Healthy Families Program

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Welcome to Contra Costa Health Plan!

Our #1 goal is to keep you healthy and happy with our services. We will work with you and your Primary Care Provider (PCP) to address your health care needs and help you get the most out of your CCHP benefits.

No matter which provider network you’re in, either the Regional Medical Center Network or the Community Provider Network, you will get some of the best medical care around. After joining us, our members usually stay with us…and that’s the best proof there is. We promise to try and make sure that you are as happy with us as possible.

To help you understand your benefits and our services, we have combined your materials in one handy booklet for you:

Section 1: Member Handbook - your introduction to CCHP

Section 2: Provider Directory - lists the providers who work with CCHP

Section 3: Evidence of Coverage (EOC) - includes the details of your health plan

Be sure to look through all three parts of this booklet and keep it with your other important papers. We hope this booklet will answer your questions, but if you are still puzzled about anything, please call the Member Services Department at 1-877-661-6230 (press 2) from 8:00 a.m. to 5:00 p.m. Monday through Friday. They are there to serve you. You can also visit our website at www.contracostahealthplan.org.

Also remember that you have 24-hour, 7-day-a-week access to the CCHP Advice Nurses. They are your friendly, anytime connection to CCHP…someone with the medical information you need, when you need it, and just a toll-free phone call away. You will find the Advice Nurse phone number on your ID Card, in the Facility Directory and on the back of this book.

Thank you for joining the Contra Costa Health Plan. We want to be your health care choice now and in the future.

Sincerely,

Patricia Tanquary, MPH, PhD Chief Executive Officer

Contra Costa Health Plan…A Culture of Caring for over 35 Years

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Choosing A Primary Care Provider (PCP) MH-2

Accessing Medicare Care MH-3

How To Make Appointments MH-3

How to Get Your Medical Records MH-5

What If You Are Out of the Area and Need Medical Care? MH-5

Emergency Services MH-5

Ambulance Service MH-6

In Case of a Natural Disaster MH-6

Advice Nurses MH-6

Member Services MH-8

Change of Address MH-9

Grievances MH-9

Requests for Reconsideration: Appeals MH-9

Facility Directory MH-10

Section B. Provider Directory

Directorio de Proveedores

Welcome to Contra Costa Health Plan Physician Directory PD-1

What’s a PCP? PD-1

Managed Care PD-1

Your PCP PD-1

If You Need Hospitalization PD-1

Changing PCPs PD-1

Bienvenidos al Directorio de Proveedores del Contra Costa Health Plan PD-2

¿Qué es un PCP? PD-2

Atención Médica Administrada PD-2

Su PCP Es Su Proveedor De Atención Primaria PD-2

Si Usted Necesita Internarse En Un Hospital PD-2

Cambiar de PCP PD-2

Primary Care Providers Listing by City PD-3

Proveedores de Atención Primaria por Ciudad PD-3

Regional Medical Center Network (RMCN)

Antioch PD-3

Bay Point PD-3

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Alamo PD-10 Albany PD-10 Antioch PD-10 Berkeley PD-11 Brentwood PD-11 Concord PD-12 Hercules PD-13 Oakland PD-13 Pittsburg PD-15 Pleasant Hill PD-15 Richmond PD-16 San Pablo PD-17 San Ramon PD-18 Walnut Creek PD-18 Medical Specialties PD-19 Especialidades Médicas PD-20

Acupuncture Services by City PD-21

Servicios de Acupuntura por Ciudad PD-21

Chiropractic Services by City PD-23

Servicios Quiroprácticos por Ciudad PD-23

Community Provider Network (CPN)

Antioch PD-23 Brentwood PD-24 Concord PD-25 El Cerrito PD-25 El Sobrante PD-25 Emeryville PD-26 Fremont PD-26 Hercules PD-26 Lafayette PD-26 Martinez PD-27 Oakland PD-27 Oakley PD-27 Orinda PD-27 Pittsburg PD-28 Pleasant Hill PD-28 San Pablo PD-29 San Ramon PD-30 Vallejo PD-30 Walnut Creek PD-30

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Bay Point PD-32 Brentwood PD-32 Concord PD-32 Martinez PD-33 Pittsburg PD-33 Richmond PD-34

Antioch PD-34 Berkeley PD-35 Brentwood PD-35 Concord PD-35 Danville PD-36 El Sobrante PD-36 Oakland PD-37 Pittsburg PD-37 Pleasant Hill PD-37 Richmond PD-38 San Pablo PD-38 San Ramon PD-38 Walnut Creek PD-39

Pharmacy Services - PerformRx PD-40

Servicios de Farmacia - PerformRx PD-40

Vision Care PD-41

Cuidado de la Vista PD-41

Regional Medical Center Network (RMCN)

Martinez PD-41

Pittsburg PD-41

Richmond PD-41

Alameda PD-42 Antioch PD-42 Brentwood PD-43 Concord PD-44 El Cerrito PD-45 El Sobrante PD-45 Fremont PD-45 Martinez PD-45 Oakland PD-46 Pittsburg PD-47 Pleasant Hill PD-47 Pleasanton PD-48 Richmond PD-48 Rodeo PD-48

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Lista de Hospitales por Ciudad PD-51 Regional Medical Center Network (RMCN)

Martinez PD-51

Berkeley PD-51 Concord PD-51 Oakland PD-51 San Francisco PD-51 San Pablo PD-51 Walnut Creek PD-51

How to Contact Your Member Services Representative in Case of Difficulty PD-52 Comó contactarse con su Representante de Servicios para Miembros en caso de tener una dificultad PD-52

Section C. Combined Evidence of Coverage and

Disclosure Form

Welcome - About the Health Plan EOC-2

Facilities, Physician Visits and Outpatient Services EOC-2

Membership EOC-3

Multilingual Services EOC-3

Your Membership Identification (ID) Card EOC-3

Accessing Care: How to Get Health Care Services EOC-5

Health Care Services by Participating Providers EOC-5 Authorization for Health Care Services for Regional Medical Center Network and

Community Provider Network EOC-5

Referral for Health Services Given by Non-Participating Providers EOC-5

Second Opinion Policy EOC-6

Standing Referrals EOC-6

Continuity of Care – Terminated Providers EOC-7

California Children’s Services (CCS) EOC-8

County Mental Health Benefits for SED EOC-9

Scheduling Appointments EOC-10

Initial Health Exam EOC-10

Emergency Services EOC-10

What to do when you require Emergency Services EOC-10

Right to Transfer Member to Participating Provider EOC-11

Emergencies and Urgently Needed Care EOC-11

Urgent Care Services EOC-11

Duty to Notify EOC-11

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Member Liabilities EOC-12

Benefits EOC-13

Summary of Benefits EOC-13

Detailed Description of Benefits EOC-17

Health Facilities EOC-17

Inpatient EOC-17

Outpatient EOC-18

Professional Services EOC-18

Preventive Health Care Services EOC-19

Diagnostic X-Ray and Laboratory Services EOC-19

Prescription Drug Program EOC-19

A Note About Our Preferred Drug List (PDL) EOC-20

Durable Medical Equipment EOC-22

Orthotics and Prosthetics EOC-22

Cataract Spectacles & Lenses EOC-22

Maternity Care EOC-23

Length of Hospital Stay for Deliveries and Mastectomies EOC-23

Family Planning Services EOC-23

Medically Necessary Transportation Services EOC-23

Emergency Health Care Services EOC-23

Mental Health EOC-24

Alcohol/Drug Abuse Services EOC-24

Home Health Care Services EOC-24

Skilled Nursing Facility Care EOC-25

Subacute Care EOC-25

Physical/Occupational/Speech Therapy EOC-25

Acupuncture and Chiropractic EOC-25

Biofeedback EOC-25

Blood and Blood Products EOC-25

Health Information and Education EOC-26

Hospice EOC-26

Transplants EOC-26

Reconstructive Surgery: Coverage Incident to Mastectomy and

Lymph Node Dissections EOC-26

Other Benefits EOC-26

Note: Coverage of Routine Patient Care Costs for Cancer Clinical Trials EOC-27

Diabetes Management EOC-27

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Payment for Providers EOC-33

