docDirectory - Greater TRI Cities
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Directory - Greater TRI Cities
Network Directory Contents Contracted Health Plans ��������������������������������������������������������������������������������������������������������������� 1 Contracted Facilities..������������������������������������������������������������������������������������������������������������������������ 2 Contracted Laboratories ��������������������������������������������������������������������������������������������������������������� 4 Primary Care Physicians ��������������������������������������������������������������������������������������������������������������� 5 Family Practice............................................................................................................7 General Practice....................................................................................................... 15 Internal Medicine.................................................................................................... 19 Pediatrics................................................................................................................... 25 Specialist Physicians..����������������������������������������������������������������������������������������������������������������������31 PCP Health Plan ID Numbers �������������������������������������������������������������������������������������������������41 Language Index...........����������������������������������������������������������������������������������������������������������������������47 Contracted Health Plans Contracted Health Plans Commercial Plans Website Aetna Health of California www.aetna.com Anthem Blue Cross of California www.bluecrossca.com Blue Shield www.blueshieldca.com Cigna www.cigna.com Health Net www.healthnet.com United Healthcare www.uhcwest.com Sharp Health Plan www.sharphealthplan.com Medicare Advantage Plans Website Aetna Health of California www.aetna.com Anthem Blue Cross www.anthem.com/ca/shop Blue Shield www.blueshieldca.com Care 1st www.care1st.com Easy Choice www.easychoicehealthplan.com Humana www.humana-medicare.com United Healthcare www.uhcmedicaresolutions.com 1 Contracted Facilities Hospitals Tri-City Medical Center 4002 Vista Way Oceanside, CA 92056 760-724-8411 Palomar Medical Center 2185 Citricado Parkway Escondido, CA 92029 442-281-5000 UCSD Medical Center 200 W. Arbor Drive San Diego, CA 92103 619-543-6222 Rady Children’s Hospital 3020 Children’s Way San Diego, CA 92123 858-576-1700 Radiology Contracted Facilities San Diego Imaging 3909 Waring Road, Suite C Oceanside, CA 92056 760-630-0014 San Diego Imaging 1955 Citracado Parkway, Suite 100 Escondido, CA 92029 760-743-3873 Imaging Healthcare Specialists 3601 Vista Way, Bldg A, Suite 101 Oceanside, CA 92056 760-631-7505 Carlsbad Imaging 3144 El Camino Real, Suite 100 Carlsbad, CA 92008 760-730-3536 Tri-City Medical Center Imaging Services 4002 Vista Way Oceanside, CA 92056 760-940-7470 2 Contracted Facilities Contracted Facilities Urgent Care 828 Urgent Care 4174 Oceanside Blvd., #109 Oceanside, CA 92056 Daily & Holidays: 8am-8pm 760-216-6253 US Healthworks Urgent Care 5810 El Camino Real, Suite A Carlsbad, CA 92008 M-F: 7am-6pm 760-929-8269 Cassidy Urgent Care 145 Thunder Drive Vista, CA 92083 M-F : 5pm-9pm Sat & Holidays: 10am-5pm Sun: 10am-4pm Closed Thanksgiving and Christmas 760-941-9002 US Healthworks Urgent Care 3910 Vista Way, Suite 106 Oceanside, CA 92056 M-F: 8am-5pm 760-941-2000 US Healthworks Urgent Care 860 West Valley Parkway, Suite 150 Escondido, CA 92025 M-F: 7am-7pm Sat: 9am-2pm 760-740-0707 Pediatric Urgent Care Children’s Urgent Care Escondido 625 W. Citracado Parkway Escondido, CA 92025 M-F: 4pm-10pm Sat-Sun: 1pm-10pm Holidays: Normal Hours 760-739-1543 