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Health Net Cal MediConnect Plan (Medicare-Medicaid Plan) 2018 Provider and Pharmacy Directory Los Angeles County, CA Region: Antelope Valley; San Fernando Valley (less Burbank and Glendale) Part 1 of 3 H3237_18_PPDR_ACCEPTED_09042017

2018 Provider and Pharmacy Directory

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Page 1: 2018 Provider and Pharmacy Directory

Health Net Cal MediConnect Plan (Medicare-Medicaid Plan)

2018 Provider andPharmacy Directory

Los Angeles County, CA Region: Antelope Valley; San

Fernando Valley (less Burbank and Glendale)Part 1 of 3

H3237_18_PPDR_ACCEPTED_09042017

Page 2: 2018 Provider and Pharmacy Directory
Page 3: 2018 Provider and Pharmacy Directory

Health Net Cal MediConnect Plan (Medicare-Medicaid Plan) 2018 Provider and Pharmacy Directory• Health Net Cal MediConnect Plan

(Medicare-Medicaid Plan) is a health planthat contracts with both Medicare andMedi-Cal to provide benefits of bothprograms to enrollees.

• The List of Covered Drugs and/or pharmacyand provider networks may change throughoutthe year. We will send you a notice before wemake a change that affects you.

• Benefits and/or copays may change on January 1of each year.

• This Directory lists health care professionals(such as doctors, nurse practitioners andpsychologists), facilities (such as hospitals orclinics), and support providers (such as AdultDay Health and Home Health providers) thatyou may see as a Health Net Cal MediConnectmember. We also list the pharmacies that youmay use to get your prescription drugs.

• We will refer to these groups as “networkproviders” in this Directory. These providerssigned a contract with us to provide youservices. This is a list of Health NetCal MediConnect’s network providers for theAntelope and San Fernando Valley (lessBurbank / Glendale).

• If you would like a complete listing of allproviders available, please contact Health NetCal MediConnect at 1-855-464-3571 (TTY: 711)from 8 a.m. to 8 p.m., Monday through Friday.After hours, on weekends and on holidays, youmay be asked to leave a message. Your call willbe returned within the next business day.

H3237_18_PPDR_ACCEPTED_09042017

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If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

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If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Page 5: 2018 Provider and Pharmacy Directory

Si usted habla español, hay servicios de asistencia de idiomas disponibles para usted sin cargo. Llame al 1-855-464-3571 en Los Angeles County y al 1-855-464-3572 en San Diego County (los usuarios de TTY deben llamar al 711), de lunes a viernes, de 8:00 a.m. a 8:00 p.m. Después del horario de atención, los fines de semana y los días feriados puede dejar un mensaje. Le devolveremos la llamada el siguiente día hábil. La llamada es gratuita.

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If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

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Page 6: 2018 Provider and Pharmacy Directory

• You can get this document for free in otherformats, such as large print, braille, or audio.Call 1-855-464-3571 (TTY: 711) from 8 a.m. to8 p.m., Monday through Friday. After hours, onweekends and on holidays, you may be askedto leave a message. Your call will be returnedwithin the next business day. The call is free.

• If you would like Health Net Cal MediConnectto send you member materials on an ongoingbasis in other formats, such as braille or largeprint, or in a language other than English,please contact Member Services. Tell MemberServices that you would like to place a standingrequest to get your materials in another formator language.

The list is up-to-date as of 06/05/2018, but you need to know that:

• Some Health Net Cal MediConnect networkproviders may have been added or removedfrom our network after this Directory waspublished.

• Some Health Net Cal MediConnect providersin our network may no longer be acceptingnew members. If you are having trouble findinga provider who will accept new members,call Member Services at 1-855-464-3571(TTY: 711) from 8 a.m. to 8 p.m., Mondaythrough Friday, and we will help you.

¶To get the most up-to-date informationabout Health Net Cal MediConnect’snetwork providers in your area, visitwww.healthnet.com/calmediconnect orcall Member Services at 1-855-464-3571(TTY: 711) from 8 a.m. to 8 p.m., Monday

through Friday. After hours, on weekends and on holidays, you may be asked to leave a message. Your call will be returned within the next business day. The call is free.

Doctors and health care professionals in Health Net Cal MediConnect’s network are listed on pages 19–1829. Pharmacies in our network are listed on pages 1833–1869.

ProvidersGetting started in Health Net Cal MediConnect

This section explains key terms you’ll see in our Provider and Pharmacy Directory.

The providers in this directory are organized alphabetically by medical group.

• Providers are health care professionals and supportproviders such as doctors, nurses, pharmacists,therapists, and other people who provide careand services. Services include medical care, long-term services and supports, supplies, prescriptiondrugs, equipment and other services.

– The term providers also includes facilitiessuch as hospitals, clinics, and other places thatprovide medical services, medical equipment,and long-term services and supports.

– Providers that are a part of our plan’s networkare called network providers.

• Network providers are the providers thathave contracted with us to provide servicesto members in our plan. The providers in ournetwork generally bill us directly for care they

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If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Page 7: 2018 Provider and Pharmacy Directory

give you. When you see a network provider, you usually pay nothing for covered services.

• A Primary Care Provider (PCP) is a doctor who gives you routine health care. Your PCP will keep your medical records and get to know your health needs over time. Your PCP will also give you a referral if you need to see a specialist or other provider.

• Specialists are doctors who provide health care services for a specific disease or part of the body. There are many kinds of specialists. Here are a few examples:

– Oncologists care for patients with cancer.

– Cardiologists care for patients with heart conditions.

– Orthopedists care for patients with certain bone, joint or muscle conditions.

• A Medical Group is a group of PCPs, specialists, and other health care providers that work together and are contracted to work with our plan.

• You may need a referral to see a specialist or someone that is not your PCP. A referral means that your network PCP must give you approval before you can see the other provider. If you don’t get a referral, Health Net Cal MediConnect may not cover the service.

– Referrals from your network PCP are not needed for:

» Emergency care;

» Urgently needed care;

» Kidney dialysis services that you get at a Medicare-certified dialysis facility when you are outside the plan’s service area; or

» Services from a women’s health specialist.

– Additionally, if you are eligible to get services from Indian health providers, you may see these providers without a referral. We must pay the Indian health provider for those services, even if they are out of our plan’s network.

– More information on referrals is available in Chapter 3 of the Member Handbook.

• You also have access to a Care Coordinator and care team that you help choose.

– A Care Coordinator helps you manage your medical providers and services.

– Your Care Team is a group of people that will get to know your needs and work with you to write a Personal Care Plan. Your Care Team will talk with you about the services that are right for you. The goal is to support your health care wishes and help you regain your health and improve your abilities.

– Your Care Team starts with your Primary Care Provider and Care Coordinator. Other team members, may include a behavioral health or social service expert, physician specialist, or dietician.

– A Personal Care Plan is the list of health care goals you agree to work on with your Care Team. These goals include:

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If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

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Page 8: 2018 Provider and Pharmacy Directory

• Your physical health care;

• Your mental health care;

• Long-term services and supports. (Theseare for people who need help to do everydaytasks like taking a bath, getting dressed,making food, and taking medicine.)

– Everyone on the Care Team works togetherto make sure your care is coordinated. Thismeans that they make sure tests and labs aredone once and the results are shared with theappropriate providers. It also means that yourPCP should know all medicines you take sothat he or she can reduce any negative effects.Your PCP will always get your permissionbefore sharing your medical information withother providers.

Choosing a Primary Care Provider (PCP) You can get services from any provider who is in our network and accepting new members.

First, you will need to choose a Primary Care Provider. You may be able to have a specialist act as your PCP. The specialist must be willing and able to provide the care you need. If you need to request a specialist to be your PCP, call our Member Services at 1-855-464-3571 (TTY: 711) from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you may be asked to leave a message. Your call will be returned within the next business day. The call is free.

Our plan’s PCPs are affiliated with medical groups. When you choose your PCP, you are also choosing the affiliated medical group. This means that your PCP will be referring you to specialists and services that are also affiliated with his or her medical group.

• If there is a particular specialist or hospitalthat you want to use, it is important to see whetherthey are affiliated with your PCP’s medicalgroup. You can look in this directory, or askHealth Net Cal MediConnect Member Servicesto check to see if the PCP you want makesreferrals to that specialist or uses that hospital.

To choose a PCP, go to the list of providers on page 19 and choose a provider:

• that you use now, or

• who has been recommended by someone youtrust, or

• whose offices are easy for you to get to.

If you want help in choosing a PCP, please call Member Services at 1-855-464-3571 (TTY: 711) from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you may be asked to leave a message. Your call will be returned within the next business day. The call is free. Or, visit www.healthnet.com/calmediconnect.

If you have questions about whether we will pay for any medical service or care that you want or need, call Member Services and ask before you get the service or care.

8 / www.healthnet.com/calmediconnect

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Page 9: 2018 Provider and Pharmacy Directory

Getting long-term services and supportsAs a Health Net Cal MediConnect member, you may be able to get long-term services and supports (LTSS), such as Community-Based Adult Services (CBAS), the Multipurpose Senior Services Program (MSSP), and long-term custodial care in nursing facilities. Long-term services and supports are help for people who need assistance to do everyday tasks like taking a bath, getting dressed, making food, and taking medicine. Most of these services are provided at your home or in your community but could be provided in a nursing home or hospital.

These services include Community-Based Adult Services (CBAS).

CBAS is a community-based day health program that provides services to older persons and adults with chronic medical, cognitive, or mental health conditions and/or disabilities that are at risk of needing institutional care.

¶To apply for CBAS, please contact Health NetCal MediConnect at 1-855-464-3571 (TTY: 711)from 8 a.m. to 8 p.m., Monday through Friday.After hours, on weekends and on holidays,you may be asked to leave a message. Your callwill be returned within the next business day.The call is free.

Other long-term services and supports provided by Health Net Cal MediConnect include the Multipurpose Senior Services Program (MSSP) and long-term custodial care in nursing facilities. The MSSP provides services for people age 65 and older. With long-term custodial care in nursing facilities, the health plan makes sure that care is

consistent and any transition is well-planned. To find providers of these services, go to page 1715 in this Directory.

A full list of these services is available in Chapter 4 of your Member Handbook.

Identifying Providers in Health Net Cal MediConnect’s Network You must get all of your covered services from providers within our network that are affiliated with your PCP’s medical group. If you go to providers who are not in Health Net Cal MediConnect’s network and are not affiliated with your PCP’s medical group (without prior authorization or approval from us), you will have to pay the bill.

The exceptions to this rule are when you need urgent or emergency care or dialysis and cannot get to a provider in the plan, such as when you are away from home. You can also go outside the plan or your PCP’s medical group if Health Net Cal MediConnect gives you permission first.

You may need a referral to see someone who is not a Primary Care Provider. There is more information about referrals in the “Getting started in Health Net Cal MediConnect” section of this Directory on page 6.

• You may change providers within the network atany time. If you have been going to one networkprovider, you do not have to keep going to thatsame provider. For some providers, you mayneed a referral from your PCP.

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If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

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Page 10: 2018 Provider and Pharmacy Directory

• Remember, our plan’s PCPs are affiliated withmedical groups. If you change your PCP, youmay also be changing medical groups. Whenyou ask for the change, be sure to tell MemberServices whether you are seeing a specialist orgetting other covered services that require PCPapproval. Member Services will help make surethat you can continue your specialty care andother services when you change your PCP.

• Health Net Cal MediConnect works with all theproviders in our network to accommodate theneeds of people with disabilities. As applicable,the list of network providers in this Directoryincludes information about the accommodationsthey provide. If you need to see a provider andare not sure if they offer the accommodationsyou need, Health Net Cal MediConnect canhelp you. Talk to your Care Coordinator forassistance or call Member Services at1-855-464-3571 (TTY: 711) from 8 a.m. to8 p.m., Monday through Friday. After hours, onweekends and on holidays, you may be askedto leave a message. Your call will be returnedwithin the next business day. The call is free.

Finding Health Net Cal MediConnect providers in your area This directory is sorted by type of provider and location. Provider types include Primary Care Providers, Specialists, Hospitals, Nursing Facilities, Skilled Nursing Facilities, Home Health Agencies, Mental Health Providers, Long-Term Services and Supports, Acupuncture Providers, and Vision Providers. Primary Care Providers and Specialists are listed by

assigned medical group, and then by city or town. All other provider types are listed by city or town within each section.

If you need help finding a provider, call Member Services at 1-855-464-3571 (TTY: 711) from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you may be asked to leave a message. Your call will be returned within the next business day. The call is free.

List of network providersThis Directory of Health Net Cal MediConnect’s network providers contains:

• Health care professionals including primary care physicians, specialists, nurse practitioners, psychologists and pharmacies.

• Facilities including hospitals, nursing facilities, skilled nursing facilities, mental health facilities; and

• Support providers including adult day services, assisted living, consumer-directed services, home-delivered meals, home health agencies; and

• Vision providers; and

• Acupuncture providers

The providers in this directory are organized alphabetically by medical group. You may get services from any of the providers on this list that are affiliated with your PCP’s medical group. For some services, you may need a referral from your PCP.

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If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Page 11: 2018 Provider and Pharmacy Directory

Accessibility InformationBelow is information used in the provider directory to indicate accessibility at a provider office or building site. This information is not a promise that every doctor will always have the access that you may need for a disability. You should call the doctor’s office to talk about your access needs for your disability.

Accessibility Requirements:Basic: Facility represents all six accessibility requirements, excluding T.

Limited: Facility is missing one or more of the six accessibility requirements, excluding T.

Indicator Definition Criteria

PParking Parking spaces, including van accessible spaces(s), are accessible.

Pathways have curb ramps between the parking lot, office, and at drop off locations.

EBExterior building

Curb ramps and other ramps to the building are wide enough for a wheelchair or scooter user. Handrails are provided on both sides of the ramp. Doors open wide enough to let a wheelchair or scooter user enter, and have handles that are easy to use.

IB

Interior building

Doors open wide enough to let a wheelchair or scooter user enter, and have handles that are easy to use. Interior ramps are wide enough and have handrails. Stairs, if present, have handrails. If there is an elevator, it is available for public/patient use at all times the building is open. The elevator has easy to hear sounds and Braille buttons within reach. The elevator has enough room for a wheelchair or scooter user to turn around. If there is a platform lift, it can be used without help.

R

Restroom The restroom is accessible and the doors are wide enough to accommodate a wheelchair or scooter and are easy to open. The restroom has enough room for a wheelchair or scooter to turn around and close the door. There are grab bars which allow easy transfer from wheelchair to toilet. The sink is easy to get to and the faucets, soap, and toilet paper are easy to reach and use.

(continued)

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If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

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Indicator Definition Criteria

PDPatient diagnostic and treatment use

Patients are able to access and use testing and treatment areas, and equipment.

PA Participant areas

Members can get to and use all common areas and equipment with or without help.

EExam room The entrance to the exam room is accessible, with a clear path. The doors

open wide enough to accommodate a wheelchair or scooter and are easy to open. The exam room has enough room for a wheelchair or scooter to turn around.

TExam table/scale

The exam table moves up and down and the scale is accessible with handrails to assist people with wheelchairs and scooters. The weight scale is able to accommodate a wheelchair.

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If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Page 13: 2018 Provider and Pharmacy Directory

Health Net Cal MediConnect Member NoticeHealth Net Community Solutions, Inc. (Health Net Cal MediConnect Plan (Medicare-Medicaid Plan) complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Health Net Cal MediConnect does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Health Net Cal MediConnect:• Provides free aids and services to people with disabilities to

communicate effectively with us, such as qualified sign language interpreters and written information in other formats (large print, accessible electronic formats, other formats).

• Provides free language services to people whose primary language is not English, such as qualified interpreters and information written in other languages.

If you need these services, contact the Health Net Cal MediConnect Customer Contact Center at 1-855-464-3571 (Los Angeles), 1-855-464-3572 (San Diego) (TTY: 711) from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can leave a message. Your call will be returned within the next business day. The call is free.If you believe that Health Net Cal MediConnect has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability or sex, you can file a grievance by calling the number above and telling them you need help filing a grievance; the Health Net Cal MediConnect Customer Contact Center is available to help you.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office 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, DC 20201, 1-800-368-1019 (TDD: 1-800-537-7697).

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.CMC Nondiscrimination Notice_LP CA_MMP_2017_NDN_08242017

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If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

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If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Page 15: 2018 Provider and Pharmacy Directory

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If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

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Table of Contents

Introduction.............................................................................................................................3

Primary Care Providers........................................................................................................19

Specialists...........................................................................................................................611

Hospitals...........................................................................................................................1593

Skilled Nursing Facilities...................................................................................................1595

Nursing Facilities..............................................................................................................1607

Home Health Agencies.....................................................................................................1655

Mental Health Providers...................................................................................................1673

Long-Term Services and Supports...................................................................................1715

Community-Based Adult Services...............................................................................1715

Multipurpose Senior Services Program.......................................................................1722

Long-Term Acute Care................................................................................................1723

Vision Providers................................................................................................................1725

Acupuncture Providers.....................................................................................................1775

Retail and Chain Pharmacies...........................................................................................1833

Mail Order Pharmacy........................................................................................................1859

Home Infusion Pharmacies...............................................................................................1863

Long-Term Care Pharmacies...........................................................................................1867

Specialty Pharmacies.......................................................................................................1869

Page 18: 2018 Provider and Pharmacy Directory
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Los Angeles County

Provider Count: 1091

Primary Care Providers

Primary

Primary

Prim

ary

C

are P

ro

vid

ers

19

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Allied Pacific of California IPA

PPG 5252

1680 S Garfield Avenue Suite 102

Alhambra, CA 91801-5413

(626) 282-0288

Hospitals Used:

Alhambra Hospital Medical Center

Allied Pacific of California IPA- East LA

(PPG 5399)

1668 South Garfield Avenue Floor 2

Alhambra, CA 91801-5400

(626) 282-0288

Hospitals Used:

White Memorial Medical Center

Eagle Rock Specialty/

Primary Care Physicians PPG/Phy #

1ass

Roman, Ricardo R., M.D.

Gender: Male

License No: A79013

NPI: 1144327032

Internal Medicine

4708 Eagle Rock Blvd.

4

Eagle Rock, CA 90041

5252 141053

(323) 254-3700

Prov Language: Spanish, Tagalog

Office Staff Language

#

:

Accessibility:*:

Hours: F 9 AM - 12 PM, M-TH 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 20: 2018 Provider and Pharmacy Directory

20 / www.healthnet.com/calmediconnect

Allied Pacific of California IPA PPG 5252

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Eagle Rock Specialty/

Primary Care Physicians PPG/Phy #

Roman, Ricardo R., M.D.

Gender: Male

License No: A79013

NPI: 1144327032

Internal Medicine

4708 Eagle Rock Blvd.

4

Eagle Rock, CA 90041

5399 141053

(323) 254-3700

Prov Language: Spanish, Tagalog

Office Staff Language

#

:

Accessibility:*:

Hours: F 9 AM - 12 PM, M-TH 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Agababian, Gor, M.D.

Gender: Male

License No: A93668

NPI: 1063442143

General Practice

3920 Eagle Rock Blvd. # A

4

Los Angeles, CA 90065

5399 154347

(323) 255-5225

Prov Language: Armenian, Russian, Spanish

Office Staff Language

#

: Armenian, Farsi,

Russian, Spanish, Tagalog, Vietnamese

Accessibility:*: Limited(P,IB,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 21: 2018 Provider and Pharmacy Directory

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Allied Pacific of California IPA PPG 5252

Primary Care Providers

Prim

ary

C

are P

ro

vid

ers

21

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Airapetian, Ara, M.D.

Gender: Male

License No: A86421

NPI: 1578543443

Family Practice

1704 Colorado Blvd.

4

Los Angeles, CA 90041

5399 105901

(323) 256-4116

Prov Language: Arabic, Armenian, Russian,

Spanish

Office Staff Language

#

: Arabic, Armenian,

Farsi, Korean, Mandarin, Russian, Spanish,

Tagalog

Accessibility:*: Limited(IB)

Hours: M-F 8:30 AM - 6 PM, SA 8:30 AM - 5

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Chang, Wen-Shi, M.D.

Gender: Female

License No: A118395

NPI: 1508004193

Family Practice

1704 Colorado Blvd.

4

Los Angeles, CA 90041

5399 195443

(323) 256-4116

Prov Language: Korean, Mandarin, Spanish

Office Staff Language

#

: Arabic, Armenian,

Farsi, Korean, Mandarin, Russian, Spanish,

Tagalog

Accessibility:*: Limited(IB)

Hours: M-F 8 AM - 6 PM, SA 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 22: 2018 Provider and Pharmacy Directory

22 / www.healthnet.com/calmediconnect

Allied Pacific of California IPA PPG 5252

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Huverserian, Linda J., M.D.

Gender: Female

License No: A120212

NPI: 1255658068

Family Practice

3920 Eagle Rock Blvd. # A

4

Los Angeles, CA 90065

5399 194373

(323) 255-5225

Prov Language: Armenian

Office Staff Language

#

: Armenian, Farsi,

Russian, Spanish, Tagalog, Vietnamese

Accessibility:*: Limited(P,IB,E,T)

Hours: M-F 8 AM - 5 PM, SA 9 AM - 2 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kevorkian, Siranoush H.,

M.D.

Gender: Female

License No: A35663

NPI: 1457416265

General Practice

3920 Eagle Rock Blvd. # A

4

Los Angeles, CA 90065

5399 074428

(323) 255-5225

Prov Language: Armenian, Romanian, Russian,

Spanish

Office Staff Language

#

: Armenian, Farsi,

Russian, Spanish, Tagalog, Vietnamese

Accessibility:*: Limited(P,IB,E,T)

Hours: TH-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 23: 2018 Provider and Pharmacy Directory

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Allied Pacific of California IPA PPG 5252

Primary Care Providers

Prim

ary

C

are P

ro

vid

ers

23

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lin, James, M.D.

Gender: Male

License No: A82428

NPI: 1932122579

General Practice

193 E. Orange Grove Blvd.

4

Pasadena, CA 91103

5252 110675

(626) 568-3302

Prov Language: Cantonese, Mandarin, Spanish

Office Staff Language

#

: Spanish, Vietnamese

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mathioulakis, Stan, M.D.

Gender: Male

License No: A85470

NPI: 1912080847

Internal Medicine

1

10 Congress St. # 506

4

Pasadena, CA 91105

5252 105576

(626) 584-9898

Prov Language: French, Greek, Italian, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,IB,R)

Hours: TU,TH 9 AM - 12 PM, M,W,F 9 AM - 5

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 24: 2018 Provider and Pharmacy Directory

24 / www.healthnet.com/calmediconnect

Allied Pacific of California IPA PPG 5252

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Rodriguez, Carlos G., M.D.

Gender: Male

License No: A56502

NPI: 1811046485

Family Practice

1403 N. Fair Oaks Ave. # 3

Pasadena, CA 91103

5252 089537

(626) 398-0354

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(IB)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Tujunga Specialty/

Primary Care Physicians PPG/Phy #

1ass

Avanessian, Evlyn, M.D.

Gender: Female

License No: A127456

NPI: 1295020709

Family Practice

1

7709 Foothill Blvd.

4

Tujunga, CA 91042

5399 205010

(818) 296-9601

Prov Language: Armenian, Farsi

Office Staff Language

#

: Armenian, Farsi,

Spanish

Accessibility:*: Limited(IB,E)

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 25: 2018 Provider and Pharmacy Directory

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Primary Care Providers

Prim

ary

C

are P

ro

vid

ers

25

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Altamed - CHA Hollywood Presbyterian

Medical Center

PPG 5372

2040 Camfield Ave.

Los Angeles, CA 90040-1502

(888) 499-9303

Urgent Care:

Dusk To Down - Lynwood (310)639-2220

Dusk To Down - Paramount (562) 808-2273

HealthCare Partners -Downtown (213)861-5950

HealthCare Partners -Montebello (323)

720-1144

Hospitals Used:

Hollywood Presbyterian Medical Center

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Behroozan, Benjamin, M.D.

Gender: Male

License No: A41374

NPI: 1750440681

General Practice

5255 W. Sunset Blvd.

4

Los Angeles, CA 90027

5372 034784

(323) 463-7262

Prov Language: Farsi, Hebrew, Spanish

Office Staff Language

#

: Farsi, Hebrew, Spanish,

Tagalog

Accessibility:*: Limited(IB)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 26: 2018 Provider and Pharmacy Directory

26 / www.healthnet.com/calmediconnect

Altamed - CHA Hollywood Presbyterian Medical Center PPG 5372

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Filart, Marcel A., M.D.

Gender: Male

License No: A76022

NPI: 1396775474

Internal Medicine

1300 N. Vermont Ave. # 1008

4

Los Angeles, CA 90027

5372 136311

(323) 443-7128

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Armenian

Accessibility:*:

Hours: TU,TH 9 AM - 12 PM, M,W,F 9 AM - 5

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Gutierrez, Guillermina, M.D.

Gender: Female

License No: A76597

NPI: 1629153515

Family Practice

1

1300 N. Vermont Ave.

4

Los Angeles, CA 90027

5372 102087

(888) 499-9303

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB,IB,E)

Hours: M,W,F 8 AM - 5 PM, TU,TH 9 AM - 5

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 27: 2018 Provider and Pharmacy Directory

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Altamed - CHA Hollywood Presbyterian Medical Center PPG 5372

Primary Care Providers

Prim

ary

C

are P

ro

vid

ers

27

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kalindjian, Krikor I., M.D.

Gender: Male

License No: A80255

NPI: 1871546333

Internal Medicine

1300 N. Vermont Ave. # 807

4

Los Angeles, CA 90027

5372 105458

(323) 660-5191

Prov Language: Arabic, Armenian, French,

Italian, Spanish

Office Staff Language

#

: Arabic, French, Italian,

Spanish

Accessibility:*: Limited(EB,IB)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mishkanian, Yafa M., M.D.

Gender: Female

License No: A42806

NPI: 1528198967

General Practice

5255 W. Sunset Blvd.

4

Los Angeles, CA 90027

5372 053833

(323) 463-7262

Prov Language: Farsi, Spanish

Office Staff Language

#

: Farsi, Hebrew, Spanish,

Tagalog

Accessibility:*: Limited(IB)

Hours: M,W,F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 28: 2018 Provider and Pharmacy Directory

28 / www.healthnet.com/calmediconnect

Altamed - CHA Hollywood Presbyterian Medical Center PPG 5372

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Yoo, Carlos, M.D.

Gender: Male

License No: A124289

NPI: 1063750479

Family Practice

1

1300 N. Vermont Ave.

4

Los Angeles, CA 90027

5372 196934

(888) 499-9303

Prov Language: Korean, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB,IB,E)

Hours: TU,TH 9 AM - 5 PM, M,W,F 8 AM - 5

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 29: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 29

Primary Care Providers

Prim

ary

C

are P

ro

vid

ers

29

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Altamed - St. Vincent Med Cntr

PPG 5365

2040 Camfield Ave.

Los Angeles, CA 90040-1502

(888) 499-9303

Urgent Care:

Dusk To Down - Lynwood (310)639-2220

Dusk To Down - Paramount (562) 808-2273

HealthCare Partners -Downtown (213)861-5950

HealthCare Partners -Montebello (323)

720-1144

Hospitals Used:

St. Vincent Medical Center

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Filart, Marcel A., M.D.

Gender: Male

License No: A76022

NPI: 1396775474

Internal Medicine

1300 N. Vermont Ave. # 1008

4

Los Angeles, CA 90027

5365 136311

(323) 443-7128

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Armenian

Accessibility:*:

Hours: TU,TH 9 AM - 12 PM, M,W,F 9 AM - 5

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 30: 2018 Provider and Pharmacy Directory

30 / www.healthnet.com/calmediconnect

Altamed - St. Vincent Med Cntr PPG 5365

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Gutierrez, Guillermina, M.D.

Gender: Female

License No: A76597

NPI: 1629153515

Family Practice

1

1300 N. Vermont Ave.

4

Los Angeles, CA 90027

5365 102087

(888) 499-9303

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB,IB,E)

Hours: M,W,F 8 AM - 5 PM, TU,TH 9 AM - 5

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Rosenblatt, Steven L., M.D.

Gender: Male

License No: A53639

NPI: 1134142201

Family Practice

4137 Verdugo Rd.

4

Los Angeles, CA 90065

5365 145572

(323) 344-9255

Prov Language: Armenian, Spanish, Tagalog

Office Staff Language

#

: Armenian, Russian

Accessibility:*: Limited(IB,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 31: 2018 Provider and Pharmacy Directory

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Altamed - St. Vincent Med Cntr PPG 5365

Primary Care Providers

Prim

ary

C

are P

ro

vid

ers

31

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Yoo, Carlos, M.D.

Gender: Male

License No: A124289

NPI: 1063750479

Family Practice

1

1300 N. Vermont Ave.

4

Los Angeles, CA 90027

5365 196934

(888) 499-9303

Prov Language: Korean, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB,IB,E)

Hours: TU,TH 9 AM - 5 PM, M,W,F 8 AM - 5

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 32: 2018 Provider and Pharmacy Directory

32 / www.healthnet.com/calmediconnect

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Angeles IPA - St. Francis

PPG 5453

10855 Business Center Dr Ste C

Cypress, CA 90630-5252

(714) 947-8600

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Agababian, Gor, M.D.

Gender: Male

License No: A93668

NPI: 1063442143

General Practice

3920 Eagle Rock Blvd. # A

4

Los Angeles, CA 90065

5453 154347

(323) 255-5225

Prov Language: Armenian, Russian, Spanish

Office Staff Language

#

: Armenian, Farsi,

Russian, Spanish, Tagalog, Vietnamese

Accessibility:*: Limited(P,IB,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Huverserian, Linda J., M.D.

Gender: Female

License No: A120212

NPI: 1255658068

Family Practice

3920 Eagle Rock Blvd. # A

4

Los Angeles, CA 90065

5453 194373

(323) 255-5225

Prov Language: Armenian

Office Staff Language

#

: Armenian, Farsi,

Russian, Spanish, Tagalog, Vietnamese

Accessibility:*: Limited(P,IB,E,T)

Hours: M-F 8 AM - 5 PM, SA 9 AM - 2 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 33: 2018 Provider and Pharmacy Directory

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Angeles IPA - St. Francis PPG 5453

Primary Care Providers

Prim

ary

C

are P

ro

vid

ers

33

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kunnawuthidee,

Kamoltipya, M.D.

Gender: Female

License No: A35557

NPI: 1992808422

General Practice

1300 N. Vermont Ave. # 702

4

Los Angeles, CA 90027

5453 051421

(323) 928-2799

Prov Language: Spanish, Thai

Office Staff Language

#

: Spanish, Thai

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: W 10:30 AM - 2:30 PM, TH-F 10:30 AM

- 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Pedrano, Guadalupe C.,

M.D.

Gender: Female

License No: A40246

NPI: 1174786073

General Practice

2209 N. San Fernando Rd.

4

Los Angeles, CA 90065

5453 046020

(323) 226-0511

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Spanish, Tagalog

Accessibility:*: Limited(EB,IB,E)

Hours: TH-F 10 AM - 6 PM, W 10 AM - 1:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 34: 2018 Provider and Pharmacy Directory

34 / www.healthnet.com/calmediconnect

Angeles IPA - St. Francis PPG 5453

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Saugus Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mungcal, Renato V., M.D.

Gender: Male

License No: A42598

NPI: 1750555413

Family Practice

21700 Golden Triangle Rd. # 206

Saugus, CA 91350

5453 039132

(661) 287-3983

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: TU,TH 10 AM - 6 PM, M,W 9:30 AM -

5:30 PM, F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Katukota, Vijaya K., M.D.

Gender: Female

License No: A38220

NPI: 1225218522

Internal Medicine

6265 Sepulveda Blvd. # 9

4

Van Nuys, CA 91411

5453 008583

(818) 779-0555

Prov Language: Hindi, Spanish

Office Staff Language

#

: Hindi, Spanish

Accessibility:*: Limited(IB)

Hours: TH 7:30 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 35: 2018 Provider and Pharmacy Directory

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Primary Care Providers

Prim

ary

C

are P

ro

vid

ers

35

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Facey Med Fnd - Mission Hills

PPG 1068

11333 N. Sepulveda Blvd.

Mission Hills, CA 91345-1116

(818) 365-9531

Urgent Care:

Facey Medical Group UC- Mission Hills

(818) 869-7200

EXer- More Than Urgent Care (818) 727-2040

Hospitals Used:

Providence Holy Cross Medical Center

Facey Med Fnd - Canyon Country (PPG

1070)

17909 Soledad Canyon Rd.

Cyn Country, CA 91387-3210

(661) 250-5200

Urgent Care:

Facey Medical Group UC- Valencia

(661) 222-2600

Hospitals Used:

Henry Mayo Newhall Memorial Hospital

Providence Holy Cross Medical Center

Facey Med Fnd - Porter Ranch (PPG 1069)

19950 Rinaldi St.

Northridge, CA 91326-4141

(818) 403-2400

Urgent Care:

Facey Medical UC- Mission Hills

(818) 869-7200

EXer- More Than Urgent Care (818) 727-2040

Hospitals Used:

Providence Holy Cross Medical Center

Facey Medical Foundation - Copperhill (PPG

5010)

27924 Seco Canyon Rd.

Santa Clarita, CA 91350-3870

(661) 513-2100

Urgent Care:

Facey Medical Group UC- Valencia

(661) 222-2600

Hospitals Used:

Henry Mayo Newhall Memorial Hospital

Providence Holy Cross Medical Center

Page 36: 2018 Provider and Pharmacy Directory

36 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Primary Care Providers

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Facey Medical Foundation - Northridge (PPG

1072)

9111 Corbin Ave.

Northridge, CA 91324-2402

(818) 734-3600

Urgent Care:

Facey Medical Group UC- Mission Hills

(818) 869-7200

EXer- More Than Urgent Care (818) 727-2040

Hospitals Used:

Providence Holy Cross Medical Center

Facey Medical Foundation - Tarzana (PPG

5359)

18411 Clark St. Ste 102

Tarzana, CA 91356-3524

(855) 723-3005

Hospitals Used:

Providence Holy Cross Medical Center

Facey Medical Foundation - Valencia (PPG

1071)

26357 McBean Pkwy.

Valencia, CA 91355-4488

(661) 222-2600

Urgent Care:

Facey Medical Group UC- Valencia

(661) 222-2600

Hospitals Used:

Henry Mayo Newhall Memorial Hospital

Providence Holy Cross Medical Center

Page 37: 2018 Provider and Pharmacy Directory

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Facey Med Fnd - Mission Hills PPG 1068

Primary Care Providers

Prim

ary

C

are P

ro

vid

ers

37

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Canyon Country Specialty/

Primary Care Physicians PPG/Phy #

1ass

Alam, Tarannum, M.D.

Gender: Female

License No: A81175

NPI: 1801814231

Internal Medicine

1

17909 Soledad Canyon Rd. #

220

Canyon Country, CA 91387

1070 129880

(661) 250-5235

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Canyon Country Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ali, Unber, M.D.

Gender: Male

License No: A137317

NPI: 1588897045

Internal Medicine

1

17909 Soledad Canyon Rd.

Canyon Country, CA 91387

1070 221026

(661) 250-5230

Prov Language: Hindi, Punjabi, Urdu

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 38: 2018 Provider and Pharmacy Directory

38 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Primary Care Providers

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Canyon Country Specialty/

Primary Care Physicians PPG/Phy #

1ass

Erfanzadeh, Ghazaleh, M.D.

Gender: Female

License No: A124365

NPI: 1922398510

Internal Medicine

17909 Soledad Canyon Rd. #

100

Canyon Country, CA 91387

1070 206313

(661) 250-5230

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Canyon Country Specialty/

Primary Care Physicians PPG/Phy #

1ass

Hasratyan, Anush, M.D.

2

Gender: Female

License No: A97843

NPI: 1528125721

Internal Medicine

1

17909 Soledad Canyon Rd. #

100

Canyon Country, CA 91387

1070 159129

(661) 250-5230

Prov Language: Armenian

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 39: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 39

Facey Med Fnd - Mission Hills PPG 1068

Primary Care Providers

Prim

ary

C

are P

ro

vid

ers

39

2

Physician is currently unavailable to new patients through this physician group.

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Canyon Country Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lackman, Vernon H., M.D.

2

Gender: Male

License No: G67735

NPI: 1174554646

Internal Medicine

17909 Soledad Canyon Rd. #

230

Canyon Country, CA 91387

1070 009480

(661) 250-5244

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Canyon Country Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lee, Byong-Wha E., M.D.

2

Gender: Female

License No: G68100

NPI: 1881613412

Internal Medicine

17909 Soledad Canyon Rd. #

230

Canyon Country, CA 91387

1070 033774

(661) 250-5244

Prov Language: Korean

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 40: 2018 Provider and Pharmacy Directory

40 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Primary Care Providers

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Canyon Country Specialty/

Primary Care Physicians PPG/Phy #

1ass

Maharjan, Bina, M.D.

Gender: Female

License No: A119527

NPI: 1871638080

Family Practice

1

17909 Soledad Canyon Rd. #

220

Canyon Country, CA 91387

1070 188151

(661) 250-5235

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Canyon Country Specialty/

Primary Care Physicians PPG/Phy #

1ass

Partovi, Shay, M.D.

Gender: Male

License No: A106967

NPI: 1043465388

Family Practice

17909 Soledad Canyon Rd. #

220

Canyon Country, CA 91387

1070 164908

(661) 250-5235

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 41: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 41

Facey Med Fnd - Mission Hills PPG 1068

Primary Care Providers

Prim

ary

C

are P

ro

vid

ers

41

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Belayneh, Daniel K., M.D.

2

Gender: Male

License No: A109923

NPI: 1831345297

Family Practice

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 165544

(818) 869-7254

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Davydov, Erik E., M.D.

Gender: Male

License No: A66006

NPI: 1336173582

Internal Medicine

1

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 077896

(818) 869-7254

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: TU,F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 42: 2018 Provider and Pharmacy Directory

42 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Flores, Noel L., M.D.

Gender: Male

License No: A54949

NPI: 1316921000

Internal Medicine

1

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 234559

(818) 869-7254

Prov Language: Tagalog

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-TU 8 AM - 7:30 PM, W-F 8 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Gamini, Ali A., M.D.

Gender: Male

License No: A105204

NPI: 1639336134

Internal Medicine

1

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 167316

(818) 869-7254

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 43: 2018 Provider and Pharmacy Directory

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Facey Med Fnd - Mission Hills PPG 1068

Primary Care Providers

Prim

ary

C

are P

ro

vid

ers

43

2

Physician is currently unavailable to new patients through this physician group.

3

Physician is currently not accepting new patients.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Gaxiola, Felizardo A., M.D.

2

Gender: Male

License No: A112174

NPI: 1649417239

Family Practice

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 162943

(818) 869-7254

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Gharibian, Nayiri G., D.O.

3

Gender: Female

License No: 20A13112

NPI: 1063778173

Internal Medicine

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 208776

(818) 869-7254

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 44: 2018 Provider and Pharmacy Directory

44 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Primary Care Providers

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Huey, Donald J., M.D.

2

Gender: Male

License No: G57604

NPI: 1386662922

Internal Medicine

1

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 007668

(818) 869-7254

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lee, Jeffery, M.D.

2

Gender: Male

License No: A80215

NPI: 1205855848

Internal Medicine

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 102093

(818) 869-7254

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 45: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 45

Facey Med Fnd - Mission Hills PPG 1068

Primary Care Providers

Prim

ary

C

are P

ro

vid

ers

45

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lizama, Miguel R., M.D.

2

Gender: Male

License No: A49543

NPI: 1174699151

Internal Medicine

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 059786

(818) 869-7254

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lopes, Ana S., M.D.

2

Gender: Female

License No: A101559

NPI: 1427096957

Family Practice

1

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 141969

(818) 869-7254

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 46: 2018 Provider and Pharmacy Directory

46 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Primary Care Providers

3

Physician is currently not accepting new patients.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Panoyan, Aren, M.D.

Gender: Male

License No: A146132

NPI: 1740698794

Internal Medicine

15451 San Fernando Mission

Blvd. # 200

Mission Hills, CA 91345

1068 234715

(818) 837-5785

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Sanchez, Andrea C., M.D.

3

Gender: Female

License No: A108281

NPI: 1467689638

Internal Medicine

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 197047

(818) 869-7254

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 47: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 47

Facey Med Fnd - Mission Hills PPG 1068

Primary Care Providers

Prim

ary

C

are P

ro

vid

ers

47

1

Board Certified

3

Physician is currently not accepting new patients.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Sanchez, Michael A., M.D.

3

Gender: Male

License No: G73436

NPI: 1174539100

Internal Medicine

1

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 530000

(818) 869-7254

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Singh, Angela, M.D.

Gender: Female

License No: A128040

NPI: 1649557919

Family Practice

1

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 200439

(818) 869-7254

Prov Language: Hindi, Punjabi

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-TU 8 AM - 7:30 PM, W-F 8 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 48: 2018 Provider and Pharmacy Directory

48 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Primary Care Providers

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Takyar, Anjali A., D.O.

Gender: Female

License No: 20A15333

NPI: 1578908976

Internal Medicine

1

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 234561

(818) 869-7254

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-TU 8 AM - 7:30 PM, W-F 8 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Te, Tam T., M.D.

2

Gender: Female

License No: A118332

NPI: 1326272915

Internal Medicine

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 188154

(818) 869-7254

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 49: 2018 Provider and Pharmacy Directory

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Facey Med Fnd - Mission Hills PPG 1068

Primary Care Providers

Prim

ary

C

are P

ro

vid

ers

49

1

Board Certified

3

Physician is currently not accepting new patients.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Wilson, Lou Ellen, M.D.

3

Gender: Female

License No: A76107

NPI: 1386650349

Internal Medicine

1

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 073718

(818) 869-7254

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Wright, Kathryn J., M.D.

Gender: Female

License No: A103178

NPI: 1922203546

Obstetrics/

Gynecology

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 147266

(818) 869-7256

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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50 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Primary Care Providers

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Cordero, Fausto S., M.D.

Gender: Male

License No: G60861

NPI: 1124052477

Family Practice

1

9111 Corbin Ave.

Northridge, CA 91324

1072 503254

(818) 743-5700

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Espindola, Chrissie A., M.D.

Gender: Female

License No: A129094

NPI: 1649690108

Family Practice

1

9111 Corbin Ave.

Northridge, CA 91324

1072 217432

(818) 743-5700

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: M 8 AM - 7:30 PM, TU-F 8 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Facey Med Fnd - Mission Hills PPG 1068

Primary Care Providers

Prim

ary

C

are P

ro

vid

ers

51

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ionescu-Tiba, Viviana T.,

M.D.

Gender: Female

License No: A99311

NPI: 1588737720

Family Practice

9111 Corbin Ave.

Northridge, CA 91324

1072 171439

(818) 743-5700

Prov Language: Romanian

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: TU-F 8 AM - 5:30 PM, M 8 AM - 7:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lee, Jong C., M.D.

Gender: Male

License No: A83310

NPI: 1518973502

Internal Medicine

1

19950 Rinaldi St. # 200

4

Northridge, CA 91326

1069 106110

(818) 403-2400

Prov Language: Korean

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,IB,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 52: 2018 Provider and Pharmacy Directory

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Facey Med Fnd - Mission Hills PPG 1068

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Leshan, Loren A., M.D.

Gender: Female

License No: G86992

NPI: 1194832642

Family Practice

1

19950 Rinaldi St.

4

Northridge, CA 91326

1069 219460

(818) 403-2420

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: W 8 AM - 7 PM, TH-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mooradian, Vahe, M.D.

Gender: Male

License No: A117286

NPI: 1053586370

Family Practice

9111 Corbin Ave.

Northridge, CA 91324

1072 167341

(818) 743-5700

Prov Language: Armenian

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: M 8 AM - 7:30 PM, TU-F 8 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Facey Med Fnd - Mission Hills PPG 1068

Primary Care Providers

Prim

ary

C

are P

ro

vid

ers

53

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Salcedo, Mariver G., D.O.

2

Gender: Female

License No: 20A8041

NPI: 1205946027

Internal Medicine

1

9111 Corbin Ave.

Northridge, CA 91324

1072 101603

(818) 743-5700

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: M-TH 8 AM - 11:30 AM, F 12 PM - 3:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Porter Ranch Specialty/

Primary Care Physicians PPG/Phy #

1ass

Goharbin, Ali, M.D.

Gender: Male

License No: A117121

NPI: 1235411844

Family Practice

1

19950 Rinaldi St. # 103

4

Porter Ranch, CA 91326

1069 172973

(818) 403-2410

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 54: 2018 Provider and Pharmacy Directory

54 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Primary Care Providers

1

Board Certified

3

Physician is currently not accepting new patients.

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Porter Ranch Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kwon, Elise J., M.D.

3

Gender: Female

License No: A83539

NPI: 1265463731

Internal Medicine

1

19950 Rinaldi St. # 200

Porter Ranch, CA 91326

1069 130100

(818) 403-2420

Prov Language: Korean

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Porter Ranch Specialty/

Primary Care Physicians PPG/Phy #

1ass

Landers, Richard D., M.D.

Gender: Male

License No: G53483

NPI: 1679689921

Internal Medicine

1

19950 Rinaldi St. # 200

Porter Ranch, CA 91326

1069 051303

(818) 403-2420

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Facey Med Fnd - Mission Hills PPG 1068

Primary Care Providers

Prim

ary

C

are P

ro

vid

ers

55

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Porter Ranch Specialty/

Primary Care Physicians PPG/Phy #

1ass

Nelson, Michael C., M.D.

2

Gender: Male

License No: G57167

NPI: 1346254968

Internal Medicine

1

19950 Rinaldi St. # 200

Porter Ranch, CA 91326

1069 012244

(818) 403-2420

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Porter Ranch Specialty/

Primary Care Physicians PPG/Phy #

1ass

Sareh, Alaleh, M.D.

Gender: Female

License No: A121602

NPI: 1144484122

Internal Medicine

1

19950 Rinaldi St. # 200

Porter Ranch, CA 91326

1069 192709

(818) 403-2420

Prov Language: Farsi

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 56: 2018 Provider and Pharmacy Directory

56 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Primary Care Providers

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Santa Clarita Specialty/

Primary Care Physicians PPG/Phy #

1ass

Asuncion, Catherine C.,

M.D.

Gender: Female

License No: A99749

NPI: 1740353630

Internal Medicine

27924 Seco Canyon Rd.

Santa Clarita, CA 91350

5010 138292

(661) 513-2100

Office Staff Language

#

: Spanish, Vietnamese

Accessibility:*: Limited(P,EB,IB,E,T)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Santa Clarita Specialty/

Primary Care Physicians PPG/Phy #

1ass

Collen Adler, Allison, M.D.

Gender: Female

License No: A110457

NPI: 1598080376

Internal Medicine

1

27924 Seco Canyon Rd.

Santa Clarita, CA 91350

5010 197049

(661) 513-2100

Office Staff Language

#

: Spanish, Vietnamese

Accessibility:*: Limited(P,EB,IB,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Facey Med Fnd - Mission Hills PPG 1068

Primary Care Providers

Prim

ary

C

are P

ro

vid

ers

57

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Santa Clarita Specialty/

Primary Care Physicians PPG/Phy #

1ass

El Tom, Bassem, M.D.

Gender: Male

License No: C148824

NPI: 1417141292

Family Practice

1

27924 Seco Canyon Rd. # 101

Santa Clarita, CA 91350

1071 234695

(661) 513-2100

Office Staff Language

#

:

Accessibility:*:

Hours: M 8 AM - 7:30 PM, TU-F 8 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Santa Clarita Specialty/

Primary Care Physicians PPG/Phy #

El Tom, Bassem, M.D.

Gender: Male

License No: C148824

NPI: 1417141292

Family Practice

1

27924 Seco Canyon Rd. # 101

Santa Clarita, CA 91350

5010 234695

(661) 513-2100

Office Staff Language

#

:

Accessibility:*:

Hours: M 8 AM - 7:30 PM, TU-F 8 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 58: 2018 Provider and Pharmacy Directory

58 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Primary Care Providers

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Santa Clarita Specialty/

Primary Care Physicians PPG/Phy #

1ass

Markley, Daisy Mae C., M.D.

Gender: Female

License No: A71718

NPI: 1053353763

Family Practice

1

27924 Seco Canyon Rd.

Santa Clarita, CA 91350

5010 086346

(661) 513-2100

Office Staff Language

#

: Spanish, Vietnamese

Accessibility:*: Limited(P,EB,IB,E,T)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Santa Clarita Specialty/

Primary Care Physicians PPG/Phy #

1ass

Morrow, David L., M.D.

2

Gender: Male

License No: G79091

NPI: 1063428068

Family Practice

1

27924 Seco Canyon Rd.

Santa Clarita, CA 91350

5010 076855

(661) 513-2100

Office Staff Language

#

: Spanish, Vietnamese

Accessibility:*: Limited(P,EB,IB,E,T)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Facey Med Fnd - Mission Hills PPG 1068

Primary Care Providers

Prim

ary

C

are P

ro

vid

ers

59

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Tarzana Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lewis, Daniel J., M.D.

Gender: Male

License No: A70094

NPI: 1508974718

Internal Medicine

1

18133 Ventura Blvd. # 204

Tarzana, CA 91356

5359 076159

(818) 466-7700

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Tarzana Specialty/

Primary Care Physicians PPG/Phy #

1ass

Shukhman, Jeffrey, D.O.

Gender: Male

License No: 20A13753

NPI: 1447593660

Internal Medicine

18133 Ventura Blvd. # 204

Tarzana, CA 91356

5359 218364

(818) 466-7700

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 60: 2018 Provider and Pharmacy Directory

60 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Primary Care Providers

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Aboul Hosn, Alaa, M.D.

Gender: Male

License No: A139101

NPI: 1790914919

Family Practice

1

26357 McBean Pkwy.

Valencia, CA 91355

1071 219258

(661) 222-2658

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Avelino, Christopher F.,

M.D.

2

Gender: Male

License No: A63008

NPI: 1649298738

Internal Medicine

1

26357 Mcbean Pkwy. # 205

Valencia, CA 91355

1071 056838

(661) 222-2605

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Facey Med Fnd - Mission Hills PPG 1068

Primary Care Providers

Prim

ary

C

are P

ro

vid

ers

61

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Azzam, Omaima Y., M.D.

2

Gender: Female

License No: A105239

NPI: 1841449980

Family Practice

1

26357 Mcbean Pkwy. # 310

Valencia, CA 91355

1071 205972

(661) 222-2605

Prov Language: Arabic

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Bernstein, Lawrence G.,

M.D.

Gender: Male

License No: G71974

NPI: 1104838754

Internal Medicine

1

26357 Mcbean Pkwy. # 320

Valencia, CA 91355

1071 027057

(661) 222-2658

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-TU 8 AM - 7:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 62: 2018 Provider and Pharmacy Directory

62 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Primary Care Providers

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Castillo, Gregory, M.D.

Gender: Male

License No: A53294

NPI: 1700839917

Family Practice

26357 Mcbean Pkwy. # 320

Valencia, CA 91355

1071 050100

(661) 222-2658

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Gowthaman, Bhuvaneswari,

M.D.

2

Gender: Female

License No: A88829

NPI: 1467435107

Internal Medicine

1

26357 Mcbean Pkwy. # 310

Valencia, CA 91355

1071 128800

(661) 222-2605

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Facey Med Fnd - Mission Hills PPG 1068

Primary Care Providers

Prim

ary

C

are P

ro

vid

ers

63

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Janay, Jan B., M.D.

Gender: Male

License No: A127001

NPI: 1043506348

Family Practice

26357 Mcbean Pkwy. # 205

Valencia, CA 91355

1071 201025

(661) 222-2605

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Jawad, Sawsan, M.D.

Gender: Female

License No: C148732

NPI: 1427287580

Family Practice

1

26357 Mcbean Pkwy. # 320

Valencia, CA 91355

1071 239811

(661) 222-2605

Prov Language: Arabic

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-TU 8 AM - 7:30 PM, W-F 8 AM - 5:30

PM

Cultural Competence Training Completed:

Provider Training and Experience:

Page 64: 2018 Provider and Pharmacy Directory

64 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Primary Care Providers

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lloyd, Geoffrey K., D.O.

Gender: Male

License No: 20A7967

NPI: 1821104845

Family Practice

1

26357 Mcbean Pkwy. # 310

Valencia, CA 91355

1071 102102

(661) 222-2600

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: W-F 8 AM - 5:30 PM, M-TU 8 AM - 7:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lurie, Louis J., M.D.

Gender: Male

License No: A139869

NPI: 1275875312

Internal Medicine

26357 Mcbean Pkwy. # 310

Valencia, CA 91355

1071 221723

(661) 222-2605

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Facey Med Fnd - Mission Hills PPG 1068

Primary Care Providers

Prim

ary

C

are P

ro

vid

ers

65

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Patterson Judd, Rebecca

A., M.D.

2

Gender: Female

License No: A99773

NPI: 1801042130

Family Practice

26357 Mcbean Pkwy. # 320

Valencia, CA 91355

1071 144671

(661) 222-2658

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Shafiq, Aisha, M.D.

Gender: Female

License No: A126471

NPI: 1679802854

Internal Medicine

1

26357 Mcbean Pkwy. # 310

Valencia, CA 91355

1071 206588

(661) 222-2605

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 66: 2018 Provider and Pharmacy Directory

66 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Primary Care Providers

3

Physician is currently not accepting new patients.

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Vashistha, Money, M.D.

Gender: Female

License No: A133927

NPI: 1730442815

Family Practice

26357 Mcbean Pkwy. # 310

Valencia, CA 91355

1071 209965

(661) 222-2605

Prov Language: Hindi, Punjabi

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Xu, Yidi, M.D.

3

Gender: Female

License No: A123375

NPI: 1932498698

Internal Medicine

26357 Mcbean Pkwy. # 310

Valencia, CA 91355

1071 201072

(661) 222-2605

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Prim

ary

C

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ro

vid

ers

67

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

HCP IPA - San Fernando Valley

PPG 1922

2175 Park Pl.

El Segundo, CA 90245-4705

(800) 403-4160

Urgent Care:

Healthcare Partners UCC

(818) 838-4500

Hospitals Used:

Providence Holy Cross Medical Center

Valley Presbyterian Hospital

HCP IPA - Northridge Med Grp (PPG 5233)

2175 Park Pl. Ste 200

El Segundo, CA 90245-4705

(800) 403-4160

Urgent Care

Healthcare Partners UCC (818) 341-1540

Hospitals Used:

Valley Presbyterian Hospital

Arleta Specialty/

Primary Care Physicians PPG/Phy #

1ass

Manzano, Leander E., M.D.

Gender: Male

License No: A67142

NPI: 1215040084

Family Practice

1

8902 Woodman Ave.

4

Arleta, CA 91331

1922 090757

(818) 830-7033

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,R,E)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Manzano, Leander E., M.D.

Gender: Male

License No: A67142

NPI: 1215040084

Family Practice

1

8902 Woodman Ave.

4

Arleta, CA 91331

5233 090757

(818) 830-7033

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,R,E)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Arleta Specialty/

Primary Care Physicians PPG/Phy #

1ass

Tatulian, Karmen S., M.D.

Gender: Female

License No: A101992

NPI: 1851561807

Family Practice

8902 Woodman Ave.

4

Arleta, CA 91331

5233 154193

(818) 830-7033

Prov Language: Armenian, German, Russian

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,R,E)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Arleta Specialty/

Primary Care Physicians PPG/Phy #

Tatulian, Karmen S., M.D.

Gender: Female

License No: A101992

NPI: 1851561807

Family Practice

8902 Woodman Ave.

4

Arleta, CA 91331

1922 154193

(818) 830-7033

Prov Language: Armenian, German, Russian

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,R,E)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary

C

are P

ro

vid

ers

69

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Canoga Park Specialty/

Primary Care Physicians PPG/Phy #

1ass

Aazami, Hessam, M.D.

Gender: Male

License No: A85704

NPI: 1144299173

General Practice

22030 Sherman Way # 101

4

Canoga Park, CA 91303

1922 134414

(818) 312-9101

Prov Language: Farsi, Italian, Spanish

Office Staff Language

#

: Farsi, Italian, Spanish

Accessibility:*:

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Canoga Park Specialty/

Primary Care Physicians PPG/Phy #

Aazami, Hessam, M.D.

Gender: Male

License No: A85704

NPI: 1144299173

General Practice

22030 Sherman Way # 101

4

Canoga Park, CA 91303

5233 134414

(818) 312-9101

Prov Language: Farsi, Italian, Spanish

Office Staff Language

#

: Farsi, Italian, Spanish

Accessibility:*:

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Canoga Park Specialty/

Primary Care Physicians PPG/Phy #

1ass

Coates, Reginald A., M.D.

Gender: Male

License No: G37252

NPI: 1306909072

Internal Medicine

1

7257 Owensmouth Ave # A

Canoga Park, CA 91303

1922 503007

(818) 340-6658

Office Staff Language

#

:

Accessibility:*: Limited(IB)

Hours: M-TH 9 AM - 5 PM, F 9 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Canoga Park Specialty/

Primary Care Physicians PPG/Phy #

1ass

Feghali, Nabil S., M.D.

Gender: Male

License No: A34704

NPI: 1982787057

Internal Medicine

8111 Canoga Ave.

4

Canoga Park, CA 91304

1922 057248

(818) 347-8277

Prov Language: Arabic, French

Office Staff Language

#

: Armenian, Farsi,

Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

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ary

C

are P

ro

vid

ers

71

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Canoga Park Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lin, Jay J., M.D.

Gender: Male

License No: A31426

NPI: 1275551251

Internal Medicine

22030 Sherman Way # 201

4

Canoga Park, CA 91303

1922 057256

(818) 883-6840

Prov Language: Mandarin

Office Staff Language

#

: Cantonese, Mandarin

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Canoga Park Specialty/

Primary Care Physicians PPG/Phy #

1ass

Nguyen, Hoang D., M.D.

Gender: Male

License No: A60675

NPI: 1124011952

Family Practice

22135 Roscoe Blvd. # 107

4

Canoga Park, CA 91304

1922 067908

(818) 481-0118

Prov Language: Spanish, Vietnamese

Office Staff Language

#

: Spanish, Vietnamese

Accessibility:*: Limited(P,EB,R,E,T)

Hours: SA 9 AM - 1 PM, M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Canoga Park Specialty/

Primary Care Physicians PPG/Phy #

Nguyen, Hoang D., M.D.

Gender: Male

License No: A60675

NPI: 1124011952

Family Practice

22135 Roscoe Blvd. # 107

4

Canoga Park, CA 91304

5233 067908

(818) 481-0118

Prov Language: Spanish, Vietnamese

Office Staff Language

#

: Spanish, Vietnamese

Accessibility:*: Limited(P,EB,R,E,T)

Hours: SA 9 AM - 1 PM, M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Canoga Park Specialty/

Primary Care Physicians PPG/Phy #

1ass

Sahibzada, Afzal H., M.D.

Gender: Male

License No: A26410

NPI: 1710067004

Internal Medicine

22110 Roscoe Blvd. # 301

4

Canoga Park, CA 91304

5233 192678

(818) 719-9117

Prov Language: Urdu

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,R,E)

Hours: TH-F 10 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

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ary

C

are P

ro

vid

ers

73

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Encino Specialty/

Primary Care Physicians PPG/Phy #

1ass

Javaherian, Jasmin, D.O.

Gender: Female

License No: 20A8083

NPI: 1447294715

Internal Medicine

16661 Ventura Blvd. # 815

4

Encino, CA 91436

1922 102530

(818) 501-3366

Prov Language: Farsi, Spanish

Office Staff Language

#

: Farsi, Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Encino Specialty/

Primary Care Physicians PPG/Phy #

Javaherian, Jasmin, D.O.

Gender: Female

License No: 20A8083

NPI: 1447294715

Internal Medicine

16661 Ventura Blvd. # 815

4

Encino, CA 91436

5233 102530

(818) 501-3366

Prov Language: Farsi, Spanish

Office Staff Language

#

: Farsi, Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Encino Specialty/

Primary Care Physicians PPG/Phy #

1ass

Keramati, Michael M., D.O.

Gender: Male

License No: 20A8906

NPI: 1962441238

Family Practice

16550 Ventura Blvd. # 214

Encino, CA 91436

1922 141235

(818) 990-5588

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Encino Specialty/

Primary Care Physicians PPG/Phy #

1ass

Shirazi, Keyvan, M.D.

Gender: Male

License No: A78184

NPI: 1023033107

Internal Medicine

16952 Ventura Blvd. # 100

4

Encino, CA 91316

5233 102642

(818) 789-3964

Prov Language: Farsi, Hebrew, Spanish

Office Staff Language

#

:

Accessibility:*: Limited(EB,IB,E)

Hours: M-F 9 AM - 4:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary

C

are P

ro

vid

ers

75

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Encino Specialty/

Primary Care Physicians PPG/Phy #

Shirazi, Keyvan, M.D.

Gender: Male

License No: A78184

NPI: 1023033107

Internal Medicine

16952 Ventura Blvd. # 100

4

Encino, CA 91316

1922 102642

(818) 789-3964

Prov Language: Farsi, Hebrew, Spanish

Office Staff Language

#

:

Accessibility:*: Limited(EB,IB,E)

Hours: M-F 9 AM - 4:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Granada Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ito, Lloyd K., M.D.

Gender: Male

License No: G51268

NPI: 1538184957

Family Practice

1

10515 Balboa Blvd. # 325

Granada Hills, CA 91344

1922 059763

(818) 366-0565

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Granada Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Koshak, Michael M., M.D.

Gender: Male

License No: A36588

NPI: 1689680696

General Practice

17709 Chatsworth St.

4

Granada Hills, CA 91344

5233 057168

(818) 363-8176

Prov Language: French, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,IB,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Granada Hills Specialty/

Primary Care Physicians PPG/Phy #

Koshak, Michael M., M.D.

Gender: Male

License No: A36588

NPI: 1689680696

General Practice

17709 Chatsworth St.

4

Granada Hills, CA 91344

1922 057168

(818) 363-8176

Prov Language: French, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,IB,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

Prim

ary

C

are P

ro

vid

ers

77

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Granada Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lim, Duck, M.D.

Gender: Male

License No: A50830

NPI: 1194818765

Internal Medicine

10700 Balboa Blvd.

4

Granada Hills, CA 91344

1922 045686

(818) 366-6550

Prov Language: Korean

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB,IB,R)

Hours: M-F 9 AM - 6 PM, SA 9 AM - 1 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Granada Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Madhure, Jay B., M.D.

Gender: Male

License No: A33612

NPI: 1770518714

Family Practice

16281 San Fernando Mission

Blvd.

4

Granada Hills, CA 91344

1922 531559

(818) 838-4600

Prov Language: Kannada, Spanish

Office Staff Language

#

: Kannada, Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Lancaster Specialty/

Primary Care Physicians PPG/Phy #

1ass

Singh, Pradeep K., M.D.

Gender: Male

License No: A46155

NPI: 1891737656

Family Practice

1

44507 16th St. West # 101

Lancaster, CA 93534

1922 032921

(661) 948-7057

Prov Language: Hindi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Chang, Wen-Shi, M.D.

Gender: Female

License No: A118395

NPI: 1508004193

Family Practice

1704 Colorado Blvd.

4

Los Angeles, CA 90041

1922 195443

(323) 256-4116

Prov Language: Korean, Mandarin, Spanish

Office Staff Language

#

: Arabic, Armenian,

Farsi, Korean, Mandarin, Russian, Spanish,

Tagalog

Accessibility:*: Limited(IB)

Hours: M-F 8 AM - 6 PM, SA 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary

C

are P

ro

vid

ers

79

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Paronian, Oganes, M.D.

Gender: Male

License No: A54463

NPI: 1528048899

General Practice

1704 Colorado Blvd.

4

Los Angeles, CA 90041

1922 060744

(323) 256-4116

Prov Language: Armenian, Marathi, Russian,

Spanish

Office Staff Language

#

: Arabic, Armenian,

Farsi, Korean, Mandarin, Russian, Spanish,

Tagalog

Accessibility:*: Limited(IB)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Yeghoyan, Karine, M.D.

Gender: Female

License No: A118734

NPI: 1265664304

Internal Medicine

1

11550 Indian Hills Rd. # 240

4

Mission Hills, CA 91345

1922 185587

(818) 488-5188

Prov Language: Armenian, Russian, Spanish

Office Staff Language

#

: Armenian, Russian,

Spanish

Self Reported Accessibility:*: Limited(EB,IB,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

Yeghoyan, Karine, M.D.

Gender: Female

License No: A118734

NPI: 1265664304

Internal Medicine

1

11550 Indian Hills Rd. # 240

4

Mission Hills, CA 91345

5233 185587

(818) 488-5188

Prov Language: Armenian, Russian, Spanish

Office Staff Language

#

: Armenian, Russian,

Spanish

Self Reported Accessibility:*: Limited(EB,IB,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ezra, Eshagh J., M.D.

2

Gender: Male

License No: A56249

NPI: 1790797835

General Practice

15424 Nordhoff St. # B

4

North Hills, CA 91343

1922 086350

(818) 891-5500

Prov Language: Farsi, Spanish

Office Staff Language

#

: Farsi, Spanish

Accessibility:*: Limited(EB,R,E)

Hours: M-F 10 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary

C

are P

ro

vid

ers

81

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Tamari, Mansour, M.D.

Gender: Male

License No: A64183

NPI: 1508963935

General Practice

9146 Sepulveda Blvd. # B

4

North Hills, CA 91343

1922 068804

(818) 920-1133

Prov Language: Farsi, Spanish

Office Staff Language

#

: Farsi, Spanish

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 10 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Yoo, Kyung S., M.D.

Gender: Male

License No: A44472

NPI: 1588754675

Family Practice

1

15446 Parthenia St.

4

North Hills, CA 91343

5233 018905

(818) 891-1616

Prov Language: Korean, Spanish

Office Staff Language

#

: Korean, Spanish

Accessibility:*: Limited(EB,IB)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hills Specialty/

Primary Care Physicians PPG/Phy #

Yoo, Kyung S., M.D.

Gender: Male

License No: A44472

NPI: 1588754675

Family Practice

1

15446 Parthenia St.

4

North Hills, CA 91343

1922 018905

(818) 891-1616

Prov Language: Korean, Spanish

Office Staff Language

#

: Korean, Spanish

Accessibility:*: Limited(EB,IB)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Fridman Jr, Alex, M.D.

Gender: Male

License No: A103675

NPI: 1902018385

Internal Medicine

1

12157 Victory Blvd.

4

North Hollywood, CA 91606

1922 146934

(818) 755-8000

Prov Language: Russian

Office Staff Language

#

: Arabic, Armenian,

Russian, Spanish, Tagalog

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M 10 AM - 7 PM, TU-W 10 AM - 8 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

Prim

ary

C

are P

ro

vid

ers

83

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Koshak, Michael M., M.D.

Gender: Male

License No: A36588

NPI: 1689680696

General Practice

11631 Victory Blvd. # 101

4

North Hollywood, CA 91606

5233 057168

(818) 764-8838

Prov Language: French, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,IB,E)

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

Koshak, Michael M., M.D.

Gender: Male

License No: A36588

NPI: 1689680696

General Practice

11631 Victory Blvd. # 101

4

North Hollywood, CA 91606

1922 057168

(818) 764-8838

Prov Language: French, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,IB,E)

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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84 / www.healthnet.com/calmediconnect

HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Paronian, Oganes, M.D.

Gender: Male

License No: A54463

NPI: 1528048899

General Practice

12157 Victory Blvd.

4

North Hollywood, CA 91606

1922 060744

(818) 755-8000

Prov Language: Armenian, Marathi, Russian,

Spanish

Office Staff Language

#

: Arabic, Armenian,

Russian, Spanish, Tagalog

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: S 9 AM - 1 PM, M-F 7:30 AM - 7 PM, SA

8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Amini, Parviz, M.D.

Gender: Male

License No: A48740

NPI: 1942230495

Internal Medicine

8435 Reseda Blvd.

4

Northridge, CA 91324

5233 046412

(818) 998-6000

Prov Language: Farsi, Hebrew

Office Staff Language

#

:

Self Reported Accessibility:*: Limited(P,EB,R,E)

Hours: M-TU,TH 8 AM - 4 PM, W,F 8 AM - 12

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary

C

are P

ro

vid

ers

85

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Primary Care Physicians PPG/Phy #

Amini, Parviz, M.D.

Gender: Male

License No: A48740

NPI: 1942230495

Internal Medicine

8435 Reseda Blvd.

4

Northridge, CA 91324

1922 046412

(818) 998-6000

Prov Language: Farsi, Hebrew

Office Staff Language

#

:

Self Reported Accessibility:*: Limited(P,EB,R,E)

Hours: M-TU,TH 8 AM - 4 PM, W,F 8 AM - 12

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Buschmann, Darin K., M.D.

Gender: Male

License No: A79033

NPI: 1558381004

Internal Medicine

1

18546 Roscoe Blvd. # 300

4

Northridge, CA 91324

5233 101383

(818) 886-4028

Office Staff Language

#

:

Accessibility:*:

Hours: M-W,F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 86: 2018 Provider and Pharmacy Directory

86 / www.healthnet.com/calmediconnect

HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Buttelman, Christopher R.,

M.D.

Gender: Male

License No: A47864

NPI: 1437128840

Internal Medicine

1

17075 Devonshire St. # 209

4

Northridge, CA 91325

5233 024965

(818) 832-7802

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Primary Care Physicians PPG/Phy #

Buttelman, Christopher R.,

M.D.

Gender: Male

License No: A47864

NPI: 1437128840

Internal Medicine

1

17075 Devonshire St. # 209

4

Northridge, CA 91325

1922 024965

(818) 832-7802

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

Prim

ary

C

are P

ro

vid

ers

87

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Davis, Pamela M., M.D.

Gender: Female

License No: G52081

NPI: 1386652196

Family Practice

18406 Roscoe Blvd.

4

Northridge, CA 91325

1922 064296

(818) 885-5480

Prov Language: Spanish

Office Staff Language

#

: Korean

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Eddy-Bertrand, Elizabeth,

M.D.

Gender: Female

License No: G80676

NPI: 1669573218

Family Practice

1

18350 Roscoe Blvd. # 600

4

Northridge, CA 91325

5233 067020

(818) 727-1515

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 88: 2018 Provider and Pharmacy Directory

88 / www.healthnet.com/calmediconnect

HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Primary Care Physicians PPG/Phy #

Eddy-Bertrand, Elizabeth,

M.D.

Gender: Female

License No: G80676

NPI: 1669573218

Family Practice

1

18350 Roscoe Blvd. # 600

4

Northridge, CA 91325

1922 067020

(818) 727-1515

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Etehad, Siamak P., M.D.

Gender: Male

License No: A43714

NPI: 1184728479

Internal Medicine

1

17075 Devonshire St. # 100

4

Northridge, CA 91325

5233 087334

(818) 363-2077

Prov Language: Farsi, Sinhalese

Office Staff Language

#

: Spanish

Accessibility:*: Limited(IB,R,E)

Hours: M-F 9:30 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

Prim

ary

C

are P

ro

vid

ers

89

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Gagneja, Ritoo, M.D.

Gender: Female

License No: A101849

NPI: 1093966236

Family Practice

18350 Roscoe Blvd. # 600

4

Northridge, CA 91325

1922 157748

(818) 727-1515

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Primary Care Physicians PPG/Phy #

Gagneja, Ritoo, M.D.

Gender: Female

License No: A101849

NPI: 1093966236

Family Practice

18350 Roscoe Blvd. # 600

4

Northridge, CA 91325

5233 157748

(818) 727-1515

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 90: 2018 Provider and Pharmacy Directory

90 / www.healthnet.com/calmediconnect

HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ghuman, Mandeep S., M.D.

Gender: Male

License No: A108800

NPI: 1306058151

Family Practice

1

18406 Roscoe Blvd.

4

Northridge, CA 91325

1922 152913

(818) 885-5480

Office Staff Language

#

: Korean

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Hopkins, Susan M., M.D.

Gender: Female

License No: G79146

NPI: 1700987369

Family Practice

1

18433 Roscoe Blvd. # 102

4

Northridge, CA 91325

1922 059814

(818) 709-6700

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

Prim

ary

C

are P

ro

vid

ers

91

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Primary Care Physicians PPG/Phy #

Hopkins, Susan M., M.D.

Gender: Female

License No: G79146

NPI: 1700987369

Family Practice

1

18433 Roscoe Blvd. # 102

4

Northridge, CA 91325

5233 059814

(818) 709-6700

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Josephson, William Y., M.D.

Gender: Male

License No: A44225

NPI: 1376647651

Internal Medicine

17075 Devonshire St. # 100A

Northridge, CA 91325

1922 087295

(818) 360-4600

Prov Language: Arabic, Farsi, Hebrew, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Page 92: 2018 Provider and Pharmacy Directory

92 / www.healthnet.com/calmediconnect

HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kajani, Sikander, M.D.

Gender: Male

License No: A44729

NPI: 1851380992

Internal Medicine

18350 Roscoe Blvd. # 218

4

Northridge, CA 91325

1922 059826

(818) 993-6660

Prov Language: Hindi

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Karaguezian, Alain A., M.D.

Gender: Male

License No: A109354

NPI: 1063603009

Family Practice

1

18546 Roscoe Blvd. # 304

4

Northridge, CA 91324

5233 208816

(818) 772-7100

Prov Language: Armenian, Spanish, Turkish

Office Staff Language

#

: Sinhalese, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

Prim

ary

C

are P

ro

vid

ers

93

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kavcioglu, Ruth E., M.D.

Gender: Female

License No: A116537

NPI: 1487898847

Family Practice

18406 Roscoe Blvd.

4

Northridge, CA 91325

5233 187027

(818) 885-5480

Prov Language: Spanish

Office Staff Language

#

: Korean

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kuhlman, Christopher D.,

M.D.

Gender: Male

License No: A71808

NPI: 1629170006

Family Practice

1

18406 Roscoe Blvd.

4

Northridge, CA 91325

1922 089799

(818) 885-5480

Office Staff Language

#

: Korean

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: W,F 8:15 AM - 5 PM, M-TU,TH 8:15 AM

- 8 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 94: 2018 Provider and Pharmacy Directory

94 / www.healthnet.com/calmediconnect

HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lev, Diana A., M.D.

Gender: Female

License No: A80853

NPI: 1932129186

Family Practice

1

18406 Roscoe Blvd.

4

Northridge, CA 91325

1922 107339

(818) 885-5480

Prov Language: Hebrew, Russian, Spanish

Office Staff Language

#

: Korean

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-TU,TH 8:15 AM - 8 PM, W,F 8:15 AM

- 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

McGregor, Gordon W., M.D.

Gender: Male

License No: G3065

NPI: 1508944547

Family Practice

1

18350 Roscoe Blvd. # 600

4

Northridge, CA 91325

5233 073496

(818) 727-1515

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

Prim

ary

C

are P

ro

vid

ers

95

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Primary Care Physicians PPG/Phy #

McGregor, Gordon W., M.D.

Gender: Male

License No: G3065

NPI: 1508944547

Family Practice

1

18350 Roscoe Blvd. # 600

4

Northridge, CA 91325

1922 073496

(818) 727-1515

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Okhovat, Mehran A., M.D.

Gender: Male

License No: G76549

NPI: 1508967167

Family Practice

1

18350 Roscoe Blvd. # 600

4

Northridge, CA 91325

1922 058899

(818) 727-1515

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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96 / www.healthnet.com/calmediconnect

HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Primary Care Physicians PPG/Phy #

Okhovat, Mehran A., M.D.

Gender: Male

License No: G76549

NPI: 1508967167

Family Practice

1

18350 Roscoe Blvd. # 600

4

Northridge, CA 91325

5233 058899

(818) 727-1515

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Tell, Aubrey, M.D.

Gender: Female

License No: A127564

NPI: 1770788879

Family Practice

1

18406 Roscoe Blvd.

4

Northridge, CA 91325

5233 224472

(818) 885-5480

Office Staff Language

#

: Korean

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary

C

are P

ro

vid

ers

97

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Thompson, Terence B.,

M.D.

Gender: Male

License No: A55500

NPI: 1497746663

Family Practice

1

8833 Reseda Blvd. # A

4

Northridge, CA 91324

1922 054060

(818) 341-0670

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Tonekaboni, Maryam S.,

M.D.

Gender: Female

License No: A118665

NPI: 1851663744

Family Practice

1

18350 Roscoe Blvd. # 307

4

Northridge, CA 91325

5233 199868

(818) 671-1989

Prov Language: Armenian, Farsi, Russian

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Vega, Cesar A., M.D.

Gender: Male

License No: A76791

NPI: 1093736548

Family Practice

18433 Roscoe Blvd. # 103

4

Northridge, CA 91325

5233 099015

(818) 734-7620

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB,IB,E)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Primary Care Physicians PPG/Phy #

Vega, Cesar A., M.D.

Gender: Male

License No: A76791

NPI: 1093736548

Family Practice

18433 Roscoe Blvd. # 103

4

Northridge, CA 91325

1922 099015

(818) 734-7620

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB,IB,E)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary

C

are P

ro

vid

ers

99

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Wang, Jeffrey C., D.O.

Gender: Male

License No: 20A14155

NPI: 1174865281

Family Practice

18406 Roscoe Blvd.

4

Northridge, CA 91325

5233 225061

(818) 885-5480

Office Staff Language

#

: Korean

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-TU,TH 8 AM - 8 PM, W,F 8 AM - 5

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Yang, Cindy W., M.D.

