel MD
1037 E Palmdale Blvd Ste 202
Palmdale, CA 93550-4745
(661) 456-3177
Provider ID: 100031786055
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Korean, Spanish, Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 200
LOS ANGELES COUNTY MEDICAL GROUPS HERITAGE-LAKESIDE MEDICAL GROUP LA
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
Gupta, Neeraj MD
160 E Artesia St Ste 360
Pomona, CA 91767-2927
(909) 629-4604
Provider ID: 100047560074
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Gujarati,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Plastic
ALHAMBRA
Wu, Dianne MD
1048 S Garfield Ave Ste 300
Alhambra, CA 91801-4768
(626) 458-7564
Provider ID: 100042522020
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Chinese, Mandarin, Spanish,
Vietnamese
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 201
LOS ANGELES COUNTY MEDICAL GROUPS HERITAGE-LAKESIDE MEDICAL GROUP SB
PRIMARY CARE PHYSICIANS
Family Practice
POMONA
Gutierrez, Humberto DO
1501 E Holt Ave Ste A
Pomona, CA 91767-5823
(909) 623-3600
Provider ID: 100327092012
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Internal Medicine
De Jesus, Violeta MD
1532 San Bernardino Ave Ste
B7
Pomona, CA 91767-3559
(909) 301-4041
Provider ID: 100105734006
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
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.
Cardiovascular Disease
Vangala, Nitanth MD
1866 N Orange Grove Ave Ste
202
Pomona, CA 91767-3042
(909) 623-8796
Provider ID: 100001173030
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Telugu
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Gastroenterology
Tama, Maher MD
790 E Bonita Ave # 2
Pomona, CA 91767-1906
(909) 447-5893
Provider ID: 100347418021
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
French
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 202
LOS ANGELES COUNTY MEDICAL GROUPS HERITAGE-REGAL MEDICAL GROUP LA
PRIMARY CARE PHYSICIANS
Family Practice
ARLETA
Arceo, Ruth MD
9043 Woodman Ave Ste C
Arleta, CA 91331-6493
(818) 221-3096
Provider ID: 100084521027
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
AZUSA
Govil, Vishal DO
459 S Azusa Ave Ste F
Azusa, CA 91702-4945
(909) 623-4050
Provider ID: 100341474005
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
BALDWIN PARK
Motamedi, Bijan MD
4137 Maine Ave
Baldwin Park, CA 91706-3309
(626) 480-0167
Provider ID: 100031621039
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
French, Russian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 24-FEB-20
Urbina, Marvin MD
14342 Ramona Blvd
Baldwin Park, CA 91706-3241
(626) 338-4088
Provider ID: 100080477052
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
COVINA
Gin, Jeffrey MD
218 W Badillo St
Covina, CA 91723-1906
(310) 991-7718
Provider ID: 100091340017
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 203
LOS ANGELES COUNTY MEDICAL GROUPS HERITAGE-REGAL MEDICAL GROUP LA
panel status.
GLENDALE
Airapetian, Ara MD
801 S Chevy Chase Dr Ste 250
Glendale, CA 91205-4433
(818) 265-2264
Provider ID: 100109150035
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Korean, Russian, Spanish,
Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Akopyan, Oganes MD
800 S Central Ave Ste 308
Glendale, CA 91204-4644
(818) 409-3020
Provider ID: 100110707029
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 09-APR-20
Akopyan, Oganes MD
519 E Broadway
Glendale, CA 91205-1110
(818) 409-3020
Provider ID: 100110707047
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 09-APR-20
Akopyan, Oganes MD
519 E Broadway
Glendale, CA 91205-1110
(818) 409-3020
Provider ID: 100110707047
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Bostanjian, David MD
501 W Glenoaks Blvd Ste 14
Glendale, CA 91202-4047
(818) 242-6100
Provider ID: 100112339007
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Russian
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 30-JAN-20
Babakhanians, Arthur MD
435 Arden Ave Ste 450
Glendale, CA 91203-4024
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 204
LOS ANGELES COUNTY MEDICAL GROUPS HERITAGE-REGAL MEDICAL GROUP LA
(818) 241-4129 panel status. are not present.
Provider ID: 100321308025
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Farsi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Han, David MD
1901 Broadview Dr
Glendale, CA 91208-1201
(818) 246-3306
Provider ID: 100109554009
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Korean
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
Yoon, Esther MD
1901 Broadview Dr
Glendale, CA 91208-1201
(818) 246-3306
Provider ID: 100138707015
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Korean,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 28-JAN-20
Yoon, Esther MD
1901 Broadview Dr
Glendale, CA 91208-1201
(818) 246-3306
Provider ID: 100138707015
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Korean,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
NORTH HOLLYWOOD
Zamorano, Antonio DO
8065 Webb Ave Ste A
North Hollywood, CA
91605-1505
(818) 927-0021
Provider ID: 100134323087
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST COVINA
Chen, David MD
2707 E Valley Blvd Ste 203
West Covina, CA 91792-3197
(626) 965-1988
Provider ID: 100093223036
Accepting New Patients: No
Hours: M-SA 9AM-5PM
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 205
LOS ANGELES COUNTY MEDICAL GROUPS HERITAGE-REGAL MEDICAL GROUP LA
Other Language: Chinese,
Mandarin, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
General Practice
BALDWIN PARK
Carrillo, Herman MD
14342 Ramona Blvd
Baldwin Park, CA 91706-3241
(626) 338-4088
Provider ID: 100088623056
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GLENDALE
Arslanian, Sahag MD
1241 S Glendale Ave Ste 201
Glendale, CA 91205-3388
(818) 500-7090
Provider ID: 100103413012
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Farsi, Persian,
Russian
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
NORTH HILLS
Ezra, Eshagh MD
15424 Nordhoff St Ste B
North Hills, CA 91343-6952
(805) 222-5803
Provider ID: 100109095023
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
NORTH HOLLYWOOD
Paronian, Oganes MD
12157 Victory Blvd
North Hollywood, CA
91606-3204
(818) 275-2763
Provider ID: 100108108030
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Farsi, Romanian,
Russian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 206
LOS ANGELES COUNTY MEDICAL GROUPS HERITAGE-REGAL MEDICAL GROUP LA
ROSEMEAD
Ruiz, Ruben MD
3012 San Gabriel Blvd
Rosemead, CA 91770-2536
(626) 572-8692
Provider ID: 100069818046
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Mandarin, Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SAN GABRIEL
Yau, Edwin MD
415 W Valley Blvd Ste C
San Gabriel, CA 91776-3728
(626) 943-9240
Provider ID: 100178750009
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SANTA CLARITA
Bai, Jilin MD
25775 Mcbean Pkwy Ste 106
Santa Clarita, CA 91355-3702
(661) 362-8100
Provider ID: 100258857027
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
VAN NUYS
Khalili, Manoutcher MD
6330 Van Nuys Blvd
Van Nuys, CA 91401-2610
(818) 994-9822
Provider ID: 100070687031
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Internal Medicine
GLENDALE
Gabrielyan, Aram MD
3217 N Verdugo Rd Ste 1
Glendale, CA 91208-1676
(818) 369-7470
Provider ID: 100352037005
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 207
LOS ANGELES COUNTY MEDICAL GROUPS HERITAGE-REGAL MEDICAL GROUP LA
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Gabrielyan, Aram MD
3217 N Verdugo Rd Ste 2
Glendale, CA 91208-1675
(818) 369-7470
Provider ID: 100352037008
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GLENDORA
Solomon, Oliver DO
130 W Route 66 Ste 326
Glendora, CA 91740-6252
(626) 963-8588
Provider ID: 100107382012
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ROWLAND HEIGHTS
Yung, Tin MD
1722 Desire Ave Ste 202
Rowland Heights, CA
91748-2970
(626) 913-1288
Provider ID: 100044411022
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Chinese, Japanese,
Mandarin, Serbo-Croatian
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
SHERMAN OAKS
Viswanathan, Dushyant MD
4555 Sherman Oaks Ave
Sherman Oaks, CA 91403-3011
(888) 250-2246
Provider ID: 100215060009
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WOODLAND HILLS
Burstein, Samuel MD
6325 Topanga Canyon Blvd
Ste 224
Woodland Hills, CA 91367-2017
(818) 222-2443
Provider ID: 100109979009
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 208
LOS ANGELES COUNTY MEDICAL GROUPS HERITAGE-REGAL MEDICAL GROUP LA
Other Language: Armenian,
Russian
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
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 Immunology
HACIENDA HEIGHTS
Wong, Stephen MD
1850 S Azusa Ave Ste 206
Hacienda Heights, CA
91745-6853
(626) 284-3400
Provider ID: 100071618049
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Burmese,
Cantonese, Mandarin,
Spanish, Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Cardiology
GLENDALE
Bornheimer, Joseph MD
1560 E Chevy Chase Dr Ste
410
Glendale, CA 91206-4140
(818) 240-4140
Provider ID: 100048982010
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
NORTHRIDGE
Arimie, Raluca MD
18350 Roscoe Blvd Ste 401
Northridge, CA 91325-4169
(818) 710-8045
Provider ID: 100110601009
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
French, Romanian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Cardiovascular Disease
MISSION HILLS
Yee, Ting MD
14901 Rinaldi St Ste 110
Mission Hills, CA 91345-1253
(818) 782-5041
Provider ID: 100062637022
Accepting New Patients: Yes
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 209
LOS ANGELES COUNTY MEDICAL GROUPS HERITAGE-REGAL MEDICAL GROUP LA
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Chinese, Mandarin
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Dermatology
SHERMAN OAKS
Lin, Michael MD
15477 Ventura Blvd Ste 100
Sherman Oaks, CA 91403-3046
(818) 906-6900
Provider ID: 100046536055
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin, Spanish, Tagalog,
Taiwanese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Endocrinology
GLENDALE
Israelian-konaraki, Zarmen MD
801 S Chevy Chase Dr Ste 102
Glendale, CA 91205-4437
(818) 265-2264
Provider ID: 100112449025
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Farsi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Gastroenterology
TARZANA
Hepps, Kenneth MD
5525 Etiwanda Ave Ste 110
Tarzana, CA 91356-3642
(818) 996-4796
Provider ID: 100101188020
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST HILLS
Arimie, Calin MD
7320 Woodlake Ave Ste 260
West Hills, CA 91307-1470
(818) 706-2447
Provider ID: 100113010014
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: French,
Italian, Romanian, Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 210
308
LOS ANGELES COUNTY MEDICAL GROUPS HERITAGE-REGAL MEDICAL GROUP LA
in the provider record;
demographic, phone and/or
panel status.
Hematology / Oncology
ALHAMBRA
Yang, Honghao MD
1411 S Garfield Ave Ste 306 &
Alhambra, CA 91801-5045
(626) 802-5272
Provider ID: 100026972036
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Chinese,
Mandarin, Shanghaiese,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Nephrology
GLENDALE
Arfaania, Dariush MD
1505 Wilson Ter Ste 155
Glendale, CA 91206-4032
(818) 242-0475
Provider ID: 100023951044
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Farsi, Russian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Daneshvari, Sam MD
1505 Wilson Ter Ste 155
Glendale, CA 91206-4032
(818) 242-0475
Provider ID: 100019571058
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Farsi, Russian
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Minasian, Raffi MD
1500 S Central Ave Ste 300
Glendale, CA 91204-2587
(818) 500-4055
Provider ID: 100088830103
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Cantonese, Farsi, Russian,
Spanish, Tagalog,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Patrikyan, Artashes MD
1505 Wilson Ter Ste 155
Glendale, CA 91206-4032
(818) 242-0475
Provider ID: 100108760054
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 211
LOS ANGELES COUNTY MEDICAL GROUPS HERITAGE-REGAL MEDICAL GROUP LA
Other Language: Armenian,
Farsi, Russian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Neurology
Lee, Lance MD
435 Arden Ave Ste 560
Glendale, CA 91203-1142
(818) 243-1501
Provider ID: 100085194020
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Korean
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST COVINA
Kundi, Mukhtair MD
1900 W Garvey Ave S Ste 166
West Covina, CA 91790-2656
(626) 960-1402
Provider ID: 100014498042
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Punjabi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Obstetrics / Gynecology
GLENDALE
Arslanian, Sahag MD
1241 S Glendale Ave Ste 201
Glendale, CA 91205-3388
(818) 500-7090
Provider ID: 100103413012
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Farsi, Persian,
Russian
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
VAN NUYS
Delshad, George MD
15211 Vanowen St Ste 310
Van Nuys, CA 91405-3615
(818) 830-6970
Provider ID: 100020505015
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 212
LOS ANGELES COUNTY MEDICAL GROUPS HERITAGE-REGAL MEDICAL GROUP LA
Ophthalmology
GLENDALE
Tran, Vinh MD
1808 Verdugo Blvd Ste 206
Glendale, CA 91208-1412
(818) 790-7611
Provider ID: 100056342018
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin, Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Otolaryngology
VALENCIA
Friedman, Adam MD
27879 Smyth Dr
Valencia, CA 91355-4011
(661) 259-2500
Provider ID: 100092274008
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Pathology Anatomic Clinical
CANOGA PARK
Lin, Tzy-young MD
21114 Vanowen St
Canoga Park, CA 91303-2821
(818) 992-7848
Provider ID: 100062855010
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Podiatrist
RESEDA
Binder, Robert DPM
19231 Victory Blvd Ste 456
Reseda, CA 91335-6367
(818) 349-8637
Provider ID: 100041669018
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Radiation Oncology
GLENDALE
Kazlauskas, Linas MD
222 W Eulalia St Ste 100
Glendale, CA 91204-2850
(818) 500-5885
Provider ID: 100036664069
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Lithuanian
Accessibility: B; Members are
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 213
LOS ANGELES COUNTY MEDICAL GROUPS HERITAGE-REGAL MEDICAL GROUP LA
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Radiology Diagnostic
LANCASTER
Tirman, Phillip MD
1600 W Avenue J
Lancaster, CA 93534-2814
(661) 949-5000
Provider ID: 100044066134
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Radiology
Hill, Jennifer MD
1600 W Avenue J
Lancaster, CA 93534-2814
(661) 949-5720
Provider ID: 100007848060
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Registered Physical Therapist
PASADENA
Zawar, Apurva PT
1017 S Fair Oaks Ave
Pasadena, CA 91105-2621
(626) 403-6200
Provider ID: 100348994004
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Marathi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 14-FEB-20
Zawar, Apurva PT
224 N Fair Oaks Ave Ste 300
Pasadena, CA 91103-3618
(626) 696-1471
Provider ID: 100348994007
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Marathi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 14-FEB-20
Surgery General
ENCINO
Pourshahmir, Mohammad MD
5400 Balboa Blvd Ste 228
Encino, CA 91316-5212
(818) 783-7277
Provider ID: 100079092014
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 214
LOS ANGELES COUNTY MEDICAL GROUPS HERITAGE-REGAL MEDICAL GROUP LA
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi, French
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
Garg, Vinod MD
250 W Bonita Ave Ste 250
Pomona, CA 91767-1864
(909) 868-6800
Provider ID: 100015294015
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Wali, Autar MD
155 W Willow St
Pomona, CA 91768-1829
(909) 865-2626
Provider ID: 100015163017
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Neurological
BURBANK
Salem, Ayman MD
191 S Buena Vista St Ste 370
Burbank, CA 91505-4562
(818) 562-6400
Provider ID: 100019951043
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Farsi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Orthopedic
PALMDALE
Lee, Daniel MD
1037 E Palmdale Blvd Ste 202
Palmdale, CA 93550-4745
(661) 456-3177
Provider ID: 100031786056
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Korean, Spanish, Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 215
LOS ANGELES COUNTY MEDICAL GROUPS HERITAGE-REGAL MEDICAL GROUP LA
Surgery Plastic
ALHAMBRA
Wu, Dianne MD
1048 S Garfield Ave Ste 300
Alhambra, CA 91801-4768
(626) 458-7564
Provider ID: 100042522021
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Chinese, Mandarin, Spanish,
Vietnamese
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 216
LOS ANGELES COUNTY MEDICAL GROUPS HERITAGE-REGAL MEDICAL GROUP SB
PRIMARY CARE PHYSICIANS
Family Practice
POMONA
Gutierrez, Humberto DO
1501 E Holt Ave Ste A
Pomona, CA 91767-5823
(909) 623-3600
Provider ID: 100327092009
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Internal Medicine
De Jesus, Violeta MD
1532 San Bernardino Ave Ste
B7
Pomona, CA 91767-3559
(909) 301-4041
Provider ID: 100105734004
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
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.