Children’s Urgent Care Oceanside 3605 Vista Way, Suite 172 Oceanside, CA 92056 M-F: 4pm-10pm Sat-Sun: 1pm-4pm Holidays: Normal Hours 760-547-1020 3 Contracted Laboratories LabCorp — Laboratory Corporation of America All laboratroy services will be handled at LabCorp. Customer Care Center — Appointments www.labcorp.com Local Laboratory Locations Contracted Laboratories 4 Vista 2067 West Vista Way, Suite 275 Vista, CA 92083 760-724-9615 San Marcos 1595 Grand Ave, Suite 109 San Marcos, CA 92078 760-736-9387 Encinitas 499 North El Camino Real, Suite 101 Encinitas, CA 92024 760-635-5693 Escondido 225 East 2nd Avenue, Suite 201 Escondido, CA 92025 760-746-5110 Escondido 629 East Grand Avenue Escondido, CA 92025 760-291-1601 Escondido 735 East Ohio Street, #101 Escondido, CA 92025 760-781-1012 Fallbrook 577 East Elder Street, Suite D Fallbrook, CA 92028 760-723-9255 Temecula 27699 Jefferson Avenue, Suite 209 Temecula, CA 92590 951-693-1417 Primary Care Physicians 5 6 Family Practice 7 Mahyar Ajir, DO Practice:Carlsbad Village Family Practice Address:2801 Jefferson Street Carlsbad, CA 92008 Office Hours:M-F:8am-5pm Gender:Male Doctor Languages:English, Spanish, Farsi Staff Languages:English, Spanish In Practice Since:1995 Enrollment:Open to 5 Years and Older Joseph Brown, MD Practice:Vista Community Clinic Address:1000 Vale Terrace Vista, CA 92084 Office Hours:M-F: 8am-5pm Gender:Male Doctor Languages:English Staff Languages:English, Spanish In Practice Since:1966 Enrollment :Open to All Ages Belen Clark, MD Family Practice Practice:Optimas Family Medicine Address:1954 Via Centre, Suite B Oceanside, CA 92056 Office Hours:N/A Gender:Female Doctor Languages:English, Tagalog, Basic Spanish Staff Languages:English In Practice Since:1998 Enrollment :Open to All Ages 8 Family Practice Aleksandr Demenko, MD GREATER TRI CITIES IPA Independent Physicians – Providing Personal Care Practice:Vista Community Clinic Address:1000 Vale Terrace Vista, CA 92084 Office Hours:M-F: 9am-7pm; Sat: 9am-4pm Gender:Male Doctor Languages:English, Russian Staff Languages:English, Spanish In Practice Since:2009 Enrollment :Open to 18 Years and Older Elaheh Etedali, DO Practice:Carlsbad Village Family Practice Address:2801 Jefferson Street Carlsbad, CA 92008 Office Hours:M-F: 8am-5pm Gender:Female Doctor Languages:English, Spanish, Farsi Staff Languages:English, Spanish In Practice Since:1995 Enrollment :Open to 5 Years and Older Linda Falconio, MD Practice:The Doctor’s Office Address:2067 W. Vista Way, #130 Vista, CA 920083 Office Hours:M-F: 8am-5pm Gender:Female Doctor Languages:English Staff Languages:English, Spanish In Practice Since:1978 Enrollment :Open to All Ages 9 Neil Halim, MD Practice:Lake San Marcos Family Medicine Address:1030 La Bonita Drive, Suite 316 San Marcos, CA 92078 Office Hours:M-F: 9am-5pm Gender:Male Doctor Languages:English, Arabic Staff Languages:English, Spanish, Arabic In Practice Since:1995 Enrollment :Open to All Ages Melissa Hurd, MD Address:161 Thunder Drive, #103 Vista, CA 92083 Office Hours:M-F: 9am-5pm Gender:Female Doctor Languages:English, Spanish Staff Languages:English, Spanish In Practice Since:1996 Enrollment :Open to All Ages James Italiano, MD Family Practice Practice:Waring Court Pediatrics & Adult Medicine Address:3230 Waring Court, Suite J Oceanside, CA 92056 Office Hours:8:30am-5pm Gender:Male Doctor Languages:English Staff Languages:English, Spanish In Practice Since:2005 Enrollment :Open to 3 Years and Older 10 Family Practice Michael LaRocque, MD GREATER TRI CITIES IPA Independent Physicians – Providing Personal Care Practice:Vista Community Clinic Address:1000 Vale Terrace Vista, CA 92084 Office Hours:M-F: 9am-7pm; Sat: 9am-4pm Gender:Male Doctor Languages:English, Spanish Staff Languages:English, Spanish In Practice Since:1971 Enrollment :Open to18 