Member Rights and Responsibilities EOC-33

Complaints and Grievances EOC-34

Expedited Review of Grievances EOC-34

Filing a Complaint with the Department of Managed Health Care (DMHC) EOC-35

Right to Conference EOC-35

Independent Medical Review EOC-35

Independent Medical Review (IMR) of Denials based on Medical Necessity EOC-36 How Eligibility for Independent Medical Review will be Decided EOC-36

Other Information EOC-37

Organ and Tissue Donation EOC-37

Right to Review EOC-37

Policy Against Discrimination EOC-37

American Disability Act Disclosure EOC-38

Notice of Information Practices EOC-38

HIPAA Notice of Privacy Practices EOC-39

Contra Costa Automated Immunization Registry: Disclosure and Information

For Parents EOC-45

Public Policy EOC-46

Advance Directives EOC-46

Definitions EOC-47

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We have been caring for the people

of Contra Costa for over 35 years,

and our goal is to keep you happy

with the services you receive. Our

doctors and nurses are the heart of

Contra Costa Health Plan, both

those within the Regional Medical

Center Network and those in our

Community Provider Network. The

Health Plan and our medical

providers agree that your good

health is the most important thing.

This handbook will help you

understand how to best use your

benefits with Contra Costa Health

Plan (CCHP) -Commercial.

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managed care plan that you can count on to help you and your family stay healthy. At CCHP you can choose a doctor or provider who will get to know you and your family members. You will not have to search for doctors or specialists on your own and you will receive comprehensive services including emergency and urgent care, hospitalization, regular check ups, immunizations and other preventive health care. You will also have access to our 24-hour Advice Nurse Service available 365 days a year.

Member Orientation Materials

All new members will receive an ID card and this booklet containing a Member Handbook, a Provider Directory and Evidence of Coverage (EOC) within the first month of membership. The EOC contains definitions of services and benefits as well as a Benefit Grid, or Matrix. The EOC also gives you explanations and details of applicable government laws and regulations regarding issues that may affect the care you receive from the Health Plan.

This Member Handbook is a guide to receiving care through your CCHP membership. HealthSense Newsletter

Several times a year you will receive an informative member newsletter from us. We hope you will take the time to read the articles on health and wellness, nutrition, fitness, prevention, safety and self care. Each edition also has important messages from the Health Plan to keep you informed of what changes have been made, what is coming up in the future, how to use our health care system and much more.

Choosing a Primary Care Provider

Your Benefit Plan guides your choice of a Primary Care Provider (PCP) Network. You may have chosen a benefit plan that allows you to choose a PCP from the Regional Medical Center Network only (RMCN), or you may belong to a plan that allows you a choice between the RMCN or the Community Provider Network (CPN). Either way you will have the benefit of choosing a doctor or nurse practitioner from our large list of providers. CCHP’s highly qualified Primary Care Providers get to know you and your medical history. They guide you through the tests and checkups you need to keep healthy, and they take care of you through the colds, flu, and minor sicknesses and injuries that happen to all of us.

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You will see your Primary Care Provider for your routine care, and if you need additional specialty care your PCP will arrange for whatever referrals, authorizations and treatments you may need. If you choose a Regional Medical Center Network doctor you will receive your health care from the doctors and nurses who are on our Contra Costa Health Services staff. They practice in neighborhood Health Centers in Antioch, Bay Point, Brentwood, Concord, Martinez, Pittsburg, North Richmond and Richmond. There is a listing of the Regional Medical Center Network doctors in your Provider Directory.

If your Benefit Plan allows the choice of a Community Provider Network doctor, you will get your medical care at your provider’s private office. There is a listing of contracting providers, with their addresses and phone numbers, in the Provider Directory.

Member Services Representatives are available to discuss your needs and assist you in selecting the best provider for you. We have both male and female doctors and family nurse practitioners, many of whom speak other languages in addition to English. It is important for you to be comfortable and develop a long-term relationship with your provider. If you want to change Primary Care Providers or you need help choosing one, call Member Services at 1-877-661-6230 (press 2).

Scheduling Your First Appointment with Your Doctor

As soon as possible after joining CCHP, you should make an appointment with your PCP for an initial visit. This will allow you to get to know your provider and for your provider to get to know you, your health history and your specific health care needs and concerns. Look in the Facility Directory or Provider Directory for the phone number to call to schedule your first appointment.

Accessing Medical Care

How To Make Appointments with your Regional Medical Center Network (RMCN) Doctor: Call Central Appointments at 1-800-495-8885. Central Appointments is open Monday-Friday from 7:00 a.m. to 6:00 p.m., except holidays.

You will be able to schedule advance appointments with only your own Primary Care Provider based on how often you keep your scheduled appointments. In order to encourage patients to keep their scheduled appointments, call in advance to cancel their appointment, and reward patients who consistently keep their appointments, the following rules have been set:

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days in advance.

• _{If you keep less than 50% of your appointments, you may not schedule advance} appointments, but will still be able to schedule same day and next day appointments. If you need an urgent appointment, call as early as possible. Central Appointments opens at 7 am, Monday through Friday. When you call, you will need to have your Health Plan ID number ready, as located on your ID card. If you don’t have your ID card, please call Member Services at 1-877-661-6230 (press 2) for a replacement.

How To Make Appointments with your CommunityProvider Network (CPN) Doctor:

Call the number for your doctor’s office listed in your Provider Directory. Community Providers sometimes have different hours at their different office locations. Call your provider’s office to make an appointment at a time and place that best suits you. If your provider is unavailable because of vacation or other activities, a call to his or her office staff will tell you where you can get care during that time.

Seeing a Specialist

Your PCP will arrange specialty services for you using a list of staff and contracted specialists. They will help you get the necessary referrals and authorizations needed by CCHP. There is no additional cost when you are referred to a specialist by your provider and CCHP authorizes the service(s), other than any co-payment due under your benefit plan.

To ensure you get specialty care when you need it, CCHP tries to follow certain timeframes for access to care. If you need an urgent specialty appointment, we will do our best to help you get an appointment within 72 hours of getting a completed request. If it isn’t urgent, we may take up to twelve working days.

If you see a specialist without a CCHP provider referral and authorization from the Health Plan, you will be responsible for the cost. However, SeniorHealth members have the right to use their Original Medicare card and benefits independently even though the Plan will not cover the deductible or co-payment unless authorized by the Plan.

A few specialty services are available without a referral from your PCP. For instance, women can self refer to any network Gynecologist listed in your CCHP Provider Directory. You can also self refer to a network Optometrist for a vision examination.

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For more information about authorizations and referrals, refer to your EOC.

How to Get Your Medical Records

For continuity of care, it is important to have copies of your medical records transferred to the Community Provider’s office or the Health Center you will use. Ask your provider’s office staff to assist you in transferring your medical records from your previous provider(s) at your first appointment. Or you can simply call your former provider(s) and have your medical records sent to your new provider.

What If You Are Out of the Area and Need Medical Care?

If you need immediate medical attention while you are out of Contra Costa County, go to the nearest medical facility. When you are out of the area the Health Plan covers the cost of emergency and urgently needed services only. Call the 24-hour emergency authorization number on your CCHP ID card before you receive care or as soon as possible afterward. If you don’t receive authorization you may be responsible for the cost of the care. Follow up care at out-of-area facilities is generally not a covered benefit.