Cardiovascular Disease
Vangala, Nitanth MD
1866 N Orange Grove Ave Ste
202
Pomona, CA 91767-3042
(909) 623-8796
Provider ID: 100001173033
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Telugu
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Gastroenterology
Tama, Maher MD
790 E Bonita Ave # 2
Pomona, CA 91767-1906
(909) 447-5893
Provider ID: 100347418020
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
French
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Neurology
Qazi, Faisal DO
2895 N Towne Ave
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 217
LOS ANGELES COUNTY MEDICAL GROUPS HERITAGE-REGAL MEDICAL GROUP SB
Pomona, CA 91767-2009
(909) 982-2719
Provider ID: 100111495023
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish, Urdu
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ophthalmology
Khan, Ayaz DO
648 N Park Ave
Pomona, CA 91768-3621
(909) 927-8487
Provider ID: 100069844053
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Spanish, Urdu
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 218
LOS ANGELES COUNTY MEDICAL GROUPS HERITAGE-SIERRA MEDICAL GROUP
PRIMARY CARE PHYSICIANS
General Practice
SANTA CLARITA
Bai, Jilin MD
25775 Mcbean Pkwy Ste 106
Santa Clarita, CA 91355-3702
(661) 362-8100
Provider ID: 100258857024
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Internal Medicine
CANYON COUNTRY
Parvinchiha, Amir MD
Contract terminated as of
4/30/2020
27141 Hidaway Ave Ste 107
Canyon Country, CA
91351-4136
(661) 250-0100
Provider ID: 100177090026
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
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.
Obstetrics / Gynecology
LANCASTER
Farid, Samy MD
1729 W Avenue J Ste 101
Lancaster, CA 93534-2708
(661) 723-0270
Provider ID: 100090985003
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ophthalmology
ENCINO
Kopelow, Stanley MD
16311 Ventura Blvd Ste 750
Encino, CA 91436-4325
(818) 990-3623
Provider ID: 100095653011
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 219
LOS ANGELES COUNTY MEDICAL GROUPS HERITAGE-SIERRA MEDICAL GROUP
Rheumatology
LANCASTER
Weber, Hans MD
43839 15th St W Ste 108
Lancaster, CA 93534-4756
(661) 726-3932
Provider ID: 100008077010
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: German
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 25-MAR-20
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Orthopedic
PALMDALE
Lameer, Mohamed MD
627 W Avenue Q Ste C
Palmdale, CA 93551-3891
(661) 942-5400
Provider ID: 100016237005
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 220
LOS ANGELES COUNTY MEDICAL GROUPS IMPERIAL HEALTH PLAN OF CA INC- LA
PRIMARY CARE PHYSICIANS
Family Practice
ARLETA
Arceo, Ruth MD
9043 Woodman Ave Ste C
Arleta, CA 91331-6493
(818) 221-3096
Provider ID: 100084521026
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 221
LOS ANGELES COUNTY MEDICAL GROUPS LAKEWOOD IPA - ALAMITOS IPA
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.
Surgery Neurological
WHITTIER
Chou, Arthur MD
9210 Colima Rd Ste 108
Whittier, CA 90605-1829
(626) 768-7373
Provider ID: 100274635018
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 222
LOS ANGELES COUNTY MEDICAL GROUPS LAKEWOOD IPA - BROOKSHIRE
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.
Surgery Neurological
WHITTIER
Chou, Arthur MD
9210 Colima Rd Ste 108
Whittier, CA 90605-1829
(626) 768-7373
Provider ID: 100274635019
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 223
LOS ANGELES COUNTY MEDICAL GROUPS LAKEWOOD IPA - ST MARY
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.
Surgery Neurological
WHITTIER
Chou, Arthur MD
9210 Colima Rd Ste 108
Whittier, CA 90605-1829
(626) 768-7373
Provider ID: 100274635017
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 224
LOS ANGELES COUNTY MEDICAL GROUPS LAKEWOOD IPA
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.
Surgery Neurological
WHITTIER
Chou, Arthur MD
9210 Colima Rd Ste 108
Whittier, CA 90605-1829
(626) 768-7373
Provider ID: 100274635016
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 225
LOS ANGELES COUNTY MEDICAL GROUPS LASALLE MEDICAL ASSOCIATES-COACHELLA VALLEY
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.
Nephrology
SAN DIMAS
Bhasin, Nitin MD
1335 Cypress St Ste 205
San Dimas, CA 91773-3538
(909) 542-2770
Provider ID: 100139991049
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 226
LOS ANGELES COUNTY MEDICAL GROUPS LASALLE MEDICAL ASSOCIATES-RIVERSIDE
SPECIALISTS POMONA accessibility needs when there
is limited access or where all
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.
Nephrology
SAN DIMAS
Bhasin, Nitin MD
1335 Cypress St Ste 205
San Dimas, CA 91773-3538
(909) 542-2770
Provider ID: 100139991048
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ophthalmology
Khan, Ayaz DO
648 N Park Ave
Pomona, CA 91768-3621
(909) 927-8487
Provider ID: 100069844055
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Spanish, Urdu
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Neurological
Brekhus, Sharyn MD
160 E Artesia St Ste 220
Pomona, CA 91767-2921
(909) 630-7158
Provider ID: 100089863056
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Marquez, Yvette MD
160 E Artesia St Ste 220
Pomona, CA 91767-2921
(909) 865-1020
Provider ID: 100245584050
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 227
LOS ANGELES COUNTY MEDICAL GROUPS LASALLE MEDICAL ASSOCIATES-SAN BERNARDINO
SPECIALISTS POMONA accessibility needs when there
is limited access or where all
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.
Nephrology
SAN DIMAS
Bhasin, Nitin MD
1335 Cypress St Ste 205
San Dimas, CA 91773-3538
(909) 542-2770
Provider ID: 100139991047
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ophthalmology
Khan, Ayaz DO
648 N Park Ave
Pomona, CA 91768-3621
(909) 927-8487
Provider ID: 100069844056
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Spanish, Urdu
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Neurological
Brekhus, Sharyn MD
160 E Artesia St Ste 220
Pomona, CA 91767-2921
(909) 630-7158
Provider ID: 100089863055
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Marquez, Yvette MD
160 E Artesia St Ste 220
Pomona, CA 91767-2921
(909) 865-1020
Provider ID: 100245584049
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 228
LOS ANGELES COUNTY MEDICAL GROUPS LOS ANGELES MEDICAL CENTER IPA
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.
Nephrology
GLENDALE
Minasian, Raffi MD
1500 S Central Ave Ste 300
Glendale, CA 91204-2587
(818) 500-4055
Provider ID: 100088830089
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Cantonese, Farsi, Russian,
Spanish, Tagalog,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Obstetrics
POMONA
Hanna, Gina MD
1798 N Garey Ave
Pomona, CA 91767-2918
(909) 865-9500
Provider ID: 100038458070
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Rodriguez, Maria MD
1798 N Garey Ave
Pomona, CA 91767-2918
(909) 865-9705
Provider ID: 100073840086
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Spanish, Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Optometrist
PASADENA
Chi, Grace OD
100 E California Blvd
Pasadena, CA 91105-3205
(800) 898-2020
Provider ID: 100234340047
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Cantonese, Mandarin,
Serbo-Croatian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 229
LOS ANGELES COUNTY MEDICAL GROUPS LOS ANGELES MEDICAL CENTER IPA
Pediatric Cardiology
GLENDALE
Hartas, Georgios MD
411 N Central Ave Ste 250
Glendale, CA 91203-2061
(818) 839-7101
Provider ID: 100339003018
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Greek,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PASADENA
De Oliveira, Elizabeth MD
50 Bellefontaine St Ste 405
Pasadena, CA 91105-3132
(626) 796-9259
Provider ID: 100017270147
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
German, Portuguese, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Plastic
Lee, Lily MD
100 E California Blvd
Pasadena, CA 91105-3205
(626) 269-5326
Provider ID: 100177549049
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Cantonese, Mandarin,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 230
LOS ANGELES COUNTY MEDICAL GROUPS PHYSICIANS ASSOC SAN GABRIEL VALLEY
PRIMARY CARE PHYSICIANS
Family Practice
BALDWIN PARK
Urbina, Marvin MD
14342 Ramona Blvd
Baldwin Park, CA 91706-3241
(626) 338-4088
Provider ID: 100080477056
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
COVINA
Gin, Jeffrey MD
218 W Badillo St
Covina, CA 91723-1906
(310) 991-7718
Provider ID: 100091340018
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
MONTEREY PARK
Tai, Liang Yu DO
210 N Garfield Ave Ste 203
Monterey Park, CA 91754-1746
(626) 307-7397
Provider ID: 100075482034
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin, Taiwanese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Internal Medicine
ARCADIA
Tulpule, Radhika MD
301 W Huntington Dr Ste 327
Arcadia, CA 91007-1501
(626) 447-8129
Provider ID: 100067240028
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Spanish, Tamil, Telugu, Urdu
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 06-FEB-20
CLAREMONT
Farmand, Farbod DO
150 W San Jose Ave
Claremont, CA 91711-5204
(562) 865-4422
Provider ID: 100185341012
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Swedish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 231
LOS ANGELES COUNTY MEDICAL GROUPS PHYSICIANS ASSOC SAN GABRIEL VALLEY
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
COVINA
Ha, Thomas MD
530 W Badillo St Ste E
Covina, CA 91722-3787
(626) 858-5370
Provider ID: 100065416033
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GLENDORA
Solomon, Oliver DO
130 W Route 66 Ste 326
Glendora, CA 91740-6252
(626) 963-8588
Provider ID: 100107382010
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ROWLAND HEIGHTS
Yung, Tin MD
1722 Desire Ave Ste 202
Rowland Heights, CA
91748-2970
(626) 913-1288
Provider ID: 100044411023
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Chinese, Japanese,
Mandarin, Serbo-Croatian
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
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.
Infectious Disease
PASADENA
Nieberg, Paul MD
950 S Arroyo Pkwy Fl 3
Pasadena, CA 91105-3932
(626) 304-0782
Provider ID: 100082184009
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 232
LOS ANGELES COUNTY MEDICAL GROUPS PHYSICIANS ASSOC SAN GABRIEL VALLEY
panel status. Accepting New Patients: Yes
Neurology
GLENDALE
Lee, Lance MD
435 Arden Ave Ste 560
Glendale, CA 91203-1142
(818) 243-1501
Provider ID: 100085194028
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Korean
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery General
ARCADIA
Hwee, Jonathan MD
Contract terminated as of
4/30/2020
612 W Duarte Rd Ste 801
Arcadia, CA 91007-9248
(626) 600-2094
Provider ID: 100352553003
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Hwee, Jonathan MD
612 W Duarte Rd Ste 804
Arcadia, CA 91007-9250
(626) 600-2094
Provider ID: 100352553010
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 233
LOS ANGELES COUNTY MEDICAL GROUPS PIH HEALTH PHYSICIANS AFFILIATED PHYS
PRIMARY CARE PHYSICIANS
Internal Medicine
ROWLAND HEIGHTS
Yung, Tin MD
1722 Desire Ave Ste 202
Rowland Heights, CA
91748-2970
(626) 913-1288
Provider ID: 100044411006
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Chinese, Japanese,
Mandarin, Serbo-Croatian
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Pediatrics
WHITTIER
Ali, Aliya MD
12826 Philadelphia St # A
Whittier, CA 90601-4117
(562) 789-8208
Provider ID: 100048000004
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Spanish, Tagalog, Urdu
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
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 Immunology
HACIENDA HEIGHTS
Wong, Stephen MD
1850 S Azusa Ave Ste 206
Hacienda Heights, CA
91745-6853
(626) 284-3400
Provider ID: 100071618007
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Burmese,
Cantonese, Mandarin,
Spanish, Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Endocrinology Metabolism
WHITTIER
Eitan, Nathan MD
9200 Colima Rd Ste 200
Whittier, CA 90605-1814
(562) 945-2833
Provider ID: 100081214003
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hebrew,
Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 234
LOS ANGELES COUNTY MEDICAL GROUPS PIH HEALTH PHYSICIANS AFFILIATED PHYS
are not present. Provider ID: 100351919002 are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Infectious Disease
Doo, Bryan MD
9209 Colima Rd Ste 4500
Whittier, CA 90605-1823
(951) 278-5590
Provider ID: 100010563002
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Burmese,
Hindi, Urdu
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Internal Medicine Critical
Care Medicine
Mehta, Daksha MD
12462 Putnam St Ste 208
Whittier, CA 90602-1049
(562) 789-5470
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Gujarati,
Hindi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ophthalmology
WEST COVINA
Lin, Joseph MD
1135 S Sunset Ave Ste 210
West Covina, CA 91790-3938
(626) 653-9444
Provider ID: 100144533056
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lin, Kristie MD
1135 S Sunset Ave Ste 210
West Covina, CA 91790-3938
(626) 653-9444
Provider ID: 100144943241
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Croatian, Mandarin,
Serbo-Croatian, Sign
Language, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WHITTIER
Khanna, Sandeep MD
12480 Washington Blvd
Whittier, CA 90602-1005
(844) 211-5462
Provider ID: 100110534123
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 235
LOS ANGELES COUNTY MEDICAL GROUPS PIH HEALTH PHYSICIANS AFFILIATED PHYS
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Hindi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Pediatric Cardiology
PASADENA
De Oliveira, Elizabeth MD
50 Bellefontaine St Ste 405
Pasadena, CA 91105-3132
(626) 796-9259
Provider ID: 100017270019
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
German, Portuguese, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Podiatrist
HACIENDA HEIGHTS
Wu, Joanna DPM
3180 Colima Rd Ste A
Hacienda Heights, CA
91745-6315
(626) 961-1882
Provider ID: 100108821015
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Mandarin
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery General
WHITTIER
Vito, Courtney MD
12462 Putnam St Ste 500
Whittier, CA 90602-1049
(562) 789-5449
Provider ID: 100151866009
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 11-MAR-20
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 236
LOS ANGELES COUNTY MEDICAL GROUPS PIH HEALTH PHYSICIANS MED GRP
PRIMARY CARE PHYSICIANS
Internal Medicine
WHITTIER
Escobedo, Antonio MD
15725 Whittier Blvd Ste 500
Whittier, CA 90603-2350
(562) 947-3307
Provider ID: 100071914008
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Pediatrics
Kao, Jennifer MD
15725 Whittier Blvd Ste 300
Whittier, CA 90603-2338
(562) 947-9399
Provider ID: 100334975007
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Mandarin
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 07-FEB-20
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 Immunology
HACIENDA HEIGHTS
Wong, Stephen MD
1850 S Azusa Ave Ste 206
Hacienda Heights, CA
91745-6853
(626) 284-3400
Provider ID: 100071618008
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Burmese,
Cantonese, Mandarin,
Spanish, Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Certified Nurse Practitioner
Yoo, Byung NP
1850 S Azusa Ave Ste 88
Hacienda Heights, CA
91745-6813
(626) 225-4900
Provider ID: 100297030009
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Korean
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 30-DEC-19
WHITTIER
Finch, Whitney NP
7624 Painter Ave Ste 100
Whittier, CA 90602-2327
(562) 945-9333
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 237
LOS ANGELES COUNTY MEDICAL GROUPS PIH HEALTH PHYSICIANS MED GRP
Provider ID: 100353549002
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Yoo, Byung NP
15733 Whittier Blvd
Whittier, CA 90603-2312
(562) 947-7754
Provider ID: 100297030008
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Korean
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 30-DEC-19
Emergency Medicine
HACIENDA HEIGHTS
Fulgencio, Patrick DO
1850 S Azusa Ave Ste 88
Hacienda Heights, CA
91745-6813
(626) 225-4900
Provider ID: 100353428011
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WHITTIER
Fulgencio, Patrick DO
15733 Whittier Blvd
Whittier, CA 90603-2312
(562) 947-7754
Provider ID: 100353428007
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Endocrinology Metabolism
Eitan, Nathan MD
9200 Colima Rd Ste 200
Whittier, CA 90605-1814
(562) 945-2833
Provider ID: 100081214004
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hebrew,
Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Family Practice
HACIENDA HEIGHTS
Stepanyan, Nare MD
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 238
LOS ANGELES COUNTY MEDICAL GROUPS PIH HEALTH PHYSICIANS MED GRP
1850 S Azusa Ave Ste 88
Hacienda Heights, CA
91745-6813
(626) 225-4900
Provider ID: 100351887008
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WHITTIER
Stepanyan, Nare MD
15733 Whittier Blvd
Whittier, CA 90603-2312
(562) 947-7754
Provider ID: 100351887007
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Hematology / Oncology
GLENDALE
Chand, Arati Rani MD
1510 S Central Ave Ste 240
Glendale, CA 91204-2570
(818) 334-5420
Provider ID: 100242050014
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Infectious Disease
WHITTIER
Doo, Bryan MD
9209 Colima Rd Ste 4500
Whittier, CA 90605-1823
(951) 278-5590
Provider ID: 100010563003
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Burmese,
Hindi, Urdu
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Internal Medicine
Akhlaq, Nadia MD
12401 Washington Blvd
Whittier, CA 90602-1006
(562) 698-0811
Provider ID: 100339338004
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Spanish, Urdu
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 239
LOS ANGELES COUNTY MEDICAL GROUPS PIH HEALTH PHYSICIANS MED GRP
Effective_Date: 18-MAR-20
Pham, Kevin DO
12401 Washington Blvd
Whittier, CA 90602-1006
(562) 698-0811
Provider ID: 100293823005
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 03-APR-20
Ophthalmology
Khanna, Sandeep MD
12480 Washington Blvd
Whittier, CA 90602-1005
(844) 211-5462
Provider ID: 100110534139
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Hindi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Physicians Assistant
HACIENDA HEIGHTS
Esqueda, Fabian PA
1850 S Azusa Ave Ste 88
Hacienda Heights, CA
91745-6813
(626) 225-4900
Provider ID: 100331207010
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 30-DEC-19
WHITTIER
Esqueda, Fabian PA
15733 Whittier Blvd
Whittier, CA 90603-2312
(562) 947-7754
Provider ID: 100331207009
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 30-DEC-19
Psychiatry
Chikh Ismail Zada, Jaafar MD
12291 Washington Blvd Ste 300
Whittier, CA 90606-2549
(562) 967-2840
Provider ID: 100109295003
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 240
LOS ANGELES COUNTY MEDICAL GROUPS PIH HEALTH PHYSICIANS MED GRP
Surgery General
Vito, Courtney MD
12462 Putnam St Ste 500
Whittier, CA 90602-1049
(562) 789-5449
Provider ID: 100151866008
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 11-MAR-20
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 241
LOS ANGELES COUNTY MEDICAL GROUPS PIONEER PROVIDER NETWORK A MED GRP INC
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.