Years and Older Earl Miller, DO GREATER TRI CITIES IPA Independent Physicians – Providing Personal Care Practice:Vista Community Clinic Address:818 Pier View Way Oceanside, CA 92054 Office Hours:M-F: 9am-5pm Gender:Male Doctor Languages:English Staff Languages:English In Practice Since:1984 Enrollment :Open to All Age Steven Ochi, DO Practice:Vista Community Clinic Address:1000 Vale Terrace Vista, CA 92084 Office Hours:M-Th: 9am-7pm; F: 9am-5pm Sat: 9am-4pm Gender:Male Doctor Languages:English Staff Languages:English, Spanish In Practice Since:2010 Enrollment :Open to All Ages 11 Sanjeev Sharma, MD Practice:Carlsbad Coastal Medical Center Address:2690 Roosevelt Street Carlsbad, CA 92008 Office Hours:M-F: 9am-5pm Gender:Male Doctor Languages:English, Hindi Staff Languages:English, Spanish In Practice Since:1995 Enrollment :Open to All Ages Loretta Stenzel, MD Practice:Vista Community Clinic Address:134 Grapevine Road Vista, CA 92083 Office Hours:M-Th: 8am-7pm; F: 9am-2pm Gender:Female Doctor Languages:English Staff Languages:English, Spanish In Practice Since:1987 Enrollment :Open to All Ages Cheryl Thompson, MD Family Practice Practice:Vista Community Clinic Address:134 Grapevine Road Vista, CA 92083 Office Hours:M-F: 8am-5pm Gender:Female Doctor Languages:English, Spanish Staff Languages:English, Spanish In Practice Since:2009 Enrollment :Open to All Ages 12 General Practice General Practice 13 Behzad Baniadam, MD Practice:Mission Urgent Care & Family Practice Address:2690 Roosevelt Street Carlsbad, CA 92008 Office Hours:M-F: 9am-5pm; Sat: 10am-2pm Gender:Male Doctor Languages:English Staff Languages:English, Spanish In Practice Since:1995 Enrollment :Open to All Ages William Kenney, MD Practice:Oceanside Urgent Care Address:616 S. Coast Highway Oceanside, CA 92054 Office Hours:M-F: 8am-6pm; Sat: 10am-4pm Gender:Male Doctor Languages:English, Spanish Staff Languages:English, Spanish In Practice Since:1972 Enrollment :Open to All Ages Carlos Oliva, MD General Practice Practice:Vista Family Health Center Address:1070 S. Santa Fe Avenue, #9 Vista, CA 92084 Office Hours:M-F: 9am-5pm Gender:Male Doctor Languages:English, Spanish, Italian Staff Languages:English, Spanish In Practice Since:1983 Enrollment :Open to All Ages 14 General Practice Donald Ong, MD Practice:Vista Community Clinic Address:1000 Vale Terrace Vista, CA 92084 Office Hours:M-F: 9am-5pm Gender:Male Doctor Languages:English, Tagalog Staff Languages:English, Spanish In Practice Since:1994 Enrollment :Open to All Ages Gregory Smith, MD Address:161 Thunder Drive, Suite 207 Vista, CA 92083 Office Hours:M-Th: 8am-5pm; Gender:Male Doctor Languages:English Staff Languages:English In Practice Since:1982 Enrollment :Open to 16 Years and Older Thomas Watson, MD Practice:Centro Medico Del Carmen Address:301 East Washington Avenue, Suite B Escondido, CA 92025 Office Hours:M-F: 9am-6pm; Sat: 9am-1pm Gender:Male Doctor Languages:English, Spanish Staff Languages:English, Spanish In Practice Since:1993 Enrollment :Open to All Ages 15 internal Medicine 16 Internal Medicine Internal Medicine 17 Irving Bloom, MD GREATER TRI CITIES IPA Independent Physicians – Providing Personal Care Address:130 Cedar Road, Suite 310 Vista, CA 92083 Office Hours:M,T,Th,F: 10am-4:30pm Gender:Male Doctor Languages:English Staff Languages:English, German, Tagalog In Practice Since:1976 Enrollment :Open to 65 Years and Older (Geriatric) Enrique Boquin, MD Practice:Vista Community Clinic Address:1000 Vale Terrace Vista, CA 92084 Office Hours:M: 9am-8pm; W: 9am-5pm; TH: 1-8pm Gender:Male Doctor Languages:English, Spanish Staff Languages:English, Spanish In Practice Since:1967 Enrollment :Open to 18 Years and Older Internal Medicine Maribeth Chong, MD Practice:Well Being Medical Clinic Address:6260 El Camino Real, Suite 105 Carlsbad, CA 92009 