University of California Health Net Medicare Advantage HMO Plan Provider Directory 2015 UC Davis, UCLA and UCSD Medical Groups This directory provides a list of Health Net (Employer HMO)’s network providers. This directory is for Los Angeles, Placer, Sacramento San Diego and Yolo counties, CA. This directory is current as of October 2014. Some plan providers may have been added or removed from the list after this directory was printed. We do not guarantee that each provider is still accepting new members. To get the most up-to-date information about Health Net plan providers you can visit www.healthnet.com/uc or call our Member Service Department at 1-800-539-4072. From October 1 through February 14, our office hours are 8:00 a.m. to 8:00 p.m., 7 days a week, excluding certain holidays. However, after February 14, your call will be handled by our automated phone system on weekends and certain holidays. TTY users should call 711. Health Net has a contract with Medicare to offer HMO, PPO, HMO SNP plans. Enrollment in a Health Net Medicare Advantage plan depends on contract renewal. This information is available for free in other languages. Please call our Member Service number at 1-800-539-4072 and TTY users should call 711. From October 1 through February 14, our office hours are 8:00 a.m. to 8:00 p.m., 7 days a week, excluding certain holidays. However, after February 14, your call will be handled by our automated phone system on weekends and certain holidays. Esta información está disponible en forma gratuita en otros idiomas. Comuníquese con el número de nuestro Departamento de Servicios al Afiliado al 1-800-539-4072; los usuarios de TTY deben llamar al 711. Desde el 1 de octubre hasta el 14 de febrero, nuestro horario de atención es de 8:00 a.m. a 8:00 p.m., los 7 días de la semana, excepto ciertos días feriados. Sin embargo, después del 14 de febrero, su llamada será atendida por nuestro sistema automático de teléfono durante los fines de semana y en ciertos días feriados. This information is also available in a different format including larger print and audio. Please call Member Services at the number listed above if you need plan information in another format. Material ID# H0562_EG_2015_0030 Compliance Approved Section 1 – Physicians and hospital affiliations). As a Health Net Medicare Advantage member, Introduction all of your routine health care is provided and arranged by your Primary Care Physician. Your specialty care, X-rays, This directory provides a list of laboratory tests, therapy, prescription Health Net Medicare Advantage medications, hospital admissions and follow-up care will also be provided, plan providers. To get detailed authorized or coordinated by your information about your health Primary Care Physician. If you go to a care coverage, please see your doctor, hospital or other provider without the approval of your Primary Care Evidence of Coverage. Physician – except in an emergency or You will have to choose one of our plan when you need urgent care, out-of-area providers that are listed in this directory renal dialysis, or certain gynecological to be your Primary Care Physician (PCP). care or other self-referred services – you The term“PCP” will be used throughout will be responsible for paying any charges this directory. Generally, you must get for these services. Neither Medicare nor your health care coverage from your PCP. Health Net will pay for non-emergency As a member of Health Net Medicare services or non-urgently needed care Advantage, you will have a