Gender: Female

License No: A103119

NPI: 1982855383

Family Practice

1

18406 Roscoe Blvd.

4

Northridge, CA 91325

1922 160583

(818) 885-5480

Office Staff Language

#

: Korean

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: SA 8 AM - 12 PM, M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

York, Steven W., M.D.

Gender: Male

License No: A42563

NPI: 1124035894

Internal Medicine

18250 Roscoe Blvd. # 260

4

Northridge, CA 91325

1922 045347

(818) 349-6725

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Primary Care Physicians PPG/Phy #

York, Steven W., M.D.

Gender: Male

License No: A42563

NPI: 1124035894

Internal Medicine

18250 Roscoe Blvd. # 260

4

Northridge, CA 91325

5233 045347

(818) 349-6725

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

101

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Zapata, Joni S., M.D.

Gender: Female

License No: C50671

NPI: 1417059510

Family Practice

18406 Roscoe Blvd.

4

Northridge, CA 91325

1922 092394

(818) 885-5480

Prov Language: Spanish

Office Staff Language

#

: Korean

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: W,F 8:15 AM - 5 PM, M-TU,TH 8:15 AM

- 8 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Panorama City Specialty/

Primary Care Physicians PPG/Phy #

1ass

Nossett, Angela D., M.D.

Gender: Female

License No: A71543

NPI: 1194754457

Family Practice

1

8215 Van Nuys Blvd. # 212

4

Panorama City, CA 91402

5233 155577

(818) 902-9229

Prov Language: Spanish

Office Staff Language

#

: Farsi, Spanish

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M,W,F 12 PM - 6 PM, SA 8 AM - 12 PM,

TU,TH 2 PM - 8 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 102: 2018 Provider and Pharmacy Directory

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HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Bahng, Agnes Y., M.D.

Gender: Female

License No: A128840

NPI: 1740570100

Internal Medicine

18625 Sherman Way # 104

4

Reseda, CA 91335

1922 219370

(818) 342-8171

Prov Language: Korean

Office Staff Language

#

: Spanish, Vietnamese

Accessibility:*: Limited(P,EB,IB)

Hours: SA 9 AM - 2 PM, M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kashani, Ataoiah M., M.D.

Gender: Male

License No: A41464

NPI: 1740349851

General Practice

18355 Sherman Way

4

Reseda, CA 91335

1922 057493

(818) 343-0964

Prov Language: Farsi, Hebrew, Spanish

Office Staff Language

#

: Farsi, Hebrew, Spanish

Self Reported Accessibility:*: Limited(P)

Hours: M-TH 9 AM - 7 PM, F 9 AM - 2 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

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ary C

are

P

ro

vid

ers

103

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Martinez Cardenas, Jose F.,

M.D.

2

Gender: Male

License No: A81030

NPI: 1700827052

Internal Medicine

18518 Sherman Way

4

Reseda, CA 91335

1922 103565

(818) 757-0954

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Reseda Specialty/

Primary Care Physicians PPG/Phy #

Martinez Cardenas, Jose F.,

M.D.

2

Gender: Male

License No: A81030

NPI: 1700827052

Internal Medicine

18518 Sherman Way

4

Reseda, CA 91335

5233 103565

(818) 757-0954

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Nguyen, Hung V., M.D.

Gender: Male

License No: A42303

NPI: 1104819945

General Practice

7227 Reseda Blvd.

4

Reseda, CA 91335

1922 065719

(818) 708-3740

Prov Language: Spanish, Vietnamese

Office Staff Language

#

: Spanish, Vietnamese

Accessibility:*: Limited(P,IB,E)

Hours: SA 8 AM - 12 PM, M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Reseda Specialty/

Primary Care Physicians PPG/Phy #

Nguyen, Hung V., M.D.

Gender: Male

License No: A42303

NPI: 1104819945

General Practice

7227 Reseda Blvd.

4

Reseda, CA 91335

5233 065719

(818) 708-3740

Prov Language: Spanish, Vietnamese

Office Staff Language

#

: Spanish, Vietnamese

Accessibility:*: Limited(P,IB,E)

Hours: SA 8 AM - 12 PM, M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

105

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Phan, Mai T., M.D.

Gender: Female

License No: A51466

NPI: 1306879283

Internal Medicine

18625 Sherman Way # 104

4

Reseda, CA 91335

5233 049437

(818) 342-8171

Prov Language: Korean, Vietnamese

Office Staff Language

#

: Spanish, Vietnamese

Accessibility:*: Limited(P,EB,IB)

Hours: M 9 AM - 5 PM, SA 9 AM - 2 PM, TH-F 9

AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Rachman, Ilya M., M.D.

Gender: Male

License No: A77850

NPI: 1255463204

Internal Medicine

1

7601 Canby Ave. # 7

4

Reseda, CA 91335

5233 103437

(818) 757-1919

Prov Language: Russian, Spanish

Office Staff Language

#

: Russian

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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106 / www.healthnet.com/calmediconnect

HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

San Fernando Specialty/

Primary Care Physicians PPG/Phy #

1ass

Parray, Hafiz U., M.D.

Gender: Male

License No: A33111

NPI: 1932297710

Internal Medicine

418 San Fernando Mission Blvd.

4

San Fernando, CA 91340

1922 031976

(818) 365-5661

Prov Language: Hindi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,IB)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

San Fernando Specialty/

Primary Care Physicians PPG/Phy #

Parray, Hafiz U., M.D.

Gender: Male

License No: A33111

NPI: 1932297710

Internal Medicine

418 San Fernando Mission Blvd.

4

San Fernando, CA 91340

5233 031976

(818) 365-5661

Prov Language: Hindi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,IB)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

107

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

San Fernando Specialty/

Primary Care Physicians PPG/Phy #

1ass

Partovy, Robert, D.O.

Gender: Male

License No: 20A7033

NPI: 1063591477

Family Practice

501 N. Maclay Ave.

4

San Fernando, CA 91340

1922 088825

(818) 361-3788

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,IB)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Santa Clarita Specialty/

Primary Care Physicians PPG/Phy #

1ass

Masongsong, Armand T.,

M.D.

2

Gender: Male

License No: A70428

NPI: 1083836985

Family Practice

1

21700 Golden Triangle Rd. # 105

Santa Clarita, CA 91350

1922 088688

(661) 259-9800

Prov Language: Tagalog

Office Staff Language

#

:

Accessibility:*:

Hours: TH-F 8:30 AM - 6 PM, W 12 PM - 8 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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108 / www.healthnet.com/calmediconnect

HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Santa Clarita Specialty/

Primary Care Physicians PPG/Phy #

1ass

Masongsong, Martina B.,

M.D.

2

Gender: Female

License No: A70495

NPI: 1962623652

Family Practice

1

21700 Golden Triangle Rd. # 105

Santa Clarita, CA 91350

1922 088533

(661) 259-9800

Prov Language: Tagalog

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Saugus Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mungcal, Renato V., M.D.

Gender: Male

License No: A42598

NPI: 1750555413

Family Practice

21700 Golden Triangle Rd. # 206

Saugus, CA 91350

1922 039132

(661) 287-3983

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: TU,TH 10 AM - 6 PM, M,W 9:30 AM -

5:30 PM, F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

109

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sherman Oaks Specialty/

Primary Care Physicians PPG/Phy #

1ass

Cardillo, Anthony M., M.D.

Gender: Male

License No: A82516

NPI: 1861433021

Internal Medicine

4849 Van Nuys Blvd. # 100

Sherman Oaks, CA 91403

1922 147226

(818) 646-4928

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sherman Oaks Specialty/

Primary Care Physicians PPG/Phy #

1ass

Matian, Arash D., D.O.

Gender: Male

License No: 20A7841

NPI: 1558300582

Family Practice

1

13425 Ventura Blvd. # 102

4

Sherman Oaks, CA 91423

1922 133604

(818) 995-7784

Prov Language: Farsi

Office Staff Language

#

: Spanish, Tagalog

Self Reported Accessibility:*:

Limited(P,EB,IB,R)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sherman Oaks Specialty/

Primary Care Physicians PPG/Phy #

Matian, Arash D., D.O.

Gender: Male

License No: 20A7841

NPI: 1558300582

Family Practice

1

13425 Ventura Blvd. # 102

4

Sherman Oaks, CA 91423

5233 133604

(818) 995-7784

Prov Language: Farsi

Office Staff Language

#

: Spanish, Tagalog

Self Reported Accessibility:*:

Limited(P,EB,IB,R)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sun Valley Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ahmady, Abdul A., M.D.

Gender: Male

License No: A45871

NPI: 1356385660

Internal Medicine

8100 Sunland Blvd.

4

Sun Valley, CA 91352

1922 500165

(818) 768-8882

Prov Language: Farsi, Hindi

Office Staff Language

#

: Spanish

Accessibility:*: Limited(IB,E)

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

111

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sun Valley Specialty/

Primary Care Physicians PPG/Phy #

Ahmady, Abdul A., M.D.

Gender: Male

License No: A45871

NPI: 1356385660

Internal Medicine

9375 San Fernando Rd.

4

Sun Valley, CA 91352

1922 500165

(818) 768-3000

Prov Language: Farsi, Hindi

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM, SA 8:30 AM -

12:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sun Valley Specialty/

Primary Care Physicians PPG/Phy #

1ass

Javaherian, Jasmin, D.O.

Gender: Female

License No: 20A8083

NPI: 1447294715

Internal Medicine

11349 Saticoy St.

4

Sun Valley, CA 91352

1922 102530

(818) 982-5750

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,IB)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sun Valley Specialty/

Primary Care Physicians PPG/Phy #

Javaherian, Jasmin, D.O.

Gender: Female

License No: 20A8083

NPI: 1447294715

Internal Medicine

11349 Saticoy St.

4

Sun Valley, CA 91352

5233 102530

(818) 982-5750

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,IB)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sun Valley Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lara Jr, Fidel M., M.D.

Gender: Male

License No: A69653

NPI: 1194909481

Internal Medicine

8033 Vineland Ave.

4

Sun Valley, CA 91352

1922 091795

(818) 767-1001

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,IB,E)

Hours: M-F 9 AM - 6 PM, SA 9 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

113

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sun Valley Specialty/

Primary Care Physicians PPG/Phy #

1ass

Volpe, Liana, M.D.

Gender: Female

License No: A41796

NPI: 1154366730

General Practice

8100 Sunland Blvd.

4

Sun Valley, CA 91352

1922 017774

(818) 768-8882

Prov Language: Italian, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(IB,E)

Hours: M-F 9 AM - 6 PM, SA 9 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sun Valley Specialty/

Primary Care Physicians PPG/Phy #

Volpe, Liana, M.D.

Gender: Female

License No: A41796

NPI: 1154366730

General Practice

9375 San Fernando Rd.

4

Sun Valley, CA 91352

1922 017774

(818) 768-3000

Prov Language: Italian, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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114 / www.healthnet.com/calmediconnect

HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sun Valley Specialty/

Primary Care Physicians PPG/Phy #

1ass

Zarrinpar, David, M.D.

Gender: Male

License No: A54056

NPI: 1598802803

General Practice

8100 Sunland Blvd.

4

Sun Valley, CA 91352

1922 063892

(818) 768-8882

Prov Language: Arabic, Farsi, French, Spanish,

Turkish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(IB,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sun Valley Specialty/

Primary Care Physicians PPG/Phy #

Zarrinpar, David, M.D.

Gender: Male

License No: A54056

NPI: 1598802803

General Practice

9375 San Fernando Rd.

4

Sun Valley, CA 91352

1922 063892

(818) 504-4700

Prov Language: Arabic, Farsi, French, Spanish,

Turkish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-SA 8 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

115

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sylmar Specialty/

Primary Care Physicians PPG/Phy #

1ass

Fanous, Basem, M.D.

Gender: Male

License No: A53406

NPI: 1619072600

Internal Medicine

1

14124 Foothill Blvd. # 100

4

Sylmar, CA 91342

1922 063919

(818) 367-1012

Prov Language: Arabic

Office Staff Language

#

: Hebrew, Spanish

Accessibility:*:

Hours: M-F 8 AM - 6 PM, SA 9 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sylmar Specialty/

Primary Care Physicians PPG/Phy #

1ass

Titcher, Robert N., M.D.

Gender: Male

License No: A35435

NPI: 1083704902

Internal Medicine

14124 Foothill Blvd. # 100

4

Sylmar, CA 91342

1922 059715

(818) 367-1012

Prov Language: Hebrew, Spanish

Office Staff Language

#

: Hebrew, Spanish

Accessibility:*:

Hours: SA 9 AM - 12 PM, M-F 8 AM - 6:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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116 / www.healthnet.com/calmediconnect

HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Tarzana Specialty/

Primary Care Physicians PPG/Phy #

1ass

Carmalt, E Duane, M.D.

Gender: Male

License No: G23973

NPI: 1952597627

Internal Medicine

1

5620 Wilbur Ave. # 307

4

Tarzana, CA 91356

1922 028690

(818) 881-9255

Prov Language: French

Office Staff Language

#

: Spanish

Self Reported Accessibility:*: Limited(E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Tarzana Specialty/

Primary Care Physicians PPG/Phy #

Carmalt, E Duane, M.D.

Gender: Male

License No: G23973

NPI: 1952597627

Internal Medicine

1

5620 Wilbur Ave. # 307

4

Tarzana, CA 91356

5233 028690

(818) 881-9255

Prov Language: French

Office Staff Language

#

: Spanish

Self Reported Accessibility:*: Limited(E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

117

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Tarzana Specialty/

Primary Care Physicians PPG/Phy #

1ass

Silverstein, Laurence M.,

M.D.

2

Gender: Male

License No: G43592

NPI: 1588755466

Internal Medicine

1

5620 Wilbur Ave. # 200

4

Tarzana, CA 91356

5233 015861

(818) 345-2323

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Malla, Sabita, M.D.

Gender: Female

License No: A90206

NPI: 1962571216

Internal Medicine

1

25775 Mcbean Pkwy. # 107

Valencia, CA 91355

1922 133269

(661) 799-7007

Prov Language: Hindi, Nepali, Russian

Office Staff Language

#

:

Accessibility:*:

Hours: F-SA 12 PM - 6 PM, M-TH 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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118 / www.healthnet.com/calmediconnect

HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Alonso, Lazaro V., M.D.

Gender: Male

License No: A39343

NPI: 1427073576

General Practice

15216 Vanowen St. # 1A

4

Van Nuys, CA 91405

1922 520907

(818) 785-7875

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(EB,IB,R,E)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

Alonso, Lazaro V., M.D.

Gender: Male

License No: A39343

NPI: 1427073576

General Practice

15216 Vanowen St. # 1A

4

Van Nuys, CA 91405

5233 520907

(818) 785-7875

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(EB,IB,R,E)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

119

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Chang, Kook I., M.D.

Gender: Male

License No: A40580

NPI: 1356442354

Internal Medicine

1

14600 Sherman Way # 270

4

Van Nuys, CA 91405

5233 046857

(818) 780-7771

Prov Language: Korean, Spanish

Office Staff Language

#

: Korean, Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Choi, Cheong W., M.D.

2

Gender: Male

License No: A36503

NPI: 1093800138

Internal Medicine

1

16912 Sherman Way

4

Van Nuys, CA 91406

1922 044992

(818) 881-9444

Prov Language: Korean

Office Staff Language

#

:

Accessibility:*:

Hours: M,W,F 8:30 AM - 5 PM, TU,TH 8:30 AM

- 1 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 120: 2018 Provider and Pharmacy Directory

120 / www.healthnet.com/calmediconnect

HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

De La Llana, Jose A., M.D.

Gender: Male

License No: A101657

NPI: 1326244062

General Practice

14435 Hamlin St. # 108

Van Nuys, CA 91401

1922 192446

(818) 997-7117

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Spanish, Tagalog

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kocelli, David M., M.D.

Gender: Male

License No: A54775

NPI: 1386732931

Internal Medicine

14624 Sherman Way # 406

4

Van Nuys, CA 91405

5233 550037

(818) 988-5999

Prov Language: Farsi, Spanish, Turkish

Office Staff Language

#

:

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

121

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

Kocelli, David M., M.D.

Gender: Male

License No: A54775

NPI: 1386732931

Internal Medicine

14624 Sherman Way # 406

4

Van Nuys, CA 91405

1922 550037

(818) 988-5999

Prov Language: Farsi, Spanish, Turkish

Office Staff Language

#

:

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lee, Myung H., M.D.

Gender: Male

License No: A45901

NPI: 1821175811

Family Practice

1

14614 Victory Blvd.

4

Van Nuys, CA 91411

5233 065444

(818) 787-4770

Prov Language: Korean, Portuguese, Spanish

Office Staff Language

#

: Korean, Portuguese,

Spanish

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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122 / www.healthnet.com/calmediconnect

HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

Lee, Myung H., M.D.

Gender: Male

License No: A45901

NPI: 1821175811

Family Practice

1

14614 Victory Blvd.

4

Van Nuys, CA 91411

1922 065444

(818) 787-4770

Prov Language: Korean, Portuguese, Spanish

Office Staff Language

#

: Korean, Portuguese,

Spanish

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Marouni, Payam, M.D.

Gender: Male

License No: A101224

NPI: 1386800225

Family Practice

1

13750 Victory Blvd.

4

Van Nuys, CA 91401

1922 149162

(818) 988-9090

Prov Language: Armenian, Farsi, Spanish

Office Staff Language

#

: Armenian, Farsi,

Spanish

Accessibility:*: Limited(IB)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

123

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

Marouni, Payam, M.D.

Gender: Male

License No: A101224

NPI: 1386800225

Family Practice

1

13750 Victory Blvd.

4

Van Nuys, CA 91401

5233 149162

(818) 988-9090

Prov Language: Armenian, Farsi, Spanish

Office Staff Language

#

: Armenian, Farsi,

Spanish

Accessibility:*: Limited(IB)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mejia, Miguel A., M.D.

Gender: Male

License No: G42563

NPI: 1508955170

General Practice

15243 Vanowen St. # 107

4

Van Nuys, CA 91405

1922 069505

(818) 787-8473

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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124 / www.healthnet.com/calmediconnect

HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mikhael, Michel N., M.D.

Gender: Male

License No: A38934

NPI: 1902951460

General Practice

14624 Sherman Way # 203

4

Van Nuys, CA 91405

1922 023857

(818) 785-3336

Prov Language: Arabic, Spanish

Office Staff Language

#

: Arabic, Spanish

Accessibility:*:

Hours: W 8:30 AM - 1:30 PM, TH-F 8:30 AM -

5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Tran, Anhtuan D., M.D.

Gender: Male

License No: A90428

NPI: 1518961846

Internal Medicine

7400 Van Nuys Blvd # 112

4

Van Nuys, CA 91405

1922 131188

(818) 989-2406

Prov Language: Spanish, Vietnamese

Office Staff Language

#

: Spanish

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

125

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

West Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Buschmann, Darin K., M.D.

Gender: Male

License No: A79033

NPI: 1558381004

Internal Medicine

1

7301 Medical Center Dr. # 500

4

West Hills, CA 91307

5233 101383

(818) 226-3666

Office Staff Language

#

:

Accessibility:*: Limited(P,EB)

Hours: M-W,F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

West Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Clayton, Dorothea E., M.D.

Gender: Female

License No: A103688

NPI: 1053596395

Internal Medicine

1

7301 Medical Center Dr. # 500

4

West Hills, CA 91307

5233 150315

(818) 226-3666

Office Staff Language

#

:

Accessibility:*: Limited(P,EB)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

West Hills Specialty/

Primary Care Physicians PPG/Phy #

Clayton, Dorothea E., M.D.

Gender: Female

License No: A103688

NPI: 1053596395

Internal Medicine

1

7301 Medical Center Dr. # 500

4

West Hills, CA 91307

1922 150315

(818) 226-3666

Office Staff Language

#

:

Accessibility:*: Limited(P,EB)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

West Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Dardashti, Behrouz, M.D.

2

Gender: Male

License No: A35233

NPI: 1275552705

General Practice

7230 Medical Center Dr. # 305

4

West Hills, CA 91307

1922 040881

(818) 888-3903

Prov Language: Farsi, Spanish

Office Staff Language

#

: Cantonese, Spanish,

Tagalog

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

127

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

West Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Standke, Gary R., M.D.

Gender: Male

License No: G53286

NPI: 1134193576

Family Practice

1

7301 Medical Center Dr. # 500

4

West Hills, CA 91307

5233 016385

(818) 226-3666

Office Staff Language

#

:

Accessibility:*: Limited(P,EB)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

West Hills Specialty/

Primary Care Physicians PPG/Phy #

Standke, Gary R., M.D.

Gender: Male

License No: G53286

NPI: 1134193576

Family Practice

1

7301 Medical Center Dr. # 500

4

West Hills, CA 91307

1922 016385

(818) 226-3666

Office Staff Language

#

:

Accessibility:*: Limited(P,EB)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Woodland Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Bahari-Nejad, Pejman, D.O.

Gender: Male

License No: 20A7938

NPI: 1396885570

Family Practice

1

20829 Ventura Blvd.

4

Woodland Hills, CA 91364

1922 170844

(818) 887-2787

Prov Language: Farsi, Spanish, Tagalog

Office Staff Language

#

: Farsi, Spanish, Tagalog

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Woodland Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kurtz, Allan L., D.O.

Gender: Male

License No: 20A4625

NPI: 1679656946

Internal Medicine

1

6325 Topanga Canyon Blvd. #

501

4

Woodland Hills, CA 91367

5233 031844

(818) 346-1440

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP IPA - San Fernando Valley PPG 1922

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

129

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Woodland Hills Specialty/

Primary Care Physicians PPG/Phy #

Kurtz, Allan L., D.O.

2

Gender: Male

License No: 20A4625

NPI: 1679656946

Internal Medicine

1

6325 Topanga Canyon Blvd. #

501

4

Woodland Hills, CA 91367

1922 031844

(818) 346-1440

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Woodland Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Vaisman, Sofia, M.D.

Gender: Female

License No: A36979

NPI: 1497846638

Family Practice

22600 Ventura Blvd. # 101

4

Woodland Hills, CA 91364

1922 047771

(818) 225-1255

Prov Language: Hungarian, Romanian,

Russian, Spanish

Office Staff Language

#

: Armenian, Russian,

Spanish, Yiddish

Accessibility:*:

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 130: 2018 Provider and Pharmacy Directory

130 / www.healthnet.com/calmediconnect

Primary Care Providers

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

HCP Med Grp - Los Angeles

PPG 829

1120 W Washington Blvd

Los Angeles, CA 90015-3316

(213) 623-2225

Urgent Care:

Healthcare Partners UCC (213) 861-5950

929 S. Georgia St.

Los Angeles, CA 90015

Hospitals Used:

California Hospital Medical Center

Glendale Adventist Medical Center

Glendale Memorial Hospital and Health Center

Good Samaritan Hospital

Greater El Monte Community Hospital

Monterey Park Hospital

San Gabriel Valley Medical Center

St. Vincent Medical Center

White Memorial Medical Center

Arroyo Seco Med Grp, Div of HCP (PPG

5159)

301 S. Fair Oaks Ave. Ste 300

Pasadena, CA 91105-2562

(626) 795-7556

Urgent Care:

Healthcare Partners (626) 795-2244

797 S. Fair Oaks Ave.

Pasadena CA 91105

Hospitals Used:

Glendale Adventist Medical Center

Methodist Hospital of Southern California

San Gabriel Valley Medical Center

USC Verdugo Hills Hospital LLC

HCP IPA - East Los Angeles (PPG 5111)

2175 Park Pl.

El Segundo, CA 90245-4705

(800) 403-4160

Urgent Care:

Healthcare Partners UCC (213) 861-5950

Hospitals Used:

California Hospital Medical Center

Glendale Adventist Medical Center

Glendale Memorial Hospital and Health Center

Good Samaritan Hospital

Monterey Park Hospital

Page 131: 2018 Provider and Pharmacy Directory

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HCP Med Grp - Los Angeles PPG 829

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

131

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

San Gabriel Valley Medical Center

St. Vincent Medical Center

White Memorial Medical Center

HCP IPA - Los Angeles County (PPG 1905)

2175 Park Pl.

El Segundo, CA 90245-4705

(800) 403-4160

Urgent Care:

Healthcare Partners UCC (213) 861-5950

Hospitals Used:

California Hospital Medical Center

Glendale Adventist Medical Center

Glendale Memorial Hospital and Health Center

Good Samaritan Hospital

Monterey Park Hospital

San Gabriel Valley Medical Center

St. Vincent Medical Center

White Memorial Medical Center

HCP Med Grp - Glen Oaks (PPG 1846)

988 S. Fair Oaks Ave.

Pasadena, CA 91105-2626

(626) 799-4194

Urgent Care:

Healthcare Partners UCC (626) 795-2244

Hospitals Used:

Glendale Adventist Medical Center

Methodist Hospital of Southern California

San Gabriel Valley Medical Center

USC Verdugo Hills Hospital LLC

HCP Med Grp - Huntington Park (PPG 1025)

2750 E. Slauson Ave.

Huntington Park, CA 90255-3063

(323) 582-1863

Urgent Care:

HEALTHCARE PARTNERS UCC:

213-861-5950

929 S. Georgia St.

Los Angeles CA 90015

Hospitals Used:

California Hospital Medical Center

Glendale Adventist Medical Center

Glendale Memorial Hospital and Health Center

Good Samaritan Hospital

Monterey Park Hospital

San Gabriel Valley Medical Center

St. Vincent Medical Center

White Memorial Medical Center

Page 132: 2018 Provider and Pharmacy Directory

132 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Primary Care Providers

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

HCP Med Grp - Mission Hills (PPG 1923)

11600 Indian Hills Rd.

Mission Hills, CA 91345-1225

(818) 838-4500

Urgent Care Center

Healthcare Partners UCC (818) 838-4500

Hospitals Used:

Providence Holy Cross Medical Center

Valley Presbyterian Hospital

HCP Med Grp - Pasadena (PPG 863)

675 Arroyo Pkwy.

Pasadena, CA 91105-3263

(626) 585-4120

Urgent Care:

Healthcare Partners UCC (626) 795-2244

797 S. Fair Oaks Ave.

Pasadena CA 91105

Hospitals Used:

Glendale Adventist Medical Center

Methodist Hospital of Southern California

San Gabriel Valley Medical Center

USC Verdugo Hills Hospital LLC

HCP Med Grp - Van Nuys (PPG 1924)

14600 Sherman Way Ste 300

Van Nuys, CA 91405-2272

(818) 781-7097

Urgent Care

Healthcare Partners UCC (818) 838-4500

11600 Indian Hills Rd. #100

Mission Hills CA 91345

Hospitals Used:

Providence Holy Cross Medical Center

Valley Presbyterian Hospital

HCP Med Grp - West Hills (PPG 1925)

7301 Medical Center Dr. Ste 500

Canoga Park, CA 91307-4101

(818) 226-3666

Urgent Care:

Healthcare Partners UCC (818) 341-1540

Hospitals Used:

Providence Holy Cross Medical Center

Valley Presbyterian Hospital

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HCP Med Grp - Los Angeles PPG 829

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

133

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Healthcare Partners - Valencia (PPG 5153)

23501 Cinema Dr Ste 100

Valencia, CA 91355-5429

(661) 367-9200

Urgent Care:

Healthcare Partners UCC (818) 341-1540

18433 Roscoe Blvd #206

Northridge CA 91325

Hospitals Used:

Providence Holy Cross Medical Center

Valley Presbyterian Hospital

HealthCare Partners IPA - Glendale (PPG

1904)

2175 Park Pl.

El Segundo, CA 90245-4705

(800) 403-4160

Urgent Care:

Healthcare Partners UCC (213) 861-5950

Hospitals Used:

California Hospital Medical Center

Glendale Adventist Medical Center

Glendale Memorial Hospital and Health Center

Good Samaritan Hospital

Monterey Park Hospital

San Gabriel Valley Medical Center

St. Vincent Medical Center

White Memorial Medical Center

HealthCare Partners IPA - Westside (PPG

5167)

2175 Park Pl.

El Segundo, CA 90245-4705

(800) 403-4160

Urgent Care:

Healthcare Partner UCC (213)861-5950

Hospitals Used:

California Hospital Medical Center

Glendale Adventist Medical Center

Glendale Memorial Hospital and Health Center

Good Samaritan Hospital

Monterey Park Hospital

Southern California Hospital at Culver City

St. Vincent Medical Center

White Memorial Medical Center

Page 134: 2018 Provider and Pharmacy Directory

134 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Eagle Rock Specialty/

Primary Care Physicians PPG/Phy #

1ass

Roman, Ricardo R., M.D.

Gender: Male

License No: A79013

NPI: 1144327032

Internal Medicine

4708 Eagle Rock Blvd.

4

Eagle Rock, CA 90041

1904 141053

(323) 254-3700

Prov Language: Spanish, Tagalog

Office Staff Language

#

:

Accessibility:*:

Hours: F 9 AM - 12 PM, M-TH 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Granada Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Farhadian, Elaheh, M.D.

Gender: Female

License No: A100453

NPI: 1316145956

Internal Medicine

17447 Chatsworth St.

4

Granada Hills, CA 91344

1923 147017

(818) 923-5702

Prov Language: Farsi, Spanish

Office Staff Language

#

: Farsi

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP Med Grp - Los Angeles PPG 829

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

135

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Lancaster Specialty/

Primary Care Physicians PPG/Phy #

1ass

Anthony, Vincent L., M.D.

Gender: Male

License No: A96566

NPI: 1396851903

Internal Medicine

1600 W. Avenue J

Lancaster, CA 93534

1905 161166

(661) 949-5000

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Airapetian, Ara, M.D.

Gender: Male

License No: A86421

NPI: 1578543443

Family Practice

1704 Colorado Blvd.

4

Los Angeles, CA 90041

1904 105901

(323) 256-4116

Prov Language: Arabic, Armenian, Russian,

Spanish

Office Staff Language

#

: Arabic, Armenian,

Farsi, Korean, Mandarin, Russian, Spanish,

Tagalog

Accessibility:*: Limited(IB)

Hours: M-F 8:30 AM - 6 PM, SA 8:30 AM - 5

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 136: 2018 Provider and Pharmacy Directory

136 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Banez, Edgar C., M.D.

Gender: Male

License No: A52430

NPI: 1275644098

Internal Medicine

4867 Eagle Rock Blvd.

4

Los Angeles, CA 90041

1904 048771

(323) 254-6754

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Spanish, Tagalog

Accessibility:*: Limited(IB)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Burton, Michael S., M.D.

Gender: Male

License No: A28669

NPI: 1477513547

Family Practice

1

2101 Hillhurst Ave.

4

Los Angeles, CA 90027

1904 025018

(323) 664-2931

Prov Language: Spanish

Office Staff Language

#

: Arabic, Armenian,

Spanish

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM, SA 8:30 AM - 1

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP Med Grp - Los Angeles PPG 829

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

137

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Chang, Wen-Shi, M.D.

Gender: Female

License No: A118395

NPI: 1508004193

Family Practice

1704 Colorado Blvd.

4

Los Angeles, CA 90041

1904 195443

(323) 256-4116

Prov Language: Korean, Mandarin, Spanish

Office Staff Language

#

: Arabic, Armenian,

Farsi, Korean, Mandarin, Russian, Spanish,

Tagalog

Accessibility:*: Limited(IB)

Hours: M-F 8 AM - 6 PM, SA 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Filart, Marcel A., M.D.

Gender: Male

License No: A76022

NPI: 1396775474

Internal Medicine

1300 N. Vermont Ave. # 1008

4

Los Angeles, CA 90027

1905 136311

(323) 443-7128

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Armenian

Accessibility:*:

Hours: TU,TH 9 AM - 12 PM, M,W,F 9 AM - 5

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 138: 2018 Provider and Pharmacy Directory

138 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Hauptschein, Martin, M.D.

Gender: Male

License No: G46619

NPI: 1083733695

Internal Medicine

1

2101 Hillhurst Ave.

4

Los Angeles, CA 90027

1905 007002

(323) 664-2931

Prov Language: Spanish

Office Staff Language

#

: Arabic, Armenian,

Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

Hauptschein, Martin, M.D.

Gender: Male

License No: G46619

NPI: 1083733695

Internal Medicine

1

2101 Hillhurst Ave.

4

Los Angeles, CA 90027

1904 007002

(323) 664-2931

Prov Language: Spanish

Office Staff Language

#

: Arabic, Armenian,

Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP Med Grp - Los Angeles PPG 829

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

139

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

Hauptschein, Martin, M.D.

Gender: Male

License No: G46619

NPI: 1083733695

Internal Medicine

1

2101 Hillhurst Ave.

4

Los Angeles, CA 90027

5167 007002

(323) 664-2931

Prov Language: Spanish

Office Staff Language

#

: Arabic, Armenian,

Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Huverserian, Linda J., M.D.

Gender: Female

License No: A120212

NPI: 1255658068

Family Practice

3920 Eagle Rock Blvd. # A

4

Los Angeles, CA 90065

1904 194373

(323) 255-5225

Prov Language: Armenian

Office Staff Language

#

: Armenian, Farsi,

Russian, Spanish, Tagalog, Vietnamese

Accessibility:*: Limited(P,IB,E,T)

Hours: M-F 8 AM - 5 PM, SA 9 AM - 2 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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140 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kalindjian, Krikor I., M.D.

Gender: Male

License No: A80255

NPI: 1871546333

Internal Medicine

1300 N. Vermont Ave. # 807

4

Los Angeles, CA 90027

1905 105458

(323) 660-5191

Prov Language: Arabic, Armenian, French,

Italian, Spanish

Office Staff Language

#

: Arabic, French, Italian,

Spanish

Accessibility:*: Limited(EB,IB)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Karapetyan, Arman F., M.D.

Gender: Male

License No: A107131

NPI: 1891928263

Internal Medicine

1

3920 Eagle Rock Blvd. # A

4

Los Angeles, CA 90065

1904 164127

(323) 255-5225

Prov Language: Armenian, Russian, Spanish

Office Staff Language

#

: Armenian, Farsi,

Russian, Spanish, Tagalog, Vietnamese

Accessibility:*: Limited(P,IB,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP Med Grp - Los Angeles PPG 829

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

141

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Meza, Martha A., M.D.

Gender: Female

License No: A80538

NPI: 1629126545

Internal Medicine

1

4623 Eagle Rock Blvd.

4

Los Angeles, CA 90041

1904 155880

(323) 340-1500

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Oraha, Senam E., M.D.

Gender: Female

License No: A85230

NPI: 1124228457

Family Practice

1

2101 Hillhurst Ave.

4

Los Angeles, CA 90027

1904 190479

(323) 664-2931

Prov Language: Arabic

Office Staff Language

#

: Arabic, Armenian,

Spanish

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM, SA 8:30 AM - 3

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP Med Grp - Los Angeles PPG 829

Primary Care Providers

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ware, Michele, D.O.

Gender: Female

License No: 20A7566

NPI: 1497739528

Family Practice

1

2101 Hillhurst Ave.

4

Los Angeles, CA 90027

1904 131468

(323) 664-2931

Office Staff Language

#

: Arabic, Armenian,

Spanish

Accessibility:*:

Hours: S 9 AM - 12 PM, M-F 8:30 AM - 5 PM,

SA 9 AM - 1 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Desai, Madhuri A., M.D.

2

Gender: Female

License No: A72378

NPI: 1649245879

Family Practice

1

11600 Indian Hills Rd.

4

Mission Hills, CA 91345

1923 101596

(818) 838-4540

Office Staff Language

#

:

Accessibility:*: Limited(P,IB,R,E)

Hours: S 9 AM - 12 PM, M-F 8:30 AM - 5 PM,

SA 9 AM - 1 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

143

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Johnson, Michael W., M.D.

Gender: Male

License No: G63669

NPI: 1275590267

Family Practice

1

11600 Indian Hills Rd. # 100

4

Mission Hills, CA 91345

1923 008199

(818) 838-4590

Office Staff Language

#

:

Accessibility:*:

Hours: S 9 AM - 12 PM, M-F 8:30 AM - 5 PM,

SA 9 AM - 1 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Medina, Raul I., M.D.

Gender: Male

License No: A149190

NPI: 1649685652

Family Practice

1

11600 Indian Hills Rd.

4

Mission Hills, CA 91345

1923 234346

(818) 838-4500

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,IB,R,E)

Hours: S 9 AM - 12 PM, M-F 8:30 AM - 5 PM,

SA 9 AM - 1 PM

Cultural Competence Training Completed:

Provider Training and Experience:

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HCP Med Grp - Los Angeles PPG 829

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mogul, Samuel A., M.D.

Gender: Male

License No: G40018

NPI: 1427050533

Internal Medicine

11600 Indian Hills Rd.

4

Mission Hills, CA 91345

1923 059768

(818) 838-4500

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,IB,R,E)

Hours: S 9 AM - 12 PM, M-F 8:30 AM - 5 PM,

SA 9 AM - 1 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Rebhun, Donald J., M.D.

Gender: Male

License No: G47963

NPI: 1023128246

Internal Medicine

11600 Indian Hills Rd.

4

Mission Hills, CA 91345

1923 013909

(818) 838-4500

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

145

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Retino, Rafael T., M.D.

Gender: Male

License No: A46422

NPI: 1376643858

Internal Medicine

1

11600 Indian Hills Rd. # 100

4

Mission Hills, CA 91345

1923 530845

(818) 838-4590

Prov Language: Spanish, Tagalog

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Samovar, Jill B., M.D.

Gender: Female

License No: A61929

NPI: 1558462663

Internal Medicine

1

11600 Indian Hills Rd.

4

Mission Hills, CA 91345

1923 068607

(818) 838-4540

Office Staff Language

#

:

Accessibility:*: Limited(P,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP Med Grp - Los Angeles PPG 829

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Veloso, Van J., M.D.

Gender: Male

License No: A71784

NPI: 1689622326

Internal Medicine

11600 Indian Hills Rd. # 100

4

Mission Hills, CA 91345

1923 090061

(818) 838-4590

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-W,F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

Veloso, Van J., M.D.

Gender: Male

License No: A71784

NPI: 1689622326

Internal Medicine

11600 Indian Hills Rd. # 100

4

Mission Hills, CA 91345

1924 090061

(818) 838-4590

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-W,F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

147

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Maissian, Gevork J., D.O.

Gender: Male

License No: 20A10524

NPI: 1639320658

Internal Medicine

8719 Woodley Ave.

4

North Hills, CA 91343

1904 150333

(818) 920-1232

Prov Language: Armenian, Russian

Office Staff Language

#

: Armenian, Russian,

Spanish

Accessibility:*: Limited(EB,IB)

Hours: M-F 9 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Veloso, Van J., M.D.

Gender: Male

License No: A71784

NPI: 1689622326

Internal Medicine

6350 Laurel Canyon Blvd. # 100

North Hollywood, CA 91606

1924 090061

(818) 596-5400

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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148 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Buschmann, Darin K., M.D.

Gender: Male

License No: A79033

NPI: 1558381004

Internal Medicine

1

18546 Roscoe Blvd. # 300

4

Northridge, CA 91324

1025 101383

(818) 886-4028

Office Staff Language

#

:

Accessibility:*:

Hours: M-W,F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Cappleman, Florence B.,

M.D.

Gender: Female

License No: C147209

NPI: 1073725297

Family Practice

1

18546 Roscoe Blvd. # 300

4

Northridge, CA 91324

1925 168653

(818) 886-4028

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

149

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kong, Gary K., M.D.

Gender: Male

License No: A51276

NPI: 1740388891

Internal Medicine

1

18300 Roscoe Blvd.

4

Northridge, CA 91325

1904 065559

(818) 885-5440

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Avakyan, Rafael, M.D.

Gender: Male

License No: A84288

NPI: 1629024393

Internal Medicine

1

301 S. Fair Oaks Ave # 300

4

Pasadena, CA 91105

5159 103709

(626) 795-7556

Prov Language: Armenian, Russian

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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150 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Baek, Josh S., D.O.

Gender: Male

License No: 20A11390

NPI: 1568768323

Family Practice

1

988 S. Fair Oaks Ave

4

Pasadena, CA 91105

1846 195829

(626) 799-4191

Prov Language: Korean

Office Staff Language

#

:

Accessibility:*: Limited(EB,IB,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Barba, Dolores, M.D.

Gender: Female

License No: A46041

NPI: 1992700603

Internal Medicine

1

301 S. Fair Oaks Ave # 300

4

Pasadena, CA 91105

5159 076446

(626) 795-7556

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP Med Grp - Los Angeles PPG 829

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

151

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Bautista, Grace S., M.D.

Gender: Female

License No: A45534

NPI: 1215021720

Internal Medicine

1

675 S. Arroyo Pkwy # 330

Pasadena, CA 91105

0863 500984

(626) 585-4120

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Calleros, Gustavo, M.D.

Gender: Male

License No: A74210

NPI: 1346358827

Family Practice

50 Bellefontaine St. # 404

Pasadena, CA 91105

5111 102914

(626) 793-1931

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-TH 8 AM - 5 PM, F 8 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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152 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Primary Care Providers

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Chong, Ming Ta, M.D.

Gender: Male

License No: A29483

NPI: 1356395073

Internal Medicine

1

675 S. Arroyo Pkwy # 200

Pasadena, CA 91105

0863 502844

(626) 585-4120

Office Staff Language

#

:

Accessibility:*:

Hours: M-TH 8 AM - 5 PM, F 8 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Dous, Safwat, M.D.

Gender: Male

License No: A118010

NPI: 1649589870

Family Practice

1

675 S. Arroyo Pkwy # 330

Pasadena, CA 91105

0863 211412

(626) 585-4120

Prov Language: Arabic

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

153

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Gomez, Luciano C., M.D.

Gender: Male

License No: A74706

NPI: 1679680755

Internal Medicine

1

988 S. Fair Oaks Ave

4

Pasadena, CA 91105

1846 096711

(626) 799-4192

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(EB,IB,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Hejri, Ghazaleh, M.D.

Gender: Female

License No: A105122

NPI: 1750530440

Family Practice

988 S. Fair Oaks Ave

4

Pasadena, CA 91105

1846 148760

(626) 799-4194

Prov Language: Farsi, Turkish

Office Staff Language

#

:

Accessibility:*: Limited(EB,IB,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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154 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Primary Care Providers

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Herrera, Margaret L., M.D.

Gender: Female

License No: A63148

NPI: 1861415739

Family Practice

1

50 Bellefontaine St. # 404

Pasadena, CA 91105

5111 071491

(626) 793-1931

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-TH 8 AM - 5 PM, F 8 AM - 11 AM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Hethumuni, Rehana M.,

D.O.

Gender: Female

License No: 20A8993

NPI: 1518054477

Family Practice

1

675 S. Arroyo Pkwy # 200

Pasadena, CA 91105

0863 135977

(626) 585-4120

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-TH 8 AM - 5 PM, F 8 AM - 11 AM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

155

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Isaiants, Armen, M.D.

Gender: Male

License No: A61592

NPI: 1659336964

Internal Medicine

1

988 S. Fair Oaks Ave

4

Pasadena, CA 91105

1846 068695

(626) 799-4192

Office Staff Language

#

:

Accessibility:*: Limited(EB,IB,E,T)

Hours: M-TH 8:45 AM - 10:45 AM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Jablon, Marcia P., M.D.

Gender: Female

License No: A63186

NPI: 1477640332

Internal Medicine

1

675 S. Arroyo Pkwy # 200

Pasadena, CA 91105

0863 069634

(626) 585-4121

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-TH 8:45 AM - 10:45 AM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP Med Grp - Los Angeles PPG 829

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Jiao, Lu, M.D.

Gender: Female

License No: A73573

NPI: 1023162187

Internal Medicine

1

301 S. Fair Oaks Ave. # 300

4

Pasadena, CA 91105

5159 092991

(626) 795-7556

Prov Language: Hindi, Mandarin, Spanish

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lalwani, Sonal, M.D.

Gender: Female

License No: A67137

NPI: 1487685558

Internal Medicine

1

988 S. Fair Oaks Ave

4

Pasadena, CA 91105

1846 092987

(626) 799-4194

Prov Language: Hindi, Spanish

Office Staff Language

#

:

Accessibility:*: Limited(EB,IB,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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ro

vid

ers

157

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Menard, Clarissa H., D.O.

Gender: Female

License No: 20A13156

NPI: 1700200763

Family Practice

675 S. Arroyo Pkwy # 330

Pasadena, CA 91105

0863 210889

(626) 585-4120

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Meza, Martha A., M.D.

Gender: Female

License No: A80538

NPI: 1629126545

Internal Medicine

1

797 S. Fair Oaks Ave.

4

Pasadena, CA 91105

1904 155880

(626) 795-2244

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP Med Grp - Los Angeles PPG 829

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Rivas-Plata, Ricardo A.,

M.D.

Gender: Male

License No: G79354

NPI: 1609961929

Internal Medicine

1

675 S. Arroyo Pkwy # 200

Pasadena, CA 91105

0863 048441

(626) 585-4121

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Saketkhoo, Sharis, M.D.

Gender: Female

License No: A105027

NPI: 1013168400

Family Practice

1

797 S. Fair Oaks Ave.

4

Pasadena, CA 91105

0863 205310

(626) 795-2244

Office Staff Language

#

:

Accessibility:*: Limited(E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

159

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Shadmon, Ella, M.D.

Gender: Female

License No: A80071

NPI: 1154386217

Family Practice

1

988 S. Fair Oaks Ave

4

Pasadena, CA 91105

1846 103871

(626) 799-4191

Office Staff Language

#

:

Accessibility:*: Limited(EB,IB,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Tatosyan-Jones, Kristine,

M.D.

Gender: Female

License No: A107807

NPI: 1851605307

Family Practice

1

988 S. Fair Oaks Ave

4

Pasadena, CA 91105

1846 185883

(626) 799-4194

Prov Language: Armenian, Russian

Office Staff Language

#

:

Accessibility:*: Limited(EB,IB,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP Med Grp - Los Angeles PPG 829

Primary Care Providers

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Velloze, Stephen E., M.D.

Gender: Male

License No: A48936

NPI: 1689605966

Internal Medicine

1

675 S. Arroyo Pkwy # 200

Pasadena, CA 91105

0863 017686

(626) 585-4120

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Martinez Cardenas, Jose F.,

M.D.

2

Gender: Male

License No: A81030

NPI: 1700827052

Internal Medicine

18518 Sherman Way

4

Reseda, CA 91335

1904 103565

(818) 757-0954

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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are

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ro

vid

ers

161

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Saugus Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mungcal, Renato V., M.D.

Gender: Male

License No: A42598

NPI: 1750555413

Family Practice

21700 Golden Triangle Rd. # 206

Saugus, CA 91350

1905 039132

(661) 287-3983

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: TU,TH 10 AM - 6 PM, M,W 9:30 AM -

5:30 PM, F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sherman Oaks Specialty/

Primary Care Physicians PPG/Phy #

1ass

Bahadori, Amir H., M.D.

Gender: Male

License No: A65627

NPI: 1518992585

Internal Medicine

4955 Van Nuys Blvd. # 415

4

Sherman Oaks, CA 91403

1904 090149

(818) 995-8240

Prov Language: Farsi

Office Staff Language

#

:

Accessibility:*: Limited(IB,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP Med Grp - Los Angeles PPG 829

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sherman Oaks Specialty/

Primary Care Physicians PPG/Phy #

1ass

Fatima, Jabeen, M.D.

Gender: Female

License No: C53794

NPI: 1043392186

Family Practice

4955 Van Nuys Blvd. # 415

4

Sherman Oaks, CA 91403

1904 159280

(818) 528-1080

Prov Language: Arabic, Hindi, Urdu

Office Staff Language

#

:

Accessibility:*: Limited(IB,E)

Hours: M-F 7 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Tujunga Specialty/

Primary Care Physicians PPG/Phy #

1ass

Avanessian, Evlyn, M.D.

Gender: Female

License No: A127456

NPI: 1295020709

Family Practice

1

7709 Foothill Blvd.

4

Tujunga, CA 91042

1904 205010

(818) 296-9601

Prov Language: Armenian, Farsi

Office Staff Language

#

: Armenian, Farsi,

Spanish

Accessibility:*: Limited(IB,E)

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

163

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Gururaja, Avinash N., M.D.

Gender: Male

License No: A78267

NPI: 1518990035

Family Practice

1

23501 Cinema Dr. # 100

Valencia, CA 91355

5153 102059

(661) 367-9200

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(EB,IB,E)

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Sosoian, Lina H., M.D.

Gender: Female

License No: A111245

NPI: 1215199518

Family Practice

1

23501 Cinema Dr. # 100

Valencia, CA 91355

5153 161799

(661) 367-9200

Prov Language: Arabic, Armenian

Office Staff Language

#

:

Accessibility:*: Limited(EB,IB,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP Med Grp - Los Angeles PPG 829

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valley Village Specialty/

Primary Care Physicians PPG/Phy #

1ass

Dardashti, Dan E., M.D.

Gender: Male

License No: A61457

NPI: 1275537524

Internal Medicine

12626 Riverside Dr. # 411

4

Valley Village, CA 91607

1904 080185

(818) 508-9190

Prov Language: Farsi, Hebrew

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Alonso, Lazaro V., M.D.

Gender: Male

License No: A39343

NPI: 1427073576

Internal Medicine

1

15216 Vanowen St. # 1A

4

Van Nuys, CA 91405

1924 520907

(818) 785-7875

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(EB,IB,R,E)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

165

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Garrido, Michelle M., M.D.

Gender: Female

License No: A134221

NPI: 1902246713

Family Practice

1

14600 Sherman Way # 300

4

Van Nuys, CA 91405

1924 237204

(818) 781-7097

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Gordon, Arthur L., M.D.

Gender: Male

License No: G38404

NPI: 1659431120

Internal Medicine

14600 Sherman Way # 300

4

Van Nuys, CA 91405

1025 047643

(818) 781-7097

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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166 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

Gordon, Arthur L., M.D.

Gender: Male

License No: G38404

NPI: 1659431120

Internal Medicine

14600 Sherman Way # 300

4

Van Nuys, CA 91405

1924 047643

(818) 781-7097

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Meza, Martha A., M.D.

Gender: Female

License No: A80538

NPI: 1629126545

Internal Medicine

1

15216 Vanowen St. Fl. 1

Van Nuys, CA 91405

1904 155880

(818) 785-7875

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

167

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Sawyer, Howard R., M.D.

Gender: Male

License No: G38515

NPI: 1215047444

Family Practice

14600 Sherman Way # 300

4

Van Nuys, CA 91405

1924 015040

(818) 781-7097

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Velasco, Sara, M.D.

Gender: Female

License No: G51394

NPI: 1104885094

Family Practice

1

14600 Sherman Way # 300

4

Van Nuys, CA 91405

1924 017679

(818) 375-1911

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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168 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

West Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Basurco, Danielle L., M.D.

Gender: Female

License No: A122293

NPI: 1871893040

Family Practice

7301 Medical Center Dr. # 500

4

West Hills, CA 91307

1025 207152

(818) 226-3666

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,EB)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

West Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Buschmann, Darin K., M.D.

Gender: Male

License No: A79033

NPI: 1558381004

Internal Medicine

1

7301 Medical Center Dr. # 500

4

West Hills, CA 91307

1025 101383

(818) 226-3666

Office Staff Language

#

:

Accessibility:*: Limited(P,EB)

Hours: M-W,F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

169

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

West Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Clayton, Dorothea E., M.D.

Gender: Female

License No: A103688

NPI: 1053596395

Internal Medicine

1

7301 Medical Center Dr. # 500

4

West Hills, CA 91307

1925 150315

(818) 226-3666

Office Staff Language

#

:

Accessibility:*: Limited(P,EB)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

West Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Gordon, Arthur L., M.D.

Gender: Male

License No: G38404

NPI: 1659431120

Internal Medicine

7301 Medical Center Dr. # 500

4

West Hills, CA 91307

1924 047643

(818) 226-3666

Office Staff Language

#

:

Accessibility:*: Limited(P,EB)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP Med Grp - Los Angeles PPG 829

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

West Hills Specialty/

Primary Care Physicians PPG/Phy #

Gordon, Arthur L., M.D.

Gender: Male

License No: G38404

NPI: 1659431120

Internal Medicine

7301 Medical Center Dr. # 500

4

West Hills, CA 91307

1025 047643

(818) 226-3666

Office Staff Language

#

:

Accessibility:*: Limited(P,EB)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

West Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Standke, Gary R., M.D.

Gender: Male

License No: G53286

NPI: 1134193576

Family Practice

1

7301 Medical Center Dr. # 500

4

West Hills, CA 91307

1925 016385

(818) 226-3666

Office Staff Language

#

:

Accessibility:*: Limited(P,EB)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

171

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

West Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Chetver, Elena, M.D.

Gender: Female

License No: A52741

NPI: 1518997212

Internal Medicine

7531 Santa Monica Blvd. # 210

4

West Hollywood, CA 90046

1905 087331

(323) 650-2991

Prov Language: Russian

Office Staff Language

#

: Russian

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Health Care LA

PPG 5284

6400 Canoga AVe. Ste 163

Woodland Hills, CA 91367-2435

(818) 702-0100

Urgent Care:

Express Care Mayflower Medical

(626)331-2209

Greater Covina UC (626)732-9232

Encino Urgent Care (818)708-6163

Dusk to Down Urgent Care -Gardena

(310)323-2273

Hospitals Used:

California Hospital Medical Center

Canoga Park Specialty/

Primary Care Physicians PPG/Phy #

1ass

Baradar-Bokaie, Babak,

M.D.

Gender: Male

License No: A85378

NPI: 1225083876

Internal Medicine

1

7107 Remmet Ave.

Canoga Park, CA 91303

5284 136294

(818) 340-3570

Prov Language: Farsi, Turkish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(R,T)

Hours: W 8 AM - 9 PM, TH-SA 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Health Care LA PPG 5284

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

173

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Canoga Park Specialty/

Primary Care Physicians PPG/Phy #

1ass

Gordon, Edward, M.D.

Gender: Male

License No: G38423

NPI: 1063561488

Obstetrics/

Gynecology

7107 Remmet Ave.

Canoga Park, CA 91303

5284 239125

(818) 340-3570

Office Staff Language

#

: Spanish

Accessibility:*: Limited(R,T)

Hours: M-SA 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Antossyan, Meri, D.O.

Gender: Female

License No: 20A13819

NPI: 1457738460

Family Practice

1

1530 Hillhurst Ave.

4

Los Angeles, CA 90027

5284 229848

(323) 644-3880

Prov Language: Armenian

Office Staff Language

#

: Bengali,

Cambodian,Khmer, Cantonese, Hindi,

Japanese, Spanish, Tagalog, Thai, Urdu

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5:30 PM, SA 7 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Health Care LA PPG 5284

Primary Care Providers

1

Board Certified

3

Physician is currently not accepting new patients.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Beaty, Sarah P., D.O.

Gender: Female

License No: 20A14490

NPI: 1609235423

Family Practice

1530 Hillhurst Ave.

4

Los Angeles, CA 90027

5284 236945

(323) 644-3880

Prov Language: Spanish

Office Staff Language

#

: Bengali,

Cambodian,Khmer, Cantonese, Hindi,

Japanese, Spanish, Tagalog, Thai, Urdu

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: SA 7 AM - 4 PM, M-F 9 AM - 5:30 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Hoh, John J., M.D.

3

Gender: Male

License No: G66101

NPI: 1245384791

Internal Medicine

1

1530 Hillhurst Ave.

4

Los Angeles, CA 90027

5284 569203

(323) 644-3880

Prov Language: Cantonese

Office Staff Language

#

: Bengali,

Cambodian,Khmer, Cantonese, Hindi,

Japanese, Spanish, Tagalog, Thai, Urdu

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: M 9 AM - 7 PM, TU,F 9 AM - 5:30 PM,

W-TH 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Health Care LA PPG 5284

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

175

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kahal, Amandeep K., M.D.

Gender: Female

License No: A144738

NPI: 1386057354

Family Practice

1

1530 Hillhurst Ave.

4

Los Angeles, CA 90027

5284 240209

(323) 644-3888

Office Staff Language

#

: Bengali,

Cambodian,Khmer, Cantonese, Hindi,

Japanese, Spanish, Tagalog, Thai, Urdu

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5:30 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lee, Woo S., M.D.

Gender: Male

License No: A85330

NPI: 1386663185

Family Practice

1

4448 York Blvd.

4

Los Angeles, CA 90041

5284 107433

(323) 635-1140

Prov Language: Korean

Office Staff Language

#

: Armenian, Spanish,

Tagalog

Accessibility:*: Limited(P,EB,IB,E)

Hours: SA 9 AM - 1 PM, M-F 8:30 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Health Care LA PPG 5284

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mchenry, Kathryn, D.O.

Gender: Female

License No: 20A14292

NPI: 1326458373

Family Practice

1530 Hillhurst Ave.

4

Los Angeles, CA 90027

5284 234549

(323) 644-3880

Office Staff Language

#

: Bengali,

Cambodian,Khmer, Cantonese, Hindi,

Japanese, Spanish, Tagalog, Thai, Urdu

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5:30 PM, SA 7 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Milanes-Skopp, Rose E.,

D.O.

Gender: Female

License No: 20A7901

NPI: 1003964883

Family Practice

1

1530 Hillhurst Ave.

4

Los Angeles, CA 90027

5284 160316

(323) 644-3880

Prov Language: Spanish

Office Staff Language

#

: Bengali,

Cambodian,Khmer, Cantonese, Hindi,

Japanese, Spanish, Tagalog, Thai, Urdu

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Health Care LA PPG 5284

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

177

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Neyman, Yulia, D.O.

Gender: Female

License No: 20A10233

NPI: 1982858031

Family Practice

1530 Hillhurst Ave.

4

Los Angeles, CA 90027

5284 157193

(323) 644-3880

Prov Language: Spanish

Office Staff Language

#

: Bengali,

Cambodian,Khmer, Cantonese, Hindi,

Japanese, Spanish, Tagalog, Thai, Urdu

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Venkateswaralu, Bhasker

V., M.D.

Gender: Male

License No: A43925

NPI: 1538180880

Internal Medicine

1

1530 Hillhurst Ave.

4

Los Angeles, CA 90027

5284 059717

(323) 644-3880

Prov Language: Spanish, Tamil

Office Staff Language

#

: Bengali,

Cambodian,Khmer, Cantonese, Hindi,

Japanese, Spanish, Tagalog, Thai, Urdu

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5:30 PM, SA 7 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Health Care LA PPG 5284

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Wongsaroj, Patarapha, M.D.

Gender: Female

License No: A119992

NPI: 1174753784

Internal Medicine

1

1530 Hillhurst Ave.

4

Los Angeles, CA 90027

5284 208882

(323) 644-3880

Office Staff Language

#

: Bengali,

Cambodian,Khmer, Cantonese, Hindi,

Japanese, Spanish, Tagalog, Thai, Urdu

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Chatterjee, Neil A., M.D.

Gender: Male

License No: A66747

NPI: 1265554695

General Practice

15206 Parthenia St.

4

North Hills, CA 91343

5284 155148

(818) 895-3100

Prov Language: Bengali, Spanish

Office Staff Language

#

: Spanish, Tagalog

Accessibility:*: Limited(P,EB,IB)

Hours: SA 7 AM - 3 PM, M-F 8 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Health Care LA PPG 5284

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

179

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hills Specialty/

Primary Care Physicians PPG/Phy #

Chatterjee, Neil A., M.D.

Gender: Male

License No: A66747

NPI: 1265554695

General Practice

15210 Parthenia St.

4

North Hills, CA 91343

5284 155148

(818) 895-3100

Prov Language: Bengali, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hills Specialty/

Primary Care Physicians PPG/Phy #

Chatterjee, Neil A., M.D.

Gender: Male

License No: A66747

NPI: 1265554695

General Practice

8527 Sepulveda Blvd

North Hills, CA 91343

5284 155148

(818) 895-3100

Prov Language: Bengali, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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180 / www.healthnet.com/calmediconnect

Health Care LA PPG 5284

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ghafur, Naeemah H., M.D.

Gender: Female

License No: A79585

NPI: 1649292459

Family Practice

9119 Haskell Ave.

4

North Hills, CA 91343

5284 105592

(818) 763-8836

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 4:30 PM

Cultural Competence Training Completed:

Provider Training and Experience:

North Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lund, Shewak R., M.D.

Gender: Male

License No: A38222

NPI: 1336244458

General Practice

15206 Parthenia St.

4

North Hills, CA 91343

5284 551403

(818) 895-3100

Prov Language: Hindi, Punjabi, Sindhi, Urdu

Office Staff Language

#

: Spanish, Tagalog

Accessibility:*: Limited(P,EB,IB)

Hours: SA 7:30 AM - 3:30 PM, M-F 8 AM - 5

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Health Care LA PPG 5284

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

181

3

Physician is currently not accepting new patients.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Malabanan, Paul A., M.D.

3

Gender: Male

License No: A50878

NPI: 1467596940

Internal Medicine

15206 Parthenia St.

4

North Hills, CA 91343

5284 061326

(818) 895-3100

Prov Language: Tagalog

Office Staff Language

#

: Spanish, Tagalog

Accessibility:*: Limited(P,EB,IB)

Hours: SA 7 AM - 3 PM, M-F 8 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hills Specialty/

Primary Care Physicians PPG/Phy #

Malabanan, Paul A., M.D.

3

Gender: Male

License No: A50878

NPI: 1467596940

Internal Medicine

15210 Parthenia St.

4

North Hills, CA 91343

5284 061326

(818) 895-3100

Prov Language: Tagalog

Office Staff Language

#

: Spanish

Accessibility:*: Limited(IB,R,E,T)

Hours: M-F 8 AM - 6 PM, SA 7 AM - 3 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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182 / www.healthnet.com/calmediconnect

Health Care LA PPG 5284

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Tariq, Shabana N., M.D.

Gender: Female

License No: A88352

NPI: 1992870299

Family Practice

1

9119 Haskell Ave.

4

North Hills, CA 91343

5284 168760

(818) 763-8836

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: TU 8 AM - 4 PM, M,W 8 AM - 8 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Washington, Heather, M.D.

Gender: Female

License No: A135435

NPI: 1629311469

Family Practice

1

9119 Haskell Ave.

4

North Hills, CA 91343

5284 233016

(818) 763-8836

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Health Care LA PPG 5284

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

183

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Chapa, Lazaro G., M.D.

Gender: Male

License No: G56722

NPI: 1902943558

Family Practice

1

6801 Coldwater Canyon Ave. #

2A

4

North Hollywood, CA 91605

5284 502641

(818) 763-8836

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Hyatt, Joel, M.D.

Gender: Male

License No: G34969

NPI: 1750452710

Family Practice

1

6801 Coldwater Canyon Ave. #

2A

4

North Hollywood, CA 91605

5284 242794

(818) 763-8836

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,IB,R,E)

Hours: M,W,F 9 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

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184 / www.healthnet.com/calmediconnect

Health Care LA PPG 5284

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Peeks, Roger A., M.D.

Gender: Male

License No: G39705

NPI: 1336258961

Internal Medicine

1

6801 Coldwater Canyon Ave. #

2A

4

North Hollywood, CA 91605

5284 142805

(818) 763-8836

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kavcioglu, Ruth E., M.D.

Gender: Female

License No: A116537

NPI: 1487898847

Family Practice

18406 Roscoe Blvd.

4

Northridge, CA 91325

5284 187027

(818) 885-5480

Prov Language: Spanish

Office Staff Language

#

: Korean

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Health Care LA PPG 5284

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

185

1

Board Certified

3

Physician is currently not accepting new patients.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lim, Jennifer S., M.D.

3

Gender: Female

License No: A63309

NPI: 1528288990

Family Practice

1

8363 Reseda Blvd. # 11

Northridge, CA 91324

5284 150063

(818) 895-3100

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,IB,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pacoima Specialty/

Primary Care Physicians PPG/Phy #

1ass

Baradar-Bokaie, Babak,

M.D.

Gender: Male

License No: A85378

NPI: 1225083876

Internal Medicine

1

12756 Van Nuys Blvd.

4

Pacoima, CA 91331

5284 136294

(818) 896-0531

Prov Language: Farsi, Turkish

Office Staff Language

#

: Farsi, French, Spanish,

Tagalog

Accessibility:*: Limited(IB,R)

Hours: TH-SA 8 AM - 5 PM, W 8 AM - 9 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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186 / www.healthnet.com/calmediconnect

Health Care LA PPG 5284

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pacoima Specialty/

Primary Care Physicians PPG/Phy #

1ass

Gordon, Edward, M.D.

Gender: Male

License No: G38423

NPI: 1063561488

Obstetrics/

Gynecology

12756 Van Nuys Blvd.

4

Pacoima, CA 91331

5284 239125

(818) 896-0531

Office Staff Language

#

: Farsi, French, Spanish,

Tagalog

Accessibility:*: Limited(IB,R)

Hours: M-SA 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Pacoima Specialty/

Primary Care Physicians PPG/Phy #

1ass

Hijazi, Zeina, M.D.

Gender: Female

License No: A60285

NPI: 1518920974

Obstetrics/

Gynecology

1

12756 Van Nuys Blvd.

4

Pacoima, CA 91331

5284 131348

(818) 896-0531

Prov Language: Spanish

Office Staff Language

#

: Farsi, French, Spanish,

Tagalog

Accessibility:*: Limited(IB,R)

Hours: M-SA 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

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Health Care LA PPG 5284

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

187

1

Board Certified

3

Physician is currently not accepting new patients.

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pacoima Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lim, Jennifer S., M.D.

3

Gender: Female

License No: A63309

NPI: 1528288990

Family Practice

1

9919 Laurel Canyon Blvd.

Pacoima, CA 91331

5284 150063

(818) 895-3100

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,IB)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pacoima Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lund, Shewak R., M.D.

Gender: Male

License No: A38222

NPI: 1336244458

General Practice

9919 Laurel Canyon Blvd.

Pacoima, CA 91331

5284 551403

(818) 895-3100

Prov Language: Hindi, Punjabi, Sindhi, Urdu

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,IB)

Hours: W 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Health Care LA PPG 5284

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pacoima Specialty/

Primary Care Physicians PPG/Phy #

1ass

Natarajan, Margaret W.,

M.D.

Gender: Female

License No: A66424

NPI: 1376717942

Obstetrics/

Gynecology

1

12756 Van Nuys Blvd.

4

Pacoima, CA 91331

5284 104947

(818) 896-0531

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Farsi, French, Spanish,

Tagalog

Accessibility:*: Limited(IB,R)

Hours: M-SA 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Panorama City Specialty/

Primary Care Physicians PPG/Phy #

1ass

Allen, Jacqueline M., M.D.

Gender: Female

License No: A144496

NPI: 1275979965

Family Practice

15253 Roscoe Blvd.

Panorama City, CA 91402

5284 229331

(818) 920-9947

Office Staff Language

#

: Farsi, Spanish

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Health Care LA PPG 5284

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

189

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Panorama City Specialty/

Primary Care Physicians PPG/Phy #

1ass

Chatterjee, Neil A., M.D.

Gender: Male

License No: A66747

NPI: 1265554695

General Practice

8771 Van Nuys Blvd.

Panorama City, CA 91402

5284 155148

(818) 895-3100

Prov Language: Bengali, Spanish

Office Staff Language

#

: Bengali, Cantonese,

Japanese, Korean, Mandarin, Spanish,

Tagalog, Thai, Vietnamese

Accessibility:*:

Hours: W 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kaur, Parveen K., M.D.

Gender: Female

License No: A56110

NPI: 1346235686

Internal Medicine

1845 N Fair Oaks Ave # G-151

4

Pasadena, CA 91103

5284 112023

(562) 867-7999

Prov Language: French, Hindi, Punjabi,

Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Experience: HIV/AIDS

Provider Training and Experience:

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Health Care LA PPG 5284

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Yeh, Vivian, M.D.

Gender: Male

License No: G68468

NPI: 1407057318

Internal Medicine

1

1845 N Fair Oaks Ave # G-151

4

Pasadena, CA 91103

5284 196891

(562) 867-7999

Office Staff Language

#

: Spanish

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: TH 8 AM - 12 PM, M-W,F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

San Fernando Specialty/

Primary Care Physicians PPG/Phy #

1ass

Gordon, Edward, M.D.

Gender: Male

License No: G38423

NPI: 1063561488

Obstetrics/

Gynecology

1600 San Fernando Rd.

4

San Fernando, CA 91340

5284 239125

(818) 365-8086

Office Staff Language

#

: Arabic, Armenian,

Russian, Spanish, Tagalog

Accessibility:*: Limited(P,EB,IB,E,T)

Hours: M-SA 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

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Health Care LA PPG 5284

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

191

1

Board Certified

3

Physician is currently not accepting new patients.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

San Fernando Specialty/

Primary Care Physicians PPG/Phy #

1ass

Gorlitsky, Kendra F., M.D.

3

Gender: Female

License No: G61804

NPI: 1902992134

Family Practice

1

1600 San Fernando Rd.

4

San Fernando, CA 91340

5284 075658

(818) 365-8086

Prov Language: Spanish

Office Staff Language

#

: Arabic, Armenian,

Russian, Spanish, Tagalog

Accessibility:*: Limited(P,EB,IB,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

San Fernando Specialty/

Primary Care Physicians PPG/Phy #

1ass

Natarajan, Margaret W.,

M.D.

Gender: Female

License No: A66424

NPI: 1376717942

Obstetrics/

Gynecology

1

1600 San Fernando Rd.

4

San Fernando, CA 91340

5284 104947

(818) 365-8086

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Arabic, Armenian,

Russian, Spanish, Tagalog

Accessibility:*: Limited(P,EB,IB,E,T)

Hours: M-SA 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Page 192: 2018 Provider and Pharmacy Directory

192 / www.healthnet.com/calmediconnect

Health Care LA PPG 5284

Primary Care Providers

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Santa Clarita Specialty/

Primary Care Physicians PPG/Phy #

1ass

Clark, Kerry R., M.D.

Gender: Male

License No: G60150

NPI: 1093802365

Internal Medicine

1

18533 Soledad Canyon Rd.

Santa Clarita, CA 91351

5284 203405

(661) 673-8800

Office Staff Language

#

:

Accessibility:*: Limited(EB,IB,E,T)

Hours: W 8 AM - 9 PM, TH-SA 8 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Santa Clarita Specialty/

Primary Care Physicians PPG/Phy #

1ass

Hijazi, Zeina, M.D.

Gender: Female

License No: A60285

NPI: 1518920974

Obstetrics/

Gynecology

1

18533 Soledad Canyon Rd.

Santa Clarita, CA 91351

5284 131348

(661) 673-8800

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(EB,IB,E,T)

Hours: M-SA 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

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Health Care LA PPG 5284

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

193

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Santa Clarita Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lwin, Alicia A., M.D.

Gender: Female

License No: A107142

NPI: 1780826792

Family Practice

1

23413 Lyons Ave.

Santa Clarita, CA 91355

5284 226629

(661) 593-7500

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-SA 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sherman Oaks Specialty/

Primary Care Physicians PPG/Phy #

1ass

Allen, Jacqueline M., M.D.

Gender: Female

License No: A144496

NPI: 1275979965

Family Practice

15477 Ventura Blvd. # 300

Sherman Oaks, CA 91403

5284 229331

(818) 907-0322

Office Staff Language

#

: Farsi, Spanish

Accessibility:*: Limited(E)

Hours: M-F 8:30 AM - 8 PM, SA 8:30 AM - 12

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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194 / www.healthnet.com/calmediconnect

Health Care LA PPG 5284

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sun Valley Specialty/

Primary Care Physicians PPG/Phy #

1ass

Hijazi, Zeina, M.D.

Gender: Female

License No: A60285

NPI: 1518920974

Obstetrics/

Gynecology

1

7223 Fair Ave.

4

Sun Valley, CA 91352

5284 131348

(818) 432-4400

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: M-SA 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Sun Valley Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lwin, Alicia A., M.D.

Gender: Female

License No: A107142

NPI: 1780826792

Family Practice

1

7223 Fair Ave.

4

Sun Valley, CA 91352

5284 226629

(818) 432-4400

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: W 8 AM - 9 PM, TH-SA 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Health Care LA PPG 5284

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

195

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Allen, Jacqueline M., M.D.

Gender: Female

License No: A144496

NPI: 1275979965

Family Practice

6618 Van Nuys Blvd.

Van Nuys, CA 91405

5284 229331

(818) 908-9962

Office Staff Language

#

: Farsi, Spanish

Accessibility:*: Limited(EB,IB,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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196 / www.healthnet.com/calmediconnect

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Healthcare Partners IPA - Arcadia

PPG 1962

2175 Park Pl.

El Segundo, CA 90245-4705

(800) 403-4160

Urgent Care:

Healthcare Partner UCC (626) 795-2244

Hospitals Used:

Methodist Hospital of Southern California

HealthCare Partners IPA - East West (PPG

5129)

2175 Park Pl.

El Segundo, CA 90245-4705

(800) 403-4160

Urgent Care:

Healthcare Partners UCC (626) 795-2244

Hospitals Used:

Methodist Hospital of Southern California

San Gabriel Valley Medical Center

Arleta Specialty/

Primary Care Physicians PPG/Phy #

1ass

Tatulian, Karmen S., M.D.

Gender: Female

License No: A101992

NPI: 1851561807

Family Practice

8902 Woodman Ave.

4

Arleta, CA 91331

1962 154193

(818) 830-7033

Prov Language: Armenian, German, Russian

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,R,E)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Healthcare Partners IPA - Arcadia PPG 1962

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

197

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Fu-Liu, Casey S., M.D.

Gender: Female

License No: G79788

NPI: 1558570887

Internal Medicine

1

630 S. Raymond Ave. # 240

4

Pasadena, CA 91105

5129 076447

(626) 449-9920

Prov Language: Mandarin

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mathioulakis, Stan, M.D.

Gender: Male

License No: A85470

NPI: 1912080847

Internal Medicine

1

10 Congress St. # 506

4

Pasadena, CA 91105

1962 105576

(626) 584-9898

Prov Language: French, Greek, Italian, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,IB,R)

Hours: TU,TH 9 AM - 12 PM, M,W,F 9 AM - 5

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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198 / www.healthnet.com/calmediconnect

Healthcare Partners IPA - Arcadia PPG 1962

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Oo, Khin K., M.D.

Gender: Female

License No: A56521

NPI: 1588638043

Internal Medicine

238 S. Arroyo Pkwy # 150

4

Pasadena, CA 91105

5129 075729

(626) 744-9290

Prov Language: Burmese, Mandarin

Office Staff Language

#

:

Accessibility:*:

Hours: TU,TH 9 AM - 12 PM, M,W,F 9 AM - 5

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

199

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Healthcare Partners IPA - Pasadena

PPG 1963

2175 Park Pl.

El Segundo, CA 90245-4705

(800) 403-4160

Urgent Care:

Healthcare Partners UCC (626) 795-2244

Hospitals Used:

Methodist Hospital of Southern California

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Akopian, Taleen M., D.O.

Gender: Male

License No: 20A13560

NPI: 1912318528

General Practice

10 Congress St. # 208

4

Pasadena, CA 91105

1963 232892

(626) 795-4210

Prov Language: Armenian

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Alrashid, Wufaa, M.D.

2

Gender: Female

License No: A95090

NPI: 1053516963

Internal Medicine

10 Congress St.

Pasadena, CA 91105

1963 166647

(626) 449-4438

Prov Language: Arabic

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

1ass

Blum, Barry I., M.D.

Gender: Male

License No: G34386

NPI: 1639141716

Internal Medicine

10 Congress St. # 208

4

Pasadena, CA 91105

1963 023161

(626) 792-2166

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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200 / www.healthnet.com/calmediconnect

Healthcare Partners IPA - Pasadena PPG 1963

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Cabe, Vanessa A., M.D.

Gender: Female

License No: A132852

NPI: 1912318676

Internal Medicine

10 Congress St. # 208

4

Pasadena, CA 91105

1963 222250

(626) 792-2166

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Dimen, Luis L., M.D.

Gender: Male

License No: G76052

NPI: 1609843564

Internal Medicine

1

10 Congress St. # 208

4

Pasadena, CA 91105

1963 056410

(626) 795-4210

Prov Language: Spanish, Tagalog

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Healthcare Partners IPA - Pasadena PPG 1963

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

201

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Iwata, Shunpei K., M.D.

Gender: Male

License No: A95845

NPI: 1396931309

Internal Medicine

50 Bellefontaine St. # 203

4

Pasadena, CA 91105

1963 150883

(626) 535-0900

Prov Language: Japanese, Mandarin

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: SA 9 AM - 1 PM, TH-F 9:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Jung, George Q., M.D.

2

Gender: Male

License No: G51541

NPI: 1720051881

Internal Medicine

10 Congress St. # 208

4

Pasadena, CA 91105

1963 008346

(626) 792-2166

Prov Language: Cantonese

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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202 / www.healthnet.com/calmediconnect

Healthcare Partners IPA - Pasadena PPG 1963

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kaufmann, Sonia, D.O.

Gender: Female

License No: 20A12758

NPI: 1295172484

Family Practice

1

10 Congress St. # 208

4

Pasadena, CA 91105

1963 205366

(626) 792-2166

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Olah, Ronald P., M.D.

Gender: Male

License No: G58723

NPI: 1881668341

Internal Medicine

10 Congress St. # 208

4

Pasadena, CA 91105

1963 520967

(626) 792-2166

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Healthcare Partners IPA - Pasadena PPG 1963

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

203

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Oo, Khin K., M.D.