Office Hours:M-F: 9am-5pm Gender:Female Doctor Languages:English, Tagalog Staff Languages:English, Spanish, Korean, Japanese In Practice Since:1994 Enrollment :Open to 18 Years and Older 18 Internal Medicine Yoo Jin Chong, MD Practice:Well Being Medical Clinic Address:6260 El Camino Real, Suite 105 Carlsbad, CA 92008 Office Hours:M-F: 9am-5pm Gender:Male Doctor Languages:English, Korean Staff Languages:English, Spanish, Korean, Japanese In Practice Since:1994 Enrollment :Open to 18 Years and Older Perrin Curran, MD Address:3601 Vista Way, Suite 201 Oceanside, CA 92056 Office Hours:M-F: 8:15am-5pm Gender:Male Doctor Languages:English Staff Languages:English, Spanish In Practice Since:1993 Enrollment :Open to 10 Years and Older Nagi Ibrahim, MD Address:2122 S. El Camino Real, Suite 102 Oceanside, CA 92054 Office Hours:M-F: 9am-5pm Gender:Male Doctor Languages:English, Arabic, Spanish Staff Languages:English, Spanish In Practice Since:2001 Enrollment :Open to 16 Years and Older 19 Catherine Lawson, MD Practice:Waring Court Pedicatrics & Adult Medicine Address:3230 Waring Court, Suite J Oceanside, CA 92056 Office Hours:M-F: 8:30am-5pm Gender:Female Doctor Languages:English Staff Languages:English In Practice Since:1988 Enrollment :Open to 15 Years and Older Michael MacMurray, MD Practice:Vista Community Clinic Address:818 Pier View Way Vista, CA 92054 Office Hours:M-F: 9am-5pm Gender:Male Doctor Languages:English Staff Languages:English, Spanish In Practice Since:2001 Enrollment :Open to 21 Years and Older Internal Medicine Shelese Newmark, MD GREATER TRI CITIES IPA Independent Physicians – Providing Personal Care 20 Practice:Vista Community Clinic Address:134 Grapevine Road Vista, CA 92083 Office Hours:M,TH, F: 8am-5pm; W: 8am-12pm Gender:Female Doctor Languages:English Staff Languages:English, Spanish In Practice Since:2009 Enrollment :Open to 18 Years and Older Internal Medicine 21 Pediatrics 22 Pediatrics Pediatrics Pediatrics 23 Ramin Amani, MD Address:950 Civic Center Drive, Suite A Vista, CA 92083 Office Hours:M-F: 9am-5pm Gender:Male Doctor Languages:English, Spanish, Farsi Staff Languages:English, Spanish In Practice Since:1994 Enrollment :Open to 0-18 Years Victor Dalforno, MD Practice:Waring Court Pediatrics & Adult Medicine Address:3230 Waring Court, Suite J Oceanside, CA 92056 Office Hours:M-F: 8:30am-5pm Gender:Male Doctor Languages:English Staff Languages:English In Practice Since:1970 Enrollment :Open to 0-18 Years Robert Fredricks, MD Pediatrics Practice:Vista Community Clinic Address:1000 Vale Terrace Vista, CA 92084 Office Hours:M-F: 8am-5pm Gender:Male Doctor Languages:English Staff Languages:English, Spanish In Practice Since:1990 Enrollment :Open to 0-18 Years 24 Pediatrics Aruna Garg, MD Address:105 Durian Street, Suite C Vista, CA 92083 Office Hours:M,T,Th,F: 9am-5pm; W: 9am-12pm Gender:Female Doctor Languages:English, Hindi, Punjabi Staff Languages:English, Spanish In Practice Since:1969 Enrollment :Open to 0-21 Years Sujana Gunta, MD Address:818 Pier View Way Oceanside, CA 92054 Office Hours:M-F: 9am-7pm Gender:Female Doctor Languages:English, Marathi, Telugo Staff Languages:English, Spanish In Practice Since:2013 Enrollment :Open to 0-21 Years Anna Lee, MD Address:3230 Waring Court, #J Oceanside, CA 92054 Office Hours:M-F: 9am-5pm Gender:Female Doctor Languages:English Staff Languages:English In Practice Since:1993 Enrollment :Open to 0-21 Years 25 Brian Luschwitz, MD Practice:Vista Community Clinic Address:134 Grapevine Road Vista, CA 92084 Office Hours:M,W,Th,F: 8am-5pm; T: 10:30-7:30 Gender:Male Doctor Languages:English, Spanish Staff Languages:English, Spanish In Practice Since:1995 Enrollment :Open to 0-17 Years Bradley McCammack, MD GREATER TRI CITIES IPA Independent Physicians – Providing Personal Care Practice:Vista Community Clinic