Primary Care without the prior authorization of your Physician who coordinates all of your Primary Care Physician. care. Your Primary Care Physician is a The “plan providers” listed in this health care professional who is trained directory have agreed to provide you with to give you basic care. He or she is your health care coverage. You may go responsible for providing or coordinating to any of our plan providers listed in this covered services while you are a member directory; however, some services may of Health Net Medicare Advantage. require a referral. If you have been going When you enroll in Health Net to one plan provider, you are not required Medicare Advantage, you will select a to continue going to that same provider. Health Net Participating Physician Group In some cases, you may get covered from our network. You’ll also choose services from non-plan providers. Even a Primary Care Physician from this though your Primary Care Physician is Health Net Participating Physician Group. trained to handle most of your common This Health Net Medicare Advantage health needs, there may be times when participating physician directory is a list he or she feels you need more specialized of all Health Net Participating Physician treatment. In that case, you may receive Groups (and their affiliated Primary Care a referral (written permission) to see a 1 specialist. Specialists are doctors who What Is the provide health care services for a specific Service Area disease or part of the body. Examples include oncologists (care for cancer for Health Net patients), cardiologists (care for the heart) and orthopedists Medicare Advantage? (care for bones). The counties and parts of counties in our Please refer to your Evidence of Coverage service area are listed below. (EOC) for further information. Los Angeles County Placer County Plan for the Following ZIP Codes Only: 95602, 95603, 95604, 95631, 95648, 95650, 95658, 95661, 95663, 95677, 95678, 95681, 95701, 95703, 95713, 95714, 95715, 95717, 95722, 95736, 95746, 95747, 95765 Sacramento County San Diego Yolo County 2 Find How Do You Health Net Medicare Advantage Providers in Your Area? We have arranged the information in several different ways. If you are interested in a particular PCP or specialist, turn to Section 2. If you’d like to see who is available in your community, then turn to the Index of Participating Physician Groups by City. If you have questions about Health Net Medicare Advantage, please call our Member Service Department at 1-800-539-4072. TTY users should call 711. Or, visit www.healthnet.com/uc. 3 Section 2 – List of Plan Providers Table of Contents Participating Physician Groups and Specialists Listing ........... 5 Index of Participating Physician Groups by City . .............. 77 Index of Primary Care Physicians and Specialists. ............... 79 Index of Hospitals. ....................... 107 PARTICIPATING PHYSICIAN GROUPS AND SPECIALISTS LISTING UC Davis Medical Group - Sacramento Hospitals Used: Sutter Auburn Faith Hospital PPG 1161 UC Davis Medical Center 2315 Stockton Blvd., Suite 2600 UC Davis Medical Group - Carmichael (PPG 1352) Sacramento, CA 95817-2201 (800) 445-3936 7551 Madison Avenue Citrus Heights, CA 95610-7449 (916) 904-3000 Hospitals Used: UC Davis Medical Center Hospitals Used: UC Davis - Campus Commons (PPG 5282) Mercy San Juan Hospital 500 University Avenue, Ste 220 UC Davis Medical Center Sacramento, CA 95825-6525 s UC Davis Medical Group - Davis (PPG 1353) st (916) 286-8700 i l a 2660 West Covell Blvd., 