SeniorHealth members have the right to seek medically necessary care covered by their Original Medicare card and benefits independently but the Plan will not cover the deductible or co-payment if these services were not emergent, urgently needed or authorized by the Plan.

For more information on out of area care refer to your EOC.

EMERGENCY SERVICES

If you have an emergency such as unusual or excessive bleeding, broken bones, severe pain, poisoning, unconsciousness or choking, you should call (or have a family member call) 911, or go to the nearest emergency room. As soon as possible you should notify CCHP by calling the phone number printed on the back of your Contra Costa Health Plan Identification Card. Emergency departments treat patients with the most severe medical problems first.

A Health Plan Advice Nurse can help you determine whether a trip to the hospital emergency department is really necessary, or if you could save time by treating the problem at home or waiting until the next day to see someone. The Advice Nurse service is described below.

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Ambulance service will be arranged for you when you call for emergency authorization or if you call 911. The emergency authorization number is listed on your Health Plan ID Card. The ambulance crew will make the decision about which hospital to use.

Remember that ambulance services must be medically necessary in order to be a covered benefit. In Case of a Natural Disaster

If you are temporarily without phone service during a natural disaster and you are faced with a medical emergency, go to the nearest medical facility.

ADVICE NURSES

The 24-hour a day, 365 days a year Advice Nurse Service for Contra Costa Health Plan members is your friendly, anytime connection to CCHP… someone with the medical information you need, when you need it, and just a toll-free phone call away at 1-877-661-6230 (press 1). An Advice Nurse can help you get medical care without delay, or help you treat the ailment at home. You will find the Advice Nurse phone number on your ID Card and in the Facility Directory.

ADVICE NURSE SERVICES INCLUDE: • Advice for At Home Care

The Advice Nurse can give you valuable advice to care for your illness or injury at home. The Advice Nurse will also help you decide if you need emergency or urgent medical care.

• Emergency Visits

Remember that in an emergency you may call 911 or go to the nearest Emergency Room (ER). If you aren’t sure if you need to go to the ER, call the Advice Nurses to help you decide. If you do, they will tell you what to do before you go and what to tell the emergency staff once you get there. The Health Plan will cover expenses for all emergencies and/or urgently needed care for eligible members.

• Community Resources

Advice Nurses are specially trained to refer you to other organizations in the County to give you special help if you need it. Referral Services can include emergency shelters,

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• Parenting Advice

The focus of the Parenting Service is education for eligible parents and their covered children. You can get information on childhood and adolescent development, health and behavior including:

- How to know when your baby’s crying means something serious

- What to do if your child has a fever

- Nutritional, sleep time and potty training tips for parents of young children

- What immunizations are necessary to protect your child’s health

- What to do for common childhood illnesses

- How to best deal with behavioral problems such as the “terrible twos” or teenage conflict

• Test Results

- When you call for routine lab results done at a County Health Center, and you have no medical symptoms, we ask that you leave a message for the Advice Nurse. Your message should include your full name (including the spelling), medical record number and telephone number, as well as the best time to call you back. An Advice Nurse will return your call within 24 hours. The Advice Nurse can give you only the results for the following tests if the tests were done at a County Health Center:

- Complete blood count

- Lead

- Cholesterol and blood sugar

- Liver panel, hepatitis and most other blood tests

- X-rays

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Martinez at 925-370-5495 Pittsburg at 925-431-2345 Richmond at 510-231-1340

For HIV test results, you must make a return appointment with your Primary Care Provider. • The Best Time to Call

Our Advice Nurses answer calls 24/7, but some times are busier than others. In order to reduce the time you spend waiting on the phone, we recommend you follow these guidelines:

- If you are in a life-threatening situation, call 9-1-1 directly.

- If you are sick or injured, or thinking of going to the emergency room, call the Advice Nurses right away, any time.

- For non-urgent calls, like general health advice, minor illnesses or test results, avoid calling from 7 to 10 a.m., or from 3 to 7 p.m. These times are very busy with urgent health

problems.

Your Advice Nurse is just a phone call away. Nurses are available to talk to you to give helpful, accurate, and timely advice whenever you need it, even if you are out of the service area. Their phone number is also in the Facility Directory and on the back of your ID Card. If you have a Community Provider as your PCP, we encourage you to call your doctor first. When leaving a message for the Advice Nurse Unit or at your provider’s office, you can expect a call back within four business hours.

Advice Nurse 1-877-661-6230 (press 1)

MEMBER SERVICES

We are especially interested in keeping our members informed, happy with their membership, and satisfied with their treatment. When questions or concerns arise, your Member Services Representative is your very own personal expert in helping you to:

- Select a Primary Care Provider - Change your provider

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- AND MORE!

You can reach your Member Services Representative by calling toll free 1-877-661-6230 (press 2) from 8:00 a.m. - 5:00 p.m. Monday through Friday, except on Holidays.

Change of Address

We send you important information about your health care to the address we have on file. If there is a change in your address or phone number, please contact Member Services right away.

Grievances

Whenever you are not satisfied with the care or services you have received, you can contact Member Services to help resolve the problem or to file a grievance. Your Member Services Representative will help investigate and resolve the issue.

For a full description of our Grievance Process, refer to your EOC.

Requests for Reconsideration: Appeals

If the Health Plan denies a service or payment for a service, you will be informed of the denial and the reason for the denial by letter. The letter will explain your rights and how to appeal any negative decision of the Plan.

If you feel the Plan has wrongly denied, modified or delayed a service because the Plan said the treatment was not medically necessary, was experimental or investigational in nature, you can request an Independent Medical Review.

For members in our SeniorHealth Plans, if you have submitted a request for reconsideration and the Plan does not reverse their original denial in full, your case will be automatically sent to an independent review organization that has a contract with the Federal government and is not a part of Contra Costa Health Plan. This organization will review your request and make a decision about whether the Plan must give you the care or payment you want.

For a full description of our Appeals and/or Independent Medical Review Processes, refer to your EOC.

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For Appointments in Regional Medical Center Network call . 1-800-495-8885

To Reach Your Regional Medical Center Doctor ... 1-877-905-4545

ANTIOCH HEALTH CENTER

3505 Lone Tree Way, Suite 1 Antioch, CA 94509

BAY POINT FAMILY HEALTH CENTER 215 Pacifica Avenue

Bay Point, CA 94565

BRENTWOOD HEALTH CENTER 171 Sand Creek Road, Suite A

Brentwood, CA 94513

CONCORD HEALTH CENTER 3052 Willow Pass Road

Concord, CA 94519

MARTINEZ HEALTH CENTER - BLDG 1 2500 Alhambra Avenue

Martinez, CA 94553

MARTINEZ HEALTH CENTER - BLDG 2 2500 Alhambra Avenue

Martinez, CA 94553

PITTSBURG HEALTH CENTER 2311 Loveridge Road

Pittsburg, CA 94565

NORTH RICHMOND CENTER FOR HEALTH 1501 Third Street

Richmond, CA 94801

RICHMOND HEALTH CENTER 100 38th Street Richmond, CA 94801 Hours: 7:45am - 4:45pm M, W, F 7:45am - 8:30pm T, TH Hours: 7:45am - 8:30pm M 7:45am - 4:45pm T - F Hours: 7:45am - 4:45pm T, TH, F 7:45am - 8:30pm M, W Hours: 7:45am - 8:30pm T -TH 7:45am - 4:45pm M, F Hours: 7:45am - 6:00pm M, W, TH, F 7:45am - 8:30pm T Hours: 7:45am - 8:30pm M - F 7:45am - 4:45pm S Hours: 7:45am - 8:30pm M, W 7:45am - 4:45pm T, TH, F 7:45am - 4:45pm S Hours: 7:45am – 4:45pm M - F Hours: 7:45am - 4:45pm M, W, F 7:45am - 8:30pm T, TH, PLEASE SEE YOUR PROVIDER DIRECTORY