Ophthalmology
WHITTIER
Khanna, Sandeep MD
12480 Washington Blvd
Whittier, CA 90602-1005
(844) 211-5462
Provider ID: 100110534140
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Hindi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 242
LOS ANGELES COUNTY MEDICAL GROUPS PREFERRED IPA OF CALIFORNIA
PRIMARY CARE PHYSICIANS
Family Practice
ARLETA
Arceo, Ruth MD
9043 Woodman Ave Ste C
Arleta, CA 91331-6493
(818) 221-3096
Provider ID: 100084521025
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
Sucgang, Paul DO
1159 N Park Ave
Pomona, CA 91768-3028
(909) 622-2345
Provider ID: 100080208111
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish, Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
General Practice
GLENDALE
Airapetian, Ara MD
801 S Chevy Chase Dr Ste 250
Glendale, CA 91205-4433
(818) 265-2264
Provider ID: 100109150042
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Korean, Russian, Spanish,
Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
MONTEREY PARK
Chen, David MD
210 N Garfield Ave Ste 203
Monterey Park, CA 91754-1746
(626) 307-7397
Provider ID: 100112376024
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Chinese, Mandarin
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
NORTH HOLLYWOOD
Paronian, Oganes MD
12157 Victory Blvd
North Hollywood, CA
91606-3204
(818) 275-2763
Provider ID: 100108108029
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 243
LOS ANGELES COUNTY MEDICAL GROUPS PREFERRED IPA OF CALIFORNIA
Other Language: Arabic,
Armenian, Farsi, Romanian,
Russian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Internal Medicine
GLENDORA
Solomon, Oliver DO
130 W Route 66 Ste 326
Glendora, CA 91740-6252
(626) 963-8588
Provider ID: 100107382021
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
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.
Certified Nurse Practitioner
GLENDALE
Tran, Van NP
801 S Chevy Chase Dr Ste 250
Glendale, CA 91205-4433
(818) 265-2264
Provider ID: 100352771003
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Physicians Assistant
VAN NUYS
Martinez, Jaime PA
14624 Sherman Way Ste 406
Van Nuys, CA 91405-2288
(818) 988-5999
Provider ID: 100352774003
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 244
LOS ANGELES COUNTY MEDICAL GROUPS PRIMARY CARE ASSOCIATES OF CALIFORNIA
PRIMARY CARE PHYSICIANS
Family Practice
PANORAMA CITY
Nossett, Angela MD
8215 Van Nuys Blvd Ste 212
Panorama City, CA
91402-4834
(818) 902-9229
Provider ID: 100056653034
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
General Practice
ROSEMEAD
Ruiz, Ruben MD
3012 San Gabriel Blvd
Rosemead, CA 91770-2536
(626) 572-8692
Provider ID: 100069818053
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Mandarin, Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Internal Medicine
WHITTIER
De La Loza, David MD
6301 Greenleaf Ave
Whittier, CA 90601-3536
(562) 693-9880
Provider ID: 100088867026
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 26-MAR-20
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 Immunology
HACIENDA HEIGHTS
Wong, Stephen MD
1850 S Azusa Ave Ste 206
Hacienda Heights, CA
91745-6853
(626) 284-3400
Provider ID: 100071618046
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Burmese,
Cantonese, Mandarin,
Spanish, Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 245
LOS ANGELES COUNTY MEDICAL GROUPS PRIMARY CARE ASSOCIATES OF CALIFORNIA
Cardiology
NORTHRIDGE
Fakheri, Saman MD
17075 Devonshire St Ste 201
Northridge, CA 91325-5407
(818) 366-9666
Provider ID: 100238186032
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Farsi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Dermatology
SHERMAN OAKS
Lin, Michael MD
15477 Ventura Blvd Ste 100
Sherman Oaks, CA 91403-3046
(818) 906-6900
Provider ID: 100046536053
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin, Spanish, Tagalog,
Taiwanese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Gastroenterology
ENCINO
Yamini, Sohrab MD
16661 Ventura Blvd Ste 310
Encino, CA 91436-1957
(818) 981-0111
Provider ID: 100102273010
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Hebrew, Persian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Hematology / Oncology
MONTEREY PARK
Gala, Kirit MD
850 S Atlantic Blvd Ste 102
Monterey Park, CA 91754-6701
(626) 292-1141
Provider ID: 100032081008
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Neurology
GLENDALE
Lee, Lance MD
435 Arden Ave Ste 560
Glendale, CA 91203-1142
(818) 243-1501
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 246
LOS ANGELES COUNTY MEDICAL GROUPS PRIMARY CARE ASSOCIATES OF CALIFORNIA
Provider ID: 100085194018
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Korean
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Obstetrics / Gynecology
Arslanian, Sahag MD
1241 S Glendale Ave Ste 201
Glendale, CA 91205-3388
(818) 500-7090
Provider ID: 100103413007
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Farsi, Persian,
Russian
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Urology
Ebrahimi, Kamyar MD
1560 E Chevy Chase Dr Ste
325
Glendale, CA 91206-4140
(818) 246-3300
Provider ID: 100026429011
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Bengali,
Farsi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 247
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT - GATEWAY MEDICAL GROUP
SPECIALISTS panel status. (626) 568-8838
Provider ID: 100285005018
Accepting New Patients: YesCITY OF INDUSTRYMembers may not self-refer to Hours: M-SA 9AM-5PM
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
Ophthalmology
ARCADIA
Chang, Tom MD
Contract terminated as of
4/30/2020
301 W Huntington Dr Ste 107
Arcadia, CA 91007-3400
(800) 898-2020
Provider ID: 100013423450
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Cantonese,
Croatian, Korean, Mandarin,
Spanish, Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
Chang, Tom MD
Contract terminated as of
4/30/2020
17833 Colima Rd
City Of Industry, CA
91748-1729
(323) 221-8000
Provider ID: 100013423473
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Cantonese,
Croatian, Korean, Mandarin,
Spanish, Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PASADENA
Bedrood, Sahar MD
Contract terminated as of
4/30/2020
100 E California Blvd
Pasadena, CA 91105-3205
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Chang, Tom MD
Contract terminated as of
4/30/2020
100 E California Blvd
Pasadena, CA 91105-3205
(626) 568-8838
Provider ID: 100013423456
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Cantonese,
Croatian, Korean, Mandarin,
Spanish, Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 248
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT - GATEWAY MEDICAL GROUP
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
Alasil, Tarek MD
160 E Artesia St Ste 120
Pomona, CA 91767-2920
(800) 898-2020
Provider ID: 100320053124
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Davis, Michael MD
160 E Artesia St Ste 120
Pomona, CA 91767-2920
(909) 629-5965
Provider ID: 100030951298
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin, Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 249
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT HEALTHSOURCE MEDICAL GROUP
PRIMARY CARE PHYSICIANS
Internal Medicine
ENCINO
Yamini, Sohrab MD
16661 Ventura Blvd Ste 310
Encino, CA 91436-1957
(818) 981-0111
Provider ID: 100102273008
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Hebrew, Persian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
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.
Dermatology
SHERMAN OAKS
Lin, Michael MD
15477 Ventura Blvd Ste 100
Sherman Oaks, CA 91403-3046
(818) 906-6900
Provider ID: 100046536051
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin, Spanish, Tagalog,
Taiwanese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Obstetrics / Gynecology
PACOIMA
Kent, Dolores MD
13309 Van Nuys Blvd
Pacoima, CA 91331-3006
(818) 896-1438
Provider ID: 100104273063
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 27-MAR-20
Ophthalmology
PASADENA
Esmaili, Daniel MD
301 S Fair Oaks Ave Ste 407
Pasadena, CA 91105-2562
(626) 204-1410
Provider ID: 100190360162
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Cantonese, Farsi, Korean,
Persian, Russian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 250
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT HEALTHSOURCE MEDICAL GROUP
Surgery Neurological
MONTEREY PARK
Chou, Arthur MD
605 N Garfield Ave Ste 1f
Monterey Park, CA 91754-1102
(626) 768-7373
Provider ID: 100274635032
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WHITTIER
Chou, Arthur MD
9210 Colima Rd Ste 108
Whittier, CA 90605-1829
(626) 768-7373
Provider ID: 100274635021
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Orthopedic
ENCINO
Mclennan, Jon MD
16311 Ventura Blvd Ste 1150
Encino, CA 91436-4386
(818) 514-2221
Provider ID: 100099133006
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 251
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT MEDICAL GROUP OC
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.
Ophthalmology
POMONA
Alasil, Tarek MD
160 E Artesia St Ste 120
Pomona, CA 91767-2920
(800) 898-2020
Provider ID: 100320053164
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 252
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT MEDICAL GROUP-CORONA
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.
Hematology / Oncology
GLENDALE
Chand, Arati Rani MD
1510 S Central Ave Ste 240
Glendale, CA 91204-2570
(818) 334-5420
Provider ID: 100242050072
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 253
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT MEDICAL GROUP-LOS ANGELES
PRIMARY CARE PHYSICIANS
General Practice
ROSEMEAD
Ruiz, Ruben MD
3012 San Gabriel Blvd
Rosemead, CA 91770-2536
(626) 572-8692
Provider ID: 100069818045
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Mandarin, Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
VAN NUYS
Sanchez-anaya, David MD
14435 Hamlin St Ste 108
Van Nuys, CA 91401-6205
(818) 977-7117
Provider ID: 100067209032
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: French,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
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.
Gynecologic Oncology
GLENDALE
Chalian, Raffi MD
1505 Wilson Ter Ste 150
Glendale, CA 91206-4076
(818) 484-8611
Provider ID: 100330224020
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Hematology / Oncology
Chand, Arati Rani MD
1510 S Central Ave Ste 240
Glendale, CA 91204-2570
(818) 334-5420
Provider ID: 100242050069
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Infectious Disease
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 254
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT MEDICAL GROUP-LOS ANGELES
LA PUENTE
Shah, Beena MD
18335 E Valley Blvd
La Puente, CA 91744-5968
(626) 810-3330
Provider ID: 100018239017
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WHITTIER
Doo, Bryan MD
9209 Colima Rd Ste 4500
Whittier, CA 90605-1823
(951) 278-5590
Provider ID: 100010563019
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Burmese,
Hindi, Urdu
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Nephrology
GLENDALE
Levitan, Daniel MD
435 Arden Ave Ste 380
Glendale, CA 91203-1147
(818) 244-9575
Provider ID: 100008527057
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: French,
Hebrew, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Obstetrics / Gynecology
PACOIMA
Kent, Dolores MD
13309 Van Nuys Blvd
Pacoima, CA 91331-3006
(818) 896-1438
Provider ID: 100104273062
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 27-MAR-20
Ophthalmology
ARCADIA
Chang, Tom MD
301 W Huntington Dr Ste 107
Arcadia, CA 91007-3400
(800) 898-2020
Provider ID: 100013423453
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Cantonese,
Croatian, Korean, Mandarin,
Spanish, Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 255
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT MEDICAL GROUP-LOS ANGELES
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Moore, Lori MD
301 W Huntington Dr Ste 107
Arcadia, CA 91007-3400
(626) 574-0188
Provider ID: 100088959019
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
CITY OF INDUSTRY
Chang, Tom MD
17833 Colima Rd
City Of Industry, CA
91748-1729
(323) 221-8000
Provider ID: 100013423475
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Cantonese,
Croatian, Korean, Mandarin,
Spanish, Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PASADENA
Bedrood, Sahar MD
100 E California Blvd
Pasadena, CA 91105-3205
(626) 568-8838
Provider ID: 100285005016
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Chang, Tom MD
100 E California Blvd
Pasadena, CA 91105-3205
(626) 568-8838
Provider ID: 100013423325
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Cantonese,
Croatian, Korean, Mandarin,
Spanish, Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
Alasil, Tarek MD
160 E Artesia St Ste 120
Pomona, CA 91767-2920
(800) 898-2020
Provider ID: 100320053122
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 256
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT MEDICAL GROUP-LOS ANGELES
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Culotta, Anthony MD
160 E Artesia St Ste 120
Pomona, CA 91767-2920
(909) 629-5965
Provider ID: 100024743186
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Italian,
Mandarin, Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Davis, Michael MD
160 E Artesia St Ste 120
Pomona, CA 91767-2920
(909) 629-5965
Provider ID: 100030951301
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin, Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Optometrist
PASADENA
Kennedy, Devon OD
100 E California Blvd
Pasadena, CA 91105-3205
(800) 898-2020
Provider ID: 100353476004
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Otolaryngology
MONTEREY PARK
Jaber, James MD
850 S Atlantic Blvd Ste 305
Monterey Park, CA 91754-6714
(310) 514-2640
Provider ID: 100333597009
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Podiatrist
SHERMAN OAKS
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 257
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT MEDICAL GROUP-LOS ANGELES
Lim, Thomas DPM
4955 Van Nuys Blvd Ste 107
Sherman Oaks, CA 91403-1806
(800) 989-0225
Provider ID: 100098849059
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Korean,
Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery General
POMONA
Wali, Autar MD
155 W Willow St
Pomona, CA 91768-1829
(909) 865-2626
Provider ID: 100015163029
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Neurological
BURBANK
Salem, Ayman MD
191 S Buena Vista St Ste 370
Burbank, CA 91505-4562
(818) 562-6400
Provider ID: 100019951049
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Farsi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GLENDALE
Badr, Yaser MD
1500 E Chevy Chase Dr Ste
204
Glendale, CA 91206-4152
(818) 243-1501
Provider ID: 100200336066
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WHITTIER
Chou, Arthur MD
9210 Colima Rd Ste 108
Whittier, CA 90605-1829
(626) 768-7373
Provider ID: 100274635022
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 258
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT MEDICAL GROUP-LOS ANGELES
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 259
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT MEDICAL GROUP-VAN NUYS
PRIMARY CARE PHYSICIANS
Family Practice
PANORAMA CITY
Nossett, Angela MD
8215 Van Nuys Blvd Ste 212
Panorama City, CA
91402-4834
(818) 902-9229
Provider ID: 100056653019
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
General Practice
NORTH HILLS
Ezra, Eshagh MD
15424 Nordhoff St Ste B
North Hills, CA 91343-6952
(805) 222-5803
Provider ID: 100109095025
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
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.