Address:1000 Vale Terrace Vista, CA 92084 Office Hours:M-F: 9am-5pm Gender:Male Doctor Languages:English Staff Languages:English, Spanish In Practice Since:2011 Enrollment :Open to 0-21 Years Kelly Motadel, MD Pediatrics Practice:Vista Community Clinic Address:1000 Vale Terrace Vista, CA 92084 Office Hours:M-F: 9am-5pm Gender:Female Doctor Languages:English Staff Languages:English, Spanish In Practice Since:2000 Enrollment :Open to 0-21 Years 26 Pediatrics Sue Ann Park, MD Practice:Vista Community Clinic Address:1000 Vale Terrace Vista, CA 92084 Office Hours:M-Th: 9am-8pm; F: 9am-5pm Sat: 9am-4pm Gender:Female Doctor Languages:English, Spanish Staff Languages:English, Spanish In Practice Since:1997 Enrollment :Open to 0-21 Years Nassrin Rahimi, MD Practice:Vista Community Clinic Address:1000 Vale Terrace Vista, CA 92084 Office Hours:M-Th: 9am-8pm; F: 9am-5pm Sat: 9am-4pm Gender:Female Doctor Languages:English, Farsi Staff Languages:English, Spanish In Practice Since:1994 Enrollment :Open to 0-18 Years Pediatrics 27 Pediatrics 28 Specialists Specialist Physicians 29 Allergy/Immunology Heather Volpp, MD — 2067 W. Vista Way, Ste. 140, Vista, CA 92083 Robert Ziering, MD — 2067 W. Vista Way, Ste. 140, Vista, CA 92083 Cardio-thoracic Surgery Theodore Folkerth, MD — 3998 W. Vista Way, Ste. 204, Oceanside, CA 92056 Paul Mazur, MD — 3601 Vista Way, Ste. 203, Oceanside, CA 92056 Cardiology Kenneth Carr, MD — 3998 Vista Way #200, Oceanside, CA 92056 M. Pashmforoush, MD — 2424 Vista Way, Ste. 300, Oceanside, CA 92054 Kathleen Paveglio, MD — 3230 Waring Court, Ste. O, Oceanside, CA 92056 Paul Sarkaria, MD — 3230 Waring Court, Ste. O, Oceanside, CA 92056 David Spiegel, MD — 3909 Waring Road, Ste. A, Oceanside, CA 92056 Cardiology (Pediatric) Farhouch Berdjis, MD — 3909 Waring Road, Ste. A, Oceanside, CA 92056 James Chu, MD — 3909 Waring Road, Ste. A, Oceanside, CA 92056 Chiropractic Lance Jeppesen, MD — 1146 San Marino Dr., Ste. L, San Marcos, CA 92069 Michael Kastrup, MD — 4055 Oceanside Blvd., Ste E, Oceanside, CA 92056 Jason Kullman— Specialists 30 4055 Oceanside Blvd., Ste E, Oceanside, CA 92056 Dale Mauser, MD — 1146 San Marino Dr., Ste. L, San Marcos, CA 92078 Jill-Ellen Mauser, MD — 1146 San Marino Dr., Ste. L, San Marcos, CA 92078 Specialists Colon/Rectal Surgery Dhruvil Gandhi, MD — 2095 West Vista Way, Ste. 106, Vista, CA 92083 Dermatology Michael Bradshaw, MD — 3629 Vista Way, Oceanside, CA 92056 Ruth Gilboa, MD — 3629 Vista Way, Oceanside, CA 92056 Camille Ann Henninger, MD — 2395 S. Melrose Drive, Vista, CA 92081 Julia Kurlan, MD — 3629 Vista Way, Oceanside, CA 92056 Vu Huu Nguyen, MD — 2395 S. Melrose Drive, Vista, CA 92081 Ashley Rubin, MD— 2395 S. Melrose Drive, Vista, CA 92081 Joseph Samady, MD — 3629 Vista Way, Oceanside, CA 92056 Jens Thiele, MD — 3629 Vista Way, Oceanside, CA 92056 Arum Venkat, MD — 3629 Vista Way, Oceanside, CA 92056 Darryl Wong, MD — 3629 Vista Way, Oceanside, CA 92056 Endocrinology Georges Argoud, MD — 317 N. El Camino Real, Ste. 402, Encinitas, CA 92024 Christopher Hupfeld, MD — 1200 Garden View Rd., #100, Encinitas, CA 92024 Gastroenterology Chris Devereaux, MD — 3923 Waring Road, Ste A, Oceanside, CA 92056 Thomas Krol, MD — 3923 Waring Road, Ste A, Oceanside, CA 92056 Javaid Shad, MD — 3923 Waring Road, Ste A, Oceanside, CA 92056 Michael Shim, MD — 3923 Waring Road, Ste A, Oceanside, CA 92056 Eric Viernes, MD — 3923 Waring Road, Ste A, Oceanside, CA 92056 31 Gastroenterology (Continued) Adam Fierer, MD — 2385 S. Melrose Dr., Vista, CA 92081 Jay Grove, MD — 2385 S. Melrose Dr., Vista, CA 92081 Karen Hanna, MD — 2385 S. Melrose Dr., Vista, CA 92081 M. Jamshidi-Nezhad, MD — 3601 Vista Way, Ste. 203, Oceanside, CA 92056 John Kroener, MD — 3601 Vista Way, Ste. 203, Oceanside, CA 92056 Stefan Moldovan, MD — 625 W. Citracado Pkwy, #203, Escondido, CA 