2nd Floor i c Davis, CA 95616-5645 e p (530) 747-3000 S UC Davis - Natomas (PPG 5216) d n a 2400 Del Paso Road Suite 145 Hospitals Used: s p Sacramento, CA 95834-9629 u UC Davis Medical Center o (916) 928-3940 rg Gn UC Davis Medical Group - Elk Grove (PPG 1354) n ti s Hospitals Used: 8110 Laguna Blvd. ciaLi UC Davis Medical Center Elk Grove, CA 95758-7904 ysi (916) 683-3955 h P UC Davis Med Grp - Placer Center (PPG 5175) g n 550 West Ranch View Drive i Hospitals Used: t a Rocklin, CA 95765-5391 p Methodist Hospital of Sacramento i (916) 295-5700 c UC Davis Medical Center ti r a UC Davis Medical Group - Folsom (PPG 1355) P Hospitals Used: UC Davis Medical Center 1370 Prarie City Road Folsom, CA 95630-9554 UC Davis Med Grp - Rancho Cordova (PPG 1356) (916) 985-9300 3201 Data Drive Rancho Cordova, CA 95670-0001 Hospitals Used: (915) 851-1440 Mercy Hospital of Folsom UC Davis Medical Center Hospitals Used: UC Davis Medical Group - Rocklin (PPG 1358) Mercy San Juan Hospital UC Davis Medical Center 6815 Five Star Blvd., Suite 100 Rocklin, CA 95677-2688 UC Davis Medical Group - Auburn (PPG 1350) (916) 624-1111 3200 Bell Road Auburn, CA 95603-9244 Hospitals Used: (530) 888-7616 Mercy San Juan Hospital UC Davis Medical Center 5 PARTICIPATING PHYSICIAN GROUPS AND SPECIALISTS LISTING UC Davis Medical Group - Sacramento PPG 1161 UC Davis Medical Group - Roseville (PPG 1357) Primary Care Physicians Specialty PPG/Phy # Varnosfaderani, Narges S., Internal Medicine1 2261 Douglas Blvd. M.D. Roseville, CA 95661-3831 3111 Professional Dr. 1350127107 (916) 783-7109 (530) 885-5618 Youngblood, John A., M.D.Family Practice1 Hospitals Used: 3200 Bell Rd. 1350147136 Mercy San Juan Hospital UC Davis Medical Center (530) 888-7616 Auburn Citrus Heights Primary Care Physicians Specialty PPG/Phy # Primary Care Physicians Specialty PPG/Phy # Avila-Kirwan, Guadalupe Internal Medicine1 Arnott, Tyron, M.D. Internal Medicine1 A., M.D. 7551 Madison Ave. 1352051237 3111 Professional Dr. 1350069906 (916) 904-3000 (530) 885-5618 Beamesderfer, Timothy N., Internal Medicine1 Spanish M.D. Boyd, Michael D., M.D. Family Practice 7551 Madison Ave. 1352067596 3200 Bell Rd. 1350185015 (916) 904-3000 (530) 888-7616 Blinder, Alla, D.O. Internal Medicine Brady, William J., M.D. Internal Medicine1 7551 Madison Ave. 1352193364 3111 Professional Dr. 1350501757 (916) 904-3000 (530) 885-5618 Chen, Patricia, M.D. Internal Medicine1 Brahce, Joel B., M.D. Family Practice1 7551 Madison Ave. 1352090133 3200 Bell Rd. 1350501763 (916) 904-3000 (530) 888-7616 Pham, Manh, M.D. Family Practice1 Clothier, Jennifer A., M.D. Family Practice1 7551 Madison Ave. 1352203469 3200 Bell Rd. 1350088041 (916) 904-3000 (530) 888-7616 Hundal, Apeet, M.D. Internal Medicine1 Davis 3111 Professional Dr. 1350148790 Primary Care Physicians Specialty PPG/Phy # (530) 885-5618 Alan, Thomas, M.D. Internal Medicine1 2660 W. Covell Blvd. # B 1353104605 Merck, Dan T., M.D. Internal Medicine 3111 Professional Dr. 1350068786 (530) 747-3000 (530) 885-5618 Baumeister, Lisa M., M.D. Family Practice1 Panek, Karen M., M.D. Family Practice1 2660 W. Covell Blvd. 1353069739 3200 Bell Rd. 1350147453 (530) 747-3000 (530) 888-7616 Henchell, Heidi M., D.O. Family Practice1 Spanish 2660 W. Covell Blvd. 1353106873 (530) 747-3000 1Board Certified 6 PARTICIPATING PHYSICIAN GROUPS AND SPECIALISTS LISTING UC Davis Medical Group - Sacramento PPG 1161 Primary Care Physicians Specialty PPG/Phy # Primary Care Physicians Specialty PPG/Phy # Knoepfler, Anca E., M.D. Internal Medicine1 Bias, John