Gender: Female

License No: A56521

NPI: 1588638043

Internal Medicine

238 S. Arroyo Pkwy # 150

4

Pasadena, CA 91105

1963 075729

(626) 744-9290

Prov Language: Burmese, Mandarin

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Swe, Beauty M., M.D.

2

Gender: Female

License No: A54760

NPI: 1548234479

Internal Medicine

301 S. Fair Oaks Ave. # 203

4

Pasadena, CA 91105

1963 551600

(626) 356-4000

Prov Language: Burmese

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Healthcare Partners IPA - Pasadena PPG 1963

Primary Care Providers

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Turner, Todd R., M.D.

Gender: Male

License No: A71641

NPI: 1912971763

Internal Medicine

10 Congress St. # 208

4

Pasadena, CA 91105

1963 105869

(626) 795-4210

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Weissman, Joy Y., M.D.

2

Gender: Female

License No: G34449

NPI: 1982678819

Internal Medicine

10 Congress St. # 208

4

Pasadena, CA 91105

1963 520968

(626) 792-2166

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

205

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

HealthCare Partners IPA - South Coast

PPG 5243

2175 Park Pl.

El Segundo, CA 90245-4705

(800) 403-4160

Urgent Care

LA County: AME Med Grp Urgent Care

Downey, Tel: (562)923-6060

OC: Healthcare Partners UCC

Santa Ana, Tel: (714)929-2300

Hospitals Used:

Los Alamitos Medical Center

St. Mary Medical Center

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Hanamsagar, Seema A.,

M.D.

Gender: Female

License No: A92218

NPI: 1952387581

Family Practice

1

797 S. Fair Oaks Ave.

4

Pasadena, CA 91105

5243 132163

(626) 795-2244

Prov Language: Hindi, Marathi, Spanish, Urdu

Office Staff Language

#

:

Accessibility:*: Limited(E,T)

Hours: M-F 8 AM - 12 PM

Cultural Competence Training Completed: Yes

Provider Training and Experience:

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HealthCare Partners IPA - South Coast PPG 5243

Primary Care Providers

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sherman Oaks Specialty/

Primary Care Physicians PPG/Phy #

1ass

Hashemiyoon, Robert B.,

M.D.

Gender: Male

License No: G86202

NPI: 1205903762

Family Practice

4312 Woodman Ave. # 102

Sherman Oaks, CA 91423

5243 209786

(818) 646-2562

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Self Reported Accessibility:*:

Limited(P,IB,R,E,T)

Hours: S-SA 8 AM - 8 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sherman Oaks Specialty/

Primary Care Physicians PPG/Phy #

Hashemiyoon, Robert B.,

M.D.

Gender: Male

License No: G86202

NPI: 1205903762

General Practice

4312 Woodman Ave. # 102

Sherman Oaks, CA 91423

5243 209786

(818) 646-2562

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Self Reported Accessibility:*:

Limited(P,IB,R,E,T)

Hours: S-SA 8 AM - 8 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

207

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Healthcare Partners Medical Group

PPG 1321

2600 Redondo Ave.

Long Beach, CA 90806-2325

(562) 988-7000

Urgent Care:

Healthcare Partners UCC

(562) 988-7340

2600 Redondo Blvd

Long Beach, CA 90806

Hospitals Used:

Los Alamitos Medical Center

St. Mary Medical Center

Healthcare Partners IPA - Long Beach (PPG

1523)

2175 Park Pl.

El Segundo, CA 90245-4705

(800) 403-4160

Urgent Care:

Healthcare Partners Urgent Care

(562)988-7340

2600 Redondo Ave.

Long Beach, CA 90806

Hospitals Used:

Los Alamitos Medical Center

St. Mary Medical Center

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Hanamsagar, Seema A.,

M.D.

Gender: Female

License No: A92218

NPI: 1952387581

Family Practice

1

797 S. Fair Oaks Ave.

4

Pasadena, CA 91105

1523 132163

(626) 795-2244

Prov Language: Hindi, Marathi, Spanish, Urdu

Office Staff Language

#

:

Accessibility:*: Limited(E,T)

Hours: M-F 8 AM - 12 PM

Cultural Competence Training Completed: Yes

Provider Training and Experience:

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Primary Care Providers

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Heritage Health Care

PPG 1035

38209 47th St. East, Ste C

Palmdale, CA 93552-3113

(661) 272-3777

Urgent Care:

High Desert Medical Gp. Urgent Care

(661) 945-5984

Sat - Sun 8:30 a.m. - 9:00 p.m.

Lancaster Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mongiano, Daniel O., M.D.

Gender: Male

License No: A54903

NPI: 1154436814

General Practice

42220 Tenth St. West # 109

Lancaster, CA 93534

1035 077385

(661) 951-9195

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,IB,R)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Lancaster Specialty/

Primary Care Physicians PPG/Phy #

1ass

Shivaram, Deepak A., M.D.

Gender: Male

License No: A62177

NPI: 1588655450

Internal Medicine

1

44215 15th St. West # 111

Lancaster, CA 93534

1035 058097

(661) 949-5941

Prov Language: Hindi, Kannada

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Heritage Health Care PPG 1035

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

209

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Palmdale Specialty/

Primary Care Physicians PPG/Phy #

1ass

Jensen, David R., M.D.

Gender: Male

License No: G44704

NPI: 1093731325

Family Practice

619 W. Avenue Q. Bldg. H # B

Palmdale, CA 93551

1035 023067

(661) 273-2556

Office Staff Language

#

:

Accessibility:*: Limited(IB,R)

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Heritage Provider Network

PPG 1661

8510 Balboa Blvd

Northridge, CA 91325-5809

(818) 654-3400

Hospitals Used:

St. Francis Medical Center

Sierra Medical Group of Santa Clarita (PPG

5449)

44469 Tenth St. West

Lancaster, CA 93534-3324

(661) 945-9411

Hospitals Used:

Henry Mayo Newhall Memorial Hospital

Canyon Country Specialty/

Primary Care Physicians PPG/Phy #

1ass

Gold, Marina, M.D.

Gender: Female

License No: A41684

NPI: 1770653974

General Practice

27141 Hidaway Ave. # 204A

Canyon Country, CA 91351

5449 047388

(661) 297-1177

Prov Language: Armenian, Russian, Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,E)

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Heritage Provider Network PPG 1661

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

211

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Canyon Country Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ho, Shin P., M.D.

Gender: Male

License No: A32362

NPI: 1033223045

General Practice

27141 Hidaway Ave. # 106

4

Canyon Country, CA 91351

5449 007361

(661) 252-8469

Prov Language: Mandarin

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: SA 9 AM - 12:30 PM, M-F 9 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Canyon Country Specialty/

Primary Care Physicians PPG/Phy #

1ass

Leiter, Lawrence R., M.D.

Gender: Male

License No: A28415

NPI: 1548286388

Family Practice

27141 Hidaway Ave. # 107

4

Canyon Country, CA 91351

5449 009856

(661) 250-0100

Prov Language: Spanish

Office Staff Language

#

:

Self Reported Accessibility:*:

Limited(P,EB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Heritage Provider Network PPG 1661

Primary Care Providers

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Canyon Country Specialty/

Primary Care Physicians PPG/Phy #

1ass

Pogodin, Timur R., M.D.

Gender: Male

License No: A133706

NPI: 1972994853

General Practice

27141 Hidaway Ave. # 204

Canyon Country, CA 91351

5449 215299

(661) 297-1127

Prov Language: Armenian, German, Russian,

Spanish

Office Staff Language

#

: Armenian, Russian,

Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Palmdale Specialty/

Primary Care Physicians PPG/Phy #

1ass

Pillai, Dewey D., M.D.

Gender: Male

License No: A87833

NPI: 1134161482

Family Practice

1220 E. Ave. S # D

Palmdale, CA 93550

5449 131730

(661) 947-4124

Prov Language: Spanish, Tamil

Office Staff Language

#

: Armenian, Farsi,

Spanish, Tamil

Accessibility:*: Limited(P,IB)

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Heritage Provider Network PPG 1661

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

213

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Santa Clarita Specialty/

Primary Care Physicians PPG/Phy #

1ass

Bai, Jilin, M.D.

Gender: Male

License No: A130116

NPI: 1003102856

General Practice

23861 McBean Pkwy. # D6

Santa Clarita, CA 91355

5449 217089

(661) 263-5033

Prov Language: Mandarin

Office Staff Language

#

: Mandarin

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Bailey-Walton, Paula L.,

M.D.

Gender: Female

License No: G70461

NPI: 1174646590

Internal Medicine

1

25775 Mcbean Pkwy. # 106

Valencia, CA 91355

5449 022332

(661) 362-8100

Prov Language: Armenian, Farsi, Spanish

Office Staff Language

#

: Spanish, Vietnamese

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Heritage Provider Network PPG 1661

Primary Care Providers

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lall, Ashok, M.D.

Gender: Male

License No: A64108

NPI: 1205827623

Internal Medicine

27420 Tourney Rd. # 200

Valencia, CA 91355

5449 073759

(661) 254-9950

Prov Language: Hindi

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lavi, Joseph M., M.D.

Gender: Male

License No: A72094

NPI: 1912082017

Internal Medicine

27420 Tourney Rd. # 200

Valencia, CA 91355

5449 089338

(661) 254-9950

Prov Language: Farsi

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: TH-F 9 AM - 5 PM, W 9 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Heritage Provider Network PPG 1661

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

215

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Luu, Darrin D., M.D.

Gender: Male

License No: A81858

NPI: 1407970684

Family Practice

25775 Mcbean Pkwy. # 106

Valencia, CA 91355

5449 144306

(661) 947-4124

Prov Language: Spanish, Vietnamese

Office Staff Language

#

: Spanish, Vietnamese

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Malla, Sabita, M.D.

Gender: Female

License No: A90206

NPI: 1962571216

Internal Medicine

1

25775 Mcbean Pkwy. # 107

Valencia, CA 91355

5449 133269

(661) 799-7007

Prov Language: Hindi, Nepali, Russian

Office Staff Language

#

:

Accessibility:*:

Hours: F-SA 12 PM - 6 PM, M-TH 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Heritage Provider Network PPG 1661

Primary Care Providers

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Pillai, Dewey D., M.D.

Gender: Male

License No: A87833

NPI: 1134161482

Family Practice

23838 Valencia Blvd. # 205

Valencia, CA 91355

5449 131730

(661) 288-2237

Prov Language: Spanish, Tamil

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

217

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

High Desert Medical Group

PPG 1031

43839 North 15th Street, West

Lancaster, CA 93534-4756

(661) 945-5984

Urgent Care:

High Desert Medical Group Urgent Care

(661) 945-5984

Mon - Fri 8:30 a.m. - 11:00 p.m.

Lancaster Specialty/

Primary Care Physicians PPG/Phy #

1ass

Allen, Richard L., M.D.

Gender: Male

License No: A93669

NPI: 1861464299

Family Practice

1523 W. Ave. J # 7

Lancaster, CA 93534

1031 131583

(661) 945-2221

Prov Language: Sign Language, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 12:30 PM, SA 10:30 AM -

1 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Lancaster Specialty/

Primary Care Physicians PPG/Phy #

1ass

Arroyo, Manuel, M.D.

Gender: Male

License No: G48417

NPI: 1508860412

Family Practice

1

43839 15th St. West

Lancaster, CA 93534

1031 032947

(661) 945-5984

Office Staff Language

#

: Burmese, Hindi,

Spanish, Tagalog

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: TU-TH 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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High Desert Medical Group PPG 1031

Primary Care Providers

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Lancaster Specialty/

Primary Care Physicians PPG/Phy #

1ass

Chaiwongkarjohn, Suttirak,

M.D.

Gender: Male

License No: A115809

NPI: 1083879084

Internal Medicine

1

45104 10th St W.

Lancaster, CA 93534

1031 203787

(661) 942-2391

Prov Language: Thai

Office Staff Language

#

: Spanish

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Lancaster Specialty/

Primary Care Physicians PPG/Phy #

1ass

Chang, Emery H., M.D.

Gender: Male

License No: A91316

NPI: 1649221383

Internal Medicine

1

43322 Gingham Ave. # 105

Lancaster, CA 93535

1031 128690

(661) 874-4050

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M 8 AM - 8 PM, TH 8 AM - 6 PM,

TU-W,F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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High Desert Medical Group PPG 1031

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

219

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Lancaster Specialty/

Primary Care Physicians PPG/Phy #

1ass

Dandamudi, Satyanarayana,

M.D.

Gender: Male

License No: A32157

NPI: 1245312107

Internal Medicine

1

44215 15th St. West # 103

Lancaster, CA 93534

1031 051061

(661) 948-4429

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,IB,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Lancaster Specialty/

Primary Care Physicians PPG/Phy #

1ass

Encina, Alberto Y., M.D.

Gender: Male

License No: A33026

NPI: 1285720326

General Practice

907 W. Lancaster Blvd.

Lancaster, CA 93534

1031 049331

(661) 723-4829

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Spanish, Tagalog

Accessibility:*: Limited(P,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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High Desert Medical Group PPG 1031

Primary Care Providers

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Lancaster Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ernest, Antony C., M.D.

Gender: Male

License No: A31133

NPI: 1740380880

Internal Medicine

1

43807 10th St. West # E

Lancaster, CA 93534

1031 004628

(661) 948-2621

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 4:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Lancaster Specialty/

Primary Care Physicians PPG/Phy #

1ass

Fernandez, Thelma T., M.D.

Gender: Female

License No: A36169

NPI: 1861505158

Family Practice

1601 W. Ave. J # 101

Lancaster, CA 93534

1031 019594

(661) 945-2716

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Spanish, Tagalog

Accessibility:*: Limited(EB,IB,E)

Hours: M-F 7:30 AM - 4:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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High Desert Medical Group PPG 1031

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

221

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Lancaster Specialty/

Primary Care Physicians PPG/Phy #

1ass

Hernandez, Ruben A., M.D.

2

Gender: Male

License No: A74132

NPI: 1700879897

Family Practice

1

43839 15th St. West

Lancaster, CA 93534

1031 105630

(661) 951-3229

Prov Language: Spanish

Office Staff Language

#

: Burmese, Hindi,

Spanish, Tagalog

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Lancaster Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ho, Vincent A., M.D.

2

Gender: Male

License No: A47753

NPI: 1124138359

Internal Medicine

1

43839 15th St. West

Lancaster, CA 93534

1031 007364

(661) 945-5984

Prov Language: Burmese, Mandarin

Office Staff Language

#

: Burmese, Hindi,

Spanish, Tagalog

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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222 / www.healthnet.com/calmediconnect

High Desert Medical Group PPG 1031

Primary Care Providers

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Lancaster Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ko, Young J., M.D.

Gender: Male

License No: A39814

NPI: 1639277130

Internal Medicine

1

44215 15th St. West # 303

Lancaster, CA 93534

1031 530533

(661) 945-0723

Prov Language: Korean

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB,IB,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Lancaster Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kumar, Pratibha, M.D.

Gender: Female

License No: A40351

NPI: 1881653285

Family Practice

1

43839 15th St. West

Lancaster, CA 93534

1031 532051

(661) 945-5984

Prov Language: Hindi

Office Staff Language

#

: Burmese, Hindi,

Spanish, Tagalog

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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High Desert Medical Group PPG 1031

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

223

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Lancaster Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mistry, Prashant N., M.D.

Gender: Male

License No: A117912

NPI: 1487813549

Family Practice

43839 15th St. West

Lancaster, CA 93534

1031 188715

(661) 945-5984

Prov Language: Gujarati

Office Staff Language

#

: Burmese, Hindi,

Spanish, Tagalog

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Lancaster Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mongiano, Daniel O., M.D.

Gender: Male

License No: A54903

NPI: 1154436814

General Practice

42220 Tenth St. West # 109

Lancaster, CA 93534

1031 077385

(661) 951-9195

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,IB,R)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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224 / www.healthnet.com/calmediconnect

High Desert Medical Group PPG 1031

Primary Care Providers

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Lancaster Specialty/

Primary Care Physicians PPG/Phy #

1ass

Nafoosi, Sami A., M.D.

Gender: Male

License No: A36985

NPI: 1164713244

Internal Medicine

1

43839 15th St. West

Lancaster, CA 93534

1031 033466

(661) 945-5984

Prov Language: Spanish

Office Staff Language

#

: Burmese, Hindi,

Spanish, Tagalog

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Lancaster Specialty/

Primary Care Physicians PPG/Phy #

1ass

Parazo, Don V., M.D.

2

Gender: Male

License No: C40645

NPI: 1861505265

Family Practice

1

43839 15th St. West

Lancaster, CA 93534

1031 012918

(661) 945-5984

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Burmese, Hindi,

Spanish, Tagalog

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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High Desert Medical Group PPG 1031

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

225

1

Board Certified

3

Physician is currently not accepting new patients.

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Lancaster Specialty/

Primary Care Physicians PPG/Phy #

1ass

Patel, Mihir B., M.D.

Gender: Male

License No: A71546

NPI: 1942210943

Internal Medicine

1

43839 15th St. West

Lancaster, CA 93534

1031 085752

(661) 945-5984

Prov Language: Gujarati, Hindi, Marathi

Office Staff Language

#

: Burmese, Hindi,

Spanish, Tagalog

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Lancaster Specialty/

Primary Care Physicians PPG/Phy #

1ass

Saludez, Josephine D.,

M.D.

3

Gender: Female

License No: A55030

NPI: 1497873806

Internal Medicine

43322 Gingham Ave. # 105

Lancaster, CA 93535

1031 053295

(661) 874-4050

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 7:30 AM - 6:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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High Desert Medical Group PPG 1031

Primary Care Providers

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Lancaster Specialty/

Primary Care Physicians PPG/Phy #

1ass

Shikiya, Cecil A., D.O.

Gender: Male

License No: 20A12387

NPI: 1861760977

Family Practice

43839 15th St. West

Lancaster, CA 93534

1031 195005

(661) 945-5984

Prov Language: Spanish

Office Staff Language

#

: Burmese, Hindi,

Spanish, Tagalog

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Lancaster Specialty/

Primary Care Physicians PPG/Phy #

1ass

Shivaram, Deepak A., M.D.

Gender: Male

License No: A62177

NPI: 1588655450

Internal Medicine

1

44215 15th St. West # 111

Lancaster, CA 93534

1031 058097

(661) 949-5941

Prov Language: Hindi, Kannada

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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High Desert Medical Group PPG 1031

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

227

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Lancaster Specialty/

Primary Care Physicians PPG/Phy #

1ass

Sivakumar, Kumarasamy,

M.D.

Gender: Male

License No: A54211

NPI: 1083762884

Internal Medicine

43723 20th St. West # 203

Lancaster, CA 93534

1031 138851

(661) 949-5908

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Lancaster Specialty/

Primary Care Physicians PPG/Phy #

1ass

Srijaerajah, Thillaiampalam

T., M.D.

Gender: Male

License No: A33938

NPI: 1538271002

Internal Medicine

1

44725 Tenth St. West # 230

Lancaster, CA 93534

1031 033054

(661) 948-1611

Prov Language: Spanish, Tamil

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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228 / www.healthnet.com/calmediconnect

High Desert Medical Group PPG 1031

Primary Care Providers

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Lancaster Specialty/

Primary Care Physicians PPG/Phy #

1ass

Toft, Mary M., M.D.

Gender: Female

License No: G67425

NPI: 1306841069

Internal Medicine

1

44725 Tenth St. West # 260

Lancaster, CA 93534

1031 022948

(661) 940-7600

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,E)

Hours: W-TH 9 AM - 5 PM, TU 9 AM - 2 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Lancaster Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ziaee, Hosseingholi, M.D.

2

Gender: Male

License No: A89604

NPI: 1477703569

General Practice

1707 W. Avenue J

Lancaster, CA 93534

1031 155882

(661) 949-5929

Prov Language: Farsi, Turkish

Office Staff Language

#

: Spanish

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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High Desert Medical Group PPG 1031

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

229

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Palmdale Specialty/

Primary Care Physicians PPG/Phy #

1ass

Chin, Soyeon, M.D.

Gender: Female

License No: A102554

NPI: 1841480076

General Practice

2151 E. Palmdale Blvd.

Palmdale, CA 93550

1031 172408

(661) 942-2391

Prov Language: Korean

Office Staff Language

#

: Spanish

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Palmdale Specialty/

Primary Care Physicians PPG/Phy #

1ass

Entabi, Anas, M.D.

Gender: Male

License No: A89044

NPI: 1669465258

Internal Medicine

1

38925 Trade Center Dr. # H

Palmdale, CA 93551

1031 129293

(661) 274-9900

Prov Language: Arabic, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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230 / www.healthnet.com/calmediconnect

High Desert Medical Group PPG 1031

Primary Care Providers

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Palmdale Specialty/

Primary Care Physicians PPG/Phy #

1ass

Gill, Kanwaljit S., M.D.

2

Gender: Male

License No: A53800

NPI: 1477612752

Internal Medicine

1

38656 Medical Center Drive. # A

Palmdale, CA 93551

1031 090290

(661) 940-4444

Prov Language: Hindi, Punjabi

Office Staff Language

#

: Farsi, Spanish, Tagalog

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Palmdale Specialty/

Primary Care Physicians PPG/Phy #

1ass

Gomez, Rosa M., M.D.

2

Gender: Female

License No: A94489

NPI: 1801919220

Family Practice

1

38925 Trade Center Dr. # H

Palmdale, CA 93551

1031 137855

(661) 274-9900

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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High Desert Medical Group PPG 1031

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

231

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Palmdale Specialty/

Primary Care Physicians PPG/Phy #

1ass

Hernandez, Ruben A., M.D.

Gender: Male

License No: A74132

NPI: 1700879897

Family Practice

1

38209 47th St. East # C

Palmdale, CA 93552

1031 105630

(661) 272-3777

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,IB,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Palmdale Specialty/

Primary Care Physicians PPG/Phy #

1ass

Jensen, David R., M.D.

Gender: Male

License No: G44704

NPI: 1093731325

Family Practice

619 W. Avenue Q. Bldg. H # B

Palmdale, CA 93551

1031 023067

(661) 273-2556

Office Staff Language

#

:

Accessibility:*: Limited(IB,R)

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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232 / www.healthnet.com/calmediconnect

High Desert Medical Group PPG 1031

Primary Care Providers

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Palmdale Specialty/

Primary Care Physicians PPG/Phy #

1ass

Martinez, Carlos S., M.D.

Gender: Male

License No: A112978

NPI: 1548572795

Internal Medicine

1

2520 E. Palmdale Blvd. # A

Palmdale, CA 93550

1031 163879

(661) 266-0800

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 6 PM, SA 9 AM - 2 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Palmdale Specialty/

Primary Care Physicians PPG/Phy #

1ass

Pillai, Dewey D., M.D.

Gender: Male

License No: A87833

NPI: 1134161482

Family Practice

1220 E. Ave. S # D

Palmdale, CA 93550

1031 131730

(661) 947-4124

Prov Language: Spanish, Tamil

Office Staff Language

#

: Armenian, Farsi,

Spanish, Tamil

Accessibility:*: Limited(P,IB)

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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High Desert Medical Group PPG 1031

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

233

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Quartz Hill Specialty/

Primary Care Physicians PPG/Phy #

1ass

Denley, Eric C., M.D.

Gender: Male

License No: A121927

NPI: 1366683377

General Practice

42357 50th St. West # 107

Quartz Hill, CA 93536

1031 199354

(661) 943-6455

Office Staff Language

#

:

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Pillai, Dewey D., M.D.

Gender: Male

License No: A87833

NPI: 1134161482

Family Practice

23838 Valencia Blvd. # 205

Valencia, CA 91355

1031 131730

(661) 288-2237

Prov Language: Spanish, Tamil

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 234: 2018 Provider and Pharmacy Directory

234 / www.healthnet.com/calmediconnect

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Lakeside Med Grp - Burbank/N. Hollywood

PPG 1987

8510 Balboa Blvd Suite 275

Northridge, CA 91325-5809

(818) 654-3400

Urgent Care:

Plaza Urgent Care Center (818) 295-5920

Healthline Medical Group (818) 997-7711

Verdugo Hills Urgent Care (818) 241-4331

Hospitals Used:

Providence Holy Cross Medical Center

Encino Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ibrahim, Albeer I., M.D.

Gender: Male

License No: A44213

NPI: 1255401238

Family Practice

16260 Ventura Blvd. # 330

4

Encino, CA 91436

1987 023569

(818) 789-7937

Prov Language: Arabic, Spanish

Office Staff Language

#

: Arabic, Spanish

Accessibility:*:

Hours: M-F 9 AM - 3:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Med Grp - Burbank/N. Hollywood PPG 1987

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

235

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Agababian, Gor, M.D.

Gender: Male

License No: A93668

NPI: 1063442143

General Practice

3920 Eagle Rock Blvd. # A

4

Los Angeles, CA 90065

1987 154347

(323) 255-5225

Prov Language: Armenian, Russian, Spanish

Office Staff Language

#

: Armenian, Farsi,

Russian, Spanish, Tagalog, Vietnamese

Accessibility:*: Limited(P,IB,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Qozi-Habash, Tedmur, M.D.

Gender: Female

License No: A91026

NPI: 1710978135

Family Practice

1

14901 Rinaldi St. # 200

4

Mission Hills, CA 91345

1987 128752

(818) 365-8553

Prov Language: Arabic, French, Spanish

Office Staff Language

#

:

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 236: 2018 Provider and Pharmacy Directory

236 / www.healthnet.com/calmediconnect

Lakeside Med Grp - Burbank/N. Hollywood PPG 1987

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Al-Imami, Jihad S., M.D.

Gender: Male

License No: A30092

NPI: 1881627362

Internal Medicine

1

6428 Coldwater Canyon Ave

4

North Hollywood, CA 91606

1987 032516

(818) 308-6440

Prov Language: Arabic

Office Staff Language

#

: Arabic, Armenian,

French, Spanish

Accessibility:*: Limited(EB,IB,R,E)

Hours: M-F 10 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Beroukhim, Shiva, D.O.

Gender: Female

License No: 20A12606

NPI: 1326386681

Family Practice

1

12660 Riverside Dr. # 320

4

North Hollywood, CA 91607

1987 204144

(818) 755-0391

Prov Language: Spanish

Office Staff Language

#

: Japanese

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Med Grp - Burbank/N. Hollywood PPG 1987

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

237

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Broomand, Behrouz, M.D.

Gender: Male

License No: A43704

NPI: 1992898845

General Practice

6056 Lankershim Blvd.

4

North Hollywood, CA 91606

1987 049677

(818) 761-2300

Prov Language: Farsi, Spanish

Office Staff Language

#

: Farsi, Spanish

Self Reported Accessibility:*: Limited(P,R,E,T)

Hours: M-TH 9 AM - 3 PM, F 9 AM - 2 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Cocco, John M., M.D.

Gender: Male

License No: G18076

NPI: 1194941724

General Practice

8065 Webb Ave. # A

North Hollywood, CA 91605

1987 503021

(818) 927-0021

Prov Language: French, Italian, Spanish

Office Staff Language

#

: French, Italian, Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: TH 9 AM - 1 PM, TU 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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238 / www.healthnet.com/calmediconnect

Lakeside Med Grp - Burbank/N. Hollywood PPG 1987

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Fridman Jr, Alex, M.D.

Gender: Male

License No: A103675

NPI: 1902018385

Internal Medicine

1

12157 Victory Blvd.

4

North Hollywood, CA 91606

1987 146934

(818) 755-8000

Prov Language: Russian

Office Staff Language

#

: Arabic, Armenian,

Russian, Spanish, Tagalog

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M 10 AM - 7 PM, TU-W 10 AM - 8 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Hunt, David A., M.D.

Gender: Male

License No: G48019

NPI: 1881604890

General Practice

12134 Victory Blvd. # A

North Hollywood, CA 91606

1987 091158

(818) 762-8702

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Med Grp - Burbank/N. Hollywood PPG 1987

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

239

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Khachatrian, Marina, M.D.

Gender: Female

License No: A69378

NPI: 1487738399

General Practice

12643 Sherman Way # 1

4

North Hollywood, CA 91605

1987 078004

(818) 759-0095

Prov Language: Armenian, Russian

Office Staff Language

#

: Russian

Accessibility:*: Limited(P,EB,IB)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Paronian, Oganes, M.D.

Gender: Male

License No: A54463

NPI: 1528048899

General Practice

12157 Victory Blvd.

4

North Hollywood, CA 91606

1987 060744

(818) 755-8000

Prov Language: Armenian, Marathi, Russian,

Spanish

Office Staff Language

#

: Arabic, Armenian,

Russian, Spanish, Tagalog

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: S 9 AM - 1 PM, M-F 7:30 AM - 7 PM, SA

8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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240 / www.healthnet.com/calmediconnect

Lakeside Med Grp - Burbank/N. Hollywood PPG 1987

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Panorama City Specialty/

Primary Care Physicians PPG/Phy #

1ass

Grey, Erlinda D., M.D.

Gender: Female

License No: A30427

NPI: 1356568752

General Practice

8215 Van Nuys Blvd. # 210

Panorama City, CA 91402

1987 004328

(818) 901-0373

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Spanish, Tagalog, Thai

Accessibility:*: Limited(EB,R,E,T)

Hours: SA 8:30 AM - 1 PM, M-F 8:30 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Nasir, Muhammad R., M.D.

Gender: Male

License No: A44253

NPI: 1427002526

General Practice

1403 N. Fair Oaks Ave. # 2

4

Pasadena, CA 91103

1987 063904

(626) 797-4477

Prov Language: Arabic, Hindi, Spanish, Urdu

Office Staff Language

#

: Arabic, Hindi, Punjabi,

Spanish, Urdu

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Med Grp - Burbank/N. Hollywood PPG 1987

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

241

3

Physician is currently not accepting new patients.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Martinez Cardenas, Jose F.,

M.D.

3

Gender: Male

License No: A81030

NPI: 1700827052

Internal Medicine

18518 Sherman Way

4

Reseda, CA 91335

1987 103565

(818) 757-0954

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Santa Clarita Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mungcal, Renato V., M.D.

Gender: Male

License No: A42598

NPI: 1750555413

Family Practice

21700 Golden Triangle Rd. # 206

Santa Clarita, CA 91350

1987 039132

(661) 287-3983

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-W,F 9 AM - 5:30 PM, SA 8 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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242 / www.healthnet.com/calmediconnect

Lakeside Med Grp - Burbank/N. Hollywood PPG 1987

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sherman Oaks Specialty/

Primary Care Physicians PPG/Phy #

1ass

Dicterow, Maurice L., M.D.

Gender: Male

License No: G22466

NPI: 1578639639

Family Practice

1

4849 Van Nuys Blvd. # 211

4

Sherman Oaks, CA 91403

1987 520070

(818) 788-8210

Prov Language: Spanish, Tagalog

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sun Valley Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kazarian, Vahe, M.D.

Gender: Male

License No: A104760

NPI: 1477711661

Family Practice

1

8337 Laurel Cyn. Blvd.

Sun Valley, CA 91352

1987 150847

(818) 504-8499

Prov Language: Armenian, Russian

Office Staff Language

#

:

Accessibility:*:

Hours: S,SA 10 AM - 6 PM, M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Med Grp - Burbank/N. Hollywood PPG 1987

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

243

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Tarzana Specialty/

Primary Care Physicians PPG/Phy #

1ass

Beroukhim, Shiva, D.O.

Gender: Female

License No: 20A12606

NPI: 1326386681

Family Practice

1

18607 Ventura Blvd. # 102

Tarzana, CA 91356

1987 204144

(818) 600-1472

Prov Language: Spanish

Office Staff Language

#

: Farsi, Hebrew, Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Tujunga Specialty/

Primary Care Physicians PPG/Phy #

1ass

Panossian, Ayuna K., M.D.

Gender: Female

License No: A86367

NPI: 1952423014

Family Practice

1

7709 Foothill Blvd.

4

Tujunga, CA 91042

1987 135929

(818) 352-3146

Prov Language: Armenian, Spanish

Office Staff Language

#

: Armenian, Farsi,

Spanish

Accessibility:*: Limited(IB,E)

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 244: 2018 Provider and Pharmacy Directory

244 / www.healthnet.com/calmediconnect

Lakeside Med Grp - Burbank/N. Hollywood PPG 1987

Primary Care Providers

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valley Village Specialty/

Primary Care Physicians PPG/Phy #

1ass

Akopyan, Oganes J., M.D.

Gender: Male

License No: A105942

NPI: 1609098037

Family Practice

12660 Riverside Dr. # 320

Valley Village, CA 91607

1987 149905

(818) 755-0391

Prov Language: Armenian

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valley Village Specialty/

Primary Care Physicians PPG/Phy #

Akopyan, Oganes J., M.D.

Gender: Male

License No: A105942

NPI: 1609098037

Family Practice

12660 Riverside Dr. # 310

Valley Village, CA 91607

1987 149905

(818) 755-0391

Prov Language: Armenian

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Med Grp - Burbank/N. Hollywood PPG 1987

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

245

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valley Village Specialty/

Primary Care Physicians PPG/Phy #

1ass

Daszko, Jarom A., M.D.

Gender: Male

License No: G72860

NPI: 1487674693

Family Practice

12660 Riverside Dr. # 320

Valley Village, CA 91607

1987 520838

(818) 755-0391

Prov Language: Hmong (White), Polish,

Russian, Spanish, Ukranian

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Bloom, Michael G., M.D.

2

Gender: Male

License No: A23832

NPI: 1821197591

Internal Medicine

15243 Vanowen St. # 403

4

Van Nuys, CA 91405

1987 065693

(818) 988-8800

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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246 / www.healthnet.com/calmediconnect

Lakeside Med Grp - Burbank/N. Hollywood PPG 1987

Primary Care Providers

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Chong, Jeffrey C., M.D.

2

Gender: Male

License No: G81666

NPI: 1376644542

Internal Medicine

15243 Vanowen St. # 406

4

Van Nuys, CA 91405

1987 064412

(818) 785-0300

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M,W,F 2 PM - 5 PM, TU,TH 9 AM - 12

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mikhael, Michel N., M.D.

Gender: Male

License No: A38934

NPI: 1902951460

General Practice

14624 Sherman Way # 203

4

Van Nuys, CA 91405

1987 023857

(818) 785-3336

Prov Language: Arabic, Spanish

Office Staff Language

#

: Arabic, Spanish

Accessibility:*:

Hours: W 8:30 AM - 1:30 PM, TH-F 8:30 AM -

5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 247: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 247

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

247

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Lakeside Medical Group - Central Valley

PPG 1990

8510 Balboa Blvd Suite 275

Northridge, CA 91325-5809

(818) 654-3400

Urgent Care:

Plaza Urgent Care Center (818) 295-5920

Healthline Medical Group (818) 997-7711

Verdugo Hills Urgent Care (818) 241-4331

Hospitals Used:

Providence Holy Cross Medical Center

Valley Presbyterian Hospital

Arleta Specialty/

Primary Care Physicians PPG/Phy #

1ass

Arceo, Ruth N., M.D.

Gender: Female

License No: A53097

NPI: 1427150093

Family Practice

9043 Woodman Ave. # C

Arleta, CA 91331

1990 067299

(844) 601-3096

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Spanish, Tagalog

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 248: 2018 Provider and Pharmacy Directory

248 / www.healthnet.com/calmediconnect

Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Arleta Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kahen, Payam J., M.D.

Gender: Male

License No: A97561

NPI: 1902967557

General Practice

9700 Woodman Ave. # A10

Arleta, CA 91331

1990 138644

(818) 746-2626

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Calabasas Specialty/

Primary Care Physicians PPG/Phy #

1ass

Burstein, Samuel, M.D.

Gender: Male

License No: A53328

NPI: 1124037155

Internal Medicine

24013 Ventura Blvd. # 101

4

Calabasas, CA 91302

1990 134327

(818) 222-2443

Prov Language: Armenian, Russian

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

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ary C

are

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ers

249

3

Physician is currently not accepting new patients.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Calabasas Specialty/

Primary Care Physicians PPG/Phy #

1ass

Vesco, David M., M.D.

3

Gender: Male

License No: A43384

NPI: 1629084074

Internal Medicine

4937 Las Virgenes Rd. # 104

4

Calabasas, CA 91302

1990 040976

(818) 880-0799

Prov Language: Bulgarian, French, Russian,

Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,IB)

Hours: M-F 9 AM - 6 PM, SA 9:30 AM - 1 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Canoga Park Specialty/

Primary Care Physicians PPG/Phy #

1ass

Aazami, Hessam, M.D.

Gender: Male

License No: A85704

NPI: 1144299173

General Practice

22030 Sherman Way # 101

4

Canoga Park, CA 91303

1990 134414

(818) 312-9101

Prov Language: Farsi, Italian, Spanish

Office Staff Language

#

: Farsi, Italian, Spanish

Accessibility:*:

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Canoga Park Specialty/

Primary Care Physicians PPG/Phy #

1ass

Akhavan, Jamsheed, M.D.

Gender: Male

License No: A47734

NPI: 1073661807

General Practice

22030 Sherman Way # 101

4

Canoga Park, CA 91303

1990 500186

(818) 312-9101

Prov Language: Farsi, Hebrew

Office Staff Language

#

: Farsi, Italian, Spanish

Accessibility:*:

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Canoga Park Specialty/

Primary Care Physicians PPG/Phy #

1ass

Nguyen, Hoang D., M.D.

Gender: Male

License No: A60675

NPI: 1124011952

Family Practice

22110 Roscoe Blvd. # 100

Canoga Park, CA 91304

1990 067908

(818) 481-0118

Prov Language: Spanish, Vietnamese

Office Staff Language

#

:

Accessibility:*:

Hours: TH-F 9 AM - 5 PM, SA 9 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

251

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Canoga Park Specialty/

Primary Care Physicians PPG/Phy #

1ass

Sirajullah, Mohammad, M.D.

Gender: Male

License No: C51163

NPI: 1346339884

General Practice

21001 Sherman Way # 15

4

Canoga Park, CA 91303

1990 106860

(818) 716-0048

Prov Language: Bengali, Hindi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB,IB,E)

Hours: S-SA 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Encino Specialty/

Primary Care Physicians PPG/Phy #

1ass

Borovsky, Victoria M., M.D.

Gender: Female

License No: A82605

NPI: 1932130481

Internal Medicine

17777 Ventura Blvd. # 209

4

Encino, CA 91316

1990 129409

(818) 527-9559

Prov Language: Russian

Office Staff Language

#

:

Accessibility:*: Limited(IB,R)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Encino Specialty/

Primary Care Physicians PPG/Phy #

1ass

Farahmandian, Danny F.,

M.D.

Gender: Male

License No: A72189

NPI: 1154416808

Internal Medicine

16133 Ventura Blvd. # 360

4

Encino, CA 91436

1990 134872

(818) 986-6009

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Encino Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ibrahim, Albeer I., M.D.

Gender: Male

License No: A44213

NPI: 1255401238

Family Practice

16260 Ventura Blvd. # 330

4

Encino, CA 91436

1990 023569

(818) 789-7937

Prov Language: Arabic, Spanish

Office Staff Language

#

: Arabic, Spanish

Accessibility:*:

Hours: M-F 9 AM - 3:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

253

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Encino Specialty/

Primary Care Physicians PPG/Phy #

1ass

Javaherian, Jasmin, D.O.

Gender: Female

License No: 20A8083

NPI: 1447294715

Internal Medicine

16661 Ventura Blvd. # 815

4

Encino, CA 91436

1990 102530

(818) 501-3366

Prov Language: Farsi, Spanish

Office Staff Language

#

: Farsi, Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Encino Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kalife, Larissa L., M.D.

Gender: Female

License No: A67077

NPI: 1659466316

Internal Medicine

16133 Ventura Blvd. # 360

4

Encino, CA 91436

1990 081909

(818) 986-6009

Prov Language: French, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Encino Specialty/

Primary Care Physicians PPG/Phy #

1ass

Keramati, Michael M., D.O.

Gender: Male

License No: 20A8906

NPI: 1962441238

General Practice

16550 Ventura Blvd. # 214

Encino, CA 91436

1990 141235

(818) 990-5588

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Encino Specialty/

Primary Care Physicians PPG/Phy #

1ass

Shtorch, Eyal, M.D.

Gender: Male

License No: A64854

NPI: 1942395603

Internal Medicine

1

16133 Ventura Blvd. # 360

4

Encino, CA 91436

1990 081978

(818) 986-6009

Prov Language: Hebrew

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

Prim

ary C

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P

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vid

ers

255

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Encino Specialty/

Primary Care Physicians PPG/Phy #

1ass

Zarian, David H., M.D.

Gender: Male

License No: A43580

NPI: 1629179288

Internal Medicine

1

16661 Ventura Blvd. # 310

4

Encino, CA 91436

1990 019023

(818) 986-7399

Prov Language: Farsi, Hebrew, Spanish

Office Staff Language

#

: Armenian, Farsi,

Spanish

Accessibility:*:

Hours: M-F 8 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Granada Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lim, Duck, M.D.

Gender: Male

License No: A50830

NPI: 1194818765

Internal Medicine

10700 Balboa Blvd.

4

Granada Hills, CA 91344

1990 045686

(818) 366-6550

Prov Language: Korean

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB,IB,R)

Hours: M-F 9 AM - 6 PM, SA 9 AM - 1 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Granada Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Madhure, Jay B., M.D.

Gender: Male

License No: A33612

NPI: 1770518714

Family Practice

16281 San Fernando Mission

Blvd.

4

Granada Hills, CA 91344

1990 531559

(818) 838-4600

Prov Language: Kannada, Spanish

Office Staff Language

#

: Kannada, Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Lancaster Specialty/

Primary Care Physicians PPG/Phy #

1ass

Carmalt, E Duane, M.D.

Gender: Male

License No: G23973

NPI: 1952597627

Internal Medicine

1

907 W. Lancaster Blvd.

Lancaster, CA 93534

1990 028690

(661) 723-4829

Prov Language: French

Office Staff Language

#

: Spanish, Tagalog

Accessibility:*: Limited(P,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

257

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Huverserian, Linda J., M.D.

Gender: Female

License No: A120212

NPI: 1255658068

Family Practice

3920 Eagle Rock Blvd. # A

4

Los Angeles, CA 90065

1990 194373

(323) 255-5225

Prov Language: Armenian

Office Staff Language

#

: Armenian, Farsi,

Russian, Spanish, Tagalog, Vietnamese

Accessibility:*: Limited(P,IB,E,T)

Hours: M-F 8 AM - 5 PM, SA 9 AM - 2 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Alfaro, Maria Victoria R.,

M.D.

Gender: Female

License No: A84818

NPI: 1225131535

Internal Medicine

14901 Rinaldi St. # 200

4

Mission Hills, CA 91345

1990 223491

(818) 365-8553

Prov Language: Tagalog

Office Staff Language

#

:

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Qozi-Habash, Tedmur, M.D.

Gender: Female

License No: A91026

NPI: 1710978135

Family Practice

1

14901 Rinaldi St. # 200

4

Mission Hills, CA 91345

1990 128752

(818) 365-8553

Prov Language: Arabic, French, Spanish

Office Staff Language

#

:

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Yeghoyan, Karine, M.D.

Gender: Female

License No: A118734

NPI: 1265664304

Internal Medicine

1

11550 Indian Hills Rd. # 240

4

Mission Hills, CA 91345

1990 185587

(818) 488-5188

Prov Language: Armenian, Russian, Spanish

Office Staff Language

#

: Armenian, Russian,

Spanish

Self Reported Accessibility:*: Limited(EB,IB,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

259

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Chatterjee, Neil A., M.D.

Gender: Male

License No: A66747

NPI: 1265554695

General Practice

15206 Parthenia St.

4

North Hills, CA 91343

1990 155148

(818) 895-3100

Prov Language: Bengali, Spanish

Office Staff Language

#

: Spanish, Tagalog

Accessibility:*: Limited(P,EB,IB)

Hours: SA 7 AM - 3 PM, M-F 8 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hills Specialty/

Primary Care Physicians PPG/Phy #

Chatterjee, Neil A., M.D.

Gender: Male

License No: A66747

NPI: 1265554695

General Practice

15210 Parthenia St.

4

North Hills, CA 91343

1990 155148

(818) 895-3100

Prov Language: Bengali, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ezra, Eshagh J., M.D.

Gender: Male

License No: A56249

NPI: 1790797835

General Practice

15424 Nordhoff St. # B

4

North Hills, CA 91343

1990 086350

(818) 891-5500

Prov Language: Farsi, Spanish

Office Staff Language

#

: Farsi, Spanish

Accessibility:*: Limited(EB,R,E)

Hours: M-F 10 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lim, Jennifer S., M.D.

Gender: Female

License No: A63309

NPI: 1528288990

Family Practice

1

15206 Parthenia St.

4

North Hills, CA 91343

1990 150063

(818) 895-3100

Prov Language: Spanish

Office Staff Language

#

: Spanish, Tagalog

Accessibility:*: Limited(P,EB,IB)

Hours: SA 7:30 AM - 3 PM, M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

261

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lund, Shewak R., M.D.

Gender: Male

License No: A38222

NPI: 1336244458

General Practice

15206 Parthenia St.

4

North Hills, CA 91343

1990 551403

(818) 895-3100

Prov Language: Hindi, Punjabi, Sindhi, Urdu

Office Staff Language

#

: Spanish, Tagalog

Accessibility:*: Limited(P,EB,IB)

Hours: SA 7:30 AM - 3:30 PM, M-F 8 AM - 5

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Maissian, Gevork J., D.O.

Gender: Male

License No: 20A10524

NPI: 1639320658

Internal Medicine

8719 Woodley Ave.

4

North Hills, CA 91343

1990 150333

(818) 920-1232

Prov Language: Armenian, Russian

Office Staff Language

#

: Armenian, Russian,

Spanish

Accessibility:*: Limited(EB,IB)

Hours: M-F 9 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Malabanan, Paul A., M.D.

Gender: Male

License No: A50878

NPI: 1467596940

Internal Medicine

15206 Parthenia St.

4

North Hills, CA 91343

1990 061326

(818) 895-3100

Prov Language: Tagalog

Office Staff Language

#

: Spanish, Tagalog

Accessibility:*: Limited(P,EB,IB)

Hours: SA 7 AM - 3 PM, M-F 8 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hills Specialty/

Primary Care Physicians PPG/Phy #

Malabanan, Paul A., M.D.

Gender: Male

License No: A50878

NPI: 1467596940

Internal Medicine

15210 Parthenia St.

4

North Hills, CA 91343

1990 061326

(818) 895-3100

Prov Language: Tagalog

Office Staff Language

#

: Spanish

Accessibility:*: Limited(IB,R,E,T)

Hours: M-F 8 AM - 6 PM, SA 7 AM - 3 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

263

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Rastegar, John H., M.D.

Gender: Male

License No: A53847

NPI: 1609936483

General Practice

15206 Parthenia St.

4

North Hills, CA 91343

1990 551404

(818) 895-3100

Prov Language: Farsi, Spanish

Office Staff Language

#

: Spanish, Tagalog

Accessibility:*: Limited(P,EB,IB)

Hours: TU,TH 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Shenoy, Mahamaya A., M.D.

Gender: Female

License No: A51777

NPI: 1861536591

General Practice

15206 Parthenia St.

4

North Hills, CA 91343

1990 143917

(818) 895-3100

Prov Language: Hindi, Spanish

Office Staff Language

#

: Spanish, Tagalog

Accessibility:*: Limited(P,EB,IB)

Hours: M-F 8 AM - 6 PM, SA 8 AM - 1 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Yoo, Kyung S., M.D.

Gender: Male

License No: A44472

NPI: 1588754675

Family Practice

1

15446 Parthenia St.

4

North Hills, CA 91343

1990 018905

(818) 891-1616

Prov Language: Korean, Spanish

Office Staff Language

#

: Korean, Spanish

Accessibility:*: Limited(EB,IB)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Al-Imami, Jihad S., M.D.

Gender: Male

License No: A30092

NPI: 1881627362

Internal Medicine

1

6428 Coldwater Canyon Ave

4

North Hollywood, CA 91606

1990 032516

(818) 308-6440

Prov Language: Arabic

Office Staff Language

#

: Arabic, Armenian,

French, Spanish

Accessibility:*: Limited(EB,IB,R,E)

Hours: M-F 10 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

265

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Hunt, David A., M.D.

Gender: Male

License No: G48019

NPI: 1881604890

General Practice

12134 Victory Blvd. # C

North Hollywood, CA 91606

1990 091158

(818) 762-8702

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mirshojae, Hamid R., D.O.

Gender: Male

License No: 20A6577

NPI: 1720096001

Family Practice

1

4942 Vineland Ave.

North Hollywood, CA 91601

1990 051827

(818) 350-8184

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: S-SA 8 AM - 8 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 266: 2018 Provider and Pharmacy Directory

266 / www.healthnet.com/calmediconnect

Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mkhitarian, Aram, D.O.

Gender: Male

License No: 20A12274

NPI: 1952565301

General Practice

4942 Vineland Ave.

North Hollywood, CA 91601

1990 193315

(818) 350-8184

Prov Language: Armenian

Office Staff Language

#

:

Accessibility:*:

Hours: S-SA 8 AM - 10 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Rose, Daniel M., M.D.

Gender: Male

License No: A44506

NPI: 1285668962

Family Practice

12134 Victory Blvd. # A

North Hollywood, CA 91606

1990 014388

(818) 762-8702

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

267

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Sah, Hamilton J., M.D.

Gender: Male

License No: G13951

NPI: 1447451141

General Practice

12134 Victory Blvd. # A

North Hollywood, CA 91606

1990 067255

(818) 762-8702

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,IB,R,E)

Hours: S-SA 12 AM - 11:59 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Sirajullah, Mohammad, M.D.

Gender: Male

License No: C51163

NPI: 1346339884

General Practice

8001 Laurel Canyon Blvd. # 109

North Hollywood, CA 91605

1990 106860

(818) 767-4728

Prov Language: Bengali, Hindi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ter-Poghosyan, Zarine,

M.D.

Gender: Female

License No: A101387

NPI: 1114102993

Family Practice

12507 Victory Blvd.

4

North Hollywood, CA 91606

1990 144278

(818) 769-7540

Prov Language: Armenian, Russian

Office Staff Language

#

: Armenian, Russian

Accessibility:*: Limited(P,EB,IB)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Amini, Parviz, M.D.

2

Gender: Male

License No: A48740

NPI: 1942230495

Internal Medicine

8435 Reseda Blvd.

4

Northridge, CA 91324

1990 046412

(818) 998-6000

Prov Language: Farsi, Hebrew

Office Staff Language

#

:

Self Reported Accessibility:*: Limited(P,EB,R,E)

Hours: M-TU,TH 8 AM - 4 PM, W,F 8 AM - 12

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

269

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Asuncion, Merlyn M., M.D.

Gender: Female

License No: A49850

NPI: 1679656193

Internal Medicine

1

17075 Devonshire St. # 305

4

Northridge, CA 91325

1990 079998

(818) 363-0084

Prov Language: Spanish, Tagalog

Office Staff Language

#

:

Accessibility:*: Limited(E)

Hours: M-F 10 AM - 5 PM, SA 10 AM - 2 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Dua, Kiran P., M.D.

Gender: Female

License No: A35425

NPI: 1568482461

General Practice

8349 Reseda Blvd. # G

4

Northridge, CA 91324

1990 033995

(818) 886-7322

Prov Language: Hindi, Punjabi, Spanish, Urdu

Office Staff Language

#

: Hindi, Spanish

Accessibility:*: Limited(IB,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kochumian, Minas, M.D.

Gender: Male

License No: A54808

NPI: 1235322538

Internal Medicine

18251 Roscoe Blvd. # 202

Northridge, CA 91325

1990 069952

(818) 709-5154

Prov Language: Arabic, Armenian, Spanish,

Turkish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Rabadi, Fares J., M.D.

Gender: Male

License No: A66578

NPI: 1023043635

Internal Medicine

1

18350 Roscoe Blvd. # 514

4

Northridge, CA 91325

1990 091450

(818) 775-0519

Prov Language: Arabic, Russian, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

271

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Raeesy-Nezhad, Amir H.,

M.D.

Gender: Male

License No: A97308

NPI: 1417044132

Internal Medicine

1

9900 Balboa Blvd. # B

4

Northridge, CA 91325

1990 135857

(818) 701-0017

Prov Language: Armenian, Farsi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: SA 9 AM - 4 PM, M-F 9 AM - 8 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Primary Care Physicians PPG/Phy #

Raeesy-Nezhad, Amir H.,

M.D.

Gender: Male

License No: A97308

NPI: 1417044132

Internal Medicine

1

9900 Balboa Blvd. # A

4

Northridge, CA 91325

1990 135857

(818) 701-0017

Prov Language: Armenian, Farsi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: SA 9 AM - 4 PM, M-F 9 AM - 8 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Vasquez, Julio N., M.D.

Gender: Male

License No: A45461

NPI: 1639262561

General Practice

8540 Reseda Blvd. # 240

4

Northridge, CA 91324

1990 050282

(818) 772-7023

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,R,E)

Hours: M-F 9 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pacoima Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lim, Jennifer S., M.D.

Gender: Female

License No: A63309

NPI: 1528288990

Family Practice

1

9919 Laurel Canyon Blvd.

Pacoima, CA 91331

1990 150063

(818) 895-3100

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,IB)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

273

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Panorama City Specialty/

Primary Care Physicians PPG/Phy #

1ass

Grey, Erlinda D., M.D.

Gender: Female

License No: A30427

NPI: 1356568752

General Practice

8215 Van Nuys Blvd. # 210

Panorama City, CA 91402

1990 004328

(818) 901-0373

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Spanish, Tagalog, Thai

Accessibility:*: Limited(EB,R,E,T)

Hours: SA 8:30 AM - 1 PM, M-F 8:30 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Panorama City Specialty/

Primary Care Physicians PPG/Phy #

Grey, Erlinda D., M.D.

Gender: Female

License No: A30427

NPI: 1356568752

General Practice

8215 Van Nuys Blvd. # 204

Panorama City, CA 91402

1990 004328

(818) 782-4325

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,IB,E)

Hours: SA 8:30 AM - 1 PM, M-F 8:30 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Panorama City Specialty/

Primary Care Physicians PPG/Phy #

1ass

Habib, Shehnaz N., M.D.

Gender: Female

License No: A50211

NPI: 1215039631

Internal Medicine

14860 Roscoe Blvd. # 300

4

Panorama City, CA 91402

1990 063752

(818) 782-0604

Prov Language: Hindi, Sindhi, Spanish, Urdu

Office Staff Language

#

: Hindi, Sindhi, Spanish,

Urdu

Accessibility:*: Limited(P,E)

Hours: F 9 AM - 4 PM, M-TH 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Panorama City Specialty/

Primary Care Physicians PPG/Phy #

1ass

Michail, Reyadh J., M.D.

Gender: Male

License No: A41791

NPI: 1508847831

General Practice

14860 Roscoe Blvd. # 201

4

Panorama City, CA 91402

1990 051271

(818) 787-1049

Prov Language: Arabic, Armenian, Spanish

Office Staff Language

#

: Arabic, Armenian,

Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

275

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Bahng, Agnes Y., M.D.

Gender: Female

License No: A128840

NPI: 1740570100

General Practice

18625 Sherman Way # 104

4

Reseda, CA 91335

1990 219370

(818) 342-8171

Prov Language: Korean

Office Staff Language

#

: Spanish, Vietnamese

Accessibility:*: Limited(P,EB,IB)

Hours: SA 9 AM - 2 PM, M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Hosseinian, Gholam R.,

M.D.

Gender: Male

License No: A72485

NPI: 1124042882

General Practice

18701 Sherman Way # 4

4

Reseda, CA 91335

1990 095932

(818) 881-8989

Prov Language: Farsi, Spanish

Office Staff Language

#

: Farsi, Spanish

Accessibility:*: Limited(P)

Hours: M-W,F 9 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Javadi, Nader, M.D.

Gender: Male

License No: A67700

NPI: 1962405266

Internal Medicine

19231 Victory Blvd. # 103

4

Reseda, CA 91335

1990 109631

(818) 578-6454

Prov Language: Arabic, Farsi, German,

Spanish, Turkish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kamrava, Kamran K., M.D.

Gender: Male

License No: A43281

NPI: 1053483800

General Practice

6915 Reseda Blvd. # 1

4

Reseda, CA 91335

1990 029011

(818) 343-2121

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

277

3

Physician is currently not accepting new patients.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kashani, Ataoiah M., M.D.

Gender: Male

License No: A41464

NPI: 1740349851

General Practice

18355 Sherman Way

4

Reseda, CA 91335

1990 057493

(818) 343-0964

Prov Language: Farsi, Hebrew, Spanish

Office Staff Language

#

: Farsi, Hebrew, Spanish

Self Reported Accessibility:*: Limited(P)

Hours: M-TH 9 AM - 7 PM, F 9 AM - 2 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Martinez Cardenas, Jose F.,

M.D.

3

Gender: Male

License No: A81030

NPI: 1700827052

Internal Medicine

18518 Sherman Way

4

Reseda, CA 91335

1990 103565

(818) 757-0954

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Nguyen, Hung V., M.D.

Gender: Male

License No: A42303

NPI: 1104819945

General Practice

7227 Reseda Blvd.

4

Reseda, CA 91335

1990 065719

(818) 708-3740

Prov Language: Spanish, Vietnamese

Office Staff Language

#

: Spanish, Vietnamese

Accessibility:*: Limited(P,IB,E)

Hours: SA 8 AM - 12 PM, M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Phan, Mai T., M.D.

Gender: Female

License No: A51466

NPI: 1306879283

Internal Medicine

18625 Sherman Way # 104

4

Reseda, CA 91335

1990 049437

(818) 342-8171

Prov Language: Korean, Vietnamese

Office Staff Language

#

: Spanish, Vietnamese

Accessibility:*: Limited(P,EB,IB)

Hours: M 9 AM - 5 PM, SA 9 AM - 2 PM, TH-F 9

AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

279

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

San Fernando Specialty/

Primary Care Physicians PPG/Phy #

1ass

Flores, Louis B., M.D.

Gender: Male

License No: A32929

NPI: 1760606123

Family Practice

1

11273 Laurel Canyon Blvd. # 1

4

San Fernando, CA 91340

1990 166226

(818) 356-3978

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,IB)

Hours: M-F 8:30 AM - 5 PM, SA 8:30 AM - 12

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

San Fernando Specialty/

Primary Care Physicians PPG/Phy #

1ass

Flores, Robert O., M.D.

Gender: Male

License No: G40429

NPI: 1932162013

Family Practice

11273 Laurel Canyon Blvd. # 1

4

San Fernando, CA 91340

1990 059543

(818) 365-3978

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,IB)

Hours: M-F 8:30 AM - 5:30 PM, SA 8:30 AM -

12:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

San Fernando Specialty/

Primary Care Physicians PPG/Phy #

1ass

Folmsbee, Mark A., D.O.

Gender: Male

License No: 20A14847

NPI: 1427393123

General Practice

732 Mott St. # 100

San Fernando, CA 91340

1990 223462

(818) 963-5690

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sherman Oaks Specialty/

Primary Care Physicians PPG/Phy #

1ass

Betz, Edward D., M.D.

Gender: Male

License No: G34138

NPI: 1750314019

Internal Medicine

1

4555 Sherman Oaks Ave.

4

Sherman Oaks, CA 91403

1990 520909

(818) 981-5800

Prov Language: Spanish

Office Staff Language

#

: Spanish

Self Reported Accessibility:*: Limited(P,R)

Hours: M-TH 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

281

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sherman Oaks Specialty/

Primary Care Physicians PPG/Phy #

1ass

Brent, Dale J., M.D.

Gender: Male

License No: A43070

NPI: 1992886618

Internal Medicine

1

4955 Van Nuys Blvd. # 411

4

Sherman Oaks, CA 91403

1990 031697

(818) 784-1195

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,R)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sherman Oaks Specialty/

Primary Care Physicians PPG/Phy #

1ass

Fatima, Jabeen, M.D.

Gender: Female

License No: C53794

NPI: 1043392186

Family Practice

4955 Van Nuys Blvd. # 415

4

Sherman Oaks, CA 91403

1990 159280

(818) 528-1080

Prov Language: Arabic, Hindi, Urdu

Office Staff Language

#

:

Accessibility:*: Limited(IB,E)

Hours: M-F 7 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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282 / www.healthnet.com/calmediconnect

Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sherman Oaks Specialty/

Primary Care Physicians PPG/Phy #

1ass

Fleiderman, Marcos B., M.D.

Gender: Male

License No: A21519

NPI: 1700985363

Internal Medicine

4910 Van Nuys Blvd. # 308

Sherman Oaks, CA 91403

1990 057159

(818) 986-9918

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sherman Oaks Specialty/

Primary Care Physicians PPG/Phy #

1ass

Matian, Arash D., D.O.

Gender: Male

License No: 20A7841

NPI: 1558300582

Family Practice

1

13425 Ventura Blvd. # 102

4

Sherman Oaks, CA 91423

1990 133604

(818) 995-7784

Prov Language: Farsi

Office Staff Language

#

: Spanish, Tagalog

Self Reported Accessibility:*:

Limited(P,EB,IB,R)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

283

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sherman Oaks Specialty/

Primary Care Physicians PPG/Phy #

1ass

Oganessian, Janna, M.D.

Gender: Female

License No: A79854

NPI: 1801820832

Internal Medicine

13739 Riverside Dr. # B

4

Sherman Oaks, CA 91423

1990 103381

(818) 385-0001

Prov Language: Armenian, Russian

Office Staff Language

#

: Armenian, Russian

Accessibility:*: Limited(P,IB,E)

Hours: M-TH 9 AM - 5:30 PM, F 9 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sherman Oaks Specialty/

Primary Care Physicians PPG/Phy #

1ass

Schneider, Gary S., D.O.

Gender: Male

License No: 20A4198

NPI: 1346265782

Family Practice

1

4835 Van Nuys Blvd. # 109

Sherman Oaks, CA 91403

1990 520066

(818) 905-9586

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-TH 9 AM - 5:30 PM, F 9 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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284 / www.healthnet.com/calmediconnect

Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sherman Oaks Specialty/

Primary Care Physicians PPG/Phy #

1ass

Sheybani, Ali, M.D.

Gender: Male

License No: A105260

NPI: 1427006824

Internal Medicine

1

15450 Ventura Blvd. # 102

4

Sherman Oaks, CA 91403

1990 171391

(818) 464-4870

Prov Language: Farsi

Office Staff Language

#

:

Accessibility:*:

Hours: M-W,F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sun Valley Specialty/

Primary Care Physicians PPG/Phy #

1ass

Javaherian, Jasmin, D.O.

Gender: Female

License No: 20A8083

NPI: 1447294715

Internal Medicine

11349 Saticoy St.

4

Sun Valley, CA 91352

1990 102530

(818) 982-5750

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,IB)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

285

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sylmar Specialty/

Primary Care Physicians PPG/Phy #

1ass

Fanous, Basem, M.D.

Gender: Male

License No: A53406

NPI: 1619072600

Internal Medicine

1

14124 Foothill Blvd. # 100

4

Sylmar, CA 91342

1990 063919

(818) 367-1012

Prov Language: Arabic

Office Staff Language

#

: Hebrew, Spanish

Accessibility:*:

Hours: M-F 8 AM - 6 PM, SA 9 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sylmar Specialty/

Primary Care Physicians PPG/Phy #

1ass

Garabedyan, Tigran, D.O.

Gender: Male

License No: 20A11397

NPI: 1649589847

General Practice

13711 Foothill Blvd. Unit B

Sylmar, CA 91342

1990 227436

(818) 408-8008

Prov Language: Armenian, Russian, Spanish

Office Staff Language

#

: Armenian, Farsi,

Russian, Spanish

Self Reported Accessibility:*:

Limited(P,EB,R,E,T)

Hours: M-F 9 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sylmar Specialty/

Primary Care Physicians PPG/Phy #

1ass

Parvinchiha, Amir P., M.D.

Gender: Male

License No: A113408

NPI: 1417262163

Internal Medicine

12737 Glenoaks Blvd. # 26

4

Sylmar, CA 91342

1990 199951

(818) 362-1758

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*: Limited(EB,IB)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sylmar Specialty/

Primary Care Physicians PPG/Phy #

1ass

Titcher, Robert N., M.D.

Gender: Male

License No: A35435

NPI: 1083704902

Internal Medicine

14124 Foothill Blvd. # 100

4

Sylmar, CA 91342

1990 059715

(818) 367-1012

Prov Language: Hebrew, Spanish

Office Staff Language

#

: Hebrew, Spanish

Accessibility:*:

Hours: SA 9 AM - 12 PM, M-F 8 AM - 6:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

287

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Tarzana Specialty/

Primary Care Physicians PPG/Phy #

1ass

Beroukhim, Shiva, D.O.

Gender: Female

License No: 20A12606

NPI: 1326386681

Family Practice

1

18607 Ventura Blvd. # 102

Tarzana, CA 91356

1990 204144

(818) 600-1472

Prov Language: Spanish

Office Staff Language

#

: Farsi, Hebrew, Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Tarzana Specialty/

Primary Care Physicians PPG/Phy #

1ass

Carmalt, E Duane, M.D.

Gender: Male

License No: G23973

NPI: 1952597627

Internal Medicine

1

5620 Wilbur Ave. # 307

4

Tarzana, CA 91356

1990 028690

(818) 881-9255

Prov Language: French

Office Staff Language

#

: Spanish

Self Reported Accessibility:*: Limited(E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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288 / www.healthnet.com/calmediconnect

Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Tarzana Specialty/

Primary Care Physicians PPG/Phy #

1ass

Gurovich, Yuzef E., M.D.

Gender: Male

License No: A41072

NPI: 1225053184

General Practice

18607 Ventura Blvd. # 206

Tarzana, CA 91356

1990 092225

(818) 758-8282

Prov Language: Armenian, Russian

Office Staff Language

#

:

Accessibility:*: Limited(EB,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Tarzana Specialty/

Primary Care Physicians PPG/Phy #

1ass

Hernandez, Manuel, M.D.

Gender: Male

License No: G72972

NPI: 1033320700

Family Practice

18607 Ventura Blvd. # 204

Tarzana, CA 91356

1990 027322

(818) 578-4355

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(EB,IB,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

289

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Tarzana Specialty/

Primary Care Physicians PPG/Phy #

1ass

Safvati, Kamran, M.D.

Gender: Male

License No: A66831

NPI: 1497782387

Internal Medicine

1

18356 Clark St. # 101

4

Tarzana, CA 91356

1990 090638

(818) 609-1991

Prov Language: Farsi, Spanish

Office Staff Language

#

: Armenian, Farsi,

Spanish

Accessibility:*: Limited(IB,R)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Tarzana Specialty/

Primary Care Physicians PPG/Phy #

1ass

Stern, Arkady B., M.D.

Gender: Male

License No: A40748

NPI: 1033198882

General Practice

18607 Ventura Blvd. # 206

Tarzana, CA 91356

1990 048478

(818) 758-8282

Prov Language: Farsi, Russian, Spanish

Office Staff Language

#

:

Accessibility:*: Limited(EB,E)

Hours: M-F 9 AM - 11 AM

Cultural Competence Training Completed: No

Provider Training and Experience:

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290 / www.healthnet.com/calmediconnect

Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lewis, Dennis P., M.D.

Gender: Male

License No: G78417

NPI: 1780608190

Family Practice

23823 Valencia Blvd. # 160

Valencia, CA 91355

1990 050547

(661) 254-0026

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: SA 9 AM - 1 PM, M-F 8 AM - 8 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ahn, Eliza S., M.D.

Gender: Female

License No: G77767

NPI: 1356450498

Internal Medicine

15243 Vanowen St. # 406

4

Van Nuys, CA 91405

1990 050153

(818) 780-2106

Prov Language: Korean, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-TH 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

291

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Chong, Jeffrey C., M.D.

2

Gender: Male

License No: G81666

NPI: 1376644542

Internal Medicine

15243 Vanowen St. # 406

4

Van Nuys, CA 91405

1990 064412

(818) 785-0300

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M,W,F 2 PM - 5 PM, TU,TH 9 AM - 12

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

De La Llana, Jose A., M.D.

Gender: Male

License No: A101657

NPI: 1326244062

General Practice

14435 Hamlin St. # 108

Van Nuys, CA 91401

1990 192446

(818) 997-7117

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Spanish, Tagalog

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ghannadi, Max M., M.D.

Gender: Male

License No: A102618

NPI: 1114191798

General Practice

14103 Victory Blvd. # 7

4

Van Nuys, CA 91401

1990 154586

(818) 994-0000

Prov Language: Farsi, Spanish

Office Staff Language

#

: Farsi, Spanish

Accessibility:*: Limited(P,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Hakimi, Michael N., D.O.

Gender: Male

License No: 20A13147

NPI: 1912193137

Internal Medicine

1

16119 Vanowen St.

4

Van Nuys, CA 91406

1990 206010

(818) 904-6782

Prov Language: Farsi, Hebrew

Office Staff Language

#

:

Accessibility:*: Limited(EB,IB,E)

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

293

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Khalili, Manoutcher, M.D.

Gender: Male

License No: A52178

NPI: 1861446841

General Practice

6330 Van Nuys Blvd.

Van Nuys, CA 91401

1990 060183

(818) 994-9922

Prov Language: Farsi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P)

Hours: SA 8 AM - 3 PM, M-TU,TH 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

Khalili, Manoutcher, M.D.

Gender: Male

License No: A52178

NPI: 1861446841

General Practice

7400 Van Nuys Blvd. # 120

Van Nuys, CA 91405

1990 060183

(818) 782-9892

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lavian, David, M.D.

Gender: Male

License No: A46370

NPI: 1770582967

Family Practice

1

14600 Sherman Way # 215

4

Van Nuys, CA 91405

1990 009664

(818) 782-4300

Prov Language: Farsi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lobel, Hanan, M.D.

Gender: Male

License No: A32683

NPI: 1174612287

General Practice

14649 Victory Blvd.

4

Van Nuys, CA 91411

1990 059821

(818) 989-0041

Prov Language: German, Hebrew, Italian,

Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

295

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lobel, Josef, M.D.

Gender: Male

License No: A88599

NPI: 1295769230

Internal Medicine

1

14649 Victory Blvd.

4

Van Nuys, CA 91411

1990 135447

(818) 989-0041

Prov Language: Hebrew, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Marouni, Payam, M.D.

Gender: Male

License No: A101224

NPI: 1386800225

Family Practice

1

13750 Victory Blvd.

4

Van Nuys, CA 91401

1990 149162

(818) 988-9090

Prov Language: Armenian, Farsi, Spanish

Office Staff Language

#

: Armenian, Farsi,

Spanish

Accessibility:*: Limited(IB)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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296 / www.healthnet.com/calmediconnect

Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mejia, Miguel A., M.D.

Gender: Male

License No: G42563

NPI: 1508955170

Internal Medicine

15243 Vanowen St. # 107

4

Van Nuys, CA 91405

1990 069505

(818) 787-8473

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mikhael, Michel N., M.D.

Gender: Male

License No: A38934

NPI: 1902951460

General Practice

14624 Sherman Way # 203

4

Van Nuys, CA 91405

1990 023857

(818) 785-3336

Prov Language: Arabic, Spanish

Office Staff Language

#

: Arabic, Spanish

Accessibility:*:

Hours: W 8:30 AM - 1:30 PM, TH-F 8:30 AM -

5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

297

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Nishimoto, Mitchell M., M.D.

Gender: Male

License No: G76976

NPI: 1003917287

Internal Medicine

15243 Vanowen St. # 406

4

Van Nuys, CA 91405

1990 144310

(818) 780-2106

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-TH 9 AM - 5 PM, F 9 AM - 1 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ortiz, Leonardo C., M.D.

Gender: Male

License No: A32613

NPI: 1841274024

Family Practice

14624 Sherman Way # 409

Van Nuys, CA 91405

1990 059757

(818) 781-2796

Prov Language: Portuguese, Spanish

Office Staff Language

#

:

Accessibility:*: Limited(EB,IB,R,E)

Hours: SA 9 AM - 1 PM, M,W,F 5 PM - 8 PM

Cultural Competence Training Completed:

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ortiz, Maria-Cristina G.,

M.D.

Gender: Female

License No: A36058

NPI: 1962494641

Family Practice

14624 Sherman Way # 409

Van Nuys, CA 91405

1990 065010

(818) 781-2796

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(EB,IB,R,E)

Hours: SA 9 AM - 1 PM, M-F 5 PM - 8 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Phan, Denise A., M.D.

Gender: Female

License No: G73973

NPI: 1477656395

Internal Medicine

15243 Vanowen St. # 406

4

Van Nuys, CA 91405

1990 048241

(818) 780-2106

Prov Language: Vietnamese

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-TH 9 AM - 12:45 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

299

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Pilossyan, Vagharshak M.,

M.D.

Gender: Male

License No: A51303

NPI: 1467530121

Internal Medicine

13321 Victory Blvd.

4

Van Nuys, CA 91401

1990 053949

(818) 780-0101

Prov Language: Arabic, Armenian, Russian

Office Staff Language

#

:

Accessibility:*:

Hours: SA 9 AM - 2 PM, M-W,F 9 AM - 6 PM,

TH 9 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Quema, Racquel S., M.D.

Gender: Female

License No: A105596

NPI: 1033369467

Family Practice

1

14624 Sherman Way # 401

4

Van Nuys, CA 91405

1990 156730

(818) 786-1200

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Tagalog

Accessibility:*: Limited(EB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Reale, Stephen, M.D.

Gender: Male

License No: G81738

NPI: 1396846572

Internal Medicine

15243 Vanowen St. # 101

4

Van Nuys, CA 91405

1990 051935

(818) 994-5100

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: F 9 AM - 12 PM, M-TH 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Rubinson, William J., M.D.

Gender: Male

License No: A16990

NPI: 1023119294

General Practice

15243 Vanowen St. # 101

4

Van Nuys, CA 91405

1990 144315

(818) 994-0715

Office Staff Language

#

:

Accessibility:*:

Hours: M-W,F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

301

3

Physician is currently not accepting new patients.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Sirajullah, Mohammad, M.D.

Gender: Male

License No: C51163

NPI: 1346339884

General Practice

16063 Vanowen St.

4

Van Nuys, CA 91406

1990 106860

(818) 785-9989

Prov Language: Bengali, Hindi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

West Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Jacobson, Bruce A., M.D.

3

Gender: Male

License No: A43500

NPI: 1558314971

Internal Medicine

7301 Medical Center Dr. # 404

West Hills, CA 91307

1990 045687

(818) 347-3239

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-W,F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

West Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Masrour-Rod, Ojen, M.D.

Gender: Male

License No: A95253

NPI: 1740249762

Family Practice

7325 Medical Center Dr. # 101

4

West Hills, CA 91307

1990 131726

(818) 702-9962

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: S-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

West Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Olfus, Taura M., D.O.

Gender: Female

License No: 20A9281

NPI: 1902816903

Family Practice

1

7325 Medical Center Dr. # 300

4

West Hills, CA 91307

1990 129242

(818) 348-6200

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

303

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Woodland Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Bahari-Nejad, Pejman, D.O.

Gender: Male

License No: 20A7938

NPI: 1396885570

Family Practice

1

20829 Ventura Blvd.

4

Woodland Hills, CA 91364

1990 170844

(818) 887-2787

Prov Language: Farsi, Spanish, Tagalog

Office Staff Language

#

: Farsi, Spanish, Tagalog

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Woodland Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mirshojae, Hamid R., D.O.

Gender: Male

License No: 20A6577

NPI: 1720096001

Family Practice

1

19825 Ventura Blvd.

4

Woodland Hills, CA 91364

1990 051827

(818) 340-3636

Prov Language: Farsi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(IB)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Woodland Hills Specialty/

Primary Care Physicians PPG/Phy #

Mirshojae, Hamid R., D.O.

Gender: Male

License No: 20A6577

NPI: 1720096001

Family Practice

1

5995 Topanga Canyon Blvd

4

Woodland Hills, CA 91367

1990 051827

(818) 888-7009

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*: Limited(IB)

Hours: S-SA 8 AM - 7 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Woodland Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mkhitarian, Aram, D.O.

Gender: Male

License No: 20A12274

NPI: 1952565301

General Practice

19825 Ventura Blvd.

4

Woodland Hills, CA 91364

1990 193315

(818) 340-3637

Prov Language: Armenian

Office Staff Language

#

: Spanish

Accessibility:*: Limited(IB)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

305

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Woodland Hills Specialty/

Primary Care Physicians PPG/Phy #

Mkhitarian, Aram, D.O.

Gender: Male

License No: 20A12274

NPI: 1952565301

General Practice

5995 Topanga Canyon Blvd

4

Woodland Hills, CA 91367

1990 193315

(818) 888-7009

Prov Language: Armenian

Office Staff Language

#

:

Accessibility:*: Limited(IB)

Hours: SA 9 AM - 5 PM, M-F 8 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Woodland Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Vaisman, Boris, M.D.

Gender: Male

License No: A92266

NPI: 1508801994

Family Practice

1

22600 Ventura Blvd. # 101

4

Woodland Hills, CA 91364

1990 134929

(818) 225-1255

Prov Language: Russian, Spanish

Office Staff Language

#

: Armenian, Russian,

Spanish, Yiddish

Accessibility:*:

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Central Valley PPG 1990

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Woodland Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Vaisman, Sofia, M.D.

Gender: Female

License No: A36979

NPI: 1497846638

Family Practice

22600 Ventura Blvd. # 101

4

Woodland Hills, CA 91364

1990 047771

(818) 225-1255

Prov Language: Hungarian, Romanian,

Russian, Spanish

Office Staff Language

#

: Armenian, Russian,

Spanish, Yiddish

Accessibility:*:

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Woodland Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Weiss, Fredric E., M.D.