Dermatology
SHERMAN OAKS
Lin, Michael MD
15477 Ventura Blvd Ste 100
Sherman Oaks, CA 91403-3046
(818) 906-6900
Provider ID: 100046536052
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin, Spanish, Tagalog,
Taiwanese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Gynecologic Oncology
GLENDALE
Chalian, Raffi MD
1505 Wilson Ter Ste 150
Glendale, CA 91206-4076
(818) 484-8611
Provider ID: 100330224013
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 260
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT MEDICAL GROUP-VAN NUYS
panel status. Accessibility: B; Members are TARZANA
Hematology / Oncology
Boghossian, Nubar MD
222 W Eulalia St Ste 100c
Glendale, CA 91204-2850
(818) 553-8160
Provider ID: 100016149087
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Farsi, French,
Korean, Mandarin,
Norwegian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Chand, Arati Rani MD
1510 S Central Ave Ste 240
Glendale, CA 91204-2570
(818) 334-5420
Provider ID: 100242050071
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Spanish
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Quyyumi, Farah MD
1510 S Central Ave Ste 240
Glendale, CA 91204-2570
(818) 334-5425
Provider ID: 100332122026
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Spanish, Urdu
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Interventional Cardiology
Shenkman, Heather MD
18663 Ventura Blvd Ste 202
Tarzana, CA 91356-4151
(818) 938-9505
Provider ID: 100040303040
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Nephrology
GLENDALE
Arcia, John MD
435 Arden Ave Ste 380
Glendale, CA 91203-1147
(818) 240-5241
Provider ID: 100069333049
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 261
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT MEDICAL GROUP-VAN NUYS
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Levitan, Daniel MD
435 Arden Ave Ste 380
Glendale, CA 91203-1147
(818) 244-9575
Provider ID: 100008527058
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: French,
Hebrew, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Neurology
TARZANA
Ahoubim, Daniel MD
18370 Burbank Blvd Ste 414
Tarzana, CA 91356-2843
(818) 877-7715
Provider ID: 100304281005
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Hebrew
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Obstetrics / Gynecology
PACOIMA
Kent, Dolores MD
13309 Van Nuys Blvd
Pacoima, CA 91331-3006
(818) 896-1438
Provider ID: 100104273074
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 27-MAR-20
VAN NUYS
Delshad, George MD
15211 Vanowen St Ste 310
Van Nuys, CA 91405-3615
(818) 830-6970
Provider ID: 100020505014
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Podiatrist
SHERMAN OAKS
Lim, Thomas DPM
4955 Van Nuys Blvd Ste 107
Sherman Oaks, CA 91403-1806
(800) 989-0225
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 262
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT MEDICAL GROUP-VAN NUYS
Provider ID: 100098849060
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Korean,
Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery General Vascular
PORTER RANCH
Eghbalieh, Sammy MD
19950 Rinaldi St # 101d
Porter Ranch, CA 91326-4141
(818) 900-6480
Provider ID: 100259391023
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery General
LANCASTER
Lemus-rangel, Rafael MD
1658 W Avenue J
Lancaster, CA 93534-2814
(661) 942-6565
Provider ID: 100169253026
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Neurological
BURBANK
Salem, Ayman MD
191 S Buena Vista St Ste 370
Burbank, CA 91505-4562
(818) 562-6400
Provider ID: 100019951050
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Farsi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Orthopedic
ENCINO
Blau, Jonathan MD
16311 Ventura Blvd Ste 1150
Encino, CA 91436-4386
(818) 514-2221
Provider ID: 100281438026
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 263
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT MEDICAL GROUP-VAN NUYS
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Mclennan, Jon MD
16311 Ventura Blvd Ste 1150
Encino, CA 91436-4386
(818) 514-2221
Provider ID: 100099133005
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 264
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT NWOC MEDICAL GROUP- OC
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.
Ophthalmology
POMONA
Alasil, Tarek MD
160 E Artesia St Ste 120
Pomona, CA 91767-2920
(800) 898-2020
Provider ID: 100320053163
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 265
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT NWOC MEDICAL GROUP-LA
SPECIALISTS Chang, Tom MD Hours: M-SA 9AM-5PM
Contract terminated as of Other Language: Arabic,
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.
Gynecologic Oncology
Ophthalmology
ARCADIA
GLENDALE
Chalian, Raffi MD
1505 Wilson Ter Ste 150
Glendale, CA 91206-4076
(818) 484-8611
Provider ID: 100330224021
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
4/30/2020
301 W Huntington Dr Ste 107
Arcadia, CA 91007-3400
(800) 898-2020
Provider ID: 100013423441
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Cantonese,
Croatian, Korean, Mandarin,
Spanish, Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
CITY OF INDUSTRY
Chang, Tom MD
Contract terminated as of
4/30/2020
17833 Colima Rd
City Of Industry, CA
91748-1729
(323) 221-8000
Provider ID: 100013423346
Accepting New Patients: Yes
Armenian, Cantonese,
Croatian, Korean, Mandarin,
Spanish, Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PASADENA
Bedrood, Sahar MD
Contract terminated as of
4/30/2020
100 E California Blvd
Pasadena, CA 91105-3205
(626) 568-8838
Provider ID: 100285005019
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 266
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT NWOC MEDICAL GROUP-LA
in the provider record;
demographic, phone and/or
panel status.
Chang, Tom MD
Contract terminated as of
4/30/2020
100 E California Blvd
Pasadena, CA 91105-3205
(626) 568-8838
Provider ID: 100013423458
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Cantonese,
Croatian, Korean, Mandarin,
Spanish, Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
Alasil, Tarek MD
160 E Artesia St Ste 120
Pomona, CA 91767-2920
(800) 898-2020
Provider ID: 100320053126
Accepting New Patients: Yes panel status.
Hours: M-SA 9AM-5PM
Other Language: Arabic, Davis, Michael MD
Spanish 160 E Artesia St Ste 120
Accessibility: B; Members are Pomona, CA 91767-2920
urged to call the provider's (909) 629-5965
office to discuss their specific Provider ID: 100030951302
accessibility needs when there Accepting New Patients: Yes
is limited access or where all Hours: M-SA 9AM-5PM
or most accessibility indicators Other Language: Chinese,
are not present. Mandarin, Spanish,
UPDATE: There was a change Vietnamese
in the provider record; Accessibility: B; Members are
demographic, phone and/or urged to call the provider's
panel status. office to discuss their specific
accessibility needs when there
Culotta, Anthony MD is limited access or where all
160 E Artesia St Ste 120 or most accessibility indicators
Pomona, CA 91767-2920 are not present.
(909) 629-5965 UPDATE: There was a change
Provider ID: 100024743187 in the provider record;
Accepting New Patients: Yes demographic, phone and/or
Hours: M-SA 9AM-5PM panel status.
Other Language: Italian,
Mandarin, Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 267
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT PROFESSIONAL CARE MED GRP LA
PRIMARY CARE PHYSICIANS
Family Practice
PANORAMA CITY
Nossett, Angela MD
8215 Van Nuys Blvd Ste 212
Panorama City, CA
91402-4834
(818) 902-9229
Provider ID: 100056653033
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
General Practice
GRANADA HILLS
De La Llana, Jose MD
10515 Balboa Blvd Ste 285
Granada Hills, CA 91344-6398
(818) 977-7117
Provider ID: 100184169063
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
NORTH HILLS
Ezra, Eshagh MD
15424 Nordhoff St Ste B
North Hills, CA 91343-6952
(805) 222-5803
Provider ID: 100109095024
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ROSEMEAD
Ruiz, Ruben MD
3012 San Gabriel Blvd
Rosemead, CA 91770-2536
(626) 572-8692
Provider ID: 100069818047
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Mandarin, Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
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 Immunology
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 268
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT PROFESSIONAL CARE MED GRP LA
HACIENDA HEIGHTS
Wong, Stephen MD
1850 S Azusa Ave Ste 206
Hacienda Heights, CA
91745-6853
(626) 284-3400
Provider ID: 100071618044
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Burmese,
Cantonese, Mandarin,
Spanish, Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Dermatology
SHERMAN OAKS
Lin, Michael MD
15477 Ventura Blvd Ste 100
Sherman Oaks, CA 91403-3046
(818) 906-6900
Provider ID: 100046536050
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin, Spanish, Tagalog,
Taiwanese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Endocrinology
WHITTIER
Eitan, Nathan MD
9200 Colima Rd Ste 200
Whittier, CA 90605-1814
(562) 945-2833
Provider ID: 100081214020
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hebrew,
Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Gynecologic Oncology
GLENDALE
Chalian, Raffi MD
1505 Wilson Ter Ste 150
Glendale, CA 91206-4076
(818) 484-8611
Provider ID: 100330224014
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Infectious Disease
LA PUENTE
Shah, Beena MD
18335 E Valley Blvd
La Puente, CA 91744-5968
(626) 810-3330
Provider ID: 100018239018
Accepting New Patients: Yes
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 269
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT PROFESSIONAL CARE MED GRP LA
Hours: M-SA 9AM-5PM
Other Language: Hindi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WHITTIER
Doo, Bryan MD
9209 Colima Rd Ste 4500
Whittier, CA 90605-1823
(951) 278-5590
Provider ID: 100010563017
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Burmese,
Hindi, Urdu
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Interventional Cardiology
TARZANA
Shenkman, Heather MD
18663 Ventura Blvd Ste 202
Tarzana, CA 91356-4151
(818) 938-9505
Provider ID: 100040303041
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Maternal and Fetal Medicine
Devore, Greggory MD
5525 Etiwanda Ave Ste 313
Tarzana, CA 91356-6127
(800) 360-3984
Provider ID: 100086203067
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Neurology
MISSION HILLS
Ahoubim, Daniel MD
11550 Indian Hills Rd Ste 200
Mission Hills, CA 91345-1202
(818) 877-7715
Provider ID: 100304281013
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Hebrew
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
TARZANA
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 270
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT PROFESSIONAL CARE MED GRP LA
Ahoubim, Daniel MD
18370 Burbank Blvd Ste 414
Tarzana, CA 91356-2843
(818) 877-7715
Provider ID: 100304281006
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Hebrew
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Obstetrics / Gynecology
LANCASTER
Devore, Greggory MD
44215 15th St W Ste 112
Lancaster, CA 93534-5503
(626) 583-8911
Provider ID: 100086203069
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PACOIMA
Kent, Dolores MD
13309 Van Nuys Blvd
Pacoima, CA 91331-3006
(818) 896-1438
Provider ID: 100104273061
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 27-MAR-20
VAN NUYS
Delshad, George MD
15211 Vanowen St Ste 310
Van Nuys, CA 91405-3615
(818) 830-6970
Provider ID: 100020505016
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ophthalmology
ARCADIA
Chang, Tom MD
301 W Huntington Dr Ste 107
Arcadia, CA 91007-3400
(800) 898-2020
Provider ID: 100013423442
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Cantonese,
Croatian, Korean, Mandarin,
Spanish, Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 271
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT PROFESSIONAL CARE MED GRP LA
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Moore, Lori MD
301 W Huntington Dr Ste 107
Arcadia, CA 91007-3400
(626) 574-0188
Provider ID: 100088959017
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
CITY OF INDUSTRY
Chang, Tom MD
17833 Colima Rd
City Of Industry, CA
91748-1729
(323) 221-8000
Provider ID: 100013423474
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Cantonese,
Croatian, Korean, Mandarin,
Spanish, Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PASADENA
Bedrood, Sahar MD
100 E California Blvd
Pasadena, CA 91105-3205
(626) 568-8838
Provider ID: 100285005017
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Chang, Tom MD
100 E California Blvd
Pasadena, CA 91105-3205
(626) 568-8838
Provider ID: 100013423324
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Cantonese,
Croatian, Korean, Mandarin,
Spanish, Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Esmaili, Daniel MD
301 S Fair Oaks Ave Ste 407
Pasadena, CA 91105-2562
(626) 204-1410
Provider ID: 100190360165
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Cantonese, Farsi, Korean,
Persian, Russian, Spanish
Accessibility: B; Members are
urged to call the provider's
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 272
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT PROFESSIONAL CARE MED GRP LA
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
Alasil, Tarek MD
160 E Artesia St Ste 120
Pomona, CA 91767-2920
(800) 898-2020
Provider ID: 100320053127
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Culotta, Anthony MD
160 E Artesia St Ste 120
Pomona, CA 91767-2920
(909) 629-5965
Provider ID: 100024743188
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Italian,
Mandarin, Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Davis, Michael MD
160 E Artesia St Ste 120
Pomona, CA 91767-2920
(909) 629-5965
Provider ID: 100030951297
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin, Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Optometrist
PASADENA
Kennedy, Devon OD
100 E California Blvd
Pasadena, CA 91105-3205
(800) 898-2020
Provider ID: 100353476005
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Otolaryngology
MONTEREY PARK
Jaber, James MD
850 S Atlantic Blvd Ste 305
Monterey Park, CA 91754-6714
(310) 514-2640
Provider ID: 100333597008
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 273
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT PROFESSIONAL CARE MED GRP LA
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Podiatrist
SHERMAN OAKS
Lim, Thomas DPM
4955 Van Nuys Blvd Ste 107
Sherman Oaks, CA 91403-1806
(800) 989-0225
Provider ID: 100098849054
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Korean,
Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery General Vascular
PORTER RANCH
Eghbalieh, Sammy MD
19950 Rinaldi St # 101d
Porter Ranch, CA 91326-4141
(818) 900-6480
Provider ID: 100259391024
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery General
LANCASTER
Lemus-rangel, Rafael MD
1658 W Avenue J
Lancaster, CA 93534-2814
(661) 942-6565
Provider ID: 100169253025
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
Wali, Autar MD
155 W Willow St
Pomona, CA 91768-1829
(909) 865-2626
Provider ID: 100015163024
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 274
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT PROFESSIONAL CARE MED GRP LA
panel status.
Surgery Neurological
BURBANK
Salem, Ayman MD
191 S Buena Vista St Ste 370
Burbank, CA 91505-4562
(818) 562-6400
Provider ID: 100019951048
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Farsi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
GLENDALE
Badr, Yaser MD
1500 E Chevy Chase Dr Ste
204
Glendale, CA 91206-4152
(818) 243-1501
Provider ID: 100200336067
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
MONTEREY PARK
Chou, Arthur MD
605 N Garfield Ave Ste 1f
Monterey Park, CA 91754-1102
(626) 768-7373
Provider ID: 100274635033
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WHITTIER
Chou, Arthur MD
9210 Colima Rd Ste 108
Whittier, CA 90605-1829
(626) 768-7373
Provider ID: 100274635030
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Orthopedic
ENCINO
Blau, Jonathan MD
16311 Ventura Blvd Ste 1150
Encino, CA 91436-4386
(818) 514-2221
Provider ID: 100281438027
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 275
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT PROFESSIONAL CARE MED GRP LA
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Mclennan, Jon MD
16311 Ventura Blvd Ste 1150
Encino, CA 91436-4386
(818) 514-2221
Provider ID: 100099133009
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 276
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT PROFESSIONAL CARE MED GRP OC
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.
Ophthalmology
POMONA
Alasil, Tarek MD
160 E Artesia St Ste 120
Pomona, CA 91767-2920
(800) 898-2020
Provider ID: 100320053162
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 277
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT-GENESIS HEALTH CARE OF SO CA
SPECIALISTS panel status. (626) 568-8838
Provider ID: 100285005015
Members may not self-refer to Accepting New Patients: Yes
Hours: M-SA 9AM-5PM CITY OF INDUSTRY
any of the specialists listed
below. To receive covered
services from a specialist you
must receive a referral from
your primary care physician.
Ophthalmology
ARCADIA
Chang, Tom MD
Contract terminated as of
4/30/2020
301 W Huntington Dr Ste 107
Arcadia, CA 91007-3400
(800) 898-2020
Provider ID: 100013423452
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Cantonese,
Croatian, Korean, Mandarin,
Spanish, Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
Chang, Tom MD
Contract terminated as of
4/30/2020
17833 Colima Rd
City Of Industry, CA
91748-1729
(323) 221-8000
Provider ID: 100013423476
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Cantonese,
Croatian, Korean, Mandarin,
Spanish, Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PASADENA
Bedrood, Sahar MD
Contract terminated as of
4/30/2020
100 E California Blvd
Pasadena, CA 91105-3205
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Chang, Tom MD
Contract terminated as of
4/30/2020
100 E California Blvd
Pasadena, CA 91105-3205
(626) 568-8838
Provider ID: 100013423457
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Cantonese,
Croatian, Korean, Mandarin,
Spanish, Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 278
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT-GENESIS HEALTH CARE OF SO CA
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
Alasil, Tarek MD
160 E Artesia St Ste 120
Pomona, CA 91767-2920
(800) 898-2020
Provider ID: 100320053128
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Davis, Michael MD
160 E Artesia St Ste 120
Pomona, CA 91767-2920
(909) 629-5965
Provider ID: 100030951300
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin, Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 279
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT-NUESTRA FAMILIA MEDICAL GROUP
SPECIALISTS Doo, Bryan MD accessibility needs when there
9209 Colima Rd Ste 4500 is limited access or where all
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.