G., M.D. Family Practice1 2660 W. Covell Blvd. 1353124735 8110 Laguna Blvd. 1354046420 (530) 747-3000 (916) 683-3955 Mahoney, Cydney M., M.D.Family Practice Hall, Allen D., M.D. Family Practice1 2660 W. Covell Blvd. 1353186923 8110 Laguna Blvd. 1354077944 (530) 747-3000 (916) 683-3955 Mo, Karen L., M.D. Family Practice1 Lee, David, M.D. Internal Medicine 2660 W. Covell Blvd. 1353564201 8110 Laguna Blvd. 1354107066 (530) 747-3000 (916) 683-3955 Perez, Pauline R., M.D. Family Practice1 Moore, James F., M.D. Family Practice s t s 2660 W. Covell Blvd. 1353104573 8110 Laguna Blvd. 1354193582 li a i (530) 747-3000 (916) 683-3955 c e p Richards, Irina, M.D. Internal Medicine1 Nguyen, Helene, D.O. Family Practice S 2660 W. Covell Blvd. 1353203471 8110 Laguna Blvd. 1354134979 d n a (530) 747-3000 (916) 683-3955 s p Riggle, Paul C., M.D. Family Practice1 Vietnamese u o 2660 W. Covell Blvd. 1353051532 Pham, Julie, D.O. Family Practice rg Gn (530) 747-3000 8110 Laguna Blvd. 1354190762 n sti ai Siemens, Kelly S., M.D. Family Practice1 (916) 683-3955 ciL i s 2660 W. Covell Blvd. 1161094396 Seites, Paul G., M.D. Family Practice1 y h (530) 747-3000 8110 Laguna Blvd. 1354015398 P g Siemens, Kelly S., M.D. Family Practice1 (916) 683-3955 n i t 2660 W. Covell Blvd. 1353094396 Zavahir, Zainul R., M.D. Internal Medicine1 a p (530) 747-3000 8110 Laguna Blvd. 1354132547 ci i t Snodgrass, Marci L., M.D. Family Practice1 (916) 683-3955 ar P 2660 W. Covell Blvd. 1353067592 (530) 747-3000 Folsom Sprinkle, Ronnie V., M.D. Family Practice1 Primary Care Physicians Specialty PPG/Phy # 2660 W. Covell Blvd. 1353036773 Abad, Jose F., M.D. Family Practice1 (530) 747-3000 271 Turn Pike Dr. 1355186347 Tanji, Jeffrey L., M.D. Family Practice1 (916) 985-9300 2660 W. Covell Blvd. Fl 2. 1353016984 Applebaum, Jeffrey A., Family Practice1 (530) 747-3000 M.D. 271 Turn Pike Dr. 1355051686 Elk Grove (916) 985-9300 Primary Care Physicians Specialty PPG/Phy # Badawi, Amr A., M.D. Internal Medicine1 Ali, Syed, M.D. Internal Medicine1 271 Turn Pike Dr. 1355185024 8110 Laguna Blvd. 1354198177 (916) 985-9300 (916) 683-3955 Baquero, Victor H., M.D. Family Practice1 271 Turn Pike Dr. 1355088715 (916) 985-9300 1Board Certified 7 PARTICIPATING PHYSICIAN GROUPS AND SPECIALISTS LISTING UC Davis Medical Group - Sacramento PPG 1161 Primary Care Physicians Specialty PPG/Phy # Primary Care Physicians Specialty PPG/Phy # Camposagrado, Amanda Internal Medicine Duru, Lilian, M.D. Family Practice1 D., M.D. 3201 Data Drive 1356110102 271 Turn Pike Dr. 1355111075 (916) 851-1440 (916) 985-9200 Gardner, Katherine T., M.D.Family Practice Jaeger, Nancy L., M.D. Family Practice 3201 Data Drive 1356193361 271 Turn Pike Dr. 1355132809 (916) 851-1440 (916) 985-9300 Glassberg, Eric A., M.D. Family Practice Kelly, Bernadette A., M.D. Family Practice1 3201 Data Drive 1356201537 271 Turn Pike Dr. 1355067459 (916) 851-1440 (916) 985-9300 Lai, Tony, M.D. Family Practice Maw, Soe S., M.D. Internal Medicine 3201 Data Drive 1356193228 271 Turn Pike Dr. 1355188704 (916) 851-1440 (916) 985-9200 Luke, John, M.D. Family Practice Montemayor, Gertrudes P., Family Practice1 3201 Data Drive 1356142619 M.D. (916) 851-1440 271 Turn Pike Dr. 1355051683 Nguyen, Don H., D.O. Internal Medicine1 (916) 985-9300 3201 Data Drive 1356192429 Nguyen, Mark Q., D.O. Internal Medicine (916) 851-1440 271 Turn Pike Dr. 1355185036 (916) 985-9200 Rocklin Phung, Mai T., D.O. Family Practice Primary Care Physicians Specialty PPG/Phy # 271 Turn Pike Dr. 1355185112 Cao, Huy L., M.D. Family Practice1 (916) 