Gender: Male

License No: G29963

NPI: 1336354059

Internal Medicine

1

20501 Ventura Blvd. # 112

Woodland Hills, CA 91364

1990 018165

(818) 501-4277

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

307

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Lakeside Medical Group - Glendale

PPG 1823

8510 Balboa Blvd Suite 275

Northridge, CA 91325-5809

(818) 654-3400

Urgent Care:

Verdugo Hills Urgent Care (818) 241-4331

Mon - Fri 5:00 p.m. - 8:30 p.m.

Sat, Sun & Holidays 9:00 a.m. - 5:30 p.m.

Hospitals Used:

Glendale Memorial Hospital and Health Center

Beverly Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Sharim, Homayoun, M.D.

Gender: Male

License No: A45456

NPI: 1033145701

Internal Medicine

9301 Wilshire Blvd.

Beverly Hills, CA 90210

1823 056936

(310) 657-8000

Prov Language: Farsi

Office Staff Language

#

:

Accessibility:*:

Hours: TU,TH 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Glendale PPG 1823

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Canyon Country Specialty/

Primary Care Physicians PPG/Phy #

1ass

Gold, Marina, M.D.

Gender: Female

License No: A41684

NPI: 1770653974

General Practice

27141 Hidaway Ave. # 204A

Canyon Country, CA 91351

1823 047388

(661) 297-1177

Prov Language: Armenian, Russian, Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,E)

Hours: TU,TH 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Eagle Rock Specialty/

Primary Care Physicians PPG/Phy #

1ass

Roman, Ricardo R., M.D.

Gender: Male

License No: A79013

NPI: 1144327032

Internal Medicine

4708 Eagle Rock Blvd.

4

Eagle Rock, CA 90041

1823 141053

(323) 254-3700

Prov Language: Spanish, Tagalog

Office Staff Language

#

:

Accessibility:*:

Hours: F 9 AM - 12 PM, M-TH 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Glendale PPG 1823

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

309

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

La Canada Flt Specialty/

Primary Care Physicians PPG/Phy #

1ass

Yu, Gregory C., M.D.

Gender: Male

License No: G60843

NPI: 1598944613

Internal Medicine

1

2258 Foothill Blvd. # 200

La Canada Flt, CA 91011

1823 029634

(818) 248-8998

Office Staff Language

#

:

Accessibility:*: Limited(EB,R,E)

Hours: M-TH 8:30 AM - 5 PM, F 8:30 AM - 12

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Airapetian, Ara, M.D.

Gender: Male

License No: A86421

NPI: 1578543443

General Practice

1704 Colorado Blvd.

4

Los Angeles, CA 90041

1823 105901

(323) 256-4116

Prov Language: Arabic, Armenian, Russian,

Spanish

Office Staff Language

#

: Arabic, Armenian,

Farsi, Korean, Mandarin, Russian, Spanish,

Tagalog

Accessibility:*: Limited(IB)

Hours: M-F 8:30 AM - 6 PM, SA 8:30 AM - 5

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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310 / www.healthnet.com/calmediconnect

Lakeside Medical Group - Glendale PPG 1823

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Behroozan, Benjamin, M.D.

Gender: Male

License No: A41374

NPI: 1750440681

General Practice

5255 W. Sunset Blvd.

4

Los Angeles, CA 90027

1823 034784

(323) 463-7262

Prov Language: Farsi, Hebrew, Spanish

Office Staff Language

#

: Farsi, Hebrew, Spanish,

Tagalog

Accessibility:*: Limited(IB)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Burton, Michael S., M.D.

Gender: Male

License No: A28669

NPI: 1477513547

Family Practice

1

2101 Hillhurst Ave.

4

Los Angeles, CA 90027

1823 025018

(323) 664-2931

Prov Language: Spanish

Office Staff Language

#

: Arabic, Armenian,

Spanish

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM, SA 8:30 AM - 1

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Glendale PPG 1823

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

311

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Hauptschein, Martin, M.D.

Gender: Male

License No: G46619

NPI: 1083733695

Internal Medicine

1

2101 Hillhurst Ave.

4

Los Angeles, CA 90027

1823 007002

(323) 664-2931

Prov Language: Spanish

Office Staff Language

#

: Arabic, Armenian,

Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mkhsyan, Hakop, M.D.

Gender: Male

License No: A42531

NPI: 1518011006

General Practice

4645 Hollywood Blvd. # 6

4

Los Angeles, CA 90027

1823 051965

(323) 662-1077

Prov Language: Armenian, Russian

Office Staff Language

#

: Armenian, Russian

Accessibility:*: Limited(P,IB)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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312 / www.healthnet.com/calmediconnect

Lakeside Medical Group - Glendale PPG 1823

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Pedrano, Guadalupe C.,

M.D.

Gender: Female

License No: A40246

NPI: 1174786073

Family Practice

2209 N. San Fernando Rd.

4

Los Angeles, CA 90065

1823 046020

(323) 226-0511

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Spanish, Tagalog

Accessibility:*: Limited(EB,IB,E)

Hours: TH-F 10 AM - 6 PM, W 10 AM - 1:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Tracy, Robert A., D.O.

Gender: Male

License No: 20A12632

NPI: 1316219058

Family Practice

3056 Fletcher Dr.

4

Los Angeles, CA 90065

1823 206558

(323) 256-2231

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Spanish, Tagalog

Self Reported Accessibility:*:

Limited(P,EB,IB,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Glendale PPG 1823

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

313

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ware, Michele, D.O.

Gender: Female

License No: 20A7566

NPI: 1497739528

Family Practice

1

2101 Hillhurst Ave.

4

Los Angeles, CA 90027

1823 131468

(323) 664-2931

Office Staff Language

#

: Arabic, Armenian,

Spanish

Accessibility:*:

Hours: S 9 AM - 12 PM, M-F 8:30 AM - 5 PM,

SA 9 AM - 1 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Montrose Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ghazarian, Arbi, M.D.

Gender: Male

License No: A81408

NPI: 1992773253

Family Practice

1

2103 Montrose Ave. # E

4

Montrose, CA 91020

1823 104838

(818) 957-2007

Prov Language: Armenian

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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314 / www.healthnet.com/calmediconnect

Lakeside Medical Group - Glendale PPG 1823

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Montrose Specialty/

Primary Care Physicians PPG/Phy #

1ass

Muradyan, Ruben, M.D.

Gender: Male

License No: A51749

NPI: 1124001045

Family Practice

2103 Montrose Ave. # E

4

Montrose, CA 91020

1823 056853

(818) 957-2007

Prov Language: Armenian, Farsi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Rotman, Aron L., M.D.

Gender: Male

License No: G73976

NPI: 1508900887

Internal Medicine

12134 Victory Blvd.

North Hollywood, CA 91606

1823 025385

(818) 762-8702

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Glendale PPG 1823

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

315

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Baltaian, Lilit, M.D.

Gender: Female

License No: A105197

NPI: 1154552305

General Practice

7640 Tampa Ave. # 107

Reseda, CA 91335

1823 166786

(818) 697-5950

Prov Language: Arabic, Armenian, Russian,

Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: TU,TH 10 AM - 6 PM, SA 10 AM - 2 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Santa Clarita Specialty/

Primary Care Physicians PPG/Phy #

1ass

Bai, Jilin, M.D.

Gender: Male

License No: A130116

NPI: 1003102856

General Practice

23861 McBean Pkwy. # D6

Santa Clarita, CA 91355

1823 217089

(661) 263-5033

Prov Language: Mandarin

Office Staff Language

#

: Mandarin

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 316: 2018 Provider and Pharmacy Directory

316 / www.healthnet.com/calmediconnect

Lakeside Medical Group - Glendale PPG 1823

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Santa Clarita Specialty/

Primary Care Physicians PPG/Phy #

1ass

Pogodin, Timur R., M.D.

Gender: Male

License No: A133706

NPI: 1972994853

General Practice

27141 Hidaway Ave. # 204

4

Santa Clarita, CA 91351

1823 215299

(661) 297-1177

Prov Language: Armenian, German, Russian,

Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Tujunga Specialty/

Primary Care Physicians PPG/Phy #

1ass

Avanessian, Evlyn, M.D.

Gender: Female

License No: A127456

NPI: 1295020709

Family Practice

1

7709 Foothill Blvd.

4

Tujunga, CA 91042

1823 205010

(818) 296-9601

Prov Language: Armenian, Farsi

Office Staff Language

#

: Armenian, Farsi,

Spanish

Accessibility:*: Limited(IB,E)

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 317: 2018 Provider and Pharmacy Directory

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Lakeside Medical Group - Glendale PPG 1823

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

317

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Tujunga Specialty/

Primary Care Physicians PPG/Phy #

1ass

Baltaian, Lilit, M.D.

Gender: Female

License No: A105197

NPI: 1154552305

General Practice

7412 Foothill Blvd.

Tujunga, CA 91042

1823 166786

(818) 353-1512

Prov Language: Arabic, Armenian, Russian,

Spanish

Office Staff Language

#

: Arabic, Armenian,

Russian, Spanish

Accessibility:*: Limited(IB,R)

Hours: M-W,F 9 AM - 5:30 PM, TH 9 AM - 1

PM, SA 9:30 AM - 1:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valley Village Specialty/

Primary Care Physicians PPG/Phy #

1ass

Akopyan, Oganes J., M.D.

Gender: Male

License No: A105942

NPI: 1609098037

Family Practice

12660 Riverside Dr. # 320

Valley Village, CA 91607

1823 149905

(818) 755-0391

Prov Language: Armenian

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 318: 2018 Provider and Pharmacy Directory

318 / www.healthnet.com/calmediconnect

Lakeside Medical Group - Glendale PPG 1823

Primary Care Providers

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valley Village Specialty/

Primary Care Physicians PPG/Phy #

Akopyan, Oganes J., M.D.

Gender: Male

License No: A105942

NPI: 1609098037

Family Practice

12660 Riverside Dr. # 310

Valley Village, CA 91607

1823 149905

(818) 755-0391

Prov Language: Armenian

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Hlaing, Kyi S., M.D.

Gender: Male

License No: A144043

NPI: 1902240229

Internal Medicine

7220 Woodman Ave. # 106

Van Nuys, CA 91405

1823 239812

(818) 374-3434

Office Staff Language

#

:

Accessibility:*:

Hours: SA 9 AM - 2 PM, M-F 9 AM - 7 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Page 319: 2018 Provider and Pharmacy Directory

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Lakeside Medical Group - Glendale PPG 1823

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

319

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

West Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Nusinovich, Vlad, M.D.

Gender: Male

License No: A92996

NPI: 1144288036

Internal Medicine

1

7855 Santa Monica Blvd.

4

West Hollywood, CA 90046

1823 138987

(310) 623-9222

Prov Language: Russian, Ukranian

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,E)

Hours: SA 10 AM - 4 PM, M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

West Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Shulman, Valery P., M.D.

Gender: Male

License No: A38820

NPI: 1871594648

General Practice

7559 Santa Monica Blvd. # 201

4

West Hollywood, CA 90046

1823 067351

(323) 878-2523

Prov Language: Russian

Office Staff Language

#

: Russian

Accessibility:*: Limited(EB)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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320 / www.healthnet.com/calmediconnect

Lakeside Medical Group - Glendale PPG 1823

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

West Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Vaynerov, Yelena E., M.D.

Gender: Female

License No: A38812

NPI: 1386673002

Internal Medicine

7559 Santa Monica Blvd. # 201

4

West Hollywood, CA 90046

1823 142817

(323) 878-2523

Prov Language: Russian

Office Staff Language

#

: Russian

Accessibility:*: Limited(EB)

Hours: W-TH 10 AM - 4 PM, M 10 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 321: 2018 Provider and Pharmacy Directory

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

321

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Lakeside Medical Group - North Valley

PPG 1989

8510 Balboa Blvd Suite 275

Northridge, CA 91325-5809

(818) 654-3400

Urgent Care:

Plaza Urgent Care Center (818) 295-5920

Healthline Medical Group (818) 997-7711

Verdugo Hills Urgent Care (818) 241-4331

Hospitals Used:

Providence Holy Cross Medical Center

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Oraha, Senam E., M.D.

Gender: Female

License No: A85230

NPI: 1124228457

Family Practice

1

2101 Hillhurst Ave.

4

Los Angeles, CA 90027

1989 190479

(323) 664-2931

Prov Language: Arabic

Office Staff Language

#

: Arabic, Armenian,

Spanish

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM, SA 8:30 AM - 3

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 322: 2018 Provider and Pharmacy Directory

322 / www.healthnet.com/calmediconnect

Lakeside Medical Group - North Valley PPG 1989

Primary Care Providers

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Esparrago, Jose Mari Z.,

M.D.

2

Gender: Male

License No: A64025

NPI: 1083616106

Internal Medicine

14901 Rinaldi St. # 200

4

Mission Hills, CA 91345

1989 094908

(818) 365-8553

Prov Language: Tagalog

Office Staff Language

#

:

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: TU 2 PM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Hom, Denise L., M.D.

Gender: Female

License No: A60972

NPI: 1003809187

Family Practice

1

14901 Rinaldi St. # 200

4

Mission Hills, CA 91345

1989 087453

(818) 365-8553

Office Staff Language

#

:

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - North Valley PPG 1989

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

323

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Qozi-Habash, Tedmur, M.D.

Gender: Female

License No: A91026

NPI: 1710978135

Family Practice

1

14901 Rinaldi St. # 200

4

Mission Hills, CA 91345

1989 128752

(818) 365-8553

Prov Language: Arabic, French, Spanish

Office Staff Language

#

:

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Slavov, Carmen S., M.D.

Gender: Female

License No: C53065

NPI: 1043205909

Internal Medicine

1

14901 Rinaldi St. # 201

4

Mission Hills, CA 91345

1989 148245

(818) 838-6716

Prov Language: French, Romanian, Spanish

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - North Valley PPG 1989

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Tamari, Mansour, M.D.

Gender: Male

License No: A64183

NPI: 1508963935

General Practice

9146 Sepulveda Blvd. # B

4

North Hills, CA 91343

1989 068804

(818) 920-1133

Prov Language: Farsi, Spanish

Office Staff Language

#

: Farsi, Spanish

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 10 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Karbasi, Aref, M.D.

Gender: Male

License No: A122436

NPI: 1710208046

Family Practice

1

18445 Vanowen St. # A

Reseda, CA 91335

1989 217466

(818) 708-8484

Prov Language: Farsi, Spanish

Office Staff Language

#

: Farsi, Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - North Valley PPG 1989

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

325

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

San Fernando Specialty/

Primary Care Physicians PPG/Phy #

1ass

Flores, Robert O., M.D.

Gender: Male

License No: G40429

NPI: 1932162013

Family Practice

11273 Laurel Canyon Blvd. # 1

4

San Fernando, CA 91340

1989 059543

(818) 365-3978

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,IB)

Hours: M-F 8:30 AM - 5:30 PM, SA 8:30 AM -

12:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

San Fernando Specialty/

Primary Care Physicians PPG/Phy #

1ass

Parray, Hafiz U., M.D.

Gender: Male

License No: A33111

NPI: 1932297710

Internal Medicine

418 San Fernando Mission Blvd.

4

San Fernando, CA 91340

1989 031976

(818) 365-5661

Prov Language: Hindi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,IB)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 326: 2018 Provider and Pharmacy Directory

326 / www.healthnet.com/calmediconnect

Lakeside Medical Group - North Valley PPG 1989

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sylmar Specialty/

Primary Care Physicians PPG/Phy #

1ass

Parvinchiha, Amir P., M.D.

Gender: Male

License No: A113408

NPI: 1417262163

Internal Medicine

12737 Glenoaks Blvd. # 26

4

Sylmar, CA 91342

1989 199951

(818) 362-1758

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*: Limited(EB,IB)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Tarzana Specialty/

Primary Care Physicians PPG/Phy #

1ass

Arasheben, Armin S., M.D.

Gender: Male

License No: A115108

NPI: 1518112762

Family Practice

1

18607 Ventura Blvd. # 102

Tarzana, CA 91356

1989 194162

(818) 600-1472

Prov Language: Farsi, Hebrew, Spanish

Office Staff Language

#

: Farsi, Hebrew, Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

327

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Lakeside Medical Group - Santa Clarita

PPG 1988

8510 Balboa Blvd Suite 275

Northridge, CA 91325-5809

(818) 654-3400

Urgent Care:

Lakeside Medical Group

22840 Soloedad Canyon Road Saugus CA

91350

661 799 1776

Hospitals Used:

Providence Holy Cross Medical Center

Canyon Country Specialty/

Primary Care Physicians PPG/Phy #

1ass

Gold, Marina, M.D.

Gender: Female

License No: A41684

NPI: 1770653974

General Practice

27141 Hidaway Ave. # 204A

Canyon Country, CA 91351

1988 047388

(661) 297-1177

Prov Language: Armenian, Russian, Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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328 / www.healthnet.com/calmediconnect

Lakeside Medical Group - Santa Clarita PPG 1988

Primary Care Providers

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Canyon Country Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ho, Shin P., M.D.

2

Gender: Male

License No: A32362

NPI: 1033223045

General Practice

27141 Hidaway Ave. # 106

4

Canyon Country, CA 91351

1988 007361

(661) 252-8469

Prov Language: Mandarin

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: SA 9 AM - 12:30 PM, M-F 9 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Canyon Country Specialty/

Primary Care Physicians PPG/Phy #

1ass

Leiter, Lawrence R., M.D.

2

Gender: Male

License No: A28415

NPI: 1548286388

Family Practice

27141 Hidaway Ave. # 107

4

Canyon Country, CA 91351

1988 009856

(661) 250-0100

Prov Language: Spanish

Office Staff Language

#

:

Self Reported Accessibility:*:

Limited(P,EB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Santa Clarita PPG 1988

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

329

1

Board Certified

3

Physician is currently not accepting new patients.

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Newhall Specialty/

Primary Care Physicians PPG/Phy #

1ass

Brenner, Stacey R., M.D.

Gender: Female

License No: A110567

NPI: 1386971505

Internal Medicine

1

24355 Lyons Ave. # 210

Newhall, CA 91321

1988 169565

(661) 222-9381

Office Staff Language

#

: Spanish

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Newhall Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mysko, David E., M.D.

3

Gender: Male

License No: G14939

NPI: 1326103169

Family Practice

23928 Lyons Ave. # 201

Newhall, CA 91321

1988 051829

(661) 254-6600

Prov Language: Spanish

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: W-F 9 AM - 5 PM, TU 9 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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330 / www.healthnet.com/calmediconnect

Lakeside Medical Group - Santa Clarita PPG 1988

Primary Care Providers

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Newhall Specialty/

Primary Care Physicians PPG/Phy #

1ass

Tebi, Sina, M.D.

Gender: Male

License No: A115277

NPI: 1437380789

Internal Medicine

1

23928 Lyons Ave. # 204

Newhall, CA 91321

1988 202885

(661) 222-2300

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 7:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Rotman, Aron L., M.D.

Gender: Male

License No: G73976

NPI: 1508900887

Internal Medicine

12134 Victory Blvd.

North Hollywood, CA 91606

1988 025385

(818) 762-8702

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Santa Clarita PPG 1988

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

331

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Palmdale Specialty/

Primary Care Physicians PPG/Phy #

1ass

Pillai, Dewey D., M.D.

Gender: Male

License No: A87833

NPI: 1134161482

Family Practice

1220 E. Ave. S # D

Palmdale, CA 93550

1988 131730

(661) 947-4124

Prov Language: Spanish, Tamil

Office Staff Language

#

: Armenian, Farsi,

Spanish, Tamil

Accessibility:*: Limited(P,IB)

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Panorama City Specialty/

Primary Care Physicians PPG/Phy #

1ass

Villar, Hermilito L., M.D.

Gender: Male

License No: A41795

NPI: 1710946009

General Practice

14400 Roscoe Blvd. # B

4

Panorama City, CA 91402

1988 067267

(818) 830-6888

Prov Language: Spanish, Tagalog

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,IB,E)

Hours: F 9 AM - 1 PM, M-TH 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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332 / www.healthnet.com/calmediconnect

Lakeside Medical Group - Santa Clarita PPG 1988

Primary Care Providers

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lariviere, Marc J., M.D.

Gender: Male

License No: G56548

NPI: 1487721403

Internal Medicine

1

1855 N. Fair Oaks Ave.

Pasadena, CA 91103

1988 223638

(626) 398-6300

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,R,E,T)

Hours: TU 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Santa Clarita Specialty/

Primary Care Physicians PPG/Phy #

1ass

Fernandez, Eric L., M.D.

Gender: Male

License No: A60864

NPI: 1326052887

Internal Medicine

1

24355 Lyons Ave. # 222

Santa Clarita, CA 91321

1988 073617

(661) 222-9381

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,R,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Santa Clarita PPG 1988

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

333

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Santa Clarita Specialty/

Primary Care Physicians PPG/Phy #

1ass

James, Linda E., M.D.

Gender: Female

License No: A90251

NPI: 1023100013

Family Practice

1

24355 Lyons Ave. # 210

Santa Clarita, CA 91321

1988 133453

(661) 222-9381

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Santa Clarita Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mungcal, Renato V., M.D.

Gender: Male

License No: A42598

NPI: 1750555413

Family Practice

21700 Golden Triangle Rd. # 206

Santa Clarita, CA 91350

1988 039132

(661) 287-3983

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-W,F 9 AM - 5:30 PM, SA 8 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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334 / www.healthnet.com/calmediconnect

Lakeside Medical Group - Santa Clarita PPG 1988

Primary Care Providers

2

Physician is currently unavailable to new patients through this physician group.

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Santa Clarita Specialty/

Primary Care Physicians PPG/Phy #

1ass

Vu, Andrea, M.D.

Gender: Female

License No: A102286

NPI: 1437131703

Family Practice

24355 Lyons Ave. # 210

Santa Clarita, CA 91321

1988 141997

(661) 222-9381

Prov Language: Vietnamese

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lavi, Joseph M., M.D.

2

Gender: Male

License No: A72094

NPI: 1912082017

Internal Medicine

27420 Tourney Rd. # 200

Valencia, CA 91355

1988 089338

(661) 254-9950

Prov Language: Farsi

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: TH-F 9 AM - 5 PM, W 9 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Santa Clarita PPG 1988

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

335

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Malla, Sabita, M.D.

Gender: Female

License No: A90206

NPI: 1962571216

Internal Medicine

1

25775 Mcbean Pkwy. # 107

Valencia, CA 91355

1988 133269

(661) 799-7007

Prov Language: Hindi, Nepali, Russian

Office Staff Language

#

:

Accessibility:*:

Hours: F-SA 12 PM - 6 PM, M-TH 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Pillai, Dewey D., M.D.

Gender: Male

License No: A87833

NPI: 1134161482

Family Practice

23838 Valencia Blvd. # 205

Valencia, CA 91355

1988 131730

(661) 288-2237

Prov Language: Spanish, Tamil

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 336: 2018 Provider and Pharmacy Directory

336 / www.healthnet.com/calmediconnect

Primary Care Providers

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Lakeside Medical Group - Verdugo Hills

PPG 5273

8510 Balboa Blvd Suite 275

Northridge, CA 91325-5809

(818) 654-3400

Urgent Care:

Lakeside Community Healthcare Urgent Care

Center-Burbank (818) 295-5920

Verdugo Hills Urgent Care (818) 241-4331

Hospitals Used:

USC Verdugo Hills Hospital LLC

La Canada Specialty/

Primary Care Physicians PPG/Phy #

1ass

Yu, Gregory C., M.D.

Gender: Male

License No: G60843

NPI: 1598944613

Internal Medicine

1

2258 Foothill Blvd. # 200

La Canada, CA 91011

5273 029634

(818) 248-8998

Office Staff Language

#

:

Accessibility:*: Limited(EB,R,E)

Hours: M-TH 8:30 AM - 5 PM, F 8:30 AM - 12

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Lakeside Medical Group - Verdugo Hills PPG 5273

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

337

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Montrose Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ghazarian, Arbi, M.D.

Gender: Male

License No: A81408

NPI: 1992773253

Family Practice

1

2103 Montrose Ave. # E

4

Montrose, CA 91020

5273 104838

(818) 957-2007

Prov Language: Armenian

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Montrose Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kamajian, Steven D., D.O.

Gender: Male

License No: 20A4674

NPI: 1295703320

Family Practice

1

2103 Montrose Ave. # E

4

Montrose, CA 91020

5273 023859

(818) 957-2007

Prov Language: Armenian, Russian, Spanish,

Turkish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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338 / www.healthnet.com/calmediconnect

Lakeside Medical Group - Verdugo Hills PPG 5273

Primary Care Providers

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Minasian-Arakelian,

Hanriet, D.O.

Gender: Female

License No: 20A9021

NPI: 1194765594

Internal Medicine

1

9247 Reseda Blvd.

Northridge, CA 91324

5273 137078

(818) 993-7379

Prov Language: Armenian, Spanish

Office Staff Language

#

: Armenian, Spanish

Accessibility:*: Limited(P,IB,R,E)

Hours: M-W 10 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

339

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Jewish Home Medical

Associates

PPG 1618

7150 Tampa Ave.

Reseda, CA 91335-3700

(818) 758-4063

Hospitals Used:

Valley Presbyterian Hospital

Encino Specialty/

Primary Care Physicians PPG/Phy #

1ass

Shirazi, Keyvan, M.D.

Gender: Male

License No: A78184

NPI: 1023033107

Internal Medicine

16952 Ventura Blvd. # 100

4

Encino, CA 91316

1618 102642

(818) 789-3964

Prov Language: Farsi, Hebrew, Spanish

Office Staff Language

#

:

Accessibility:*: Limited(EB,IB,E)

Hours: M-F 9 AM - 4:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Delkhah, Shahin, M.D.

Gender: Male

License No: A94156

NPI: 1265477749

Internal Medicine

1

18855 Victory Blvd.

Reseda, CA 91335

1618 147301

(818) 758-4013

Office Staff Language

#

: Hebrew, Spanish,

Vietnamese

Accessibility:*:

Hours: M-F 9 AM - 4:30 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Delkhah, Shahin, M.D.

Gender: Male

License No: A94156

NPI: 1265477749

Internal Medicine

1

7150 Tampa Ave.

Reseda, CA 91335

1618 147301

(818) 758-4013

Office Staff Language

#

: Spanish, Vietnamese

Accessibility:*:

Hours: M-F 9 AM - 4:30 PM

Cultural Competence Training Completed:

Provider Training and Experience:

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340 / www.healthnet.com/calmediconnect

Los Angeles Jewish Home Medical Associates PPG 1618

Primary Care Providers

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Fozailoff, Alan, M.D.

Gender: Male

License No: A76164

NPI: 1053331595

Internal Medicine

18855 Victory Blvd.

Reseda, CA 91335

1618 091381

(818) 758-4013

Prov Language: Hebrew, Spanish

Office Staff Language

#

: Hebrew, Spanish,

Vietnamese

Accessibility:*:

Hours: M-F 9 AM - 4:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Reseda Specialty/

Primary Care Physicians PPG/Phy #

Fozailoff, Alan, M.D.

Gender: Male

License No: A76164

NPI: 1053331595

Internal Medicine

7150 Tampa Ave.

Reseda, CA 91335

1618 091381

(818) 758-4013

Prov Language: Hebrew, Spanish

Office Staff Language

#

: Spanish, Vietnamese

Accessibility:*:

Hours: M-F 9 AM - 4:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Los Angeles Jewish Home Medical Associates PPG 1618

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

341

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Hann, Elly, D.O.

Gender: Female

License No: 20A14513

NPI: 1649721150

Family Practice

1

18855 Victory Blvd.

Reseda, CA 91335

1618 233226

(818) 758-4013

Office Staff Language

#

: Hebrew, Spanish,

Vietnamese

Accessibility:*:

Hours: M-F 9 AM - 4:30 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Reseda Specialty/

Primary Care Physicians PPG/Phy #

Hann, Elly, D.O.

Gender: Female

License No: 20A14513

NPI: 1649721150

Family Practice

1

7150 Tampa Ave.

Reseda, CA 91335

1618 233226

(818) 758-4014

Office Staff Language

#

: Spanish, Vietnamese

Accessibility:*:

Hours: M-F 9 AM - 4:30 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Page 342: 2018 Provider and Pharmacy Directory

342 / www.healthnet.com/calmediconnect

Los Angeles Jewish Home Medical Associates PPG 1618

Primary Care Providers

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Iofel, Rina, D.O.

Gender: Female

License No: 20A8645

NPI: 1841339165

Family Practice

1

18855 Victory Blvd.

Reseda, CA 91335

1618 190082

(818) 758-4013

Office Staff Language

#

: Hebrew, Spanish,

Vietnamese

Accessibility:*:

Hours: M-F 9 AM - 4:30 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Reseda Specialty/

Primary Care Physicians PPG/Phy #

Iofel, Rina, D.O.

Gender: Female

License No: 20A8645

NPI: 1841339165

Family Practice

1

7150 Tampa Ave.

Reseda, CA 91335

1618 190082

(818) 758-4014

Office Staff Language

#

: Spanish, Vietnamese

Accessibility:*:

Hours: M-F 9 AM - 4:30 PM

Cultural Competence Training Completed:

Provider Training and Experience:

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Los Angeles Jewish Home Medical Associates PPG 1618

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

343

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lopo, Alina C., M.D.

Gender: Female

License No: A54670

NPI: 1629073044

Internal Medicine

7150 Tampa Ave.

Reseda, CA 91335

1618 067136

(818) 758-4014

Prov Language: Spanish

Office Staff Language

#

: Spanish, Vietnamese

Accessibility:*:

Hours: M-F 9 AM - 4:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Marco, Noachim S., M.D.

Gender: Male

License No: G60305

NPI: 1366848335

Internal Medicine

18855 Victory Blvd.

Reseda, CA 91335

1618 034903

(818) 758-4013

Office Staff Language

#

: Hebrew, Spanish,

Vietnamese

Accessibility:*:

Hours: M-F 9 AM - 4:30 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Page 344: 2018 Provider and Pharmacy Directory

344 / www.healthnet.com/calmediconnect

Los Angeles Jewish Home Medical Associates PPG 1618

Primary Care Providers

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Reseda Specialty/

Primary Care Physicians PPG/Phy #

Marco, Noachim S., M.D.

Gender: Male

License No: G60305

NPI: 1366848335

Internal Medicine

7150 Tampa Ave.

Reseda, CA 91335

1618 034903

(818) 758-4014

Office Staff Language

#

: Spanish, Vietnamese

Accessibility:*:

Hours: M-F 9 AM - 4:30 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Shirazi, Keyvan, M.D.

Gender: Male

License No: A78184

NPI: 1023033107

Internal Medicine

18855 Victory Blvd.

Reseda, CA 91335

1618 102642

(818) 758-4013

Prov Language: Farsi, Hebrew, Spanish

Office Staff Language

#

: Hebrew, Spanish,

Vietnamese

Accessibility:*:

Hours: M-F 9 AM - 4:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Los Angeles Jewish Home Medical Associates PPG 1618

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

345

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Reseda Specialty/

Primary Care Physicians PPG/Phy #

Shirazi, Keyvan, M.D.

Gender: Male

License No: A78184

NPI: 1023033107

Internal Medicine

7150 Tampa Ave.

Reseda, CA 91335

1618 102642

(818) 758-4014

Prov Language: Farsi, Hebrew, Spanish

Office Staff Language

#

: Spanish, Vietnamese

Accessibility:*:

Hours: M-F 9 AM - 4:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Smith, Rick L., M.D.

Gender: Male

License No: A48473

NPI: 1932130861

Internal Medicine

1

18855 Victory Blvd.

Reseda, CA 91335

1618 233234

(818) 758-4013

Prov Language: Spanish

Office Staff Language

#

: Hebrew, Spanish,

Vietnamese

Accessibility:*:

Hours: M-F 9 AM - 4:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 346: 2018 Provider and Pharmacy Directory

346 / www.healthnet.com/calmediconnect

Los Angeles Jewish Home Medical Associates PPG 1618

Primary Care Providers

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Reseda Specialty/

Primary Care Physicians PPG/Phy #

Smith, Rick L., M.D.

Gender: Male

License No: A48473

NPI: 1932130861

Internal Medicine

1

7150 Tampa Ave.

Reseda, CA 91335

1618 233234

(818) 774-3032

Prov Language: Spanish

Office Staff Language

#

: Spanish, Vietnamese

Accessibility:*:

Hours: M-F 9 AM - 4:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Vu, Hangnga, M.D.

Gender: Female

License No: A89475

NPI: 1972601037

Internal Medicine

1

18855 Victory Blvd.

Reseda, CA 91335

1618 232417

(818) 758-4013

Office Staff Language

#

: Hebrew, Spanish,

Vietnamese

Accessibility:*:

Hours: M-F 9 AM - 4:30 PM

Cultural Competence Training Completed:

Provider Training and Experience:

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Los Angeles Jewish Home Medical Associates PPG 1618

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

347

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Reseda Specialty/

Primary Care Physicians PPG/Phy #

Vu, Hangnga, M.D.

Gender: Female

License No: A89475

NPI: 1972601037

Internal Medicine

1

7150 Tampa Ave.

Reseda, CA 91335

1618 232417

(818) 758-4014

Office Staff Language

#

: Spanish, Vietnamese

Accessibility:*:

Hours: M-F 9 AM - 4:30 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Page 348: 2018 Provider and Pharmacy Directory

348 / www.healthnet.com/calmediconnect

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Physician Associates of the Greater San

Gabriel Valley-Pasadena/Arcadia-Div of

Healthcare Partners

PPG 5182

2175 Park Pl.

El Segundo, CA 90245-4705

(800) 403-4160

Urgent Care:

Healthcare Partners Urgent Care

HealthCare Partners UCC - (626)795-2244

Hospitals Used:

Methodist Hospital of Southern California

Physician Associates of the Greater San

Gabriel Valley-Beverly-Div of Healthcare

Partners (PPG 5184)

2175 Park Pl.

El Segundo, CA 90245-4705

(800) 403-4160

Urgent Care:

Healthcare Partners UC (323) 720-1144

Physician Associates of the Greater San

Gabriel Valley-San Gabriel-Div of Heathcare

Partners (PPG 5186)

2175 Park Pl.

El Segundo, CA 90245-4705

(800) 403-4160

Urgent Care:

Healthcare Partners UCC (626)795-2244

Hospitals Used:

San Gabriel Valley Medical Center

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Tracy, Robert A., D.O.

Gender: Male

License No: 20A12632

NPI: 1316219058

Family Practice

3056 Fletcher Dr.

4

Los Angeles, CA 90065

5182 206558

(323) 256-2231

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Spanish, Tagalog

Self Reported Accessibility:*:

Limited(P,EB,IB,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Physician Associates of the Greater San Gabriel Valley-Pasadena/Arcadia-Div of Healthcare Partners

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

349

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Barseghian, Annie A., M.D.

2

Gender: Female

License No: A88615

NPI: 1134226855

Family Practice

800 Fairmount Ave. # 210

4

Pasadena, CA 91105

5182 131161

(626) 381-9599

Prov Language: Armenian, French, Spanish

Office Staff Language

#

:

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Calleros, Gustavo, M.D.

Gender: Male

License No: A74210

NPI: 1346358827

Family Practice

50 Bellefontaine St. # 404

Pasadena, CA 91105

5182 102914

(626) 793-1931

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-TH 8 AM - 5 PM, F 8 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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350 / www.healthnet.com/calmediconnect

Physician Associates of the Greater San Gabriel Valley-Pasadena/Arcadia-Div of Healthcare Partners

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Furman, Anchel, M.D.

Gender: Male

License No: A49247

NPI: 1104970250

Internal Medicine

1

630 S. Raymond Ave. # 240

4

Pasadena, CA 91105

5182 028816

(626) 535-1772

Prov Language: Hebrew, Polish, Russian,

Ukranian

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Godwin, Tina, D.O.

Gender: Female

License No: 20A11528

NPI: 1215230164

Family Practice

1

50 Bellefontaine St. # 403

4

Pasadena, CA 91105

5182 231777

(626) 792-1912

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Physician Associates of the Greater San Gabriel Valley-Pasadena/Arcadia-Div of Healthcare Partners

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

351

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Han, Huy Q., M.D.

Gender: Male

License No: A66690

NPI: 1649321761

Internal Medicine

797 S. Fair Oaks Ave.

4

Pasadena, CA 91105

5186 202129

(626) 795-2244

Prov Language: Spanish, Vietnamese

Office Staff Language

#

:

Accessibility:*: Limited(E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Herrera, Margaret L., M.D.

Gender: Female

License No: A63148

NPI: 1861415739

Family Practice

1

50 Bellefontaine St. # 404

Pasadena, CA 91105

5184 071491

(626) 793-1931

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-TH 8 AM - 5 PM, F 8 AM - 11 AM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Physician Associates of the Greater San Gabriel Valley-Pasadena/Arcadia-Div of Healthcare Partners

Primary Care Providers

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Hillier, Linda A., D.O.

2

Gender: Female

License No: 20A9803

NPI: 1407029192

Internal Medicine

630 S. Raymond Ave. # 320

4

Pasadena, CA 91105

5182 148794

(626) 795-4223

Prov Language: French, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lewis, Nathan L., M.D.

Gender: Male

License No: G40994

NPI: 1912923004

Internal Medicine

675 S. Arroyo Pkwy. # 310

4

Pasadena, CA 91105

5182 010036

(626) 796-8181

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Physician Associates of the Greater San Gabriel Valley-Pasadena/Arcadia-Div of Healthcare Partners

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

353

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mathioulakis, Stan, M.D.

Gender: Male

License No: A85470

NPI: 1912080847

Internal Medicine

1

10 Congress St. # 506

4

Pasadena, CA 91105

5182 105576

(626) 584-9898

Prov Language: French, Greek, Italian, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,IB,R)

Hours: TU,TH 9 AM - 12 PM, M,W,F 9 AM - 5

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mattai, Nalini D., M.D.

Gender: Female

License No: G83956

NPI: 1982803052

Family Practice

1

50 Bellefontaine St. # 403

4

Pasadena, CA 91105

5182 061766

(626) 792-1912

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: TU,TH 9 AM - 12 PM, M,W,F 9 AM - 5

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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354 / www.healthnet.com/calmediconnect

Physician Associates of the Greater San Gabriel Valley-Pasadena/Arcadia-Div of Healthcare Partners

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Parra, Maria E., D.O.

Gender: Female

License No: 20A12590

NPI: 1710274170

Family Practice

1

50 Bellefontaine St. # 403

4

Pasadena, CA 91105

5182 207076

(627) 921-9129

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Rodriguez, Carlos G., M.D.

Gender: Male

License No: A56502

NPI: 1811046485

Family Practice

1403 N. Fair Oaks Ave. # 1

4

Pasadena, CA 91103

5182 089537

(626) 398-0354

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(IB)

Hours: M-F 8 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Physician Associates of the Greater San Gabriel Valley-Pasadena/Arcadia-Div of Healthcare Partners

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

355

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Rowady, Daniel L., M.D.

2

Gender: Male

License No: A73692

NPI: 1578661609

Internal Medicine

1

630 S. Raymond Ave. # 320

4

Pasadena, CA 91105

5182 102002

(626) 795-4223

Prov Language: Hindi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Sheldon, Elana L., M.D.

2

Gender: Female

License No: A67217

NPI: 1790708915

Internal Medicine

1

50 Bellefontaine St. # 403

4

Pasadena, CA 91105

5182 080590

(626) 792-1912

Prov Language: French, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8:30 AM - 4:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Preferred IPA of California

PPG 5277

1025 N. Brand Blvd. Ste 100

Glendale, CA 91202-3631

(818) 265-0800

Urgent Care:

Reseda Urgent Care (818) 996-4888

Mend Urgent Care (818) 843-8555

Healthcare Partners Med Grp (818) 838-4500

Rapid Care (818) 265-2200

Hospitals Used:

Valley Presbyterian Hospital

Preferred IPA of California (PPG 5380)

1025 N. Brand Blvd. Ste 100

Glendale, CA 91202-3631

(818) 265-0800

Urgent Care:

Reseda Urgent Care (818) 996-4888

Mend Urgent Care (818) 843-8555

Healthcare Partners Med Grp (818) 838-4500

Rapid Care (818) 265-2200

Hospitals Used:

Glendale Memorial Hospital and Health Center

Arleta Specialty/

Primary Care Physicians PPG/Phy #

1ass

Arceo, Ruth N., M.D.

Gender: Female

License No: A53097

NPI: 1427150093

Family Practice

9043 Woodman Ave. # C

Arleta, CA 91331

5277 067299

(844) 601-3096

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Spanish, Tagalog

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Preferred IPA of California PPG 5277

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

357

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Arleta Specialty/

Primary Care Physicians PPG/Phy #

1ass

Flores, Louis B., M.D.

Gender: Male

License No: A32929

NPI: 1760606123

Family Practice

1

9128 Woodman Ave.

4

Arleta, CA 91331

5277 166226

(818) 892-7795

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: TU,TH 9 AM - 7 PM, M,W,F 5 PM - 7

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Arleta Specialty/

Primary Care Physicians PPG/Phy #

1ass

San Diego, Rosita D., M.D.

Gender: Female

License No: A98076

NPI: 1467652602

General Practice

9043 Woodman Ave. # C

Arleta, CA 91331

5277 144721

(818) 786-8601

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Spanish, Tagalog

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: SA 9 AM - 2 PM, M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 358: 2018 Provider and Pharmacy Directory

358 / www.healthnet.com/calmediconnect

Preferred IPA of California PPG 5277

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Canoga Park Specialty/

Primary Care Physicians PPG/Phy #

1ass

Nguyen, Hoang D., M.D.

Gender: Male

License No: A60675

NPI: 1124011952

Family Practice

22110 Roscoe Blvd. # 100

Canoga Park, CA 91304

5277 067908

(818) 481-0118

Prov Language: Spanish, Vietnamese

Office Staff Language

#

:

Accessibility:*:

Hours: TH-F 9 AM - 5 PM, SA 9 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Canoga Park Specialty/

Primary Care Physicians PPG/Phy #

1ass

Nguyen, Tuan H., M.D.

Gender: Male

License No: A32393

NPI: 1073607446

General Practice

22030 Sherman Way # 211

4

Canoga Park, CA 91303

5277 057496

(818) 884-7424

Prov Language: French, Spanish, Vietnamese

Office Staff Language

#

: French, Spanish,

Vietnamese

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: F-SA 9 AM - 1 PM, TU,TH 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Preferred IPA of California PPG 5277

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

359

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Canyon Country Specialty/

Primary Care Physicians PPG/Phy #

1ass

Dixon III, Samuel P., M.D.

Gender: Male

License No: G45816

NPI: 1518996974

General Practice

27225 Camp Plenty Rd. # 4

Canyon Country, CA 91351

5277 154878

(661) 424-1220

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: W-SA 8 AM - 4:30 PM, TU 10:30 AM - 7

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Canyon Country Specialty/

Primary Care Physicians PPG/Phy #

1ass

Hightower, Joyce D., M.D.

Gender: Female

License No: G66200

NPI: 1811175623

Family Practice

27225 Camp Plenty Rd. # 4

Canyon Country, CA 91351

5277 007295

(661) 424-1220

Prov Language: French

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M,SA 8 AM - 4:30 PM, TU-F 8 AM - 7

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 360: 2018 Provider and Pharmacy Directory

360 / www.healthnet.com/calmediconnect

Preferred IPA of California PPG 5277

Primary Care Providers

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Canyon Country Specialty/

Primary Care Physicians PPG/Phy #

1ass

Sporrong, Jeremy, D.O.

Gender: Male

License No: 20A13251

NPI: 1639439656

Family Practice

1

27225 Camp Plenty Rd. # 4

Canyon Country, CA 91351

5277 226572

(661) 424-1220

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: TH 8 AM - 4:30 PM, F 10:30 AM - 7 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Castaic Specialty/

Primary Care Physicians PPG/Phy #

1ass

Dixon III, Samuel P., M.D.

Gender: Male

License No: G45816

NPI: 1518996974

General Practice

30257 San Martinez Rd.

Castaic, CA 91384

5277 154878

(661) 257-4008

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: W-SA 8 AM - 4:30 PM, TU 10:30 AM - 7

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Preferred IPA of California PPG 5277

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

361

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Castaic Specialty/

Primary Care Physicians PPG/Phy #

1ass

Sporrong, Jeremy, D.O.

Gender: Male

License No: 20A13251

NPI: 1639439656

Family Practice

1

30257 San Martinez Rd.

Castaic, CA 91384

5277 226572

(661) 257-4008

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Encino Specialty/

Primary Care Physicians PPG/Phy #

1ass

Javaherian, Jasmin, D.O.

Gender: Female

License No: 20A8083

NPI: 1447294715

Internal Medicine

16661 Ventura Blvd. # 815

4

Encino, CA 91436

5277 102530

(818) 501-3366

Prov Language: Farsi, Spanish

Office Staff Language

#

: Farsi, Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Preferred IPA of California PPG 5277

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Granada Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Chen, Loren Y., M.D.

Gender: Male

License No: A60889

NPI: 1972581643

Internal Medicine

1

17709 Chatsworth St.

4

Granada Hills, CA 91344

5277 068037

(818) 363-8176

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,IB,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Granada Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Farhadian, Elaheh, M.D.

Gender: Female

License No: A100453

NPI: 1316145956

Internal Medicine

17447 Chatsworth St.

4

Granada Hills, CA 91344

5277 147017

(818) 923-5702

Prov Language: Farsi, Spanish

Office Staff Language

#

: Farsi

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Preferred IPA of California PPG 5277

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

363

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Granada Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Koshak, Michael M., M.D.

Gender: Male

License No: A36588

NPI: 1689680696

General Practice

17709 Chatsworth St.

4

Granada Hills, CA 91344

5277 057168

(818) 363-8176

Prov Language: French, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,IB,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

La Canada Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lee, David J., D.O.

Gender: Male

License No: 20A14782

NPI: 1699016980

Family Practice

1

1975 Verdugo Blvd.

La Canada, CA 91011

5380 225036

(818) 249-9454

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 364: 2018 Provider and Pharmacy Directory

364 / www.healthnet.com/calmediconnect

Preferred IPA of California PPG 5277

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Agababian, Gor, M.D.

Gender: Male

License No: A93668

NPI: 1063442143

General Practice

3920 Eagle Rock Blvd. # A

4

Los Angeles, CA 90065

5380 154347

(323) 255-5225

Prov Language: Armenian, Russian, Spanish

Office Staff Language

#

: Armenian, Farsi,

Russian, Spanish, Tagalog, Vietnamese

Accessibility:*: Limited(P,IB,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Airapetian, Ara, M.D.

Gender: Male

License No: A86421

NPI: 1578543443

General Practice

1704 Colorado Blvd.

4

Los Angeles, CA 90041

5380 105901

(323) 256-4116

Prov Language: Arabic, Armenian, Russian,

Spanish

Office Staff Language

#

: Arabic, Armenian,

Farsi, Korean, Mandarin, Russian, Spanish,

Tagalog

Accessibility:*: Limited(IB)

Hours: M-F 8:30 AM - 6 PM, SA 8:30 AM - 5

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Preferred IPA of California PPG 5277

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

365

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Banez, Edgar C., M.D.

Gender: Male

License No: A52430

NPI: 1275644098

Internal Medicine

4867 Eagle Rock Blvd.

4

Los Angeles, CA 90041

5380 048771

(323) 254-6754

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Spanish, Tagalog

Accessibility:*: Limited(IB)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Chang, Wen-Shi, M.D.

Gender: Female

License No: A118395

NPI: 1508004193

Family Practice

1704 Colorado Blvd.

4

Los Angeles, CA 90041

5380 195443

(323) 256-4116

Prov Language: Korean, Mandarin, Spanish

Office Staff Language

#

: Arabic, Armenian,

Farsi, Korean, Mandarin, Russian, Spanish,

Tagalog

Accessibility:*: Limited(IB)

Hours: M-F 8 AM - 6 PM, SA 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Preferred IPA of California PPG 5277

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Huverserian, Linda J., M.D.

Gender: Female

License No: A120212

NPI: 1255658068

Family Practice

3920 Eagle Rock Blvd. # A

4

Los Angeles, CA 90065

5380 194373

(323) 255-5225

Prov Language: Armenian

Office Staff Language

#

: Armenian, Farsi,

Russian, Spanish, Tagalog, Vietnamese

Accessibility:*: Limited(P,IB,E,T)

Hours: M-F 8 AM - 5 PM, SA 9 AM - 2 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Iqbal, Muhammad R., M.D.

Gender: Male

License No: A94608

NPI: 1578515896

Internal Medicine

1

1704 Colorado Blvd.

4

Los Angeles, CA 90041

5380 138623

(323) 256-4116

Prov Language: Hindi, Punjabi, Tagalog, Urdu

Office Staff Language

#

: Arabic, Armenian,

Farsi, Korean, Mandarin, Russian, Spanish,

Tagalog

Accessibility:*: Limited(IB)

Hours: M-F 8:30 AM - 6 PM, SA 8:30 AM - 5

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Preferred IPA of California PPG 5277

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

367

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

Iqbal, Muhammad R., M.D.

Gender: Male

License No: A94608

NPI: 1578515896

Internal Medicine

1

1704 Colorado Blvd.

4

Los Angeles, CA 90041

5277 138623

(323) 256-4116

Prov Language: Hindi, Punjabi, Tagalog, Urdu

Office Staff Language

#

: Arabic, Armenian,

Farsi, Korean, Mandarin, Russian, Spanish,

Tagalog

Accessibility:*: Limited(IB)

Hours: M-F 8:30 AM - 6 PM, SA 8:30 AM - 5

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kevorkian, Siranoush H.,

M.D.

Gender: Female

License No: A35663

NPI: 1457416265

General Practice

3920 Eagle Rock Blvd. # A

4

Los Angeles, CA 90065

5380 074428

(323) 255-5225

Prov Language: Armenian, Romanian, Russian,

Spanish

Office Staff Language

#

: Armenian, Farsi,

Russian, Spanish, Tagalog, Vietnamese

Accessibility:*: Limited(P,IB,E,T)

Hours: TH-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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368 / www.healthnet.com/calmediconnect

Preferred IPA of California PPG 5277

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Meza, Martha A., M.D.

Gender: Female

License No: A80538

NPI: 1629126545

Internal Medicine

1

4623 Eagle Rock Blvd. # A

4

Los Angeles, CA 90041

5380 155880

(323) 340-1500

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Panossian, Seda G., M.D.

Gender: Female

License No: A45117

NPI: 1346353182

General Practice

5000 W. Sunset Blvd. # 650

4

Los Angeles, CA 90027

5380 064321

(323) 666-9491

Prov Language: Armenian, Greek, Russian,

Turkish

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,IB,E)

Hours: SA 9:30 AM - 2:30 PM, M-TH 9:30 AM -

6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Preferred IPA of California PPG 5277

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

369

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Pedrano, Guadalupe C.,

M.D.

Gender: Female

License No: A40246

NPI: 1174786073

General Practice

2209 N. San Fernando Rd.

4

Los Angeles, CA 90065

5380 046020

(323) 226-0511

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Spanish, Tagalog

Accessibility:*: Limited(EB,IB,E)

Hours: TH-F 10 AM - 6 PM, W 10 AM - 1:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Tracy, Robert A., D.O.

Gender: Male

License No: 20A12632

NPI: 1316219058

Family Practice

3056 Fletcher Dr.

4

Los Angeles, CA 90065

5380 206558

(323) 256-2231

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Spanish, Tagalog

Self Reported Accessibility:*:

Limited(P,EB,IB,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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370 / www.healthnet.com/calmediconnect

Preferred IPA of California PPG 5277

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Folmsbee, Mark A., D.O.

Gender: Male

License No: 20A14847

NPI: 1427393123

General Practice

11134 Sepulveda Blvd.

Mission Hills, CA 91345

5277 223462

(818) 963-5690

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: TH 1 PM - 5 PM, M-TU 8 AM - 4:30 PM,

W,F 8 AM - 12:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mina, Nagwa F., M.D.

Gender: Female

License No: A101771

NPI: 1528234051

Family Practice

1

15340 Devonshire St. # 8

4

Mission Hills, CA 91345

5277 188407

(818) 894-9411

Prov Language: Arabic, Spanish

Office Staff Language

#

: Arabic, Spanish

Accessibility:*: Limited(EB,IB,E)

Hours: TU-SA 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

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ro

vid

ers

371

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Shenouda, Emile G., M.D.

Gender: Male

License No: A56273

NPI: 1760596845

General Practice

15340 Devonshire St. # 8

4

Mission Hills, CA 91345

5277 088091

(818) 894-9411

Prov Language: Arabic, French, Spanish

Office Staff Language

#

: Arabic, Spanish

Accessibility:*: Limited(EB,IB,E)

Hours: TU-SA 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Yeghoyan, Karine, M.D.

Gender: Female

License No: A118734

NPI: 1265664304

Internal Medicine

1

11550 Indian Hills Rd. # 240

4

Mission Hills, CA 91345

5277 185587

(818) 488-5188

Prov Language: Armenian, Russian, Spanish

Office Staff Language

#

: Armenian, Russian,

Spanish

Self Reported Accessibility:*: Limited(EB,IB,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 372: 2018 Provider and Pharmacy Directory

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Preferred IPA of California PPG 5277

Primary Care Providers

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Newhall Specialty/

Primary Care Physicians PPG/Phy #

1ass

Dixon III, Samuel P., M.D.

Gender: Male

License No: G45816

NPI: 1518996974

General Practice

23772 Newhall Ave.

Newhall, CA 91321

5277 154878

(661) 291-1777

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,IB,R,E)

Hours: TU 10:30 AM - 5 PM, W-SA 8 AM - 4:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Newhall Specialty/

Primary Care Physicians PPG/Phy #

1ass

Dorio, Raymond J., M.D.

Gender: Male

License No: A29371

NPI: 1205984739

General Practice

24237 Main St.

Newhall, CA 91321

5277 213175

(661) 259-6302

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: TU 10:30 AM - 5 PM, W-SA 8 AM - 4:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

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are

P

ro

vid

ers

373

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Newhall Specialty/

Primary Care Physicians PPG/Phy #

1ass

Hightower, Joyce D., M.D.

Gender: Female

License No: G66200

NPI: 1811175623

Family Practice

23772 Newhall Ave.

Newhall, CA 91321

5277 007295

(661) 291-1777

Prov Language: French

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,IB,R,E)

Hours: M,SA 8 AM - 4:30 PM, TU-F 8 AM - 7

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Newhall Specialty/

Primary Care Physicians PPG/Phy #

1ass

Katukota, Vijaya K., M.D.

Gender: Female

License No: A38220

NPI: 1225218522

Internal Medicine

24625 Arch St

4

Newhall, CA 91321

5277 008583

(661) 288-2644

Prov Language: Hindi, Spanish

Office Staff Language

#

: Hindi, Spanish

Accessibility:*: Limited(IB,E)

Hours: TU 7 AM - 4:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Preferred IPA of California PPG 5277

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Newhall Specialty/

Primary Care Physicians PPG/Phy #

1ass

Sporrong, Jeremy, D.O.

Gender: Male

License No: 20A13251

NPI: 1639439656

Family Practice

1

23772 Newhall Ave.

Newhall, CA 91321

5277 226572

(661) 291-1777

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,IB,R,E)

Hours: SA 8 AM - 4:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ezra, Eshagh J., M.D.

Gender: Male

License No: A56249

NPI: 1790797835

General Practice

15424 Nordhoff St. # B

4

North Hills, CA 91343

5277 086350

(818) 891-5500

Prov Language: Farsi, Spanish

Office Staff Language

#

: Farsi, Spanish

Accessibility:*: Limited(EB,R,E)

Hours: M-F 10 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

375

1

Board Certified

3

Physician is currently not accepting new patients.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Tamari, Mansour, M.D.

Gender: Male

License No: A64183

NPI: 1508963935

General Practice

9146 Sepulveda Blvd. # B

4

North Hills, CA 91343

5277 068804

(818) 920-1133

Prov Language: Farsi, Spanish

Office Staff Language

#

: Farsi, Spanish

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 10 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Yoo, Kyung S., M.D.

3

Gender: Male

License No: A44472

NPI: 1588754675

Family Practice

1

15446 Parthenia St.

4

North Hills, CA 91343

5277 018905

(818) 891-1616

Prov Language: Korean, Spanish

Office Staff Language

#

: Korean, Spanish

Accessibility:*: Limited(EB,IB)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Preferred IPA of California PPG 5277

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Benowitz, Irvin S., D.O.

Gender: Male

License No: 20A4228

NPI: 1083749212

Family Practice

1

7451 Lankershim Blvd.

4

North Hollywood, CA 91605

5277 520075

(818) 503-9800

Prov Language: Arabic, Armenian, German,

Russian, Spanish

Office Staff Language

#

: Arabic, Armenian,

Russian, Spanish

Accessibility:*: Limited(EB,E)

Hours: M-F 8:30 AM - 6 PM, SA 9 AM - 2 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Chen, Loren Y., M.D.

Gender: Male

License No: A60889

NPI: 1972581643

Internal Medicine

1

11631 Victory Blvd. # 101

4

North Hollywood, CA 91606

5277 068037

(818) 764-8838

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,IB,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

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are

P

ro

vid

ers

377

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Doostan, Jay E., M.D.

Gender: Male

License No: A33650

NPI: 1902916729

Internal Medicine

12922 Victory Blvd.

4

North Hollywood, CA 91606

5277 504135

(310) 703-4233

Prov Language: Armenian, Farsi, Hindi,

Spanish

Office Staff Language

#

: Armenian, Farsi, Hindi,

Russian, Spanish

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-TU,TH 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kopelevich, Peter D., M.D.

Gender: Male

License No: A100392

NPI: 1659576742

Family Practice

1

12157 Victory Blvd.

4

North Hollywood, CA 91606

5277 147367

(818) 755-8000

Office Staff Language

#

: Arabic, Armenian,

Russian, Spanish, Tagalog

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 7:30 AM - 7 PM, SA 8:30 AM - 5

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Preferred IPA of California PPG 5277

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Koshak, Michael M., M.D.

Gender: Male

License No: A36588

NPI: 1689680696

General Practice

11631 Victory Blvd. # 101

4

North Hollywood, CA 91606

5277 057168

(818) 764-8838

Prov Language: French, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,IB,E)

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Paronian, Oganes, M.D.

Gender: Male

License No: A54463

NPI: 1528048899

General Practice

12157 Victory Blvd.

4

North Hollywood, CA 91606

5277 060744

(818) 755-8000

Prov Language: Armenian, Marathi, Russian,

Spanish

Office Staff Language

#

: Arabic, Armenian,

Russian, Spanish, Tagalog

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: S 9 AM - 1 PM, M-F 7:30 AM - 7 PM, SA

8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

379

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ter-Poghosyan, Zarine,

M.D.

Gender: Female

License No: A101387

NPI: 1114102993

Family Practice

12507 Victory Blvd.

4

North Hollywood, CA 91606

5277 144278

(818) 769-7540

Prov Language: Armenian, Russian

Office Staff Language

#

: Armenian, Russian

Accessibility:*: Limited(P,EB,IB)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Wang, Jenny, D.O.

Gender: Female

License No: 20A14970

NPI: 1174844104

Family Practice

1

12157 Victory Blvd.

4

North Hollywood, CA 91606

5277 227442

(818) 755-8000

Prov Language: Cantonese, Mandarin, Spanish

Office Staff Language

#

: Arabic, Armenian,

Russian, Spanish, Tagalog

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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380 / www.healthnet.com/calmediconnect

Preferred IPA of California PPG 5277

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Panorama City Specialty/

Primary Care Physicians PPG/Phy #

1ass

Grey, Erlinda D., M.D.

Gender: Female

License No: A30427

NPI: 1356568752

General Practice

8215 Van Nuys Blvd. # 210

Panorama City, CA 91402

5277 004328

(818) 901-0373

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Spanish, Tagalog, Thai

Accessibility:*: Limited(EB,R,E,T)

Hours: SA 8:30 AM - 1 PM, M-F 8:30 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Panorama City Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kashani, Daryoush Y., M.D.

Gender: Male

License No: A66698

NPI: 1386847531

General Practice

8727 Van Nuys Blvd. # 102

4

Panorama City, CA 91402

5277 083388

(818) 899-5555

Prov Language: Farsi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 6 PM, SA 8 AM - 2 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

381

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Panorama City Specialty/

Primary Care Physicians PPG/Phy #

Kashani, Daryoush Y., M.D.

Gender: Male

License No: A66698

NPI: 1386847531

General Practice

8727 Van Nuys Blvd. # 101

4

Panorama City, CA 91402

5277 083388

(818) 899-5555

Prov Language: Farsi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,IB,R,E)

Hours: SA 8 AM - 2 PM, M-F 8:30 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Hosseinian, Gholam R.,

M.D.

Gender: Male

License No: A72485

NPI: 1124042882

General Practice

18701 Sherman Way # 4

4

Reseda, CA 91335

5277 095932

(818) 881-8989

Prov Language: Farsi, Spanish

Office Staff Language

#

: Farsi, Spanish

Accessibility:*: Limited(P)

Hours: M-W,F 9 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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382 / www.healthnet.com/calmediconnect

Preferred IPA of California PPG 5277

Primary Care Providers

3

Physician is currently not accepting new patients.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kashani, Ataoiah M., M.D.

Gender: Male

License No: A41464

NPI: 1740349851

General Practice

18355 Sherman Way

4

Reseda, CA 91335

5277 057493

(818) 343-0964

Prov Language: Farsi, Hebrew, Spanish

Office Staff Language

#

: Farsi, Hebrew, Spanish

Self Reported Accessibility:*: Limited(P)

Hours: M-TH 9 AM - 7 PM, F 9 AM - 2 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Martinez Cardenas, Jose F.,

M.D.

3

Gender: Male

License No: A81030

NPI: 1700827052

Internal Medicine

18518 Sherman Way

4

Reseda, CA 91335

5277 103565

(818) 757-0954

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Preferred IPA of California PPG 5277

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

383

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Nguyen, Hung V., M.D.

Gender: Male

License No: A42303

NPI: 1104819945

General Practice

7227 Reseda Blvd.

4

Reseda, CA 91335

5277 065719

(818) 708-3740

Prov Language: Spanish, Vietnamese

Office Staff Language

#

: Spanish, Vietnamese

Accessibility:*: Limited(P,IB,E)

Hours: SA 8 AM - 12 PM, M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Phan, Mai T., M.D.

Gender: Female

License No: A51466

NPI: 1306879283

Internal Medicine

18625 Sherman Way # 104

4

Reseda, CA 91335

5277 049437

(818) 342-8171

Prov Language: Korean, Vietnamese

Office Staff Language

#

: Spanish, Vietnamese

Accessibility:*: Limited(P,EB,IB)

Hours: M 9 AM - 5 PM, SA 9 AM - 2 PM, TH-F 9

AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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384 / www.healthnet.com/calmediconnect

Preferred IPA of California PPG 5277

Primary Care Providers

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

San Fernando Specialty/

Primary Care Physicians PPG/Phy #

1ass

Folmsbee, Mark A., D.O.

Gender: Male

License No: 20A14847

NPI: 1427393123

General Practice

732 Mott St. # 110

San Fernando, CA 91340

5277 223462

(818) 963-5690

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

San Fernando Specialty/

Primary Care Physicians PPG/Phy #

Folmsbee, Mark A., D.O.

Gender: Male

License No: 20A14847

NPI: 1427393123

General Practice

732 Mott St. # 100

San Fernando, CA 91340

5277 223462

(818) 963-5690

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Preferred IPA of California PPG 5277

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

385

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

San Fernando Specialty/

Primary Care Physicians PPG/Phy #

1ass

Nossett, Angela D., M.D.

Gender: Female

License No: A71543

NPI: 1194754457

Family Practice

1

732 Mott St. # 100

San Fernando, CA 91340

5277 155577

(818) 365-0726

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sun Valley Specialty/

Primary Care Physicians PPG/Phy #

1ass

Javaherian, Jasmin, D.O.

Gender: Female

License No: 20A8083

NPI: 1447294715

Internal Medicine

11349 Saticoy St.

4

Sun Valley, CA 91352

5277 102530

(818) 982-5750

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,IB)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Preferred IPA of California PPG 5277

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sun Valley Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ngo, Gilda, M.D.

Gender: Female

License No: A113625

NPI: 1922238880

Family Practice

8100 Sunland Blvd.

4

Sun Valley, CA 91352

5277 189441

(818) 252-7400

Prov Language: Spanish, Vietnamese

Office Staff Language

#

: Spanish

Accessibility:*: Limited(IB,E)

Hours: TH 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sunland Specialty/

Primary Care Physicians PPG/Phy #

1ass

Vorperian, Kevork A., M.D.

Gender: Male

License No: C50258

NPI: 1568468650

Internal Medicine

1

8134 Foothill Blvd.

Sunland, CA 91040

5380 081949

(818) 962-0715

Prov Language: Arabic, Armenian

Office Staff Language

#

: Amharic, Arabic,

Armenian

Accessibility:*:

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Preferred IPA of California PPG 5277

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

387

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sunland Specialty/

Primary Care Physicians PPG/Phy #

1ass

Wang, Jenny, D.O.

Gender: Female

License No: 20A14970

NPI: 1174844104

Family Practice

1

8316 Foothill Blvd.

Sunland, CA 91040

5277 227442

(818) 273-8800

Prov Language: Cantonese, Mandarin, Spanish

Office Staff Language

#

: Armenian, Russian,

Spanish

Accessibility:*:

Hours: F 8:30 AM - 12:30 PM, M,W 8:30 AM -

5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sylmar Specialty/

Primary Care Physicians PPG/Phy #

1ass

Silver, Scott J., M.D.

Gender: Male

License No: A116902

NPI: 1578875837

Internal Medicine

12610 Glenoaks Blvd.

4

Sylmar, CA 91342

5277 207808

(818) 361-4111

Prov Language: Spanish

Office Staff Language

#

: Mandarin, Spanish

Accessibility:*: Limited(EB,IB)

Hours: SA 9 AM - 12 PM, M-F 8:30 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 388: 2018 Provider and Pharmacy Directory

388 / www.healthnet.com/calmediconnect

Preferred IPA of California PPG 5277

Primary Care Providers

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Tujunga Specialty/

Primary Care Physicians PPG/Phy #

1ass

Baltaian, Lilit, M.D.

Gender: Female

License No: A105197

NPI: 1154552305

General Practice

7412 Foothill Blvd.

Tujunga, CA 91042

5380 166786

(818) 353-1512

Prov Language: Arabic, Armenian, Russian,

Spanish

Office Staff Language

#

: Arabic, Armenian,

Russian, Spanish

Accessibility:*: Limited(IB,R)

Hours: M-W,F 9 AM - 5:30 PM, TH 9 AM - 1

PM, SA 9:30 AM - 1:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Val Verde Specialty/

Primary Care Physicians PPG/Phy #

1ass

Hightower, Joyce D., M.D.

Gender: Female

License No: G66200

NPI: 1811175623

Family Practice

30257 San Martinez Rd

Val Verde, CA 91384

5277 007295

(661) 257-4008

Prov Language: French

Office Staff Language

#

:

Accessibility:*:

Hours: M,SA 8 AM - 4:30 PM, TU-F 8 AM - 7

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Preferred IPA of California PPG 5277

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

389

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Alonso, Lazaro V., M.D.

Gender: Male

License No: A39343

NPI: 1427073576

Internal Medicine

1

15216 Vanowen St.

4

Van Nuys, CA 91405

5277 520907

(818) 785-7875

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,IB,R,E)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Chang, Kook I., M.D.

Gender: Male

License No: A40580

NPI: 1356442354

Internal Medicine

1

14600 Sherman Way # 270

4

Van Nuys, CA 91405

5277 046857

(818) 780-7771

Prov Language: Korean, Spanish

Office Staff Language

#

: Korean, Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 390: 2018 Provider and Pharmacy Directory

390 / www.healthnet.com/calmediconnect

Preferred IPA of California PPG 5277

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Chilingaryan, Mikhail, M.D.

Gender: Male

License No: C131950

NPI: 1356581201

Internal Medicine

6850 Van Nuys Blvd. # 125

Van Nuys, CA 91405

5277 211015

(818) 786-8600

Prov Language: Armenian, Russian

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 10 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Fakheri, Azita, M.D.

Gender: Female

License No: A69052

NPI: 1669410270

Internal Medicine

1

17651A Vanowen St.

4

Van Nuys, CA 91406

5277 092222

(818) 343-0101

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,IB,E)

Hours: M-TU,TH 9 AM - 5 PM, W 9 AM - 1 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Preferred IPA of California PPG 5277

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

391

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ghannadi, Max M., M.D.

2

Gender: Male

License No: A102618

NPI: 1114191798

General Practice

14103 Victory Blvd. # 7

4

Van Nuys, CA 91401

5277 154586

(818) 994-0000

Prov Language: Farsi, Spanish

Office Staff Language

#

: Farsi, Spanish

Accessibility:*: Limited(P,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Gonzalez, Anita E., M.D.

Gender: Female

License No: A100277

NPI: 1518161629

General Practice

14350 Victory Blvd. # 3

Van Nuys, CA 91401

5277 142477

(818) 786-8396

Prov Language: Spanish

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: SA 9 AM - 1 PM, M-W,F 8 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 392: 2018 Provider and Pharmacy Directory

392 / www.healthnet.com/calmediconnect

Preferred IPA of California PPG 5277

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Hakimian, Ebrahim, M.D.

Gender: Male

License No: A48918

NPI: 1568481174

General Practice

14649 Victory Blvd. # 22

4

Van Nuys, CA 91411

5277 059813

(818) 909-9868

Prov Language: Farsi

Office Staff Language

#

: Armenian, Farsi,

Russian, Spanish

Accessibility:*:

Hours: M-F 8 AM - 8 PM, SA 10 AM - 2 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Katukota, Vijaya K., M.D.

Gender: Female

License No: A38220

NPI: 1225218522

Internal Medicine

6265 Sepulveda Blvd. # 10

4

Van Nuys, CA 91411

5277 008583

(818) 779-0555

Prov Language: Hindi, Spanish

Office Staff Language

#

: Farsi, Spanish

Accessibility:*: Limited(IB)

Hours: TH 8 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Preferred IPA of California PPG 5277

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

393

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

Katukota, Vijaya K., M.D.

Gender: Female

License No: A38220

NPI: 1225218522

Internal Medicine

6265 Sepulveda Blvd. # 9

4

Van Nuys, CA 91411

5277 008583

(818) 779-0555

Prov Language: Hindi, Spanish

Office Staff Language

#

: Hindi, Spanish

Accessibility:*: Limited(IB)

Hours: TH 7:30 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Khalili, Manoutcher, M.D.

Gender: Male

License No: A52178

NPI: 1861446841

General Practice

6330 Van Nuys Blvd.

Van Nuys, CA 91401

5277 060183

(818) 994-9922

Prov Language: Farsi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P)

Hours: SA 8 AM - 3 PM, M-TU,TH 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 394: 2018 Provider and Pharmacy Directory

394 / www.healthnet.com/calmediconnect

Preferred IPA of California PPG 5277

Primary Care Providers

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

Khalili, Manoutcher, M.D.

Gender: Male

License No: A52178

NPI: 1861446841

General Practice

7400 Van Nuys Blvd. # 120

Van Nuys, CA 91405

5277 060183

(818) 782-9892

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lee, Myung H., M.D.

2

Gender: Male

License No: A45901

NPI: 1821175811

Family Practice

1

14614 Victory Blvd.

4

Van Nuys, CA 91411

5277 065444

(818) 787-4770

Prov Language: Korean, Portuguese, Spanish

Office Staff Language

#

: Korean, Portuguese,

Spanish

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Preferred IPA of California PPG 5277

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

395

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Marouni, Payam, M.D.

Gender: Male

License No: A101224

NPI: 1386800225

Family Practice

1

13750 Victory Blvd.

4

Van Nuys, CA 91401

5277 149162

(818) 988-9090

Prov Language: Armenian, Farsi, Spanish

Office Staff Language

#

: Armenian, Farsi,

Spanish

Accessibility:*: Limited(IB)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mejia, Miguel A., M.D.

Gender: Male

License No: G42563

NPI: 1508955170

General Practice

15243 Vanowen St. # 107

4

Van Nuys, CA 91405

5277 069505

(818) 787-8473

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 396: 2018 Provider and Pharmacy Directory

396 / www.healthnet.com/calmediconnect

Preferred IPA of California PPG 5277

Primary Care Providers

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Parsaei, Nazanin, M.D.

Gender: Female

License No: A112838

NPI: 1417104282

Family Practice

14550 Haynes St.

Van Nuys, CA 91411

5277 228587

(818) 650-6700

Prov Language: Farsi

Office Staff Language

#

:

Accessibility:*: Limited(P,IB,E)

Hours: M-F 8 AM - 7 PM, SA 8 AM - 2:30 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Rasekhi, Mohammad H.,

M.D.

Gender: Male

License No: A48861

NPI: 1043361546

General Practice

14550 Haynes St.

Van Nuys, CA 91411

5277 047164

(818) 650-6700

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,IB,E)

Hours: M-F 8 AM - 5:30 PM, SA 8 AM - 2:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Preferred IPA of California PPG 5277

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

397

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

Rasekhi, Mohammad H.,

M.D.

Gender: Male

License No: A48861

NPI: 1043361546

Internal Medicine

1

14550 Haynes St.

Van Nuys, CA 91411

5277 047164

(818) 650-6700

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,IB,E)

Hours: M-F 8 AM - 5:30 PM, SA 8 AM - 2:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Yadegari, Michael, M.D.

Gender: Male

License No: A100335

NPI: 1023293016

Internal Medicine

1

6265 Sepulveda Blvd. # 9

4

Van Nuys, CA 91411

5277 185575

(818) 779-0555

Prov Language: Farsi, Spanish

Office Staff Language

#

: Hindi, Spanish

Accessibility:*: Limited(IB)

Hours: M-TU,F 8 AM - 4:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 398: 2018 Provider and Pharmacy Directory

398 / www.healthnet.com/calmediconnect

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Prospect Health Plan, Inc.

PPG 5441

600 city Parkway West Ste 800

Orange, CA 92868-2948

(714) 796-5900

Prospect Health Source Medical Group (PPG

5351)

600 City Parkway West Suite 800

Orange, CA 92868-2948

(714) 796-5900

Hospitals Used:

California Hospital Medical Center

Southern California Hospital at Culver City

Prospect Medical Group (PPG 5421)

600 City Parkway West Ste 800

Orange, CA 92868-2948

(800) 708-3230

Hospitals Used:

Southern California Hospital at Culver City

Prospect Professional Care (PPG 5419)

600 City Pkwy. W. Ste. 800

Orange, CA 92868-2948

(714) 796-5900

Hospitals Used:

Whittier Hospital Medical Center

Beverly Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Leeds, Scott M., M.D.

Gender: Male

License No: A79005

NPI: 1598738734

Internal Medicine

1

415 N. Crescent Dr. # 225

4

Beverly Hills, CA 90210

5419 098991

(310) 777-0159

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Prospect Health Plan, Inc. PPG 5441

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

399

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Beverly Hills Specialty/

Primary Care Physicians PPG/Phy #

Leeds, Scott M., M.D.

Gender: Male

License No: A79005

NPI: 1598738734

Internal Medicine

1

415 N. Crescent Dr. # 225

4

Beverly Hills, CA 90210

5351 098991

(310) 777-0159

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Beverly Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mirahmadi, Mike K., M.D.

Gender: Male

License No: A25041

NPI: 1770594780

Internal Medicine

1

435 N. Bedford Dr. # 212

Beverly Hills, CA 90210

5351 011621

(310) 858-5090

Prov Language: Farsi, Spanish, Tagalog

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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400 / www.healthnet.com/calmediconnect

Prospect Health Plan, Inc. PPG 5441

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Beverly Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Riceberg, Edward L., M.D.

Gender: Male

License No: A22329

NPI: 1861558173

Internal Medicine

9400 Brighton Way # 410

4

Beverly Hills, CA 90210

5351 024125

(310) 550-8028

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Beverly Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Sharim, Homayoun, M.D.

Gender: Male

License No: A45456

NPI: 1033145701

Internal Medicine

9301 Wilshire Blvd. # 512

Beverly Hills, CA 90210

5351 056936

(310) 657-8000

Prov Language: Farsi

Office Staff Language

#

: Armenian, Farsi,

Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Prospect Health Plan, Inc. PPG 5441

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

401

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Beverly Hills Specialty/

Primary Care Physicians PPG/Phy #

Sharim, Homayoun, M.D.

Gender: Male

License No: A45456

NPI: 1033145701

Internal Medicine

9301 Wilshire Blvd. # 512

Beverly Hills, CA 90210

5419 056936

(310) 657-8000

Prov Language: Farsi

Office Staff Language

#

: Armenian, Farsi,

Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Canoga Park Specialty/

Primary Care Physicians PPG/Phy #

1ass

Aazami, Hessam, M.D.

Gender: Male

License No: A85704

NPI: 1144299173

General Practice

22030 Sherman Way # 101

4

Canoga Park, CA 91303

5419 134414

(818) 312-9101

Prov Language: Farsi, Italian, Spanish

Office Staff Language

#

: Farsi, Italian, Spanish

Accessibility:*:

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Prospect Health Plan, Inc. PPG 5441

Primary Care Providers

3

Physician is currently not accepting new patients.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Canoga Park Specialty/

Primary Care Physicians PPG/Phy #

Aazami, Hessam, M.D.