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DENTAL (check your EOC to see if you have a dental benefit)

Martinez...(925) 370-5300 Same Day Urgent Appointments ...Press 1

Routine Appointments ...Press 2 Pittsburg

Same Day Urgent Appointments ...(925) 431-2502 Routine Appointments ...(925) 431-2501 Richmond

Same Day Urgent Appointments ...(510) 231-1242 Routine Appointments ...(510) 231-1240 MENTAL HEALTH REFERRALS………..1-877-661-6230 (press 4) ADULT MEDICINE CENTERS FOR ADULTS 40+

To Make An Appointment Call:

Antioch... 1-800-495-8885 Concord ... 1-800-495-8885 CCHP KEY PHONE NUMBERS

Member Call Center... 1-877-661-6230 Advice Nurse-24hrs/7 days/wk ... Press 1 Member Services... Press 2 Pharmacy Services... Press 3 Authorizations/Referrals (Medical & Mental Health) ... Press 4 Appointments (Health Centers only)... Press 5 Marketing & Sales Department... Press 6 Administration ... (925) 313-6000 Chief Executive Officer ... (925) 313-6004 Business Office/Claims... (925) 957-5185 Premium Payments ... (925) 957-7259

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them. You will find:

Doctors, Nurse Practitioners, and Physician Assistants you can choose listed by location AND in alphabetical order. If a doctor, nurse practitioner or physician assistant speaks a language other than English, it will be in the listing.

Hospitals, pharmacies, and specialty services listings

This Provider Directory helps you find the right medical provider for you. As a member of the Health Plan you can choose your Primary Care Provider (PCP) from the Regional Medical Center Network or the Community Provider Network. To choose or change your PCP call your Member Services Representative at 1-877-661-6230 (press 2).

What’s a PCP?

You may be new to a health plan. You will hear words like Managed Care, Primary Care Provider, and Provider Network. Here are a few things you should know:

MANAGED CARE means you will have your own personal doctor to oversee, coordinate and provide all your necessary medical care services. This will help you and your family get the right care at the right time, in the right setting.

YOUR PCP is your Primary Care Provider, which is another name for the doctor that you will see most of the time when you need medical care. You may also receive your care from a nurse practitioner or physician assistant. If you need to see a specialist, your PCP will arrange all authorized referrals and help pull it all together for you.

IF YOU NEED HOSPITALIZATION you will probably go to the hospital where your PCP has admitting privileges. Your Primary Care Provider will decide when you need to go to a hospital and which hospital is best able to care for you.

CHANGING PCPs is easy. All you need to do is call Member Services

1-877-661-6230 (press 2) and they will help you choose another Primary Care Provider. Generally, it is best not to change doctors while you are pregnant, hospitalized or undergoing a course of treatment.

For CCHP Plans: AIM, Healthy Families, Major Risk (MRMIP), Value Plus, Value Plus Conversion, SeniorHealth Plus (PD_CON_RMCCPN.12/2008)

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doctor o enfermera de atención primaria de salud de la familia habla otro idioma además de inglés.

Listas de hospitales, farmacias, y servicios especializados.

Este Directorio de Proveedores le ayuda a encontrar el proveedor de servicios médicos correcto para usted. Como miembro del Health Plan, usted puede elegir su Proveedor de Atención Primaria (PCP) usando la lista del Regional Medical Center Network (la Red de los Centros de Salud del Condado) o la lista del Community Provider Network (la red de los médicos de la comunidad). Para elegir o cambiar su PCP, llame a Servicios para Miembros al

1-877-661-6230 (oprima el 2).

¿Qué es un PCP?

Quizás sea la primera vez que usted tiene un seguro de salud. Usted va a escuchar palabras como Atención Médica Administrada, Proveedor de Atención Primaria, y Red de Proveedores. Aquí se encuentra algunas cosas que debe de saber:

ATENCIÓN MÉDICA ADMINISTRADA significa que usted tendrá su propio médico para supervisar, coordinar y proveer todos sus servicios de cuidado médico necesarios. Eso va a ayudar a usted y a su familia para que reciban el cuidado correcto en el momento correcto, en el ambiente correcto.

SU PCP ES SU PROVEEDOR DE ATENCIÓN PRIMARIA, lo cual es otro nombre que se le da al doctor que usted verá la mayoria de las veces cuando necesite atención médica. También puede recibir atención médica de la enfermera

especializada en atención primaria. Si usted necesita ver a un especialista, su Proveedor de Atención Primaria hará los arreglos necesarios para la autorización de todos los detalles de su visita.

SI USTED NECESITA INTERNARSE EN UN HOSPITAL es probable que usted vaya al hospital donde su PCP tiene autorización para atender a sus pacientes internados. Su Proveedor de Atención Primaria decidirá cuando usted deberá ser admitido a un hospital y cuál hospital es el más indicado para atenderlo(la).

CAMBIAR DE PCP es fácil. Todo lo que usted necesita hacer es llamar a Servicios para Miembros al 1-877-661-6230 (oprima 2), y le ayudarán a elegir otro Proveedor de Atención Primaria. Generalmente, es mejor no cambiarse de doctor cuando usted esté embarazada, hospitalizado(a), o siguiendo un tratamiento.

Para planes de CCHP: AIM, Healthy Families (Familias Sana), Major Risk (Riesgo Mayor, MRMIP), Valor Plus, Conversión de Valor Plus, SeniorHealth Plus.

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Regional Medical Center Network

ANTIOCH

Antioch Health Center 600965

3505 Lone Tree Way, Ste 1 Antioch, CA 94509 800-495-8885 Family Medicine Hours: M-F 7:45 am - 11:45 am 12:45 pm - 4:45 pm T, Th 5:15 pm - 8:30 pm The Provider(s): Chun, Kwan, MD 313106 Languages: Spanish/Español Hansen, Anniken, MD 314062 Languages: Spanish/Español Manuntag, Wilfredo, MD 309526 Languages: Tagalog Palmer, Nancy K., MD 313130 Roberts, Jessica, MD 313155 Languages: Spanish/Español Tai, Denise, MD 318147 Languages: Cantonese Antioch Adult Medicine Center

3505 Lone Tree Way, Ste 4

Antioch, CA 94509 800-495-8885 Geriatrics

(40 years and older) Hours: M-F 7:45 am - 11:45 am 12:45 pm - 4:45 pm The Provider(s): Lively, Dan, MD 306308

Antioch Pediatric Clinic 3505 Lone Tree Way, Ste 1 Antioch, CA 94509 (800) 495-8885 Hours: T, Th 8:00 am - 12:00 pm The Provider(s): Osborne, Fred, MD 320952 Tomasulo, Michelle, NP 311399 Walsh, John, MD 319202

BAY POINT

Bay Point Family Health Center 600973 215 Pacifica Ave. Bay Point, CA 94565 800-495-8885 Family Medicine Hours: M 7:45 am - 8:30 pm T, W, Th, F 7:45 am - 11:45 am 12:45 pm - 4:45 pm The Provider(s): Perez, Greta, MD 307066 Languages: Spanish/Español Savage, Cynthia, MD 309351

This list of PCP’s is for your information, and current as of 11/25/2008. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2).

Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del of 11/25/2008. CCHP no garantiza que los Proveedores continuen en la lista o aceptando nuevos miembros. Por favor comuníquese con el

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B

RENTWOOD

Brentwood Health Center 600981

171 Sand Creek Rd., Ste A Brentwood, CA 94513 800-495-8885 Family Medicine Hours: M-F 7:45 am - 11:45 am 12:45 pm - 4:45 pm M, W 5:15 pm - 8:30 pm The Provider(s): Cohen, Jessica, MD 318089 Hearst, David, MD 302836 Languages: Spanish/Español Holmes, Michelle, MD 318196 Languages: Spanish/Español Lewis, Elise A., MD 311316 Maramonte, Shelly, MD 306548 Mohr, Arwen, MD 314088 Tomasulo, Michelle, NP 311399 Yasul, Jose, MD 312041 Brentwood Pediatric Clinic

171 Sand Creek Rd., Ste A Brentwood, CA 94513 800-495-8885 Hours: M 7:45 am - 11:45 am Th 7:45 am - 11:45 am 12:45 pm - 4:45 pm The Provider(s): Bassali, Joanne, MD 318279 Languages: Spanish/Español

C

ONCORD

Concord Health Center 600957 3052 Willow Pass Rd. Concord, CA 94519 (800) 495-8885 Family Medicine Hours: M-F 7:45 am - 11:45 am 12:45 pm - 4:45 pm T-Th 5:15 pm - 8:30 pm The Provider(s): Bannwart, Philipp, MD 319483 Languages: German Cherayil, Annie, MD 309377 Languages: Spanish/Español Daniels, Stephen J., MD 095711 Languages: Spanish/Español Fraser, Anna, MD 314237 Kang, Hanna, MD 319913 Language: Korean, Spanish/Español Lee, Tabessa, MD 318808 Languages: Mandarin Pillai, Sangita, MD 320812 Quinones, Lisa, MD 318121

This list of PCP’s is for your information, and current as of of 11/25/2008. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2).

Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir of 11/25/2008. CCHP no garantiza que los Proveedores continuen en la lista o aceptando nuevos miembros. Por favor comuníquese con el

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Saffier, Kenneth, MD 302919 Languages: Spanish/Español Tysell, James, MD 054155 Tzvieli, Ori, MD 310664 Languages: Hebrew Wildfire, Gila, MD 314609 Languages: Hebrew, Spanish/Español

Concord Adult Medicine Center

3052 Willow Pass Rd. Concord, CA 94519 800-495-8885 Geriatrics

(40 years and older) Hours: M-F 7:45 am - 11:45 am 12:45 pm - 4:45 pm The Provider(s): Bloch, Joy S., MD 311266 Cremin, Dan, MD 305698 Languages: Spanish/Español Lively, Dan, MD 306308

Concord Pediatric Clinic

3052 Willow Pass Rd. Concord, CA 94519 800-495-8885 Hours: M, T, W, F 8:00 am - 12:00 pm W, Th 1:00 pm - 5:00 pm The Provider(s): Cedermaz, Heather, FNP 311480 Language: Spanish/Español Dooley, Diane, MD 119966 Language: Spanish/Español Elliff, Jo, FNP 300129 Languages: Spanish/Español White, Keith, MD 305029 Language: Spanish/Español

Martinez Health Center 600585 2500 Alhambra Ave. Martinez, CA 94553 800-495-8885 Family Medicine Hours: M-F 7:45 am - 8:30 pm Sat 7:45 am - 11:45 am 12:45 pm - 4:45 pm The Provider(s): Arpajirakul, Neary, MD 318758 Languages: Cambodian Barrow, Roger, MD 138362 Beach, Courtney, MD 310599 Bhatt, Veda, MD 307660 Languages: French, Gujarati Bierer, Elizabeth, MD 320861 Carey, Joseph, MD 318774 Languages: Spanish/Español

Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir of 11/25/2008. CCHP no garantiza que los Proveedores continuen en la lista o aceptando nuevos miembros. Por favor comuníquese con el

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Cominos, Eve D., MD 305995

Languages: French, Greek, Spanish/Español Fentress, Daniel “Matthew”, MD 320895 Forman, Stuart, MD 304766 Languages: Spanish/Español Foster, Matthew, MD 320903 Fraser, Anna, MD 314237 Furtado, Marcia, FNP 601872 Languages: Spanish/Español Green, Trinh, MD 318774 Languages: Cantonese, French Haglund, Kimberley, MD 311308 Languages: Mandarin Hansen, Erica, MD 318782 Katzman, Kenneth, MD 308403 Kershnar, Rebecca, MD 319814 Languages: Spanish/Español Lee, Daniel, MD 318790 Lee, John M., MD 138347 Languages: German MacDonald, David, MD 304790 Languages: Spanish/Español McCoy, Thomas, MD 318865 McNabb, T. Rich, MD 304634 Meyer, Jacob, MD 319822 Montandon, Michele, MD 319830 Languages: Spanish/Español Morrison, Chantal, MD 318816 Navel, Jamie, MD 319848 Languages: Spanish/Español Pepper, David, MD 320275 Render, Rebecca, MD 320887 Schaplow, Reagan, MD 320879 Languages: Spanish/Español Shaw, Maya, MD 319855 Sheldon, Will, MD 319863 Languages: Spanish/Español Slauson, Dana L., MD 136879 Solomon, David, MD 319871 Suchow, David J., MD 997262 Languages: Spanish/Español

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Tantod, Bhaki, MD 319889 Language: Gujarati Thedinger, Blair, MD 320077 Walker, William B., MD 198259 Weng, Christina, MD 313171 Languages: Mandarin Wong, Michelle, MD 320838

Martinez Pediatric Clinic 2500 Alhambra Ave. Martinez, CA 94553 (800) 495-8885 Hours: M-F 7:45 am - 4:45 pm The Provider(s): Ghori, Imtiaz, MD 309815 Languages: Spanish/Español Hamilton, Gwen, MD 303941 Owens, Nancy, MD 303990

Pittsburg Health Center 600593 2311 Loveridge Rd. Pittsburg, CA 94565 800-495-8885 Family Medicine Hours: T, Th, F 7:45 am - 4:45 pm M, W 7:45 am - 8:30 pm Sat 7:45 am - 11:45 am 12:45 pm - 4:45 pm The Provider(s): Alingog, Karen, MD 318055 Berger, Christina, FNP 308479 Burchett, Lawrence, MD 318766 Languages: Spanish/Español Chou, Cinnie, MD 314039 Languages: Spanish/Español Daniels, Stephen J., MD 095711 Languages: Spanish/Español DeSoer, Craig M., MD 307280 Languages: French, Spanish/Español Dorado, Francisco, MD 320937 Farnitano, Christopher, MD 305292 Gonzalez, Ruben, MD 320846 Jones, Anthony, MD 308403 Languages: Spanish/Español Lin, Alice, MD 314021 Lipson, John, MD 319897 Madrigal, Teresa, MD 308338 Languages: Spanish/Español Martinez, Michael, MD 319905 Languages: Spanish/Español Pizzo, Anthony, FNP 306696 Languages: Spanish/Español

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Roe, Taiyun, MD 312009 Languages: Spanish/Español Romero-Duran, Adolfo, MD 319764 Languages: Spanish/Español Standefer, Charlotte, MD 307850 Languages: Spanish/Español Strych, Deborah, NP 307256 Westerman, Jennifer, FNP 306787 Languages: Spanish/Español Yang-Sharma, Patrice, MD 318840

Pittsburg Pediatric Clinic 2311 Loveridge Rd. Pittsburg, CA 94565 800-495-8885 Hours: M, T, Th 12:45 pm - 5:00 pm F 7:45 am - 12:00 pm The Provider(s): Chou, Cinnie, MD 314039 Nix, Debbie, FNP 310730 Rice, Abraham, MD 320929