985-9300 550 W. Ranch View Dr. 5175077946 Randolph, Martina, M.D. Family Practice (916) 734-2011 271 Turn Pike Dr. 1355132548 Guerrero, Ethelwoldo P., Internal Medicine (916) 985-9300 M.D. Slapnik, Kurt J., M.D.2 Family Practice1 550 W. Ranch View Dr. 5175129049 251 Turn Pike Dr. 1355021428 (916) 295-5700 (916) 985-9300 Nguyen, Thuy R., D.O. Family Practice Williams, Kimberly D., D.O.Internal Medicine 550 W. Ranch View Dr. 5175185923 271 Turn Pike Dr. 1355163443 (916) 295-5700 (916) 985-9200 Pawar, Sanyukta A., M.D. Internal Medicine1 550 West Ranch View Dr. 5175145569 Rancho Cordova (916) 295-5700 Primary Care Physicians Specialty PPG/Phy # Davis, Molly B., M.D. Family Practice Roseville 3201 Data Drive 1356193362 Primary Care Physicians Specialty PPG/Phy # (916) 851-1440 Chek, Kimdary, M.D. Family Practice 2261 Douglas Blvd. 1357143300 (916) 783-7109 1Board Certified 2Physician is currently unavailable to new patients through this physician group. 8 PARTICIPATING PHYSICIAN GROUPS AND SPECIALISTS LISTING UC Davis Medical Group - Sacramento PPG 1161 Primary Care Physicians Specialty PPG/Phy # Primary Care Physicians Specialty PPG/Phy # Febbo-Wilson, Barbara J., Internal Medicine1 Bevan, Heather J., M.D. Family Practice1 M.D. 2000 O St. 1161028202 2261 Douglas Blvd. 1357025124 (916) 442-1011 (916) 783-7109 Bhe, Anthony J., M.D. Internal Medicine Jafri, Fatima, M.D. Internal Medicine 4860 Y St. # 0400 1161194018 2261 Douglas Blvd. 1357146476 (916) 734-2737 (916) 783-7109 Bonekat, William H., D.O. Internal Medicine1 Mach, David, D.O. Family Practice 2825 J St. # 400 1161036673 2261 Douglas Blvd. 1357090164 (916) 734-0779 (916) 783-7109 Burnham, Kevin J., M.D.3 Internal Medicine s t s Sharif, Mushfeka, M.D. Internal Medicine1 4860 Y St. # 3850 1161188446 li a 2261 Douglas Blvd. 1357193652 (916) 734-7041 ci e p (916) 783-7109 Burnham, Kevin J., M.D. Internal Medicine S Bengali, Hindi 2805 J St. # 300 1161188446 d n Sutter, Jr., Charles W., M.D.Family Practice1 (916) 734-6805 s a 2261 Douglas Blvd. 1357029446 Chanana, Anjali, M.D. Internal Medicine1 up o (916) 783-7109 2825 J St. 1161091818 rg Gn Tu, Jye-Ping, M.D. Internal Medicine1 (916) 734-7777 n ti s ai 2261 Douglas Blvd. 1357520614 Chang, Jason K., M.D. Internal Medicine1 ciL i (916) 783-7109 2825 J St. # 300 1161103453 ys h Mandarin (916) 734-7777 P g Zheng, Yunli, M.D. Internal Medicine1 Draper, Jennifer E., M.D.2 General Practice n i 2261 Douglas Blvd. 1357068843 4860 Y St. # B400 1161145145 at p (916) 783-7109 (916) 734-2737 ci i t Draper, Jennifer E., M.D.2 Internal Medicine1 r a P Sacramento 4860 Y St. # B400 1161145145 Primary Care Physicians Specialty PPG/Phy # (916) 734-2737 Abad, Jose F., M.D. Family Practice1 Eidson-Ton, W. Suzanne, Obstetrics/Gynecology 500 University Ave. # 220 5282186347 M.D. (916) 286-8700 4860 Y St. # 1600 1161095560 Balsbaugh, Thomas A., Family Practice1 (916) 734-3630 M.D. Eidson-Ton, W. Suzanne, Family Practice 4860 Y St. # 1600 1161079819 M.D. (916) 734-3630 4860 Y St. # 1600 1161095560 Berry, Brigitte L., M.D. Internal Medicine1 (916) 734-3630 2825 J St. # 300 1161077941 Fancher, Tonya L., M.D. Internal Medicine1 (916) 734-7777 4860 Y St. # B400 1161096901 Bertakis, Klea D., M.D.2 Family Practice1 (916) 734-2737 4860 Y St. # 1600 1161501299 Fenton, Joshua J., M.D. Family Practice1 (916) 734-3630 4860 Y St. # 1600 1161128413 (916) 734-3630 1Board Certified 2Physician is currently unavailable to new patients through this physician group. 3Physician is currently not available through this physician group. 9