Gender: Male

License No: A85704

NPI: 1144299173

General Practice

22030 Sherman Way # 101

4

Canoga Park, CA 91303

5421 134414

(818) 312-9101

Prov Language: Farsi, Italian, Spanish

Office Staff Language

#

: Farsi, Italian, Spanish

Accessibility:*:

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Canoga Park Specialty/

Primary Care Physicians PPG/Phy #

1ass

Akhavan, Jamsheed, M.D.

3

Gender: Male

License No: A47734

NPI: 1073661807

General Practice

22030 Sherman Way # 101

4

Canoga Park, CA 91303

5419 500186

(818) 312-9101

Prov Language: Farsi, Hebrew

Office Staff Language

#

: Farsi, Italian, Spanish

Accessibility:*:

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Prospect Health Plan, Inc. PPG 5441

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

403

3

Physician is currently not accepting new patients.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Canoga Park Specialty/

Primary Care Physicians PPG/Phy #

Akhavan, Jamsheed, M.D.

3

Gender: Male

License No: A47734

NPI: 1073661807

General Practice

22030 Sherman Way # 101

4

Canoga Park, CA 91303

5421 500186

(818) 312-9101

Prov Language: Farsi, Hebrew

Office Staff Language

#

: Farsi, Italian, Spanish

Accessibility:*:

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Encino Specialty/

Primary Care Physicians PPG/Phy #

1ass

Yamini, Sohrab, M.D.

Gender: Male

License No: A40040

NPI: 1689601858

Internal Medicine

16661 Ventura Blvd. # 310

4

Encino, CA 91436

5351 035260

(818) 986-7399

Prov Language: Farsi, Hebrew, Spanish

Office Staff Language

#

: Armenian, Farsi,

Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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404 / www.healthnet.com/calmediconnect

Prospect Health Plan, Inc. PPG 5441

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Behroozan, Benjamin, M.D.

Gender: Male

License No: A41374

NPI: 1750440681

General Practice

5255 W. Sunset Blvd.

4

Los Angeles, CA 90027

5419 034784

(323) 463-7262

Prov Language: Farsi, Hebrew, Spanish

Office Staff Language

#

: Farsi, Hebrew, Spanish,

Tagalog

Accessibility:*: Limited(IB)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

Behroozan, Benjamin, M.D.

Gender: Male

License No: A41374

NPI: 1750440681

General Practice

5255 W. Sunset Blvd.

4

Los Angeles, CA 90027

5351 034784

(323) 463-7262

Prov Language: Farsi, Hebrew, Spanish

Office Staff Language

#

: Farsi, Hebrew, Spanish,

Tagalog

Accessibility:*: Limited(IB)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Prospect Health Plan, Inc. PPG 5441

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

405

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Hauptschein, Martin, M.D.

Gender: Male

License No: G46619

NPI: 1083733695

Internal Medicine

1

2101 Hillhurst Ave.

4

Los Angeles, CA 90027

5421 007002

(323) 664-2931

Prov Language: Spanish

Office Staff Language

#

: Arabic, Armenian,

Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

Hauptschein, Martin, M.D.

Gender: Male

License No: G46619

NPI: 1083733695

Internal Medicine

1

2101 Hillhurst Ave.

4

Los Angeles, CA 90027

5351 007002

(323) 664-2931

Prov Language: Spanish

Office Staff Language

#

: Arabic, Armenian,

Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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406 / www.healthnet.com/calmediconnect

Prospect Health Plan, Inc. PPG 5441

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Popova, Stella, M.D.

Gender: Female

License No: A65599

NPI: 1023108925

Internal Medicine

7258 W. Sunset Blvd.

4

Los Angeles, CA 90046

5421 069598

(323) 654-7716

Prov Language: Russian

Office Staff Language

#

: Russian

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: F 12 PM - 3:30 PM, M-TU,TH 8 AM - 12

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

Popova, Stella, M.D.

Gender: Female

License No: A65599

NPI: 1023108925

Internal Medicine

7258 W. Sunset Blvd.

4

Los Angeles, CA 90046

5351 069598

(323) 654-7716

Prov Language: Russian

Office Staff Language

#

: Russian

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: F 12 PM - 3:30 PM, M-TU,TH 8 AM - 12

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Prospect Health Plan, Inc. PPG 5441

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

407

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

Popova, Stella, M.D.

Gender: Female

License No: A65599

NPI: 1023108925

Internal Medicine

7258 W. Sunset Blvd.

4

Los Angeles, CA 90046

5419 069598

(323) 654-7716

Prov Language: Russian

Office Staff Language

#

: Russian

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: F 12 PM - 3:30 PM, M-TU,TH 8 AM - 12

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Folmsbee, Mark A., D.O.

Gender: Male

License No: 20A14847

NPI: 1427393123

General Practice

11134 Sepulveda Blvd. # 110

Mission Hills, CA 91345

5419 223462

(818) 963-5690

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: W,F 8 AM - 12:30 PM, M-TU 8 AM -

4:30 PM, TH 1 PM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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408 / www.healthnet.com/calmediconnect

Prospect Health Plan, Inc. PPG 5441

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Nossett, Angela D., M.D.

Gender: Female

License No: A71543

NPI: 1194754457

Family Practice

1

11134 Sepulveda Blvd. # 110

Mission Hills, CA 91345

5419 155577

(818) 963-5690

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: W 8 AM - 12 PM, TH 1 PM - 5 PM,

M-TU 8 AM - 4:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Yeghoyan, Karine, M.D.

Gender: Female

License No: A118734

NPI: 1265664304

Internal Medicine

1

11550 Indian Hills Rd. # 240

4

Mission Hills, CA 91345

5419 185587

(818) 488-5188

Prov Language: Armenian, Russian, Spanish

Office Staff Language

#

: Armenian, Russian,

Spanish

Self Reported Accessibility:*: Limited(EB,IB,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Prospect Health Plan, Inc. PPG 5441

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

409

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ezra, Eshagh J., M.D.

Gender: Male

License No: A56249

NPI: 1790797835

General Practice

15424 Nordhoff St.

North Hills, CA 91343

5421 086350

(818) 891-5500

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*: Limited(EB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hills Specialty/

Primary Care Physicians PPG/Phy #

Ezra, Eshagh J., M.D.

Gender: Male

License No: A56249

NPI: 1790797835

General Practice

15424 Nordhoff St. # B

4

North Hills, CA 91343

5419 086350

(818) 891-5500

Prov Language: Farsi, Spanish

Office Staff Language

#

: Farsi, Spanish

Accessibility:*: Limited(EB,R,E)

Hours: M-F 10 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Prospect Health Plan, Inc. PPG 5441

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Doostan, Jay E., M.D.

Gender: Male

License No: A33650

NPI: 1902916729

Internal Medicine

12922 Victory Blvd.

4

North Hollywood, CA 91606

5421 504135

(310) 703-4233

Prov Language: Armenian, Farsi, Hindi,

Spanish

Office Staff Language

#

: Armenian, Farsi, Hindi,

Russian, Spanish

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-TU,TH 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Makovoz, Galina, M.D.

Gender: Female

License No: A47756

NPI: 1558351833

General Practice

11631 Victory Blvd. # 103

4

North Hollywood, CA 91606

5351 060837

(818) 762-3116

Prov Language: Russian

Office Staff Language

#

: Russian

Accessibility:*: Limited(P,EB,E)

Hours: TU 9 AM - 6 PM, SA 9 AM - 3 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Prospect Health Plan, Inc. PPG 5441

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

411

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Panorama City Specialty/

Primary Care Physicians PPG/Phy #

1ass

Nossett, Angela D., M.D.

Gender: Female

License No: A71543

NPI: 1194754457

Family Practice

1

8215 Van Nuys Blvd. # 212

4

Panorama City, CA 91402

5421 155577

(818) 902-9229

Prov Language: Spanish

Office Staff Language

#

: Farsi, Spanish

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M,W,F 12 PM - 6 PM, SA 8 AM - 12 PM,

TU,TH 2 PM - 8 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kashani, Ataoiah M., M.D.

Gender: Male

License No: A41464

NPI: 1740349851

General Practice

18355 Sherman Way

4

Reseda, CA 91335

5421 057493

(818) 343-0964

Prov Language: Farsi, Hebrew, Spanish

Office Staff Language

#

: Farsi, Hebrew, Spanish

Self Reported Accessibility:*: Limited(P)

Hours: M-TH 9 AM - 7 PM, F 9 AM - 2 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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412 / www.healthnet.com/calmediconnect

Prospect Health Plan, Inc. PPG 5441

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Phan, Mai T., M.D.

Gender: Female

License No: A51466

NPI: 1306879283

Internal Medicine

18625 Sherman Way # 104

4

Reseda, CA 91335

5421 049437

(818) 342-8171

Prov Language: Korean, Vietnamese

Office Staff Language

#

: Spanish, Vietnamese

Accessibility:*: Limited(P,EB,IB)

Hours: M 9 AM - 5 PM, SA 9 AM - 2 PM, TH-F 9

AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Reseda Specialty/

Primary Care Physicians PPG/Phy #

Phan, Mai T., M.D.

Gender: Female

License No: A51466

NPI: 1306879283

Internal Medicine

18625 Sherman Way # 104

4

Reseda, CA 91335

5419 049437

(818) 342-8171

Prov Language: Korean, Vietnamese

Office Staff Language

#

: Spanish, Vietnamese

Accessibility:*: Limited(P,EB,IB)

Hours: M 9 AM - 5 PM, SA 9 AM - 2 PM, TH-F 9

AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Prospect Health Plan, Inc. PPG 5441

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

413

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

San Fernando Specialty/

Primary Care Physicians PPG/Phy #

1ass

Flores, Louis B., M.D.

Gender: Male

License No: A32929

NPI: 1760606123

Family Practice

1

405 N. Maclay Ave. # 104

4

San Fernando, CA 91340

5419 166226

(818) 361-3318

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

San Fernando Specialty/

Primary Care Physicians PPG/Phy #

1ass

Folmsbee, Mark A., D.O.

Gender: Male

License No: 20A14847

NPI: 1427393123

General Practice

732 Mott St. # 100

San Fernando, CA 91340

5419 223462

(818) 963-5690

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Prospect Health Plan, Inc. PPG 5441

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

San Fernando Specialty/

Primary Care Physicians PPG/Phy #

1ass

Hector, Bruce P., M.D.

Gender: Male

License No: G19850

NPI: 1851495154

Family Practice

501 N. Maclay Ave.

4

San Fernando, CA 91340

5419 059555

(818) 361-3788

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,IB)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

San Fernando Specialty/

Primary Care Physicians PPG/Phy #

1ass

Nossett, Angela D., M.D.

Gender: Female

License No: A71543

NPI: 1194754457

Family Practice

1

732 Mott St. # 100

San Fernando, CA 91340

5419 155577

(818) 365-0726

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Prospect Health Plan, Inc. PPG 5441

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

415

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

San Fernando Specialty/

Primary Care Physicians PPG/Phy #

1ass

Partovy, Robert, D.O.

Gender: Male

License No: 20A7033

NPI: 1063591477

Family Practice

501 N. Maclay Ave.

4

San Fernando, CA 91340

5419 088825

(818) 361-3788

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,IB)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

San Fernando Specialty/

Primary Care Physicians PPG/Phy #

Partovy, Robert, D.O.

Gender: Male

License No: 20A7033

NPI: 1063591477

Family Practice

501 N. Maclay Ave.

4

San Fernando, CA 91340

5421 088825

(818) 361-3788

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,IB)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 416: 2018 Provider and Pharmacy Directory

416 / www.healthnet.com/calmediconnect

Prospect Health Plan, Inc. PPG 5441

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sherman Oaks Specialty/

Primary Care Physicians PPG/Phy #

1ass

Brent, Dale J., M.D.

Gender: Male

License No: A43070

NPI: 1992886618

Internal Medicine

1

4955 Van Nuys Blvd. # 411

4

Sherman Oaks, CA 91403

5419 031697

(818) 784-1195

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,R)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sherman Oaks Specialty/

Primary Care Physicians PPG/Phy #

Brent, Dale J., M.D.

Gender: Male

License No: A43070

NPI: 1992886618

Internal Medicine

1

4955 Van Nuys Blvd. # 411

4

Sherman Oaks, CA 91403

5421 031697

(818) 784-1195

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,R)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 417: 2018 Provider and Pharmacy Directory

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Prospect Health Plan, Inc. PPG 5441

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

417

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sherman Oaks Specialty/

Primary Care Physicians PPG/Phy #

1ass

Dicterow, Maurice L., M.D.

Gender: Male

License No: G22466

NPI: 1578639639

Family Practice

1

4849 Van Nuys Blvd. # 211

4

Sherman Oaks, CA 91403

5421 520070

(818) 788-8210

Prov Language: Spanish, Tagalog

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sherman Oaks Specialty/

Primary Care Physicians PPG/Phy #

Dicterow, Maurice L., M.D.

Gender: Male

License No: G22466

NPI: 1578639639

Family Practice

1

4849 Van Nuys Blvd. # 211

4

Sherman Oaks, CA 91403

5419 520070

(818) 788-8210

Prov Language: Spanish, Tagalog

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 418: 2018 Provider and Pharmacy Directory

418 / www.healthnet.com/calmediconnect

Prospect Health Plan, Inc. PPG 5441

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sherman Oaks Specialty/

Primary Care Physicians PPG/Phy #

1ass

Matian, Arash D., D.O.

Gender: Male

License No: 20A7841

NPI: 1558300582

Family Practice

1

13425 Ventura Blvd.

4

Sherman Oaks, CA 91423

5421 133604

(818) 995-7784

Prov Language: Farsi

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sylmar Specialty/

Primary Care Physicians PPG/Phy #

1ass

Cocco, John M., M.D.

Gender: Male

License No: G18076

NPI: 1194941724

Internal Medicine

14117 Hubbard St. # M

4

Sylmar, CA 91342

5421 503021

(818) 833-3066

Prov Language: French, Italian, Spanish

Office Staff Language

#

: French, Italian, Spanish

Accessibility:*: Limited(P,EB,IB,E)

Hours: M-F 10 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 419: 2018 Provider and Pharmacy Directory

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Prospect Health Plan, Inc. PPG 5441

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

419

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sylmar Specialty/

Primary Care Physicians PPG/Phy #

Cocco, John M., M.D.

Gender: Male

License No: G18076

NPI: 1194941724

Internal Medicine

14117 Hubbard St. # M

4

Sylmar, CA 91342

5419 503021

(818) 833-3066

Prov Language: French, Italian, Spanish

Office Staff Language

#

: French, Italian, Spanish

Accessibility:*: Limited(P,EB,IB,E)

Hours: M-F 10 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sylmar Specialty/

Primary Care Physicians PPG/Phy #

1ass

Garabedyan, Tigran, D.O.

Gender: Male

License No: 20A11397

NPI: 1649589847

General Practice

13711 Foothill Blvd. Unit B

Sylmar, CA 91342

5419 227436

(818) 408-8008

Prov Language: Armenian, Russian, Spanish

Office Staff Language

#

: Armenian, Farsi,

Russian, Spanish

Self Reported Accessibility:*:

Limited(P,EB,R,E,T)

Hours: M-F 9 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 420: 2018 Provider and Pharmacy Directory

420 / www.healthnet.com/calmediconnect

Prospect Health Plan, Inc. PPG 5441

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sylmar Specialty/

Primary Care Physicians PPG/Phy #

1ass

Silver, Scott J., M.D.

Gender: Male

License No: A116902

NPI: 1578875837

Internal Medicine

12610 Glenoaks Blvd.

4

Sylmar, CA 91342

5421 207808

(818) 361-4111

Prov Language: Spanish

Office Staff Language

#

: Mandarin, Spanish

Accessibility:*: Limited(EB,IB)

Hours: SA 9 AM - 12 PM, M-F 8:30 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sylmar Specialty/

Primary Care Physicians PPG/Phy #

Silver, Scott J., M.D.

Gender: Male

License No: A116902

NPI: 1578875837

Internal Medicine

12610 Glenoaks Blvd.

4

Sylmar, CA 91342

5419 207808

(818) 361-4111

Prov Language: Spanish

Office Staff Language

#

: Mandarin, Spanish

Accessibility:*: Limited(EB,IB)

Hours: SA 9 AM - 12 PM, M-F 8:30 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 421: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 421

Prospect Health Plan, Inc. PPG 5441

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

421

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Flores, Louis B., M.D.

Gender: Male

License No: A32929

NPI: 1760606123

Family Practice

1

14411 Hamlin St.

4

Van Nuys, CA 91401

5419 166226

(818) 994-0618

Prov Language: Spanish

Office Staff Language

#

: Armenian, Farsi, Hindi,

Punjabi, Spanish, Tagalog

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ghannadi, Max M., M.D.

Gender: Male

License No: A102618

NPI: 1114191798

General Practice

14103 Victory Blvd. # 7

4

Van Nuys, CA 91401

5421 154586

(818) 994-0000

Prov Language: Farsi, Spanish

Office Staff Language

#

: Farsi, Spanish

Accessibility:*: Limited(P,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 422: 2018 Provider and Pharmacy Directory

422 / www.healthnet.com/calmediconnect

Prospect Health Plan, Inc. PPG 5441

Primary Care Providers

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

Ghannadi, Max M., M.D.

Gender: Male

License No: A102618

NPI: 1114191798

General Practice

14103 Victory Blvd. # 7

4

Van Nuys, CA 91401

5419 154586

(818) 994-0000

Prov Language: Farsi, Spanish

Office Staff Language

#

: Farsi, Spanish

Accessibility:*: Limited(P,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Marouni, Payam, M.D.

2

Gender: Male

License No: A101224

NPI: 1386800225

Family Practice

1

13750 Victory Blvd.

4

Van Nuys, CA 91401

5419 149162

(818) 988-9090

Prov Language: Armenian, Farsi, Spanish

Office Staff Language

#

: Armenian, Farsi,

Spanish

Accessibility:*: Limited(IB)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 423: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 423

Prospect Health Plan, Inc. PPG 5441

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

423

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

Marouni, Payam, M.D.

2

Gender: Male

License No: A101224

NPI: 1386800225

Family Practice

1

13750 Victory Blvd.

4

Van Nuys, CA 91401

5421 149162

(818) 988-9090

Prov Language: Armenian, Farsi, Spanish

Office Staff Language

#

: Armenian, Farsi,

Spanish

Accessibility:*: Limited(IB)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

Marouni, Payam, M.D.

2

Gender: Male

License No: A101224

NPI: 1386800225

Family Practice

1

7218 Van Nuys Blvd. # D

4

Van Nuys, CA 91405

5419 149162

(818) 988-9090

Prov Language: Armenian, Farsi, Spanish

Office Staff Language

#

: Tagalog

Accessibility:*: Limited(EB,IB,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 424: 2018 Provider and Pharmacy Directory

424 / www.healthnet.com/calmediconnect

Prospect Health Plan, Inc. PPG 5441

Primary Care Providers

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

Marouni, Payam, M.D.

2

Gender: Male

License No: A101224

NPI: 1386800225

Family Practice

1

7218 Van Nuys Blvd. # D

4

Van Nuys, CA 91405

5421 149162

(818) 988-9090

Prov Language: Armenian, Farsi, Spanish

Office Staff Language

#

: Tagalog

Accessibility:*: Limited(EB,IB,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

West Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Chetver, Elena, M.D.

Gender: Female

License No: A52741

NPI: 1518997212

Internal Medicine

7531 Santa Monica Blvd. # 210

4

West Hollywood, CA 90046

5419 087331

(323) 650-2991

Prov Language: Russian

Office Staff Language

#

: Russian

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 425: 2018 Provider and Pharmacy Directory

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Prospect Health Plan, Inc. PPG 5441

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

425

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

West Hollywood Specialty/

Primary Care Physicians PPG/Phy #

Chetver, Elena, M.D.

Gender: Female

License No: A52741

NPI: 1518997212

Internal Medicine

7531 Santa Monica Blvd. # 210

4

West Hollywood, CA 90046

5351 087331

(323) 650-2991

Prov Language: Russian

Office Staff Language

#

: Russian

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

West Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Davis, Pamela N., M.D.

Gender: Female

License No: A79189

NPI: 1740236017

Family Practice

1

719 N. Fairfax Ave. # A

West Hollywood, CA 90046

5419 103665

(310) 623-1248

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 426: 2018 Provider and Pharmacy Directory

426 / www.healthnet.com/calmediconnect

Prospect Health Plan, Inc. PPG 5441

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

West Hollywood Specialty/

Primary Care Physicians PPG/Phy #

Davis, Pamela N., M.D.

Gender: Female

License No: A79189

NPI: 1740236017

Family Practice

1

719 N. Fairfax Ave. # A

West Hollywood, CA 90046

5351 103665

(310) 623-1248

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

West Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kovalevsky, Marina, M.D.

Gender: Female

License No: A63485

NPI: 1144377607

Internal Medicine

7737 Santa Monica Blvd.

4

West Hollywood, CA 90046

5351 131446

(323) 650-3335

Prov Language: Russian

Office Staff Language

#

: Russian

Accessibility:*: Limited(P,EB,IB,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 427: 2018 Provider and Pharmacy Directory

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Prospect Health Plan, Inc. PPG 5441

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

427

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

West Hollywood Specialty/

Primary Care Physicians PPG/Phy #

Kovalevsky, Marina, M.D.

Gender: Female

License No: A63485

NPI: 1144377607

Internal Medicine

7737 Santa Monica Blvd.

4

West Hollywood, CA 90046

5419 131446

(323) 650-3335

Prov Language: Russian

Office Staff Language

#

: Russian

Accessibility:*: Limited(P,EB,IB,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

West Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Makovoz, Galina, M.D.

Gender: Female

License No: A47756

NPI: 1558351833

General Practice

7607 Santa Monica Blvd. # 27

4

West Hollywood, CA 90046

5351 060837

(323) 650-5494

Prov Language: Russian

Office Staff Language

#

: Russian

Accessibility:*: Limited(P,EB,E)

Hours: TU 10 AM - 3 PM, F 9 AM - 5 PM, W-TH

9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 428: 2018 Provider and Pharmacy Directory

428 / www.healthnet.com/calmediconnect

Prospect Health Plan, Inc. PPG 5441

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

West Hollywood Specialty/

Primary Care Physicians PPG/Phy #

Makovoz, Galina, M.D.

Gender: Female

License No: A47756

NPI: 1558351833

General Practice

7607 Santa Monica Blvd. # 27

4

West Hollywood, CA 90046

5419 060837

(323) 650-5494

Prov Language: Russian

Office Staff Language

#

: Russian

Accessibility:*: Limited(P,EB,E)

Hours: TU 10 AM - 3 PM, F 9 AM - 5 PM, W-TH

9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

West Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Shemer, Boris, M.D.

Gender: Male

License No: A41564

NPI: 1356489884

General Practice

7607 Santa Monica Blvd. # 28

4

West Hollywood, CA 90046

5351 063865

(323) 656-7094

Prov Language: Russian

Office Staff Language

#

: Russian

Accessibility:*: Limited(P,EB,IB,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 429: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 429

Prospect Health Plan, Inc. PPG 5441

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

429

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

West Hollywood Specialty/

Primary Care Physicians PPG/Phy #

Shemer, Boris, M.D.

Gender: Male

License No: A41564

NPI: 1356489884

General Practice

7607 Santa Monica Blvd. # 28

4

West Hollywood, CA 90046

5419 063865

(323) 656-7094

Prov Language: Russian

Office Staff Language

#

: Russian

Accessibility:*: Limited(P,EB,IB,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

West Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Shulman, Valery P., M.D.

Gender: Male

License No: A38820

NPI: 1871594648

General Practice

7559 Santa Monica Blvd. # 201

4

West Hollywood, CA 90046

5419 067351

(323) 878-2523

Prov Language: Russian

Office Staff Language

#

: Russian

Accessibility:*: Limited(EB)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 430: 2018 Provider and Pharmacy Directory

430 / www.healthnet.com/calmediconnect

Prospect Health Plan, Inc. PPG 5441

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Woodland Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Bahari-Nejad, Pejman, D.O.

Gender: Male

License No: 20A7938

NPI: 1396885570

Family Practice

1

20829 Ventura Blvd.

4

Woodland Hills, CA 91364

5419 170844

(818) 887-2787

Prov Language: Farsi, Spanish, Tagalog

Office Staff Language

#

: Farsi, Spanish, Tagalog

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Woodland Hills Specialty/

Primary Care Physicians PPG/Phy #

Bahari-Nejad, Pejman, D.O.

Gender: Male

License No: 20A7938

NPI: 1396885570

Family Practice

1

20829 Ventura Blvd.

4

Woodland Hills, CA 91364

5421 170844

(818) 887-2787

Prov Language: Farsi, Spanish, Tagalog

Office Staff Language

#

: Farsi, Spanish, Tagalog

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

431

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Regal Med Grp - Glendale Phys Alliance

PPG 5177

8510 Balboa Blvd

Northridge, CA 91325-3548

(818) 654-3400

Urgent Care

Rapid Care Urgent Care-Burbank

(818)843-8555

Rapid Care Urgent Care-Glendale

(818)265-2200

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Airapetian, Ara, M.D.

Gender: Male

License No: A86421

NPI: 1578543443

General Practice

1704 Colorado Blvd.

4

Los Angeles, CA 90041

5177 105901

(323) 256-4116

Prov Language: Arabic, Armenian, Russian,

Spanish

Office Staff Language

#

: Arabic, Armenian,

Farsi, Korean, Mandarin, Russian, Spanish,

Tagalog

Accessibility:*: Limited(IB)

Hours: M-F 8:30 AM - 6 PM, SA 8:30 AM - 5

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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432 / www.healthnet.com/calmediconnect

Regal Med Grp - Glendale Phys Alliance PPG 5177

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kltchian, Missak S., M.D.

Gender: Male

License No: A52368

NPI: 1255359840

Internal Medicine

4645 Hollywood Blvd. # 4

4

Los Angeles, CA 90027

5177 056540

(323) 661-4500

Prov Language: Armenian, Russian

Office Staff Language

#

: Armenian, Russian

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Roman, Ricardo R., M.D.

Gender: Male

License No: A79013

NPI: 1144327032

Internal Medicine

4708 Eagle Rock Blvd.

4

Los Angeles, CA 90041

5177 141053

(323) 254-3700

Prov Language: Spanish, Tagalog

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp - Glendale Phys Alliance PPG 5177

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

433

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Montrose Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ghazarian, Arbi, M.D.

Gender: Male

License No: A81408

NPI: 1992773253

Family Practice

1

2103 Montrose Ave. # E

4

Montrose, CA 91020

5177 104838

(818) 957-2007

Prov Language: Armenian

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Montrose Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kamajian, Steven D., D.O.

Gender: Male

License No: 20A4674

NPI: 1295703320

Family Practice

1

2103 Montrose Ave. # E

4

Montrose, CA 91020

5177 023859

(818) 957-2007

Prov Language: Armenian, Russian, Spanish,

Turkish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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434 / www.healthnet.com/calmediconnect

Regal Med Grp - Glendale Phys Alliance PPG 5177

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Paronian, Oganes, M.D.

Gender: Male

License No: A54463

NPI: 1528048899

General Practice

12157 Victory Blvd.

4

North Hollywood, CA 91606

5177 060744

(818) 755-8000

Prov Language: Armenian, Marathi, Russian,

Spanish

Office Staff Language

#

: Arabic, Armenian,

Russian, Spanish, Tagalog

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: S 9 AM - 1 PM, M-F 7:30 AM - 7 PM, SA

8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Tujunga Specialty/

Primary Care Physicians PPG/Phy #

1ass

Panossian, Ayuna K., M.D.

Gender: Female

License No: A86367

NPI: 1952423014

Family Practice

1

7709 Foothill Blvd.

4

Tujunga, CA 91042

5177 135929

(818) 352-3146

Prov Language: Armenian, Spanish

Office Staff Language

#

: Armenian, Farsi,

Spanish

Accessibility:*: Limited(IB,E)

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp - Glendale Phys Alliance PPG 5177

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

435

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valley Village Specialty/

Primary Care Physicians PPG/Phy #

1ass

Akopyan, Oganes J., M.D.

Gender: Male

License No: A105942

NPI: 1609098037

Family Practice

12660 Riverside Dr. # 310

Valley Village, CA 91607

5177 149905

(818) 755-0391

Prov Language: Armenian

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valley Village Specialty/

Primary Care Physicians PPG/Phy #

Akopyan, Oganes J., M.D.

Gender: Male

License No: A105942

NPI: 1609098037

Family Practice

12660 Riverside Dr. # 320

Valley Village, CA 91607

5177 149905

(818) 755-0391

Prov Language: Armenian

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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436 / www.healthnet.com/calmediconnect

Primary Care Providers

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Regal Med Grp - SFV

PPG 1801

8510 Balboa Blvd., Suite 275

Northridge, CA 91325-3548

(818) 654-3400

Urgent Care:

Town Medical Grp Treatment Ctr

(818)385-1300

East West Allied Medical Center (818)701-0017

Newbury Park UC (805)499-0308

Moorpark Comp Medical Group (805) 532-2032

Hospitals Used:

Glendale Memorial Hospital and Health Center

Providence Holy Cross Medical Center

Valley Presbyterian Hospital

Agoura Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Thomas, Lucille C., M.D.

2

Gender: Female

License No: C52092

NPI: 1114995768

Family Practice

1

29525 Canwood St. # 306

4

Agoura Hills, CA 91301

1801 129407

(818) 706-2010

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp - SFV PPG 1801

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

437

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Arleta Specialty/

Primary Care Physicians PPG/Phy #

1ass

Arceo, Ruth N., M.D.

Gender: Female

License No: A53097

NPI: 1427150093

Family Practice

9043 Woodman Ave. # C

Arleta, CA 91331

1801 067299

(844) 601-3096

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Spanish, Tagalog

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Arleta Specialty/

Primary Care Physicians PPG/Phy #

1ass

Nouri, Jahanbakhsh, M.D.

Gender: Male

License No: A53484

NPI: 1366501629

General Practice

8725 Woodman Ave.

4

Arleta, CA 91331

1801 059703

(818) 891-4455

Prov Language: Farsi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(IB,E)

Hours: SA 9:30 AM - 1 PM, M-F 9:30 AM - 5

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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438 / www.healthnet.com/calmediconnect

Regal Med Grp - SFV PPG 1801

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Beverly Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Sharim, Homayoun, M.D.

Gender: Male

License No: A45456

NPI: 1033145701

Internal Medicine

9301 Wilshire Blvd.

Beverly Hills, CA 90210

1801 056936

(310) 657-8000

Prov Language: Farsi

Office Staff Language

#

:

Accessibility:*:

Hours: TU,TH 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Calabasas Specialty/

Primary Care Physicians PPG/Phy #

1ass

Burstein, Samuel, M.D.

Gender: Male

License No: A53328

NPI: 1124037155

Internal Medicine

24013 Ventura Blvd. # 101

4

Calabasas, CA 91302

1801 134327

(818) 222-2443

Prov Language: Armenian, Russian

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp - SFV PPG 1801

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

439

3

Physician is currently not accepting new patients.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Calabasas Specialty/

Primary Care Physicians PPG/Phy #

1ass

Vesco, David M., M.D.

3

Gender: Male

License No: A43384

NPI: 1629084074

Internal Medicine

4937 Las Virgenes Rd. # 104

4

Calabasas, CA 91302

1801 040976

(818) 880-0799

Prov Language: Bulgarian, French, Russian,

Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,IB)

Hours: M-F 9 AM - 6 PM, SA 9:30 AM - 1 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Canoga Park Specialty/

Primary Care Physicians PPG/Phy #

1ass

Aazami, Hessam, M.D.

Gender: Male

License No: A85704

NPI: 1144299173

General Practice

22030 Sherman Way # 101

4

Canoga Park, CA 91303

1801 134414

(818) 312-9101

Prov Language: Farsi, Italian, Spanish

Office Staff Language

#

: Farsi, Italian, Spanish

Accessibility:*:

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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440 / www.healthnet.com/calmediconnect

Regal Med Grp - SFV PPG 1801

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Canoga Park Specialty/

Primary Care Physicians PPG/Phy #

1ass

Akhavan, Jamsheed, M.D.

Gender: Male

License No: A47734

NPI: 1073661807

General Practice

22030 Sherman Way # 101

4

Canoga Park, CA 91303

1801 500186

(818) 312-9101

Prov Language: Farsi, Hebrew

Office Staff Language

#

: Farsi, Italian, Spanish

Accessibility:*:

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Canoga Park Specialty/

Primary Care Physicians PPG/Phy #

1ass

Antonio, Adelaida B., M.D.

Gender: Female

License No: C41801

NPI: 1134337975

General Practice

21001 Sherman Way # 15

4

Canoga Park, CA 91303

1801 500438

(818) 785-9989

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB,IB,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp - SFV PPG 1801

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

441

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Canoga Park Specialty/

Primary Care Physicians PPG/Phy #

1ass

Banez, Edgar C., M.D.

Gender: Male

License No: A52430

NPI: 1275644098

Internal Medicine

21300 Sherman Way # 3

4

Canoga Park, CA 91303

1801 048771

(818) 376-0405

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Spanish, Tagalog

Self Reported Accessibility:*: Limited(EB,R,E,T)

Hours: W 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Canoga Park Specialty/

Primary Care Physicians PPG/Phy #

1ass

Hernandez, David J., M.D.

Gender: Male

License No: G48343

NPI: 1396756912

Family Practice

1

22030 Sherman Way # 215

Canoga Park, CA 91303

1801 007203

(747) 226-3650

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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442 / www.healthnet.com/calmediconnect

Regal Med Grp - SFV PPG 1801

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Canoga Park Specialty/

Primary Care Physicians PPG/Phy #

1ass

Nguyen, Hoang D., M.D.

Gender: Male

License No: A60675

NPI: 1124011952

Family Practice

22110 Roscoe Blvd. # 100

Canoga Park, CA 91304

1801 067908

(818) 481-0118

Prov Language: Spanish, Vietnamese

Office Staff Language

#

:

Accessibility:*:

Hours: TH-F 9 AM - 5 PM, SA 9 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Canoga Park Specialty/

Primary Care Physicians PPG/Phy #

1ass

Nguyen, Tuan H., M.D.

Gender: Male

License No: A32393

NPI: 1073607446

Family Practice

1

22030 Sherman Way # 211

4

Canoga Park, CA 91303

1801 057496

(818) 884-7424

Prov Language: French, Spanish, Vietnamese

Office Staff Language

#

: French, Spanish,

Vietnamese

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: F-SA 9 AM - 1 PM, TU,TH 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp - SFV PPG 1801

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

443

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Canoga Park Specialty/

Primary Care Physicians PPG/Phy #

1ass

Shaarawy, Rami M., M.D.

Gender: Male

License No: A96619

NPI: 1154494755

Internal Medicine

1

21822 Sherman Way # 100

4

Canoga Park, CA 91303

1801 135582

(818) 716-0557

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(IB,E)

Hours: M-F 9 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Canoga Park Specialty/

Primary Care Physicians PPG/Phy #

1ass

Shamsa, Iraj, M.D.

Gender: Male

License No: A49893

NPI: 1871655654

General Practice

21001 Sherman Way # 15

4

Canoga Park, CA 91303

1801 067025

(818) 716-0048

Prov Language: Farsi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB,IB,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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444 / www.healthnet.com/calmediconnect

Regal Med Grp - SFV PPG 1801

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Canoga Park Specialty/

Primary Care Physicians PPG/Phy #

1ass

Sirajullah, Mohammad, M.D.

Gender: Male

License No: C51163

NPI: 1346339884

General Practice

21001 Sherman Way # 15

4

Canoga Park, CA 91303

1801 106860

(818) 716-0048

Prov Language: Bengali, Hindi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB,IB,E)

Hours: S-SA 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Canyon Country Specialty/

Primary Care Physicians PPG/Phy #

1ass

Gold, Marina, M.D.

Gender: Female

License No: A41684

NPI: 1770653974

General Practice

27141 Hidaway Ave. # 204A

Canyon Country, CA 91351

1801 047388

(661) 297-1177

Prov Language: Armenian, Russian, Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,E)

Hours: S-SA 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 445: 2018 Provider and Pharmacy Directory

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Regal Med Grp - SFV PPG 1801

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

445

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Canyon Country Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ho, Shin P., M.D.

2

Gender: Male

License No: A32362

NPI: 1033223045

General Practice

27141 Hidaway Ave. # 106

4

Canyon Country, CA 91351

1801 007361

(661) 252-8469

Prov Language: Mandarin

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: SA 9 AM - 12:30 PM, M-F 9 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Canyon Country Specialty/

Primary Care Physicians PPG/Phy #

1ass

Leiter, Lawrence R., M.D.

2

Gender: Male

License No: A28415

NPI: 1548286388

Family Practice

27141 Hidaway Ave. # 107

4

Canyon Country, CA 91351

1801 009856

(661) 250-0100

Prov Language: Spanish

Office Staff Language

#

:

Self Reported Accessibility:*:

Limited(P,EB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp - SFV PPG 1801

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Encino Specialty/

Primary Care Physicians PPG/Phy #

1ass

Borovsky, Victoria M., M.D.

Gender: Female

License No: A82605

NPI: 1932130481

Internal Medicine

17777 Ventura Blvd. # 209

4

Encino, CA 91316

1801 129409

(818) 527-9559

Prov Language: Russian

Office Staff Language

#

:

Accessibility:*: Limited(IB,R)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Encino Specialty/

Primary Care Physicians PPG/Phy #

1ass

Collins, Robert D., M.D.

Gender: Male

License No: G42307

NPI: 1669671350

Internal Medicine

1

5400 Balboa Blvd. # 331

Encino, CA 91316

1801 503124

(818) 849-6777

Prov Language: French, German, Tagalog

Office Staff Language

#

: French, German,

Tagalog

Accessibility:*:

Hours: M-F 9 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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ers

447

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Encino Specialty/

Primary Care Physicians PPG/Phy #

1ass

Farah, Bijan, M.D.

Gender: Male

License No: A35772

NPI: 1972538890

Internal Medicine

17130 Ventura Blvd.

4

Encino, CA 91316

1801 096736

(818) 385-1300

Prov Language: Farsi, Russian, Spanish

Office Staff Language

#

:

Accessibility:*: Limited(EB,IB)

Hours: M-F 8 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Encino Specialty/

Primary Care Physicians PPG/Phy #

1ass

Farahmandian, Danny F.,

M.D.

Gender: Male

License No: A72189

NPI: 1154416808

Internal Medicine

16133 Ventura Blvd. # 360

4

Encino, CA 91436

1801 134872

(818) 986-6009

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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448 / www.healthnet.com/calmediconnect

Regal Med Grp - SFV PPG 1801

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Encino Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ibrahim, Albeer I., M.D.

Gender: Male

License No: A44213

NPI: 1255401238

Family Practice

16260 Ventura Blvd. # 330

4

Encino, CA 91436

1801 023569

(818) 789-7937

Prov Language: Arabic, Spanish

Office Staff Language

#

: Arabic, Spanish

Accessibility:*:

Hours: M-F 9 AM - 3:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Encino Specialty/

Primary Care Physicians PPG/Phy #

1ass

Javaherian, Jasmin, D.O.

Gender: Female

License No: 20A8083

NPI: 1447294715

Internal Medicine

16661 Ventura Blvd. # 815

4

Encino, CA 91436

1801 102530

(818) 501-3366

Prov Language: Farsi, Spanish

Office Staff Language

#

: Farsi, Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

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are

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ro

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ers

449

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Encino Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kalife, Larissa L., M.D.

Gender: Female

License No: A67077

NPI: 1659466316

Internal Medicine

16133 Ventura Blvd. # 360

4

Encino, CA 91436

1801 081909

(818) 986-6009

Prov Language: French, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Encino Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lee, Sora, M.D.

Gender: Female

License No: A107136

NPI: 1891939237

Internal Medicine

16133 Ventura Blvd. # 360

4

Encino, CA 91436

1801 192271

(818) 986-6009

Prov Language: Korean

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp - SFV PPG 1801

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Encino Specialty/

Primary Care Physicians PPG/Phy #

1ass

Rabbani, Nima, D.O.

Gender: Male

License No: 20A9740

NPI: 1619179454

Internal Medicine

1

16133 Ventura Blvd. # 360

4

Encino, CA 91436

1801 155994

(818) 986-6009

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Encino Specialty/

Primary Care Physicians PPG/Phy #

1ass

Shirazi, Keyvan, M.D.

Gender: Male

License No: A78184

NPI: 1023033107

Internal Medicine

16952 Ventura Blvd. # 100

4

Encino, CA 91316

1801 102642

(818) 789-3964

Prov Language: Farsi, Hebrew, Spanish

Office Staff Language

#

:

Accessibility:*: Limited(EB,IB,E)

Hours: M-F 9 AM - 4:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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ers

451

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Encino Specialty/

Primary Care Physicians PPG/Phy #

1ass

Shtorch, Eyal, M.D.

Gender: Male

License No: A64854

NPI: 1942395603

Internal Medicine

1

16133 Ventura Blvd. # 360

4

Encino, CA 91436

1801 081978

(818) 986-6009

Prov Language: Hebrew

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Encino Specialty/

Primary Care Physicians PPG/Phy #

1ass

Zarian, David H., M.D.

Gender: Male

License No: A43580

NPI: 1629179288

Internal Medicine

1

16661 Ventura Blvd. # 310

4

Encino, CA 91436

1801 019023

(818) 986-7399

Prov Language: Farsi, Hebrew, Spanish

Office Staff Language

#

: Armenian, Farsi,

Spanish

Accessibility:*:

Hours: M-F 8 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp - SFV PPG 1801

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Granada Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Aazami, Hessam, M.D.

Gender: Male

License No: A85704

NPI: 1144299173

General Practice

17709 Chatsworth St.

4

Granada Hills, CA 91344

1801 134414

(818) 363-8176

Prov Language: Farsi, Italian, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,IB,E)

Hours: M-F 8:30 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Granada Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Koshak, Michael M., M.D.

Gender: Male

License No: A36588

NPI: 1689680696

General Practice

17709 Chatsworth St.

4

Granada Hills, CA 91344

1801 057168

(818) 363-8176

Prov Language: French, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,IB,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

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ary C

are

P

ro

vid

ers

453

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Granada Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lim, Duck, M.D.

Gender: Male

License No: A50830

NPI: 1194818765

Internal Medicine

10700 Balboa Blvd.

4

Granada Hills, CA 91344

1801 045686

(818) 366-6550

Prov Language: Korean

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB,IB,R)

Hours: M-F 9 AM - 6 PM, SA 9 AM - 1 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Granada Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Madhure, Jay B., M.D.

Gender: Male

License No: A33612

NPI: 1770518714

Family Practice

16281 San Fernando Mission

Blvd.

4

Granada Hills, CA 91344

1801 531559

(818) 838-4600

Prov Language: Kannada, Spanish

Office Staff Language

#

: Kannada, Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp - SFV PPG 1801

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

La Canada Specialty/

Primary Care Physicians PPG/Phy #

1ass

Schubert, William F., M.D.

Gender: Male

License No: A16379

NPI: 1801874003

Family Practice

1407 Foothill Blvd.

La Canada, CA 91011

1801 024967

(818) 790-1121

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Huverserian, Linda J., M.D.

Gender: Female

License No: A120212

NPI: 1255658068

Family Practice

3920 Eagle Rock Blvd. # A

4

Los Angeles, CA 90065

1801 194373

(323) 255-5225

Prov Language: Armenian

Office Staff Language

#

: Armenian, Farsi,

Russian, Spanish, Tagalog, Vietnamese

Accessibility:*: Limited(P,IB,E,T)

Hours: M-F 8 AM - 5 PM, SA 9 AM - 2 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

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ary C

are

P

ro

vid

ers

455

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kevorkian, Siranoush H.,

M.D.

Gender: Female

License No: A35663

NPI: 1457416265

General Practice

3920 Eagle Rock Blvd. # A

4

Los Angeles, CA 90065

1801 074428

(323) 255-5225

Prov Language: Armenian, Romanian, Russian,

Spanish

Office Staff Language

#

: Armenian, Farsi,

Russian, Spanish, Tagalog, Vietnamese

Accessibility:*: Limited(P,IB,E,T)

Hours: TH-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Alfaro, Maria Victoria R.,

M.D.

Gender: Female

License No: A84818

NPI: 1225131535

Internal Medicine

14901 Rinaldi St. # 200

4

Mission Hills, CA 91345

1801 223491

(818) 365-8553

Prov Language: Tagalog

Office Staff Language

#

:

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp - SFV PPG 1801

Primary Care Providers

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Benjamin, Hilma R., M.D.

Gender: Female

License No: A99339

NPI: 1609088269

Family Practice

1

10550 Sepulveda Blvd. # 101

4

Mission Hills, CA 91345

1801 158494

(818) 361-5437

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,IB,E)

Hours: TH-F 9 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Esparrago, Jose Mari Z.,

M.D.

2

Gender: Male

License No: A64025

NPI: 1083616106

Family Practice

14901 Rinaldi St. # 200

4

Mission Hills, CA 91345

1801 094908

(818) 365-8553

Prov Language: Tagalog

Office Staff Language

#

:

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: TU 2 PM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

457

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Hom, Denise L., M.D.

Gender: Female

License No: A60972

NPI: 1003809187

Family Practice

1

14901 Rinaldi St. # 200

4

Mission Hills, CA 91345

1801 087453

(818) 365-8553

Office Staff Language

#

:

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mina, Nagwa F., M.D.

Gender: Female

License No: A101771

NPI: 1528234051

Family Practice

1

15340 Devonshire St. # 8

4

Mission Hills, CA 91345

1801 188407

(818) 894-9411

Prov Language: Arabic, Spanish

Office Staff Language

#

: Arabic, Spanish

Accessibility:*: Limited(EB,IB,E)

Hours: TU-SA 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp - SFV PPG 1801

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Qozi-Habash, Tedmur, M.D.

Gender: Female

License No: A91026

NPI: 1710978135

Family Practice

1

14901 Rinaldi St. # 200

4

Mission Hills, CA 91345

1801 128752

(818) 365-8553

Prov Language: Arabic, French, Spanish

Office Staff Language

#

:

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Slavov, Carmen S., M.D.

Gender: Female

License No: C53065

NPI: 1043205909

Internal Medicine

1

14901 Rinaldi St. # 201

4

Mission Hills, CA 91345

1801 148245

(818) 838-6716

Prov Language: French, Romanian, Spanish

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

459

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Yeghoyan, Karine, M.D.

Gender: Female

License No: A118734

NPI: 1265664304

Internal Medicine

1

11550 Indian Hills Rd. # 240

4

Mission Hills, CA 91345

1801 185587

(818) 488-5188

Prov Language: Armenian, Russian, Spanish

Office Staff Language

#

: Armenian, Russian,

Spanish

Self Reported Accessibility:*: Limited(EB,IB,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Montrose Specialty/

Primary Care Physicians PPG/Phy #

1ass

Muradyan, Ruben, M.D.

Gender: Male

License No: A51749

NPI: 1124001045

Family Practice

2103 Montrose Ave. # E

4

Montrose, CA 91020

1801 056853

(818) 957-2007

Prov Language: Armenian, Farsi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp - SFV PPG 1801

Primary Care Providers

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Newhall Specialty/

Primary Care Physicians PPG/Phy #

1ass

Brenner, Stacey R., M.D.

Gender: Female

License No: A110567

NPI: 1386971505

Internal Medicine

1

24355 Lyons Ave. # 210

Newhall, CA 91321

1801 169565

(661) 222-9381

Office Staff Language

#

: Spanish

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Newhall Specialty/

Primary Care Physicians PPG/Phy #

1ass

Dorio, Raymond J., M.D.

Gender: Male

License No: A29371

NPI: 1205984739

General Practice

24237 Main St.

Newhall, CA 91321

1801 213175

(661) 259-6302

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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are

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ers

461

3

Physician is currently not accepting new patients.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Newhall Specialty/

Primary Care Physicians PPG/Phy #

1ass

Katukota, Vijaya K., M.D.

Gender: Female

License No: A38220

NPI: 1225218522

General Practice

24625 Arch St

4

Newhall, CA 91321

1801 008583

(661) 288-2644

Prov Language: Hindi, Spanish

Office Staff Language

#

: Hindi, Spanish

Accessibility:*: Limited(IB,E)

Hours: TU 7 AM - 4:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Newhall Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mysko, David E., M.D.

3

Gender: Male

License No: G14939

NPI: 1326103169

Family Practice

23928 Lyons Ave. # 201

Newhall, CA 91321

1801 051829

(661) 254-6600

Prov Language: Spanish

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: W-F 9 AM - 5 PM, TU 9 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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462 / www.healthnet.com/calmediconnect

Regal Med Grp - SFV PPG 1801

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Newhall Specialty/

Primary Care Physicians PPG/Phy #

1ass

Tebi, Sina, M.D.

Gender: Male

License No: A115277

NPI: 1437380789

Internal Medicine

1

23928 Lyons Ave. # 204

Newhall, CA 91321

1801 202885

(661) 222-2300

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 7:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Newhall Specialty/

Primary Care Physicians PPG/Phy #

1ass

Yadegari, Michael, M.D.

Gender: Male

License No: A100335

NPI: 1023293016

Internal Medicine

1

24625 Arch St

4

Newhall, CA 91321

1801 185575

(661) 288-2644

Prov Language: Farsi, Spanish

Office Staff Language

#

: Hindi, Spanish

Accessibility:*: Limited(IB,E)

Hours: M-SA 7 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

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ary C

are

P

ro

vid

ers

463

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Chatterjee, Neil A., M.D.

Gender: Male

License No: A66747

NPI: 1265554695

General Practice

15206 Parthenia St.

4

North Hills, CA 91343

1801 155148

(818) 895-3100

Prov Language: Bengali, Spanish

Office Staff Language

#

: Spanish, Tagalog

Accessibility:*: Limited(P,EB,IB)

Hours: SA 7 AM - 3 PM, M-F 8 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hills Specialty/

Primary Care Physicians PPG/Phy #

Chatterjee, Neil A., M.D.

Gender: Male

License No: A66747

NPI: 1265554695

General Practice

15210 Parthenia St.

4

North Hills, CA 91343

1801 155148

(818) 895-3100

Prov Language: Bengali, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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464 / www.healthnet.com/calmediconnect

Regal Med Grp - SFV PPG 1801

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ezra, Eshagh J., M.D.

Gender: Male

License No: A56249

NPI: 1790797835

General Practice

15424 Nordhoff St. # B

4

North Hills, CA 91343

1801 086350

(818) 891-5500

Prov Language: Farsi, Spanish

Office Staff Language

#

: Farsi, Spanish

Accessibility:*: Limited(EB,R,E)

Hours: M-F 10 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lim, Jennifer S., M.D.

Gender: Female

License No: A63309

NPI: 1528288990

Family Practice

1

15206 Parthenia St.

4

North Hills, CA 91343

1801 150063

(818) 895-3100

Prov Language: Spanish

Office Staff Language

#

: Spanish, Tagalog

Accessibility:*: Limited(P,EB,IB)

Hours: SA 7:30 AM - 3 PM, M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

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ary C

are

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ro

vid

ers

465

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lund, Shewak R., M.D.

Gender: Male

License No: A38222

NPI: 1336244458

General Practice

15206 Parthenia St.

4

North Hills, CA 91343

1801 551403

(818) 895-3100

Prov Language: Hindi, Punjabi, Sindhi, Urdu

Office Staff Language

#

: Spanish, Tagalog

Accessibility:*: Limited(P,EB,IB)

Hours: SA 7:30 AM - 3:30 PM, M-F 8 AM - 5

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Maissian, Gevork J., D.O.

Gender: Male

License No: 20A10524

NPI: 1639320658

Internal Medicine

8719 Woodley Ave.

4

North Hills, CA 91343

1801 150333

(818) 920-1232

Prov Language: Armenian, Russian

Office Staff Language

#

: Armenian, Russian,

Spanish

Accessibility:*: Limited(EB,IB)

Hours: M-F 9 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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466 / www.healthnet.com/calmediconnect

Regal Med Grp - SFV PPG 1801

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Rastegar, John H., M.D.

Gender: Male

License No: A53847

NPI: 1609936483

General Practice

15206 Parthenia St.

4

North Hills, CA 91343

1801 551404

(818) 895-3100

Prov Language: Farsi, Spanish

Office Staff Language

#

: Spanish, Tagalog

Accessibility:*: Limited(P,EB,IB)

Hours: TU,TH 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Shenoy, Mahamaya A., M.D.

Gender: Female

License No: A51777

NPI: 1861536591

General Practice

15206 Parthenia St.

4

North Hills, CA 91343

1801 143917

(818) 895-3100

Prov Language: Hindi, Spanish

Office Staff Language

#

: Spanish, Tagalog

Accessibility:*: Limited(P,EB,IB)

Hours: M-F 8 AM - 6 PM, SA 8 AM - 1 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

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ary C

are

P

ro

vid

ers

467

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Tamari, Mansour, M.D.

Gender: Male

License No: A64183

NPI: 1508963935

General Practice

9146 Sepulveda Blvd. # B

4

North Hills, CA 91343

1801 068804

(818) 920-1133

Prov Language: Farsi, Spanish

Office Staff Language

#

: Farsi, Spanish

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 10 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Yoo, Kyung S., M.D.

Gender: Male

License No: A44472

NPI: 1588754675

Family Practice

1

15446 Parthenia St.

4

North Hills, CA 91343

1801 018905

(818) 891-1616

Prov Language: Korean, Spanish

Office Staff Language

#

: Korean, Spanish

Accessibility:*: Limited(EB,IB)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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468 / www.healthnet.com/calmediconnect

Regal Med Grp - SFV PPG 1801

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Al-Imami, Jihad S., M.D.

Gender: Male

License No: A30092

NPI: 1881627362

Internal Medicine

1

6428 Coldwater Canyon Ave

4

North Hollywood, CA 91606

1801 032516

(818) 308-6440

Prov Language: Arabic

Office Staff Language

#

: Arabic, Armenian,

French, Spanish

Accessibility:*: Limited(EB,IB,R,E)

Hours: M-F 10 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Antonio, Adelaida B., M.D.

Gender: Female

License No: C41801

NPI: 1134337975

General Practice

8001 Laurel Canyon Blvd. # 109

North Hollywood, CA 91605

1801 500438

(818) 767-4728

Prov Language: Spanish, Tagalog

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

469

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Cocco, John M., M.D.

Gender: Male

License No: G18076

NPI: 1194941724

General Practice

8065 Webb Ave. # A

North Hollywood, CA 91605

1801 503021

(818) 927-0021

Prov Language: French, Italian, Spanish

Office Staff Language

#

: French, Italian, Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: TH 9 AM - 1 PM, TU 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Cooke Jr, Bernard M., M.D.

Gender: Male

License No: G28473

NPI: 1083743322

Internal Medicine

1

12626 Riverside Dr. # 503

4

North Hollywood, CA 91607

1801 019948

(818) 980-1088

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB,E)

Hours: M-F 7 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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470 / www.healthnet.com/calmediconnect

Regal Med Grp - SFV PPG 1801

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Daszko, Jarom A., M.D.

Gender: Male

License No: G72860

NPI: 1487674693

Family Practice

12660 Riverside Dr. # 320

4

North Hollywood, CA 91607

1801 520838

(818) 755-0391

Prov Language: Hmong (White), Polish,

Russian, Spanish, Ukranian

Office Staff Language

#

: Japanese

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Doostan, Jay E., M.D.

Gender: Male

License No: A33650

NPI: 1902916729

Internal Medicine

12922 Victory Blvd.

4

North Hollywood, CA 91606

1801 504135

(310) 703-4233

Prov Language: Armenian, Farsi, Hindi,

Spanish

Office Staff Language

#

: Armenian, Farsi, Hindi,

Russian, Spanish

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-TU,TH 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

471

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Fridman Jr, Alex, M.D.

Gender: Male

License No: A103675

NPI: 1902018385

Internal Medicine

1

12157 Victory Blvd.

4

North Hollywood, CA 91606

1801 146934

(818) 755-8000

Prov Language: Russian

Office Staff Language

#

: Arabic, Armenian,

Russian, Spanish, Tagalog

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M 10 AM - 7 PM, TU-W 10 AM - 8 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Hunt, David A., M.D.

Gender: Male

License No: G48019

NPI: 1881604890

General Practice

12134 Victory Blvd. # C

North Hollywood, CA 91606

1801 091158

(818) 762-8702

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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472 / www.healthnet.com/calmediconnect

Regal Med Grp - SFV PPG 1801

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

Hunt, David A., M.D.

Gender: Male

License No: G48019

NPI: 1881604890

General Practice

12134 Victory Blvd. # A

North Hollywood, CA 91606

1801 091158

(818) 762-8702

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Koshak, Michael M., M.D.

Gender: Male

License No: A36588

NPI: 1689680696

General Practice

11631 Victory Blvd. # 101

4

North Hollywood, CA 91606

1801 057168

(818) 764-8838

Prov Language: French, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,IB,E)

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

473

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mahdessian, Hovsep G.,

M.D.

Gender: Male

License No: A102305

NPI: 1659544203

General Practice

6428 Coldwater Canyon Ave

4

North Hollywood, CA 91606

1801 148373

(818) 308-6440

Prov Language: Arabic, Armenian, French,

Spanish

Office Staff Language

#

: Arabic, Armenian,

French, Spanish

Accessibility:*: Limited(EB,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Makovoz, Galina, M.D.

Gender: Female

License No: A47756

NPI: 1558351833

General Practice

11631 Victory Blvd. # 103

4

North Hollywood, CA 91606

1801 060837

(818) 762-3116

Prov Language: Russian

Office Staff Language

#

: Russian

Accessibility:*: Limited(P,EB,E)

Hours: TU 9 AM - 6 PM, SA 9 AM - 3 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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474 / www.healthnet.com/calmediconnect

Regal Med Grp - SFV PPG 1801

Primary Care Providers

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mkhitarian, Aram, D.O.

Gender: Male

License No: 20A12274

NPI: 1952565301

General Practice

4942 Vineland Ave.

North Hollywood, CA 91601

1801 193315

(818) 350-8184

Prov Language: Armenian

Office Staff Language

#

:

Accessibility:*:

Hours: S-SA 8 AM - 10 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Oganyan, Hakop K., M.D.

Gender: Male

License No: A83140

NPI: 1366472045

General Practice

6330 Laurel Canyon Blvd. # B

North Hollywood, CA 91606

1801 110175

(213) 481-9900

Prov Language: Arabic, Armenian, Russian,

Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

475

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Paronian, Oganes, M.D.

Gender: Male

License No: A54463

NPI: 1528048899

General Practice

12157 Victory Blvd.

4

North Hollywood, CA 91606

1801 060744

(818) 755-8000

Prov Language: Armenian, Marathi, Russian,

Spanish

Office Staff Language

#

: Arabic, Armenian,

Russian, Spanish, Tagalog

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: S 9 AM - 1 PM, M-F 7:30 AM - 7 PM, SA

8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Rose, Daniel M., M.D.

Gender: Male

License No: A44506

NPI: 1285668962

Family Practice

12134 Victory Blvd.

North Hollywood, CA 91606

1801 014388

(818) 762-8702

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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476 / www.healthnet.com/calmediconnect

Regal Med Grp - SFV PPG 1801

Primary Care Providers

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

Rose, Daniel M., M.D.

Gender: Male

License No: A44506

NPI: 1285668962

Family Practice

12134 Victory Blvd. # A

North Hollywood, CA 91606

1801 014388

(818) 762-8702

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Rotman, Aron L., M.D.

Gender: Male

License No: G73976

NPI: 1508900887

Internal Medicine

12134 Victory Blvd.

North Hollywood, CA 91606

1801 025385

(818) 762-8702

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

477

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Safvati, Shavash, M.D.

2

Gender: Male

License No: A49842

NPI: 1083704076

Internal Medicine

12626 Riverside Dr. # 303

4

North Hollywood, CA 91607

1801 050280

(818) 760-2434

Prov Language: Farsi, Hebrew, Russian,

Spanish, Tagalog

Office Staff Language

#

: Farsi, Hebrew, Russian

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Shamsa, Iraj, M.D.

Gender: Male

License No: A49893

NPI: 1871655654

General Practice

8001 Laurel Canyon Blvd. # 109

North Hollywood, CA 91605

1801 067025

(818) 767-4728

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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478 / www.healthnet.com/calmediconnect

Regal Med Grp - SFV PPG 1801

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Sirajullah, Mohammad, M.D.

Gender: Male

License No: C51163

NPI: 1346339884

General Practice

8001 Laurel Canyon Blvd. # 109

North Hollywood, CA 91605

1801 106860

(818) 767-4728

Prov Language: Bengali, Hindi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ter-Poghosyan, Zarine,

M.D.

Gender: Female

License No: A101387

NPI: 1114102993

Family Practice

12507 Victory Blvd.

4

North Hollywood, CA 91606

1801 144278

(818) 769-7540

Prov Language: Armenian, Russian

Office Staff Language

#

: Armenian, Russian

Accessibility:*: Limited(P,EB,IB)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

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ary C

are

P

ro

vid

ers

479

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Vaisman, Mark, M.D.

Gender: Male

License No: A38899

NPI: 1891976189

General Practice

12660 Riverside Dr. # 310

4

North Hollywood, CA 91607

1801 047692

(818) 755-0391

Prov Language: Romanian, Russian, Spanish

Office Staff Language

#

:

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Amini, Parviz, M.D.

2

Gender: Male

License No: A48740

NPI: 1942230495

Internal Medicine

8435 Reseda Blvd.

4

Northridge, CA 91324

1801 046412

(818) 998-6000

Prov Language: Farsi, Hebrew

Office Staff Language

#

:

Self Reported Accessibility:*: Limited(P,EB,R,E)

Hours: M-TU,TH 8 AM - 4 PM, W,F 8 AM - 12

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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480 / www.healthnet.com/calmediconnect

Regal Med Grp - SFV PPG 1801

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Asuncion, Merlyn M., M.D.

Gender: Female

License No: A49850

NPI: 1679656193

Internal Medicine

1

17075 Devonshire St. # 305

4

Northridge, CA 91325

1801 079998

(818) 363-0084

Prov Language: Spanish, Tagalog

Office Staff Language

#

:

Accessibility:*: Limited(E)

Hours: M-F 10 AM - 5 PM, SA 10 AM - 2 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kochumian, Minas, M.D.

Gender: Male

License No: A54808

NPI: 1235322538

Internal Medicine

18251 Roscoe Blvd. # 202

Northridge, CA 91325

1801 069952

(818) 709-5154

Prov Language: Arabic, Armenian, Spanish,

Turkish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

481

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Matias, Belen A., M.D.

Gender: Female

License No: A56439

NPI: 1881874691

Internal Medicine

17075 Devonshire St. # 305

4

Northridge, CA 91325

1801 083403

(818) 363-0110

Prov Language: Tagalog

Office Staff Language

#

:

Accessibility:*: Limited(E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Minasian-Arakelian,

Hanriet, D.O.

Gender: Female

License No: 20A9021

NPI: 1194765594

Internal Medicine

1

9247 Reseda Blvd.

Northridge, CA 91324

1801 137078

(818) 993-7379

Prov Language: Armenian, Spanish

Office Staff Language

#

: Armenian, Spanish

Accessibility:*: Limited(P,IB,R,E)

Hours: M-W 10 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp - SFV PPG 1801

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Poulose, Jacob, M.D.

Gender: Male

License No: A113557

NPI: 1578723508

Internal Medicine

1

8349 Reseda Blvd. # G

4

Northridge, CA 91324

1801 199128

(818) 886-7300

Office Staff Language

#

: Hindi, Spanish

Accessibility:*: Limited(IB,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Rabadi, Fares J., M.D.

Gender: Male

License No: A66578

NPI: 1023043635

Internal Medicine

1

18350 Roscoe Blvd. # 514

4

Northridge, CA 91325

1801 091450

(818) 775-0519

Prov Language: Arabic, Russian, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

483

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Raeesy-Nezhad, Amir H.,

M.D.

Gender: Male

License No: A97308

NPI: 1417044132

Internal Medicine

1

9900 Balboa Blvd. # A

4

Northridge, CA 91325

1801 135857

(818) 701-0017

Prov Language: Armenian, Farsi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: SA 9 AM - 4 PM, M-F 9 AM - 8 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Primary Care Physicians PPG/Phy #

Raeesy-Nezhad, Amir H.,

M.D.

Gender: Male

License No: A97308

NPI: 1417044132

Internal Medicine

1

9900 Balboa Blvd. # B

4

Northridge, CA 91325

1801 135857

(818) 701-0017

Prov Language: Armenian, Farsi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: SA 9 AM - 4 PM, M-F 9 AM - 8 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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484 / www.healthnet.com/calmediconnect

Regal Med Grp - SFV PPG 1801

Primary Care Providers

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Shore, Philip S., M.D.

2

Gender: Male

License No: G71824

NPI: 1265465702

Family Practice

18546 Roscoe Blvd. # 302

4

Northridge, CA 91324

1801 031182

(818) 886-1100

Office Staff Language

#

:

Accessibility:*: Limited(EB,IB,E)

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Vasquez, Julio N., M.D.

Gender: Male

License No: A45461

NPI: 1639262561

General Practice

8540 Reseda Blvd. # 240

4

Northridge, CA 91324

1801 050282

(818) 772-7023

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,R,E)

Hours: M-F 9 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

485

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Primary Care Physicians PPG/Phy #

1ass

Wilen, Lilly L., M.D.

Gender: Female

License No: A61876

NPI: 1275553679

Internal Medicine

1

17075 Devonshire St # 306

4

Northridge, CA 91325

1801 075474

(818) 831-3227

Prov Language: Japanese, Mandarin

Office Staff Language

#

: Spanish, Thai

Accessibility:*: Limited(EB)

Hours: F 9 AM - 6 PM, M-TH 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pacoima Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lim, Jennifer S., M.D.

Gender: Female

License No: A63309

NPI: 1528288990

Family Practice

1

9919 Laurel Canyon Blvd.

Pacoima, CA 91331

1801 150063

(818) 895-3100

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,IB)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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486 / www.healthnet.com/calmediconnect

Regal Med Grp - SFV PPG 1801

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pacoima Specialty/

Primary Care Physicians PPG/Phy #

1ass

Tahery, Parviz P., M.D.

Gender: Male

License No: A42680

NPI: 1275564775

General Practice

13680 Van Nuys Blvd.

4

Pacoima, CA 91331

1801 057269

(818) 897-7730

Prov Language: Farsi, French, Spanish

Office Staff Language

#

: Farsi, French, Spanish

Accessibility:*: Limited(P,IB,E)

Hours: M-F 9 AM - 4:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Palmdale Specialty/

Primary Care Physicians PPG/Phy #

1ass

Faustina, Gilbert E., M.D.

Gender: Male

License No: C26359

NPI: 1558303271

General Practice

1543 E. Palmdale Blvd. # F

Palmdale, CA 93550

1801 138061

(661) 274-1200

Prov Language: Spanish

Office Staff Language

#

: Bengali, Hindi, Spanish

Accessibility:*: Limited(P,EB,IB)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp - SFV PPG 1801

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

487

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Palmdale Specialty/

Primary Care Physicians PPG/Phy #

Faustina, Gilbert E., M.D.

Gender: Male

License No: C26359

NPI: 1558303271

General Practice

1543 E. Palmdale Blvd. # C

Palmdale, CA 93550

1801 138061

(661) 274-1200

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB,IB)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Palmdale Specialty/

Primary Care Physicians PPG/Phy #

1ass

Pillai, Dewey D., M.D.

Gender: Male

License No: A87833

NPI: 1134161482

Family Practice

1220 E. Ave. S # D

Palmdale, CA 93550

1801 131730

(661) 947-4124

Prov Language: Spanish, Tamil

Office Staff Language

#

: Armenian, Farsi,

Spanish, Tamil

Accessibility:*: Limited(P,IB)

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp - SFV PPG 1801

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Panorama City Specialty/

Primary Care Physicians PPG/Phy #

1ass

Babaran, Joselito P., M.D.

Gender: Male

License No: A51480

NPI: 1225072564

Internal Medicine

8340 Van Nuys Blvd. # L

4

Panorama City, CA 91402

1801 063641

(818) 895-4900

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Tagalog

Accessibility:*: Limited(IB)

Hours: TH-F 9 AM - 5 PM, W 2 PM - 6 PM, SA

9 AM - 1 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Panorama City Specialty/

Primary Care Physicians PPG/Phy #

1ass

Chen, Loren Y., M.D.

Gender: Male

License No: A60889

NPI: 1972581643

Internal Medicine

1

14860 Roscoe Blvd. # 307

4

Panorama City, CA 91402

1801 068037

(818) 787-4084

Office Staff Language

#

:

Accessibility:*:

Hours: M-W 2 PM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

489

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Panorama City Specialty/

Primary Care Physicians PPG/Phy #

1ass

Habib, Shehnaz N., M.D.

Gender: Female

License No: A50211

NPI: 1215039631

Internal Medicine

14860 Roscoe Blvd. # 300

4

Panorama City, CA 91402

1801 063752

(818) 782-0604

Prov Language: Hindi, Sindhi, Spanish, Urdu

Office Staff Language

#

: Hindi, Sindhi, Spanish,

Urdu

Accessibility:*: Limited(P,E)

Hours: F 9 AM - 4 PM, M-TH 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Panorama City Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kashani, Daryoush Y., M.D.

Gender: Male

License No: A66698

NPI: 1386847531

General Practice

8727 Van Nuys Blvd. # 101

4

Panorama City, CA 91402

1801 083388

(818) 899-5555

Prov Language: Farsi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,IB,R,E)

Hours: SA 8 AM - 2 PM, M-F 8:30 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp - SFV PPG 1801

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Panorama City Specialty/

Primary Care Physicians PPG/Phy #

1ass

Michail, Reyadh J., M.D.

Gender: Male

License No: A41791

NPI: 1508847831

General Practice

14860 Roscoe Blvd. # 201

4

Panorama City, CA 91402

1801 051271

(818) 787-1049

Prov Language: Arabic, Armenian, Spanish

Office Staff Language

#

: Arabic, Armenian,

Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Panorama City Specialty/

Primary Care Physicians PPG/Phy #

1ass

Montenegro, Romeo U.,

M.D.

Gender: Male

License No: G80659

NPI: 1629297163

General Practice

14427 Chase St. # 100

4

Panorama City, CA 91402

1801 073339

(818) 830-7751

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Spanish, Tagalog

Accessibility:*: Limited(IB)

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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are

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ro

vid

ers

491

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Panorama City Specialty/

Primary Care Physicians PPG/Phy #

1ass

Nossett, Angela D., M.D.

Gender: Female

License No: A71543

NPI: 1194754457

Family Practice

1

8215 Van Nuys Blvd. # 212

4

Panorama City, CA 91402

1801 155577

(818) 902-9229

Prov Language: Spanish

Office Staff Language

#

: Farsi, Spanish

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M,W,F 12 PM - 6 PM, SA 8 AM - 12 PM,

TU,TH 2 PM - 8 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Panorama City Specialty/

Primary Care Physicians PPG/Phy #

1ass

Villar, Hermilito L., M.D.

Gender: Male

License No: A41795

NPI: 1710946009

General Practice

14400 Roscoe Blvd. # B

4

Panorama City, CA 91402

1801 067267

(818) 830-6888

Prov Language: Spanish, Tagalog

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,IB,E)

Hours: F 9 AM - 1 PM, M-TH 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp - SFV PPG 1801

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mathioulakis, Stan, M.D.

Gender: Male

License No: A85470

NPI: 1912080847

Internal Medicine

1

10 Congress St. # 506

4

Pasadena, CA 91105

1801 105576

(626) 584-9898

Prov Language: French, Greek, Italian, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,IB,R)

Hours: TU,TH 9 AM - 12 PM, M,W,F 9 AM - 5

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Bahng, Agnes Y., M.D.

Gender: Female

License No: A128840

NPI: 1740570100

General Practice

18625 Sherman Way # 104

4

Reseda, CA 91335

1801 219370

(818) 342-8171

Prov Language: Korean

Office Staff Language

#

: Spanish, Vietnamese

Accessibility:*: Limited(P,EB,IB)

Hours: SA 9 AM - 2 PM, M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

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are

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ro

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ers

493

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Baltaian, Lilit, M.D.

Gender: Female

License No: A105197

NPI: 1154552305

General Practice

7640 Tampa Ave. # 107

Reseda, CA 91335

1801 166786

(818) 697-5950

Prov Language: Arabic, Armenian, Russian,

Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: TU,TH 10 AM - 6 PM, SA 10 AM - 2 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Hosseinian, Gholam R.,

M.D.

Gender: Male

License No: A72485

NPI: 1124042882

General Practice

18701 Sherman Way # 4

4

Reseda, CA 91335

1801 095932

(818) 881-8989

Prov Language: Farsi, Spanish

Office Staff Language

#

: Farsi, Spanish

Accessibility:*: Limited(P)

Hours: M-W,F 9 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp - SFV PPG 1801

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Javadi, Nader, M.D.

Gender: Male

License No: A67700

NPI: 1962405266

Internal Medicine

19231 Victory Blvd. # 103

4

Reseda, CA 91335

1801 109631

(818) 578-6454

Prov Language: Arabic, Farsi, German,

Spanish, Turkish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kamrava, Kamran K., M.D.

Gender: Male

License No: A43281

NPI: 1053483800

General Practice

6915 Reseda Blvd. # 1

4

Reseda, CA 91335

1801 029011

(818) 343-2121

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

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ary C

are

P

ro

vid

ers

495

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Karbasi, Aref, M.D.

Gender: Male

License No: A122436

NPI: 1710208046

Family Practice

1

18445 Vanowen St. # A

Reseda, CA 91335

1801 217466

(818) 708-8484

Prov Language: Farsi, Spanish

Office Staff Language

#

: Farsi, Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kashani, Ataoiah M., M.D.

Gender: Male

License No: A41464

NPI: 1740349851

General Practice

18355 Sherman Way

4

Reseda, CA 91335

1801 057493

(818) 343-0964

Prov Language: Farsi, Hebrew, Spanish

Office Staff Language

#

: Farsi, Hebrew, Spanish

Self Reported Accessibility:*: Limited(P)

Hours: M-TH 9 AM - 7 PM, F 9 AM - 2 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp - SFV PPG 1801

Primary Care Providers

3

Physician is currently not accepting new patients.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Martinez Cardenas, Jose F.,

M.D.

3

Gender: Male

License No: A81030

NPI: 1700827052

Internal Medicine

18518 Sherman Way

4

Reseda, CA 91335

1801 103565

(818) 757-0954

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Nguyen, Hung V., M.D.

Gender: Male

License No: A42303

NPI: 1104819945

General Practice

7227 Reseda Blvd.

4

Reseda, CA 91335

1801 065719

(818) 708-3740

Prov Language: Spanish, Vietnamese

Office Staff Language

#

: Spanish, Vietnamese

Accessibility:*: Limited(P,IB,E)

Hours: SA 8 AM - 12 PM, M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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ary C

are

P

ro

vid

ers

497

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Phan, Mai T., M.D.

Gender: Female

License No: A51466

NPI: 1306879283

Internal Medicine

18625 Sherman Way # 104

4

Reseda, CA 91335

1801 049437

(818) 342-8171

Prov Language: Korean, Vietnamese

Office Staff Language

#

: Spanish, Vietnamese

Accessibility:*: Limited(P,EB,IB)

Hours: M 9 AM - 5 PM, SA 9 AM - 2 PM, TH-F 9

AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Pietruszka, Marvin, M.D.

Gender: Male

License No: A30858

NPI: 1740393446

General Practice

19234 Vanowen St.

4

Reseda, CA 91335

1801 059777

(818) 705-1157

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp - SFV PPG 1801

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

San Fernando Specialty/

Primary Care Physicians PPG/Phy #

1ass

Flores, Louis B., M.D.

Gender: Male

License No: A32929

NPI: 1760606123

Family Practice

1

11273 Laurel Canyon Blvd. # 1

4

San Fernando, CA 91340

1801 166226

(818) 356-3978

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,IB)

Hours: M-F 8:30 AM - 5 PM, SA 8:30 AM - 12

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

San Fernando Specialty/

Primary Care Physicians PPG/Phy #

1ass

Flores, Robert O., M.D.

Gender: Male

License No: G40429

NPI: 1932162013

Family Practice

11273 Laurel Canyon Blvd. # 1

4

San Fernando, CA 91340

1801 059543

(818) 365-3978

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,IB)

Hours: M-F 8:30 AM - 5:30 PM, SA 8:30 AM -

12:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

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ary C

are

P

ro

vid

ers

499

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

San Fernando Specialty/

Primary Care Physicians PPG/Phy #

1ass

Folmsbee, Mark A., D.O.

Gender: Male

License No: 20A14847

NPI: 1427393123

General Practice

732 Mott St. # 100

San Fernando, CA 91340

1801 223462

(818) 963-5690

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

San Fernando Specialty/

Primary Care Physicians PPG/Phy #

1ass

Nossett, Angela D., M.D.

Gender: Female

License No: A71543

NPI: 1194754457

Family Practice

1

732 Mott St. # 100

San Fernando, CA 91340

1801 155577

(818) 365-0726

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp - SFV PPG 1801

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

San Fernando Specialty/

Primary Care Physicians PPG/Phy #

1ass

Parray, Hafiz U., M.D.

Gender: Male

License No: A33111

NPI: 1932297710

Family Practice

418 San Fernando Mission Blvd.

4

San Fernando, CA 91340

1801 031976

(818) 365-5661

Prov Language: Hindi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,IB)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

San Fernando Specialty/

Primary Care Physicians PPG/Phy #

Parray, Hafiz U., M.D.

