County/Condado: Orange
H5928_20_001_OC_NM
H5928_20_001_OC_SP_NM
Provider Directory Directorio de proveedores
de 2020
2020
Blue Shield of California Promise Health Plan
HMO Plan
Provider Directory
This directory is current as of January 1, 2020.
This directory provides a list of Blue Shield of California Promise Health Plan’s current network
providers.
This directory is for Orange County.
To access Blue Shield of California Promise Health Plan’s online provider directory, you can visit www.
blueshieldca.com/promise/medicare. For any questions about the information contained in this
directory, please call our Customer Care Operations Department, at 1-800-544-0088 (TTY:711) 8 a.m.
to 8 p.m., seven days a week, from Oct. 1st – Mar. 31st and 8 a.m. – 8 p.m. weekdays, from Apr. 1st –
Sept. 30th. TTY users should call 711.
The Provider network may change at any time. You will receive notice when necessary.
This document may be available in an alternate format such as braille, larger print or audio. 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 for information on alternate
formats or languages.
A
https://blueshieldca.com/promise/medicare
Blue Shield of California Promise Health Plan
HMO Plan
Directorio de proveedores
Este directorio está vigente desde el 01 de enero del 2020.
Este directorio ofrece un listado actualizado de proveedores de la red de Blue Shield of California
Promise Health Plan.
Este directorio es válido para el condado de Orange.
Para acceder al directorio de proveedores en línea de Blue Shield of California Promise Health
Plan, visite www.blueshieldca.com/promise/medicare. Si tiene preguntas acerca de la información
en este directorio (en papel o en línea), comuníquese con Operaciones de Atencion al Cliente
llamando al 1-800-544-0088,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. Los usuarios de TTY deben llamar al 711.
La red de proveedores puede cambiar en cualquier momento. Usted recibirá un aviso cuando sea
necesario.
Este documento puede estar disponible en un formato alternativo como braille, tamaño de letra
grande o audio. Llame al Operaciones de Atencion al Cliente al 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 para obtener información sobre
estos formatos e idiomas alternativos.
B
www.blueshieldca.com/promise/medicare
Discrimination is Against the Law
Blue Shield of California Promise Health Plan complies with applicable state and federal civil rights
laws and does not discriminate on the basis of race, color, national origin, ancestry, religion, sex,
marital status, gender, gender identity, sexual orientation, age or disability. Blue Shield of California
Promise Health Plan does not exclude people or treat them differently because of race, color,
national origin, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age
or disability.
Blue Shield of California Promise Health Plan provides:
• Aids and services at no cost to people with disabilities to communicate effectively with us, such as:
o Qualifed sign language interpreters
o Written information in other formats (large print, audio, accessible electronic formats,
other formats)
• Language services to people whose primary language is not English, such as:
o Qualifed interpreters
o Information written in other languages
If you need these services, contact the Blue shield of California Promise Health Plan Civil Rights
Coordinator.
If you believe that Blue Shield of California Promise Health Plan has failed to provide these services
or discriminated in another way on the basis of race, color, national origin, ancestry, religion, sex,
marital status, gender, gender identity, sexual orientation, age or disability, you can fle a grievance
with:
Blue Shield of California Promise Health Plan
Civil Rights Coordinator
601 Potrero Grande Dr.
Monterey Park, CA 9175
Phone: 1-844-883-2233 (TTY: 711)
Fax:1-323-889-2228
Email:[email protected]
You can fle a grievance in person or by mail, fax, or email. If you need help fling a grievance, the
Civil Rights Coordinator is available to help you.
You can also fle a civil rights complaint with the U.S. Department of Health and Human Services,
Offce for Civil Rights, electronically through the Offce for Civil Rights Complaint Portal, available at
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-368-1019, 800-537-7697 (TDD)
Complaint forms are available at: http://www.hhs.gov/ocr/offce/fle/index.html.
C
http://www.hhs.gov/ocr/office/file/index.htmlhttps://ocrportal.hhs.gov/ocr/portal/lobby.jsfmailto:Email:[email protected]
La discriminación es ilegal
Blue Shield of California Promise Health Plan complies con las leyes estatales y federales
de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad,
ascendencia, religión, sexo, estado civil, género, identidad de género, orientación
sexual, edad o discapacidad. Blue Shield of California Promise Health Plan no excluye
a las personas ni la trata de manera diferente por motivos de raza, color, nacionalidad,
ascendencia, religión, sexo, estado civil, género, identidad de género, orientación sexual,
edad o discapacidad.
Blue Shield of California Promise Health Plan ofrece:
• Asistencia y servicios gratuitos a personas con discapacidades para que puedan
comunicarse con nosotros de manera efcaz. Estos incluyen lo siguiente:
o Intérpretes califcados de lenguaje de señas
o Información escrita en otros formatos (letra grande, audio, formatos
electrónicos accesibles, otros formatos)
• Servicios de idiomas a personas cuyo idioma principal no es el inglés. Estos incluyen lo
siguiente:
o Intérpretes califcados
o Información escrita en otros idiomas
Si necesita estos servicios, comuníquese con el Coordinador de Derechos Civiles de Blue
Shield of California Promise Health Plan.
Si considera que Blue Shield of California Promise Health Plan no proporcionó estos
servicios o lo discriminó de alguna otra manera por motivos de raza, color, nacionalidad,
ascendencia, religión, sexo, estado civil, género, identidad de género, orientación sexual,
edad o discapacidad, puede presentar una queja utilizando los siguientes datos:
Blue Shield of California Promise Health Plan
Coordinador de Derechos Civiles
601 Potrero Grande Dr.
Monterey Park, CA 91755
Phone: (844) 883-2233 (TTY: 711)
Fax: (323) 889-2228
Correo electrónico: [email protected]
Puede presentar una queja en persona o por correo, fax o correo electrónico. Si necesita
ayuda para presentar una queja, el Coordinador de Derechos Civiles está disponible para
ayudarlo.
D
mailto:[email protected]
También puede presentar un reclamo de derechos civiles ante la Ofcina de Derechos
Civiles del Departamento de Salud y Servicios Humanos de los Estados Unidos, por vía
electrónica a través del Portal de Reclamos de la Ofcina de Derechos Civiles, disponible
en https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, o por correo o teléfono a la siguiente
dirección:
U.S. Department of Health and Human Services 200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-368-1019, 800-537-7697 (TDD)
Los formularios de reclamo están disponibles en http://www.hhs.gov/ocr/offce/fle/index.
html.
E
http://www.hhs.gov/ocr/office/file/indexhttps://ocrportal.hhs.gov/ocr/portal/lobby.jsf
English:
ATTENTION: Language assistance services, free of charge, are available
to you. Call 1-800-544-0088. (TTY: 711).
繁體中文 (
Chinese):
注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電 1-800-544-
0088(TTY:711).