Infectious Disease
LA PUENTE
Chauhan, Bharat MD
18335 E Valley Blvd
La Puente, CA 91744-5968
(626) 810-3330
Provider ID: 100113367037
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Gujarati,
Hindi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WHITTIER
Whittier, CA 90605-1823
(951) 278-5590
Provider ID: 100010563020
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Burmese,
Hindi, Urdu
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Obstetrics / Gynecology
PACOIMA
Kent, Dolores MD
13309 Van Nuys Blvd
Pacoima, CA 91331-3006
(818) 896-1438
Provider ID: 100104273064
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 27-MAR-20
Ophthalmology
ARCADIA
Chang, Tom MD
301 W Huntington Dr Ste 107
Arcadia, CA 91007-3400
(800) 898-2020
Provider ID: 100013423451
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Cantonese,
Croatian, Korean, Mandarin,
Spanish, Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Moore, Lori MD
301 W Huntington Dr Ste 107
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 280
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT-NUESTRA FAMILIA MEDICAL GROUP
Arcadia, CA 91007-3400
(626) 574-0188
Provider ID: 100088959018
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
CITY OF INDUSTRY
Chang, Tom MD
17833 Colima Rd
City Of Industry, CA
91748-1729
(323) 221-8000
Provider ID: 100013423477
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Cantonese,
Croatian, Korean, Mandarin,
Spanish, Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PASADENA
Bedrood, Sahar MD
Contract terminated as of
4/30/2020
100 E California Blvd
Pasadena, CA 91105-3205
(626) 568-8838
Provider ID: 100285005014
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Chang, Tom MD
100 E California Blvd
Pasadena, CA 91105-3205
(626) 568-8838
Provider ID: 100013423322
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Cantonese,
Croatian, Korean, Mandarin,
Spanish, Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Esmaili, Daniel MD
301 S Fair Oaks Ave Ste 407
Pasadena, CA 91105-2562
(626) 204-1410
Provider ID: 100190360163
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Cantonese, Farsi, Korean,
Persian, Russian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 281
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT-NUESTRA FAMILIA MEDICAL GROUP
in the provider record;
demographic, phone and/or
panel status.
POMONA
Alasil, Tarek MD
160 E Artesia St Ste 120
Pomona, CA 91767-2920
(800) 898-2020
Provider ID: 100320053123
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Davis, Michael MD
160 E Artesia St Ste 120
Pomona, CA 91767-2920
(909) 629-5965
Provider ID: 100030951299
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin, Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Neurological
GLENDALE
Badr, Yaser MD
1500 E Chevy Chase Dr Ste
204
Glendale, CA 91206-4152
(818) 243-1501
Provider ID: 100200336068
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 282
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT-SAN MIGUEL IPA
SPECIALISTS GLENDALE
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.
Obstetrics / Gynecology
POMONA
Rodriguez, Maria MD
1798 N Garey Ave
Pomona, CA 91767-2918
(909) 865-9705
Provider ID: 100073840096
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Spanish, Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ophthalmology
Chu, Thomas MD
1510 S Central Ave Ste 230
Glendale, CA 91204-2583
(818) 797-4870
Provider ID: 100011528405
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Korean, Mandarin, Russian,
Spanish, Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Liao, David MD
1510 S Central Ave Ste 230
Glendale, CA 91204-2583
(818) 797-4570
Provider ID: 100136799317
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Cantonese, Korean,
Mandarin, Russian, Spanish,
Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Rahhal, Firas MD
1510 S Central Ave Ste 230
Glendale, CA 91204-2583
(818) 797-4570
Provider ID: 100009482358
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Cantonese,
French, Korean, Mandarin,
Russian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Tabandeh, Homayoun MD
1510 S Central Ave Ste 230
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 283
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT-SAN MIGUEL IPA
Glendale, CA 91204-2583
(818) 797-4870
Provider ID: 100105848361
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Farsi, Korean, Mandarin,
Russian, Spanish, Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PASADENA
Esmaili, Daniel MD
301 S Fair Oaks Ave Ste 407
Pasadena, CA 91105-2562
(626) 204-1410
Provider ID: 100190360164
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Cantonese, Farsi, Korean,
Persian, Russian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Physicians Assistant
ENCINO
Nazarian, Nora PA
16530 Ventura Blvd Ste 100
Encino, CA 91436-2006
(323) 264-7600
Provider ID: 100325847085
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Podiatrist
Nalamlieng, Matthew DPM
16530 Ventura Blvd Ste 100
Encino, CA 91436-2006
(323) 264-7600
Provider ID: 100319810067
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
TARZANA
Nalamlieng, Matthew DPM
18840 Ventura Blvd Ste 204
Tarzana, CA 91356-6340
(818) 708-3333
Provider ID: 100319810066
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 284
LOS ANGELES COUNTY MEDICAL GROUPS PROSPECT-SAN MIGUEL IPA
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Orthopedic
ENCINO
Dworsky, Erik MD
16530 Ventura Blvd Ste 100
Encino, CA 91436-2006
(323) 264-7600
Provider ID: 100332740071
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Longacre, Matthew MD
16530 Ventura Blvd Ste 100
Encino, CA 91436-2006
(323) 264-7600
Provider ID: 100233563051
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish Other Language: Malay,
Accessibility: B; Members are Malayalam, Spanish
urged to call the provider's Accessibility: B; Members are
office to discuss their specific urged to call the provider's
accessibility needs when there office to discuss their specific
is limited access or where all accessibility needs when there
or most accessibility indicators is limited access or where all
are not present. or most accessibility indicators
UPDATE: NEW Provider Added. are not present.
Effective_Date: 07-JAN-20 UPDATE: NEW Provider Added.
Effective_Date: 06-JAN-20
Pelton, Kevin MD
16530 Ventura Blvd Ste 100
Encino, CA 91436-2006
(323) 264-7600
Provider ID: 100011608078
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 21-JAN-20
Reid, James MD
16530 Ventura Blvd Ste 100
Encino, CA 91436-2006
(323) 264-7600
Provider ID: 100065713070
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 285
LOS ANGELES COUNTY MEDICAL GROUPS SEOUL MEDICAL GROUP
SPECIALISTS GLENDALE
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
NORTHRIDGE
Fakheri, Saman MD
17075 Devonshire St Ste 201
Northridge, CA 91325-5407
(818) 366-9666
Provider ID: 100238186033
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Farsi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Hematology / Oncology
Boghossian, Nubar MD
222 W Eulalia St Ste 100c
Glendale, CA 91204-2850
(818) 553-8160
Provider ID: 100016149083
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Farsi, French,
Korean, Mandarin,
Norwegian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Quyyumi, Farah MD
1510 S Central Ave Ste 240
Glendale, CA 91204-2570
(818) 334-5425
Provider ID: 100332122030
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Spanish, Urdu
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
RESEDA
Kleynberg, Leonid MD
7601 Canby Ave Ste 7
Reseda, CA 91335-2974
(323) 965-9995
Provider ID: 100110267049
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Farsi, Russian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 20-APR-20
Kleynberg, Roman MD
7601 Canby Ave Ste 7
Reseda, CA 91335-2974
(323) 965-9995
Provider ID: 100282825027
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 286
LOS ANGELES COUNTY MEDICAL GROUPS SEOUL MEDICAL GROUP
Accepting New Patients: Yes 17833 Colima Rd are not present.
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Russian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 20-APR-20
Kleynberg, Vera MD
7601 Canby Ave Ste 7
Reseda, CA 91335-2974
(323) 965-9995
Provider ID: 100109984052
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 20-APR-20
Ophthalmology
CITY OF INDUSTRY
Wainess, Reid MD
City Of Industry, CA
91748-1729
(323) 221-8000
Provider ID: 100148751169
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ENCINO
Reznik, Alena MD
5353 Balboa Blvd Ste 110
Encino, CA 91316-2859
(323) 644-4445
Provider ID: 100202134028
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Russian
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
UPDATE: NEW Provider Added.
Effective_Date: 04-FEB-20
Reznik, Jacob MD
5353 Balboa Blvd Ste 110
Encino, CA 91316-2859
(323) 644-4445
Provider ID: 100113600019
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Russian
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Varma, Rohit MD
5353 Balboa Blvd Ste 110
Encino, CA 91316-2859
(323) 644-4445
Provider ID: 100025244016
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Punjabi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 287
LOS ANGELES COUNTY MEDICAL GROUPS SEOUL MEDICAL GROUP
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
LANCASTER
Alasil, Tarek MD
44815 Fig Ave
Lancaster, CA 93534-3144
(661) 949-5955
Provider ID: 100320053202
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
PASADENA
Bedrood, Sahar MD
100 E California Blvd
Pasadena, CA 91105-3205
(626) 568-8838
Provider ID: 100285005145
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Varma, Rohit MD
625 S Fair Oaks Ave
Pasadena, CA 91105-2613
(323) 644-4445
Provider ID: 100025244019
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Punjabi
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
Davis, Michael MD
160 E Artesia St Ste 120
Pomona, CA 91767-2920
(909) 629-5965
Provider ID: 100030951331
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin, Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Vadrevu, Vijayalakshmi MD
160 E Artesia St Ste 120
Pomona, CA 91767-2920
(909) 629-5965
Provider ID: 100175242090
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Telugu
Accessibility: B; Members are
urged to call the provider's
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 288
LOS ANGELES COUNTY MEDICAL GROUPS SEOUL MEDICAL GROUP
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST COVINA
Lin, Joseph MD
1135 S Sunset Ave Ste 210
West Covina, CA 91790-3938
(626) 653-9444
Provider ID: 100144533013
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lin, Kristie MD
1135 S Sunset Ave Ste 210
West Covina, CA 91790-3938
(626) 653-9444
Provider ID: 100144943212
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Croatian, Mandarin,
Serbo-Croatian, Sign
Language, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Optometrist
CITY OF INDUSTRY
Tran, Henry OD
17833 Colima Rd
City Of Industry, CA
91748-1729
(323) 221-8000
Provider ID: 100255583135
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ENCINO
Esfahani, Ora OD
5353 Balboa Blvd Ste 110
Encino, CA 91316-2859
(323) 644-4445
Provider ID: 100353050009
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
French, Persian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Pediatric Cardiology
PASADENA
De Oliveira, Elizabeth MD
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 289
LOS ANGELES COUNTY MEDICAL GROUPS SEOUL MEDICAL GROUP
50 Bellefontaine St Ste 405
Pasadena, CA 91105-3132
(626) 796-9259
Provider ID: 100017270224
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
German, Portuguese, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgery Plastic
Lee, Lily MD
100 E California Blvd
Pasadena, CA 91105-3205
(626) 269-5326
Provider ID: 100177549050
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Cantonese, Mandarin,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Surgical Oncology
GLENDALE
Artinyan, Avo MD
1505 Wilson Ter Ste 150
Glendale, CA 91206-4076
(818) 484-8611
Provider ID: 100324605023
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
French
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 290
LOS ANGELES COUNTY MEDICAL GROUPS SEOUL MEDICAL GROUP-OC
SPECIALISTS ENCINO are not present.
UPDATE: There was a change
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
NORTHRIDGE
Fakheri, Saman MD
17075 Devonshire St Ste 201
Northridge, CA 91325-5407
(818) 366-9666
Provider ID: 100238186034
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Farsi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ophthalmology
Reznik, Alena MD
5353 Balboa Blvd Ste 110
Encino, CA 91316-2859
(323) 644-4445
Provider ID: 100202134027
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Russian
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 04-FEB-20
LANCASTER
Alasil, Tarek MD
44815 Fig Ave
Lancaster, CA 93534-3144
(661) 949-5955
Provider ID: 100320053203
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
in the provider record;
demographic, phone and/or
panel status.
PASADENA
Chang, Tom MD
100 E California Blvd
Pasadena, CA 91105-3205
(626) 568-8838
Provider ID: 100013423518
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Cantonese,
Croatian, Korean, Mandarin,
Spanish, Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
Davis, Michael MD
160 E Artesia St Ste 120
Pomona, CA 91767-2920
(909) 629-5965
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 291
LOS ANGELES COUNTY MEDICAL GROUPS SEOUL MEDICAL GROUP-OC
Provider ID: 100030951333
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin, Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST COVINA
Lin, Joseph MD
1135 S Sunset Ave Ste 210
West Covina, CA 91790-3938
(626) 653-9444
Provider ID: 100144533014
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lin, Kristie MD
1135 S Sunset Ave Ste 210
West Covina, CA 91790-3938
(626) 653-9444
Provider ID: 100144943214
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Croatian, Mandarin,
Serbo-Croatian, Sign
Language, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Optometrist
CITY OF INDUSTRY
Tran, Henry OD
17833 Colima Rd
City Of Industry, CA
91748-1729
(323) 221-8000
Provider ID: 100255583134
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ENCINO
Esfahani, Ora OD
5353 Balboa Blvd Ste 110
Encino, CA 91316-2859
(323) 644-4445
Provider ID: 100353050008
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
French, Persian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 292
LOS ANGELES COUNTY MEDICAL GROUPS SEOUL MEDICAL GROUP-OC
in the provider record;
demographic, phone and/or
panel status.
Pediatric Cardiology
PASADENA
De Oliveira, Elizabeth MD
50 Bellefontaine St Ste 405
Pasadena, CA 91105-3132
(626) 796-9259
Provider ID: 100017270226
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
German, Portuguese, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 293
LOS ANGELES COUNTY MEDICAL GROUPS SEOUL MEDICAL GROUP-SC
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.
Ophthalmology
ENCINO
Reznik, Alena MD
5353 Balboa Blvd Ste 110
Encino, CA 91316-2859
(323) 644-4445
Provider ID: 100202134026
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Russian
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 04-FEB-20
LANCASTER
Alasil, Tarek MD
44815 Fig Ave
Lancaster, CA 93534-3144
(661) 949-5955
Provider ID: 100320053204
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
Davis, Michael MD
160 E Artesia St Ste 120
Pomona, CA 91767-2920
(909) 629-5965
Provider ID: 100030951332
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin, Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
WEST COVINA
Lin, Joseph MD
1135 S Sunset Ave Ste 210
West Covina, CA 91790-3938
(626) 653-9444
Provider ID: 100144533015
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Lin, Kristie MD
1135 S Sunset Ave Ste 210
West Covina, CA 91790-3938
(626) 653-9444
Provider ID: 100144943215
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 294
LOS ANGELES COUNTY MEDICAL GROUPS SEOUL MEDICAL GROUP-SC
Other Language: Cantonese,
Croatian, Mandarin,
Serbo-Croatian, Sign
Language, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Optometrist
CITY OF INDUSTRY
Tran, Henry OD
17833 Colima Rd
City Of Industry, CA
91748-1729
(323) 221-8000
Provider ID: 100255583133
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ENCINO
Esfahani, Ora OD
5353 Balboa Blvd Ste 110
Encino, CA 91316-2859
(323) 644-4445
Provider ID: 100353050007
Accepting New Patients: No
Hours: M-SA 9AM-5PM
Other Language: Farsi,
French, Persian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Pediatric Cardiology
PASADENA
De Oliveira, Elizabeth MD
50 Bellefontaine St Ste 405
Pasadena, CA 91105-3132
(626) 796-9259
Provider ID: 100017270225
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
German, Portuguese, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 295
LOS ANGELES COUNTY MEDICAL GROUPS SOUTH ATLANTIC MEDICAL GROUP IPA
PRIMARY CARE PHYSICIANS
General Practice
BALDWIN PARK
Carrillo, Herman MD
14342 Ramona Blvd
Baldwin Park, CA 91706-3241
(626) 338-4088
Provider ID: 100088623062
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
ROSEMEAD
Ruiz, Ruben MD
3012 San Gabriel Blvd
Rosemead, CA 91770-2536
(626) 572-8692
Provider ID: 100069818064
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Mandarin, Spanish
Accessibility: B, W; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 296
LOS ANGELES COUNTY MEDICAL GROUPS SOUTHLAND ADVANTAGE MEDICAL GROUP
PRIMARY CARE PHYSICIANS
Internal Medicine
GLENDORA
Solomon, Oliver DO
130 W Route 66 Ste 326
Glendora, CA 91740-6252
(626) 963-8588
Provider ID: 100107382024
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
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.