Gender: Male

License No: A33111

NPI: 1932297710

Internal Medicine

418 San Fernando Mission Blvd.

4

San Fernando, CA 91340

1801 031976

(818) 365-5661

Prov Language: Hindi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,IB)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

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ary C

are

P

ro

vid

ers

501

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

San Fernando Specialty/

Primary Care Physicians PPG/Phy #

1ass

Partovy, Robert, D.O.

Gender: Male

License No: 20A7033

NPI: 1063591477

Family Practice

501 N. Maclay Ave.

4

San Fernando, CA 91340

1801 088825

(818) 361-3788

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,IB)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Santa Clarita Specialty/

Primary Care Physicians PPG/Phy #

1ass

Bai, Jilin, M.D.

Gender: Male

License No: A130116

NPI: 1003102856

General Practice

23861 McBean Pkwy. # D6

Santa Clarita, CA 91355

1801 217089

(661) 263-5033

Prov Language: Mandarin

Office Staff Language

#

: Mandarin

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp - SFV PPG 1801

Primary Care Providers

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Santa Clarita Specialty/

Primary Care Physicians PPG/Phy #

1ass

Fernandez, Eric L., M.D.

Gender: Male

License No: A60864

NPI: 1326052887

Internal Medicine

1

24355 Lyons Ave. # 222

Santa Clarita, CA 91321

1801 073617

(661) 222-9381

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,R,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Santa Clarita Specialty/

Primary Care Physicians PPG/Phy #

1ass

James, Linda E., M.D.

Gender: Female

License No: A90251

NPI: 1023100013

Family Practice

1

24355 Lyons Ave. # 210

Santa Clarita, CA 91321

1801 133453

(661) 222-9381

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp - SFV PPG 1801

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

503

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Santa Clarita Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mungcal, Renato V., M.D.

Gender: Male

License No: A42598

NPI: 1750555413

Family Practice

21700 Golden Triangle Rd. # 206

Santa Clarita, CA 91350

1801 039132

(661) 287-3983

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-W,F 9 AM - 5:30 PM, SA 8 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Santa Clarita Specialty/

Primary Care Physicians PPG/Phy #

1ass

Schwartz, Ronald, M.D.

Gender: Male

License No: A39334

NPI: 1891895702

General Practice

21700 Golden Triangle Rd. # 102

Santa Clarita, CA 91350

1801 059805

(661) 260-1155

Prov Language: Hebrew, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp - SFV PPG 1801

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Santa Clarita Specialty/

Primary Care Physicians PPG/Phy #

1ass

Vu, Andrea, M.D.

Gender: Female

License No: A102286

NPI: 1437131703

Family Practice

24355 Lyons Ave. # 210

Santa Clarita, CA 91321

1801 141997

(661) 222-9381

Prov Language: Vietnamese

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sherman Oaks Specialty/

Primary Care Physicians PPG/Phy #

1ass

Betz, Edward D., M.D.

Gender: Male

License No: G34138

NPI: 1750314019

Internal Medicine

1

4555 Sherman Oaks Ave.

4

Sherman Oaks, CA 91403

1801 520909

(818) 981-5800

Prov Language: Spanish

Office Staff Language

#

: Spanish

Self Reported Accessibility:*: Limited(P,R)

Hours: M-TH 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

505

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sherman Oaks Specialty/

Primary Care Physicians PPG/Phy #

1ass

Brent, Dale J., M.D.

Gender: Male

License No: A43070

NPI: 1992886618

Internal Medicine

1

4955 Van Nuys Blvd. # 411

4

Sherman Oaks, CA 91403

1801 031697

(818) 784-1195

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,R)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sherman Oaks Specialty/

Primary Care Physicians PPG/Phy #

1ass

Dicterow, Maurice L., M.D.

Gender: Male

License No: G22466

NPI: 1578639639

Family Practice

1

4849 Van Nuys Blvd. # 211

4

Sherman Oaks, CA 91403

1801 520070

(818) 788-8210

Prov Language: Spanish, Tagalog

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp - SFV PPG 1801

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sherman Oaks Specialty/

Primary Care Physicians PPG/Phy #

1ass

Fatima, Jabeen, M.D.

Gender: Female

License No: C53794

NPI: 1043392186

Family Practice

4955 Van Nuys Blvd. # 415

4

Sherman Oaks, CA 91403

1801 159280

(818) 528-1080

Prov Language: Arabic, Hindi, Urdu

Office Staff Language

#

:

Accessibility:*: Limited(IB,E)

Hours: M-F 7 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sherman Oaks Specialty/

Primary Care Physicians PPG/Phy #

1ass

Fleiderman, Marcos B., M.D.

Gender: Male

License No: A21519

NPI: 1700985363

Internal Medicine

4910 Van Nuys Blvd. # 308

Sherman Oaks, CA 91403

1801 057159

(818) 986-9918

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

507

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sherman Oaks Specialty/

Primary Care Physicians PPG/Phy #

1ass

Matian, Arash D., D.O.

Gender: Male

License No: 20A7841

NPI: 1558300582

Family Practice

1

13425 Ventura Blvd. # 102

4

Sherman Oaks, CA 91423

1801 133604

(818) 995-7784

Prov Language: Farsi

Office Staff Language

#

: Spanish, Tagalog

Self Reported Accessibility:*:

Limited(P,EB,IB,R)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sherman Oaks Specialty/

Primary Care Physicians PPG/Phy #

1ass

Oganessian, Janna, M.D.

Gender: Female

License No: A79854

NPI: 1801820832

Internal Medicine

13739 Riverside Dr. # B

4

Sherman Oaks, CA 91423

1801 103381

(818) 385-0001

Prov Language: Armenian, Russian

Office Staff Language

#

: Armenian, Russian

Accessibility:*: Limited(P,IB,E)

Hours: M-TH 9 AM - 5:30 PM, F 9 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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508 / www.healthnet.com/calmediconnect

Regal Med Grp - SFV PPG 1801

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sherman Oaks Specialty/

Primary Care Physicians PPG/Phy #

1ass

Schneider, Gary S., D.O.

Gender: Male

License No: 20A4198

NPI: 1346265782

Family Practice

1

4835 Van Nuys Blvd. # 109

Sherman Oaks, CA 91403

1801 520066

(818) 905-9586

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-TH 9 AM - 5:30 PM, F 9 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sherman Oaks Specialty/

Primary Care Physicians PPG/Phy #

1ass

Sheybani, Ali, M.D.

Gender: Male

License No: A105260

NPI: 1427006824

Internal Medicine

1

15450 Ventura Blvd. # 102

4

Sherman Oaks, CA 91403

1801 171391

(818) 464-4870

Prov Language: Farsi

Office Staff Language

#

:

Accessibility:*:

Hours: M-W,F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

509

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sun Valley Specialty/

Primary Care Physicians PPG/Phy #

1ass

Javaherian, Jasmin, D.O.

Gender: Female

License No: 20A8083

NPI: 1447294715

Internal Medicine

11349 Saticoy St.

4

Sun Valley, CA 91352

1801 102530

(818) 982-5750

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,IB)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sun Valley Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kazarian, Vahe, M.D.

Gender: Male

License No: A104760

NPI: 1477711661

Family Practice

1

8337 Laurel Cyn. Blvd.

Sun Valley, CA 91352

1801 150847

(818) 504-8499

Prov Language: Armenian, Russian

Office Staff Language

#

:

Accessibility:*:

Hours: S,SA 10 AM - 6 PM, M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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510 / www.healthnet.com/calmediconnect

Regal Med Grp - SFV PPG 1801

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sylmar Specialty/

Primary Care Physicians PPG/Phy #

1ass

Duron, Paul A., M.D.

Gender: Male

License No: A50452

NPI: 1811945082

Internal Medicine

13711 Foothill Blvd. Unit B # B

Sylmar, CA 91342

1801 062028

(818) 408-8008

Prov Language: Armenian, Farsi, Russian,

Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: S-SA 9 AM - 9 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sylmar Specialty/

Primary Care Physicians PPG/Phy #

1ass

Fanous, Basem, M.D.

Gender: Male

License No: A53406

NPI: 1619072600

Internal Medicine

1

14124 Foothill Blvd. # 100

4

Sylmar, CA 91342

1801 063919

(818) 367-1012

Prov Language: Arabic

Office Staff Language

#

: Hebrew, Spanish

Accessibility:*:

Hours: M-F 8 AM - 6 PM, SA 9 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

511

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sylmar Specialty/

Primary Care Physicians PPG/Phy #

1ass

Garabedyan, Tigran, D.O.

Gender: Male

License No: 20A11397

NPI: 1649589847

General Practice

13711 Foothill Blvd. Unit B

Sylmar, CA 91342

1801 227436

(818) 408-8008

Prov Language: Armenian, Russian, Spanish

Office Staff Language

#

: Armenian, Farsi,

Russian, Spanish

Self Reported Accessibility:*:

Limited(P,EB,R,E,T)

Hours: M-F 9 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sylmar Specialty/

Primary Care Physicians PPG/Phy #

1ass

Silver, Scott J., M.D.

Gender: Male

License No: A116902

NPI: 1578875837

Internal Medicine

12610 Glenoaks Blvd.

4

Sylmar, CA 91342

1801 207808

(818) 361-4111

Prov Language: Spanish

Office Staff Language

#

: Mandarin, Spanish

Accessibility:*: Limited(EB,IB)

Hours: SA 9 AM - 12 PM, M-F 8:30 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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512 / www.healthnet.com/calmediconnect

Regal Med Grp - SFV PPG 1801

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sylmar Specialty/

Primary Care Physicians PPG/Phy #

1ass

Titcher, Robert N., M.D.

Gender: Male

License No: A35435

NPI: 1083704902

Internal Medicine

14124 Foothill Blvd. # 100

4

Sylmar, CA 91342

1801 059715

(818) 367-1012

Prov Language: Hebrew, Spanish

Office Staff Language

#

: Hebrew, Spanish

Accessibility:*:

Hours: SA 9 AM - 12 PM, M-F 8 AM - 6:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Tarzana Specialty/

Primary Care Physicians PPG/Phy #

1ass

Arasheben, Armin S., M.D.

Gender: Male

License No: A115108

NPI: 1518112762

Family Practice

1

18607 Ventura Blvd. # 102

Tarzana, CA 91356

1801 194162

(818) 600-1472

Prov Language: Farsi, Hebrew, Spanish

Office Staff Language

#

: Farsi, Hebrew, Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

513

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Tarzana Specialty/

Primary Care Physicians PPG/Phy #

1ass

Beroukhim, Shiva, D.O.

Gender: Female

License No: 20A12606

NPI: 1326386681

Family Practice

1

18607 Ventura Blvd. # 102

Tarzana, CA 91356

1801 204144

(818) 600-1472

Prov Language: Spanish

Office Staff Language

#

: Farsi, Hebrew, Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Tarzana Specialty/

Primary Care Physicians PPG/Phy #

1ass

Carmalt, E Duane, M.D.

Gender: Male

License No: G23973

NPI: 1952597627

Internal Medicine

1

5620 Wilbur Ave. # 307

4

Tarzana, CA 91356

1801 028690

(818) 881-9255

Prov Language: French

Office Staff Language

#

: Spanish

Self Reported Accessibility:*: Limited(E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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514 / www.healthnet.com/calmediconnect

Regal Med Grp - SFV PPG 1801

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Tarzana Specialty/

Primary Care Physicians PPG/Phy #

1ass

Gorbaty, Isaac, M.D.

Gender: Male

License No: G33719

NPI: 1477562718

Internal Medicine

1

18411 Clark St. # 206

4

Tarzana, CA 91356

1801 057161

(818) 708-3143

Prov Language: French, Hebrew, Spanish

Office Staff Language

#

:

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-TH 9 AM - 5 PM, F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Tarzana Specialty/

Primary Care Physicians PPG/Phy #

1ass

Gurovich, Yuzef E., M.D.

Gender: Male

License No: A41072

NPI: 1225053184

General Practice

18607 Ventura Blvd. # 206

Tarzana, CA 91356

1801 092225

(818) 758-8282

Prov Language: Armenian, Russian

Office Staff Language

#

:

Accessibility:*: Limited(EB,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

515

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Tarzana Specialty/

Primary Care Physicians PPG/Phy #

1ass

Hernandez, Manuel, M.D.

Gender: Male

License No: G72972

NPI: 1033320700

Family Practice

18607 Ventura Blvd. # 204

Tarzana, CA 91356

1801 027322

(818) 578-4355

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(EB,IB,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Tarzana Specialty/

Primary Care Physicians PPG/Phy #

1ass

Levy, Jody D., M.D.

Gender: Female

License No: C41413

NPI: 1497849608

Internal Medicine

18370 Burbank Blvd. # 701

4

Tarzana, CA 91356

1801 010000

(818) 705-1995

Office Staff Language

#

:

Accessibility:*:

Hours: TH 8 AM - 1 PM, M-W,F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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516 / www.healthnet.com/calmediconnect

Regal Med Grp - SFV PPG 1801

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Tarzana Specialty/

Primary Care Physicians PPG/Phy #

1ass

May, Lawrence A., M.D.

Gender: Male

License No: G36103

NPI: 1487743787

Internal Medicine

1

5525 Etiwanda Ave. # 308

Tarzana, CA 91356

1801 022822

(818) 344-0200

Office Staff Language

#

:

Accessibility:*:

Hours: M-TH 7:30 AM - 11:15 AM

Cultural Competence Training Completed: No

Provider Training and Experience:

Tarzana Specialty/

Primary Care Physicians PPG/Phy #

1ass

Moghaddam, Mohsen T.,

M.D.

Gender: Male

License No: A46373

NPI: 1720010234

General Practice

19100 Ventura Blvd. # 16

4

Tarzana, CA 91356

1801 052689

(818) 609-1314

Prov Language: Farsi, Turkish

Office Staff Language

#

: Farsi

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5 PM, SA 10 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

517

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Tarzana Specialty/

Primary Care Physicians PPG/Phy #

1ass

Safvati, Kamran, M.D.

Gender: Male

License No: A66831

NPI: 1497782387

Internal Medicine

1

18356 Clark St. # 101

4

Tarzana, CA 91356

1801 090638

(818) 609-1991

Prov Language: Farsi, Spanish

Office Staff Language

#

: Armenian, Farsi,

Spanish

Accessibility:*: Limited(IB,R)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Tarzana Specialty/

Primary Care Physicians PPG/Phy #

1ass

Silverstein, Laurence M.,

M.D.

Gender: Male

License No: G43592

NPI: 1588755466

Internal Medicine

1

5620 Wilbur Ave. # 200

4

Tarzana, CA 91356

1801 015861

(818) 345-2323

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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518 / www.healthnet.com/calmediconnect

Regal Med Grp - SFV PPG 1801

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Tarzana Specialty/

Primary Care Physicians PPG/Phy #

1ass

Stern, Arkady B., M.D.

Gender: Male

License No: A40748

NPI: 1033198882

General Practice

18607 Ventura Blvd. # 206

Tarzana, CA 91356

1801 048478

(818) 758-8282

Prov Language: Farsi, Russian, Spanish

Office Staff Language

#

:

Accessibility:*: Limited(EB,E)

Hours: M-F 9 AM - 11 AM

Cultural Competence Training Completed: No

Provider Training and Experience:

Tujunga Specialty/

Primary Care Physicians PPG/Phy #

1ass

Avanessian, Evlyn, M.D.

Gender: Female

License No: A127456

NPI: 1295020709

Family Practice

1

7709 Foothill Blvd.

4

Tujunga, CA 91042

1801 205010

(818) 296-9601

Prov Language: Armenian, Farsi

Office Staff Language

#

: Armenian, Farsi,

Spanish

Accessibility:*: Limited(IB,E)

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

519

2

Physician is currently unavailable to new patients through this physician group.

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Tujunga Specialty/

Primary Care Physicians PPG/Phy #

1ass

Baltaian, Lilit, M.D.

Gender: Female

License No: A105197

NPI: 1154552305

General Practice

7412 Foothill Blvd.

Tujunga, CA 91042

1801 166786

(818) 353-1512

Prov Language: Arabic, Armenian, Russian,

Spanish

Office Staff Language

#

: Arabic, Armenian,

Russian, Spanish

Accessibility:*: Limited(IB,R)

Hours: M-W,F 9 AM - 5:30 PM, TH 9 AM - 1

PM, SA 9:30 AM - 1:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lavi, Joseph M., M.D.

2

Gender: Male

License No: A72094

NPI: 1912082017

Internal Medicine

27420 Tourney Rd. # 200

Valencia, CA 91355

1801 089338

(661) 254-9950

Prov Language: Farsi

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: TH-F 9 AM - 5 PM, W 9 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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520 / www.healthnet.com/calmediconnect

Regal Med Grp - SFV PPG 1801

Primary Care Providers

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lewis, Dennis P., M.D.

Gender: Male

License No: G78417

NPI: 1780608190

Family Practice

23823 Valencia Blvd. # 160

Valencia, CA 91355

1801 050547

(661) 254-0026

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: SA 9 AM - 1 PM, M-F 8 AM - 8 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Malla, Sabita, M.D.

Gender: Female

License No: A90206

NPI: 1962571216

Internal Medicine

1

25775 Mcbean Pkwy. # 107

Valencia, CA 91355

1801 133269

(661) 799-7007

Prov Language: Hindi, Nepali, Russian

Office Staff Language

#

:

Accessibility:*:

Hours: F-SA 12 PM - 6 PM, M-TH 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

521

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Pillai, Dewey D., M.D.

Gender: Male

License No: A87833

NPI: 1134161482

Family Practice

23838 Valencia Blvd. # 205

Valencia, CA 91355

1801 131730

(661) 288-2237

Prov Language: Spanish, Tamil

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Salehi, Niloufar, D.O.

Gender: Female

License No: 20A14156

NPI: 1023278629

Family Practice

1

24159 Magic Mountain Pkwy.

Valencia, CA 91355

1801 224701

(661) 222-9117

Prov Language: Farsi

Office Staff Language

#

:

Accessibility:*:

Hours: SA 10 AM - 5 PM, M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 522: 2018 Provider and Pharmacy Directory

522 / www.healthnet.com/calmediconnect

Regal Med Grp - SFV PPG 1801

Primary Care Providers

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Zahedi, Marco M., M.D.

Gender: Male

License No: A138224

NPI: 1063779163

General Practice

24159 Magic Mountain Pkwy.

Valencia, CA 91355

1801 225874

(661) 222-9117

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valley Village Specialty/

Primary Care Physicians PPG/Phy #

1ass

Cho, Pazrica M., M.D.

Gender: Female

License No: A52259

NPI: 1770693095

Internal Medicine

12660 Riverside Dr. # 110

Valley Village, CA 91607

1801 048442

(818) 761-1800

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Spanish, Tagalog

Accessibility:*:

Hours: S,SA 9 AM - 5 PM, M-F 8 AM - 8 PM

Cultural Competence Training Completed:

Provider Training and Experience:

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Primary Care Providers

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ary C

are

P

ro

vid

ers

523

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ahn, Eliza S., M.D.

Gender: Female

License No: G77767

NPI: 1356450498

Internal Medicine

15243 Vanowen St. # 406

4

Van Nuys, CA 91405

1801 050153

(818) 780-2106

Prov Language: Korean, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-TH 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Antonio, Adelaida B., M.D.

Gender: Female

License No: C41801

NPI: 1134337975

General Practice

16063 Vanowen St.

4

Van Nuys, CA 91406

1801 500438

(818) 785-9989

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,E)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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524 / www.healthnet.com/calmediconnect

Regal Med Grp - SFV PPG 1801

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Apelian, Garbis M., M.D.

Gender: Male

License No: A106296

NPI: 1558543280

Family Practice

14600 Sherman Way # 280

4

Van Nuys, CA 91405

1801 161151

(818) 781-3110

Prov Language: Arabic, Armenian, Farsi,

French, Spanish, Turkish

Office Staff Language

#

: Korean, Spanish

Accessibility:*: Limited(P,EB,IB,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Chang, Kook I., M.D.

Gender: Male

License No: A40580

NPI: 1356442354

Internal Medicine

1

14600 Sherman Way # 270

4

Van Nuys, CA 91405

1801 046857

(818) 780-7771

Prov Language: Korean, Spanish

Office Staff Language

#

: Korean, Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

525

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Chong, Jeffrey C., M.D.

Gender: Male

License No: G81666

NPI: 1376644542

Internal Medicine

15243 Vanowen St. # 406

4

Van Nuys, CA 91405

1801 064412

(818) 785-0300

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M,W,F 2 PM - 5 PM, TU,TH 9 AM - 12

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

De La Llana, Jose A., M.D.

Gender: Male

License No: A101657

NPI: 1326244062

General Practice

14435 Hamlin St. # 108

Van Nuys, CA 91401

1801 192446

(818) 997-7117

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Spanish, Tagalog

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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526 / www.healthnet.com/calmediconnect

Regal Med Grp - SFV PPG 1801

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Fakheri, Azita, M.D.

Gender: Female

License No: A69052

NPI: 1669410270

Internal Medicine

1

17651A Vanowen St.

4

Van Nuys, CA 91406

1801 092222

(818) 343-0101

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,IB,E)

Hours: M-TU,TH 9 AM - 5 PM, W 9 AM - 1 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ghannadi, Max M., M.D.

Gender: Male

License No: A102618

NPI: 1114191798

General Practice

14103 Victory Blvd. # 7

4

Van Nuys, CA 91401

1801 154586

(818) 994-0000

Prov Language: Farsi, Spanish

Office Staff Language

#

: Farsi, Spanish

Accessibility:*: Limited(P,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

527

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Hakimi, Michael N., D.O.

Gender: Male

License No: 20A13147

NPI: 1912193137

Internal Medicine

1

16119 Vanowen St.

4

Van Nuys, CA 91406

1801 206010

(818) 904-6782

Prov Language: Farsi, Hebrew

Office Staff Language

#

:

Accessibility:*: Limited(EB,IB,E)

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Hakimian, Ebrahim, M.D.

Gender: Male

License No: A48918

NPI: 1568481174

General Practice

14649 Victory Blvd. # 22

4

Van Nuys, CA 91411

1801 059813

(818) 909-9868

Prov Language: Farsi

Office Staff Language

#

: Armenian, Farsi,

Russian, Spanish

Accessibility:*:

Hours: M-F 8 AM - 8 PM, SA 10 AM - 2 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 528: 2018 Provider and Pharmacy Directory

528 / www.healthnet.com/calmediconnect

Regal Med Grp - SFV PPG 1801

Primary Care Providers

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Khalili, Manoutcher, M.D.

Gender: Male

License No: A52178

NPI: 1861446841

General Practice

6330 Van Nuys Blvd.

Van Nuys, CA 91401

1801 060183

(818) 994-9922

Prov Language: Farsi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P)

Hours: SA 8 AM - 3 PM, M-TU,TH 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

Khalili, Manoutcher, M.D.

Gender: Male

License No: A52178

NPI: 1861446841

General Practice

7400 Van Nuys Blvd. # 120

Van Nuys, CA 91405

1801 060183

(818) 782-9892

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

529

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kocelli, David M., M.D.

Gender: Male

License No: A54775

NPI: 1386732931

Internal Medicine

14624 Sherman Way # 406

4

Van Nuys, CA 91405

1801 550037

(818) 988-5999

Prov Language: Farsi, Spanish, Turkish

Office Staff Language

#

:

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lavian, David, M.D.

Gender: Male

License No: A46370

NPI: 1770582967

Family Practice

1

14600 Sherman Way # 215

4

Van Nuys, CA 91405

1801 009664

(818) 782-4300

Prov Language: Farsi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 530: 2018 Provider and Pharmacy Directory

530 / www.healthnet.com/calmediconnect

Regal Med Grp - SFV PPG 1801

Primary Care Providers

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lee, Philip H., D.O.

Gender: Male

License No: 20A3502

NPI: 1992981161

General Practice

7136 Haskell Ave. # 205

Van Nuys, CA 91406

1801 046509

(818) 908-4086

Prov Language: Armenian, Cantonese,

Japanese, Mandarin, Spanish

Office Staff Language

#

: Arabic, Armenian,

Cantonese, Farsi, Russian, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lobel, Hanan, M.D.

Gender: Male

License No: A32683

NPI: 1174612287

Internal Medicine

14649 Victory Blvd. # 10

Van Nuys, CA 91411

1801 059821

(818) 989-0041

Prov Language: German, Hebrew, Italian,

Spanish

Office Staff Language

#

: Hebrew, Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

531

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lobel, Josef, M.D.

Gender: Male

License No: A88599

NPI: 1295769230

Internal Medicine

1

14649 Victory Blvd. # 10

Van Nuys, CA 91411

1801 135447

(818) 989-0041

Prov Language: Hebrew, Spanish

Office Staff Language

#

: Hebrew, Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Marouni, Payam, M.D.

Gender: Male

License No: A101224

NPI: 1386800225

Family Practice

1

13750 Victory Blvd.

4

Van Nuys, CA 91401

1801 149162

(818) 988-9090

Prov Language: Armenian, Farsi, Spanish

Office Staff Language

#

: Armenian, Farsi,

Spanish

Accessibility:*: Limited(IB)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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532 / www.healthnet.com/calmediconnect

Regal Med Grp - SFV PPG 1801

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mejia, Miguel A., M.D.

Gender: Male

License No: G42563

NPI: 1508955170

General Practice

15211 Vanowen St. # 206

4

Van Nuys, CA 91405

1801 069505

(818) 787-8473

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Morris, Felicitacion S., M.D.

Gender: Female

License No: A38732

NPI: 1750428496

General Practice

6265 Sepulveda Blvd. # 9

4

Van Nuys, CA 91411

1801 021903

(818) 779-0555

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Hindi, Spanish

Accessibility:*: Limited(IB)

Hours: M-F 7:30 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

533

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

Morris, Felicitacion S., M.D.

Gender: Female

License No: A38732

NPI: 1750428496

General Practice

6265 Sepulveda Blvd. # 10

4

Van Nuys, CA 91411

1801 021903

(818) 779-0555

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Farsi, Spanish

Accessibility:*: Limited(IB)

Hours: TH 7:30 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Nishimoto, Mitchell M., M.D.

Gender: Male

License No: G76976

NPI: 1003917287

Internal Medicine

15243 Vanowen St. # 406

4

Van Nuys, CA 91405

1801 144310

(818) 780-2106

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-TH 9 AM - 5 PM, F 9 AM - 1 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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534 / www.healthnet.com/calmediconnect

Regal Med Grp - SFV PPG 1801

Primary Care Providers

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ortiz, Leonardo C., M.D.

Gender: Male

License No: A32613

NPI: 1841274024

Family Practice

14624 Sherman Way # 409

Van Nuys, CA 91405

1801 059757

(818) 781-2796

Prov Language: Portuguese, Spanish

Office Staff Language

#

:

Accessibility:*: Limited(EB,IB,R,E)

Hours: SA 9 AM - 1 PM, M,W,F 5 PM - 8 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ortiz, Maria-Cristina G.,

M.D.

Gender: Female

License No: A36058

NPI: 1962494641

General Practice

14624 Sherman Way # 409

Van Nuys, CA 91405

1801 065010

(818) 781-2796

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(EB,IB,R,E)

Hours: SA 9 AM - 1 PM, M-F 5 PM - 8 PM

Cultural Competence Training Completed:

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

535

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Phan, Denise A., M.D.

Gender: Female

License No: G73973

NPI: 1477656395

Internal Medicine

15243 Vanowen St. # 406

4

Van Nuys, CA 91405

1801 048241

(818) 780-2106

Prov Language: Vietnamese

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-TH 9 AM - 12:45 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Pilossyan, Vagharshak M.,

M.D.

Gender: Male

License No: A51303

NPI: 1467530121

Internal Medicine

13321 Victory Blvd.

4

Van Nuys, CA 91401

1801 053949

(818) 780-0101

Prov Language: Arabic, Armenian, Russian

Office Staff Language

#

:

Accessibility:*:

Hours: SA 9 AM - 2 PM, M-W,F 9 AM - 6 PM,

TH 9 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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536 / www.healthnet.com/calmediconnect

Regal Med Grp - SFV PPG 1801

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Quema, Racquel S., M.D.

Gender: Female

License No: A105596

NPI: 1033369467

Family Practice

1

14624 Sherman Way # 401

4

Van Nuys, CA 91405

1801 156730

(818) 786-1200

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Tagalog

Accessibility:*: Limited(EB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ram, Asher, M.D.

Gender: Male

License No: A45553

NPI: 1609803733

Internal Medicine

14547 Victory Blvd.

4

Van Nuys, CA 91411

1801 066992

(818) 997-3232

Prov Language: Farsi, Hebrew, Spanish

Office Staff Language

#

: Farsi, Spanish

Accessibility:*:

Hours: M-F 10 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp - SFV PPG 1801

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

537

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Reale, Stephen, M.D.

Gender: Male

License No: G81738

NPI: 1396846572

Internal Medicine

15243 Vanowen St. # 101

4

Van Nuys, CA 91405

1801 051935

(818) 994-5100

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: F 9 AM - 12 PM, M-TH 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Rubinson, William J., M.D.

Gender: Male

License No: A16990

NPI: 1023119294

General Practice

15243 Vanowen St. # 101

4

Van Nuys, CA 91405

1801 144315

(818) 994-0715

Office Staff Language

#

:

Accessibility:*:

Hours: M-W,F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 538: 2018 Provider and Pharmacy Directory

538 / www.healthnet.com/calmediconnect

Regal Med Grp - SFV PPG 1801

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Shamsa, Iraj, M.D.

Gender: Male

License No: A49893

NPI: 1871655654

General Practice

16063 Vanowen St.

4

Van Nuys, CA 91406

1801 067025

(818) 785-9989

Prov Language: Farsi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,E)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Sirajullah, Mohammad, M.D.

Gender: Male

License No: C51163

NPI: 1346339884

General Practice

16063 Vanowen St.

4

Van Nuys, CA 91406

1801 106860

(818) 785-9989

Prov Language: Bengali, Hindi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp - SFV PPG 1801

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

539

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Tran, Anhtuan D., M.D.

Gender: Male

License No: A90428

NPI: 1518961846

Internal Medicine

7400 Van Nuys Blvd # 112

4

Van Nuys, CA 91405

1801 131188

(818) 989-2406

Prov Language: Spanish, Vietnamese

Office Staff Language

#

: Spanish

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Yadegari, Michael, M.D.

Gender: Male

License No: A100335

NPI: 1023293016

Internal Medicine

1

6265 Sepulveda Blvd. # 9

4

Van Nuys, CA 91411

1801 185575

(818) 779-0555

Prov Language: Farsi, Spanish

Office Staff Language

#

: Hindi, Spanish

Accessibility:*: Limited(IB)

Hours: M-TU,F 8 AM - 4:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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540 / www.healthnet.com/calmediconnect

Regal Med Grp - SFV PPG 1801

Primary Care Providers

1

Board Certified

3

Physician is currently not accepting new patients.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

Yadegari, Michael, M.D.

Gender: Male

License No: A100335

NPI: 1023293016

Internal Medicine

1

6265 Sepulveda Blvd. # 10

4

Van Nuys, CA 91411

1801 185575

(818) 779-0555

Prov Language: Farsi, Spanish

Office Staff Language

#

: Farsi, Spanish

Accessibility:*: Limited(IB)

Hours: W 7:30 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

West Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Jacobson, Bruce A., M.D.

3

Gender: Male

License No: A43500

NPI: 1558314971

Internal Medicine

7301 Medical Center Dr. # 404

West Hills, CA 91307

1801 045687

(818) 347-3239

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-W,F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp - SFV PPG 1801

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

541

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

West Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Masrour-Rod, Ojen, M.D.

Gender: Male

License No: A95253

NPI: 1740249762

Family Practice

7325 Medical Center Dr. # 101

4

West Hills, CA 91307

1801 131726

(818) 702-9962

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: S-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

West Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Olfus, Taura M., D.O.

Gender: Female

License No: 20A9281

NPI: 1902816903

Family Practice

1

7325 Medical Center Dr. # 300

4

West Hills, CA 91307

1801 129242

(818) 348-6200

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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542 / www.healthnet.com/calmediconnect

Regal Med Grp - SFV PPG 1801

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

West Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Schenkel, Mark B., M.D.

Gender: Male

License No: A35586

NPI: 1104863216

General Practice

7230 Medical Center Dr. # 600

West Hills, CA 91307

1801 045901

(818) 348-5098

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: TH-SA 9 AM - 4:30 PM, S,W 9 AM -

12:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

West Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Makovoz, Galina, M.D.

Gender: Female

License No: A47756

NPI: 1558351833

General Practice

7607 Santa Monica Blvd. # 27

4

West Hollywood, CA 90046

1801 060837

(323) 650-5494

Prov Language: Russian

Office Staff Language

#

: Russian

Accessibility:*: Limited(P,EB,E)

Hours: TU 10 AM - 3 PM, F 9 AM - 5 PM, W-TH

9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp - SFV PPG 1801

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

543

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Woodland Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Bahari-Nejad, Pejman, D.O.

Gender: Male

License No: 20A7938

NPI: 1396885570

Family Practice

1

20829 Ventura Blvd.

4

Woodland Hills, CA 91364

1801 170844

(818) 887-2787

Prov Language: Farsi, Spanish, Tagalog

Office Staff Language

#

: Farsi, Spanish, Tagalog

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Woodland Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mirshojae, Hamid R., D.O.

Gender: Male

License No: 20A6577

NPI: 1720096001

Family Practice

1

19825 Ventura Blvd.

4

Woodland Hills, CA 91364

1801 051827

(818) 340-3636

Prov Language: Farsi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(IB)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 544: 2018 Provider and Pharmacy Directory

544 / www.healthnet.com/calmediconnect

Regal Med Grp - SFV PPG 1801

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Woodland Hills Specialty/

Primary Care Physicians PPG/Phy #

Mirshojae, Hamid R., D.O.

Gender: Male

License No: 20A6577

NPI: 1720096001

Family Practice

1

5995 Topanga Canyon Blvd

4

Woodland Hills, CA 91367

1801 051827

(818) 888-7009

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*: Limited(IB)

Hours: S-SA 8 AM - 7 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Woodland Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mkhitarian, Aram, D.O.

Gender: Male

License No: 20A12274

NPI: 1952565301

General Practice

19825 Ventura Blvd.

4

Woodland Hills, CA 91364

1801 193315

(818) 340-3637

Prov Language: Armenian

Office Staff Language

#

: Spanish

Accessibility:*: Limited(IB)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp - SFV PPG 1801

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

545

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Woodland Hills Specialty/

Primary Care Physicians PPG/Phy #

Mkhitarian, Aram, D.O.

Gender: Male

License No: 20A12274

NPI: 1952565301

General Practice

5995 Topanga Canyon Blvd

4

Woodland Hills, CA 91367

1801 193315

(818) 888-7009

Prov Language: Armenian

Office Staff Language

#

:

Accessibility:*: Limited(IB)

Hours: SA 9 AM - 5 PM, M-F 8 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Woodland Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Shlifer, Igor G., D.O.

Gender: Male

License No: 20A14715

NPI: 1295174860

Internal Medicine

20301 Ventura Blvd. # 210

Woodland Hills, CA 91364

1801 231506

(805) 239-9055

Prov Language: Russian

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 10 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 546: 2018 Provider and Pharmacy Directory

546 / www.healthnet.com/calmediconnect

Regal Med Grp - SFV PPG 1801

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Woodland Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Vaisman, Boris, M.D.

Gender: Male

License No: A92266

NPI: 1508801994

Family Practice

1

22600 Ventura Blvd. # 101

4

Woodland Hills, CA 91364

1801 134929

(818) 225-1255

Prov Language: Russian, Spanish

Office Staff Language

#

: Armenian, Russian,

Spanish, Yiddish

Accessibility:*:

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Woodland Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Vaisman, Sofia, M.D.

Gender: Female

License No: A36979

NPI: 1497846638

Family Practice

22600 Ventura Blvd. # 101

4

Woodland Hills, CA 91364

1801 047771

(818) 225-1255

Prov Language: Hungarian, Romanian,

Russian, Spanish

Office Staff Language

#

: Armenian, Russian,

Spanish, Yiddish

Accessibility:*:

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp - SFV PPG 1801

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

547

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Woodland Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Weiss, Fredric E., M.D.

Gender: Male

License No: G29963

NPI: 1336354059

Internal Medicine

1

20501 Ventura Blvd. # 112

Woodland Hills, CA 91364

1801 018165

(818) 501-4277

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 548: 2018 Provider and Pharmacy Directory

548 / www.healthnet.com/calmediconnect

Primary Care Providers

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Regal Med Grp of South LA

PPG 1683

8510 Balboa Blvd., Suite 275

Northridge, CA 91325-3548

(818) 654-3400

Urgent Care:

City of Angeles Emergency Medical Group

(213) 989-6160

Pioneer Medical Group-Downey (562) 862-2775

Pioneer Medical Group-Long Beach (562)

597-4181

Hospitals Used:

Hollywood Presbyterian Medical Center

Little Company of Mary Hospital

St. Vincent Medical Center

Whittier Hospital Medical Center

Arleta Specialty/

Primary Care Physicians PPG/Phy #

1ass

Arceo, Ruth N., M.D.

Gender: Female

License No: A53097

NPI: 1427150093

Family Practice

9043 Woodman Ave. # C

Arleta, CA 91331

1683 067299

(844) 601-3096

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Spanish, Tagalog

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 549: 2018 Provider and Pharmacy Directory

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Regal Med Grp of South LA PPG 1683

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

549

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Beverly Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Sharim, Homayoun, M.D.

Gender: Male

License No: A45456

NPI: 1033145701

Internal Medicine

9301 Wilshire Blvd.

Beverly Hills, CA 90210

1683 056936

(310) 657-8000

Prov Language: Farsi

Office Staff Language

#

:

Accessibility:*:

Hours: TU,TH 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Encino Specialty/

Primary Care Physicians PPG/Phy #

1ass

Javaherian, Jasmin, D.O.

Gender: Female

License No: 20A8083

NPI: 1447294715

Internal Medicine

16661 Ventura Blvd. # 815

4

Encino, CA 91436

1683 102530

(818) 501-3366

Prov Language: Farsi, Spanish

Office Staff Language

#

: Farsi, Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 550: 2018 Provider and Pharmacy Directory

550 / www.healthnet.com/calmediconnect

Regal Med Grp of South LA PPG 1683

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

La Canada Flt Specialty/

Primary Care Physicians PPG/Phy #

1ass

Yu, Gregory C., M.D.

Gender: Male

License No: G60843

NPI: 1598944613

Internal Medicine

1

2258 Foothill Blvd. # 200

La Canada Flt, CA 91011

1683 029634

(818) 248-8998

Office Staff Language

#

:

Accessibility:*: Limited(EB,R,E)

Hours: M-TH 8:30 AM - 5 PM, F 8:30 AM - 12

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Airapetian, Ara, M.D.

Gender: Male

License No: A86421

NPI: 1578543443

General Practice

1704 Colorado Blvd.

4

Los Angeles, CA 90041

1683 105901

(323) 256-4116

Prov Language: Arabic, Armenian, Russian,

Spanish

Office Staff Language

#

: Arabic, Armenian,

Farsi, Korean, Mandarin, Russian, Spanish,

Tagalog

Accessibility:*: Limited(IB)

Hours: M-F 8:30 AM - 6 PM, SA 8:30 AM - 5

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

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ary C

are

P

ro

vid

ers

551

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Alsarraf, Dhia, M.D.

Gender: Male

License No: A36742

NPI: 1144333535

Internal Medicine

1

1300 N. Vermont Ave. # 1008

4

Los Angeles, CA 90027

1683 027162

(323) 443-7128

Prov Language: Arabic, Farsi, Spanish, Tagalog

Office Staff Language

#

: Armenian

Accessibility:*:

Hours: M-W,F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Behroozan, Benjamin, M.D.

Gender: Male

License No: A41374

NPI: 1750440681

General Practice

5255 W. Sunset Blvd.

4

Los Angeles, CA 90027

1683 034784

(323) 463-7262

Prov Language: Farsi, Hebrew, Spanish

Office Staff Language

#

: Farsi, Hebrew, Spanish,

Tagalog

Accessibility:*: Limited(IB)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp of South LA PPG 1683

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Bezikian, Hagop G., M.D.

Gender: Male

License No: A39946

NPI: 1821171604

General Practice

1340 N. Virgil Ave.

4

Los Angeles, CA 90027

1683 051727

(323) 664-0013

Prov Language: Armenian, Russian, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-W,F 9 AM - 6 PM, TH 9 AM - 1 PM,

SA 10 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Burton, Michael S., M.D.

Gender: Male

License No: A28669

NPI: 1477513547

Family Practice

1

2101 Hillhurst Ave.

4

Los Angeles, CA 90027

1683 025018

(323) 664-2931

Prov Language: Spanish

Office Staff Language

#

: Arabic, Armenian,

Spanish

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM, SA 8:30 AM - 1

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

553

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Eftekhari, Roshanak, M.D.

Gender: Female

License No: A76119

NPI: 1619936556

Internal Medicine

1300 N. Vermont Ave. # 807

4

Los Angeles, CA 90027

1683 102940

(323) 660-5191

Prov Language: Farsi

Office Staff Language

#

: Russian

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Gevorkian, Rafayel, M.D.

Gender: Male

License No: A41672

NPI: 1982791562

General Practice

5129 W. Sunset Blvd.

4

Los Angeles, CA 90027

1683 053007

(323) 663-9009

Prov Language: Armenian, Russian

Office Staff Language

#

: Armenian, Russian

Accessibility:*:

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp of South LA PPG 1683

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kalindjian, Krikor I., M.D.

Gender: Male

License No: A80255

NPI: 1871546333

Internal Medicine

1300 N. Vermont Ave. # 807

4

Los Angeles, CA 90027

1683 105458

(323) 660-5191

Prov Language: Arabic, Armenian, French,

Italian, Spanish

Office Staff Language

#

: Arabic, French, Italian,

Spanish

Accessibility:*: Limited(EB,IB)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kevorkian, Siranoush H.,

M.D.

Gender: Female

License No: A35663

NPI: 1457416265

General Practice

3920 Eagle Rock Blvd. # A

4

Los Angeles, CA 90065

1683 074428

(323) 255-5225

Prov Language: Armenian, Romanian, Russian,

Spanish

Office Staff Language

#

: Armenian, Farsi,

Russian, Spanish, Tagalog, Vietnamese

Accessibility:*: Limited(P,IB,E,T)

Hours: TH-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

555

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kltchian, Missak S., M.D.

Gender: Male

License No: A52368

NPI: 1255359840

General Practice

4645 Hollywood Blvd. # 4

4

Los Angeles, CA 90027

1683 056540

(323) 661-4500

Prov Language: Armenian, Russian

Office Staff Language

#

: Armenian, Russian

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Meza, Martha A., M.D.

Gender: Female

License No: A80538

NPI: 1629126545

Internal Medicine

1

4623 Eagle Rock Blvd.

4

Los Angeles, CA 90041

1683 155880

(323) 340-1500

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp of South LA PPG 1683

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mkhsyan, Hakop, M.D.

Gender: Male

License No: A42531

NPI: 1518011006

General Practice

4645 Hollywood Blvd. # 6

4

Los Angeles, CA 90027

1683 051965

(323) 662-1077

Prov Language: Armenian, Russian

Office Staff Language

#

: Armenian, Russian

Accessibility:*: Limited(P,IB)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Oraha, Senam E., M.D.

Gender: Female

License No: A85230

NPI: 1124228457

Family Practice

1

2101 Hillhurst Ave.

4

Los Angeles, CA 90027

1683 190479

(323) 664-2931

Prov Language: Arabic

Office Staff Language

#

: Arabic, Armenian,

Spanish

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM, SA 8:30 AM - 3

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

557

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Pedrano, Guadalupe C.,

M.D.

Gender: Female

License No: A40246

NPI: 1174786073

General Practice

2209 N. San Fernando Rd.

4

Los Angeles, CA 90065

1683 046020

(323) 226-0511

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Spanish, Tagalog

Accessibility:*: Limited(EB,IB,E)

Hours: TH-F 10 AM - 6 PM, W 10 AM - 1:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Popova, Stella, M.D.

Gender: Female

License No: A65599

NPI: 1023108925

Internal Medicine

7258 W. Sunset Blvd.

4

Los Angeles, CA 90046

1683 069598

(323) 654-7716

Prov Language: Russian

Office Staff Language

#

: Russian

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: F 12 PM - 3:30 PM, M-TU,TH 8 AM - 12

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp of South LA PPG 1683

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Roman, Ricardo R., M.D.

Gender: Male

License No: A79013

NPI: 1144327032

Internal Medicine

4708 Eagle Rock Blvd.

4

Los Angeles, CA 90041

1683 141053

(323) 254-3700

Prov Language: Spanish, Tagalog

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Tracy, Robert A., D.O.

Gender: Male

License No: 20A12632

NPI: 1316219058

Family Practice

3056 Fletcher Dr.

4

Los Angeles, CA 90065

1683 206558

(323) 256-2231

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Spanish, Tagalog

Self Reported Accessibility:*:

Limited(P,EB,IB,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

559

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Webber, Douglas A., M.D.

Gender: Male

License No: G83278

NPI: 1497783708

Internal Medicine

1

3171 Los Feliz Blvd. # 309

4

Los Angeles, CA 90039

1683 108597

(323) 666-6000

Office Staff Language

#

: Spanish, Tagalog

Accessibility:*: Limited(EB,E)

Hours: F 9 AM - 3 PM, M-TH 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Zakarian, Magie M., M.D.

Gender: Female

License No: A42043

NPI: 1700968922

General Practice

4670 Hollywood Blvd.

4

Los Angeles, CA 90027

1683 063887

(323) 668-2872

Prov Language: Armenian, Greek, Russian,

Turkish

Office Staff Language

#

: Armenian, Greek,

Russian, Turkish

Accessibility:*: Limited(IB,R,E)

Hours: TH-F 9 AM - 3 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp of South LA PPG 1683

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Beroukhim, Shiva, D.O.

Gender: Female

License No: 20A12606

NPI: 1326386681

Family Practice

1

12660 Riverside Dr. # 320

4

North Hollywood, CA 91607

1683 204144

(818) 755-0391

Prov Language: Spanish

Office Staff Language

#

: Japanese

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Broomand, Behrouz, M.D.

Gender: Male

License No: A43704

NPI: 1992898845

General Practice

6056 Lankershim Blvd.

4

North Hollywood, CA 91606

1683 049677

(818) 761-2300

Prov Language: Farsi, Spanish

Office Staff Language

#

: Farsi, Spanish

Self Reported Accessibility:*: Limited(P,R,E,T)

Hours: M-TH 9 AM - 3 PM, F 9 AM - 2 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp of South LA PPG 1683

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

561

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Doostan, Jay E., M.D.

Gender: Male

License No: A33650

NPI: 1902916729

Internal Medicine

12922 Victory Blvd.

4

North Hollywood, CA 91606

1683 504135

(310) 703-4233

Prov Language: Armenian, Farsi, Hindi,

Spanish

Office Staff Language

#

: Armenian, Farsi, Hindi,

Russian, Spanish

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-TU,TH 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Khachatrian, Marina, M.D.

Gender: Female

License No: A69378

NPI: 1487738399

General Practice

12643 Sherman Way # I

4

North Hollywood, CA 91605

1683 078004

(818) 759-0095

Prov Language: Armenian, Russian

Office Staff Language

#

: Russian

Accessibility:*: Limited(EB,IB)

Hours: M 9 AM - 4 PM, TU-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp of South LA PPG 1683

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Makovoz, Galina, M.D.

Gender: Female

License No: A47756

NPI: 1558351833

General Practice

11631 Victory Blvd. # 103

4

North Hollywood, CA 91606

1683 060837

(818) 762-3116

Prov Language: Russian

Office Staff Language

#

: Russian

Accessibility:*: Limited(P,EB,E)

Hours: TU 9 AM - 6 PM, SA 9 AM - 3 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Nazarian, Iradj H., M.D.

Gender: Male

License No: A43573

NPI: 1083753321

General Practice

12922 Victory Blvd.

4

North Hollywood, CA 91606

1683 056919

(818) 760-2800

Prov Language: Arabic, Farsi, Spanish

Office Staff Language

#

: Armenian, Farsi, Hindi,

Russian, Spanish

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: TU 9 AM - 6 PM, SA 9 AM - 3 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

563

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Safvati, Shavash, M.D.

2

Gender: Male

License No: A49842

NPI: 1083704076

Internal Medicine

12626 Riverside Dr. # 303

4

North Hollywood, CA 91607

1683 050280

(818) 760-2434

Prov Language: Farsi, Hebrew, Russian,

Spanish, Tagalog

Office Staff Language

#

: Farsi, Hebrew, Russian

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ter-Poghosyan, Zarine,

M.D.

Gender: Female

License No: A101387

NPI: 1114102993

Family Practice

12507 Victory Blvd.

4

North Hollywood, CA 91606

1683 144278

(818) 769-7540

Prov Language: Armenian, Russian

Office Staff Language

#

: Armenian, Russian

Accessibility:*: Limited(P,EB,IB)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp of South LA PPG 1683

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Vaisman, Mark, M.D.

Gender: Male

License No: A38899

NPI: 1891976189

General Practice

12660 Riverside Dr. # 310

4

North Hollywood, CA 91607

1683 047692

(818) 755-0391

Prov Language: Romanian, Russian, Spanish

Office Staff Language

#

:

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pacific Palisades Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kwaw, Isidore K., M.D.

Gender: Male

License No: G66583

NPI: 1962428300

Internal Medicine

910 Via De La Paz # 100

Pacific Palisades, CA 90272

1683 078688

(310) 459-1901

Prov Language: French, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: SA 9 AM - 1 PM, M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp of South LA PPG 1683

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

565

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Panorama City Specialty/

Primary Care Physicians PPG/Phy #

1ass

Grey, Erlinda D., M.D.

Gender: Female

License No: A30427

NPI: 1356568752

General Practice

8215 Van Nuys Blvd. # 210

Panorama City, CA 91402

1683 004328

(818) 901-0373

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Spanish, Tagalog, Thai

Accessibility:*: Limited(EB,R,E,T)

Hours: SA 8:30 AM - 1 PM, M-F 8:30 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Panorama City Specialty/

Primary Care Physicians PPG/Phy #

1ass

Habib, Shehnaz N., M.D.

Gender: Female

License No: A50211

NPI: 1215039631

Internal Medicine

14860 Roscoe Blvd. # 300

4

Panorama City, CA 91402

1683 063752

(818) 782-0604

Prov Language: Hindi, Sindhi, Spanish, Urdu

Office Staff Language

#

: Hindi, Sindhi, Spanish,

Urdu

Accessibility:*: Limited(P,E)

Hours: F 9 AM - 4 PM, M-TH 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp of South LA PPG 1683

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Calleros, Gustavo, M.D.

Gender: Male

License No: A74210

NPI: 1346358827

Family Practice

50 Bellefontaine St. # 401

4

Pasadena, CA 91105

1683 102914

(626) 793-1931

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,IB)

Hours: F 8 AM - 12 PM, M-TH 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Reseda Specialty/

Primary Care Physicians PPG/Phy #

1ass

Baltaian, Lilit, M.D.

Gender: Female

License No: A105197

NPI: 1154552305

General Practice

7640 Tampa Ave. # 107

Reseda, CA 91335

1683 166786

(818) 697-5950

Prov Language: Arabic, Armenian, Russian,

Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: TU,TH 10 AM - 6 PM, SA 10 AM - 2 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp of South LA PPG 1683

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

567

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Santa Clarita Specialty/

Primary Care Physicians PPG/Phy #

1ass

Pogodin, Timur R., M.D.

Gender: Male

License No: A133706

NPI: 1972994853

General Practice

27141 Hidaway Ave. # 204

4

Santa Clarita, CA 91351

1683 215299

(661) 297-1177

Prov Language: Armenian, German, Russian,

Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Santa Clarita Specialty/

Primary Care Physicians PPG/Phy #

1ass

Schwartz, Ronald, M.D.

Gender: Male

License No: A39334

NPI: 1891895702

General Practice

21700 Golden Triangle Rd.

Santa Clarita, CA 91350

1683 059805

(661) 260-1155

Prov Language: Hebrew, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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568 / www.healthnet.com/calmediconnect

Regal Med Grp of South LA PPG 1683

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sun Valley Specialty/

Primary Care Physicians PPG/Phy #

1ass

Javaherian, Jasmin, D.O.

Gender: Female

License No: 20A8083

NPI: 1447294715

Internal Medicine

11349 Saticoy St.

4

Sun Valley, CA 91352

1683 102530

(818) 982-5750

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,IB)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sylmar Specialty/

Primary Care Physicians PPG/Phy #

1ass

Fanous, Basem, M.D.

Gender: Male

License No: A53406

NPI: 1619072600

Internal Medicine

1

14124 Foothill Blvd. # 100

4

Sylmar, CA 91342

1683 063919

(818) 367-1012

Prov Language: Arabic

Office Staff Language

#

: Hebrew, Spanish

Accessibility:*:

Hours: M-F 8 AM - 6 PM, SA 9 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp of South LA PPG 1683

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

569

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sylmar Specialty/

Primary Care Physicians PPG/Phy #

1ass

Titcher, Robert N., M.D.

Gender: Male

License No: A35435

NPI: 1083704902

Internal Medicine

14124 Foothill Blvd. # 100

4

Sylmar, CA 91342

1683 059715

(818) 367-1012

Prov Language: Hebrew, Spanish

Office Staff Language

#

: Hebrew, Spanish

Accessibility:*:

Hours: SA 9 AM - 12 PM, M-F 8 AM - 6:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Tarzana Specialty/

Primary Care Physicians PPG/Phy #

1ass

Beroukhim, Shiva, D.O.

Gender: Female

License No: 20A12606

NPI: 1326386681

Family Practice

1

18607 Ventura Blvd. # 102

Tarzana, CA 91356

1683 204144

(818) 600-1472

Prov Language: Spanish

Office Staff Language

#

: Farsi, Hebrew, Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 570: 2018 Provider and Pharmacy Directory

570 / www.healthnet.com/calmediconnect

Regal Med Grp of South LA PPG 1683

Primary Care Providers

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Tarzana Specialty/

Primary Care Physicians PPG/Phy #

1ass

Pogodin, Timur R., M.D.

Gender: Male

License No: A133706

NPI: 1972994853

General Practice

18607 Ventura Blvd. # 206

Tarzana, CA 91356

1683 215299

(818) 758-8282

Prov Language: Armenian, German, Russian,

Spanish

Office Staff Language

#

:

Accessibility:*: Limited(EB,E)

Hours: M-F 9 AM - 6 PM, SA 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Tujunga Specialty/

Primary Care Physicians PPG/Phy #

1ass

Baltaian, Lilit, M.D.

Gender: Female

License No: A105197

NPI: 1154552305

General Practice

7412 Foothill Blvd.

Tujunga, CA 91042

1683 166786

(818) 353-1512

Prov Language: Arabic, Armenian, Russian,

Spanish

Office Staff Language

#

: Arabic, Armenian,

Russian, Spanish

Accessibility:*: Limited(IB,R)

Hours: M-W,F 9 AM - 5:30 PM, TH 9 AM - 1

PM, SA 9:30 AM - 1:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp of South LA PPG 1683

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

571

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Tujunga Specialty/

Primary Care Physicians PPG/Phy #

1ass

Panossian, Ayuna K., M.D.

Gender: Female

License No: A86367

NPI: 1952423014

Family Practice

1

7709 Foothill Blvd.

4

Tujunga, CA 91042

1683 135929

(818) 352-3146

Prov Language: Armenian, Spanish

Office Staff Language

#

: Armenian, Farsi,

Spanish

Accessibility:*: Limited(IB,E)

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Salehi, Niloufar, D.O.

Gender: Female

License No: 20A14156

NPI: 1023278629

Family Practice

1

24159 Magic Mountain Pkwy.

Valencia, CA 91355

1683 224701

(661) 222-9117

Prov Language: Farsi

Office Staff Language

#

:

Accessibility:*:

Hours: SA 10 AM - 5 PM, M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 572: 2018 Provider and Pharmacy Directory

572 / www.healthnet.com/calmediconnect

Regal Med Grp of South LA PPG 1683

Primary Care Providers

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Zahedi, Marco M., M.D.

Gender: Male

License No: A138224

NPI: 1063779163

General Practice

24159 Magic Mountain Pkwy.

Valencia, CA 91355

1683 225874

(661) 222-9117

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Hlaing, Kyi S., M.D.

Gender: Male

License No: A144043

NPI: 1902240229

Internal Medicine

7220 Woodman Ave. # 106

Van Nuys, CA 91405

1683 239812

(818) 374-3434

Office Staff Language

#

:

Accessibility:*:

Hours: SA 9 AM - 2 PM, M-F 9 AM - 7 PM

Cultural Competence Training Completed:

Provider Training and Experience:

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Regal Med Grp of South LA PPG 1683

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

573

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kocelli, David M., M.D.

Gender: Male

License No: A54775

NPI: 1386732931

Internal Medicine

14624 Sherman Way # 406

4

Van Nuys, CA 91405

1683 550037

(818) 988-5999

Prov Language: Farsi, Spanish, Turkish

Office Staff Language

#

:

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mejia, Miguel A., M.D.

Gender: Male

License No: G42563

NPI: 1508955170

General Practice

15211 Vanowen St. # 206

4

Van Nuys, CA 91405

1683 069505

(818) 787-8473

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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574 / www.healthnet.com/calmediconnect

Regal Med Grp of South LA PPG 1683

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

West Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kovalevsky, Marina, M.D.

Gender: Female

License No: A63485

NPI: 1144377607

Internal Medicine

7737 Santa Monica Blvd.

4

West Hollywood, CA 90046

1683 131446

(323) 650-3335

Prov Language: Russian

Office Staff Language

#

: Russian

Accessibility:*: Limited(P,EB,IB,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

West Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Makovoz, Galina, M.D.

Gender: Female

License No: A47756

NPI: 1558351833

General Practice

7607 Santa Monica Blvd. # 27

4

West Hollywood, CA 90046

1683 060837

(323) 650-5494

Prov Language: Russian

Office Staff Language

#

: Russian

Accessibility:*: Limited(P,EB,E)

Hours: TU 10 AM - 3 PM, F 9 AM - 5 PM, W-TH

9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp of South LA PPG 1683

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

575

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

West Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Nusinovich, Vlad, M.D.

Gender: Male

License No: A92996

NPI: 1144288036

Internal Medicine

1

7855 Santa Monica Blvd.

4

West Hollywood, CA 90046

1683 138987

(310) 623-9222

Prov Language: Russian, Ukranian

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,E)

Hours: SA 10 AM - 4 PM, M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

West Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Shemer, Boris, M.D.

Gender: Male

License No: A41564

NPI: 1356489884

General Practice

7607 Santa Monica Blvd. # 28

4

West Hollywood, CA 90046

1683 063865

(323) 656-7094

Prov Language: Russian

Office Staff Language

#

: Russian

Accessibility:*: Limited(P,EB,IB,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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576 / www.healthnet.com/calmediconnect

Regal Med Grp of South LA PPG 1683

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

West Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Shulman, Valery P., M.D.

Gender: Male

License No: A38820

NPI: 1871594648

General Practice

7559 Santa Monica Blvd. # 201

4

West Hollywood, CA 90046

1683 067351

(323) 878-2523

Prov Language: Russian

Office Staff Language

#

: Russian

Accessibility:*: Limited(EB)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

West Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Vaynerov, Yelena E., M.D.

Gender: Female

License No: A38812

NPI: 1386673002

Internal Medicine

7559 Santa Monica Blvd.

4

West Hollywood, CA 90046

1683 142817

(323) 878-2523

Prov Language: Russian

Office Staff Language

#

: Russian

Accessibility:*: Limited(EB,E)

Hours: TU 10 AM - 2 PM, M 1 PM - 5 PM,

W-TH 10 AM - 3 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Regal Med Grp of South LA PPG 1683

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

577

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Woodland Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Azinge-Obasi, Mezia O.,

M.D.

Gender: Female

License No: A53449

NPI: 1689707259

Family Practice

1

6325 Topanga Canyon Blvd. #

202

Woodland Hills, CA 91367

1683 066603

(818) 650-2595

Prov Language: Igbo, Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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578 / www.healthnet.com/calmediconnect

Primary Care Providers

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

San Gabriel Valley Regal Medical Group

PPG 1678

117 East Live Oak Avenue

Arcadia, CA 91006-5269

(818) 654-3400

Urgent Care:

Regal Medical Group (626) 446-8492

Mon - Fri 9:00 A.M. - 6:00 P.M.

Greater Covina Urgent Care (626) 732-9232

Mon - Fri 4:00 P.M. - 11:00 P.M. Sat - Sun 9:00

A.M. - 5:00 P.M.

Hospitals Used:

Foothill Presbyterian Hospital - Morris L.

Johnston Memorial

Inter-Community, Citrus Valley

La Canada Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lee, David J., D.O.

Gender: Male

License No: 20A14782

NPI: 1699016980

Family Practice

1

1975 Verdugo Blvd. # A

La Canada, CA 91011

1678 225036

(818) 249-9454

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM, SA 9 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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San Gabriel Valley Regal Medical Group PPG 1678

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

579

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Behroozan, Benjamin, M.D.

Gender: Male

License No: A41374

NPI: 1750440681

Family Practice

5255 W. Sunset Blvd.

4

Los Angeles, CA 90027

1678 034784

(323) 463-7262

Prov Language: Farsi, Hebrew, Spanish

Office Staff Language

#

: Farsi, Hebrew, Spanish,

Tagalog

Accessibility:*: Limited(IB)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Montrose Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kamajian, Steven D., D.O.

Gender: Male

License No: 20A4674

NPI: 1295703320

Family Practice

1

2103 Montrose Ave. # E

4

Montrose, CA 91020

1678 023859

(818) 957-2007

Prov Language: Armenian, Russian, Spanish,

Turkish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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San Gabriel Valley Regal Medical Group PPG 1678

Primary Care Providers

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Sah, Hamilton J., M.D.

Gender: Male

License No: G13951

NPI: 1447451141

General Practice

12134 Victory Blvd. # A

North Hollywood, CA 91606

1678 067255

(818) 762-8702

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,IB,R,E)

Hours: S-SA 12 AM - 11:59 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Anvekar, Alexis M., M.D.

Gender: Female

License No: A70655

NPI: 1306952577

Internal Medicine

1

50 Bellefontaine St. # 307

Pasadena, CA 91105

1678 172088

(626) 795-0411

Office Staff Language

#

:

Accessibility:*:

Hours: M-TH 9 AM - 5 PM, F 9 AM - 2 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 581: 2018 Provider and Pharmacy Directory

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San Gabriel Valley Regal Medical Group PPG 1678

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

581

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Calleros, Gustavo, M.D.

Gender: Male

License No: A74210

NPI: 1346358827

Family Practice

50 Bellefontaine St. # 401

4

Pasadena, CA 91105

1678 102914

(626) 793-1931

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,IB)

Hours: F 8 AM - 12 PM, M-TH 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Iqbal, Muhammad R., M.D.

Gender: Male

License No: A94608

NPI: 1578515896

Internal Medicine

1

50 Alessandro Pl. # 140

Pasadena, CA 91105

1678 138623

(626) 657-0863

Prov Language: Hindi, Punjabi, Tagalog, Urdu

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 582: 2018 Provider and Pharmacy Directory

582 / www.healthnet.com/calmediconnect

San Gabriel Valley Regal Medical Group PPG 1678

Primary Care Providers

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lariviere, Marc J., M.D.

Gender: Male

License No: G56548

NPI: 1487721403

Internal Medicine

1

1855 N. Fair Oaks Ave.

Pasadena, CA 91103

1678 223638

(626) 398-6300

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,R,E,T)

Hours: TU 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mathioulakis, Stan, M.D.

Gender: Male

License No: A85470

NPI: 1912080847

Internal Medicine

1

10 Congress St. # 506

4

Pasadena, CA 91105

1678 105576

(626) 584-9898

Prov Language: French, Greek, Italian, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,IB,R)

Hours: TU,TH 9 AM - 12 PM, M,W,F 9 AM - 5

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 583: 2018 Provider and Pharmacy Directory

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San Gabriel Valley Regal Medical Group PPG 1678

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

583

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Nasir, Muhammad R., M.D.

Gender: Male

License No: A44253

NPI: 1427002526

General Practice

1403 N. Fair Oaks Ave. # 2

4

Pasadena, CA 91103

1678 063904

(626) 797-4477

Prov Language: Arabic, Hindi, Spanish, Urdu

Office Staff Language

#

: Arabic, Hindi, Punjabi,

Spanish, Urdu

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Primary Care Physicians PPG/Phy #

1ass

Rodriguez, Carlos G., M.D.

Gender: Male

License No: A56502

NPI: 1811046485

Family Practice

1403 N. Fair Oaks Ave. # 1

4

Pasadena, CA 91103

1678 089537

(626) 398-0354

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(IB)

Hours: M-F 8 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 584: 2018 Provider and Pharmacy Directory

584 / www.healthnet.com/calmediconnect

Primary Care Providers

1

Board Certified

3

Physician is currently not accepting new patients.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Seoul Medical Group

PPG 5395

5000 Airport Plaza Drive Suite 150

Long Beach, CA 90815-1275

(562) 766-2000

Hospitals Used:

Hollywood Presbyterian Medical Center

North Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Yoo, Kyung S., M.D.

Gender: Male

License No: A44472

NPI: 1588754675

Family Practice

1

15446 Parthenia St.

4

North Hills, CA 91343

5395 018905

(818) 891-1616

Prov Language: Korean, Spanish

Office Staff Language

#

: Korean, Spanish

Accessibility:*: Limited(EB,IB)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Chang, Kook I., M.D.

3

Gender: Male

License No: A40580

NPI: 1356442354

Internal Medicine

1

14600 Sherman Way # 270

4

Van Nuys, CA 91405

5395 046857

(818) 780-7771

Prov Language: Korean, Spanish

Office Staff Language

#

: Korean, Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 585: 2018 Provider and Pharmacy Directory

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Seoul Medical Group PPG 5395

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

585

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Choi, Cheong W., M.D.

Gender: Male

License No: A36503

NPI: 1093800138

Internal Medicine

1

16912 Sherman Way

4

Van Nuys, CA 91406

5395 044992

(818) 881-9444

Prov Language: Korean

Office Staff Language

#

:

Accessibility:*:

Hours: M,W,F 8:30 AM - 5 PM, TU,TH 8:30 AM

- 1 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lee, Myung H., M.D.

Gender: Male

License No: A45901

NPI: 1821175811

Family Practice

1

14614 Victory Blvd.

4

Van Nuys, CA 91411

5395 065444

(818) 787-4770

Prov Language: Korean, Portuguese, Spanish

Office Staff Language

#

: Korean, Portuguese,

Spanish

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 586: 2018 Provider and Pharmacy Directory

586 / www.healthnet.com/calmediconnect

Primary Care Providers

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sierra Medical Group

PPG 5176

44469 Tenth St. West

Lancaster, CA 93534-3324

(661) 945-9411

Sierra Medical Group

Urgent Care (661)945-9411 or (661)273-9550

Hospitals Used:

Henry Mayo Newhall Memorial Hospital

Canyon Country Specialty/

Primary Care Physicians PPG/Phy #

1ass

Pogodin, Timur R., M.D.

Gender: Male

License No: A133706

NPI: 1972994853

General Practice

27141 Hidaway Ave. # 204

Canyon Country, CA 91351

5176 215299

(661) 297-1127

Prov Language: Armenian, German, Russian,

Spanish

Office Staff Language

#

: Armenian, Russian,

Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 587: 2018 Provider and Pharmacy Directory

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Sierra Medical Group PPG 5176

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

587

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Lancaster Specialty/

Primary Care Physicians PPG/Phy #

1ass

Gaw, Miranda P., M.D.

Gender: Female

License No: A52438

NPI: 1891705885

Internal Medicine

1669 W. Ave. J # 304

Lancaster, CA 93534

5176 108452

(661) 951-7888

Office Staff Language

#

: Burmese, Spanish

Accessibility:*: Limited(P,EB,IB)

Hours: TH 8:30 AM - 12:30 PM, TU-W 8:30 AM

- 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Lancaster Specialty/

Primary Care Physicians PPG/Phy #

1ass

Luu, Darrin D., M.D.

Gender: Male

License No: A81858

NPI: 1407970684

Family Practice

44469 Tenth St. West

Lancaster, CA 93534

5176 144306

(661) 945-9411

Prov Language: Spanish, Vietnamese

Office Staff Language

#

:

Accessibility:*:

Hours: S,SA 9 AM - 5 PM, M-F 8 AM - 8 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 588: 2018 Provider and Pharmacy Directory

588 / www.healthnet.com/calmediconnect

Sierra Medical Group PPG 5176

Primary Care Providers

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Lancaster Specialty/

Primary Care Physicians PPG/Phy #

1ass

Marianayagam, Soosaipillai

J., M.D.

Gender: Male

License No: A43915

NPI: 1679673776

Internal Medicine

1

1331 W. Ave. J # 203

Lancaster, CA 93534

5176 020008

(661) 948-0012

Prov Language: Sinhalese, Spanish, Tamil

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Lancaster Specialty/

Primary Care Physicians PPG/Phy #

1ass

Nguyen, Hong P., D.O.

Gender: Male

License No: 20A11360

NPI: 1992995997

Internal Medicine

44469 Tenth St. West

Lancaster, CA 93534

5176 178970

(661) 945-9411

Prov Language: Vietnamese

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 589: 2018 Provider and Pharmacy Directory

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Sierra Medical Group PPG 5176

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

589

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Lancaster Specialty/

Primary Care Physicians PPG/Phy #

1ass

Paykar, Abraham, M.D.

Gender: Male

License No: A54392

NPI: 1689849986

Internal Medicine

1601 W. Ave. J # 203

Lancaster, CA 93534

5176 073384

(661) 723-3131

Prov Language: Farsi, Spanish

Office Staff Language

#

: Farsi, Spanish

Accessibility:*:

Hours: M-TH 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Lancaster Specialty/

Primary Care Physicians PPG/Phy #

1ass

Phan, Tuan D., M.D.

Gender: Male

License No: C50536

NPI: 1689633992

Family Practice

44469 Tenth St. West

Lancaster, CA 93534

5176 102121

(661) 945-9411

Prov Language: Vietnamese

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: TU-TH 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 590: 2018 Provider and Pharmacy Directory

590 / www.healthnet.com/calmediconnect

Sierra Medical Group PPG 5176

Primary Care Providers

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Lancaster Specialty/

Primary Care Physicians PPG/Phy #

1ass

Shankar, Ravi S., M.D.

Gender: Male

License No: A64181

NPI: 1093806754

Internal Medicine

44215 15th St. West # 109

Lancaster, CA 93534

5176 068195

(661) 948-8000

Prov Language: Hindi, Kannada

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Lancaster Specialty/

Primary Care Physicians PPG/Phy #

1ass

Singh, Pradeep K., M.D.

Gender: Male

License No: A46155

NPI: 1891737656

Family Practice

1

44507 16th St. West # 101

Lancaster, CA 93534

5176 032921

(661) 948-7057

Prov Language: Hindi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 591: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 591

Sierra Medical Group PPG 5176

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

591

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Lancaster Specialty/

Primary Care Physicians PPG/Phy #

1ass

Sivalingam, Kanagaratnam,

M.D.

Gender: Male

License No: A30091

NPI: 1578578365

Internal Medicine

44725 Tenth St. West # 170

Lancaster, CA 93534

5176 531807

(661) 726-3724

Prov Language: Spanish, Tamil

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Newhall Specialty/

Primary Care Physicians PPG/Phy #

1ass

Dorio, Raymond J., M.D.

Gender: Male

License No: A29371

NPI: 1205984739

General Practice

24237 Main St.

Newhall, CA 91321

5176 213175

(661) 259-6302

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 592: 2018 Provider and Pharmacy Directory

592 / www.healthnet.com/calmediconnect

Sierra Medical Group PPG 5176

Primary Care Providers

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Palmdale Specialty/

Primary Care Physicians PPG/Phy #

1ass

Antonio, Adelaida B., M.D.

Gender: Female

License No: C41801

NPI: 1134337975

General Practice

1543 E. Palmdale Blvd. # F

Palmdale, CA 93550

5176 500438

(661) 274-1200

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Bengali, Hindi, Spanish

Accessibility:*: Limited(P,EB,IB)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Palmdale Specialty/

Primary Care Physicians PPG/Phy #

Antonio, Adelaida B., M.D.

Gender: Female

License No: C41801

NPI: 1134337975

General Practice

1543 E. Palmdale Blvd. # C

Palmdale, CA 93550

5176 500438

(661) 274-1200

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB,IB)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 593: 2018 Provider and Pharmacy Directory

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Sierra Medical Group PPG 5176

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

593

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Palmdale Specialty/

Primary Care Physicians PPG/Phy #

1ass

Chu, Wah W., M.D.

Gender: Female

License No: A110341

NPI: 1891018719

Internal Medicine

1

39115 Trade Center Dr. # 130A

Palmdale, CA 93551

5176 161796

(661) 273-0100

Prov Language: Burmese, Mandarin

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Palmdale Specialty/

Primary Care Physicians PPG/Phy #

1ass

Ernest, Carmel I., M.D.

Gender: Female

License No: A42995

NPI: 1104838648

General Practice

39115 Trade Center Dr. # 130

Palmdale, CA 93551

5176 031889

(661) 273-0100

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 594: 2018 Provider and Pharmacy Directory

594 / www.healthnet.com/calmediconnect

Sierra Medical Group PPG 5176

Primary Care Providers

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Palmdale Specialty/

Primary Care Physicians PPG/Phy #

1ass

Luu, Darrin D., M.D.

Gender: Male

License No: A81858

NPI: 1407970684

Family Practice

39115 Trade Center Dr.

Palmdale, CA 93551

5176 144306

(661) 273-0100

Prov Language: Spanish, Vietnamese

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Palmdale Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mahdessian, Hovsep G.,

M.D.

Gender: Male

License No: A102305

NPI: 1659544203

General Practice

1543 E. Palmdale Blvd. # C

Palmdale, CA 93550

5176 148373

(661) 274-1200

Prov Language: Arabic, Armenian, French,

Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB,IB)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 595: 2018 Provider and Pharmacy Directory

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Sierra Medical Group PPG 5176

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

595

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Palmdale Specialty/

Primary Care Physicians PPG/Phy #

1ass

Pillai, Dewey D., M.D.

Gender: Male

License No: A87833

NPI: 1134161482

Family Practice

1220 E. Ave. S # D

Palmdale, CA 93550

5176 131730

(661) 947-4124

Prov Language: Spanish, Tamil

Office Staff Language

#

: Armenian, Farsi,

Spanish, Tamil

Accessibility:*: Limited(P,IB)

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Palmdale Specialty/

Primary Care Physicians PPG/Phy #

1ass

Shamsa, Iraj, M.D.

Gender: Male

License No: A49893

NPI: 1871655654

General Practice

1543 E. Palmdale Blvd. # F

Palmdale, CA 93550

5176 067025

(661) 274-1200

Prov Language: Farsi, Spanish

Office Staff Language

#

: Bengali, Hindi, Spanish

Accessibility:*: Limited(P,EB,IB)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 596: 2018 Provider and Pharmacy Directory

596 / www.healthnet.com/calmediconnect

Sierra Medical Group PPG 5176

Primary Care Providers

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Palmdale Specialty/

Primary Care Physicians PPG/Phy #

Shamsa, Iraj, M.D.

Gender: Male

License No: A49893

NPI: 1871655654

General Practice

1543 E. Palmdale Blvd. # C

Palmdale, CA 93550

5176 067025

(661) 274-1200

Prov Language: Farsi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB,IB)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Palmdale Specialty/

Primary Care Physicians PPG/Phy #

1ass

Singh, Pradeep K., M.D.

Gender: Male

License No: A46155

NPI: 1891737656

Family Practice

1

615 W. Avenue Q # A

Palmdale, CA 93551

5176 032921

(661) 948-7057

Prov Language: Hindi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 597: 2018 Provider and Pharmacy Directory

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Sierra Medical Group PPG 5176

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

597

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Palmdale Specialty/

Primary Care Physicians PPG/Phy #

1ass

Sirajullah, Mohammad, M.D.

Gender: Male

License No: C51163

NPI: 1346339884

General Practice

1543 E. Palmdale Blvd. # F

Palmdale, CA 93550

5176 106860

(661) 274-1200

Prov Language: Bengali, Hindi, Spanish

Office Staff Language

#

: Bengali, Hindi, Spanish

Accessibility:*: Limited(P,EB,IB)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Palmdale Specialty/

Primary Care Physicians PPG/Phy #

Sirajullah, Mohammad, M.D.

Gender: Male

License No: C51163

NPI: 1346339884

General Practice

1543 E. Palmdale Blvd. # C

Palmdale, CA 93550

5176 106860

(661) 274-1200

Prov Language: Bengali, Hindi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB,IB)

Hours: S-SA 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 598: 2018 Provider and Pharmacy Directory

598 / www.healthnet.com/calmediconnect

Sierra Medical Group PPG 5176

Primary Care Providers

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Palmdale Specialty/

Primary Care Physicians PPG/Phy #

1ass

Woodcock, John A., D.O.

Gender: Male

License No: 20A6801

NPI: 1063452316

Family Practice

39115 Trade Center Dr. # 130

Palmdale, CA 93551

5176 067367

(661) 273-0100

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Santa Clarita Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mungcal, Renato V., M.D.