Tiếng Việt
(Vietnamese):
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho
bạn. Gọi số 1-800-544-0088 (TTY: 711).
Tagalog
(Tagalog – Filipino):
PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo
ng tulong sa wika nang walang bayad. Tumawag sa 1-800-544-0088 (TTY: 711).
한국어
(Korean):
주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실
수 있습니다. 1-800-544-0088 (TTY: 711)번으로 전화해 주십시오.
Հայերեն(Armenian):
ՇԱԴՐ ԹՅ Ն՝ Եթե խոս մ եք հայերեն, ապա ձեզ անվճար կարող են տրամադրվել լեզվական աջակց թյան ծառայ թյ ններ: Զանգահարեք 1-800-544-0088 (TTY (հեռատիպ)՝ 711).
Italiano
(Italian):
Русский (Russian):
ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-800-544-0088 (телетайп: 711).
日本語
(Japanese):
注意事項:日本語を話される場合、無料の言語支援をご利用いただけます。
1-800-544-0088(TTY: 711)まで、お電話にてご連絡ください。
العربية(Arabic):
ਪੰਜਾਬੀ(Punjabi):
ਧਿਆਨ ਦਿਓ: ਜੇ ਤੁਸੀਂ ਪੰਜਾਬੀ ਬੋਲਦੇ ਹੋ, ਤਾਂ ਭਾਸ਼ਾ ਵਿੱਚ ਸਹਾਇਤਾ ਸੇਵਾ ਤੁਹਾਡੇ ਲਈ ਮੁਫਤ ਉਪਲਬਧ ਹੈ। 1-800-544-0088 (TTY: 711) ‘ਤੇ ਕਾਲ ਕਰੋ।
ខែរ(Cambodian/Khmer):
បែយ័ត៖ បើសិន អកនិ យ ខែរ, សែ ជំនួយផែក យមិនគិតឈួល គឺ ច នសំ ប់បំរើអក។ ចូរ ទូរស័ព 1-800-544-0088 (TTY: 711) ។
Hmoob
(Hmong):
LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab
dawb rau koj. Hu rau 1-800-544-0088 (TTY: 711)
[हिंदी (Hindi):
ध्यान दें: यदि आप हिंदी बोलते हैं तो आपके लिए मुफ्त में भाषा सहायता सेवाएं उपलब्ध हैं। 1-800-544-0088
(TTY: 711) पर कॉल करें।]
[ภาษาไทย (Thai):
เรียน: ถ้าคุณพูดภาษาไทยคุณสามารถใช้บริการช่วยเหลือทางภาษาได้ฟรี โทร 1-800-544-0088
(TTY: 711).
فارسی
(Farsi) :
توجھ: اگر بھ زبان فارسی گفتگو می کنید، تسھیالت زبانی بصورت رایگان برای شما فراھم می باشد. با0088-544-800-1 (TTY: 771) تماس بگیرید
Deutsch
(German):
ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche
Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-800-544-0088 (TTY: 711).
ગુજરાતી (Gujarati):
સુચના: જો તમે ગુજરાતી બોલતા હો, તો નિ:શુલ્ક ભાષા સહાય સેવાઓ તમારા માટ ેઉપલબ્ધ છે. ફોન કરો 1-800-544-0088 (TTY: 711).
ພາສາລາວ(Laotian):
ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວົ້າພາສາ ລາວ, ການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາ, ໂດຍບໍ່ເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ. ໂທຣ 1-800-544-0088 (TTY: 711).
ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل برقم711) 0088-544-800-1:YTT)
ATTENZIONE: In caso la lingua parlata sia l'italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1-800-544-0088 (TTY: 711).
F
Table of Contents/Tabla de contenido SECTION 1 – INTRODUCTION ........................................................................... M
SECCIÓN 1 – INTRODUCCIÓN......................................................................... R
What is the service area for Blue Shield of California Promise Health
Plan?.........................................................................................................................N
¿Cuál es el área de servicio para Blue Shield of California Promise Health
Plan?.........................................................................................................................S
How do you find Blue Shield of California Promise Health Plan providers in your
area?........................................................................................................................N
¿Cómo puede encontrar los proveedores de Blue Shield of California Promise
Health Plan en su área? ........................................................................................S
SECTION 2 – LIST OF NETWORK PROVIDERS .................................................. 1
SECCIÓN 2 – LISTA DE PROVEEDORES DE LA RED ........................................ 1
ACCOUNTABLE HEALTH CARE IPA
Specialists/Especialistas...........................................................................................1
AFFILIATED DOCTORS OF ORANGE COUNTY
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
Primary Care Physicians/Médico de atención primaria.....................................2
Specialists/Especialistas...........................................................................................55
Specialists/Especialistas...........................................................................................88
Primary Care Physicians/Médico de atención primaria.....................................90
Specialists/Especialistas...........................................................................................90
Primary Care Physicians/Médico de atención primaria.....................................92
Specialists/Especialistas...........................................................................................92
Specialists/Especialistas...........................................................................................94
Primary Care Physicians/Médico de atención primaria.....................................97
Specialists/Especialistas...........................................................................................113
Specialists/Especialistas...........................................................................................167
Primary Care Physicians/Médico de atención primaria.....................................173
Specialists/Especialistas...........................................................................................174
Primary Care Physicians/Médico de atención primaria.....................................179
Specialists/Especialistas...........................................................................................181
Primary Care Physicians/Médico de atención primaria.....................................183
G
Specialists/Especialistas...........................................................................................199
APPLECARE MEDICAL GROUP- WHITTIER
APPLECARE MEDICAL GROUP-ST FRANCIS
ARTA HEALTH NETWORK
BELLA VISTA MEDICAL GROUP IPA
CAL CARE IPA INC
COMMUNITY CARE IPA LLC
CROWN CITY MEDICAL GROUP
EL PROYECTO DEL BARRIO
FAMILY CARE SPECIALIST IPA
GLOBAL CARE MEDICAL GROUP
HEALTH CARE LA IPA
HEALTH EXCEL IPA INC
HEALTHCARE PARTNERS
HEALTHCARE PARTNERS IPA - ELA
HEALTHCARE PARTNERS IPA - LCM
HEALTHCARE PARTNERS IPA - LONG BEACH
HEALTHCARE PARTNERS IPA - SO BAY
HEALTHCARE PARTNERS IPA-TALBERT LA
HEALTHCARE PARTNERS IPA-TALBERT OC
HEALTHCARE PARTNERS MEDICAL GROUP - ATLANTIC
Primary Care Physicians/Médico de atención primaria.....................................203
Specialists/Especialistas...........................................................................................205
Specialists/Especialistas...........................................................................................207
Primary Care Physicians/Médico de atención primaria.....................................208
Specialists/Especialistas...........................................................................................256
Specialists/Especialistas...........................................................................................387
Specialists/Especialistas...........................................................................................389
Specialists/Especialistas...........................................................................................390
Specialists/Especialistas...........................................................................................391
Specialists/Especialistas...........................................................................................392
Specialists/Especialistas...........................................................................................393
Specialists/Especialistas...........................................................................................394
Specialists/Especialistas...........................................................................................397
Specialists/Especialistas...........................................................................................402
Primary Care Physicians/Médico de atención primaria.....................................404
Specialists/Especialistas...........................................................................................405
Specialists/Especialistas...........................................................................................410
Specialists/Especialistas...........................................................................................411
Primary Care Physicians/Médico de atención primaria.....................................412
Specialists/Especialistas...........................................................................................414
Specialists/Especialistas...........................................................................................419
Primary Care Physicians/Médico de atención primaria.....................................420
Primary Care Physicians/Médico de atención primaria.....................................421