92025 Eric Rypins, MD — 161 Thunder Dr., Ste. 210, Vista, CA 92083 Katayoun Toosie, MD — 3601 Vista Way, Ste. 203, Oceanside, CA 92056 nephrology Richard Barager, MD — 3300 Vista Way, Ste. B, Oceanside, CA 92056 Naing Tun Kyaw, MD — 3300 Vista Way, Ste. B, Oceanside, CA 92056 Amy Matayoshi, MD — 3300 Vista Way, Ste. B, Oceanside, CA 92056 neurology Specialists 32 Andrew Blumenfeld, MD — 6010 Hidden Valley Rd., Ste. 200, Carlsbad, CA 92011 Bilal Choudry, MD — 6010 Hidden Valley Rd., Ste. 200, Carlsbad, CA 92011 Benjamin Frishberg, MD — 6010 Hidden Valley Rd., Ste. 200, Carlsbad, CA 92011 Michael Lobatz, MD — 6010 Hidden Valley Rd., Ste. 200, Carlsbad, CA 92011 Amy Nielsen, DO — 6010 Hidden Valley Rd., Ste. 200, Carlsbad, CA 92011 Irene Oh, MD — 6010 Hidden Valley Rd., Ste. 200, Carlsbad, CA 92011 Specialists neurology (Continued) Jay Rosenberg, MD — 6010 Hidden Valley Rd., Ste. 200, Carlsbad, CA 92011 Mark Sadoff, MD — 6010 Hidden Valley Rd., Ste. 200, Carlsbad, CA 92011 Gregory Sahagian, MD — 6010 Hidden Valley Rd., Ste. 200, Carlsbad, CA 92011 Jack Schim, MD — 6010 Hidden Valley Rd., Ste. 200, Carlsbad, CA 92011 Anchi Wang, MD — 6010 Hidden Valley Rd., Ste. 200, Carlsbad, CA 92011 Chunyang Wang, MD — 6010 Hidden Valley Rd., Ste. 200, Carlsbad, CA 92011 Michael John Zupancic, MD — 6010 Hidden Valley Rd., Ste. 200, Carlsbad, CA 92011 Neurosurgery Thomas Marcisz, MD — 624 E. Grand Ave., Escondido, CA 92025 Kenneth Ott, MD — 2100 Fifth Ave., #200, San Diego, CA 92101 Frank Kevin Yoo, MD — 9834 Genesee Ave., #310, La Jolla, CA 92037 Obstetrics/Gynecology Tannaz Adib, MD — 2067 W. Vista Way, Ste. 160, Vista, CA 92083 Tonya Adkins, MD — 1000 Vale Terrace, Vista, CA 92084 Tina Dhillon-Ashley, MD — 2067 W. Vista Way, Ste. 160, Vista, CA 92083 Orna Gil, MD — 1000 Vale Terrace, Vista, CA 92084 Melissa Ann Hawkins, MD — 1000 Vale Terrace, Vista, CA 92084 William Jurewitz, MD — 1000 Vale Terrace, Vista, CA 92084 Christos Karanikkis, DO — 1000 Vale Terrace, Vista, CA 92084 Jack Klausen, MD — 1000 Vale Terrace, Vista, CA 92084 Sandra Lopez, MD — 1000 Vale Terrace, Vista, CA 92084 Rahele Mazarei, DO — 3230 Warring Court, Ste. D, Oceanside, CA 92056 33 Obstetrics/Gynecology (Continued) Lesley Nurse, MD — 1000 Vale Terrace, Vista, CA 92084 Jan Penvose Yi, MD — 3998 Vista Way, Ste. C, Oceanside, CA 92056 Ophthalmology Michelle Crosby, MD — 477 El Camino Real, Encinitas, CA 92024 Bradley Greider, MD — 2067 W. Vista Way, Ste. 120, Vista, CA 92083 Peter Krall, MD — 2067 W. Vista Way, Ste. 120, Vista, CA 92083 Jeffrey Morris, MD — 1930 Via Centre Dr., Vista, CA 92081 Tara Viechnicki, MD — 477 El Camino Real, Encinitas, CA 92024 — 1930 Via Center Dr., Vista, CA 92081 Maulik Subhash Zaveri, MD — 2067 W. Vista Way, Ste. 120, Vista, CA 92083 Ophthalmology-Retina Henry Hudson, MD — 7695 Cardinal Ct., Ste. 100, San Diego, CA 92123 Atul Jain, MD — 7695 Cardinal Court, Ste. 100, San Diego, CA 92123 Fane Robinson, MD — 3231 Waring Ct., Ste. S, Oceanside, CA 92056 Mark Smith, MD — 3231 Waring Ct., Ste. S, Oceanside, CA 92056 Optometry Janie Bodman, MD — 477 El Camino Real, Encinitas, CA 92024 — 1930 Via Center Dr., Vista, CA 92081 Specialists Ashley Butler, OD — 477 El Camino Real, Encinitas, CA 92024 — 1930 Via Center Dr., Vista, CA 92081 Sara Julazedah, OD — 477 El Camino Real, Encinitas, CA 92024 — 1930 Via Center Dr., Vista, CA 92081 34 Specialists Orthopedic Surgery Robert Afra, MD — 317 N. El Camino Real, #405, Encinitas, CA 92024 Neville Alleyne, MD — 3905 Waring Rd., Oceanside, CA 92056 David Amory, MD — 3905 Waring Rd., Oceanside, CA 92056 Christian Bentley, MD — 2067 Vista Way, Ste. 265, Vista, CA 92083 Andrew Cooperman, MD — 3905 Waring Rd., Oceanside, CA 92056 David Daugherty, MD — 3905 Waring Rd., Oceanside, CA 92056 Janet Dunlap, MD — 3905 Waring Rd., Oceanside, CA 92056 