Maternal and Fetal Medicine
POMONA
Rodriguez, Maria MD
1798 N Garey Ave
Pomona, CA 91767-2918
(909) 865-9705
Provider ID: 100073840090
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Spanish, Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Optometrist
SAN GABRIEL
Chan, Garry OD
1724 New Ave
San Gabriel, CA 91776-3734
(626) 289-8868
Provider ID: 100146989014
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
Chinese, Mandarin, Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Pathology
ROSEMEAD
Lee, James MD
9143 Valley Blvd Ste 202
Rosemead, CA 91770-1992
(626) 497-7799
Provider ID: 100324687005
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin, Taiwanese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 297
LOS ANGELES COUNTY MEDICAL GROUPS SOUTHLAND ADVANTAGE MEDICAL GROUP
Effective_Date: 30-MAR-20
Surgery Neurological
BURBANK
Salem, Ayman MD
191 S Buena Vista St Ste 370
Burbank, CA 91505-4562
(818) 562-6400
Provider ID: 100019951046
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Farsi, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 298
LOS ANGELES COUNTY MEDICAL GROUPS UNITED PHYSICIANS INTERNATIONAL INC - LA
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.
Nephrology
GLENDALE
Daneshvari, Sam MD
1505 Wilson Ter Ste 155
Glendale, CA 91206-4032
(818) 242-0475
Provider ID: 100019571060
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Farsi, Russian
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Minasian, Raffi MD
1500 S Central Ave Ste 300
Glendale, CA 91204-2587
(818) 500-4055
Provider ID: 100088830108
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Cantonese, Farsi, Russian,
Spanish, Tagalog,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Patrikyan, Artashes MD
1505 Wilson Ter Ste 155
Glendale, CA 91206-4032
(818) 242-0475
Provider ID: 100108760055
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Farsi, Russian, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ophthalmology
Tran, Vinh MD
1808 Verdugo Blvd Ste 206
Glendale, CA 91208-1412
(818) 790-7611
Provider ID: 100056342020
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin, Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 299
LOS ANGELES COUNTY MEDICAL GROUPS VANTAGE MEDICAL GROUP- SB RV
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.
Neurology
POMONA
Desai, Bhupatrai MD
2895 N Towne Ave
Pomona, CA 91767-2009
(909) 982-2719
Provider ID: 100010644038
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Qazi, Faisal DO
2895 N Towne Ave
Pomona, CA 91767-2009
(909) 982-2719
Provider ID: 100111495024
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Spanish, Urdu
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ophthalmology
ARCADIA
Chang, Tom MD
301 W Huntington Dr Ste 107
Arcadia, CA 91007-3400
(800) 898-2020
Provider ID: 100013423419
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
Armenian, Cantonese,
Croatian, Korean, Mandarin,
Spanish, Tagalog
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
POMONA
Culotta, Anthony MD
160 E Artesia St Ste 120
Pomona, CA 91767-2920
(909) 629-5965
Provider ID: 100024743176
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Italian,
Mandarin, Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Davis, Michael MD
160 E Artesia St Ste 120
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 300
LOS ANGELES COUNTY MEDICAL GROUPS VANTAGE MEDICAL GROUP- SB RV
Pomona, CA 91767-2920
(909) 629-5965
Provider ID: 100030951240
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Mandarin, Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Samuel, Michael MD
160 E Artesia St Ste 120
Pomona, CA 91767-2920
(951) 779-0886
Provider ID: 100031351180
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Armenian,
Cantonese, Chinese,
Mandarin, Spanish,
Vietnamese
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,
IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical
Equipment 301
LOS ANGELES COUNTY OUTPATIENT MENTAL HEALTH PROVIDERS
ARCADIA
Reyes Guatemala, Claudia
MFT
41 E Foothill Blvd Ste 102
Arcadia, CA 91006-2361
(626) 701-4249
Accepting New Patients: Yes
Hours: SU 10AM-6PM, M-F
8AM-9PM, SA 9AM-7PM
Accessibility: EB; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 25-FEB-20
Ruffin, Christopher CSW
41 E Foothill Blvd Ste 102
Arcadia, CA 91006-2361
(626) 701-4249
Accepting New Patients: Yes
Hours: SU 10AM-6PM, M-F
8AM-9PM, SA 9AM-7PM
Accessibility: EB; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 01-FEB-20
Solano, Maria CSW
41 E Foothill Blvd Ste 102
Arcadia, CA 91006-2361
(626) 701-4249
Accepting New Patients: Yes
Hours: SU 10AM-6PM, M-F
8AM-9PM, SA 9AM-7PM
Other Language: Spanish
Accessibility: EB; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 10-MAR-20
CANOGA PARK
Mauceri, Jennifer CSW
22048 Sherman Way Ste 115
Canoga Park, CA 91303-1893
(646) 694-2434
Accepting New Patients: Yes
Hours: M-F 8AM-9:30PM, SA
8AM-3PM
Accessibility: P, EB, IB, E, R;
Members are urged to call the
provider's office to discuss
their specific accessibility
needs when there is limited
access or where all or most
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 13-FEB-20
ENCINO
Bindra, Reba MD
16000 Ventura Blvd Ste 806
Encino, CA 91436-2759
(818) 849-6215
Accepting New Patients: Yes
Hours: M-F 8AM-5PM
Accessibility: P, EB, IB, R;
Members are urged to call the
provider's office to discuss
their specific accessibility
needs when there is limited
access or where all or most
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 25-FEB-20
Imani, Mahdouneh MFT
17514 Ventura Blvd Ste
100-101
Encino, CA 91316-3852
(310) 877-0600
Accepting New Patients: Yes
Hours: M 9AM-8:30PM, TU,TH
9AM-10PM, W 9AM-10:30PM, F
9AM-9:30PM, SA 11AM-6PM
Other Language: Persian
Accessibility: EB, IB, E, R;
Members are urged to call the
provider's office to discuss
their specific accessibility
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only Accessibility code explanations: “SR” This information is self
reported by the provider. Blue Shield of California Promise Health Plan has not verified this
information. The presence of the following codes indicates the provider location is accessible
with this area. P: parking, EB: Exterior Building, IB: Interior Building E: Exam Room R: Restroom T:
Exam Table/Scale W: Wheelchair ME Medical Equipment
302
LOS ANGELES COUNTY OUTPATIENT MENTAL HEALTH PROVIDERS
needs when there is limited
access or where all or most
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 03-MAR-20
Ufano Leon, Jeremee CSW
17777 Ventura Blvd Ste 105
Encino, CA 91316-3738
(213) 908-1234
Accepting New Patients: Yes
Hours: SA,SU 8AM-10PM, M-F
7:30AM-10PM
Accessibility: P, EB, IB, E, R;
Members are urged to call the
provider's office to discuss
their specific accessibility
needs when there is limited
access or where all or most
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 15-JAN-17
GLENDALE
Fenster, Alda CSW
1487 E Chevy Chase Dr Ste
130
Glendale, CA 91206-4008
(818) 240-0340
Accepting New Patients: Yes
www.mclapsych.com
Hours: M-F 9AM-5PM
Accessibility: EB; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: TERMED Provider.
Effective Date: 12-APR-20
LANCASTER
William, Phebee NPA
1652 W Avenue J
Lancaster, CA 93534-2814
(661) 249-6720
Accepting New Patients: Yes
Hours: M-SA 9AM-6PM
Accessibility: P, EB, IB, E;
Members are urged to call the
provider's office to discuss
their specific accessibility
needs when there is limited
access or where all or most
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 25-FEB-20
MONROVIA
Adamian, Kristine CSW
1333 S Mayflower Ave Ste 360
Monrovia, CA 91016-5280
(626) 701-4249
Accepting New Patients: Yes
Hours: SU 9AM-4PM, M-F
9AM-9PM, SA 9AM-5PM
Other Language: Armenian
Accessibility: EB; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 01-FEB-20
Ammen, Magena MFT
1333 S Mayflower Ave Ste 360
Monrovia, CA 91016-5280
(626) 701-4249
Accepting New Patients: Yes
Hours: SU 9AM-4PM, M-F
9AM-9PM, SA 9AM-5PM
Other Language: Spanish
Accessibility: EB; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ammen, Magena MFT
419 W Foothill Blvd
Monrovia, CA 91016-2025
(626) 701-4249
Accepting New Patients: Yes
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only Accessibility code explanations: “SR” This information is self
reported by the provider. Blue Shield of California Promise Health Plan has not verified this
information. The presence of the following codes indicates the provider location is accessible
with this area. P: parking, EB: Exterior Building, IB: Interior Building E: Exam Room R: Restroom T:
Exam Table/Scale W: Wheelchair ME Medical Equipment
303
LOS ANGELES COUNTY OUTPATIENT MENTAL HEALTH PROVIDERS
Hours: M-SU 9AM-9PM
Other Language: Spanish
Accessibility: EB; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 03-OCT-19
Avila, Adriana MFT
1333 S Mayflower Ave Ste 360
Monrovia, CA 91016-5280
(626) 701-4249
Accepting New Patients: Yes
Hours: SU 9AM-4PM, M-F
9AM-9PM, SA 9AM-5PM
Other Language: Spanish
Accessibility: EB; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Cavazos, Tara MFT
1333 S Mayflower Ave Ste 360
Monrovia, CA 91016-5280
(626) 701-4249
Accepting New Patients: Yes
Hours: SU 9AM-4PM, M-F
9AM-9PM, SA 9AM-5PM
Other Language: Spanish
Accessibility: EB; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Greener, Michael CSW
1333 S Mayflower Ave Ste 360
Monrovia, CA 91016-5280
(626) 701-4249
Accepting New Patients: Yes
Hours: SU 9AM-4PM, M-F
9AM-9PM, SA 9AM-5PM
Accessibility: EB; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Hacopians, Sareen MFT
1333 S Mayflower Ave Ste 360
Monrovia, CA 91016-5280
(626) 701-4249
Accepting New Patients: Yes
Hours: SU 9AM-4PM, M-F
9AM-9PM, SA 9AM-5PM
Other Language: Armenian
Accessibility: EB; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Leigh-magee, Maureen MFT
1333 S Mayflower Ave Ste 360
Monrovia, CA 91016-5280
(626) 701-4249
Accepting New Patients: Yes
Hours: SU 9AM-4PM, M-F
9AM-9PM, SA 9AM-5PM
Accessibility: EB; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only Accessibility code explanations: “SR” This information is self
reported by the provider. Blue Shield of California Promise Health Plan has not verified this
information. The presence of the following codes indicates the provider location is accessible
with this area. P: parking, EB: Exterior Building, IB: Interior Building E: Exam Room R: Restroom T:
Exam Table/Scale W: Wheelchair ME Medical Equipment
304
LOS ANGELES COUNTY OUTPATIENT MENTAL HEALTH PROVIDERS
panel status.
Majied Muhammad, Carmen
MFT
1333 S Mayflower Ave Ste 360
Monrovia, CA 91016-5280
(626) 701-4249
Accepting New Patients: Yes
Hours: SU 9AM-4PM, M-F
9AM-9PM, SA 9AM-5PM
Accessibility: EB; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Miranda, Carolina CSW
1333 S Mayflower Ave Ste 360
Monrovia, CA 91016-5280
(626) 701-4249
Accepting New Patients: Yes
Hours: SU 9AM-4PM, M-F
9AM-9PM, SA 9AM-5PM
Other Language: Spanish
Accessibility: EB; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 01-FEB-20
Perez, Alicia MFT
1333 S Mayflower Ave Ste 360
Monrovia, CA 91016-5280
(626) 701-4249
Accepting New Patients: Yes
Hours: SU 9AM-4PM, M-F
9AM-9PM, SA 9AM-5PM
Accessibility: EB; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Pruitt, Jennifer PSY
1333 S Mayflower Ave Ste 360
Monrovia, CA 91016-5280
(626) 701-4249
Accepting New Patients: Yes
Hours: SU 9AM-4PM, M-F
9AM-9PM, SA 9AM-5PM
Accessibility: EB; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 01-FEB-20
Rodriguez, Evelyn MFT
1333 S Mayflower Ave Ste 360
Monrovia, CA 91016-5280
(626) 701-4249
Accepting New Patients: Yes
Hours: SU 9AM-4PM, M-F
9AM-9PM, SA 9AM-5PM
Other Language: Spanish
Accessibility: EB; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 01-FEB-20
Wongthavatchai, Daniel CSW
1333 S Mayflower Ave Ste 360
Monrovia, CA 91016-5280
(626) 701-4249
Accepting New Patients: Yes
Hours: SU 9AM-4PM, M-F
9AM-9PM, SA 9AM-5PM
Accessibility: EB; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only Accessibility code explanations: “SR” This information is self
reported by the provider. Blue Shield of California Promise Health Plan has not verified this
information. The presence of the following codes indicates the provider location is accessible
with this area. P: parking, EB: Exterior Building, IB: Interior Building E: Exam Room R: Restroom T:
Exam Table/Scale W: Wheelchair ME Medical Equipment
305
LOS ANGELES COUNTY OUTPATIENT MENTAL HEALTH PROVIDERS
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
NORTH HOLLYWOOD
Valenzuela, Areli MFT
6801 Coldwater Canyon Ave
North Hollywood, CA
91605-5162
(818) 763-8836
Accepting New Patients: Yes
Hours: M-F 8AM-8:30PM, SA
9AM-2PM
Other Language: Spanish
Accessibility: EB; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 20-MAR-20
PASADENA
Abdullatif, Qutayba PSY
1000 E Walnut St Ste 206
Pasadena, CA 91106-5311
(626) 460-1260
Accepting New Patients: Yes
Hours: Please call provider for
hours of Operations.
Other Language: Arabic
Accessibility: P, EB, IB, R;
Members are urged to call the
provider's office to discuss
their specific accessibility
needs when there is limited
access or where all or most
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Aparicio, Clara PSY
595 E Colorado Blvd Ste 324
Pasadena, CA 91101-2021
(818) 839-1365
Accepting New Patients: Yes
Hours: M-F 9AM-8PM, SA
9AM-12PM
Other Language: Spanish
Accessibility: P, EB, IB, R;
Members are urged to call the
provider's office to discuss
their specific accessibility
needs when there is limited
access or where all or most
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Ayrapetyan, Lilit PSY
595 E Colorado Blvd Ste 324
Pasadena, CA 91101-2021
(818) 839-1365
Accepting New Patients: Yes
Hours: M-F 9AM-8PM, SA
9AM-12PM
Other Language: Armenian
Accessibility: P, EB, IB, R;
Members are urged to call the
provider's office to discuss
their specific accessibility
needs when there is limited
access or where all or most
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Bennett, Darin MFT
221 E Walnut St Ste 138
Pasadena, CA 91101-1554
(949) 463-5323
Accepting New Patients: Yes
Hours: M-F 8AM-9PM, SA
8AM-8PM
Accessibility: P, EB, IB, R;
Members are urged to call the
provider's office to discuss
their specific accessibility
needs when there is limited
access or where all or most
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only Accessibility code explanations: “SR” This information is self
reported by the provider. Blue Shield of California Promise Health Plan has not verified this
information. The presence of the following codes indicates the provider location is accessible
with this area. P: parking, EB: Exterior Building, IB: Interior Building E: Exam Room R: Restroom T:
Exam Table/Scale W: Wheelchair ME Medical Equipment
306
LOS ANGELES COUNTY OUTPATIENT MENTAL HEALTH PROVIDERS
panel status.