Specialists/Especialistas...........................................................................................453
Specialists/Especialistas...........................................................................................476
H
HEALTHCARE PARTNERS MEDICAL GROUP - GLEN OAKS
Specialists/Especialistas...........................................................................................479
HEALTHCARE PARTNERS MEDICAL GROUP - IRVINE
HEALTHCARE PARTNERS MEDICAL GROUP - LA PALMA
HEALTHCARE PARTNERS MEDICAL GROUP - LOS ALAMITOS
HEALTHCARE PARTNERS MEDICAL GROUP - LOS ANGELES
HEALTHCARE PARTNERS MEDICAL GROUP - PASADENA MAIN
HEALTHCARE PARTNERS MEDICAL GROUP - SPRING ST
HEALTHCARE PARTNERS MEDICAL GROUP - STANTON
HEALTHCARE PARTNERS MEDICAL GROUP - WILLOW
HEALTHCARE PARTNERS MEDICAL GROUP- BIXBY KNOLLS LONG BEACH
HEALTHCARE PARTNERS MEDICAL GROUP- LOS ANGELES
HEALTHCARE PARTNERS MEDICAL GROUP-LAKEWOOD
HEALTHCARE PARTNERS MEDICAL GROUP-ORANGE
HEALTHCARE PARTNERS MEDICAL GROUP-SAN ANTONIO
HEALTHCARE PARTNTERS MEDICAL GROUP - DEL MAR
HERITAGE-LAKESIDE MEDICAL GROUP LA
HERITAGE-REGAL MEDICAL GROUP LA
HERITAGE-REGAL MEDICAL GROUP OC
HERITAGE-REGAL MEDICAL GROUP RV
Primary Care Physicians/Médico de atención primaria.....................................480
Specialists/Especialistas...........................................................................................480
Primary Care Physicians/Médico de atención primaria.....................................495
Specialists/Especialistas...........................................................................................495
Primary Care Physicians/Médico de atención primaria.....................................510
Specialists/Especialistas...........................................................................................511
Specialists/Especialistas...........................................................................................526
Specialists/Especialistas...........................................................................................527
Specialists/Especialistas...........................................................................................528
Primary Care Physicians/Médico de atención primaria.....................................530
Specialists/Especialistas...........................................................................................531
Specialists/Especialistas...........................................................................................545
Primary Care Physicians/Médico de atención primaria.....................................548
Specialists/Especialistas...........................................................................................548
Specialists/Especialistas...........................................................................................551
Specialists/Especialistas...........................................................................................556
Primary Care Physicians/Médico de atención primaria.....................................558
Specialists/Especialistas...........................................................................................562
Specialists/Especialistas...........................................................................................581
Specialists/Especialistas...........................................................................................583
Specialists/Especialistas...........................................................................................584
Primary Care Physicians/Médico de atención primaria.....................................585
Specialists/Especialistas...........................................................................................586
Primary Care Physicians/Médico de atención primaria.....................................588
Specialists/Especialistas...........................................................................................649
Specialists/Especialistas...........................................................................................682
I
HERITAGE-REGAL MEDICAL GROUP SB
Primary Care Physicians/Médico de atención primaria.....................................684
HERITAGE-VICTOR VALLEY MEDICAL GROUP
IMPERIAL HEALTH PLAN OF CA INC- LA
IMPERIAL HEALTH PLAN OF CA INC-SD
KOREAN AMERICAN MEDICAL GROUP
LAKEWOOD IPA - ALAMITOS IPA
LAKEWOOD IPA - BROOKSHIRE
LAKEWOOD IPA - ST MARY
LAKEWOOD IPA
LASALLE MEDICAL ASSOCIATES-RIVERSIDE
LOS ANGELES MEDICAL CENTER IPA
MERCY PHYSICIANS MEDICAL GROUP INC
NOBLE COMMUNITY MEDICAL ASSOC OF MID ORANGE COUNTY
ORANGE COUNTY ADVANTAGE MEDICAL GROUP INC
PHYSICIANS ASSOC SAN GABRIEL VALLEY
PIH HEALTH PHYSICIANS AFFILIATED PHYS
PIH HEALTH PHYSICIANS MED GRP
PIONEER PROVIDER NETWORK A MED GRP INC
Specialists/Especialistas...........................................................................................684
Specialists/Especialistas...........................................................................................686
Specialists/Especialistas...........................................................................................687
Specialists/Especialistas...........................................................................................688
Primary Care Physicians/Médico de atención primaria.....................................689
Specialists/Especialistas...........................................................................................689
Primary Care Physicians/Médico de atención primaria.....................................691
Specialists/Especialistas...........................................................................................705
Primary Care Physicians/Médico de atención primaria.....................................718
Specialists/Especialistas...........................................................................................720
Primary Care Physicians/Médico de atención primaria.....................................724
Specialists/Especialistas...........................................................................................728
Primary Care Physicians/Médico de atención primaria.....................................734
Specialists/Especialistas...........................................................................................740
Specialists/Especialistas...........................................................................................746
Primary Care Physicians/Médico de atención primaria.....................................747
Specialists/Especialistas...........................................................................................748
Primary Care Physicians/Médico de atención primaria.....................................749
Specialists/Especialistas...........................................................................................755
Primary Care Physicians/Médico de atención primaria.....................................779
Specialists/Especialistas...........................................................................................791
Primary Care Physicians/Médico de atención primaria.....................................818
Primary Care Physicians/Médico de atención primaria.....................................819
Specialists/Especialistas...........................................................................................821
Primary Care Physicians/Médico de atención primaria.....................................830
Specialists/Especialistas...........................................................................................832
Primary Care Physicians/Médico de atención primaria.....................................844
J
Specialists/Especialistas...........................................................................................844
PREFERRED IPA OF CALIFORNIA
PREMIER CARE IPA
PRIMARY CARE ASSOCIATES OF CALIFORNIA
PROSPECT - GATEWAY MEDICAL GROUP
PROSPECT HEALTHSOURCE MEDICAL GROUP
PROSPECT MEDICAL GROUP OC
PROSPECT MEDICAL GROUP-CORONA
PROSPECT MEDICAL GROUP-LOS ANGELES
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-DAEHAN
PROSPECT-GENESIS HEALTH CARE OF SO CA
PROSPECT-NUESTRA FAMILIA MEDICAL GROUP
PROSPECT-SAN MIGUEL IPA
Specialists/Especialistas...........................................................................................850
Primary Care Physicians/Médico de atención primaria.....................................851
Specialists/Especialistas...........................................................................................858
Primary Care Physicians/Médico de atención primaria.....................................870
Specialists/Especialistas...........................................................................................870