RICHMOND

North Richmond Center for Health 1501 Third St. Richmond, CA 94805 800-495-8885 Family Medicine Hours: M-F 7:45 am - 12:00 pm 1:00 pm - 4:45 pm The Provider(s): Carmichael, Cynthia, MD 308619 Languages: Spanish/Español Eveland, Joanna, MD 319772 Languages: Spanish/Español Howard, Phyllis, FNP 308072 Perez-Baron, Gina, MD 318824 Sam, Michael, MD 320416 Languages: French Richmond Health Center 600601 100 - 38th St. Richmond, CA 94805 800-495-8885 Family Medicine Hours: M, W, F 7:45 am - 11:45 am 12:45 pm - 4:45 pm T, Th 7:45 am - 8:30 pm The Provider(s): Boyd, Michael, MD 320853 Diamond, Jan, MD 302943 Languages: Spanish/Español Farey, Krista, MD 303909 Languages: Spanish/Español

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Glatt, Patty, MD 306449 Languages: Spanish/Español Godzich, Micaela, MD 319921 Harvey, Ann, MD 307140 Languages: Spanish/Español Hinman, Priscilla, MD 306332 Languages: French, Spanish/Español Kaji, Troy T., MD 310839 Languages: Spanish/Español Kalra, Sumita, MD 320176 Lee, Rebecca, MD 320911 Lehman, Tara, MD 312108 Languages: Spanish/Español Miller, Laura G., FNP 307876 Pehling, James, MD 313148 Languages: Spanish/Español Pinto, Natasha, MD 319939

Puell, Michael A., MD 306134 Languages: Italian, Spanish/Español Rapa, Katrina, MD Saito, Hideto, MD 320820 Sandler, Andrea, MD Scott, Malaika, MD 318832 Shaw, Howard, FNP 307546 Languages: Spanish/Español Shah, Nishant, MD 318139 Siegel, Alan L., MD 310078 Languages: Spanish/Español Steirn, Cathy, FNP 307827

Wadle, Dawn Marie, MD 305938 Languages: Spanish/Español Zaks, Camilo, MD 318857 Languages: Spanish/Español Richmond Pediatric Clinic 100 –38th St. Richmond, CA 94805 (800) 495-8885 Hours: M, W 7:45 am - 11:45 am T, Th 12:45 pm - 4:45 pm The Provider(s): Carpenter, James, MD 139311 Languages: Spanish/Español Ghori, Ghori, Imtiaz, MD 309815 Languages: Spanish/Español Pierson-Brown, Leigh, FNP 308962

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Communiy Provider Network

A

LAMO

John Muir Physician Network 1505 St. Alphonsus Way Alamo, CA 94507 925-837-4225 Pediatrics Languages: Polish, Punjabi, Russian, Spanish/Español, Tagalog, Vietnamese Hours: M-F 9:00 am - 5:00 pm Same Day Appointments Sat 9:00 am - 12:00 pm The Provider(s): Brown, Katharine, MD 602482 Hahn, Gregory, MD 602441 Kadas, Robert, MD 602235 (0 to 18 years) Nash, Andrew, MD 601161

Will see siblings of current members (0 to 18 years) Whyte, Lynne, MD 602243

ALBANY

El Cerrito Medical Group

500 San Pablo Ave., Ste 400 Albany, CA 94706 510-524-4070 Family Medicine Hours: M-F 9:00 am - 5:00 am Sat 9:00 am - 1:00 pm The Provider(s): Blaufarb, Pamela, NP 602649 Simon, Christine, MD 707017 Wallach, Andrew, MD 600072

A

NTIOCH BAART Community Healthcare 3707 Sunset Lane Antioch, CA 94509 925-522-0124 General Practice (22 years and older)

Languages: Bulgarian, French, Gujarati, Tagalog Hours: M-F 6:00 am - 10:00 am 11:00 am - 2:00 pm The Provider(s): Quismorio, William 318022

Antioch Medical Park Medical Group

3737 Lone Tree Way Antioch, CA 94509 925-754-5151Family Medicine (0 to 22 years) Languages: Spanish/Español Hours: M, W, Th 9:00 am - 12:00 pm 2:00 pm - 5:00 pm T, F 9:00 am - 12:00 pm The Provider(s): Zimmerman, J. Gene, MD 600510

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Delta Pediatrics

3903 Lone Tree Way, Ste 211

Antioch, CA 94509 925-754-7200

Languages: Farsi, Hindi, Urdu Hours: M-Th 8:00 am - 5:00 pm F 8:00 am - 2:00 pm Sat 9:00 am - 12:00 pm The Provider(s): Mahdavi, Abbas, MD 600015 Contra Costa Pediatrics, Inc.

5173 Lone Tree Way Antioch, CA. 94531 925-755-8500 Languages: Spanish/Español Hours: M-F 9:00 am – 4:00 pm The Provider(s): Jones, Michelle, MD 602599 Sharma, Anamika, MD 602656

BERKELEY

Private Pediatrics, Inc.

3031 Telegraph Ave., Ste 235 Berkeley, CA 94705 888-254-3950 Pediatrics Hours: M-F 11:00 am - 7:00 pm The Provider(s): Nadoolman, Wolffe, MD 602003

BRENTWOOD

Darmawan, Steve, MD 1191 Central Blvd., Ste. D Brentwood, CA 94513 925-240-7337 Pediatrics Hours: M-F 8:00 am – 5:00 pm

Diablo Valley Specialists In Internal Medicine

2400 Balfour Rd., Ste. 300 Brentwood, CA. 94513 925-513-9177

(14 years and older) Languages: Spanish/Español Hours: M, W 9:00 am - 12:00 pm 2:00 pm - 5:00 pm T 9:00 am - 12:00 pm 2:00 pm - 6:00 pm Th 9:00 am - 12:00 pm F 9:00 am - 1:00 pm The Provider(s): Kassels, Michael, DO 310334 Garcia, Jaime, MD 1191 Central Blvd., Ste D Brentwood, CA 94513 925-240-7337 Pediatrics (Existing Only, 18 years and younger) Languages: Spanish/Español Hours: M-F 8:00 am – 12:00 pm 1:00 pm – 5:00 pm

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CONCORD

Diablo Valley Specialists in Internal Medicine 2339 Almond Ave. Concord, CA 94520 925-687-6111 (14 years and older) Languages: Spanish/Español Hours: M, W 9:00 am - 12:00 pm 2:00 pm - 5:00 pm T 9:00 am - 12:00 pm 2:00 pm - 6:00 pm F 9:00 am - 1:00 pm The Provider(s): Kassels, Michael, DO 310334

John Muir Physician Network 2700 Grant St., Ste 200 Concord, CA 94520 925-677-0500 (Existing Only) Pediatrics (0 - 22 years) Language: Spanish/Español Hours: M, Th, F 8:00 am – 5:00 pm T 8:00 am 12:00 pm S, Sun Urgent Care The Provider(s): Cortez, Paul, MD 714337

Rapidcare Medical Clinic 2299 Bacon St., Ste 6 Concord, CA 94520 925-356-5636 (Existing Only) Internal Medicine, (22 years and older) Languages: Farsi Hours: M-F 9:00 am - 12:00 pm 1:00 pm - 5:00 pm The Provider(s): Farhangfar, Kamyar, MD 602078 Rana, Jasbir, MD 2600 Park Ave., Ste 208 Concord, CA 94520 925-676-7224