James Esch, MD — 3905 Waring Rd., Oceanside, CA 92056 Andrew Hartman, MD — 3905 Waring Rd., Oceanside, CA 92056 James Helgager, MD — 3905 Waring Rd., Oceanside, CA 92056 Harish Hosalker, MD — 2023 W. Vista Way, Ste. B, Vista, CA 92803 Norman Kane, MD — 3905 Waring Rd., Oceanside, CA 92056 Jon Kelly, MD — 2777 Jefferson St., #100, Carlsbad, CA 92008 Payam Moazzaz, MD — 3905 Waring Rd., Oceanside, CA 92056 Erik Stark, MD — 3905 Waring Rd., Oceanside, CA 92056 Otolaryngology Julie Berry, MD — 2023 W. Vista Way, Ste. J, Vista, CA 92083 Robert Jacobs, MD — 3907 Waring Road, Ste. 1, Oceanside, CA 92056 Marc Lebovits, MD — 2023 W. Vista Way, Ste. J, Vista, CA 92083 Bruce Reisman, MD — 3907 Waring Road, Ste. 1, Oceanside, CA 92056 Pain Management Robert Wailes, MD — 3998 Vista Way, Ste. C108, Oceanside, CA 92054 35 Physical Medicine & Rehabilitation John Christopher Rogers, MD— 3905 Waring Rd., Oceanside, CA 92056 Renjit Sundharadas, MD — 1030 La Bonita Dr., Ste. 316, San Marcos, CA 92078 Physical Therapy Doctors of Physical Therapy — 3809 Plaza Dr., Ste. 112, Oceanside, CA 92056 Plastic & Reconstructive Surgery Anshu Gupta, MD — 477 N. El Camino Real, Ste. D100, Encinitas, CA 92024 Plastic Surgery Munish Batra, MD — 12264 El Camino Real, Ste. 101, San Diego, CA 92130 Alfonso Camberos, MD — 12264 El Camino Real, Ste. 101, San Diego, CA 92130 Abhay Gupta, MD — 10672 Wexford St., #275, San Diego, CA 92131 Podiatry Brian Bobick, DPM — 3905 Waring Road, Oceanside, CA 92056 James Hatfield, DPM — 501 N. El Camino Real, #201, Encinitas, CA 92024 Heamin Shin, DPM — 3230 Waring Court, Ste. M, Oceanside, CA 92056 Nicholas Springer, DPM — 2191 El Camino Real, Ste. 101, Oceanside, CA 92054 Eric Thuen, DPM — 2119 El Camino Real, Oceanside, CA 92054 Podiatric Surgery James Han, DPM — 2119 El Camino Real, Oceanside, CA 92054 Specialists Pulmonary Disease 36 Frank Corona, MD — 3231 Waring Court, Ste. D, Oceanside, CA 92056 Mark Yamanaka, MD — 3231 Waring Court, Ste. D, Oceanside, CA 92056 Specialists Urology Julian Neville Anthony, MD — 1955 Citracado Parkway, #302, Escondido, CA 92029 Caroline Vilchis, MD — 3609 Vista Way, Oceanside, CA 92056 Bradley Frasier, MD — 3609 Vista Way, Oceanside, CA 92056 Michael Guerena, MD — 3609 Vista Way, Oceanside, CA 92056 Jason Phillips, MD — 3609 Vista Way, Oceanside, CA 92056 Arthur Warshawsky, MD — 3231 Waring Court, Ste. B, Oceanside, CA 92056 Vascular Surgery Andrew Deemer, MD — 3601 Vista Way, Ste. 203, Oceanside, CA 92056 37 PCP Health Plan ID NUmbers 38 Primary Care Physician Health Plan ID Numbers 39 PCP Health Plan ID NUmbers 40 Primary Care Physician Aetna Blue Shield Commercial Blue Shield MA Blue Cross Care 1st Ajir, Mahyar 142078 020A66830 1V0124 ØTIØ52 49399 Amani, Ramin 388456 00A539840 Ashouri, Amid Pending Pending Baniadam, Behzad 149064 Bloom, Irving 332477 00G329670 Boquin, Enrique 879935 Brown, Joseph ØTIØ58 Pending Pending ØTIØ54 49407 1V0093 ØTIØ1Ø 49409 00C525640 1V0068 ØTI127 457890 00G143600 1V0071 ØTI186 Chong, Maribeth 799207 00C513240 1V0067 ØTI11Ø 49418 Chong, Yoo 822057 00G868220 1V0122 ØTI112 49417 Clark, Belen 7342921 0A1002020 1V0127 ØTI143 49420 Curran, Perrin 54304 00G830730 1V0121 ØTIØ16 49427 Cutler, Michael Pending Pending Pending Pending Dalforno, Victor 54305 00G288770 Demenko, Aleksandr Pending Pending Pending Pending Etadali, Elaheh 141830 020A67010 1V0125 ØTIØ5Ø 49401 Falconio, Linda 335931 00G378510 1V0189 0T1212 75339 Fredricks, Robert 375319 00G143600 Garg, Aruna 54308 00A328440 ØTIØ2Ø Gunta, Sujana 820827 0A1090560 Pending Halim, Neil 856187 00C533271 1V0069 ØTI164 54487 Hurd, Melissa 325187 00A616720 1V0044 ØTI119 49432 Ibrahim, Nagi 879917 00A750031 1V0056 ØTI132 49402 Italiano, James 9604581 0A1135890 1V0129 ØTI147 49435 LaRocque, Michael Pending Pending Lawson, Catherine 4267152 00G652721 Lee, Anna