Primary Care Physicians/Médico de atención primaria.....................................872
Specialists/Especialistas...........................................................................................907
Specialists/Especialistas...........................................................................................997
Primary Care Physicians/Médico de atención primaria.....................................1002
Specialists/Especialistas...........................................................................................1050
Specialists/Especialistas...........................................................................................1147
Primary Care Physicians/Médico de atención primaria.....................................1149
Specialists/Especialistas...........................................................................................1150
Specialists/Especialistas...........................................................................................1159
Primary Care Physicians/Médico de atención primaria.....................................1160
Specialists/Especialistas...........................................................................................1178
Primary Care Physicians/Médico de atención primaria.....................................1231
Specialists/Especialistas...........................................................................................1231
Primary Care Physicians/Médico de atención primaria.....................................1238
Specialists/Especialistas...........................................................................................1238
Primary Care Physicians/Médico de atención primaria.....................................1248
Specialists/Especialistas...........................................................................................1278
Primary Care Physicians/Médico de atención primaria.....................................1327
Specialists/Especialistas...........................................................................................1332
Primary Care Physicians/Médico de atención primaria.....................................1346
Specialists/Especialistas...........................................................................................1381
Primary Care Physicians/Médico de atención primaria.....................................1444
Specialists/Especialistas...........................................................................................1444
K
Specialists/Especialistas...........................................................................................1451
SEOUL MEDICAL GROUP
SEOUL MEDICAL GROUP-OC
SEOUL MEDICAL GROUP-SC
SOUTHLAND ADVANTAGE MEDICAL GROUP
TORRANCE HEALTH IPA
UNITED PHYSICIANS INTERNATIONAL INC - LA
VANTAGE MEDICAL GROUP- SB RV
Specialists/Especialistas...........................................................................................1452
Primary Care Physicians/Médico de atención primaria.....................................1464
Specialists/Especialistas...........................................................................................1468
Specialists/Especialistas...........................................................................................1494
Specialists/Especialistas...........................................................................................1499
Specialists/Especialistas...........................................................................................1500
Specialists/Especialistas...........................................................................................1501
Specialists/Especialistas...........................................................................................1502
Hospitals/Hospitales .................................................................................................1503
Skilled Nursing Facilities/Hospitales de Enfermeria Especializada...................... 1504
Outpatient Mental Health Providers/Proveedores de salud conductual ........1506
SECTION 3 - INDEX......................................................................................................1551
SECCIÓN 3 - ÍNDICE ...................................................................................................1551
The providers in this directory are organized alphabetically by Medical Group/IPA, then by
Primary Care Physicians (PCPs) and further listed in alphabetical order by last name within
each city. The Specialists are listed by specialty type and further by city. By looking up the city
in which you reside, you will be able to find the physicians listed in your area.
Los proveedores de este directorio están ordenados alfabéticamente por grupo médico/
asociación de médicos independientes (IPA), luego por médicos de atención primaria (PCP)
y luego ordenados en orden alfabético por apellido dentro de cada ciudad. Los
especialistas están ordenados por tipo de especialidad y luego, por ciudad. Si busca la
ciudad donde reside, podrá encontrar los médicos que figuran en su área.
L
Section 1 – Introduction
This directory provides a list of Blue Shield of California Promise Health Plan’s network providers. To
get detailed information about your health care coverage, please see your Evidence of Coverage
(EOC).
You will have to choose one of our network providers listed in this directory to be your Primary Care
Provider(PCP). Generally, you must get your health care services from your PCP.
Your Primary Care Physician (PCP)
Your PCP is a physician who meets state requirements and is trained to give you basic medical care.
You will get your routine or basic care from your PCP. Your PCP can also coordinate the rest of the
covered services you need. In most cases, you must see your PCP to get a referral before you see any
other health care providers or visit a specialist. You may self-refer to an obstetrical and gynecological
(OB-GYN) specialist within your contracting medical group/IPA for a routine pap smear, pelvic exam
and breast exam annually.
If there are specifc Specialists you want to use, fnd out whether your PCP sends patients to these
Specialists. Each plan PCP has certain plan Specialists they use for referrals. This means that the PCP
you select determines the Specialists you see. If the PCP is associated with a medical group that has
a formal referral circle, you will be referred to a specialist within that subnetwork. If you are unhappy
with the referral circle used by your current PCP, please follow the steps in the section, “How do you
fnd Blue Shield of California Promise Health Plan providers in your area?” in order to choose a new
PCP.
The network providers listed in this directory have agreed to provide you with your health care
services. You may go to any of our network providers listed in this directory; however, some services
may require a referral. Please read the above paragraph “Your Primary Care Physician (PCP)”
for more information on specialist referrals or 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. Other Providers are available in our network.
What should I do if I have bills from non-plan providers that I think should be paid by
Blue Shield of California Promise Health Plan?
We cover certain health care services that you get from non-plan providers. These include care for
a medical emergency, urgently needed care, renal dialysis (kidney) that you get when you are
outside the plan’s service area, care that has been approved in advance by Blue Shield of California
Promise Health Plan and any services which were ordered covered through an appeals process.
If a non-plan provider asks you to pay for covered services you get in these situations, please contact
our Customer Care Operations at 1-800-544-0088 (TTY 711) seven days a week, 8 a.m. to 8 p.m., seven
days a week, from Oct. 1st – Mar. 31st and 8 a.m. – 8 p.m. weekdays, from Apr. 1st – Sept. 30th. Or
you may write us at Blue Shield of California Promise Health Plan Customer Care Operations, P.O. Box
4239, Montebello, CA 90640. In cases where non-contracting providers submit a bill directly to you,
you should not pay the bill, but should submit it to the plan for processing and determination of your
liability, if any.
M
Getting care when traveling or away from the plan’s service area
If you need care when you are outside the service area, your health care coverage is very
limited. The only services we cover when you are outside our service area are care for a medical
emergency, including maintenance care and hospital care after you are stable (known as post
stabilization care), urgently needed care, renal dialysis (kidney), in a Medicare certifed dialysis
facility and care that Blue Shield of California Promise Health Plan or plan provider has approved in
advance.