Gender: Male

License No: A42598

NPI: 1750555413

Family Practice

21700 Golden Triangle Rd. # 206

Santa Clarita, CA 91350

5176 039132

(661) 287-3983

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-W,F 9 AM - 5:30 PM, SA 8 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 599: 2018 Provider and Pharmacy Directory

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Sierra Medical Group PPG 5176

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

599

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lavi, Joseph M., M.D.

Gender: Male

License No: A72094

NPI: 1912082017

Internal Medicine

27420 Tourney Rd. # 200

Valencia, CA 91355

5176 089338

(661) 254-9950

Prov Language: Farsi

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: TH-F 9 AM - 5 PM, W 9 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Lewis, Dennis P., M.D.

Gender: Male

License No: G78417

NPI: 1780608190

Family Practice

23823 Valencia Blvd. # 160

Valencia, CA 91355

5176 050547

(661) 254-0026

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: SA 9 AM - 1 PM, M-F 8 AM - 8 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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600 / www.healthnet.com/calmediconnect

Sierra Medical Group PPG 5176

Primary Care Providers

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Luu, Darrin D., M.D.

Gender: Male

License No: A81858

NPI: 1407970684

Family Practice

25775 Mcbean Pkwy. # 106

Valencia, CA 91355

5176 144306

(661) 947-4124

Prov Language: Spanish, Vietnamese

Office Staff Language

#

: Spanish, Vietnamese

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Malla, Sabita, M.D.

Gender: Female

License No: A90206

NPI: 1962571216

Internal Medicine

1

25775 Mcbean Pkwy. # 107

Valencia, CA 91355

5176 133269

(661) 799-7007

Prov Language: Hindi, Nepali, Russian

Office Staff Language

#

:

Accessibility:*:

Hours: F-SA 12 PM - 6 PM, M-TH 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Sierra Medical Group PPG 5176

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

601

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Mya, George H., M.D.

Gender: Male

License No: A73130

NPI: 1790895936

Internal Medicine

1

25775 Mcbean Pkwy. # 106

Valencia, CA 91355

5176 111062

(661) 362-8100

Prov Language: Burmese

Office Staff Language

#

: Spanish, Vietnamese

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Pillai, Dewey D., M.D.

Gender: Male

License No: A87833

NPI: 1134161482

Family Practice

23838 Valencia Blvd. # 205

Valencia, CA 91355

5176 131730

(661) 288-2237

Prov Language: Spanish, Tamil

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 602: 2018 Provider and Pharmacy Directory

602 / www.healthnet.com/calmediconnect

Sierra Medical Group PPG 5176

Primary Care Providers

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Salehi, Niloufar, D.O.

Gender: Female

License No: 20A14156

NPI: 1023278629

Family Practice

1

24159 Magic Mountain Pkwy.

Valencia, CA 91355

5176 224701

(661) 222-9117

Prov Language: Farsi

Office Staff Language

#

:

Accessibility:*:

Hours: SA 10 AM - 5 PM, M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Primary Care Physicians PPG/Phy #

1ass

Zahedi, Marco M., M.D.

Gender: Male

License No: A138224

NPI: 1063779163

General Practice

24159 Magic Mountain Pkwy.

Valencia, CA 91355

5176 225874

(661) 222-9117

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 603: 2018 Provider and Pharmacy Directory

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Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

603

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

St. Vincent IPA Medical Group

PPG 1785

17215 Studebaker Road Suite 320

Cerritos, CA 90703-2522

(562) 860-8771

Urgent Care:

Silver Lake Medical Center (213) 989-6160

24 hrs/day, 7 days/ week

Hospitals Used:

St. Vincent Medical Center

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Behroozan, Benjamin, M.D.

Gender: Male

License No: A41374

NPI: 1750440681

Family Practice

5255 W. Sunset Blvd.

4

Los Angeles, CA 90027

1785 034784

(323) 463-7262

Prov Language: Farsi, Hebrew, Spanish

Office Staff Language

#

: Farsi, Hebrew, Spanish,

Tagalog

Accessibility:*: Limited(IB)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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604 / www.healthnet.com/calmediconnect

St. Vincent IPA Medical Group PPG 1785

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Carella, Joseph A., M.D.

Gender: Male

License No: G15628

NPI: 1548277767

General Practice

1407 N. Vermont Ave. # B

Los Angeles, CA 90027

1785 083767

(323) 661-5500

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Chu, Felipe L., M.D.

Gender: Male

License No: A36193

NPI: 1588677173

Internal Medicine

1300 N. Vermont Ave. # 806

4

Los Angeles, CA 90027

1785 039227

(213) 484-0404

Prov Language: Mandarin, Tagalog

Office Staff Language

#

: Arabic, Armenian,

French, Italian, Spanish, Turkish

Accessibility:*: Limited(EB,IB)

Hours: M-TU,TH 10 AM - 5 PM, W,F 10 AM - 4

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 605: 2018 Provider and Pharmacy Directory

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St. Vincent IPA Medical Group PPG 1785

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

605

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Filart, Marcel A., M.D.

Gender: Male

License No: A76022

NPI: 1396775474

Internal Medicine

1300 N. Vermont Ave. # 1008

4

Los Angeles, CA 90027

1785 136311

(323) 443-7128

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Armenian

Accessibility:*:

Hours: TU,TH 9 AM - 12 PM, M,W,F 9 AM - 5

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kalindjian, Krikor I., M.D.

Gender: Male

License No: A80255

NPI: 1871546333

Internal Medicine

1300 N. Vermont Ave. # 807

4

Los Angeles, CA 90027

1785 105458

(323) 660-5191

Prov Language: Arabic, Armenian, French,

Italian, Spanish

Office Staff Language

#

: Arabic, French, Italian,

Spanish

Accessibility:*: Limited(EB,IB)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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606 / www.healthnet.com/calmediconnect

St. Vincent IPA Medical Group PPG 1785

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kunnawuthidee,

Kamoltipya, M.D.

Gender: Female

License No: A35557

NPI: 1992808422

General Practice

1300 N. Vermont Ave. # 702

4

Los Angeles, CA 90027

1785 051421

(323) 928-2799

Prov Language: Spanish, Thai

Office Staff Language

#

: Spanish, Thai

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: W 10:30 AM - 2:30 PM, TH-F 10:30 AM

- 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Pedrano, Guadalupe C.,

M.D.

Gender: Female

License No: A40246

NPI: 1174786073

General Practice

2209 N. San Fernando Rd.

4

Los Angeles, CA 90065

1785 046020

(323) 226-0511

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Spanish, Tagalog

Accessibility:*: Limited(EB,IB,E)

Hours: TH-F 10 AM - 6 PM, W 10 AM - 1:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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St. Vincent IPA Medical Group PPG 1785

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

607

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Popova, Stella, M.D.

Gender: Female

License No: A65599

NPI: 1023108925

Internal Medicine

7258 W. Sunset Blvd.

4

Los Angeles, CA 90046

1785 069598

(323) 654-7716

Prov Language: Russian

Office Staff Language

#

: Russian

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: F 12 PM - 3:30 PM, M-TU,TH 8 AM - 12

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Primary Care Physicians PPG/Phy #

1ass

Rosenblatt, Steven L., M.D.

Gender: Male

License No: A53639

NPI: 1134142201

Family Practice

4137 Verdugo Rd.

4

Los Angeles, CA 90065

1785 145572

(323) 344-9255

Prov Language: Armenian, Spanish, Tagalog

Office Staff Language

#

: Armenian, Russian

Accessibility:*: Limited(IB,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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608 / www.healthnet.com/calmediconnect

St. Vincent IPA Medical Group PPG 1785

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Makovoz, Galina, M.D.

Gender: Female

License No: A47756

NPI: 1558351833

General Practice

11631 Victory Blvd. # 103

4

North Hollywood, CA 91606

1785 060837

(818) 762-3116

Prov Language: Russian

Office Staff Language

#

: Russian

Accessibility:*: Limited(P,EB,E)

Hours: TH 10 AM - 5 PM, SA 10 AM - 2 PM,

M,W,F 10 AM - 7 PM, TU 10 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

West Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Chetver, Elena, M.D.

Gender: Female

License No: A52741

NPI: 1518997212

Internal Medicine

7531 Santa Monica Blvd. # 210

4

West Hollywood, CA 90046

1785 087331

(323) 650-2991

Prov Language: Russian

Office Staff Language

#

: Russian

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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St. Vincent IPA Medical Group PPG 1785

Primary Care Providers

Prim

ary C

are

P

ro

vid

ers

609

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

West Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Kovalevsky, Marina, M.D.

Gender: Female

License No: A63485

NPI: 1144377607

Internal Medicine

7737 Santa Monica Blvd.

4

West Hollywood, CA 90046

1785 131446

(323) 650-3335

Prov Language: Russian

Office Staff Language

#

: Russian

Accessibility:*: Limited(P,EB,IB,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

West Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Makovoz, Galina, M.D.

Gender: Female

License No: A47756

NPI: 1558351833

General Practice

7607 Santa Monica Blvd. # 27

4

West Hollywood, CA 90046

1785 060837

(323) 650-5494

Prov Language: Russian

Office Staff Language

#

: Russian

Accessibility:*: Limited(P,EB,E)

Hours: TU 10 AM - 3 PM, F 9 AM - 5 PM, W-TH

9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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610 / www.healthnet.com/calmediconnect

St. Vincent IPA Medical Group PPG 1785

Primary Care Providers

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

West Hollywood Specialty/

Primary Care Physicians PPG/Phy #

1ass

Shemer, Boris, M.D.

Gender: Male

License No: A41564

NPI: 1356489884

General Practice

7607 Santa Monica Blvd. # 28

4

West Hollywood, CA 90046

1785 063865

(323) 656-7094

Prov Language: Russian

Office Staff Language

#

: Russian

Accessibility:*: Limited(P,EB,IB,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Woodland Hills Specialty/

Primary Care Physicians PPG/Phy #

1ass

Vaisman, Sofia, M.D.

Gender: Female

License No: A36979

NPI: 1497846638

General Practice

22600 Ventura Blvd. # 101

4

Woodland Hills, CA 91364

1785 047771

(818) 225-1255

Prov Language: Hungarian, Romanian,

Russian, Spanish

Office Staff Language

#

: Armenian, Russian,

Spanish, Yiddish

Accessibility:*:

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Los Angeles County

Provider Count: 2464

Specialists

Speciali

Speciali

Sp

ec

ialists

611

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Allied Pacific of California IPA

PPG 5252

1680 S Garfield Avenue Suite 102

Alhambra, CA 91801-5413

(626) 282-0288

Hospitals Used:

Alhambra Hospital Medical Center

Allied Pacific - CVIP (PPG 5387)

1668 South Garfield Avenue 2nd Fl

Alhambra, CA 91801-5400

(626) 282-0288

Allied Pacific of California IPA- East LA

(PPG 5399)

1668 South Garfield Avenue

Alhambra, CA 91801-5400

(626) 282-0288

Hospitals Used:

White Memorial Medical Center

Greater San Gabriel Valley Physicians (PPG

5255)

1680 S Garfield Avenue Suite 102

Alhambra, CA 91801-5413

(626) 282-0288

Hospitals Used:

Alhambra Hospital Medical Center

Beverly Hills Specialty/

Specialists PPG/Phy #

aasd

Schofield, John K., D.O.

Ophthalmology

License No: 20A8336

NPI: 1205811023

433 N. Camden Dr. # 100

Beverly Hills, CA 90210

5252 142944

(310) 205-5400

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: F 8 AM - 3 PM, M-TH 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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612 / www.healthnet.com/calmediconnect

Allied Pacific of California IPA PPG 5252

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Encino Specialty/

Specialists PPG/Phy #

aasd

Lin, Michael T., M.D.

Dermatology

1

License No: A77571

NPI: 1164436820

5363 Balboa Blvd. # 333

4

Encino, CA 91316

5252 094485

(818) 906-2141

Prov Language: Mandarin, Spanish

Office Staff Language

#

: Mandarin, Spanish

Accessibility:*:

Hours: SA 9 AM - 1 PM, S 10 AM - 6 PM, M-F 9

AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

La Canada Specialty/

Specialists PPG/Phy #

aasd

Lezcano, Sheila D., M.D.

Rheumatology

License No: A130548

NPI: 1295098390

1975 Verdugo Blvd.

La Canada, CA 91011

5399 231592

(818) 249-9454

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,IB,R,E,T)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 613: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 613

Allied Pacific of California IPA PPG 5252

Specialists

Sp

ec

ialists

613

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Abdou, Rami, M.D.

Otolaryngology

(ENT)

License No: A147320

NPI: 1700143013

1300 N. Vermont Ave. # 605

Los Angeles, CA 90027

5252 232770

(323) 268-6731

Prov Language: Arabic, Cantonese, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Ahn, Sang-Hoon, M.D.

Oncology

1

License No: A95562

NPI: 1568581759

1300 N. Vermont Ave. # 606

4

Los Angeles, CA 90027

5252 149918

(323) 660-6200

Prov Language: Arabic, Cambodian,Khmer,

Japanese, Korean, Spanish, Tagalog,

Vietnamese

Office Staff Language

#

:

Accessibility:*: Limited(IB,R)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 614: 2018 Provider and Pharmacy Directory

614 / www.healthnet.com/calmediconnect

Allied Pacific of California IPA PPG 5252

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Batniji, Kamal A., M.D.

Otolaryngology

(ENT)

License No: A25477

NPI: 1699823021

1300 N. Vermont Ave. # 604

4

Los Angeles, CA 90027

5252 500956

(323) 660-1111

Prov Language: Arabic, Spanish

Office Staff Language

#

: Arabic, Spanish

Accessibility:*:

Hours: TU,F 2 PM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Duong, Paul L., M.D.

Radiation

Oncology

1

License No: A52717

NPI: 1790750768

1300 N. Vermont Ave.

4

Los Angeles, CA 90027

5255 078969

(323) 913-4864

Prov Language: Vietnamese

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB,IB,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Lamorena, Thelma Linda

S., M.D.

Endocrinology

License No: A29376

NPI: 1972603256

1300 N. Vermont Ave. # 100

4

Los Angeles, CA 90027

5252 009465

(323) 913-4947

Prov Language: Sign Language, Spanish,

Tagalog

Office Staff Language

#

:

Accessibility:*:

Hours: M-TH 10:30 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 615: 2018 Provider and Pharmacy Directory

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Allied Pacific of California IPA PPG 5252

Specialists

Sp

ec

ialists

615

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Simonian, Simon K., M.D.

Otolaryngology

(ENT)

1

License No: C39045

NPI: 1598771834

1300 N. Vermont Ave. # 701

4

Los Angeles, CA 90027

5252 015896

(323) 661-0772

Prov Language: Arabic, Armenian, Russian

Office Staff Language

#

: Farsi, Spanish

Accessibility:*:

Hours: M-TH 10:30 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Sloan, William R., M.D.

Urology

1

License No: G19954

NPI: 1790839645

2750 W Broadway

4

Los Angeles, CA 90041

5399 028528

(818) 241-3125

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,IB,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Young, Guillermo A., M.D.

Pediatric

Cardiology

1

License No: A25182

NPI: 1811917032

1300 N. Vermont Ave. # 402

4

Los Angeles, CA 90027

5252 018928

(323) 953-9926

Prov Language: French, Spanish

Office Staff Language

#

: French, Spanish

Accessibility:*:

Hours: TU,F 9 AM - 4 PM, W-TH 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 616: 2018 Provider and Pharmacy Directory

616 / www.healthnet.com/calmediconnect

Allied Pacific of California IPA PPG 5252

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Specialists PPG/Phy #

aasd

Boyer, David S., M.D.

Ophthalmology

License No: G25107

NPI: 1295736916

12840 Riverside Dr. # 402

4

North Hollywood, CA 91607

5252 501730

(818) 754-2090

Office Staff Language

#

: Arabic, French, Korean,

Spanish

Accessibility:*:

Hours: M-F 8 AM - 8 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Chu, Thomas G., M.D.

Ophthalmology

License No: G68694

NPI: 1760482806

12840 Riverside Dr. # 402

4

North Hollywood, CA 91607

5252 053384

(818) 754-2090

Prov Language: Armenian, Korean, Mandarin,

Russian, Spanish, Tagalog

Office Staff Language

#

: Arabic, French, Korean,

Spanish

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Specialists PPG/Phy #

aasd

Novack, Roger L., M.D.

Ophthalmology

1

License No: G53779

NPI: 1104828706

12840 Riverside Dr. # 402

4

North Hollywood, CA 91607

5252 012492

(818) 754-2090

Prov Language: Armenian, Korean, Russian,

Spanish

Office Staff Language

#

: Arabic, French, Korean,

Spanish

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 617: 2018 Provider and Pharmacy Directory

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Allied Pacific of California IPA PPG 5252

Specialists

Sp

ec

ialists

617

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Specialists PPG/Phy #

aasd

Rahhal, Firas M., M.D.

Ophthalmology

1

License No: G78656

NPI: 1881658615

12840 Riverside Dr. # 402

4

North Hollywood, CA 91607

5252 044521

(818) 754-2090

Prov Language: Arabic

Office Staff Language

#

: Arabic, French, Korean,

Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Abad, Edgar Fernando A.,

P.T.

Physical Therapy

License No: PT22286

NPI: 1982784542

1017 S. Fair Oaks Ave.

4

Pasadena, CA 91105

5399 075508

(626) 403-6200

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 618: 2018 Provider and Pharmacy Directory

618 / www.healthnet.com/calmediconnect

Allied Pacific of California IPA PPG 5252

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Ackerson II, Truman T.,

M.D.

Orthopedic

Surgery

1

License No: A23299

NPI: 1811099179

10 Congress St. # 103

4

Pasadena, CA 91105

5252 500073

(626) 795-0282

Office Staff Language

#

: Burmese, Cantonese,

Czech, Danish, Marshallese (Ebon), Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Agrawal, Vibha, M.D.

Pain Management

1

License No: C135409

NPI: 1528196045

1017 S. Fair Oaks Ave.

4

Pasadena, CA 91105

5399 215187

(626) 403-6200

Prov Language: Hindi

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Ahdoot, Joseph, M.D.

Pediatric

Cardiology

1

License No: A55697

NPI: 1841272697

50 Bellefontaine St. # 405

4

Pasadena, CA 91105

5252 080346

(626) 796-9259

Prov Language: Farsi, Spanish

Office Staff Language

#

: Portuguese, Spanish

Accessibility:*:

Hours: M 1 PM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 619: 2018 Provider and Pharmacy Directory

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Allied Pacific of California IPA PPG 5252

Specialists

Sp

ec

ialists

619

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Badawi, Radwan A., M.D.

Dermatology

License No: A31954

NPI: 1356454136

473 N Fair Oaks Ave.

Pasadena, CA 91103

5252 021343

(626) 792-2378

Prov Language: Arabic, Farsi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Brizuela, Arnold A., M.D.

Neurology

License No: A129336

NPI: 1528325818

630 S. Raymond Ave. # 310

Pasadena, CA 91105

5252 240476

(626) 598-3770

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Burke, Lennis P., M.D.

Pediatric

Cardiology

1

License No: G42405

NPI: 1922080779

50 Bellefontaine St. # 405

4

Pasadena, CA 91105

5252 502154

(626) 796-9559

Office Staff Language

#

: Portuguese, Spanish

Accessibility:*:

Hours: TU 8 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Burnham Jr, Walter H.,

M.D.

Orthopedic

Surgery

1

License No: A62133

NPI: 1639221948

10 Congress St. # 103

4

Pasadena, CA 91105

5252 216287

(626) 795-0282

Office Staff Language

#

: Burmese, Cantonese,

Czech, Danish, Marshallese (Ebon), Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Page 620: 2018 Provider and Pharmacy Directory

620 / www.healthnet.com/calmediconnect

Allied Pacific of California IPA PPG 5252

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Carroll, Sarah R., M.D.

Otolaryngology

(ENT)

1

License No: A117013

NPI: 1962608281

50 Alessandro Pl. # 230

4

Pasadena, CA 91105

5399 169566

(626) 577-5550

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Caton III, William L., M.D.

Neurosurgery

1

License No: G23691

NPI: 1174555379

630 S. Raymond Ave. # 330

4

Pasadena, CA 91105

5252 502518

(626) 793-8194

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Chan, Kevin M., P.T.

Physical Therapy

License No: PT292200

NPI: 1831640226

1017 S. Fair Oaks Ave.

4

Pasadena, CA 91105

5399 226362

(626) 403-6200

Prov Language: Cantonese

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 7 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Chang, Andrew M., M.D.

Ophthalmology

License No: G61183

NPI: 1003808494

625 S. Fair Oaks Ave. # 235

Pasadena, CA 91105

5252 520623

(626) 796-7006

Prov Language: Mandarin, Spanish

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 621: 2018 Provider and Pharmacy Directory

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Allied Pacific of California IPA PPG 5252

Specialists

Sp

ec

ialists

621

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Cheng, Christopher K.,

M.D.

Neurology

1

License No: A133131

NPI: 1700175312

630 S. Raymond Ave. # 310

Pasadena, CA 91105

5252 240360

(626) 598-3770

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 7 AM - 6 PM

Cultural Competence Training Completed:

Provider Training and Experience:

aasd

Cheung, Tyler, M.D.

Neurology

1

License No: A117880

NPI: 1790993590

625 S. Fair Oaks Ave. # 325

Pasadena, CA 91105

5387 227604

(626) 543-9344

Prov Language: Cantonese, French, Fujian,

Mandarin

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Conrad, Gary L., M.D.

Cardiology/

Cardiovascular

Disease

1

License No: C37034

NPI: 1669424271

625 S. Fair Oaks Ave. # 215

4

Pasadena, CA 91105

5252 503190

(626) 793-4139

Prov Language: Gujarati, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 622: 2018 Provider and Pharmacy Directory

622 / www.healthnet.com/calmediconnect

Allied Pacific of California IPA PPG 5252

Specialists

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Corrado, Philip E., PH.D.

Psychology

License No: PSY16628

NPI: 1326159997

1017 S. Fair Oaks Ave.

4

Pasadena, CA 91105

5399 093154

(626) 403-6200

Prov Language: Spanish

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Daga, Nikhil A., M.D.

Cardiology/

Cardiovascular

Disease

License No: A110624

NPI: 1487811212

625 S. Fair Oaks Ave. # 215

4

Pasadena, CA 91105

5252 223433

(626) 793-4139

Prov Language: Hindi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 623: 2018 Provider and Pharmacy Directory

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Allied Pacific of California IPA PPG 5252

Specialists

Sp

ec

ialists

623

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

De Oliveira, Elizabeth R.,

M.D.

Pediatric

Cardiology

1

License No: C50168

NPI: 1265414833

50 Bellefontaine St. # 405

4

Pasadena, CA 91105

5252 083495

(626) 796-9259

Prov Language: Portuguese, Spanish

Office Staff Language

#

: Portuguese, Spanish

Accessibility:*:

Hours: W,F 8:30 AM - 11:30 AM

Cultural Competence Training Completed: No

Provider Training and Experience:

De Oliveira, Elizabeth R.,

M.D.

Pediatric

Cardiology

1

License No: C50168

NPI: 1265414833

50 Bellefontaine St.

4

Pasadena, CA 91105

5252 083495

(626) 796-9259

Prov Language: Portuguese, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,IB,R,E)

Hours: M 8 AM - 5 PM, W-F 9 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Devore, Greggory R., M.D.

Obstetrics/

Gynecology

1

License No: G44446

NPI: 1851305312

625 S. Fair Oaks Ave. # 220

4

Pasadena, CA 91105

5252 074586

(626) 583-8911

Prov Language: French, Spanish

Office Staff Language

#

: French, Spanish

Accessibility:*:

Hours: M-TH 8 AM - 5 PM, F 8 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Do, Luong T., M.D.

Pediatrics

1

License No: A90656

NPI: 1831113901

193 E. Orange Grove Blvd.

4

Pasadena, CA 91103

5252 134290

(626) 568-3302

Prov Language: Spanish, Vietnamese

Office Staff Language

#

: Spanish, Vietnamese

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 6 PM, SA 9 AM - 1 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 624: 2018 Provider and Pharmacy Directory

624 / www.healthnet.com/calmediconnect

Allied Pacific of California IPA PPG 5252

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Eng, Calvin T., M.D.

Ophthalmology

License No: G55239

NPI: 1225039092

625 S. Fair Oaks Ave. # 235

Pasadena, CA 91105

5255 004553

(626) 796-7006

Prov Language: Cantonese, Mandarin,

Spanish, Vietnamese

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 6 PM, SA 9 AM - 1 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Ho, John, M.D.

Cardiology/

Cardiovascular

Disease

1

License No: A108571

NPI: 1548478977

50 Bellefontaine St. # 405

4

Pasadena, CA 91105

5252 188086

(626) 796-9259

Prov Language: Mandarin

Office Staff Language

#

: Portuguese, Spanish

Accessibility:*:

Hours: M,W 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 625: 2018 Provider and Pharmacy Directory

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Allied Pacific of California IPA PPG 5252

Specialists

Sp

ec

ialists

625

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Jim, Lysander H., M.D.

Physical Medicine

Rehab

License No: A124122

NPI: 1457642795

1017 S. Fair Oaks Ave.

4

Pasadena, CA 91105

5252 208843

(626) 403-6200

Prov Language: Cantonese

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Jo, Mark J., M.D.

Orthopedic

Surgery

License No: A122314

NPI: 1689974255

10 Congress St. # 103

4

Pasadena, CA 91105

5252 187551

(626) 795-0282

Prov Language: Korean, Spanish

Office Staff Language

#

: Burmese, Cantonese,

Czech, Danish, Marshallese (Ebon), Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Page 626: 2018 Provider and Pharmacy Directory

626 / www.healthnet.com/calmediconnect

Allied Pacific of California IPA PPG 5252

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Johnson, Jennifer D., P.T.

Physical Therapy

License No: PT25196

NPI: 1073974317

1017 S. Fair Oaks Ave.

4

Pasadena, CA 91105

5399 218680

(626) 403-6200

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Kano, Alyssa A., P.T.

Physical Therapy

License No: PT293363

NPI: 1902324825

10 Congress St. # 103

4

Pasadena, CA 91105

5252 235732

(626) 795-0284

Office Staff Language

#

: Burmese, Cantonese,

Czech, Danish, Marshallese (Ebon), Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Kivett, William F., M.D.

Dermatology

1

License No: G34668

NPI: 1235175902

473 N Fair Oaks Ave.

Pasadena, CA 91103

5252 061375

(626) 792-2378

Prov Language: Italian, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M,W 8 AM - 4:30 PM, TH-F 7:30 AM - 4

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 627: 2018 Provider and Pharmacy Directory

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Allied Pacific of California IPA PPG 5252

Specialists

Sp

ec

ialists

627

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Koutnouyan, Hrair A., M.D.

Otolaryngology

(ENT)

License No: G79321

NPI: 1063499937

50 Alessandro Pl. # 230

4

Pasadena, CA 91105

5399 064302

(626) 577-5550

Prov Language: Arabic, Armenian, Mandarin,

Spanish, Tagalog

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Kuvalekar, Aparna V., P.T.

Pain Management

License No: PT35581

NPI: 1073960613

1017 S. Fair Oaks Ave.

4

Pasadena, CA 91105

5399 220782

(626) 403-6200

Prov Language: Hindi, Marathi

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Kuvalekar, Aparna V., P.T.

Physical Therapy

License No: PT35581

NPI: 1073960613

1017 S. Fair Oaks Ave.

4

Pasadena, CA 91105

5399 220782

(626) 403-6200

Prov Language: Hindi, Marathi

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 628: 2018 Provider and Pharmacy Directory

628 / www.healthnet.com/calmediconnect

Allied Pacific of California IPA PPG 5252

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Levine, Reed L., M.D.

Pain Management

1

License No: A94916

NPI: 1386844868

1017 S. Fair Oaks Ave.

4

Pasadena, CA 91105

5399 170371

(626) 403-6200

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Loitz, Robert D., M.D.

Pediatric

Cardiology

1

License No: G43246

NPI: 1225010077

50 Bellefontaine St. # 405

4

Pasadena, CA 91105

5252 010313

(626) 796-9259

Prov Language: Spanish

Office Staff Language

#

: Portuguese, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Mak, Albert C., M.D.

Radiation

Oncology

1

License No: G79330

NPI: 1902910904

630 S. Raymond Ave. # 104

4

Pasadena, CA 91105

5252 050330

(626) 768-7021

Prov Language: Cantonese, Mandarin,

Spanish, Vietnamese

Office Staff Language

#

: Cantonese, Mandarin,

Spanish, Vietnamese

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 629: 2018 Provider and Pharmacy Directory

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Allied Pacific of California IPA PPG 5252

Specialists

Sp

ec

ialists

629

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Mena, Edward A., M.D.

Internal Medicine

License No: A73231

NPI: 1881654226

301 S. Fair Oaks Ave. # 405

Pasadena, CA 91105

5399 101587

(626) 440-7325

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mena, Edward A., M.D.

Internal Medicine

License No: A73231

NPI: 1881654226

660 S. Fair Oaks Ave.

4

Pasadena, CA 91105

5252 101587

(626) 397-5826

Prov Language: Spanish

Office Staff Language

#

:

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Mora, Martha L., M.D.

Ophthalmology

License No: A60290

NPI: 1093766651

10 Congress St. # 408

4

Pasadena, CA 91105

5255 099184

(626) 796-7006

Prov Language: Japanese, Spanish

Office Staff Language

#

: Cantonese, Spanish

Accessibility:*:

Hours: M,W 8 AM - 5:30 PM, TH-F 8:30 AM -

5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mora, Martha L., M.D.

Ophthalmology

License No: A60290

NPI: 1093766651

10 Congress St. # 408

4

Pasadena, CA 91105

5252 099184

(626) 796-7006

Prov Language: Japanese, Spanish

Office Staff Language

#

: Cantonese, Spanish

Accessibility:*:

Hours: M,W 8 AM - 5:30 PM, TH-F 8:30 AM -

5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 630: 2018 Provider and Pharmacy Directory

630 / www.healthnet.com/calmediconnect

Allied Pacific of California IPA PPG 5252

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Natanzi, Naveed M., D.O.

Physical Medicine

Rehab

1

License No: 20A12989

NPI: 1184068926

1017 S. Fair Oaks Ave.

4

Pasadena, CA 91105

5399 231393

(626) 403-6200

Prov Language: Farsi, Formosan, Hebrew,

Spanish

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Niamehr, Nouriel, D.O.

Physical Medicine

Rehab

License No: 20A11311

NPI: 1679881346

1017 S. Fair Oaks Ave.

4

Pasadena, CA 91105

5399 181854

(626) 403-6200

Prov Language: Farsi

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Ohanian, Arbi G., M.D.

Neurology

1

License No: A89407

NPI: 1982894606

625 S. Fair Oaks Ave. # 325

Pasadena, CA 91105

5387 145608

(626) 535-9344

Prov Language: Armenian, Farsi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 631: 2018 Provider and Pharmacy Directory

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Allied Pacific of California IPA PPG 5252

Specialists

Sp

ec

ialists

631

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Panossian, Vahe, M.D.

Orthopedic

Surgery

1

License No: A66450

NPI: 1255359964

10 Congress St. # 103

4

Pasadena, CA 91105

5252 097706

(626) 795-0282

Prov Language: Armenian, Spanish

Office Staff Language

#

: Burmese, Cantonese,

Czech, Danish, Marshallese (Ebon), Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Rashtian, Mayer Y., M.D.

Cardiology/

Cardiovascular

Disease

License No: G66273

NPI: 1104876002

625 S. Fair Oaks Ave. # 215

4

Pasadena, CA 91105

5252 049235

(626) 793-4139

Prov Language: Farsi, German

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 632: 2018 Provider and Pharmacy Directory

632 / www.healthnet.com/calmediconnect

Allied Pacific of California IPA PPG 5252

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Reid, James J., M.D.

Orthopedic

Surgery

1

License No: A78619

NPI: 1336151455

10 Congress St. # 103

4

Pasadena, CA 91105

5252 114590

(626) 795-0282

Prov Language: Spanish

Office Staff Language

#

: Burmese, Cantonese,

Czech, Danish, Marshallese (Ebon), Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Rizvi, Murtaza, M.D.

Plastic Surgery

1

License No: A95879

NPI: 1205071073

10 Congress St. # 103

4

Pasadena, CA 91105

5252 154419

(626) 795-0282

Office Staff Language

#

: Burmese, Cantonese,

Czech, Danish, Marshallese (Ebon), Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Rosenfeld, Harold L., M.D.

Plastic Surgery

License No: A22122

NPI: 1376550871

1044 S. Fair Oaks Ave. # 101

4

Pasadena, CA 91105

5252 014446

(626) 449-4859

Prov Language: Cantonese, Mandarin

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 633: 2018 Provider and Pharmacy Directory

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Allied Pacific of California IPA PPG 5252

Specialists

Sp

ec

ialists

633

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Ross, Ian B., M.D.

Neurosurgery

1

License No: G87566

NPI: 1003853730

630 S. Raymond Ave. # 330

4

Pasadena, CA 91105

5252 129532

(626) 793-8194

Prov Language: French, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Roth, Raul F., M.D.

Cardiology/

Cardiovascular

Disease

1

License No: G56414

NPI: 1922050525

625 S. Fair Oaks Ave. # 215

4

Pasadena, CA 91105

5252 014519

(626) 793-4139

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Samudrala, Srinath, M.D.

Neurosurgery

License No: G83088

NPI: 1558302943

630 S. Raymond Ave. # 330

4

Pasadena, CA 91105

5252 051905

(626) 793-8194

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Schlaerth, Alan C., M.D.

Gynecologic

Oncology

License No: A72436

NPI: 1043239049

630 S. Raymond Ave. # 201

4

Pasadena, CA 91105

5252 133072

(626) 396-9000

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 634: 2018 Provider and Pharmacy Directory

634 / www.healthnet.com/calmediconnect

Allied Pacific of California IPA PPG 5252

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

Schlaerth, Alan C., M.D.

Obstetrics/

Gynecology

License No: A72436

NPI: 1043239049

630 S. Raymond Ave. # 201

4

Pasadena, CA 91105

5252 133072

(626) 396-9000

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Seltzer, Andrew G., M.D.

Pain Management

1

License No: A86140

NPI: 1811079338

1017 S. Fair Oaks Ave.

4

Pasadena, CA 91105

5399 129986

(626) 403-6200

Prov Language: Spanish

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Song, Alice, M.D.

Ophthalmology

1

License No: A87752

NPI: 1992720023

800 Fairmount Ave. # 207

4

Pasadena, CA 91105

5252 114114

(626) 844-9393

Prov Language: Korean, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Song, Julia, M.D.

Ophthalmology

1

License No: A87753

NPI: 1982629010

800 Fairmount Ave. # 207

4

Pasadena, CA 91105

5252 107725

(626) 844-9393

Prov Language: Korean, Spanish, Vietnamese

Office Staff Language

#

:

Accessibility:*:

Hours: TU 9 AM - 6 PM, SA 8 AM - 1 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 635: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 635

Allied Pacific of California IPA PPG 5252

Specialists

Sp

ec

ialists

635

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Tam, Jonathan N., M.D.

Obstetrics/

Gynecology

License No: G66009

NPI: 1013942952

620 S. Pasadena Ave. # A

4

Pasadena, CA 91105

5252 016930

(626) 449-2800

Prov Language: Cantonese, Mandarin, Spanish

Office Staff Language

#

: Cantonese, Mandarin,

Spanish

Accessibility:*: Limited(E)

Hours: SA 8 AM - 1 PM, M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Tang, George, M.D.

Orthopedic

Surgery

1

License No: A78792

NPI: 1366544629

10 Congress St. # 103

4

Pasadena, CA 91105

5252 104259

(626) 795-0282

Prov Language: Mandarin

Office Staff Language

#

: Burmese, Cantonese,

Czech, Danish, Marshallese (Ebon), Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 636: 2018 Provider and Pharmacy Directory

636 / www.healthnet.com/calmediconnect

Allied Pacific of California IPA PPG 5252

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Tirtaputra, Evan, P.T.

Physical Therapy

License No: PT42559

NPI: 1083001234

10 Congress St. # 103

4

Pasadena, CA 91105

5252 225377

(626) 795-0284

Office Staff Language

#

: Burmese, Cantonese,

Czech, Danish, Marshallese (Ebon), Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

aasd

Tran, Susanna, M.D.

Pediatric

Cardiology

1

License No: A120588

NPI: 1518283134

50 Bellefontaine St. # 405

4

Pasadena, CA 91105

5252 220167

(626) 796-9259

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Trujillo, Tina A., PH.D.

Psychology

License No: PSY23784

NPI: 1396915872

1017 S. Fair Oaks Ave.

4

Pasadena, CA 91105

5399 193458

(626) 403-6200

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 7 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Walsh, Alexander C., M.D.

Ophthalmology

License No: A79504

NPI: 1043301740

301 S. Fair Oaks Ave. # 301

4

Pasadena, CA 91105

5252 107374

(626) 204-1410

Prov Language: Armenian, Korean, Russian,

Spanish

Office Staff Language

#

: Armenian, Korean,

Russian, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 637: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 637

Allied Pacific of California IPA PPG 5252

Specialists

Sp

ec

ialists

637

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Williams, Michael K., P.T.

Physical Therapy

License No: PT20195

NPI: 1386831329

10 Congress St. # 103

4

Pasadena, CA 91105

5252 176238

(626) 795-0282

Office Staff Language

#

: Burmese, Cantonese,

Czech, Danish, Marshallese (Ebon), Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

aasd

Wong, James W., M.D.

Pulmonary

Medicine

License No: A22857

NPI: 1801811955

800 Fairmount Ave. # 205

4

Pasadena, CA 91105

5252 018648

(626) 578-7135

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Yavrouian, Eric J., M.D.

Otolaryngology

(ENT)

1

License No: A110286

NPI: 1194054015

50 Alessandro Pl. # 230

4

Pasadena, CA 91105

5399 203661

(626) 577-5550

Prov Language: Armenian, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 638: 2018 Provider and Pharmacy Directory

638 / www.healthnet.com/calmediconnect

Allied Pacific of California IPA PPG 5252

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Young, Kristal B., M.D.

Cardiology/

Cardiovascular

Disease

1

License No: A142473

NPI: 1053631960

55 E. California Blvd., 3rd Fl.

4

Pasadena, CA 91105

5252 228033

(626) 793-1227

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 4:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Yun, David K., M.D.

Otolaryngology

(ENT)

1

License No: A89415

NPI: 1932186459

50 Alessandro Pl. # 230

4

Pasadena, CA 91105

5399 111245

(626) 577-5550

Prov Language: Arabic, Armenian, Farsi,

Spanish, Tagalog

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 639: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 639

Allied Pacific of California IPA PPG 5252

Specialists

Sp

ec

ialists

639

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Zappaterra, Mauro W., M.D.

Physical Medicine

Rehab

License No: A118673

NPI: 1013233576

1017 S. Fair Oaks Ave.

4

Pasadena, CA 91105

5399 201906

(626) 403-6200

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sherman Oaks Specialty/

Specialists PPG/Phy #

aasd

Lin, Michael T., M.D.

Dermatology

1

License No: A77571

NPI: 1164436820

15477 Ventura Blvd. # 100

4

Sherman Oaks, CA 91403

5252 094485

(818) 906-2141

Prov Language: Mandarin, Spanish

Office Staff Language

#

: Spanish, Tagalog

Self Reported Accessibility:*: Limited(P,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Namazie, Ali R., M.D.

Otolaryngology

(ENT)

License No: A60291

NPI: 1184603102

4955 Van Nuys Blvd. # 505

4

Sherman Oaks, CA 91403

5252 080159

(818) 609-0600

Prov Language: Arabic, Armenian, Farsi,

Spanish, Tagalog

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 640: 2018 Provider and Pharmacy Directory

640 / www.healthnet.com/calmediconnect

Allied Pacific of California IPA PPG 5252

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Tarzana Specialty/

Specialists PPG/Phy #

aasd

Amini, Payam, M.D.

Ophthalmology

1

License No: A107595

NPI: 1205036456

18370 Burbank Blvd. # 207

4

Tarzana, CA 91356

5252 167021

(818) 996-3400

Prov Language: Farsi

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Devore, Greggory R., M.D.

Obstetrics/

Gynecology

1

License No: G44446

NPI: 1851305312

5525 Etiwanda Ave. # 313

4

Tarzana, CA 91356

5252 074586

(626) 583-8911

Prov Language: French, Spanish

Office Staff Language

#

: French, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Tarzana Specialty/

Specialists PPG/Phy #

aasd

Gregory II, Anthony C.,

M.D.

Ophthalmology

License No: A140370

NPI: 1467784389

18370 Burbank Blvd. # 207

4

Tarzana, CA 91356

5252 223903

(818) 996-3400

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Le Shaw, Minh, O.D.

Optometrist

License No: OPT13540

NPI: 1558526988

18370 Burbank Blvd. # 207

4

Tarzana, CA 91356

5252 148606

(818) 996-3400

Prov Language: Vietnamese

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 641: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 641

Allied Pacific of California IPA PPG 5252

Specialists

Sp

ec

ialists

641

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Tarzana Specialty/

Specialists PPG/Phy #

aasd

Namazie, Ali R., M.D.

Otolaryngology

(ENT)

License No: A60291

NPI: 1184603102

5525 Etiwanda Ave. # 312

Tarzana, CA 91356

5252 080159

(818) 609-0600

Prov Language: Arabic, Armenian, Farsi,

Spanish, Tagalog

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Patel, Jay R., M.D.

Ophthalmology

License No: A127433

NPI: 1194958959

18370 Burbank Blvd. # 207

4

Tarzana, CA 91356

5252 204389

(818) 996-3400

Prov Language: Gujarati, Hindi, Polish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Specialists PPG/Phy #

aasd

Lin, Michael T., M.D.

Dermatology

1

License No: A77571

NPI: 1164436820

26357 McBean Pkwy # 215

Valencia, CA 91355

5252 094485

(818) 906-6900

Prov Language: Mandarin, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5:30 PM, SA 9 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 642: 2018 Provider and Pharmacy Directory

642 / www.healthnet.com/calmediconnect

Allied Pacific of California IPA PPG 5252

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Specialists PPG/Phy #

aasd

Sanchez, Adriana, O.D.

Optometrist

License No: OPT14769

NPI: 1902231194

7100 Van Nuys Blvd. # 120

4

Van Nuys, CA 91405

5252 199584

(818) 988-1111

Prov Language: Spanish

Office Staff Language

#

: Farsi, Spanish

Accessibility:*:

Hours: SA 8 AM - 2 PM, M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Vasan, Sheila, M.D.

Hematology

1

License No: A106086

NPI: 1487846416

6850 Sepulveda Blvd. # 211

4

Van Nuys, CA 91405

5252 198194

(818) 782-4104

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB,IB,E)

Hours: M-F 9 AM - 6:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

West Hills Specialty/

Specialists PPG/Phy #

aasd

Majidian, Alexander M.,

M.D.

Plastic Surgery

1

License No: A61101

NPI: 1609825660

7300 Medical Center Dr. Fl. 4

West Hills, CA 91307

5252 066326

(818) 676-4511

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Wilensky, Jonathan S.,

M.D.

Plastic Surgery

1

License No: A93345

NPI: 1871576470

7300 Medical Center Dr.

4

West Hills, CA 91307

5252 236035

(818) 981-2050

Office Staff Language

#

:

Accessibility:*: Limited(IB,E)

Hours: W-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Page 643: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 643

Allied Pacific of California IPA PPG 5252

Specialists

Sp

ec

ialists

643

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

West Hills Specialty/

Specialists PPG/Phy #

Wilensky, Jonathan S.,

M.D.

Plastic Surgery

1

License No: A93345

NPI: 1871576470

7325 Medical Center Dr. # 200

4

West Hills, CA 91307

5252 236035

(818) 981-2050

Office Staff Language

#

:

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Page 644: 2018 Provider and Pharmacy Directory

644 / www.healthnet.com/calmediconnect

Specialists

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Altamed - CHA Hollywood Presbyterian

Medical Center

PPG 5372

2040 Camfield Ave.

Los Angeles, CA 90040-1502

(888) 499-9303

Urgent Care:

Dusk To Down - Lynwood (310)639-2220

Dusk To Down - Paramount (562) 808-2273

HealthCare Partners -Downtown (213)861-5950

HealthCare Partners -Montebello (323)

720-1144

Hospitals Used:

Hollywood Presbyterian Medical Center

La Canada Specialty/

Specialists PPG/Phy #

aasd

Khawar, Talha, M.D.

Rheumatology

1

License No: A114544

NPI: 1699089508

1975 Verdugo Blvd.

La Canada, CA 91011

5372 168646

(818) 249-9454

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Patel, Sonal R., M.D.

Allergy/

Immunology

1

License No: A80378

NPI: 1346376894

1975 Verdugo Blvd.

La Canada, CA 91011

5372 138350

(818) 637-7980

Prov Language: Gujarati, Hindi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,IB,R,E,T)

Hours: W 9 AM - 12 PM, TH 1 PM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 645: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 645

Altamed - CHA Hollywood Presbyterian Medical Center PPG 5372

Specialists

Sp

ec

ialists

645

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Abdou, Rami, M.D.

Otolaryngology

(ENT)

License No: A147320

NPI: 1700143013

1300 N. Vermont Ave. # 605

Los Angeles, CA 90027

5372 232770

(323) 268-6731

Prov Language: Arabic, Cantonese, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Al-Jazayrly, Ghassan M.,

M.D.

Hematology/

Oncology

1

License No: A52470

NPI: 1679590566

1300 N. Vermont Ave. # 606

4

Los Angeles, CA 90027

5372 069270

(323) 660-6200

Prov Language: Arabic, Armenian, Korean,

Russian, Spanish, Tagalog

Office Staff Language

#

:

Accessibility:*: Limited(IB,R)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 646: 2018 Provider and Pharmacy Directory

646 / www.healthnet.com/calmediconnect

Altamed - CHA Hollywood Presbyterian Medical Center PPG 5372

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Aung, Myo, M.D.

Nephrology

1

License No: A44476

NPI: 1255366837

1300 N. Vermont Ave. # 600

4

Los Angeles, CA 90027

5372 032586

(323) 913-4516

Prov Language: Burmese, Spanish

Office Staff Language

#

: Armenian, Punjabi,

Russian

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Fromer, Eric B., D.C.

Chiropractor

License No: DC17684

NPI: 1306876131

5123 W Sunset Blvd # 202

Los Angeles, CA 90027

5372 073516

(323) 962-8520

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: TU 8 AM - 12 PM, W 8 AM - 7 PM, M,F

8 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Gandhi, Shobhana A., M.D.

Obstetrics/

Gynecology

1

License No: A29540

NPI: 1316051451

1300 N. Vermont Ave. # 307

4

Los Angeles, CA 90027

5372 551368

(323) 953-8821

Prov Language: Armenian, Bengali, Gujarati,

Hindi, Russian, Spanish

Office Staff Language

#

: Armenian, Spanish

Accessibility:*: Limited(EB,IB,E)

Hours: M-TH 8 AM - 5 PM, F-SA 8 AM - 1 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 647: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 647

Altamed - CHA Hollywood Presbyterian Medical Center PPG 5372

Specialists

Sp

ec

ialists

647

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Ghazal, Joseph S., M.D.

Cardiology/

Cardiovascular

Disease

1

License No: C53712

NPI: 1275558330

1300 N. Vermont Ave. # 808

Los Angeles, CA 90027

5372 155646

(323) 913-4303

Prov Language: Arabic, Armenian, Farsi,

Korean, Mandarin, Russian, Spanish, Tagalog,

Turkish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Gumbs, Joslyn L., M.D.

Obstetrics/

Gynecology

1

License No: A87245

NPI: 1285658690

1300 N. Vermont Ave.

4

Los Angeles, CA 90027

5372 131567

(888) 499-9303

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB,IB,E)

Hours: M,W,F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Gumbs, Joslyn L., M.D.

Obstetrics/

Gynecology

1

License No: A87245

NPI: 1285658690

5255 W. Sunset Blvd. # 201

Los Angeles, CA 90027

5372 131567

(323) 257-1814

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: TU-TH 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 648: 2018 Provider and Pharmacy Directory

648 / www.healthnet.com/calmediconnect

Altamed - CHA Hollywood Presbyterian Medical Center PPG 5372

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Habibi, Mehdi, M.D.

Neurosurgery

License No: A39878

NPI: 1083759997

1300 N. Vermont Ave. # 504

4

Los Angeles, CA 90027

5372 051389

(323) 665-4690

Prov Language: Farsi, Spanish

Office Staff Language

#

: Farsi, Spanish

Accessibility:*:

Hours: M-TH 9 AM - 6 PM, F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Javdan, Parviz, M.D.

Gastroenterology

1

License No: A34960

NPI: 1376640235

5255 W. Sunset Blvd.

4

Los Angeles, CA 90027

5372 144659

(323) 463-7262

Prov Language: Farsi

Office Staff Language

#

: Farsi, Hebrew, Spanish,

Tagalog

Accessibility:*: Limited(IB)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Mahbod Moghaddam,

Mehrdad, D.C.

Chiropractor

License No: DC33423

NPI: 1093122020

5123 W Sunset Blvd # 202

Los Angeles, CA 90027

5372 240359

(323) 962-8520

Prov Language: Farsi

Office Staff Language

#

:

Accessibility:*:

Hours: F 8 AM - 8 PM, M 8 AM - 6 PM, TU 8

AM - 12 PM, W 8 AM - 7 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Page 649: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 649

Altamed - CHA Hollywood Presbyterian Medical Center PPG 5372

Specialists

Sp

ec

ialists

649

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Sroujieh, Khaldoun S., M.D.

Cardiology/

Cardiovascular

Disease

1

License No: A33508

NPI: 1396828844

1300 N. Vermont Ave. # 401

4

Los Angeles, CA 90027

5372 050765

(323) 664-6535

Prov Language: Arabic

Office Staff Language

#

:

Accessibility:*: Limited(EB,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Turriago, Jonathan T., D.O.

Obstetrics/

Gynecology

License No: 20A14590

NPI: 1437413705

1300 N. Vermont Ave. # 307

4

Los Angeles, CA 90027

5372 228109

(323) 953-8821

Prov Language: Armenian, Spanish

Office Staff Language

#

: Armenian, Spanish

Accessibility:*: Limited(EB,IB,E)

Hours: M-SA 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Young, Guillermo A., M.D.

Pediatric

Cardiology

1

License No: A25182

NPI: 1811917032

1300 N. Vermont Ave. # 402

4

Los Angeles, CA 90027

5372 018928

(323) 953-9926

Prov Language: French, Spanish

Office Staff Language

#

: French, Spanish

Accessibility:*:

Hours: TU,F 9 AM - 4 PM, W-TH 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 650: 2018 Provider and Pharmacy Directory

650 / www.healthnet.com/calmediconnect

Altamed - CHA Hollywood Presbyterian Medical Center PPG 5372

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Zograbyan, Arus, M.D.

Obstetrics/

Gynecology

1

License No: A76345

NPI: 1548363641

1300 N. Vermont Ave.

4

Los Angeles, CA 90027

5372 127804

(888) 499-9303

Prov Language: Armenian, Russian, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: TU 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Zograbyan, Arus, M.D.

Obstetrics/

Gynecology

1

License No: A76345

NPI: 1548363641

1300 N. Vermont Ave. # 307

4

Los Angeles, CA 90027

5372 127804

(323) 953-8821

Prov Language: Armenian, Russian, Spanish

Office Staff Language

#

: Armenian, Spanish

Accessibility:*: Limited(EB,IB,E)

Hours: M-TH 8 AM - 5 PM, F 5 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Specialists PPG/Phy #

aasd

Dayani, Pouya N., M.D.

Ophthalmology

License No: A109451

NPI: 1336293406

12840 Riverside Dr. # 402

4

North Hollywood, CA 91607

5372 156193

(818) 754-2090

Prov Language: Farsi, Tagalog

Office Staff Language

#

: Arabic, French, Korean,

Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Liao, David S., M.D.

Ophthalmology

License No: A112736

NPI: 1962541847

12840 Riverside Dr. # 402

4

North Hollywood, CA 91607

5372 166241

(818) 754-2090

Prov Language: Mandarin

Office Staff Language

#

: Arabic, French, Korean,

Spanish

Accessibility:*:

Hours: TU,TH 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 651: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 651

Altamed - CHA Hollywood Presbyterian Medical Center PPG 5372

Specialists

Sp

ec

ialists

651

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Specialists PPG/Phy #

aasd

Rahhal, Firas M., M.D.

Ophthalmology

1

License No: G78656

NPI: 1881658615

12840 Riverside Dr. # 333

4

North Hollywood, CA 91607

5372 044521

(818) 754-2090

Prov Language: Arabic

Office Staff Language

#

: Armenian, Korean,

Russian, Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Specialists PPG/Phy #

aasd

Tabandeh, Homayoun, M.D.

Ophthalmology

License No: A89087

NPI: 1003861576

12840 Riverside Dr. # 333

4

North Hollywood, CA 91607

5372 133109

(818) 754-2090

Prov Language: Arabic, Armenian, Farsi,

Korean, Mandarin, Russian, Spanish, Tagalog

Office Staff Language

#

: Armenian, Korean,

Russian, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 652: 2018 Provider and Pharmacy Directory

652 / www.healthnet.com/calmediconnect

Altamed - CHA Hollywood Presbyterian Medical Center PPG 5372

Specialists

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Reseda Specialty/

Specialists PPG/Phy #

aasd

Jaber, Mohammad Raffat

K., M.D.

Vascular Surgery

1

License No: A91996

NPI: 1407980410

18905 Sherman Way # B

Reseda, CA 91335

5372 139714

(844) 218-0478

Prov Language: Arabic, Russian

Office Staff Language

#

:

Accessibility:*:

Hours: M,W 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Tarzana Specialty/

Specialists PPG/Phy #

aasd

Rojter, Sergio E., M.D.

Transplant

Hepatology

License No: A63254

NPI: 1891716494

18370 Burbank Blvd. # 504

Tarzana, CA 91356

5372 095234

(213) 250-3344

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: W-F 8 AM - 5 PM, TU 8 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 653: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 653

Altamed - CHA Hollywood Presbyterian Medical Center PPG 5372

Specialists

Sp

ec

ialists

653

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Specialists PPG/Phy #

aasd

Roizenblatt, Roberto, M.D.

Ophthalmology

1

License No: A109738

NPI: 1952564064

7100 Van Nuys Blvd. # 120

4

Van Nuys, CA 91405

5372 172396

(818) 988-1111

Prov Language: Hebrew, Portuguese, Spanish

Office Staff Language

#

: Farsi, Spanish

Accessibility:*:

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 654: 2018 Provider and Pharmacy Directory

654 / www.healthnet.com/calmediconnect

Specialists

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Altamed - Citrus Valley

PPG 5374

2040 Camfield Ave.

Los Angeles, CA 90040-1502

(888) 499-9303

Urgent Care:

Dusk To Down - Lynwood (310)639-2220

Dusk To Down - Paramount (562) 808-2273

HealthCare Partners -Downtown (213)861-5950

HealthCare Partners -Montebello (323)

720-1144

Hospitals Used:

Queen of the Valley, Citrus Valley Medical

Center

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Hu, Eric C., M.D.

Plastic Surgery

License No: A84577

NPI: 1386846939

1044 S. Fair Oaks Ave. # 101

4

Pasadena, CA 91105

5374 193953

(626) 449-4859

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Page 655: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 655

Specialists

Sp

ec

ialists

655

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Altamed - Monterey Park Hosp

PPG 5367

2040 Camfield Ave.

Los Angeles, CA 90040-1502

(888) 499-9303

Urgent Care:

Dusk To Down - Lynwood (310)639-2220

Dusk To Down - Paramount (562) 808-2273

HealthCare Partners -Downtown (213)861-5950

HealthCare Partners -Montebello (323)

720-1144

Hospitals Used:

Monterey Park Hospital

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Bhatti, Rizwan A., M.D.

Ophthalmology

1

License No: A90589

NPI: 1588724108

10 Congress St. # 502

Pasadena, CA 91105

5367 119915

(626) 795-2020

Prov Language: Arabic, Spanish, Urdu

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Burke, Lennis P., M.D.

Pediatric

Cardiology

1

License No: G42405

NPI: 1922080779

50 Bellefontaine St. # 405

4

Pasadena, CA 91105

5367 502154

(626) 796-9559

Office Staff Language

#

: Portuguese, Spanish

Accessibility:*:

Hours: TU 8 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 656: 2018 Provider and Pharmacy Directory

656 / www.healthnet.com/calmediconnect

Altamed - Monterey Park Hosp PPG 5367

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Cox, Brian A., M.D.

Plastic Surgery

License No: G80824

NPI: 1952307985

1044 S. Fair Oaks Ave. # 101

4

Pasadena, CA 91105

5367 088461

(626) 449-4859

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Grace, Ana M., M.D.

Radiation

Oncology

1

License No: A75372

NPI: 1770697492

630 S. Raymond Ave. # 104

4

Pasadena, CA 91105

5367 142482

(626) 768-1021

Prov Language: Cantonese, Mandarin,

Spanish, Vietnamese

Office Staff Language

#

: Cantonese, Mandarin,

Spanish, Vietnamese

Accessibility:*:

Hours: W 8 AM - 5 PM, M,F 1 PM - 5 PM,

TU,TH 8 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 657: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 657

Altamed - Monterey Park Hosp PPG 5367

Specialists

Sp

ec

ialists

657

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Ho, John, M.D.

Pediatric

Cardiology

1

License No: A108571

NPI: 1548478977

50 Bellefontaine St. # 405

4

Pasadena, CA 91105

5367 188086

(626) 796-9259

Prov Language: Mandarin

Office Staff Language

#

: Portuguese, Spanish

Accessibility:*:

Hours: M,W 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Joseph, Boban, M.D.

Ophthalmology

License No: A32523

NPI: 1639109101

800 Fairmount Ave. # 120

Pasadena, CA 91105

5367 008304

(626) 440-9920

Prov Language: German, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: TH 8 AM - 12 PM, M-W,F 8 AM - 5 PM

Cultural Competence Training Completed: Yes

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Kondra, Lawrence J., M.D.

Ophthalmology

1

License No: G47580

NPI: 1821013467

800 Fairmount Ave. # 120

Pasadena, CA 91105

5367 009166

(626) 440-9920

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: W 8 AM - 5 PM, TH 1 PM - 5 PM

Cultural Competence Training Completed: Yes

Provider Training and Experience:

Page 658: 2018 Provider and Pharmacy Directory

658 / www.healthnet.com/calmediconnect

Altamed - Monterey Park Hosp PPG 5367

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Mak, Albert C., M.D.

Radiation

Oncology

1

License No: G79330

NPI: 1902910904

630 S. Raymond Ave. # 104

4

Pasadena, CA 91105

5367 050330

(626) 768-7021

Prov Language: Cantonese, Mandarin,

Spanish, Vietnamese

Office Staff Language

#

: Cantonese, Mandarin,

Spanish, Vietnamese

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Poon, Sing, M.D.

Hand Surgery

License No: C54567

NPI: 1629056254

1044 S. Fair Oaks Ave. # 101

4

Pasadena, CA 91105

5367 240315

(626) 449-4859

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Recabaren, James A., M.D.

General Surgery

License No: A41049

NPI: 1851320063

1044 S. Fair Oaks Ave. # 101

4

Pasadena, CA 91105

5367 013911

(626) 449-4859

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

aasd

Rizvi, Murtaza, M.D.

Plastic Surgery

1

License No: A95879

NPI: 1205071073

10 Congress St.

Pasadena, CA 91105

5367 154419

(626) 795-0282

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 659: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 659

Altamed - Monterey Park Hosp PPG 5367

Specialists

Sp

ec

ialists

659

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Rodriguez, Geronimo G.,

M.D.

Obstetrics/

Gynecology

License No: A36572

NPI: 1508936675

31 W. Bellevue Dr.

4

Pasadena, CA 91105

5367 014315

(626) 577-8138

Prov Language: Spanish

Office Staff Language

#

: Spanish, Tagalog

Accessibility:*:

Hours: M-TH 9 AM - 6 PM, F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Tessler, Irving, M.D.

Pediatric

Cardiology

1

License No: G14307

NPI: 1821070681

50 Bellefontaine St. # 405

4

Pasadena, CA 91105

5367 017112

(626) 796-9259

Prov Language: French, Spanish

Office Staff Language

#

: Portuguese, Spanish

Accessibility:*:

Hours: M-TU,F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 660: 2018 Provider and Pharmacy Directory

660 / www.healthnet.com/calmediconnect

Specialists

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Altamed - St. Vincent Med Cntr

PPG 5365

2040 Camfield Ave.

Los Angeles, CA 90040-1502

(888) 499-9303

Urgent Care:

Dusk To Down - Lynwood (310)639-2220

Dusk To Down - Paramount (562) 808-2273

HealthCare Partners -Downtown (213)861-5950

HealthCare Partners -Montebello (323)

720-1144

Hospitals Used:

St. Vincent Medical Center

La Canada Specialty/

Specialists PPG/Phy #

aasd

Khawar, Talha, M.D.

Rheumatology

1

License No: A114544

NPI: 1699089508

1975 Verdugo Blvd.

La Canada, CA 91011

5365 168646

(818) 249-9454

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

La Canada Specialty/

Specialists PPG/Phy #

aasd

Patel, Sonal R., M.D.

Allergy/

Immunology

1

License No: A80378

NPI: 1346376894

1975 Verdugo Blvd.

La Canada, CA 91011

5365 138350

(818) 637-7980

Prov Language: Gujarati, Hindi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,IB,R,E,T)

Hours: W 9 AM - 12 PM, TH 1 PM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 661: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 661

Altamed - St. Vincent Med Cntr PPG 5365

Specialists

Sp

ec

ialists

661

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Abdou, Rami, M.D.

Otolaryngology

(ENT)

License No: A147320

NPI: 1700143013

1300 N. Vermont Ave. # 605

Los Angeles, CA 90027

5365 232770

(323) 268-6731

Prov Language: Arabic, Cantonese, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Al-Jazayrly, Ghassan M.,

M.D.

Hematology

1

License No: A52470

NPI: 1679590566

1300 N. Vermont Ave. # 606

4

Los Angeles, CA 90027

5365 069270

(323) 660-6200

Prov Language: Arabic, Armenian, Korean,

Russian, Spanish, Tagalog

Office Staff Language

#

:

Accessibility:*: Limited(IB,R)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 662: 2018 Provider and Pharmacy Directory

662 / www.healthnet.com/calmediconnect

Altamed - St. Vincent Med Cntr PPG 5365

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Specialists PPG/Phy #

Al-Jazayrly, Ghassan M.,

M.D.

Oncology

License No: A52470

NPI: 1679590566

1300 N. Vermont Ave. # 606

4

Los Angeles, CA 90027

5365 069270

(323) 660-6200

Prov Language: Arabic, Armenian, Korean,

Russian, Spanish, Tagalog

Office Staff Language

#

:

Accessibility:*: Limited(IB,R)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Aung, Myo, M.D.

Nephrology

1

License No: A44476

NPI: 1255366837

1300 N. Vermont Ave. # 600

4

Los Angeles, CA 90027

5365 032586

(323) 913-4516

Prov Language: Burmese, Spanish

Office Staff Language

#

: Armenian, Punjabi,

Russian

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Fromer, Eric B., D.C.

Chiropractor

License No: DC17684

NPI: 1306876131

5123 W Sunset Blvd # 202

Los Angeles, CA 90027

5365 073516

(323) 962-8520

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: TU 8 AM - 12 PM, W 8 AM - 7 PM, M,F

8 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Altamed - St. Vincent Med Cntr PPG 5365

Specialists

Sp

ec

ialists

663

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Gandhi, Shobhana A., M.D.

Obstetrics/

Gynecology

1

License No: A29540

NPI: 1316051451

1300 N. Vermont Ave. # 307

4

Los Angeles, CA 90027

5365 551368

(323) 953-8821

Prov Language: Armenian, Bengali, Gujarati,

Hindi, Russian, Spanish

Office Staff Language

#

: Armenian, Spanish

Accessibility:*: Limited(EB,IB,E)

Hours: M-TH 8 AM - 5 PM, F-SA 8 AM - 1 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Ghazal, Joseph S., M.D.

Cardiology/

Cardiovascular

Disease

1

License No: C53712

NPI: 1275558330

1300 N. Vermont Ave. # 808

Los Angeles, CA 90027

5365 155646

(323) 913-4303

Prov Language: Arabic, Armenian, Farsi,

Korean, Mandarin, Russian, Spanish, Tagalog,

Turkish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 664: 2018 Provider and Pharmacy Directory

664 / www.healthnet.com/calmediconnect

Altamed - St. Vincent Med Cntr PPG 5365

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Gumbs, Joslyn L., M.D.

Obstetrics/

Gynecology

1

License No: A87245

NPI: 1285658690

1300 N. Vermont Ave.

4

Los Angeles, CA 90027

5365 131567

(888) 499-9303

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB,IB,E)

Hours: M,W,F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Gumbs, Joslyn L., M.D.

Obstetrics/

Gynecology

1

License No: A87245

NPI: 1285658690

5255 W. Sunset Blvd. # 201

Los Angeles, CA 90027

5365 131567

(323) 257-1814

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: TU-TH 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Habibi, Mehdi, M.D.

Neurosurgery

License No: A39878

NPI: 1083759997

1300 N. Vermont Ave. # 504

4

Los Angeles, CA 90027

5365 051389

(323) 665-4690

Prov Language: Farsi, Spanish

Office Staff Language

#

: Farsi, Spanish

Accessibility:*:

Hours: M-TH 9 AM - 6 PM, F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Javdan, Parviz, M.D.

Internal Medicine

License No: A34960

NPI: 1376640235

5255 W. Sunset Blvd.

4

Los Angeles, CA 90027

5365 144659

(323) 463-7262

Prov Language: Farsi

Office Staff Language

#

: Farsi, Hebrew, Spanish,

Tagalog

Accessibility:*: Limited(IB)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 665: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 665

Altamed - St. Vincent Med Cntr PPG 5365

Specialists

Sp

ec

ialists

665

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Sroujieh, Khaldoun S., M.D.

Cardiology/

Cardiovascular

Disease

1

License No: A33508

NPI: 1396828844

1300 N. Vermont Ave. # 401

4

Los Angeles, CA 90027

5365 050765

(323) 664-6535

Prov Language: Arabic

Office Staff Language

#

:

Accessibility:*: Limited(EB,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Turriago, Jonathan T., D.O.

Obstetrics/

Gynecology

License No: 20A14590

NPI: 1437413705

1300 N. Vermont Ave. # 307

4

Los Angeles, CA 90027

5365 228109

(323) 953-8821

Prov Language: Armenian, Spanish

Office Staff Language

#

: Armenian, Spanish

Accessibility:*: Limited(EB,IB,E)

Hours: M-SA 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Zograbyan, Arus, M.D.

Obstetrics/

Gynecology

1

License No: A76345

NPI: 1548363641

1300 N. Vermont Ave.

4

Los Angeles, CA 90027

5365 127804

(888) 499-9303

Prov Language: Armenian, Russian, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: TU 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 666: 2018 Provider and Pharmacy Directory

666 / www.healthnet.com/calmediconnect

Altamed - St. Vincent Med Cntr PPG 5365

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Specialists PPG/Phy #

Zograbyan, Arus, M.D.

Obstetrics/

Gynecology

1

License No: A76345

NPI: 1548363641

1300 N. Vermont Ave. # 307

4

Los Angeles, CA 90027

5365 127804

(323) 953-8821

Prov Language: Armenian, Russian, Spanish

Office Staff Language

#

: Armenian, Spanish

Accessibility:*: Limited(EB,IB,E)

Hours: M-TH 8 AM - 5 PM, F 5 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Specialists PPG/Phy #

aasd

Dayani, Pouya N., M.D.

Ophthalmology

License No: A109451

NPI: 1336293406

12840 Riverside Dr. # 402

4

North Hollywood, CA 91607

5365 156193

(818) 754-2090

Prov Language: Farsi, Tagalog

Office Staff Language

#

: Arabic, French, Korean,

Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Liao, David S., M.D.

Ophthalmology

License No: A112736

NPI: 1962541847

12840 Riverside Dr. # 402

4

North Hollywood, CA 91607

5365 166241

(818) 754-2090

Prov Language: Mandarin

Office Staff Language

#

: Arabic, French, Korean,

Spanish

Accessibility:*:

Hours: TU,TH 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 667: 2018 Provider and Pharmacy Directory

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Altamed - St. Vincent Med Cntr PPG 5365

Specialists

Sp

ec

ialists

667

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Specialists PPG/Phy #

aasd

Rahhal, Firas M., M.D.

Ophthalmology

1

License No: G78656

NPI: 1881658615

12840 Riverside Dr. # 333

4

North Hollywood, CA 91607

5365 044521

(818) 754-2090

Prov Language: Arabic

Office Staff Language

#

: Armenian, Korean,

Russian, Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Specialists PPG/Phy #

aasd

Tabandeh, Homayoun, M.D.

Ophthalmology

License No: A89087

NPI: 1003861576

12840 Riverside Dr. # 333

4

North Hollywood, CA 91607

5365 133109

(818) 754-2090

Prov Language: Arabic, Armenian, Farsi,

Korean, Mandarin, Russian, Spanish, Tagalog

Office Staff Language

#

: Armenian, Korean,

Russian, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 668: 2018 Provider and Pharmacy Directory

668 / www.healthnet.com/calmediconnect

Altamed - St. Vincent Med Cntr PPG 5365

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Tarzana Specialty/

Specialists PPG/Phy #

aasd

Rojter, Sergio E., M.D.

Transplant

Hepatology

License No: A63254

NPI: 1891716494

18370 Burbank Blvd. # 504

Tarzana, CA 91356

5365 095234

(213) 250-3344

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: W-F 8 AM - 5 PM, TU 8 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Specialists PPG/Phy #

aasd

Roizenblatt, Roberto, M.D.

Ophthalmology

1

License No: A109738

NPI: 1952564064

7100 Van Nuys Blvd. # 120

4

Van Nuys, CA 91405

5365 172396

(818) 988-1111

Prov Language: Hebrew, Portuguese, Spanish

Office Staff Language

#

: Farsi, Spanish

Accessibility:*:

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 669: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 669

Specialists

Sp

ec

ialists

669

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Altamed - White Memorial

PPG 5397

2040 Camfield Ave.

Los Angeles, CA 90040-1502

(888) 499-9303

Urgent Care

AltaMed Medical Group Commerce (888)

499-9303

Dusk to Dawn UC-East LA (323) 261-2273

Dusk to Dawn UC - Gardena (310) 323-2273

Dusk to Dawn - Long Beach (562) 426-2662

Hospitals Used:

White Memorial Medical Center

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Burke, Lennis P., M.D.

Pediatric

Cardiology

1

License No: G42405

NPI: 1922080779

50 Bellefontaine St. # 405

4

Pasadena, CA 91105

5397 502154

(626) 796-9559

Office Staff Language

#

: Portuguese, Spanish

Accessibility:*:

Hours: TU 8 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Cox, Brian A., M.D.

Plastic Surgery

License No: G80824

NPI: 1952307985

1044 S. Fair Oaks Ave. # 101

4

Pasadena, CA 91105

5397 088461

(626) 449-4859

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

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670 / www.healthnet.com/calmediconnect

Altamed - White Memorial PPG 5397

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Ho, John, M.D.

Pediatric

Cardiology

1

License No: A108571

NPI: 1548478977

50 Bellefontaine St. # 405

4

Pasadena, CA 91105

5397 188086

(626) 796-9259

Prov Language: Mandarin

Office Staff Language

#

: Portuguese, Spanish

Accessibility:*:

Hours: M,W 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Joseph, Boban, M.D.

Ophthalmology

License No: A32523

NPI: 1639109101

800 Fairmount Ave. # 120

Pasadena, CA 91105

5397 008304

(626) 440-9920

Prov Language: German, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: TH 8 AM - 12 PM, M-W,F 8 AM - 5 PM

Cultural Competence Training Completed: Yes

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Kondra, Lawrence J., M.D.

Ophthalmology

1

License No: G47580

NPI: 1821013467

800 Fairmount Ave. # 120

Pasadena, CA 91105

5397 009166

(626) 440-9920

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: W 8 AM - 5 PM, TH 1 PM - 5 PM

Cultural Competence Training Completed: Yes

Provider Training and Experience:

Page 671: 2018 Provider and Pharmacy Directory

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Altamed - White Memorial PPG 5397

Specialists

Sp

ec

ialists

671

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Mak, Albert C., M.D.

Radiation

Oncology

1

License No: G79330

NPI: 1902910904

630 S. Raymond Ave. # 104

4

Pasadena, CA 91105

5397 050330

(626) 768-7021

Prov Language: Cantonese, Mandarin,

Spanish, Vietnamese

Office Staff Language

#

: Cantonese, Mandarin,

Spanish, Vietnamese

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Recabaren, James A., M.D.

General Surgery

License No: A41049

NPI: 1851320063

1044 S. Fair Oaks Ave. # 101

4

Pasadena, CA 91105

5397 013911

(626) 449-4859

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Tessler, Irving, M.D.

Pediatric

Cardiology

1

License No: G14307

NPI: 1821070681

50 Bellefontaine St. # 405

4

Pasadena, CA 91105

5397 017112

(626) 796-9259

Prov Language: French, Spanish

Office Staff Language

#

: Portuguese, Spanish

Accessibility:*:

Hours: M-TU,F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Travelli, Frances C., M.D.

Pediatric

Cardiology

1

License No: A118349

NPI: 1114152469

50 Bellefontaine St. # 405

Pasadena, CA 91105

5397 211721

(626) 796-9259

Prov Language: Spanish

Office Staff Language

#

: Portuguese, Spanish

Accessibility:*:

Hours: TU,TH 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 672: 2018 Provider and Pharmacy Directory

672 / www.healthnet.com/calmediconnect

Specialists

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Angeles IPA - St. Francis

PPG 5453

10855 Business Center Dr Ste C

Cypress, CA 90630-5252

(714) 947-8600

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Kunnawuthidee,

Kamoltipya, M.D.

Pediatrics

License No: A35557

NPI: 1992808422

1300 N. Vermont Ave. # 702

4

Los Angeles, CA 90027

5453 051421

(323) 928-2799

Prov Language: Spanish, Thai

Office Staff Language

#

: Spanish, Thai

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: W 10:30 AM - 2:30 PM, TH-F 10:30 AM

- 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Lagman, Rosario, M.D.

Pediatrics

License No: A38515

NPI: 1053404376

1300 N. Vermont Ave. # 802A

4

Los Angeles, CA 90027

5453 036118

(323) 660-6363

Prov Language: Tagalog

Office Staff Language

#

: Spanish, Tagalog

Accessibility:*: Limited(P,EB,IB,E)

Hours: SA 8:30 AM - 3 PM, TH-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Pedrano, Guadalupe C.,

M.D.

Pediatrics

License No: A40246

NPI: 1174786073

2209 N. San Fernando Rd.

4

Los Angeles, CA 90065

5453 046020

(323) 226-0511

Prov Language: Spanish, Tagalog

Office Staff Language

#

: Spanish, Tagalog

Accessibility:*: Limited(EB,IB,E)

Hours: TH-F 10 AM - 6 PM, W 10 AM - 1:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 673: 2018 Provider and Pharmacy Directory

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Angeles IPA - St. Francis PPG 5453

Specialists

Sp

ec

ialists

673

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Specialists PPG/Phy #

aasd

Liao, David S., M.D.

Ophthalmology

License No: A112736

NPI: 1962541847

12840 Riverside Dr. # 333

4

North Hollywood, CA 91607

5453 166241

(818) 754-2090

Prov Language: Mandarin

Office Staff Language

#

: Armenian, Korean,

Russian, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Specialists PPG/Phy #

aasd

Novack, Roger L., M.D.

Ophthalmology

1

License No: G53779

NPI: 1104828706

12840 Riverside Dr. # 402

4

North Hollywood, CA 91607

5453 012492

(818) 754-2090

Prov Language: Armenian, Korean, Russian,

Spanish

Office Staff Language

#

: Arabic, French, Korean,

Spanish

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 674: 2018 Provider and Pharmacy Directory

674 / www.healthnet.com/calmediconnect

Angeles IPA - St. Francis PPG 5453

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Specialists PPG/Phy #

aasd

Rahhal, Firas M., M.D.

Ophthalmology

1

License No: G78656

NPI: 1881658615

12840 Riverside Dr. # 333

4

North Hollywood, CA 91607

5453 044521

(818) 754-2090

Prov Language: Arabic

Office Staff Language

#

: Armenian, Korean,

Russian, Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Rahhal, Firas M., M.D.

Ophthalmology

1

License No: G78656

NPI: 1881658615

12840 Riverside Dr. # 402

4

North Hollywood, CA 91607

5453 044521

(818) 754-2090

Prov Language: Arabic

Office Staff Language

#

: Arabic, French, Korean,

Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Specialists PPG/Phy #

aasd

Tabandeh, Homayoun, M.D.

Ophthalmology

License No: A89087

NPI: 1003861576

12840 Riverside Dr. # 402

4

North Hollywood, CA 91607

5453 133109

(818) 754-2090

Prov Language: Arabic, Armenian, Farsi,

Korean, Mandarin, Russian, Spanish, Tagalog

Office Staff Language

#

: Arabic, French, Korean,

Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 675: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 675

Angeles IPA - St. Francis PPG 5453

Specialists

Sp

ec

ialists

675

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Specialists PPG/Phy #

Tabandeh, Homayoun, M.D.