Pending 0T1224 ØT1224 Luschwitz, Brian 494935 00A605170 ØTIØ38 MacMurray, Michael 313539 00A833130 ØTIØ17 Pending 1V0109 1V0060 ØTI149 ØTI115 49438 Easy Choice Health Net Humana Sharp United Healthcare 7061451004 EZGTC20A6683 066192 957192 75092 148890045 60419 148890087 8125725003 Pending 066178 Pending Pending Pending Pending Pending EZGTCA55698 080152 957187 65650 148890054 2214226005 EZGTCG32967 501524 957188 28656 148890010 8125725001 EZGTCC52564 135366 957211 73213 148890111 8125725001 EZGTCG14360 502003 957212 74168 148890128 1447614001 EZGTCG86822 104695 957189 70223 148890081 6901265003 EZGTCC51324 129548 957190 73122 148890084 5538632001 EZGTCA100202 163013 908618 77536 148890123 3559034012 EZGTCG83073 051081 957180 62680 148890003 Pending Pending Pending Pending Pending Pending 69641 148890002 3524458009 024251 Pending Pending Pending Pending Pending Pending 1089118004 EZGTC20A6701 066176 957191 75094 148890047 2149084016 EZGTCG37851 21159 144693 54012 148890148 8125725001 53364 69720 148890134 3767764009 031644 51340 148890017 8125725002 200119 77570 Pending 9744906014 EZGTCC53327 171327 966638 78853 148890135 6716194008 EZGTCA61672 68983 909172 62146 148890097 1194218 EZGTCA75003 129751 908986 75297 148890113 1620725001 EZGTCA113589 163341 957199 77535 148890124 Pending Pending 70911 148890125 Pending 3646762014 Pending EZGTCG65272 009684 957200 4163183022 068379 78705 148890151 8125725013 93907 67412 148890067 70153 148890080 8125725002 EZGTCA83313 102889 957217 PCP Health Plan ID NUmbers Cigna 41 Primary Care Physician PCP Health Plan ID NUmbers 42 Aetna Blue Shield Commercial Blue Shield MA McCammack, Bradley Pending Pending Pending Motadel, Kelly 412454 00A738600 ØTIØ39 Newmark, Shelese. Pending Pending Pending Pending Ochi, Steven 314282 20A116180 1V0132 ØTI198 Oliva, Carlos 473001 00A401550 1V0031 ØTI2Ø1 Ong, Donald 647825 00G806970 1V0115 ØTI151 Park, Sue Ann 529195 00A640030 Penn, Mark Pending Pending Rahimi, Nassrin 444962 00A562140 Sharma, Sanjeev 474890 OOA757730 1V0058 ØTI121 49455 Smith, Gregory 054314 00G489790 1V0105 ØTIØ3Ø 49457 Stenzel, Loretta 491847 00C540300 1V0070 ØTI139 Thompson, Cheryl 692387 0A1026870 1V0128 ØTI137 Tseng, Justina Pending Pending Pending Pending Pending Watson, Thomas 512581 00A521930 1V0032 ØTI191 62912 Blue Cross Care 1st 71977 ØTI1Ø2 Pending Pending Pending Easy Choice Health Net Humana Sharp United Healthcare Pending Pending Pending Pending 8125725003 96171 69759 148890066 Pending Pending Pending Pending Pending Pending 8125725001 EZGTC20A11618 191784 137279 80272 148890141 5943963004 EZGTCA40155 012641 128710 67259 148890143 8125725001 EZGTCG80697 083411 957222 67465 148890127 71013 148890074 Pending Pending 72404 148890086 8125725001 Pending 107439 Pending 8125725001 Pending Pending 103635 9392175005 EZGTCA75773 90484 957198 66552 148890099 3515743005 EZGTCG48979 540737 957186 67192 148890008 8125725001 EZGTCC54030 162301 957225 77717 148890122 8125725001 EZGTCA102687 157966 957226 74977 148890120 Pending EZGTCC54040 Pending Pending Pending Pending Pending EZGTCA52193 2897 105882 79886 148890139 PCP Health Plan ID NUmbers Cigna 43 44 Language Index Language Index A Arabic Doctor 10, 21 Staff 10 F Farsi Doctor 8, 10, 24, 27 G German Staff 20 H Hindi Doctor 12, 25 I Italian Doctor 16 J Japanese Staff 20, 21 M Marathi Doctor 25 P Punjabi Doctor 25 R Russian Doctor 9 S Spanish Doctor 8, 9, 10, 11, 13, 16, 17, 20, 21, 24, 26, 27 Staff 8, 9, 10, 11, 12, 13, 16, 17, 20, 21, 22, 24, 25, 26, 27 T Tagalog Doctor 9, 16, 20 Staff 20 Telugo Doctor 25 K Korean Doctor 21 Staff 20, 21 GREATER TRI CITIES IPA Independent Physicians – Providing Personal Care The material contained herein is subject to change at any time. Please visit our website at www.gtcipa.com for current directory information. 45 www.gtcipa.com 800-458-2307