Emergency care can always be obtained in or out of the service area from the nearest available
provider. When in the service area you must use plan providers for urgent care. When out of the
service area urgent care may be obtained from the frst available provider.
You must use network providers except in emergency or urgent care situations or for out-of-area
renal dialysis or other services. If you obtain routine care from out-of-network providers, neither
Medicare nor Blue Shield of California Promise Health Plan will be responsible for the costs.
If you question whether a service is covered when you travel, please call our 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.
What is the service area for Blue Shield of California Promise Health Plan?
The county in our service area is listed below.
Orange County, the following zip codes only: 90620; 90621; 90622; 90623; 90624; 90630; 90631; 90632;
90633; 90638; 90680; 90720; 90740; 90742; 90743; 92609; 92610; 92617; 92619; 92620; 92626; 92637;
92646; 92647; 92648; 92649; 92655; 92657; 92673; 92683; 92685; 92694; 92697; 92698; 92701; 92702;
92703; 92704; 92705; 92706; 92707; 92708; 92725; 92735; 92801; 92802; 92803; 92804; 92805; 92806;
92807; 92808; 92809; 92812; 92814; 92815; 92816; 92817; 92821; 92822; 92823; 92825; 92831; 92832;
92833; 92834; 92835; 92836; 92837; 92838; 92840; 92841; 92842; 92843; 92844; 92845; 92846; 92850;
92868; 92870; 92871; 92885; 92886; 92887; 92899
How do you fnd Blue Shield of California Promise Health Plan providers in your area?
The providers in this directory are organized alphabetically by Medical Group/IPA, then by Primary
Care Physicians (PCPs) and further listed in alphabetical order by last name within each city. The
Specialists are listed by specialty type and further by city. By looking up the city in which you reside,
you will be able to fnd the physicians listed in your area.
If you are a new enrollee in Blue Shield of California Promise Health Plan follow these steps to choose
your Primary Care Physician:
1. Use the index of Primary Care Physicians located in the back of the Directory for the doctor
you want. The index is in alphabetical order by the doctors’ last names. Write down the page
number(s) listed after his or her name (these page numbers indicate their associated Medical
Group/IPA).
2. Review the participating Medical Group/IPAs and their Participating Primary Care Physicians.
3. Select the Primary Care Physician you want.
4. Enter the “Provider ID” number found under the Primary Care Physician’s name on the Blue
N
Shield of California Promise Health Plan enrollment form.
5. Be sure to complete all required sections on the enrollment form before signing the form.
6. Please keep your copy of the enrollment form.
If you are a current member in Blue Shield of California Promise Health Plan and are changing your
Primary Care Physician, follow these steps to choose your Primary Care Physician:
1. Use the index of Primary Care Physicians located in the back of the Directory for the doctor
you want. The index is in alphabetical order by the doctors’ last names. Write down the page
number(s) listed after his or her name (these page numbers indicate their associated Medical
Group/IPA).
2. Review the participating Medical Group/IPAs and their Participating Primary Care Physicians.
3. Select the Primary Care Physician you want.
4. Call Customer Care Operations with the “Provider ID” number for your new Primary Care
Physicians.
5. The Blue Shield of California Promise Health Plan Care Coordinator will update your
membership record with your new Primary Care Physicians and send you a new Member ID
card.
If you have questions about Blue Shield of California Promise Health Plan or require assistance in
selecting a PCP, please call our Customer Care Operations at 1-800-540-0088, 8 a.m. to 8 p.m., seven
days a week, from Oct. 1st – Mar. 31st and 8 a.m. – 8 p.m. weekdays, from Apr. 1st – Sept. 30th. TTY
users should call 711. You can also visit www.blueshieldca.com/promise/medicare.
O
www.blueshieldca.com/promise/medicare
CONTACT LIST FOR YOUR SUPPLEMENTAL BENEFITS
Your Supplemental Benefts
Your plan may cover additional benefts that are not covered by Original Medicare. This mayinclude
benefts such as vision, dental care, acupuncture/chiropractic services. You may have to use specifc
providers for these additional benefts.
A supplemental provider directory with dental, vision and acupuncture/chiropractic providers are
available to members. You may request a supplemental provider directory by contacting Customer
Care at 1-800-544-0088 (TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st – Mar. 31st and 8
a.m. – 8 p.m. weekdays, from Apr. 1st – Sept. 30th. other supplemental services are listed below.
Services from these providers will not be covered if your plan does not include additionalbenefts.
Before you make an appointment, check your Evidence of Coverage or call Blue Shield of California
Promise Health Plan 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 to see
if your plan includes these additional benefts.
Please see Chapter 4 of your Evidence of Coverage for details about plan benefts, authorization
requirements, limitations and exclusions. If you plan does not include additional benefts and you visit
one of these providers, your services will NOT be covered
Over-the-Counter
Products
These are over-
the-counter items
not covered by
Medicare or
Medi-Cal and are
not listed in Tier 4
of our Formulary.
CVS
1-888-628-2770 (TTY: 711)
Monday to Friday, 9 a.m. and 5 p.m. (Pacifc Time)
*Personal
Emergency
Response System
(PERS)
LifeStation
1-855-672-3269(TTY:711)
24 hours, 7 days a week
* This beneft is available to Plans H5928-004 and
010 (Blue Shield of California Promise Health Plan
AdvantageOptimum
Plan), H5928-001, 005, 009 and 054 (Blue Shield of California
Promise Health Plan TotalDual Plan HMO-DSNP) and 037
(Blue Shield of California Promise Health Plan Coordinated
Choice Plan)
P
Teladoc Service
You may contact Teladoc by phone at 1-800-Teladoc 24/7
or by secure online video at www.teladoc.com/bsc, from 7
a.m. to 9 p.m. local Time
Hearing Services/
Hearing Aids
For a listing of providers please contact our Customer Care
at 1-800-544-0088 (TTY: 711)
Fitness membership
Silver Sneakers
Tivity Health and
SilverSneakers
are registered
trademarks or
trademarks of Tivity
Health, Inc., and/or
its subsidiaries and/
or affliates in the
USA and/or other
countries
Tivity
If you are a member or want to see if you are eligible:
888-423-4632, Monday – Friday, 8 a.m. – 8 p.m. EST.
Q
Sección 1 Introducción
Este directorio ofrece un listado de los proveedores de la red de Blue Shield of California Promise
Health Plan. Para obtener información detallada sobre su cobertura de atención médica, consulte
su Evidencia de cobertura (EOC).
Deberá elegir uno de nuestros proveedores de la red, que se indican en este directorio, para que
sea su Médico de atención primaria (Primary Care Provider, PCP). Generalmente, debe obtener sus
servicios de atención médica de parte de su PCP.
Su médico de atención primaria (PCP)
El PCP es un médico que cumple con determinados requisitos estatales y tiene la formación
necesaria para brindar atención médica básica. Usted obtendrá su atención básica o de rutina
de su PCP. Su PCP también puede coordinar el resto de los servicios cubiertos que usted necesita.