Pediatrics (0 - 22 years) Languages: Hindi, Punjabi, Spanish/ Español, Urdu Hours: M-F 8:30 am - 5:00 pm The Provider(s): Pereira, Sharlene, MD Rana, Jasbir, MD 602383 Salazar-Suero, Jorge, MD 600049 2211 East Street Concord, CA 94520 925-603-1363 Internal Medicine, (22 years and older) Language: Spanish/Español Hours: M-F 9:00 am - 11:30 pm 2:00 pm - 5:00 pm Samplay, Hari, MD 602391 2182 East Street Concord, Ca. 94520 925-597-0202 Internal Medicine, (22 years and older)

Languages: Hindi, Punjabi, Urdu Hours: M-F 6:00 pm - 8:00 pm Sat 10:00 am - 4:00 pm

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Sundar, Sam, MD 600056

2415 High School Ave., Ste 700

Concord, CA 94520 925-680-6846 Internal Medicine, (22 years and older) Hours: M, T, Th, F 8:00 am - 5:00 pm W 8:00 am - 12:30 pm

H

ERCULES

Herculean Baby Pediatrics

500 Alfred Nobel Dr., Ste 255 Hercules, CA 94547 510-964-9647 Pediatrics Languages: French, Spanish/Español Hours: M, W, F 2:00 pm – 7:00 pm T, Th 9:00 am – 5:00 pm The Provider(s): Enz, Jose, MD 602375 Pleet, Helaine, MD 602250

O

AKLAND Blaisch, Brian, MD 2700 International Blvd., Ste. 11 Oakland, CA 94601 510-533-1248 Pediatrics Languages: Chinese, Spanish/Español, Vietnamese Hours: M, T, Th, F 9:00 am - 5:00 pm W, Sat 9:00 am - 12:00 pm The Provider(s): Blaisch, Brian, MD 310359 Meyer, Gretchen, NP 602631 Bui, Thanh, MD 601146 650 International Blvd., Ste B Oakland, CA 94606 510-444-0533 Family Medicine Languages: French Vietnamese Hours: M-W, F 9:00 am - 5:00 pm Sat 9:00 am - 2:00 pm Comprehensive Allergy Services 2940 Summit St., 1st Floor Oakland, CA 94609 510-834-4897 Pediatrics, Pediatric Allergy/Immunology Languages: Cantonese, Spanish/Español Hours: M-F 9:00 am - 12:00 pm 2:00 am - 5:00 pm The Provider(s): Gee, Doris, PA 602425 Lenoir, Denise, FNP 601849 Lenoir, Michael, MD 600742

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Comprehensive Allergy Services 3022 International Blvd, Ste 410 Oakland, CA 94601 510-532-8785 ext.16 Pediatrics Languages: Cantonese, Spanish/Español Hours: M-F 9:00 am - 12:00 pm 2:00 pm - 5:00 pm The Provider(s): Gee, Doris, PA 602425 Lenoir, Denise, FNP 601849 International Pediatrics 600 International Blvd., Ste 102 Oakland, CA 94606 510-208-3540 (0 to 18 years) Languages: Vietnamese Hours: M-F 9:00 am - 5:00 pm Sat 9:00 am - 3:00 pm The Provider(s): Pham, An T., MD 602110 North Oakland Pediatrics 5715 Market St. Oakland, CA 94608 510-652-5161 (0 – 18years) Languages: Spanish/Español Hours: M-F 9:00 am - 5:00 pm The Provider(s): Bean, Gary, MD 600270

Pediatric Care Group 4180 Park Blvd. Oakland, CA 94602 510-530-KIDS or 510-530-5437 (0 to 18 years) Languages: Spanish/Español Hours: M-F 8:00 am - 5:00 pm The Provider(s): Bean, Gary, MD 600270

Vu, Cuong Tat, MD 601112 412 8th St., Ste B Oakland, CA 94607 510-658-8100 General Practice Languages: Vietnamese Hours: M, T, Th, F 9:30 am - 5:30 pm

Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 11/25/2008. CCHP no garantiza que los Proveedores continuen en la lista o aceptando nuevos miembros. Por favor comuníquese con el

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P

ITTSBURG Graves, Gretchen, MD 600171 2260 Gladstone Dr., Ste 1 Pittsburg, CA 94565 510-427-0391 Pediatrics Languages: Spanish/Español Hours: M, T, Th, F 9:00 am - 5:00 pm W 9:00 am - 12:00 pm La Clinica de La Raza 2240 Gladstone Dr., Ste 4 Pittsburg, CA 94565 925-431-1230 Family Medicine Languages: Spanish/Español Hours: M-F 8:30 am - 12:30 pm 1:30 pm - 5:30 pm The Provider(s): Curbelo, Gustavo MD 602359 O’Meany, Juan, PA 709378 Salceda, Irene, PA 709378

P

LEASANT

H

ILL

Back to Health Medical Center

1100 A/B Pleasant Valley Dr.

Pleasant Hill, CA. 94523 925-287-8550

Family Medicine (18 years and older) Languages: Japanese, Spanish/Español Hours: M, W, F 9:00 am – 12:00 pm 3:00 pm – 6:00 pm T, Th 3:00 pm – 6:00 pm The Provider(s): Cleveland, Aaron, MD 310185 Ho Q. Bui, MD Medical Office 1515 Contra Costa Blvd Pleasant Hill, CA 94523 925-671-2510 Family Medicine Languages: Vietnamese Hours: M-F 8:30 am - 12:30 pm 1:30 PM - 5:00 PM The Provider(s): Nguyen, Myhoang, MD 602193 La Clinica de La Raza 2100 Monument Blvd., Ste 8 Pleasant Hill, CA 94523 925-363-2000 Family Medicine Languages: Spanish/Español Hours: M-F 8:30 am - 12:30 pm 1:30 pm - 5:30 pm The Provider(s): Akera-Dow, Chika, MD 602359 Ospina, Esparanza, PA 602359 Risgalla, H. Edward,.MD

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John Muir Physician Network 380 Civic Dr., Ste 100 Pleasant Hill, CA 94523 925-682-7871 Pediatrics (0 to 18 years) Languages: Spanish/Español Hours: M-F 9:00 am - 5:00 pm The Provider(s): Morgan, John K., MD 601096 Singh, Nirali, MD 602466

John Muir Physician Network

91 Gregory Lane, Ste 15 Pleasant Hill, CA 94523 925-685-0843 Pediatrics (0 to 12 years) Hours: M-F 9:00 am - 4:30 pm The Provider(s): Rush, Philip, MD 600791 Wagner, David, MD 600288 Pleasant Hill Wellness Center

140 Gregory Lane, Ste 280 Pleasant Hill, CA 94523 925-288-0828

(Existing Only) Family Medicine (18 years and older) Hours: M-F 9:00 am - 4:30 pm The Provider(s): Heaney, Daniel, PA 602458 Kim, Paul H., MD 713982

RICHMOND

BAART Community Healthcare 1313 Cutting Blvd. Richmond, CA 94804 510-232-0874 Internal Medicine, (22 years and older) Languages: Spanish/Español, Swedish, Tagalog Hours: M-F 6:00 am - 10:00 am 11:00 am - 2:00 pm The Provider(s): Moore, Kyle A., MD 705269 Pearson, George, PA 602565 Brookside Community Health Center 1030 Nevin Ave. Richmond, CA 94801 510-215-5001 Family Medicine, Pediatrics Languages: Spanish/Español Hours: M-F 8:30 am - 5:00 pm The Provider(s): Harrison, Regina, NP 600833 Smith, Thomas, MD 313213

Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 11/25/2008 CCHP no garantiza que los Proveedores continuen en la lista o aceptando nuevos miembros. Por favor comuníquese con el