Chavez, Daniela CSW
595 E Colorado Blvd Ste 324
Pasadena, CA 91101-2021
(818) 839-1365
Accepting New Patients: Yes
Hours: M-F 9AM-8PM, SA
9AM-12PM
Accessibility: P, EB, IB, R;
Members are urged to call the
provider's office to discuss
their specific accessibility
needs when there is limited
access or where all or most
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Coy, Jessica MFT
221 E Walnut St Ste 138
Pasadena, CA 91101-1554
(949) 463-5323
Accepting New Patients: Yes
Hours: M-F 8AM-9PM, SA
8AM-8PM
Accessibility: P, EB, IB, R;
Members are urged to call the
provider's office to discuss
their specific accessibility
needs when there is limited
access or where all or most
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 10-MAR-20
Davis, Robert MFT
221 E Walnut St Ste 138
Pasadena, CA 91101-1554
(949) 463-5323
Accepting New Patients: Yes
Hours: M-F 8AM-9PM, SA
8AM-8PM
Accessibility: P, EB, IB, R;
Members are urged to call the
provider's office to discuss
their specific accessibility
needs when there is limited
access or where all or most
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Duell, Shannon MFT
221 E Walnut St Ste 138
Pasadena, CA 91101-1554
(949) 463-5323
Accepting New Patients: Yes
Hours: M-F 8AM-9PM, SA
8AM-8PM
Accessibility: P, EB, IB, R;
Members are urged to call the
provider's office to discuss
their specific accessibility
needs when there is limited
access or where all or most
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 20-MAR-20
Garner, Jackie CSW
221 E Walnut St Ste 138
Pasadena, CA 91101-1554
(949) 463-5323
Accepting New Patients: Yes
Hours: M-F 8AM-9PM, SA
8AM-8PM
Accessibility: P, EB, IB, R;
Members are urged to call the
provider's office to discuss
their specific accessibility
needs when there is limited
access or where all or most
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Hatch, Kieu MFT
221 E Walnut St Ste 138
Pasadena, CA 91101-1554
(949) 463-5323
Accepting New Patients: Yes
Hours: M-F 8AM-9PM, SA
8AM-8PM
Other Language: Vietnamese
Accessibility: P, EB, IB, R;
Members are urged to call the
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only Accessibility code explanations: “SR” This information is self
reported by the provider. Blue Shield of California Promise Health Plan has not verified this
information. The presence of the following codes indicates the provider location is accessible
with this area. P: parking, EB: Exterior Building, IB: Interior Building E: Exam Room R: Restroom T:
Exam Table/Scale W: Wheelchair ME Medical Equipment
307
LOS ANGELES COUNTY OUTPATIENT MENTAL HEALTH PROVIDERS
provider's office to discuss
their specific accessibility
needs when there is limited
access or where all or most
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Hynes, Latrina MFT
221 E Walnut St Ste 138
Pasadena, CA 91101-1554
(949) 463-5323
Accepting New Patients: Yes
Hours: M-F 8AM-9PM, SA
8AM-8PM
Accessibility: P, EB, IB, R;
Members are urged to call the
provider's office to discuss
their specific accessibility
needs when there is limited
access or where all or most
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 10-MAR-20
Kendrick, Amanda PSY
595 E Colorado Blvd Ste 324
Pasadena, CA 91101-2021
(818) 839-1365
Accepting New Patients: Yes
Hours: M-F 9AM-8PM, SA
9AM-12PM
Other Language: Spanish
Accessibility: P, EB, IB, R;
Members are urged to call the
provider's office to discuss
their specific accessibility
needs when there is limited
access or where all or most
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-JUL-19
Murren, Melissa PSY
595 E Colorado Blvd Ste 324
Pasadena, CA 91101-2021
(818) 839-1365
Accepting New Patients: Yes
Hours: M-F 9AM-8PM, SA
9AM-12PM
Accessibility: P, EB, IB, R;
Members are urged to call the
provider's office to discuss
their specific accessibility
needs when there is limited
access or where all or most
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-JUL-19
Padilla, Denise CSW
95 N Marengo Ave Ste 203
Pasadena, CA 91101-1761
(888) 795-4337
Accepting New Patients: Yes
Hours: M-SA 8AM-9PM
Accessibility: P, IB, R; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 10-MAR-20
Pechman, Brooke MFT
221 E Walnut St Ste 138
Pasadena, CA 91101-1554
(949) 463-5323
Accepting New Patients: Yes
Hours: M-F 8AM-9PM, SA
8AM-8PM
Accessibility: P, EB, IB, R;
Members are urged to call the
provider's office to discuss
their specific accessibility
needs when there is limited
access or where all or most
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Pumphrey, Stephen CSW
221 E Walnut St Ste 138
Pasadena, CA 91101-1554
(949) 463-5323
Accepting New Patients: Yes
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only Accessibility code explanations: “SR” This information is self
reported by the provider. Blue Shield of California Promise Health Plan has not verified this
information. The presence of the following codes indicates the provider location is accessible
with this area. P: parking, EB: Exterior Building, IB: Interior Building E: Exam Room R: Restroom T:
Exam Table/Scale W: Wheelchair ME Medical Equipment
308
LOS ANGELES COUNTY OUTPATIENT MENTAL HEALTH PROVIDERS
Hours: M-F 8AM-9PM, SA
8AM-8PM
Accessibility: P, EB, IB, R;
Members are urged to call the
provider's office to discuss
their specific accessibility
needs when there is limited
access or where all or most
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Schweon, Craig PSY
95 N Marengo Ave Ste 200
Pasadena, CA 91101-1746
(626) 256-7863
Accepting New Patients: Yes
Hours: M-F 8AM-5PM
Accessibility: P, IB, R; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 20-MAR-20
Singer, Mia MFT
95 N Marengo Ave Ste 203
Pasadena, CA 91101-1761
(888) 795-4337
Accepting New Patients: Yes
Hours: M-SA 8AM-9PM
Accessibility: P, IB, R; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 24-MAR-20
Stokes, Marquita PSY
595 E Colorado Blvd Ste 324
Pasadena, CA 91101-2021
(818) 839-1365
Accepting New Patients: Yes
Hours: M-F 9AM-8PM, SA
9AM-12PM
Accessibility: P, EB, IB, R;
Members are urged to call the
provider's office to discuss
their specific accessibility
needs when there is limited
access or where all or most
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-JUL-19
Villa, Adriana MFT
221 E Walnut St Ste 138
Pasadena, CA 91101-1554
(949) 463-5323
Accepting New Patients: Yes
Hours: M-F 8AM-9PM, SA
8AM-8PM
Other Language: Spanish
Accessibility: P, EB, IB, R;
Members are urged to call the
provider's office to discuss
their specific accessibility
needs when there is limited
access or where all or most
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 24-MAR-20
ROSEMEAD
Peng, Mengshan CSW
8841 Garvey Ave
Rosemead, CA 91770-3358
(626) 286-8700
Accepting New Patients: Yes
Hours: M-W,F 8:30AM-5:30PM,
TH 9AM-5:30PM, SA 8AM-4PM
Accessibility: EB; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 20-MAR-20
SAN GABRIEL
Peng, Mengshan CSW
923 S San Gabriel Blvd
San Gabriel, CA 91776-2743
(626) 286-8700
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only Accessibility code explanations: “SR” This information is self
reported by the provider. Blue Shield of California Promise Health Plan has not verified this
information. The presence of the following codes indicates the provider location is accessible
with this area. P: parking, EB: Exterior Building, IB: Interior Building E: Exam Room R: Restroom T:
Exam Table/Scale W: Wheelchair ME Medical Equipment
309
LOS ANGELES COUNTY OUTPATIENT MENTAL HEALTH PROVIDERS
Accepting New Patients: Yes
Hours: M-F 8:30AM-5:30PM, SA
8AM-4:30PM
Accessibility: Members should
call the provider's office to
discuss their accessibility
needs.
UPDATE: NEW Provider Added.
Effective_Date: 20-MAR-20
SOUTH PASADENA
Carr, Candice MFT
1605 Hope St Ste 350
South Pasadena, CA
91030-2658
(626) 414-5606
Accepting New Patients: Yes
Hours: M-SA 9AM-9PM
Other Language: Spanish
Accessibility: P, EB, IB, E;
Members are urged to call the
provider's office to discuss
their specific accessibility
needs when there is limited
access or where all or most
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-NOV-19
VALENCIA
Alanzy, Jennifer MFT
27201 Tourney Rd Ste 206
Valencia, CA 91355-1804
(888) 795-4337
Accepting New Patients: Yes
Hours: M-SU 6AM-9PM
Accessibility: P, EB, IB, R;
Members are urged to call the
provider's office to discuss
their specific accessibility
needs when there is limited
access or where all or most
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 10-MAR-20
Bracken, Tomiko CSW
25050 Avenue Kearny Ste 210
Valencia, CA 91355-1257
(661) 713-9989
Accepting New Patients: Yes
Hours: TU 6PM-9PM, F
8AM-8PM, SA 8AM-4PM
Other Language: Japanese
Accessibility: P, EB, IB, R;
Members are urged to call the
provider's office to discuss
their specific accessibility
needs when there is limited
access or where all or most
accessibility indicators are not
present.
UPDATE: There was a change
in the provider record;
demographic, phone and/or
panel status.
Rohsig Moeser, Delsi CSW
27201 Tourney Rd Ste 206
Valencia, CA 91355-1804
(888) 795-4337
Accepting New Patients: Yes
Hours: M-SU 6AM-9PM
Accessibility: P, EB, IB, R;
Members are urged to call the
provider's office to discuss
their specific accessibility
needs when there is limited
access or where all or most
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 16-MAR-20
VALLEY VILLAGE
Ayvazian, John PSY
12501 Chandler Blvd Ste 102
Valley Village, CA 91607-1955
(818) 821-6012
Accepting New Patients: Yes
Hours: M-TH 8AM-7PM, F
8AM-4PM
Accessibility: P, EB, IB, E, R;
Members are urged to call the
provider's office to discuss
their specific accessibility
needs when there is limited
access or where all or most
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 26-MAR-20
Vado, Roberto PSY
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only Accessibility code explanations: “SR” This information is self
reported by the provider. Blue Shield of California Promise Health Plan has not verified this
information. The presence of the following codes indicates the provider location is accessible
with this area. P: parking, EB: Exterior Building, IB: Interior Building E: Exam Room R: Restroom T:
Exam Table/Scale W: Wheelchair ME Medical Equipment
310
LOS ANGELES COUNTY OUTPATIENT MENTAL HEALTH PROVIDERS
12501 Chandler Blvd Ste 102
Valley Village, CA 91607-1955
(818) 821-6012
Accepting New Patients: Yes
Hours: M-TH 8AM-7PM, F
8AM-4PM
Other Language: Spanish
Accessibility: P, EB, IB, E, R;
Members are urged to call the
provider's office to discuss
their specific accessibility
needs when there is limited
access or where all or most
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 26-MAR-20
VAN NUYS
Rohsig Moeser, Delsi CSW
16461 Sherman Way Ste 155
Van Nuys, CA 91406-3840
(888) 795-4337
Accepting New Patients: Yes
Hours: M-SA 7AM-10PM
Accessibility: P, IB, R; Members
are urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
UPDATE: NEW Provider Added.
Effective_Date: 16-MAR-20
WHITTIER
Miranda, Carolina CSW
7630 Painter Ave Ste C
Whittier, CA 90602-2373
(562) 203-0177
Accepting New Patients: Yes
Hours: M-SU 9AM-9PM
Other Language: Spanish
Accessibility: EB, IB, E;
Members are urged to call the
provider's office to discuss
their specific accessibility
needs when there is limited
access or where all or most
accessibility indicators are not
present.
UPDATE: NEW Provider Added.
Effective_Date: 01-JUN-17
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only Accessibility code explanations: “SR” This information is self
reported by the provider. Blue Shield of California Promise Health Plan has not verified this
information. The presence of the following codes indicates the provider location is accessible
with this area. P: parking, EB: Exterior Building, IB: Interior Building E: Exam Room R: Restroom T:
Exam Table/Scale W: Wheelchair ME Medical Equipment
311
INDEX
A Abdullatif, Qutayba.............306
Abraham, Tomas....................81
Adamian, Kristine .................303
Afsari, Rouzbeh 136, 19, 2, 30,
58, 11
Aguilar, Felix ..................... 28, 16
Ahoubim, Daniel 110, 262,
270, 271, 48, 50, 89, 90, 109
Airapetian, Ara 190, 204, 243,
150
Akhlaq, Nadia ......................239
Akopyan, Oganes 191, 204,
190
Alanzy, Jennifer ....................310
Alasil, Tarek 115, 249, 252,
256, 265, 267, 273, 277, 279,
282, 288, 291, 294, 3, 59, 114
Alborzi, Arash ........ 136, 78, 109
Aleman, Edgar .......................77
Ali, Aliya.................................234
Altamimi, Sadiq ........ 65, 89, 48
Amin, Nirav..................... 26, 127
Ammari, Razan.......................63
Ammen, Magena ................303
Aparicio, Clara.....................306
Arceo, Ruth 203, 221, 243, 190
Arcia, John 136, 261, 7, 88,
109
Arfaania, Dariush 137, 19, 197,
211, 30, 78, 11
Arianjam, Afshin ............ 60, 143
Arimie, Calin ................ 210, 197
Arimie, Raluca .... 195, 209, 133
Arslanian, Sahag 193, 198,
206, 212, 247, 1
Artinyan, Avo 290, 56, 62, 99,
129
Avila, Adriana.......................304
Ayrapetyan, Lilit....................306
Ayvazian, John.....................310
B Babakhanians, Arthur 191, 204,
150
Badr, Yaser 142, 151, 164, 168,
258, 275, 282, 34, 54, 73, 81,
97, 126
Bai, Jilin ................ 207, 219, 193
Bakman, Irene ........................64
Baradar-bokaie, Babak.......102
Barba, David.................... 82, 35
Barkodar, Leon .............. 67, 139
Basmajian, Hrayr ....................26
Bast, Steven ..........................142
Bastian, Sevag 158, 165, 176,
178, 180, 181, 183, 153
Battaglia, Steven 149, 154,
155, 146
Beck, Tiffany 27, 30, 47, 87, 24
Bedrood, Sahar 248, 256, 266,
272, 278, 281, 288, 59, 115
Begley, Jason .......................113
Bennett, Darin....................... 306
Bernal, Brenda......................106
Bhasin, Nitin 20, 226, 227, 228,
31, 12
Bhavsar, Rajesh ....................121
Binder, Robert 164, 179, 181,
213, 153
Bindra, Reba.........................302
Blau, Jonathan ............ 275, 263
Boghossian, Nubar 108, 261,
286, 87, 10
Boone, Kelly ..........................106
Borenstein, Todd.....................23
Bornheimer, Joseph 195, 209,
77, 132
Bostanjian, David .................204
Botnick, Marc .........................95
Bracken, Tomiko...................310
Brar, Nikhraj .................... 93, 118
Brekhus, Sharyn..... 228, 26, 227
Brown, John ....................... 47, 3
Buch, Vishaal ........................192
Bultron, Gilberto .......... 168, 151
Burstein, Samuel .......... 208, 194
C Cairo, Kathy..........................156
Calderon, Mario...................188
Carr, Candice ......................310
Carrillo, Herman 206, 28, 296,
192
Cavazos, Tara.......................304
Cervantes, Ronald .......... 72, 52
Chahin, Chadi ........................80
Chalian, Raffi 260, 266, 269,
29, 47, 87, 254
Chan, Garry..........................297
Chan, Hoi Man Carman .....169
Chand, Arati Rani 253, 254,
261, 239
Chang, Christine ..................140
Chang, Tom 115, 130, 248,
255, 256, 266, 267, 271, 272,
278, 280, 281, 291, 300, 113
Chaudhary, Preeti................108
Chauhan, Bharat .................280
Chavez, Daniela ..................307
Chen, Brian ...........................114
Chen, David 148, 16, 17, 192,
205, 243, 8, 131
Chen, Katherine .....................79
Chen, Tien-chun...................108
Chi, Grace ............................229
Chiang, Charles ...................133
Chikh Ismail Zada, Jaafar ...240
Chong, Charng........................1
Chong, Matthew ..... 23, 82, 15
Chou, Arthur 223, 224, 225,
251, 258, 275, 222
Chu, Thomas.................. 67, 283
Clark, Brittani.........................106
Cohen, Robbin .....................144
Cox, Brian....................... 36, 144
Coy, Jessica..........................307
Culotta, Anthony 257, 267,
273, 300, 25
Curran, Mark.... 12, 20, 24, 113
Cyran, Leah ............................82
D Daneshvari, Sam 137, 197, 20,
211, 299, 58, 79, 11
Davis, Michael 249, 257, 267,
273, 279, 282, 288, 291, 294,
For more information, please call Customer Care Operations at 1-800-544-0088 (TTY: 711)
8 a.m. to 8 p.m., seven days a week, from Oct. 1st – Mar. 31st and 8 a.m. – 8 p.m. weekdays,
from Apr. 1st – Sept. 30th. This list is subject to change.