En la mayoría de los casos, debe visitar a su PCP para obtener una remisión antes de visitar a
otros proveedores de atención médica o de visitar a un especialista. Se puede autorremitir a un
especialista en obstetricia y ginecología (OB-GYN) dentro de su grupo médico o IPA contratado
para realizarse una prueba de Papanicolaou, un examen pélvico y un examen de mamas de rutina
por año.
En caso de que haya especialistas específcos que usted desee consultar, averigüe si su PCP
envía sus pacientes a estos especialistas. Cada PCP del plan trabaja con ciertos especialistas del
plan cuando hace remisiones. Esto quiere decir que el PCP que usted seleccione determina qué especialistas usted puede consultar. Si el PCP está asociado con un grupo médico que tiene un
círculo de remisión formal, se le referirá a un especialista dentro de esa subred. Si no está satisfecho
con el círculo de remisión utilizado por su PCP actual, siga los pasos de la sección “¿Cómo puede
encontrar proveedores de Blue Shield of California Promise Health Plan en su área?” para elegir un
nuevo PCP.
Los proveedores de la red que fguran en este directorio han acordado prestarle sus servicios de
atención médica. Usted podrá acudir a cualquiera de nuestros proveedores de la red que se
indican en este directorio, pero algunos servicios podrían requerir una remisión. Lea el párrafo de
arriba “Su médico de atención primaria (PCP)” para obtener más información sobre remisiones a
especialistas o llame Operaciones de Atención al Cliente al 1-800-544-0088 (TTY 711), de 8:00 a. m. a
8:00 p. m., los siete días de la semana, desde el 1 de octubre hasta el 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. Otros proveedores están
disponibles en nuestra red.
¿Qué debo hacer si tengo facturas de proveedores que no pertenecen al plan que
creo que le corresponde pagar a Blue Shield of California Promise Health Plan?
Cubrimos determinados servicios de atención médica que usted recibe de proveedores que no
pertenecen al plan. Estos servicios incluyen la atención de una emergencia médica, atención de
urgencia, diálisis renal (del riñón) que obtiene cuando está fuera del área de servicio del plan,
atención previamente aprobada por Blue Shield of California Promise Health Plan y todos los
servicios cuya cobertura hubiera sido ordenada por un proceso de apelaciones.
Si un proveedor que no pertenece al plan le pide que pague los servicios cubiertos que recibe en
estas situaciones, llame a nuestro Operaciones de Atencion al Cliente al 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
R
8:00 p.m. de lunes a viernes, desde el 1 de abril hasta el 30 de septiembre O bien, puede escribirnos
a Servicios para los miembros de Blue Shield of California Promise Health Plan, P.O. Box 4239,
Montebello, CA 90640. En los casos en los que los proveedores que no tengan un contrato le remitan
las facturas directamente a usted, no debe pagarlas sino enviarlas al plan para su procesamiento y
determinación de responsabilidad, si correspondiera.
Cómo acceder a la atención médica cuando se encuentra de viaje o lejos del área
de servicio del plan
Si necesita atención médica cuando se encuentra fuera del área de servicio, su cobertura de
atención médica será muy limitada.
Los únicos servicios que cubrimos cuando se encuentra fuera del área de servicio son las
emergencias médicas, incluidas la atención de mantenimiento y la atención hospitalaria una
vez que esté estable (conocidas como atención posestabilización), la atención de urgencia, los
servicios de diálisis renal (del riñón) en un centro de diálisis certifcado por Medicare y la atención
aprobada por anticipado por Blue Shield of California Promise Health Plan o un proveedor del plan.
Siempre podrá obtenerse atención de emergencia dentro o fuera de la red de servicios del
proveedor más cercano disponible. Cuando se encuentre dentro del área de servicio, debe
consultar a los proveedores del plan para recibir atención de urgencia. Cuando se encuentre
fuera del área de servicio, puede recibir atención de urgencia del proveedor que se encuentre
disponible primero.
Debe utilizar los proveedores de la red, salvo en situaciones de emergencia o de urgencia, o para
servicios de diálisis renal fuera del área u otros servicios. Si recibe atención de rutina de proveedores
fuera de la red, ni Medicare ni Blue Shield of California Promise Health Plan serán responsables de los
costos.
Si desea preguntar si un servicio está cubierto cuando viaja, llame a Operaciones de Atención al
Cliente al 1-800-544-0088 (TTY: 711) de 8:00 a. m. a 8:00 p. m., los siete días de la semana, desde el 1
de octubre hasta el 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.
.¿Cuál es el área de servicio para Blue Shield of California Promise Health Plan?
El Condado los códigos postales de nuestra área de servicios está enumerados a continuación.
Condado de Orange, solo los siguientes códigos postales: 90620; 90621; 90622; 90623; 90624; 90630;
90631; 90632; 90633; 90638; 90680; 90720; 90740; 90742; 90743; 92609; 92610; 92617; 92619; 92620;
92626; 92637; 92646; 92647; 92648; 92649; 92655; 92657; 92673; 92683; 92685; 92694; 92697; 92698;
92701; 92702; 92703; 92704; 92705; 92706; 92707; 92708; 92725; 92735; 92801; 92802; 92803; 92804;
92805; 92806; 92807; 92808; 92809; 92812; 92814; 92815; 92816; 92817; 92821; 92822; 92823; 92825;
92831; 92832; 92833; 92834; 92835; 92836; 92837; 92838; 92840; 92841; 92842; 92843; 92844; 92845;
92846; 92850; 92868; 92870; 92871; 92885; 92886; 92887; 92899
¿Cómo puede encontrar los proveedores de Blue Shield of California Promise Health
Plan en su área?
Los proveedores de este directorio están ordenados alfabéticamente por grupo médico/asociación
de médicos independientes (IPA), luego por médicos de atención primaria (PCP) y luego
S
ordenados en orden alfabético por apellido dentro de cada ciudad. Los especialistas se muestran
por tipo de especialidad y también por ciudad. Si busca la ciudad donde reside, podrá encontrar
los médicos que fguran en su área.
Si usted es un nuevo inscrito en Blue Shield of California Promise Health Plan, siga estos pasos para
elegir a su médicode atención primaria:
1. Utilice el índice de Médicos de atención primaria ubicado en el reverso del directorio para
encontrar el médico que desea. El índice se encuentra en orden alfabético por apellido de
los médicos. Anote los números de páginas indicados después del nombre del médico (estos
números de página indican el grupo médico/IPA asociados).
2. Revise el grupo médico/IPA participantes y sus médicos de atención primaria participantes.
3. Seleccione el médico de atención primaria que desee.
4. Introduzca el número de “identifcación del proveedor” que se encuentra debajo del nombre
del médico de atención primaria en el formulario de inscripción de Blue Shield of California
Promise Health Plan
5. Asegúrese de completar todas las secciones obligatorias en el formulario de inscripción antes
de frmarlo.