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Richmond Pediatrics 3619 Cutting Blvd. Richmond, CA 94804 510-529-1271 (Existing Only) Languages: Spanish/Español Hours: M-Th 9:00 am - 12:00 pm 1:30 pm - 5:00 pm Sat 8:00 am - 12:00 pm The Provider(s): Jenkins, William, MD 600304

S

AN

P

ABLO Brookside Community Health Center 600833 2023 Vale Rd., Ste 107 San Pablo, CA 94806 510-215-9092 Family Medicine, Pediatrics Languages: Spanish/Español Hours: Appointments: M-Sat 9:00 am - 5:00 pm Drop In Hours: M-Th 5:00 pm - 8:00 pm The Provider(s): Banks, Norman, MD 600833 Barocio, Azucena, PA 600833 Dodge, Joseph, MD 600833 Harrison, Regina, NP 600833 Mahony, John P., MD 600833 McLaughlin, Ina, PA 600833 Smith, Thomas, MD 313213 Swope, Brian, MD 600833 Trombla, Laurie, PA 600833 Washington, Pamela, NP 600833 Chen, William, MD 602185 2089 Vale Rd. San Pablo, CA 94806 510-235-9247 Internal Medicine, (22 years and older) Languages: Mandarin Hours: M-F 10:00 am - 12:00 pm 2:00 pm - 5:00 pm Connolly, Ed, MD 600254 2101 Vale Rd., Ste 301 San Pablo, CA 94806 510-236-4500 Pediatrics Languages: Spanish/Español Hours: M-W, F 9:30 am - 12:00 pm 1:00 pm - 5:00 pm Yu, John, MD 600361 2089 Vale Rd., Ste 20 San Pablo, CA 94806 510-234-1194 General Practice (22 years and older) Languages: Mandarin Hours: M-W, F 9:00 am - 12:00 pm 1:30 pm - 5:00 PM Th 9:00 am - 12:00 pm Sat 10:00 am - 12:00 pm

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SAN RAMON

John Muir Physician Network

San Ramon Regional Medical Center 2305 Camino Ramon, Ste 120 San Ramon, CA 94583 925-275-3888 Pediatrics Languages: Spanish/Español Hours: M-F 9:00 am - 5:00 pm The Provider(s): Cortez, Paul, MD 714337 Hahn, Gregory, MD 602441 Lee, Erin M., MD 602045

WALNUT CREEK

Beyzer, Lyudmila, MD 602201

108 La Casa Via, Ste 103 Walnut Creek, CA 94598 925-935-5290

(Existing Only) Internal Medicine (22 years and older) Languages: Russian, Ukrainian

Hours: M-F

9:00 am - 5:00 pm Walnut Creek Medical Group 1777 Oakland Blvd. Ste. 103 Walnut Creek, CA 94596 925-947-1617 Family Medicine (18 years and older) Languages: Spanish/Español Hours: M-Th 9:00 am – 5:00 pm F 9:00am – 4:00 pm The Provider(s): Wang, Catherine, MD 312223

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determine which services you are eligible to receive. All specialties, except those listed with an asterisk, require a referral from your Primary Care Provider.

Here are some examples of specialty services:

Acupuncture* Neurology

Allergy Neurosurgery

Audiology Obstetrics*

Biofeedback (Healthy Families only) Occupational, Physical, and Speech Therapy Cardiology Ocularist Prosthesis

Cardiovascular Disease Oncology Child Development Ophthalmology Chiropractic* Orthopedics

Dermatology Otolaryngology (ENT) Diagnostic Imaging Pediatric Allergy Endocrinology Pediatric Oncology ENT (Otolaryngology) Pediatric Ophthalmology Gastroenterology Perinatology*

General Surgery Plastic Surgery (reconstructive)

Genetics Podiatry

Gynecology* Pulmonary Medicine Hematology Rheumatology Immunology Speech Pathology

Infectious Diseases Teen Medicine (Adolescent Medicine) Internal Medicine Thoracic Surgery

Maternal Fetal Medicine Urology Neonatology Vascular Nephrology

Note: For a referral to Mental Health Counseling Services for all CCHP

Plans, call 925-957-7239.

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de Atención Primaria tiene una lista de los especialistas en su plan. Si usted necesita atención médica especializada, su doctor le referirá a un especialista.

Los siguentes son ejemplos de servicios de especialidad:

Acupuntura* Neurocirugía

Alergia Neurología

Alergia Pediátrica Obstetricia*

Audiología (oído) Oncología (cáncer)

Biorreacción (Las Familias sanas sólo) Oncología Pediátrica

Cardiología (corazón) Oftalmología (ojos)

Cardiovascular Oftalmología Pediátrica

Cirugía Ortopedia (huesos y articulaciones)

Cirugía Plástica (de reconstrucción) Otorrinolaringología (oído, nariz y garganta)

Cirugía Torácica Patología del Habla

Dermatología Perinatólogo*

Desarrollo de Niños Planificación de la Familia*

Endocrinología Podiatría (pie y tobillo)

Enfermedades Infecciosas Programa de Buena Salud para adolescentes Especialista del Feto y Materno Prótesis Ocular

Gastroenterología (estómago) Pulmonar (pulmones)

Genética Quiropráctica*

Ginecología* Reumatología (articulaciones)

Hematología Terapia del Habla

Imágenes para Diagnóstico Terapia Física

Inmunología Terapia Ocupacional

Medicina Interna Urología

Nefrología Vascular

Neonatología (recién nacidos)

Nota: Para una referencia para Servicios de Conserjería de Salud Mental

para todos los planes de CCHP, llame al 925-957-7239.

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or call your Member Services Representative at 1-877-661-6230 (press 2).

Revise su Evidencia de Cobertura (EOC) para determinar si usted es elegible para recibir este beneficio o llame a Servicios para Miembros al 1-877-661-6230 (oprima 2).

Community Provider Network

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LBANY

Liao, Richard Y., LAc 1033 Solano Ave. Albany, CA 94706 510-524-8148 Languages: Chinese Hours: W, F, Sat 8:00 am - 6:00 pm

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NTIOCH The American Institute of Natural Healings 213 G. Street Antioch, CA 94509 925-777-9995 Languages: Spanish/Español Hours: M 11:00 am – 9 pm T 11:00 am – 5 pm W 10:00 am – 9 pm The Provider(s): LeVa, Roshelle, LAc

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ONCORD

Acupuncture and Herbal Medicine 1222 Contra Costa Blvd. Concord, CA 94523 925-497-4759 Hours: T, Th, Sat 8:00 am - 12:00 pm 2:00 pm - 6:00 pm W 6:00 pm - 9:00 pm The Provider(s):

Fanucchi, Joanne, LAc Ye, Liyun, LAc

3143 Clayton Road, Ste D Concord, CA 94519 925-609-8822 Languages: Cantonese, Mandarin Hours: M-Sat 9:00 am - 6:00 pm Xue Clinic 2063 Pacheco Street Concord, CA 94520 925-687-1992 Language: Chinese Hours: M-Th, Sat 8:30 am – 5:00 pm The Provider(s): Xue, Chulong, LAc

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ROCKETT Acupuncture Wellness Center 1237 Ceres St. Crockett, CA 94525 510-787-9700 Hours: M, W 9:00 am – 6:30 pm F 8:00 am – 12:00 pm The Provider(s):

Weissman, Richard, LAc

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ERRITO Tu, Jiang, LAc 1833 Key Blvd. El Cerrito, CA 94530 510-235-5166 Languages: Chinese Hours M-F 9:00 am – 5:00 pm This list of providers is for your information, and current as of 11/25/2008. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2).

Esta lista de Proveedores es para su información y entra en vigencia a partir del 11/25/2008. CCHP no garantiza que los Proveedores continuen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a