312
INDEX 300, 116
Davis, Pamela.......................156
Davis, Robert ........................307
De Jesus, Violeta......... 217, 202
De La Llana, Jose.................268
De La Loza, David................245
De Oliveira, Elizabeth 230, 236,
289, 293, 295, 60, 117
Dedace, Hadji ..........................5
Dedrick, Lane .........................28
Delaney, Sean......................155
Delshad, George 212, 262,
271, 112
Deng, Jing.............................102
Desai, Bhupatrai 300, 48, 65,
89, 109
Devore, Greggory 139, 270,
271, 3, 7, 113
Ding, Chaonan.....................103
Discepolo, William 133, 24, 104
Doo, Bryan 239, 255, 270, 280,
235
Doudikian Scaff, Nayiri ........144
Duell, Shannon .....................307
Dworsky, Erik 127, 285, 54, 55,
74, 81, 83, 98, 126
E Eboreime, Babatunde 139, 62,
111
Ebrahimi, Kamyar . 247, 84, 145
Eckel, Gregory........ 71, 95, 122
Eddy-bertrand, Elizabeth 156,
152
Eghbalieh, Sammy 263, 274,
72, 124
Eitan, Nathan 234, 238, 269,
37, 39, 43, 9, 18
Ellerbroek, Nancy. 141, 70, 121
Eng, Trang .................... 161, 146
Entezaralmahdi, Mahnaz 46,
63, 85, 132
Escobedo, Antonio ..............237
Esfahani, Ora ...... 292, 295, 289
Esmaili, Daniel 272, 281, 284,
250
Espinoza, Elba.......................105
Esqueda, Fabian ..................240
Eu, Pang-chieh ... 164, 181, 140
Eubanks, Hayward .................61
Ezra, Eshagh 206, 260, 268,
193
F Fakheri, Saman 2, 246, 286,
291, 133
Farboody, Gholam ....... 58, 137
Farid, Samy ........... 219, 57, 187
Farmand, Farbod.................231
Felestian, Carol..................... 199
Fenster, Alda.........................303
Finch, Whitney ......................237
Fisher, Henry..........................163
Flynn, Sean............................120
Friedman, Adam......... 213, 117
Fulgencio, Patrick.................238
G Gabrielyan, Aram 207, 208,
194
Gala, Kirit................. 19, 246, 10
Galat, Absalon .....................101
Gallagher, Mary ...................105
Gallego, Claudio .......... 30, 136
Ganata, Victor .......................17
Garg, Vinod ..........................215
Garner, Jackie...................... 307
Gebreyes, Zewdu.................161
Geleris, Andrew....................138
Gelvezon, Nani.......................33
Gin, Jeffrey....... 203, 231, 8, 16
Glass, Sydni ...............................4
Goei, Raymond....................101
Gomez, Gregory 15, 34, 35, 14
Gomez, Luciano................... 167
Gordon, Edward ......... 111, 103
Gordon, Joseph ...................120
Gorty, Sri ..................................25
Govil, Vishal ................. 203, 190
Graditor, Marshall ................199
Greener, Michael.................304
Groomer, Jason ...................152
Gupta, Neeraj ........ 201, 5, 127
Gupta, Praveen .....................91
Gutierrez, Humberto ... 217, 202
Guzman, David ......................29
Guzman, Michell ..................119
H Ha, Thomas ...... 17, 194, 232, 1
Hacopians, Sareen ..............304
Han, David ................... 205, 191
Hanna, Gina ......... 229, 65, 112
Hartas, Georgios ........... 60, 230
Hatch, Kieu ...........................307
Hathuc, Chinhnam ..............101
Hayes, Christopher...............128
Hazlebeck, Michelle ............119
Hepps, Kenneth.. 197, 210, 135
Hill, Jennifer ......... 200, 214, 188
Hineman, Lisa .................. 86, 64
Ho, Ralph........................ 95, 121
Ho, Samuel............................161
Hool, Fernando................ 33, 27
Hopkins, Kyle...........................94
Huang, Thomas ....................133
Hwang, Hla Myint Maung .......2
Hwee, Jonathan 162, 22, 233,
160
Hynes, Latrina .......................308
I Ibrahim, Nuha.........................85
Imani, Mahdouneh ..............302
Israelian-konaraki, Zarmen 18,
196, 210, 78, 9, 134
J Jaber, James 13, 21, 257, 273,
32, 54, 97, 125
Janjua, Nazli..... 48, 66, 89, 110
Jung, George .......................154
K Kahlon, Surjit.............. 66, 90, 49
Kao, Jennifer.........................237
Kavcioglu, Ruth ....................152
Kazlauskas, Linas .. 213, 70, 121
Kendrick, Amanda...............308
For more information, please call Customer Care Operations at 1-800-544-0088 (TTY: 711)
8 a.m. to 8 p.m., seven days a week, from Oct. 1st – Mar. 31st and 8 a.m. – 8 p.m. weekdays,
from Apr. 1st – Sept. 30th. This list is subject to change.
313
INDEX Kennedy, Devon ......... 273, 257
Kent, Dolores 255, 262, 271,
280, 250
Khachatryan, Tigran ..............77
Khalili, Manoutcher ..... 207, 193
Khan, Ahmed .........................29
Khan, Ayaz 218, 227, 228, 25,
59, 116
Khanna, Sandeep 240, 242,
235
Kim, Hyung............................118
Kim, Sean ................................33
Kleynberg, Leonid ................286
Kleynberg, Roman ...............286
Kleynberg, Vera ...................287
Konca, Ewa...............................2
Kopelow, Stanley ........ 219, 198
Kouchouk, Amr..................... 116
Kroe, Donald................ 199, 140
Kulczycki, James ........... 77, 132
Kundi, Mukhtair 139, 198, 212,
31, 50, 67, 90, 111
L Lameer, Mohamed..............220
Laster, Daniel ........................143
Lavian, Pouya................ 89, 109
Lee, Daniel ................... 215, 200
Lee, Dustin............................... 33
Lee, James............................297
Lee, Lance 175, 198, 212, 233,
246, 79, 138
Lee, Lily ......................... 290, 230
Lee, Monica.......................... 111
Lee, Terry ..................... 37, 8, 28
Leigh-magee, Maureen......304
Lemus-rangel, Rafael.. 274, 263
Lercel, Gregory................ 6, 128
Lev, Diana.............................156
Levitan, Daniel...... 262, 88, 255
Liao, David..................... 67, 283
Liker, Mark .............................142
Lim, Thomas 258, 262, 274, 199
Lin, Joseph 235, 289, 292, 294,
32, 4, 50, 92, 116
Lin, Kristie 235, 289, 292, 294,
51, 92, 116
Lin, Michael 18, 187, 196, 210,
246, 250, 260, 269, 9, 107
Lin, Tzy-young .......................213
Lobo, Bjorn ............................158
Longacre, Matthew 285, 46,
65, 86, 107
Lott, Krystal ............................105
Louden, Catherine...............140
Louie, Lana .............................75
Lucasan, Danah Majorie 46,
64, 86, 105
M Ma, Kelvin................ 49, 66, 110
Mahdavi, Paymohn 115, 91,
114
Mahgerefteh, Shmuel 122,
123, 70, 71, 121
Majied Muhammad, Carmen
305
Malafa, Menyoli .....................73
Malamud, Ariel.......................86
Manvelyan, Marina .............154
Mariano, Myron.. 147, 169, 142
Marquez, Yvette... 228, 26, 227
Martinez, Jaime....................244
Mauceri, Jennifer .................302
Mcintosh, David ...................102
Mclean-madera, Jennifer...105
Mclennan, Jon ... 264, 276, 251
Mehta, Daksha.....................235
Mehta, Dharmesh .... 64, 85, 46
Mendivil, Alberto .... 47, 87, 108
Minasian, Raffi 137, 197, 20,
211, 229, 299, 3, 30, 58, 62,
11
Minassian, Haig . 41, 44, 45, 40
Miranda, Carolina....... 311, 305
Mohan, Ayyampalayam ....124
Montesa, Christine ...............129
Moon, Seung Hee ................119
Moore, Lori .......... 272, 280, 256
Motamedi, Bijan...................203
Mourani, Samuel 148, 154,
160, 161, 167, 169, 172, 175,
177, 184, 185, 186, 134
Murren, Melissa.....................308
Muthiah, Muthusamy.. 195, 104
N Nalamlieng, Matthew 284, 4,
5, 52, 70, 80, 94, 120
Nangiana, Jasvinder ...... 98, 74
Natarajan, Margaret ...........103
Nazarian, Nora 284, 51, 69,
79, 80, 93, 119
Nguyen, James ............. 97, 126
Niamehr, Nouriel .... 76, 93, 118
Nie, Zetan................................17
Nieberg, Paul............... 232, 175
Norton, Tracey......................101
Nossett, Angela 157, 245, 260,
268, 152
Nunez, Felipe ..........................69
O Obey, Shawanda ................112
Ochoa, Araceli................ 21, 12
Oheb, Jonathan ............. 97, 53
Okhovat, Mehran........ 157, 152
Oliver, Michael .....................134
Osorio Flores, Martin 31, 49,
66, 110
P Padilla, Denise ......................308
Paley, William............................1
Parikh, Gaurav......................104
Parker, Peter Parviz ....... 76, 131
Paronian, Oganes 157, 206,
243, 61, 150
Parvinchiha, Amir .................219
Patel, Ankur.............................34
Patel, Tejas ................... 163, 150
Patrikyan, Artashes 137, 138,
198, 20, 211, 299, 58, 11
Pearsall, Eldridge..................112
Pechman, Brooke ................308
Pelton, Kevin 128, 285, 55, 82,
83, 98, 99, 126
Peng, Mengshan..................309
Perez, Alicia ..........................305
For more information, please call Customer Care Operations at 1-800-544-0088 (TTY: 711)
8 a.m. to 8 p.m., seven days a week, from Oct. 1st – Mar. 31st and 8 a.m. – 8 p.m. weekdays,
from Apr. 1st – Sept. 30th. This list is subject to change.
314
INDEX Pham, Kevin..........................240
Pham, Maggie .......................31
Piatt, Bradford.......................122
Popalzai, Adeel 49, 66, 90, 110
Pourshahmir, Mohammad 214,
124
Poursharif, Borzouyeh ..........112
Pruitt, Jennifer .......................305
Pruthi, Jatinder...... 187, 87, 107
Pumphrey, Stephen .............308
Q Qazi, Faisal 300, 49, 66, 90,
217
Quyyumi, Farah 286, 47, 88,
261
R Rahhal, Firas................... 68, 283
Reid, James 285, 55, 82, 83,
127
Reyes Guatemala, Claudia 302
Reznik, Alena ...... 291, 294, 287
Reznik, Jacob .......................287
Rice, Kevin ................... 200, 188
Riffel-dalinger, Hugo ..............78
Rizvi, Murtaza............ 34, 83, 14
Rodriguez, Evelyn.................305
Rodriguez, Maria 21, 229, 283,
297, 12
Rohsig Moeser, Delsi ... 311, 310
Rojas, Jonathan ...................105
Rosado, Ariosto ....................187
Rose, Daniel ..............................8
Rosenberg, Bradley .............138
Rosenfeld, Harold................. 144
Rubin, Maria..........................106
Ruffin, Christopher................302
Ruiz, Ruben 207, 245, 254,
268, 296, 37, 39, 41, 43, 17
S Saadat, Daryoush ................117
Sadrzadeh Rafie, Amir...........78
Saines, Marius .. 53, 72, 96, 124
Salazar, Miguel .......................77
Salem, Ayman 142, 215, 258,
263, 275, 298, 34, 5, 54, 73,
81, 97, 126
Samuel, Michael ..................301
Sanchez-anaya, David .......254
Sanders, Jesse ......................101
Santos-montemayor, Maria
161, 162, 136
Schlaerth, Alan 135, 159, 170,
18, 10
Schwartz, Lonn .....................117
Schweon, Craig....................309
Seltzer, Andrew.......................76
Shah, Beena ................ 269, 255
Shah, Mamta 52, 53, 72, 96,
123
Shalikar, Hamed...................102
Sham, Benjamin ............ 93, 118
Shammas, Hanna ..................32
Sharifi, Maryam.....................163
Sharp, Lorra...........................128
Shear, Stuart........ 171, 181, 157
Shenkman, Heather.... 270, 261
Sim, Kenneth...........................13
Singer, Mia ............................309
Singh, Nalini...........................134
Slater, Kurt .............................138
Solano, Maria .......................302
Solberg, Brian........................ 143
Soleimani, Massoud .............141
Solomon, Oliver 232, 244, 297,
8, 208
Soriano, Nathaniel .................25
Spahi, Sarah..........................180
Spooler, Justin.................. 98, 74
Stepanyan, Nare......... 239, 238
Stokes, Marquita...................309
Su, Daniel .. 50, 68, 79, 91, 115
Sucgang, Paul 39, 41, 43, 45,
243
Sugi, Michelle... 51, 83, 92, 118
Swanson, Gary .....................187
T Tabandeh, Homayoun. 68, 283
Tabibian, Benjamin ..... 162, 146
Tai, Liang Yu.......... 16, 231, 148
Tama, Maher ...... 202, 217, 107
Tan, Anna................................27
Tan-chiu, Elizabeth Del Prado
88, 48
Tang, Jennifer .......................103
Tao, May ........................ 70, 141
Tarakji, Elias ...........................134
Termechi, Michela ...............106
Thumati, Ramakrishna 196, 24,
104
Tirman, Phillip ............... 214, 200
Torossian, Artour ...................188
Tran, Henry ... 292, 295, 59, 289
Tran, Van...............................244
Tran, Vinh .............. 299, 68, 213
Tran, Young............... 14, 22, 13
Trenkle, Geoffrey 166, 173,
174, 151
Truong, Victor .................. 96, 53
Tulpule, Radhika.......... 231, 148
U Ufano Leon, Jeremee.......... 303
Upton, Christopher...... 124, 123
Urbina, Marvin 190, 203, 231,
28, 16
V Vadapalli, Satish...................117
Vado, Roberto......................310
Vadrevu, Vijayalakshmi.......288
Valenzuela, Areli ..................306
Vallota, Enrique....................154
Vangala, Nitanth 202, 217, 24,
2
Vanyo, Lori ..................... 73, 125
Varma, Rohit.. 288, 50, 92, 287
Villa, Adriana ........................309
Viswanathan, Dushyant 208,
194
Vito, Courtney ............. 241, 236
Vukasin, Petar........... 22, 5, 141
Vyas, Kunalkumar ........... 92, 68
W Wainess, Reid............... 287, 114
Wali, Autar 200, 215, 25, 258,
For more information, please call Customer Care Operations at 1-800-544-0088 (TTY: 711)
8 a.m. to 8 p.m., seven days a week, from Oct. 1st – Mar. 31st and 8 a.m. – 8 p.m. weekdays,
from Apr. 1st – Sept. 30th. This list is subject to change.
315
INDEX 274, 33, 7, 125
Wang, David.........................141
Warner, Jonathan................145
Weber, Hans ................ 220, 189
Weber, Melissa .......................95
Wilensky, Jonathan 56, 99, 129
William, Phebee ...................303
Wong, Kee ................ 23, 35, 15
Wong, Stephen 195, 209, 234,
237, 245, 269, 29, 76, 131
Wongthavatchai, Daniel ....305
Wu, Bob............................ 22, 14
Wu, Dianne 15, 201, 216, 23,
37, 143
Wu, Joanna ............ 21, 236, 13
Y Yaghoubian, Arezou............125
Yamini, Sohrab ............ 250, 246
Yang, Honghao 135, 19, 211,
10
Yao, Caroline... 55, 75, 99, 128
Yau, Edwin ................... 207, 193
Yee, Sharon ..........................135
Yee, Ting....................... 209, 196
Yeranosian, Michael..............35
Yoo, Byung................... 238, 237
Yoon, Esther ................. 205, 191
Youssefian, Steve ........ 170, 131
Yuh, Bertram .........................144
Yung, Tin ......... 232, 234, 9, 208
Z Zamorano, Antonio..... 205, 192
Zawar, Apurva......................214
Zeng, Wanchi .........................32
Zheng, Hailiang ......................13
For more information, please call Customer Care Operations at 1-800-544-0088 (TTY: 711)
8 a.m. to 8 p.m., seven days a week, from Oct. 1st – Mar. 31st and 8 a.m. – 8 p.m. weekdays,
from Apr. 1st – Sept. 30th. This list is subject to change.
316
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