6. Conserve su copia del formulario de inscripción.
Si usted es un miembro actual de Blue Shield of California Promise Health Plan y quiere cambiar su
médico de atención primaria, siga estos pasos para elegir a su médico de atención primaria:
1. Utilice el índice de “Médicos de atención primaria” ubicado en el reverso del directorio para
encontrar el médico que desea. El índice se encuentra en orden alfabético por apellido de
los médicos. Anote los números de páginas indicados después del nombre del médico (estos
números de página indican el grupo médico/IPA asociados).
2. Revise el grupo médico/IPA participantes y sus médicos de atención primaria participantes.
3. Seleccione el médico de atención primaria que desee.
4. Llame a Servicios para los miembros con el número de “identifcación del proveedor” de su
nuevo médico de atención primaria.
5. El coordinador de la atención de Blue Shield of California Promise Health Plan actualizará su
registro de membresía con su nuevo médico de atención primaria y le enviará una nueva
tarjeta de identifcación de miembro.
Si tiene preguntas sobre Blue Shield of California Promise Health Plan o si necesita ayuda para
seleccionar un PCP, llame al Operaciones de Atencion al Cliente al 1-800-540-0088, 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 . Los usuarios de TTY deben llamar al 711.
También puede visitar nuestra página web en www.blueshieldca.com/promise/medicare.
T
www.blueshieldca.com/promise/medicare
LISTA DE CONTACTOS PARA SUS BENEFICIOS COMPLEMENTARIOS
Sus benefcios complementarios
Su plan puede cubrir benefcios adicionales que quizás no estén cubiertos por Original Medicare.
Estos pueden ser benefcios como servicios de la vista, atención odontológica, acupuntura/
quiropráctica. Es probable que tenga que utilizar proveedores específcos para estos benefcios
adicionales.
Los miembros tienen a disposición un directorio de proveedores complementarios con proveedores
de servicios de la vista, atención odontológica y acupuntura/quiropráctica. Puede solicitar un
directorio de proveedores complementarios llamando a Atención al Cliente al 1-800-544-0088 (TTY:
711) de 8:00 a. m. a 8:00 p. m., los siete días de la semana, desde el 1 de octubre hasta el 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.
A continuación, se detallan otros servicios adicionales.
Los servicios de estos proveedores no estarán cubiertos si su plan no incluye benefcios adicionales.
Antes de programar una cita, verifque su Evidencia de cobertura o llame a Operaciones de
Atención al Cliente de Blue Shield of California Promise Health Plan al 1 800 544-0088 (TTY: 711) de
8:00 a. m. a 8:00 p. m., los siete días de la semana, desde el 1 de octubre hasta el 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 para ver si su
plan incluye estos benefcios adicionales.
Consulte el Capítulo 4 de su Evidencia de cobertura para obtener los detalles acerca de los
benefcios, requisitos de autorización ,las limitaciones y las exclusiones del plan. Si su plan no incluye
benefcios adicionales y usted consulta a uno de estos proveedores, sus servicios NO estarán
cubiertos.
Productos de
venta libre
Estos son productos
de venta libre que
no están cubiertos
por Medicare ni
Medi-Cal y no
están incluidos
en el Nivel 4 de
nuestro Formulario.
CVS
1-888-628-2770 (TTY: 711)
De lunes a viernes, de 9:00 a. m. a 5:00 p. m. (hora del
Pacífco)
U
* Sistema de
respuesta
personal ante
emergencias
(PERS)
LifeStation
1-855-672-3269 (TTY: 711)
Las 24 horas del día, los 7 días de la semana
* Este benefcio está disponible para los planes H5928-
004 y 010 (Blue Shield of California Promise Health Plan
AdvantageOptimum Plan), H5928-001, 005, 009 y 054 (Blue
Shield of California Promise Health Plan TotalDual Plan HMO-
DSNP) y 037 (Blue Shield of California Promise Health Plan
Coordinated Choice Plan).
Servicios de Teladoc
Puede ponerse en contacto con Teladoc por teléfono al
1-800-Teladoc las 24 horas del día, los 7 días de la semana,
o a través de un video seguro en línea en www.teladoc.
com/bsc, de 7:00 a. m. a 9:00 p. m., hora local.
Servicios auditivos/
audífonos
Para obtener una lista de proveedores, comuníquese con
Atención al Cliente al 1-800-544-0088 (TTY: 711).
Membresía en un
gimnasio
SilverSneakers
Tivity Health y
SilverSneakers son
marcas registradas o
marcas comerciales
de Tivity Health, Inc.,
o sus subsidiarias
o afliadas en los
Estados Unidos o en
otros países.
Tivity
Si usted es miembro o desea saber si es elegible:
Llame al 888-423-4632, de lunes a viernes, de 8:00 a. m. a
8:00 p. m. (EST).
V
ORANGE COUNTY MEDICAL GROUPS ACCOUNTABLE HEALTH CARE 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.
Hematology / Oncology
ANAHEIM
Shim, Joomee MD
1801 W Romneya Dr Ste 103
Anaheim, CA 92801-1824
(714) 399-0620
Provider ID: 100317857028
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.
Nephrology
FOUNTAIN VALLEY
Dinh, Son MD
17150 Euclid St Ste 200
Fountain Valley, CA
92708-4092
(714) 751-0995
Provider ID: 100043079021
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Arabic,
French, 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.
Ophthalmology
LA HABRA
Jivrajka, Renu MD
623 W La Habra Blvd
La Habra, CA 90631-5310
(562) 690-8887
Provider ID: 100202304039
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.
Surgery General Vascular
PLACENTIA
Vo, Quang MD
1041 E Yorba Linda Blvd Ste
201
Placentia, CA 92870-3763
(818) 571-0424
Provider ID: 100051081072
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.
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For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with 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
ORANGE COUNTY MEDICAL GROUPS AFFILIATED DOCTORS OF ORANGE COUNTY
AFFILIATED HOSPITALS
(For a complete listing of
hospital affiliations, refer to
page 1503)
PRIMARY CARE PHYSICIANS
Family Practice
ALISO VIEJO
Haghighi Motlagh, Behnaz MD
26671 Aliso Creek Rd Ste 205
Aliso Viejo, CA 92656-4810
(949) 453-9393
Provider ID: 100197006029
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Dutch, Farsi,
German, Spanish
Accessibility: B; Members are
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
ANAHEIM
Azzam, Samir MD
1211 W La Palma Ave Ste 707
Anaheim, CA 92801-2814
(714) 776-2100
Provider ID: 100110168027
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.
Bell, Herman DO
1125 N Magnolia Ave Ste 115
Anaheim, CA 92801-2689
(714) 477-6869
Provider ID: 100144345019
Accepting New Patients: No
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.
Beshai, Youssef MD
801 N Harbor Blvd
Anaheim, CA 92805-1810
(714) 774-7500
Provider ID: 100106725026
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.
Be, Hing MD
1834 W Lincoln Ave Ste P
Anaheim, CA 92801-5425
(714) 991-5680
Provider ID: 100104380027
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cambodian,
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.
Blanco-eccleston, Martin MD
500 S Anaheim Hills Rd Ste 230
Anaheim, CA 92807-4760
(714) 974-2820
Provider ID: 100059729031
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
2
ORANGE COUNTY MEDICAL GROUPS AFFILIATED DOCTORS OF ORANGE COUNTY
urged to call the provider's
office to discuss their specific
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
Cheng, Henry MD
500 S Anaheim Hills Rd Ste 242
Anaheim, CA 92807-4760
(714) 974-0613
Provider ID: 100210518039
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.
Dinh, Chinh MD
3414 W Ball Rd Ste F
Anaheim, CA 92804-3726
(714) 761-9137
Provider ID: 100069897009
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: 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.
Downs, Dennis MD
200 N Harbor Blvd Ste 100
Anaheim, CA 92805-2511
(714) 533-7021
Provider ID: 100086341007
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.
Le, Nguyet MD
1771 W Romneya Dr Ste E1
Anaheim, CA 92801-1817
(714) 535-5589
Provider ID: 100066934004
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: 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.
Mercer, Paul MD
1168 N Euclid St
Anaheim, CA 92801-1900
(855) 690-1330
Provider ID: 100009246032
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.
Moussa Faltas, Assanassios
MD
3400 W Ball Rd Ste 202
Anaheim, CA 92804-3735
(714) 236-9663
Provider ID: 100231398031
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.
Marks, Catherine 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
ORANGE COUNTY MEDICAL GROUPS AFFILIATED DOCTORS OF ORANGE COUNTY
3400 W Ball Rd Ste 202
Anaheim, CA 92804-3735
(714) 236-9663
Provider ID: 100231399032
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.
Nuval, Arthur MD
910 S Knott Ave
Anaheim, CA 92804-8674
(714) 527-2888
Provider ID: 100047758026
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Spanish,
Tagalog
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.
Roges, Octaviano MD
1211 W La Palma Ave Ste 408
Anaheim, CA 92801-2806
(714) 353-3250
Provider ID: 100106094028
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.
Rossini, Joe DO
1168 N Euclid St
Anaheim, CA 92801-1900
(714) 888-3628
Provider ID: 100077233089
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.
Reyes, Rosemary DO
2237 W Ball Rd
Anaheim, CA 92804-5314
(714) 490-2750
Provider ID: 100214861039
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.
Tajik, Ali MD
3400 W Ball Rd Ste 207
Anaheim, CA 92804-3737
(714) 826-7440
Provider ID: 100111646031
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
Spanish, Tagalog
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.
Tarlow, Gardner MD
215 N State College Blvd Ste C
Anaheim, CA 92806-2936
(714) 772-2210
Provider ID: 100061758021
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
4
ORANGE COUNTY MEDICAL GROUPS AFFILIATED DOCTORS OF ORANGE COUNTY
accessibility needs when there
is limited access or where all
or most accessibility indicators
are not present.
Talebi Dolouei, Reza MD
1735 W Romneya Dr
Anaheim, CA 92801-1804
(714) 776-5920
Provider ID: 100283741011
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.
Yung, Harvey MD
1781 W Romneya Dr Ste F
Anaheim, CA 92801-1818
(714) 808-9208
Provider ID: 100082607015
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Cantonese,
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.
BREA
Bhavsar, Ashish MD
410 W Central Ave Ste 105
Brea, CA 92821-3009
(714) 529-8923
Provider ID: 100184871031
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Gujarati,
Hindi, 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.
Birla, Rajnish MD
2874 E Imperial Hwy
Brea, CA 92821-6714
(714) 996-2390
Provider ID: 100109646040
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Hindi,
Punjabi, 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.
Chamberlin, Janine MD
380 W Central Ave Ste 400
Brea, CA 92821-3066
(714) 332-0549
Provider ID: 100052615070
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.
Shah, Tirath DO
380 W Central Ave Ste 400
Brea, CA 92821-3066
(714) 203-1799
Provider ID: N/A
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.
BUENA PARK
Chambi, Mirna 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
5
ORANGE COUNTY MEDICAL GROUPS AFFILIATED DOCTORS OF ORANGE COUNTY
7151 Lincoln Ave Ste A # Ab
Buena Park, CA 90620-4614
(714) 821-6506
Provider ID: 100072464029
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.
FOOTHILL RANCH
Eskandari, Hamid MD
26730 Towne Centre Dr Ste 102
Foothill Ranch, CA 92610-2857
(949) 380-1234
Provider ID: 100110778012
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Farsi,
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.
FOUNTAIN VALLEY
Gregurich, Joseph MD
11100 Warner Ave Ste 112
Fountain Valley, CA
92708-7500
(714) 556-8320
Provider ID: 100050359010
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.
Huang, Jeff MD
18663 Brookhurst St
Fountain Valley, CA
92708-6709
(714) 887-9800
Provider ID: 100071860015
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
Japanese, 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.
Liu, Anna DO
11100 Warner Ave Ste 358
Fountain Valley, CA
92708-7513
(714) 966-1500
Provider ID: 100012178026
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Chinese,
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.
Peshimam, Mahmood MD
10900 Warner Ave Ste 115
Fountain Valley, CA
92708-3846
(714) 968-8600
Provider ID: 100030726007
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.
Tran, Kinh MD
15975 Harbor Blvd
For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,
(TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.
weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.
All Providers in this provider directory accept both Medicare and Medicaid.
(**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:
Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist
Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield
of California Promise Health Plan has not verified this information. The presence of the following
codes indicates the provider location is accessible with 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
ORANGE COUNTY MEDICAL GROUPS AFFILIATED DOCTORS OF ORANGE COUNTY
Fountain Valley, CA
92708-1303
(714) 546-6575
Provider ID: 100084925013
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: French,
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.
Tsoi, Geoffrey DO
11180 Warner Ave Ste 167
Fountain Valley, CA
92708-7515
(714) 432-1950
Provider ID: 100349912007
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.
Vo, Christina DO
11160 Warner Ave Ste S-117
Fountain Valley, CA
92708-4008
(714) 432-1950
Provider ID: 100349878006
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.
FULLERTON
Bhavsar, Ashish MD
2720 N Harbor Blvd Ste 350
Fullerton, CA 92835-2609
(714) 529-8923
Provider ID: 100184871040
Accepting New Patients: Yes
Hours: M-SA 9AM-5PM
Other Language: Gujarati,
Hindi, M