Ophthalmology

License No: A89087

NPI: 1003861576

12840 Riverside Dr. # 333

4

North Hollywood, CA 91607

5453 133109

(818) 754-2090

Prov Language: Arabic, Armenian, Farsi,

Korean, Mandarin, Russian, Spanish, Tagalog

Office Staff Language

#

: Armenian, Korean,

Russian, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Ho, John, M.D.

Pediatric

Cardiology

1

License No: A108571

NPI: 1548478977

50 Bellefontaine St. # 405

4

Pasadena, CA 91105

5453 188086

(626) 796-9259

Prov Language: Mandarin

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Ho, John, M.D.

Pediatrics

1

License No: A108571

NPI: 1548478977

50 Bellefontaine St. # 405

4

Pasadena, CA 91105

5453 188086

(626) 796-9259

Prov Language: Mandarin

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 676: 2018 Provider and Pharmacy Directory

676 / www.healthnet.com/calmediconnect

Angeles IPA - St. Francis PPG 5453

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Loitz, Robert D., M.D.

Pediatric

Cardiology

1

License No: G43246

NPI: 1225010077

50 Bellefontaine St. # 405

4

Pasadena, CA 91105

5453 010313

(626) 796-9259

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M 2 PM - 5 PM, TU 9 AM - 12 PM, W 1

PM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

Loitz, Robert D., M.D.

Pediatrics

1

License No: G43246

NPI: 1225010077

50 Bellefontaine St. # 405

4

Pasadena, CA 91105

5453 010313

(626) 796-9259

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M 2 PM - 5 PM, TU 9 AM - 12 PM, W 1

PM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 677: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 677

Angeles IPA - St. Francis PPG 5453

Specialists

Sp

ec

ialists

677

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Novack, Roger L., M.D.

Ophthalmology

1

License No: G53779

NPI: 1104828706

301 S. Fair Oaks Ave. # 301

4

Pasadena, CA 91105

5453 012492

(626) 204-1410

Prov Language: Armenian, Korean, Russian,

Spanish

Office Staff Language

#

: Armenian, Korean,

Russian, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Samuel, Michael A., M.D.

Ophthalmology

License No: A83237

NPI: 1730175670

800 Fairmount Ave. # 312

4

Pasadena, CA 91105

5453 102536

(800) 898-2020

Prov Language: Armenian, Korean, Spanish

Office Staff Language

#

: Armenian, Korean,

Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 678: 2018 Provider and Pharmacy Directory

678 / www.healthnet.com/calmediconnect

Angeles IPA - St. Francis PPG 5453

Specialists

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Tabandeh, Homayoun, M.D.

Ophthalmology

License No: A89087

NPI: 1003861576

301 S. Fair Oaks Ave. # 301

4

Pasadena, CA 91105

5453 133109

(626) 204-1410

Prov Language: Arabic, Armenian, Farsi,

Korean, Mandarin, Russian, Spanish, Tagalog

Office Staff Language

#

: Armenian, Korean,

Russian, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

Tabandeh, Homayoun, M.D.

Ophthalmology

License No: A89087

NPI: 1003861576

301 S. Fair Oaks Ave. # 407

Pasadena, CA 91105

5453 133109

(626) 204-1410

Prov Language: Arabic, Armenian, Farsi,

Korean, Mandarin, Russian, Spanish, Tagalog

Office Staff Language

#

: Armenian, Korean,

Mandarin, Russian, Spanish, Tagalog

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: TU,TH 8 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 679: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 679

Angeles IPA - St. Francis PPG 5453

Specialists

Sp

ec

ialists

679

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Walsh, Alexander C., M.D.

Ophthalmology

License No: A79504

NPI: 1043301740

301 S. Fair Oaks Ave. # 407

Pasadena, CA 91105

5453 107374

(626) 204-1410

Prov Language: Armenian, Korean, Russian,

Spanish

Office Staff Language

#

: Armenian, Korean,

Mandarin, Russian, Spanish, Tagalog

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

Walsh, Alexander C., M.D.

Ophthalmology

License No: A79504

NPI: 1043301740

301 S. Fair Oaks Ave. # 301

4

Pasadena, CA 91105

5453 107374

(626) 204-1410

Prov Language: Armenian, Korean, Russian,

Spanish

Office Staff Language

#

: Armenian, Korean,

Russian, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 680: 2018 Provider and Pharmacy Directory

680 / www.healthnet.com/calmediconnect

Angeles IPA - St. Francis PPG 5453

Specialists

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Tarzana Specialty/

Specialists PPG/Phy #

aasd

Soleymani, Ashkan, DPM

Podiatry

License No: E4401

NPI: 1770525065

18370 Burbank Blvd. # 718

Tarzana, CA 91356

5453 106983

(818) 769-8637

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Specialists PPG/Phy #

aasd

Nguyen, Thien-Thu P., O.D.

Optometrist

License No: OPT13098

NPI: 1568471373

7100 Van Nuys Blvd. # 120

4

Van Nuys, CA 91405

5453 142227

(818) 988-1111

Prov Language: Spanish, Vietnamese

Office Staff Language

#

: Farsi, Spanish

Accessibility:*:

Hours: SA 8 AM - 2 PM, M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Sheffer, Albert, M.D.

Ophthalmology

License No: A34261

NPI: 1992738603

7100 Van Nuys Blvd. # 120

4

Van Nuys, CA 91405

5453 015627

(818) 988-1111

Prov Language: Arabic, French, Hebrew,

Spanish

Office Staff Language

#

: Farsi, Spanish

Accessibility:*:

Hours: TU 7 AM - 3 PM, SA 8 AM - 4 PM, W-F

9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 681: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 681

Angeles IPA - St. Francis PPG 5453

Specialists

Sp

ec

ialists

681

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Specialists PPG/Phy #

aasd

Uchio, Alejandra, M.D.

Ophthalmology

1

License No: A78760

NPI: 1144217191

7100 Van Nuys Blvd. # 120

4

Van Nuys, CA 91405

5453 129497

(818) 988-1111

Prov Language: Spanish

Office Staff Language

#

: Farsi, Spanish

Accessibility:*:

Hours: TH 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 682: 2018 Provider and Pharmacy Directory

682 / www.healthnet.com/calmediconnect

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

AppleCare Med Grp - St. Francis

PPG 1784

18 Centerpointe Dr.

La Palma, CA 90623-1069

(877) 862-1007

Urgent Care:

Dusk to Dawn UC (562) 808-2273

Downey Clinic (562) 862-277573

Hospitals Used:

St. Francis Medical Center

North Hollywood Specialty/

Specialists PPG/Phy #

aasd

Novack, Roger L., M.D.

Ophthalmology

1

License No: G53779

NPI: 1104828706

12840 Riverside Dr. # 333

4

North Hollywood, CA 91607

1784 012492

(818) 754-2090

Prov Language: Armenian, Korean, Russian,

Spanish

Office Staff Language

#

: Armenian, Korean,

Russian, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

De Oliveira, Elizabeth R.,

M.D.

Pediatric

Cardiology

1

License No: C50168

NPI: 1265414833

50 Bellefontaine St. # 405

4

Pasadena, CA 91105

1784 083495

(626) 796-9259

Prov Language: Portuguese, Spanish

Office Staff Language

#

: Portuguese, Spanish

Accessibility:*:

Hours: W,F 8:30 AM - 11:30 AM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 683: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 683

Specialists

Sp

ec

ialists

683

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

AppleCare Medical Group - Downey

PPG 1911

18 Centerpointe Dr.

La Palma, CA 90623-1069

(877) 862-1007

Urgent Care:

Downey Clinic (562) 862-2775

Dusk to Dawn UC (562) 808-2273

Long Beach Clinic (562) 597-4181

Hospitals Used:

St. Francis Medical Center

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Burke, Lennis P., M.D.

Pediatric

Cardiology

1

License No: G42405

NPI: 1922080779

50 Bellefontaine St. # 405

4

Pasadena, CA 91105

1911 502154

(626) 796-9559

Office Staff Language

#

: Portuguese, Spanish

Accessibility:*:

Hours: TU 8 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 684: 2018 Provider and Pharmacy Directory

684 / www.healthnet.com/calmediconnect

Specialists

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Axminster Medical Group / Providence

Medical Associates

PPG 1885

11539 Hawthorne Blvd. Fl. 6

Hawthorne, CA 90250-2325

(310) 675-5370

Urgent Care:

Axminster Medical Group (323) 293-7171

Providence Med Institute - Censhaw Blvd

(310) 618-9200

Providence Med Institute - Madrona Ave (310)

792-4444

Hospitals Used:

Little Company of Mary Hospital

Beverly Hills Specialty/

Specialists PPG/Phy #

aasd

Bodell, Victoria L., LCSW

Social Worker

License No: LCS28776

NPI: 1710264262

9171 Wilshire Blvd. # 600

Beverly Hills, CA 90210

1885 218605

(855) 500-6463

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

aasd

Shaywitz, Jonathan E.,

M.D.

Psychiatry

1

License No: A71964

NPI: 1770754202

9171 Wilshire Blvd. # 600

Beverly Hills, CA 90210

1885 166873

(855) 427-2778

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Page 685: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 685

Axminster Medical Group / Providence Medical Associates PPG 1885

Specialists

Sp

ec

ialists

685

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Beverly Hills Specialty/

Specialists PPG/Phy #

aasd

Tao, May L., M.D.

Radiation

Oncology

1

License No: G84776

NPI: 1144204249

9229 Wilshire Blvd.

4

Beverly Hills, CA 90210

1885 071621

(310) 651-9292

Prov Language: Mandarin

Office Staff Language

#

: Armenian, French,

Mandarin, Spanish

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Encino Specialty/

Specialists PPG/Phy #

aasd

Yadegar, Sasan, M.D.

Neurosurgery

1

License No: G72739

NPI: 1376613455

16311 Ventura Blvd. # 1205

4

Encino, CA 91436

1885 068323

(818) 783-2616

Prov Language: Farsi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,E)

Hours: M-F 8 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 686: 2018 Provider and Pharmacy Directory

686 / www.healthnet.com/calmediconnect

Axminster Medical Group / Providence Medical Associates PPG 1885

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Shaywitz, Jonathan E.,

M.D.

Psychiatry

1

License No: A71964

NPI: 1770754202

520 S. Sepulveda Blvd. # 308

Los Angeles, CA 90049

1885 166873

(855) 427-2778

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

North Hollywood Specialty/

Specialists PPG/Phy #

aasd

Tabandeh, Homayoun, M.D.

Ophthalmology

License No: A89087

NPI: 1003861576

12840 Riverside Dr. # 333

4

North Hollywood, CA 91607

1885 133109

(818) 754-2090

Prov Language: Arabic, Armenian, Farsi,

Korean, Mandarin, Russian, Spanish, Tagalog

Office Staff Language

#

: Armenian, Korean,

Russian, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 687: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 687

Axminster Medical Group / Providence Medical Associates PPG 1885

Specialists

Sp

ec

ialists

687

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Walsh, Alexander C., M.D.

Ophthalmology

License No: A79504

NPI: 1043301740

301 S. Fair Oaks Ave. # 301

4

Pasadena, CA 91105

1885 107374

(626) 204-1410

Prov Language: Armenian, Korean, Russian,

Spanish

Office Staff Language

#

: Armenian, Korean,

Russian, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Tarzana Specialty/

Specialists PPG/Phy #

aasd

Tabandeh, Homayoun, M.D.

Ophthalmology

License No: A89087

NPI: 1003861576

5525 Etiwanda Ave. # 112

Tarzana, CA 91356

1885 133109

(818) 578-7408

Prov Language: Arabic, Armenian, Farsi,

Korean, Mandarin, Russian, Spanish, Tagalog

Office Staff Language

#

: Korean, Mandarin,

Russian, Spanish

Accessibility:*:

Hours: TU,TH 8 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 688: 2018 Provider and Pharmacy Directory

688 / www.healthnet.com/calmediconnect

Specialists

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Facey Med Fnd - Mission Hills

PPG 1068

11333 N. Sepulveda Blvd.

Mission Hills, CA 91345-1116

(818) 365-9531

Urgent Care:

Facey Medical Group UC- Mission Hills

(818) 869-7200

EXer- More Than Urgent Care (818) 727-2040

Hospitals Used:

Providence Holy Cross Medical Center

Facey Med Fnd - Canyon Country (PPG

1070)

17909 Soledad Canyon Rd.

Cyn Country, CA 91387-3210

(661) 250-5200

Urgent Care:

Facey Medical Group UC- Valencia

(661) 222-2600

Hospitals Used:

Henry Mayo Newhall Memorial Hospital

Providence Holy Cross Medical Center

Facey Med Fnd - Porter Ranch (PPG 1069)

19950 Rinaldi St.

Northridge, CA 91326-4141

(818) 403-2400

Urgent Care:

Facey Medical UC- Mission Hills

(818) 869-7200

EXer- More Than Urgent Care (818) 727-2040

Hospitals Used:

Providence Holy Cross Medical Center

Facey Medical Foundation - Burbank (PPG

5302)

191 S. Buena Vista St. Ste 100

Burbank, CA 91505-4562

(855) 723-3005

Urgent Care:

Burbank Urgent Care Center (818) 953-4408

Facey Medical Foundation - Copperhill (PPG

5010)

27924 Seco Canyon Rd.

Santa Clarita, CA 91350-3870

(661) 513-2100

Urgent Care:

Facey Medical Group UC- Valencia

(661) 222-2600

Page 689: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 689

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

689

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Hospitals Used:

Henry Mayo Newhall Memorial Hospital

Providence Holy Cross Medical Center

Facey Medical Foundation - Northridge (PPG

1072)

9111 Corbin Ave.

Northridge, CA 91324-2402

(818) 734-3600

Urgent Care:

Facey Medical Group UC- Mission Hills

(818) 869-7200

EXer- More Than Urgent Care (818) 727-2040

Hospitals Used:

Providence Holy Cross Medical Center

Facey Medical Foundation - Tarzana (PPG

5359)

18411 Clark St. Ste 102

Tarzana, CA 91356-3524

(855) 723-3005

Hospitals Used:

Providence Holy Cross Medical Center

Facey Medical Foundation - Valencia (PPG

1071)

26357 McBean Pkwy.

Valencia, CA 91355-4488

(661) 222-2600

Urgent Care:

Facey Medical Group UC- Valencia

(661) 222-2600

Hospitals Used:

Henry Mayo Newhall Memorial Hospital

Providence Holy Cross Medical Center

Canyon Country Specialty/

Specialists PPG/Phy #

aasd

Dalali, Michael J., M.D.

Ophthalmology

1

License No: A52553

NPI: 1184658338

17909 Soledad Canyon Rd. #

200

Canyon Country, CA 91387

1070 033752

(661) 250-5220

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,IB,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 690: 2018 Provider and Pharmacy Directory

690 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Canyon Country Specialty/

Specialists PPG/Phy #

aasd

Gasparians, Melineh, O.D.

Optometrist

License No: OPT9699

NPI: 1518982339

17909 Soledad Canyon Rd. #

200

Canyon Country, CA 91387

1070 034550

(661) 250-5220

Prov Language: Armenian, Farsi

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,IB,E)

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Hasratyan, Anush, M.D.

2

Geriatrics

License No: A97843

NPI: 1528125721

17909 Soledad Canyon Rd. #

100

Canyon Country, CA 91387

1070 159129

(661) 250-5230

Prov Language: Armenian

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Canyon Country Specialty/

Specialists PPG/Phy #

aasd

Kim, Danny, M.D.

Ophthalmology

License No: A109240

NPI: 1700076551

17909 Soledad Canyon Rd. #

200

Canyon Country, CA 91387

1070 154071

(661) 250-5220

Prov Language: Korean, Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,IB,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Lee, Byong-Wha E., M.D.

2

Infectious Disease

1

License No: G68100

NPI: 1881613412

17909 Soledad Canyon Rd. #

230

Canyon Country, CA 91387

1070 033774

(661) 250-5244

Prov Language: Korean

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 691: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 691

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

691

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Canyon Country Specialty/

Specialists PPG/Phy #

aasd

Offenberger, Jacob, M.D.

Allergy/

Immunology

License No: A38800

NPI: 1033121249

27141 Hidaway Ave. # 100

Canyon Country, CA 91351

1070 023441

(818) 366-8112

Prov Language: Hebrew, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-TU,TH 8 AM - 1 PM, W 8 AM - 12:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Canyon Country Specialty/

Specialists PPG/Phy #

Offenberger, Jacob, M.D.

Allergy/

Immunology

License No: A38800

NPI: 1033121249

27141 Hidaway Ave. # 100

Canyon Country, CA 91351

5010 023441

(818) 366-8112

Prov Language: Hebrew, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-TU,TH 8 AM - 1 PM, W 8 AM - 12:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 692: 2018 Provider and Pharmacy Directory

692 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Canyon Country Specialty/

Specialists PPG/Phy #

Offenberger, Jacob, M.D.

Allergy/

Immunology

License No: A38800

NPI: 1033121249

27141 Hidaway Ave. # 100

Canyon Country, CA 91351

1071 023441

(818) 366-8112

Prov Language: Hebrew, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-TU,TH 8 AM - 1 PM, W 8 AM - 12:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Encino Specialty/

Specialists PPG/Phy #

aasd

Aggarwal, Ashish K., M.D.

Cardiology/

Cardiovascular

Disease

License No: A131211

NPI: 1760682868

16542 Ventura Blvd. # 402

4

Encino, CA 91436

1069 206061

(818) 782-5041

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 693: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 693

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

693

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Encino Specialty/

Specialists PPG/Phy #

Aggarwal, Ashish K., M.D.

Cardiology/

Cardiovascular

Disease

License No: A131211

NPI: 1760682868

16542 Ventura Blvd. # 402

4

Encino, CA 91436

1072 206061

(818) 782-5041

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Encino Specialty/

Specialists PPG/Phy #

Aggarwal, Ashish K., M.D.

Cardiology/

Cardiovascular

Disease

License No: A131211

NPI: 1760682868

16542 Ventura Blvd. # 402

4

Encino, CA 91436

1068 206061

(818) 782-5041

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Aggarwal, Ashish K., M.D.

Internal Medicine

1

License No: A131211

NPI: 1760682868

16542 Ventura Blvd. # 402

4

Encino, CA 91436

1069 206061

(818) 782-5041

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 694: 2018 Provider and Pharmacy Directory

694 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Encino Specialty/

Specialists PPG/Phy #

Aggarwal, Ashish K., M.D.

Internal Medicine

1

License No: A131211

NPI: 1760682868

16542 Ventura Blvd. # 402

4

Encino, CA 91436

1072 206061

(818) 782-5041

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Dadgostar, Hajir, M.D.

Ophthalmology

1

License No: A90804

NPI: 1144427568

16500 Ventura Blvd. # 250

4

Encino, CA 91436

1068 197895

(818) 789-9333

Prov Language: Farsi, Spanish

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Limited(P,EB,IB,R)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Encino Specialty/

Specialists PPG/Phy #

aasd

Engstrom Jr, Robert E.,

M.D.

Ophthalmology

1

License No: G69965

NPI: 1689663395

16500 Ventura Blvd. # 250

4

Encino, CA 91436

1072 530983

(818) 789-9333

Prov Language: Spanish

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Limited(P,EB,IB,R)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 695: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 695

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

695

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Encino Specialty/

Specialists PPG/Phy #

Engstrom Jr, Robert E.,

M.D.

Ophthalmology

1

License No: G69965

NPI: 1689663395

16500 Ventura Blvd. # 250

4

Encino, CA 91436

1068 530983

(818) 789-9333

Prov Language: Spanish

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Limited(P,EB,IB,R)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Encino Specialty/

Specialists PPG/Phy #

Engstrom Jr, Robert E.,

M.D.

Ophthalmology

1

License No: G69965

NPI: 1689663395

16500 Ventura Blvd. # 250

4

Encino, CA 91436

1069 530983

(818) 789-9333

Prov Language: Spanish

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Limited(P,EB,IB,R)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 696: 2018 Provider and Pharmacy Directory

696 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Encino Specialty/

Specialists PPG/Phy #

aasd

Guerami, Amir H., M.D.

Ophthalmology

1

License No: A124952

NPI: 1457475303

16500 Ventura Blvd. # 250

4

Encino, CA 91436

1068 197907

(818) 788-9333

Prov Language: Farsi, Spanish

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Limited(P,EB,IB,R)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Encino Specialty/

Specialists PPG/Phy #

aasd

Kassabian, Leo, M.D.

Cardiology/

Cardiovascular

Disease

1

License No: A74898

NPI: 1184617763

16542 Ventura Blvd. # 402

4

Encino, CA 91436

1068 132940

(818) 782-5041

Prov Language: Armenian, Spanish

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 697: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 697

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

697

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Encino Specialty/

Specialists PPG/Phy #

Kassabian, Leo, M.D.

Cardiology/

Cardiovascular

Disease

1

License No: A74898

NPI: 1184617763

16542 Ventura Blvd. # 402

4

Encino, CA 91436

1072 132940

(818) 782-5041

Prov Language: Armenian, Spanish

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Encino Specialty/

Specialists PPG/Phy #

Kassabian, Leo, M.D.

Cardiology/

Cardiovascular

Disease

1

License No: A74898

NPI: 1184617763

16542 Ventura Blvd. # 402

4

Encino, CA 91436

1069 132940

(818) 782-5041

Prov Language: Armenian, Spanish

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 698: 2018 Provider and Pharmacy Directory

698 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Encino Specialty/

Specialists PPG/Phy #

aasd

Khounganian, Gregory S.,

M.D.

Orthopedic

Surgery

1

License No: A102948

NPI: 1750560389

5363 Balboa Blvd. # 245

Encino, CA 91316

5359 155330

(818) 343-4430

Prov Language: Armenian, Spanish

Office Staff Language

#

: Farsi, Spanish, Tagalog

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Lazar, David B., M.D.

Ophthalmology

1

License No: A127933

NPI: 1417242975

16500 Ventura Blvd. # 250

4

Encino, CA 91436

1069 230995

(818) 788-9333

Prov Language: Spanish

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Limited(P,EB,IB,R)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Encino Specialty/

Specialists PPG/Phy #

Lazar, David B., M.D.

Ophthalmology

1

License No: A127933

NPI: 1417242975

16500 Ventura Blvd. # 250

4

Encino, CA 91436

5359 230995

(818) 788-9333

Prov Language: Spanish

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Limited(P,EB,IB,R)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Lazar, David B., M.D.

Ophthalmology

1

License No: A127933

NPI: 1417242975

16500 Ventura Blvd. # 250

4

Encino, CA 91436

1072 230995

(818) 788-9333

Prov Language: Spanish

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Limited(P,EB,IB,R)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Page 699: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 699

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

699

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Encino Specialty/

Specialists PPG/Phy #

Lazar, David B., M.D.

Ophthalmology

1

License No: A127933

NPI: 1417242975

16500 Ventura Blvd. # 250

4

Encino, CA 91436

1068 230995

(818) 788-9333

Prov Language: Spanish

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Limited(P,EB,IB,R)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

aasd

Martin, Silvina L., LMFT

Marriage/ Family

Counseling

License No: MFC47088

NPI: 1134253297

17777 Ventura Blvd. # 105

Encino, CA 91316

5359 242543

(213) 908-1234

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Encino Specialty/

Specialists PPG/Phy #

aasd

Sinha, Abhishek, M.D.

2

Cardiology/

Cardiovascular

Disease

License No: A116939

NPI: 1902971567

16542 Ventura Blvd. # 402

4

Encino, CA 91436

1068 161517

(818) 782-5041

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: F 8:30 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 700: 2018 Provider and Pharmacy Directory

700 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Encino Specialty/

Specialists PPG/Phy #

Sinha, Abhishek, M.D.

2

Cardiology/

Cardiovascular

Disease

License No: A116939

NPI: 1902971567

16542 Ventura Blvd. # 402

4

Encino, CA 91436

1070 161517

(818) 782-5041

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: F 8:30 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Encino Specialty/

Specialists PPG/Phy #

Sinha, Abhishek, M.D.

2

Cardiology/

Cardiovascular

Disease

License No: A116939

NPI: 1902971567

16542 Ventura Blvd. # 402

4

Encino, CA 91436

1069 161517

(818) 782-5041

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: F 8:30 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 701: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 701

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

701

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Encino Specialty/

Specialists PPG/Phy #

Sinha, Abhishek, M.D.

2

Cardiology/

Cardiovascular

Disease

License No: A116939

NPI: 1902971567

16542 Ventura Blvd. # 402

4

Encino, CA 91436

5010 161517

(818) 782-5041

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: F 8:30 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Encino Specialty/

Specialists PPG/Phy #

Sinha, Abhishek, M.D.

2

Cardiology/

Cardiovascular

Disease

License No: A116939

NPI: 1902971567

16542 Ventura Blvd. # 402

4

Encino, CA 91436

1072 161517

(818) 782-5041

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: F 8:30 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 702: 2018 Provider and Pharmacy Directory

702 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Encino Specialty/

Specialists PPG/Phy #

Sinha, Abhishek, M.D.

2

Interventional

Cardiology

1

License No: A116939

NPI: 1902971567

16542 Ventura Blvd. # 402

4

Encino, CA 91436

1069 161517

(818) 782-5041

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: F 8:30 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sinha, Abhishek, M.D.

2

Interventional

Cardiology

1

License No: A116939

NPI: 1902971567

16542 Ventura Blvd. # 402

4

Encino, CA 91436

5010 161517

(818) 782-5041

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: F 8:30 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Encino Specialty/

Specialists PPG/Phy #

Sinha, Abhishek, M.D.

2

Interventional

Cardiology

1

License No: A116939

NPI: 1902971567

16542 Ventura Blvd. # 402

4

Encino, CA 91436

1072 161517

(818) 782-5041

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: F 8:30 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sinha, Abhishek, M.D.

2

Interventional

Cardiology

1

License No: A116939

NPI: 1902971567

16542 Ventura Blvd. # 402

4

Encino, CA 91436

1070 161517

(818) 782-5041

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: F 8:30 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 703: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 703

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

703

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Encino Specialty/

Specialists PPG/Phy #

Sinha, Abhishek, M.D.

2

Interventional

Cardiology

1

License No: A116939

NPI: 1902971567

16542 Ventura Blvd. # 402

4

Encino, CA 91436

1068 161517

(818) 782-5041

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: F 8:30 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Encino Specialty/

Specialists PPG/Phy #

aasd

Tsakonas, John S., M.D.

Cardiology/

Cardiovascular

Disease

License No: G62791

NPI: 1851384499

16542 Ventura Blvd. # 402

4

Encino, CA 91436

1068 530657

(818) 782-5041

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 704: 2018 Provider and Pharmacy Directory

704 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Encino Specialty/

Specialists PPG/Phy #

aasd

Wiener, Isaac, M.D.

Cardiology/

Cardiovascular

Disease

License No: G46722

NPI: 1427041078

16542 Ventura Blvd. # 402

4

Encino, CA 91436

1069 018359

(818) 782-5041

Prov Language: Hebrew, Spanish

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Encino Specialty/

Specialists PPG/Phy #

Wiener, Isaac, M.D.

Cardiology/

Cardiovascular

Disease

License No: G46722

NPI: 1427041078

16542 Ventura Blvd. # 402

4

Encino, CA 91436

1068 018359

(818) 782-5041

Prov Language: Hebrew, Spanish

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 705: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 705

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

705

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Encino Specialty/

Specialists PPG/Phy #

Wiener, Isaac, M.D.

Clinical CRD

Electrophysiology

License No: G46722

NPI: 1427041078

16542 Ventura Blvd. # 402

4

Encino, CA 91436

1069 018359

(818) 782-5041

Prov Language: Hebrew, Spanish

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Encino Specialty/

Specialists PPG/Phy #

Wiener, Isaac, M.D.

Clinical CRD

Electrophysiology

License No: G46722

NPI: 1427041078

16542 Ventura Blvd. # 402

4

Encino, CA 91436

1068 018359

(818) 782-5041

Prov Language: Hebrew, Spanish

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 706: 2018 Provider and Pharmacy Directory

706 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Encino Specialty/

Specialists PPG/Phy #

aasd

Yang, Tae Y., M.D.

Cardiovascular

Surgery

1

License No: A110617

NPI: 1821262072

16542 Ventura Blvd. # 402

4

Encino, CA 91436

5359 208230

(818) 782-5041

Prov Language: Korean, Spanish

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Encino Specialty/

Specialists PPG/Phy #

Yang, Tae Y., M.D.

Interventional

Cardiology

1

License No: A110617

NPI: 1821262072

16542 Ventura Blvd. # 402

4

Encino, CA 91436

5359 208230

(818) 782-5041

Prov Language: Korean, Spanish

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 707: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 707

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

707

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Granada Hills Specialty/

Specialists PPG/Phy #

aasd

Assomull, Vinod M., M.D.

Nephrology

1

License No: A31336

NPI: 1982619359

16907 Devonshire St.

4

Granada Hills, CA 91344

1068 500586

(818) 366-4626

Prov Language: Hindi, Punjabi

Office Staff Language

#

: Hindi, Spanish

Accessibility:*:

Hours: M-F 8:30 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Assomull, Vinod M., M.D.

Nephrology

1

License No: A31336

NPI: 1982619359

16907 Devonshire St.

4

Granada Hills, CA 91344

1071 500586

(818) 366-4626

Prov Language: Hindi, Punjabi

Office Staff Language

#

: Hindi, Spanish

Accessibility:*:

Hours: M-F 8:30 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Granada Hills Specialty/

Specialists PPG/Phy #

Assomull, Vinod M., M.D.

Nephrology

1

License No: A31336

NPI: 1982619359

16907 Devonshire St.

4

Granada Hills, CA 91344

1070 500586

(818) 366-4626

Prov Language: Hindi, Punjabi

Office Staff Language

#

: Hindi, Spanish

Accessibility:*:

Hours: M-F 8:30 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Assomull, Vinod M., M.D.

Nephrology

1

License No: A31336

NPI: 1982619359

16907 Devonshire St.

4

Granada Hills, CA 91344

1072 500586

(818) 366-4626

Prov Language: Hindi, Punjabi

Office Staff Language

#

: Hindi, Spanish

Accessibility:*:

Hours: M-F 8:30 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 708: 2018 Provider and Pharmacy Directory

708 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Granada Hills Specialty/

Specialists PPG/Phy #

Assomull, Vinod M., M.D.

Nephrology

1

License No: A31336

NPI: 1982619359

16907 Devonshire St.

4

Granada Hills, CA 91344

1069 500586

(818) 366-4626

Prov Language: Hindi, Punjabi

Office Staff Language

#

: Hindi, Spanish

Accessibility:*:

Hours: M-F 8:30 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Gandhi, Dayan K., M.D.

Internal Medicine

1

License No: A114933

NPI: 1285961789

10605 Balboa Blvd. # 240

4

Granada Hills, CA 91344

1069 206073

(818) 366-4626

Prov Language: Hindi, Sindhi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Granada Hills Specialty/

Specialists PPG/Phy #

Gandhi, Dayan K., M.D.

Internal Medicine

1

License No: A114933

NPI: 1285961789

10605 Balboa Blvd. # 240

4

Granada Hills, CA 91344

1072 206073

(818) 366-4626

Prov Language: Hindi, Sindhi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Gandhi, Dayan K., M.D.

Internal Medicine

1

License No: A114933

NPI: 1285961789

10605 Balboa Blvd. # 240

4

Granada Hills, CA 91344

1068 206073

(818) 366-4626

Prov Language: Hindi, Sindhi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 709: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 709

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

709

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Granada Hills Specialty/

Specialists PPG/Phy #

Gandhi, Dayan K., M.D.

Nephrology

License No: A114933

NPI: 1285961789

10605 Balboa Blvd. # 240

4

Granada Hills, CA 91344

1069 206073

(818) 366-4626

Prov Language: Hindi, Sindhi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Gandhi, Dayan K., M.D.

Nephrology

License No: A114933

NPI: 1285961789

10605 Balboa Blvd. # 240

4

Granada Hills, CA 91344

1072 206073

(818) 366-4626

Prov Language: Hindi, Sindhi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Granada Hills Specialty/

Specialists PPG/Phy #

Gandhi, Dayan K., M.D.

Nephrology

License No: A114933

NPI: 1285961789

10605 Balboa Blvd. # 240

4

Granada Hills, CA 91344

1068 206073

(818) 366-4626

Prov Language: Hindi, Sindhi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Gandhi, Kamal V., M.D.

Nephrology

1

License No: A38328

NPI: 1972510485

10605 Balboa Blvd. # 240

4

Granada Hills, CA 91344

1071 021523

(818) 366-4626

Prov Language: Hindi

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 710: 2018 Provider and Pharmacy Directory

710 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Granada Hills Specialty/

Specialists PPG/Phy #

Gandhi, Kamal V., M.D.

Nephrology

1

License No: A38328

NPI: 1972510485

10605 Balboa Blvd. # 240

4

Granada Hills, CA 91344

1072 021523

(818) 366-4626

Prov Language: Hindi

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Gandhi, Kamal V., M.D.

Nephrology

1

License No: A38328

NPI: 1972510485

10605 Balboa Blvd. # 240

4

Granada Hills, CA 91344

1069 021523

(818) 366-4626

Prov Language: Hindi

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Granada Hills Specialty/

Specialists PPG/Phy #

Gandhi, Kamal V., M.D.

Nephrology

1

License No: A38328

NPI: 1972510485

10605 Balboa Blvd. # 240

4

Granada Hills, CA 91344

1068 021523

(818) 366-4626

Prov Language: Hindi

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Mehta, Kalyani N., M.D.

Internal Medicine

1

License No: A89911

NPI: 1699899724

16907 Devonshire St.

4

Granada Hills, CA 91344

1068 172362

(818) 366-4626

Prov Language: Gujarati, Hindi

Office Staff Language

#

: Hindi, Spanish

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 711: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 711

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

711

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Granada Hills Specialty/

Specialists PPG/Phy #

Mehta, Kalyani N., M.D.

Nephrology

1

License No: A89911

NPI: 1699899724

16907 Devonshire St.

4

Granada Hills, CA 91344

1068 172362

(818) 366-4626

Prov Language: Gujarati, Hindi

Office Staff Language

#

: Hindi, Spanish

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mehta, Kalyani N., M.D.

Nephrology

1

License No: A89911

NPI: 1699899724

16907 Devonshire St.

4

Granada Hills, CA 91344

1070 172362

(818) 366-4626

Prov Language: Gujarati, Hindi

Office Staff Language

#

: Hindi, Spanish

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Granada Hills Specialty/

Specialists PPG/Phy #

Mehta, Kalyani N., M.D.

Nephrology

1

License No: A89911

NPI: 1699899724

16907 Devonshire St.

4

Granada Hills, CA 91344

5010 172362

(818) 366-4626

Prov Language: Gujarati, Hindi

Office Staff Language

#

: Hindi, Spanish

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Moghimi, Robert B., M.D.

Gastroenterology

1

License No: A94790

NPI: 1184679664

10515 Balboa Blvd. # 380

4

Granada Hills, CA 91344

5302 132915

(818) 363-7120

Office Staff Language

#

: Farsi, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 712: 2018 Provider and Pharmacy Directory

712 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Granada Hills Specialty/

Specialists PPG/Phy #

aasd

Offenberger, Jacob, M.D.

Allergy/

Immunology

License No: A38800

NPI: 1033121249

10515 Balboa Blvd. # 390

4

Granada Hills, CA 91344

1070 023441

(818) 366-8112

Prov Language: Hebrew, Spanish

Office Staff Language

#

: German, Hebrew,

Italian, Spanish

Accessibility:*:

Hours: M-F 8 AM - 1 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Granada Hills Specialty/

Specialists PPG/Phy #

Offenberger, Jacob, M.D.

Allergy/

Immunology

License No: A38800

NPI: 1033121249

10515 Balboa Blvd. # 390

4

Granada Hills, CA 91344

1068 023441

(818) 366-8112

Prov Language: Hebrew, Spanish

Office Staff Language

#

: German, Hebrew,

Italian, Spanish

Accessibility:*:

Hours: M-F 8 AM - 1 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 713: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 713

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

713

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Granada Hills Specialty/

Specialists PPG/Phy #

Offenberger, Jacob, M.D.

Allergy/

Immunology

License No: A38800

NPI: 1033121249

10515 Balboa Blvd. # 390

4

Granada Hills, CA 91344

1071 023441

(818) 366-8112

Prov Language: Hebrew, Spanish

Office Staff Language

#

: German, Hebrew,

Italian, Spanish

Accessibility:*:

Hours: M-F 8 AM - 1 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Granada Hills Specialty/

Specialists PPG/Phy #

Offenberger, Jacob, M.D.

Allergy/

Immunology

License No: A38800

NPI: 1033121249

10515 Balboa Blvd. # 390

4

Granada Hills, CA 91344

1069 023441

(818) 366-8112

Prov Language: Hebrew, Spanish

Office Staff Language

#

: German, Hebrew,

Italian, Spanish

Accessibility:*:

Hours: M-F 8 AM - 1 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 714: 2018 Provider and Pharmacy Directory

714 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Granada Hills Specialty/

Specialists PPG/Phy #

Offenberger, Jacob, M.D.

Allergy/

Immunology

License No: A38800

NPI: 1033121249

10515 Balboa Blvd. # 390

4

Granada Hills, CA 91344

5302 023441

(818) 366-8112

Prov Language: Hebrew, Spanish

Office Staff Language

#

: German, Hebrew,

Italian, Spanish

Accessibility:*:

Hours: M-F 8 AM - 1 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Granada Hills Specialty/

Specialists PPG/Phy #

Offenberger, Jacob, M.D.

Allergy/

Immunology

License No: A38800

NPI: 1033121249

10515 Balboa Blvd. # 390

4

Granada Hills, CA 91344

1072 023441

(818) 366-8112

Prov Language: Hebrew, Spanish

Office Staff Language

#

: German, Hebrew,

Italian, Spanish

Accessibility:*:

Hours: M-F 8 AM - 1 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 715: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 715

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

715

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Granada Hills Specialty/

Specialists PPG/Phy #

Offenberger, Jacob, M.D.

Allergy/

Immunology

License No: A38800

NPI: 1033121249

10515 Balboa Blvd. # 390

4

Granada Hills, CA 91344

5010 023441

(818) 366-8112

Prov Language: Hebrew, Spanish

Office Staff Language

#

: German, Hebrew,

Italian, Spanish

Accessibility:*:

Hours: M-F 8 AM - 1 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Abdeen, Omaran A., M.D.

Nephrology

1

License No: A55592

NPI: 1700878410

11550 Indian Hills Rd. # 371

4

Mission Hills, CA 91345

1069 056820

(818) 365-1194

Prov Language: Arabic, Armenian, Spanish

Office Staff Language

#

: Armenian, Cantonese,

Mandarin, Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Abdeen, Omaran A., M.D.

Nephrology

1

License No: A55592

NPI: 1700878410

11550 Indian Hills Rd. # 371

4

Mission Hills, CA 91345

1072 056820

(818) 365-1194

Prov Language: Arabic, Armenian, Spanish

Office Staff Language

#

: Armenian, Cantonese,

Mandarin, Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 716: 2018 Provider and Pharmacy Directory

716 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

Abdeen, Omaran A., M.D.

Nephrology

1

License No: A55592

NPI: 1700878410

11550 Indian Hills Rd. # 371

4

Mission Hills, CA 91345

1068 056820

(818) 365-1194

Prov Language: Arabic, Armenian, Spanish

Office Staff Language

#

: Armenian, Cantonese,

Mandarin, Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Achamallah, Nagui S., M.D.

Psychiatry

1

License No: A48988

NPI: 1629057393

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 029009

(818) 869-7263

Prov Language: Arabic, French

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Ali, Faraz, M.D.

Internal Medicine

License No: A145774

NPI: 1598170938

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 234550

(818) 869-7254

Prov Language: Hindi, Urdu

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Amini, Kamyar, M.D.

Otolaryngology

(ENT)

1

License No: A99444

NPI: 1609067040

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 137088

(818) 869-7267

Prov Language: Farsi

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 717: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 717

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

717

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Avitia, Sofia, M.D.

Otolaryngology

(ENT)

License No: A87394

NPI: 1811194020

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 142540

(818) 869-7267

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Bagga, Dilprit, M.D.

Hematology/

Oncology

1

License No: A118256

NPI: 1427262757

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 206770

(818) 869-7249

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

Bagga, Dilprit, M.D.

Internal Medicine

1

License No: A118256

NPI: 1427262757

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 206770

(818) 869-7249

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Batah, Jihad, M.D.

Gastroenterology

1

License No: A51326

NPI: 1164451233

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 035394

(818) 869-7268

Prov Language: Arabic, French

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 718: 2018 Provider and Pharmacy Directory

718 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Cardenas, Doris, M.D.

Neurology

1

License No: A80492

NPI: 1144384116

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 142315

(818) 869-7267

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Chambers, Joseph D., M.D.

Emergency

Medicine

License No: C43363

NPI: 1467435297

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 130731

(818) 869-7200

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: S,SA 8 AM - 5:30 PM, M-F 9 AM - 8:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Chang, Brian J., M.D.

Ophthalmology

License No: A128360

NPI: 1629335567

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 221665

(818) 869-7269

Prov Language: Mandarin, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Chen, Anna M., D.O.

Emergency

Medicine

License No: 20A10564

NPI: 1245475599

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 227641

(818) 869-7200

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 9 AM - 8:30 PM, S,SA 8 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 719: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 719

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

719

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

Chen, Anna M., D.O.

Internal Medicine

1

License No: 20A10564

NPI: 1245475599

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 227641

(818) 869-7200

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 9 AM - 8:30 PM, S,SA 8 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Chen, Li-ching, M.D.

Obstetrics/

Gynecology

1

License No: A39424

NPI: 1578577326

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 502714

(818) 869-7256

Prov Language: Cantonese

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Chiang, Tom S., M.D.

Infectious Disease

License No: C129801

NPI: 1346345758

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 204983

(818) 869-7267

Prov Language: Mandarin

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Chou, Fung-Chuan, M.D.

Nephrology

1

License No: A42968

NPI: 1114945227

15451 San Fernando Mission

Blvd. # 200

Mission Hills, CA 91345

1068 021447

(818) 837-5785

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 720: 2018 Provider and Pharmacy Directory

720 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Chung, Sue Y., M.D.

Internal Medicine

1

License No: A100200

NPI: 1033396767

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 171967

(818) 869-7254

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Chung, Sue Y., M.D.

Rheumatology

1

License No: A100200

NPI: 1033396767

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 171967

(818) 869-7254

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Cooper, Martin A., M.D.

Obstetrics/

Gynecology

1

License No: G16555

NPI: 1275547028

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 503233

(818) 869-7256

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Dabel, Pascal, M.D.

Internal Medicine

1

License No: A131011

NPI: 1033306592

11550 Indian Hills Rd. # 371

4

Mission Hills, CA 91345

1069 205314

(818) 365-1194

Prov Language: French, Spanish

Office Staff Language

#

: Armenian, Cantonese,

Mandarin, Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 721: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 721

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

721

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

Dabel, Pascal, M.D.

Internal Medicine

1

License No: A131011

NPI: 1033306592

11550 Indian Hills Rd. # 371

4

Mission Hills, CA 91345

1072 205314

(818) 365-1194

Prov Language: French, Spanish

Office Staff Language

#

: Armenian, Cantonese,

Mandarin, Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Dabel, Pascal, M.D.

Internal Medicine

1

License No: A131011

NPI: 1033306592

11550 Indian Hills Rd. # 371

4

Mission Hills, CA 91345

1068 205314

(818) 365-1194

Prov Language: French, Spanish

Office Staff Language

#

: Armenian, Cantonese,

Mandarin, Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

Dabel, Pascal, M.D.

Nephrology

1

License No: A131011

NPI: 1033306592

11550 Indian Hills Rd. # 371

4

Mission Hills, CA 91345

1072 205314

(818) 365-1194

Prov Language: French, Spanish

Office Staff Language

#

: Armenian, Cantonese,

Mandarin, Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Dabel, Pascal, M.D.

Nephrology

1

License No: A131011

NPI: 1033306592

11550 Indian Hills Rd. # 371

4

Mission Hills, CA 91345

1069 205314

(818) 365-1194

Prov Language: French, Spanish

Office Staff Language

#

: Armenian, Cantonese,

Mandarin, Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 722: 2018 Provider and Pharmacy Directory

722 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

Dabel, Pascal, M.D.

Nephrology

1

License No: A131011

NPI: 1033306592

11550 Indian Hills Rd. # 371

4

Mission Hills, CA 91345

1068 205314

(818) 365-1194

Prov Language: French, Spanish

Office Staff Language

#

: Armenian, Cantonese,

Mandarin, Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Dardashti, Simon, M.D.

Pain Management

1

License No: A117883

NPI: 1023335957

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1069 210459

(818) 869-7267

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: TU,F 8 AM - 7:30 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

Dardashti, Simon, M.D.

Pain Management

1

License No: A117883

NPI: 1023335957

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 210459

(818) 869-7267

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: TU,F 8 AM - 7:30 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Dardashti, Simon, M.D.

Pain Management

1

License No: A117883

NPI: 1023335957

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1072 210459

(818) 869-7267

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: TU,F 8 AM - 7:30 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Page 723: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 723

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

723

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Das, Jayanta R., M.D.

Interventional

Cardiology

1

License No: A91850

NPI: 1891843827

14901 Rinaldi St. # 110

4

Mission Hills, CA 91345

1069 195163

(818) 365-1335

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Das, Jayanta R., M.D.

Interventional

Cardiology

1

License No: A91850

NPI: 1891843827

14901 Rinaldi St. # 110

4

Mission Hills, CA 91345

1072 195163

(818) 365-1335

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

Das, Jayanta R., M.D.

Interventional

Cardiology

1

License No: A91850

NPI: 1891843827

14901 Rinaldi St. # 110

4

Mission Hills, CA 91345

1068 195163

(818) 365-1335

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Davoodi, Nare, R.D.

2

Designated

Transplant Center

License No: RD86057235

NPI: 1457725145

11165 Sepulveda Blvd.

4

Mission Hills, CA 91345

1069 223939

(818) 837-5779

Prov Language: Armenian, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 724: 2018 Provider and Pharmacy Directory

724 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

Davoodi, Nare, R.D.

2

Designated

Transplant Center

License No: RD86057235

NPI: 1457725145

11165 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 223939

(818) 837-5779

Prov Language: Armenian, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Davoodi, Nare, R.D.

2

Designated

Transplant Center

License No: RD86057235

NPI: 1457725145

11165 Sepulveda Blvd.

4

Mission Hills, CA 91345

1072 223939

(818) 837-5779

Prov Language: Armenian, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

De Guzman, Carlo E., P.T.

2

Physical Therapy

License No: PT40110

NPI: 1861832420

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1072 224366

(818) 869-7248

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 7:30 AM - 7 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

De Guzman, Carlo E., P.T.

2

Physical Therapy

License No: PT40110

NPI: 1861832420

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 224366

(818) 869-7248

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 7:30 AM - 7 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 725: 2018 Provider and Pharmacy Directory

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Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

725

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

De Guzman, Carlo E., P.T.

2

Physical Therapy

License No: PT40110

NPI: 1861832420

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1069 224366

(818) 869-7248

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 7:30 AM - 7 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Dekker, Albert, M.D.

Hematology/

Oncology

1

License No: A83739

NPI: 1578553590

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 110322

(818) 869-7249

Prov Language: Russian, Ukranian

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

El-Bialy, Adel K., M.D.

Cardiology/

Cardiovascular

Disease

License No: A53313

NPI: 1063512473

14901 Rinaldi St. # 110

4

Mission Hills, CA 91345

1069 153716

(818) 365-1335

Prov Language: Arabic, Armenian, Greek,

Mandarin, Spanish, Tamil

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 726: 2018 Provider and Pharmacy Directory

726 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

El-Bialy, Adel K., M.D.

Cardiology/

Cardiovascular

Disease

License No: A53313

NPI: 1063512473

14901 Rinaldi St. # 110

4

Mission Hills, CA 91345

1068 153716

(818) 365-1335

Prov Language: Arabic, Armenian, Greek,

Mandarin, Spanish, Tamil

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Fazel, Maryam S., M.D.

2

Emergency

Medicine

License No: A114531

NPI: 1285910356

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 191274

(818) 869-7200

Prov Language: Farsi

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: S,SA 8 AM - 5:30 PM, M-F 9 AM - 8:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Fields, Scott A., M.D.

General Surgery

1

License No: A85759

NPI: 1316051204

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 128930

(818) 869-7267

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 727: 2018 Provider and Pharmacy Directory

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Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

727

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Gallivan, Kevin F., M.D.

Obstetrics/

Gynecology

1

License No: G75903

NPI: 1811928377

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 530459

(818) 869-7256

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Garabedian, Shahe K., M.D.

Cardiology/

Cardiovascular

Disease

License No: A103461

NPI: 1841313772

14901 Rinaldi St. # 110

4

Mission Hills, CA 91345

1068 167196

(818) 365-1335

Prov Language: Armenian, Spanish

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 728: 2018 Provider and Pharmacy Directory

728 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Golder, Michael G., M.D.

Psychiatry

1

License No: G141046

NPI: 1760455778

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 226679

(818) 869-7263

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Gomez, Caitlin L., M.D.

Radiation

Oncology

License No: A120188

NPI: 1619294907

15031 Rinaldi St.

4

Mission Hills, CA 91345

1068 214228

(818) 496-4410

Prov Language: Spanish

Office Staff Language

#

: Hindi, Korean, Spanish

Accessibility:*: Limited(EB,IB,E)

Hours: M-F 8 AM - 4:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

Gomez, Caitlin L., M.D.

Radiation

Oncology

License No: A120188

NPI: 1619294907

15031 Rinaldi St.

4

Mission Hills, CA 91345

5010 214228

(818) 496-4410

Prov Language: Spanish

Office Staff Language

#

: Hindi, Korean, Spanish

Accessibility:*: Limited(EB,IB,E)

Hours: M-F 8 AM - 4:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Gomez, Caitlin L., M.D.

Radiation

Oncology

License No: A120188

NPI: 1619294907

15031 Rinaldi St.

4

Mission Hills, CA 91345

1071 214228

(818) 496-4410

Prov Language: Spanish

Office Staff Language

#

: Hindi, Korean, Spanish

Accessibility:*: Limited(EB,IB,E)

Hours: M-F 8 AM - 4:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 729: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 729

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

729

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

Gomez, Caitlin L., M.D.

Radiation

Oncology

License No: A120188

NPI: 1619294907

15031 Rinaldi St.

4

Mission Hills, CA 91345

1070 214228

(818) 496-4410

Prov Language: Spanish

Office Staff Language

#

: Hindi, Korean, Spanish

Accessibility:*: Limited(EB,IB,E)

Hours: M-F 8 AM - 4:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Haggiagi, Jehad M., M.D.

Nephrology

License No: A140556

NPI: 1437420072

11550 Indian Hills Rd. # 371

4

Mission Hills, CA 91345

1072 223937

(818) 365-1194

Prov Language: Arabic

Office Staff Language

#

: Armenian, Cantonese,

Mandarin, Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

Haggiagi, Jehad M., M.D.

Nephrology

License No: A140556

NPI: 1437420072

11550 Indian Hills Rd. # 371

4

Mission Hills, CA 91345

1069 223937

(818) 365-1194

Prov Language: Arabic

Office Staff Language

#

: Armenian, Cantonese,

Mandarin, Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Haggiagi, Jehad M., M.D.

Nephrology

License No: A140556

NPI: 1437420072

11550 Indian Hills Rd. # 371

4

Mission Hills, CA 91345

5010 223937

(818) 365-1194

Prov Language: Arabic

Office Staff Language

#

: Armenian, Cantonese,

Mandarin, Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 730: 2018 Provider and Pharmacy Directory

730 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

Haggiagi, Jehad M., M.D.

Nephrology

License No: A140556

NPI: 1437420072

11550 Indian Hills Rd. # 371

4

Mission Hills, CA 91345

1068 223937

(818) 365-1194

Prov Language: Arabic

Office Staff Language

#

: Armenian, Cantonese,

Mandarin, Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Haggiagi, Jehad M., M.D.

Nephrology

License No: A140556

NPI: 1437420072

11550 Indian Hills Rd. # 371

4

Mission Hills, CA 91345

1070 223937

(818) 365-1194

Prov Language: Arabic

Office Staff Language

#

: Armenian, Cantonese,

Mandarin, Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

Haggiagi, Jehad M., M.D.

Nephrology

License No: A140556

NPI: 1437420072

11550 Indian Hills Rd. # 371

4

Mission Hills, CA 91345

1071 223937

(818) 365-1194

Prov Language: Arabic

Office Staff Language

#

: Armenian, Cantonese,

Mandarin, Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 731: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 731

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

731

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Hour, Billy T., M.D.

Nephrology

1

License No: A125737

NPI: 1790097004

11550 Indian Hills Rd. # 371

4

Mission Hills, CA 91345

1071 185785

(818) 365-1194

Prov Language: Cambodian,Khmer, Mandarin,

Spanish

Office Staff Language

#

: Armenian, Cantonese,

Mandarin, Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

Hour, Billy T., M.D.

Nephrology

1

License No: A125737

NPI: 1790097004

11550 Indian Hills Rd. # 371

4

Mission Hills, CA 91345

1068 185785

(818) 365-1194

Prov Language: Cambodian,Khmer, Mandarin,

Spanish

Office Staff Language

#

: Armenian, Cantonese,

Mandarin, Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 732: 2018 Provider and Pharmacy Directory

732 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

Hour, Billy T., M.D.

Nephrology

1

License No: A125737

NPI: 1790097004

11550 Indian Hills Rd. # 371

4

Mission Hills, CA 91345

1070 185785

(818) 365-1194

Prov Language: Cambodian,Khmer, Mandarin,

Spanish

Office Staff Language

#

: Armenian, Cantonese,

Mandarin, Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

Hour, Billy T., M.D.

Nephrology

1

License No: A125737

NPI: 1790097004

11550 Indian Hills Rd. # 371

4

Mission Hills, CA 91345

5010 185785

(818) 365-1194

Prov Language: Cambodian,Khmer, Mandarin,

Spanish

Office Staff Language

#

: Armenian, Cantonese,

Mandarin, Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Ibrahim, Kerolos, P.T.

Physical Therapy

License No: PT40655

NPI: 1356779813

11333 Sepulveda Blvd. Fl. 1

Mission Hills, CA 91345

1072 233928

(818) 869-7248

Prov Language: Arabic

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 7:30 AM - 7 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 733: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 733

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

733

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

Ibrahim, Kerolos, P.T.

Physical Therapy

License No: PT40655

NPI: 1356779813

11333 Sepulveda Blvd. Fl. 1

Mission Hills, CA 91345

1069 233928

(818) 869-7248

Prov Language: Arabic

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 7:30 AM - 7 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Jordan, Jennifer L., R.D.

Designated

Transplant Center

License No: RD851450

NPI: 1154528958

11165 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 226559

(818) 837-5779

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Kalantari, Parvaneh N.,

R.D.

2

Designated

Transplant Center

License No: RD713180

NPI: 1891979985

11165 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 130252

(818) 837-5779

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: TH-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Kalantari, Parvaneh N.,

R.D.

2

Designated

Transplant Center

License No: RD713180

NPI: 1891979985

11165 Sepulveda Blvd.

4

Mission Hills, CA 91345

1072 130252

(818) 837-5779

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: TH-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 734: 2018 Provider and Pharmacy Directory

734 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

Kalantari, Parvaneh N.,

R.D.

2

Designated

Transplant Center

License No: RD713180

NPI: 1891979985

11165 Sepulveda Blvd.

4

Mission Hills, CA 91345

1069 130252

(818) 837-5779

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: TH-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Kedia, Rohit R., D.O.

Endocrinology

License No: 20A14161

NPI: 1033418249

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 218157

(818) 869-7267

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Kim, Danny, M.D.

Ophthalmology

License No: A109240

NPI: 1700076551

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 154071

(818) 869-7269

Prov Language: Korean, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Kouz, Rafid J., M.D.

Hematology/

Oncology

1

License No: C52317

NPI: 1346272994

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 165641

(818) 869-7249

Prov Language: Arabic

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 735: 2018 Provider and Pharmacy Directory

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Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

735

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Lee, Joung H., DPM

Podiatry

License No: E4292

NPI: 1487685939

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 110819

(818) 869-7267

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Lekkala, Madhavi, M.D.

Neurology

1

License No: A100995

NPI: 1992915433

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 160754

(818) 869-7267

Prov Language: Telugu

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Lopez, Pedro N., M.D.

Emergency

Medicine

1

License No: A103617

NPI: 1710140025

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 157822

(818) 869-7200

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-TU 8 AM - 7:30 PM, W-F 8 AM - 5:30

PM

Cultural Competence Training Completed:

Provider Training and Experience:

aasd

Lynch, Michael C., M.D.

Ophthalmology

1

License No: G45361

NPI: 1467468462

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1070 010499

(818) 869-7269

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 736: 2018 Provider and Pharmacy Directory

736 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

Lynch, Michael C., M.D.

Ophthalmology

1

License No: G45361

NPI: 1467468462

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 010499

(818) 869-7269

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Marino, Natalie G., M.D.

Family Practice

1

License No: A111889

NPI: 1477856789

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 167259

(818) 869-7200

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 9 AM - 8:30 PM, S,SA 8 AM - 5:30

PM

Cultural Competence Training Completed:

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Melikian, George L., M.D.

Internal Medicine

1

License No: A107553

NPI: 1841302635

11333 Sepulveda Blvd. Fl. 3

Mission Hills, CA 91345

1068 201315

(818) 365-9531

Prov Language: Armenian

Office Staff Language

#

:

Accessibility:*:

Hours: M-TU 8 AM - 7 PM, W-F 8 AM - 5:30 PM

Cultural Competence Training Completed:

Provider Training and Experience:

aasd

Mohan, Rahul K., M.D.

2

Internal Medicine

License No: A142373

NPI: 1942542220

15451 San Fernando Mission

Blvd. # 200

Mission Hills, CA 91345

1068 222365

(818) 837-5785

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 737: 2018 Provider and Pharmacy Directory

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Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

737

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Montalvo, Rafael D., M.D.

Emergency

Medicine

License No: A132041

NPI: 1568722007

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 230703

(818) 869-7200

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 9 AM - 8:30 PM, S,SA 8 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

Montalvo, Rafael D., M.D.

Family Practice

1

License No: A132041

NPI: 1568722007

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 230703

(818) 869-7200

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 9 AM - 8:30 PM, S,SA 8 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Nangiana, Jasvinder S.,

M.D.

Neurosurgery

License No: A115268

NPI: 1104072545

11550 Indian Hills Rd. # 381

4

Mission Hills, CA 91345

1068 221735

(818) 361-0917

Prov Language: Hindi

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 738: 2018 Provider and Pharmacy Directory

738 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

Nangiana, Jasvinder S.,

M.D.

Neurosurgery

License No: A115268

NPI: 1104072545

11550 Indian Hills Rd. # 381

4

Mission Hills, CA 91345

1070 221735

(818) 361-0917

Prov Language: Hindi

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Nangiana, Jasvinder S.,

M.D.

Neurosurgery

License No: A115268

NPI: 1104072545

11550 Indian Hills Rd. # 381

4

Mission Hills, CA 91345

5010 221735

(818) 361-0917

Prov Language: Hindi

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

Nangiana, Jasvinder S.,

M.D.

Neurosurgery

License No: A115268

NPI: 1104072545

11550 Indian Hills Rd. # 381

4

Mission Hills, CA 91345

1071 221735

(818) 361-0917

Prov Language: Hindi

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Nangiana, Jasvinder S.,

M.D.

Neurosurgery

License No: A115268

NPI: 1104072545

11550 Indian Hills Rd. # 381

4

Mission Hills, CA 91345

1072 221735

(818) 361-0917

Prov Language: Hindi

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 739: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 739

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

739

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

Nangiana, Jasvinder S.,

M.D.

Neurosurgery

License No: A115268

NPI: 1104072545

11550 Indian Hills Rd. # 381

4

Mission Hills, CA 91345

1069 221735

(818) 361-0917

Prov Language: Hindi

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Narguizian, Alida, R.D.

Designated

Transplant Center

License No: RD817276

NPI: 1942375332

11165 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 216888

(818) 837-5779

Prov Language: Armenian

Office Staff Language

#

:

Accessibility:*:

Hours: TU 8 AM - 12 PM, M,W 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Nikamal, Arash J., D.O.

Emergency

Medicine

License No: 20A12561

NPI: 1427393784

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 202057

(818) 869-7200

Prov Language: Farsi

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: S,SA 8 AM - 5:30 PM, M-F 9 AM - 8:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 740: 2018 Provider and Pharmacy Directory

740 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

Nikamal, Arash J., D.O.

Family Practice

1

License No: 20A12561

NPI: 1427393784

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 202057

(818) 869-7200

Prov Language: Farsi

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: S,SA 8 AM - 5:30 PM, M-F 9 AM - 8:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Paggi, Dennis A., P.T.

Physical Therapy

License No: PT5919

NPI: 1699765610

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 091145

(818) 869-7248

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 7:30 AM - 7 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Patel, Lina C., M.D.

Pediatrics

1

License No: A136716

NPI: 1730446709

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 233706

(818) 869-7200

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 9 AM - 8:30 PM, SA 8 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Patel, Shreyas B., M.D.

Internal Medicine

License No: A150881

NPI: 1396164885

15451 San Fernando Mission

Blvd. # 200

Mission Hills, CA 91345

1068 235502

(818) 837-5785

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 8:30 PM, SA 8 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 741: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 741

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

741

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Phung, Thien P., M.D.

Internal Medicine

License No: A146227

NPI: 1497172670

15451 San Fernando Mission

Blvd. # 200

Mission Hills, CA 91345

1072 234896

(818) 837-5785

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Phung, Thien P., M.D.

Internal Medicine

License No: A146227

NPI: 1497172670

15451 San Fernando Mission

Blvd. # 200

Mission Hills, CA 91345

5359 234896

(818) 837-5785

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

Phung, Thien P., M.D.

Internal Medicine

License No: A146227

NPI: 1497172670

15451 San Fernando Mission

Blvd. # 200

Mission Hills, CA 91345

5010 234896

(818) 837-5785

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Phung, Thien P., M.D.

Internal Medicine

License No: A146227

NPI: 1497172670

15451 San Fernando Mission

Blvd. # 200

Mission Hills, CA 91345

1071 234896

(818) 837-5785

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 742: 2018 Provider and Pharmacy Directory

742 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

Phung, Thien P., M.D.

Internal Medicine

License No: A146227

NPI: 1497172670

15451 San Fernando Mission

Blvd. # 200

Mission Hills, CA 91345

1069 234896

(818) 837-5785

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Phung, Thien P., M.D.

Internal Medicine

License No: A146227

NPI: 1497172670

15451 San Fernando Mission

Blvd. # 200

Mission Hills, CA 91345

1070 234896

(818) 837-5785

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

Phung, Thien P., M.D.

Internal Medicine

License No: A146227

NPI: 1497172670

15451 San Fernando Mission

Blvd. # 200

Mission Hills, CA 91345

1068 234896

(818) 837-5785

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Prisco, Douglas L., M.D.

Pulmonary

Medicine

1

License No: A108810

NPI: 1154537058

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 156828

(818) 869-7267

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 743: 2018 Provider and Pharmacy Directory

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Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

743

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Rana, Neerva, M.D.

Internal Medicine

1

License No: A149476

NPI: 1841619756

15451 San Fernando Mission

Blvd. # 200

Mission Hills, CA 91345

1070 241387

(818) 837-5785

Prov Language: Gujarati, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed:

Provider Training and Experience:

aasd

Rentas, Karen G., PH.D.

Psychology

License No: PSY30028

NPI: 1952686131

11333 Sepulveda Blvd. # FL 2

Mission Hills, CA 91345

1068 242158

(818) 869-7263

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Richman, Peter S., M.D.

General Surgery

1

License No: G58960

NPI: 1669488698

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 014128

(818) 869-7267

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Sadeghani, Khosro, M.D.

Dermatology

1

License No: A49841

NPI: 1750315362

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 022967

(818) 869-7267

Prov Language: Farsi

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 744: 2018 Provider and Pharmacy Directory

744 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Shah, Parag A., M.D.

Nephrology

1

License No: A78966

NPI: 1225020886

11550 Indian Hills Rd. # 371

4

Mission Hills, CA 91345

1072 101052

(818) 365-1194

Prov Language: Armenian, Hindi, Spanish

Office Staff Language

#

: Armenian, Cantonese,

Mandarin, Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Shah, Parag A., M.D.

Nephrology

1

License No: A78966

NPI: 1225020886

11550 Indian Hills Rd. # 371

4

Mission Hills, CA 91345

1068 101052

(818) 365-1194

Prov Language: Armenian, Hindi, Spanish

Office Staff Language

#

: Armenian, Cantonese,

Mandarin, Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

Shah, Parag A., M.D.

Nephrology

1

License No: A78966

NPI: 1225020886

11550 Indian Hills Rd. # 371

4

Mission Hills, CA 91345

1069 101052

(818) 365-1194

Prov Language: Armenian, Hindi, Spanish

Office Staff Language

#

: Armenian, Cantonese,

Mandarin, Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Shaw, Manessa C., D.O.

Family Practice

License No: 20A14739

NPI: 1770900821

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 231841

(818) 869-7200

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 9 AM - 8:30 PM, S,SA 8 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 745: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 745

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

745

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Silsbee, Lucas J., P.T.

Physical Therapy

License No: PT25154

NPI: 1144417122

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 242679

(818) 869-7248

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 7:30 AM - 7 PM

Cultural Competence Training Completed:

Provider Training and Experience:

aasd

Singh, Hitasha, M.D.

Rheumatology

1

License No: A116938

NPI: 1508189143

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 204702

(818) 869-7267

Prov Language: Hindi, Punjabi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Singh, Malika C., M.D.

Endocrinology

1

License No: A114608

NPI: 1386878445

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 200542

(818) 869-7267

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Sinha, Abhishek, M.D.

Cardiology/

Cardiovascular

Disease

License No: A116939

NPI: 1902971567

14901 Rinaldi St. # 110

4

Mission Hills, CA 91345

1069 161517

(818) 365-1339

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 746: 2018 Provider and Pharmacy Directory

746 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

Sinha, Abhishek, M.D.

2

Cardiology/

Cardiovascular

Disease

License No: A116939

NPI: 1902971567

14901 Rinaldi St. # 110

4

Mission Hills, CA 91345

1070 161517

(818) 365-1339

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

Sinha, Abhishek, M.D.

2

Cardiology/

Cardiovascular

Disease

License No: A116939

NPI: 1902971567

14901 Rinaldi St. # 110

4

Mission Hills, CA 91345

1072 161517

(818) 365-1339

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 747: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 747

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

747

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

Sinha, Abhishek, M.D.

2

Cardiology/

Cardiovascular

Disease

License No: A116939

NPI: 1902971567

14901 Rinaldi St. # 110

4

Mission Hills, CA 91345

5010 161517

(818) 365-1339

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

Sinha, Abhishek, M.D.

2

Cardiology/

Cardiovascular

Disease

License No: A116939

NPI: 1902971567

14901 Rinaldi St. # 110

4

Mission Hills, CA 91345

1068 161517

(818) 365-1339

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 748: 2018 Provider and Pharmacy Directory

748 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

Sinha, Abhishek, M.D.

2

Interventional

Cardiology

1

License No: A116939

NPI: 1902971567

14901 Rinaldi St. # 110

4

Mission Hills, CA 91345

1068 161517

(818) 365-1339

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sinha, Abhishek, M.D.

2

Interventional

Cardiology

1

License No: A116939

NPI: 1902971567

14901 Rinaldi St. # 110

4

Mission Hills, CA 91345

1072 161517

(818) 365-1339

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

Sinha, Abhishek, M.D.

2

Interventional

Cardiology

1

License No: A116939

NPI: 1902971567

14901 Rinaldi St. # 110

4

Mission Hills, CA 91345

1070 161517

(818) 365-1339

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sinha, Abhishek, M.D.

Interventional

Cardiology

1

License No: A116939

NPI: 1902971567

14901 Rinaldi St. # 110

4

Mission Hills, CA 91345

1069 161517

(818) 365-1339

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 749: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 749

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

749

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

Sinha, Abhishek, M.D.

2

Interventional

Cardiology

1

License No: A116939

NPI: 1902971567

14901 Rinaldi St. # 110

4

Mission Hills, CA 91345

5010 161517

(818) 365-1339

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Slavov, Carmen S., M.D.

Nephrology

1

License No: C53065

NPI: 1043205909

11550 Indian Hills Rd. # 371

4

Mission Hills, CA 91345

1072 148245

(818) 365-1194

Prov Language: French, Romanian, Spanish

Office Staff Language

#

: Armenian, Cantonese,

Mandarin, Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

Slavov, Carmen S., M.D.

Nephrology

1

License No: C53065

NPI: 1043205909

11550 Indian Hills Rd. # 371

4

Mission Hills, CA 91345

1069 148245

(818) 365-1194

Prov Language: French, Romanian, Spanish

Office Staff Language

#

: Armenian, Cantonese,

Mandarin, Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Sobel, Beth R., R.D.

Designated

Transplant Center

License No: RD1001976

NPI: 1609218288

11165 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 232494

(818) 837-5779

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 750: 2018 Provider and Pharmacy Directory

750 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Souferzadeh, Behzad, D.O.

Emergency

Medicine

License No: 20A12379

NPI: 1851694988

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 191629

(818) 869-7200

Prov Language: Farsi

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: S,SA 8 AM - 5:30 PM, M-F 9 AM - 8:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

Souferzadeh, Behzad, D.O.

General Practice

License No: 20A12379

NPI: 1851694988

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 191629

(818) 869-7200

Prov Language: Farsi

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: S,SA 8 AM - 5:30 PM, M-F 9 AM - 8:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Soumah, Nbalia M., D.O.

Obstetrics/

Gynecology

1

License No: 20A8794

NPI: 1679529093

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 149788

(818) 869-7256

Prov Language: French, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 751: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 751

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

751

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Ugochukwu, Ifeoma, M.D.

Internal Medicine

License No: A132154

NPI: 1336524412

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 226636

(818) 837-5804

Prov Language: Bahasa Indonesia

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 9 AM - 8:30 PM, SA 8 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Waschak, Nicole C., M.D.

Obstetrics/

Gynecology

License No: A139531

NPI: 1417211707

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 222748

(818) 869-7256

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Witmer, Nathaniel, DPM

Podiatry

License No: E5395

NPI: 1497172712

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 239722

(818) 869-7267

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-TU 8 AM - 7:30 PM, W-F 8 AM - 5:30

PM

Cultural Competence Training Completed:

Provider Training and Experience:

aasd

Wong, Christina, O.D.

Ophthalmology

License No: OPT14709

NPI: 1194150953

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 226560

(818) 869-7269

Prov Language: Mandarin

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 752: 2018 Provider and Pharmacy Directory

752 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Yang, Tae Y., M.D.

Cardiovascular

Surgery

1

License No: A110617

NPI: 1821262072

14901 Rinaldi St. # 110

4

Mission Hills, CA 91345

5359 208230

(818) 365-1339

Prov Language: Korean, Spanish

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

Yang, Tae Y., M.D.

Interventional

Cardiology

1

License No: A110617

NPI: 1821262072

14901 Rinaldi St. # 110

4

Mission Hills, CA 91345

5359 208230

(818) 365-1339

Prov Language: Korean, Spanish

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 753: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 753

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

753

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Yee, Ting S., M.D.

Cardiology/

Cardiovascular

Disease

License No: G37806

NPI: 1801889365

14901 Rinaldi St. # 110

4

Mission Hills, CA 91345

1070 530974

(818) 365-1335

Prov Language: Mandarin

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

Yee, Ting S., M.D.

Cardiology/

Cardiovascular

Disease

License No: G37806

NPI: 1801889365

14901 Rinaldi St. # 110

4

Mission Hills, CA 91345

1068 530974

(818) 365-1335

Prov Language: Mandarin

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 754: 2018 Provider and Pharmacy Directory

754 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

Yee, Ting S., M.D.

Cardiology/

Cardiovascular

Disease

License No: G37806

NPI: 1801889365

14901 Rinaldi St. # 110

4

Mission Hills, CA 91345

1069 530974

(818) 365-1335

Prov Language: Mandarin

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Young, Nina, R.D.

2

Designated

Transplant Center

License No: RD1083926

NPI: 1013344704

11165 Sepulveda Blvd.

4

Mission Hills, CA 91345

1069 223912

(818) 837-5779

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Young, Nina, R.D.

2

Designated

Transplant Center

License No: RD1083926

NPI: 1013344704

11165 Sepulveda Blvd.

4

Mission Hills, CA 91345

1072 223912

(818) 837-5779

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 755: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 755

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

755

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

Young, Nina, R.D.

2

Designated

Transplant Center

License No: RD1083926

NPI: 1013344704

11165 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 223912

(818) 837-5779

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Yun, Kristina P., O.D.

Optometrist

License No: OPT33750

NPI: 1467974550

11333 Sepulveda Blvd. Fl. 1

Mission Hills, CA 91345

1068 242272

(818) 869-7049

Prov Language: Korean

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 6 PM, SA 9 AM - 12 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Zaylor, Kellie J., D.O.

Emergency

Medicine

1

License No: 20A13299

NPI: 1770773962

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

5010 234899

(818) 365-9531

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-TU 8 AM - 7:30 PM, W-F 8 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Zaylor, Kellie J., D.O.

Emergency

Medicine

1

License No: 20A13299

NPI: 1770773962

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1072 234899

(818) 365-9531

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-TU 8 AM - 7:30 PM, W-F 8 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 756: 2018 Provider and Pharmacy Directory

756 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

Zaylor, Kellie J., D.O.

Emergency

Medicine

1

License No: 20A13299

NPI: 1770773962

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1070 234899

(818) 365-9531

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-TU 8 AM - 7:30 PM, W-F 8 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Zaylor, Kellie J., D.O.

Emergency

Medicine

1

License No: 20A13299

NPI: 1770773962

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1069 234899

(818) 365-9531

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-TU 8 AM - 7:30 PM, W-F 8 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

Zaylor, Kellie J., D.O.

Emergency

Medicine

1

License No: 20A13299

NPI: 1770773962

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

5359 234899

(818) 365-9531

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-TU 8 AM - 7:30 PM, W-F 8 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Zolfaghari, Touraj, M.D.

Gastroenterology

1

License No: A104747

NPI: 1659537926

11333 Sepulveda Blvd.

4

Mission Hills, CA 91345

1068 187597

(818) 869-7268

Prov Language: Farsi, Hungarian, Turkish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 757: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 757

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

757

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Montrose Specialty/

Specialists PPG/Phy #

aasd

Hayashi, David R., P.T.

Physical Therapy

License No: PT43546

NPI: 1386009660

3700 Park Place

Montrose, CA 91020

5302 218634

(818) 249-8815

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Yeatman, Sarah E., P.T.

Physical Therapy

License No: PT43385

NPI: 1588032726

3700 Park Place

Montrose, CA 91020

5302 218632

(818) 249-8815

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Newhall Specialty/

Specialists PPG/Phy #

aasd

Assomull, Vinod M., M.D.

Nephrology

1

License No: A31336

NPI: 1982619359

23928 Lyons Ave. # 205

Newhall, CA 91321

1069 500586

(661) 254-0193

Prov Language: Hindi, Punjabi

Office Staff Language

#

: Hindi

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Assomull, Vinod M., M.D.

Nephrology

1

License No: A31336

NPI: 1982619359

23928 Lyons Ave. # 205

Newhall, CA 91321

1071 500586

(661) 254-0193

Prov Language: Hindi, Punjabi

Office Staff Language

#

: Hindi

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 758: 2018 Provider and Pharmacy Directory

758 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Newhall Specialty/

Specialists PPG/Phy #

Assomull, Vinod M., M.D.

Nephrology

1

License No: A31336

NPI: 1982619359

23928 Lyons Ave. # 205

Newhall, CA 91321

1072 500586

(661) 254-0193

Prov Language: Hindi, Punjabi

Office Staff Language

#

: Hindi

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Assomull, Vinod M., M.D.

Nephrology

1

License No: A31336

NPI: 1982619359

23928 Lyons Ave. # 205

Newhall, CA 91321

1070 500586

(661) 254-0193

Prov Language: Hindi, Punjabi

Office Staff Language

#

: Hindi

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Newhall Specialty/

Specialists PPG/Phy #

Assomull, Vinod M., M.D.

Nephrology

1

License No: A31336

NPI: 1982619359

23928 Lyons Ave. # 205

Newhall, CA 91321

1068 500586

(661) 254-0193

Prov Language: Hindi, Punjabi

Office Staff Language

#

: Hindi

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Ayuste, Brian B., M.D.

Internal Medicine

1

License No: A99851

NPI: 1104003458

23928 Lyons Ave. # 205

Newhall, CA 91321

1072 195150

(661) 254-0193

Office Staff Language

#

: Hindi

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 759: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 759

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

759

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Newhall Specialty/

Specialists PPG/Phy #

Ayuste, Brian B., M.D.

Internal Medicine

1

License No: A99851

NPI: 1104003458

23928 Lyons Ave. # 205

Newhall, CA 91321

1069 195150

(661) 254-0193

Office Staff Language

#

: Hindi

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Ayuste, Brian B., M.D.

Internal Medicine

1

License No: A99851

NPI: 1104003458

23928 Lyons Ave. # 205

Newhall, CA 91321

1068 195150

(661) 254-0193

Office Staff Language

#

: Hindi

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Newhall Specialty/

Specialists PPG/Phy #

Ayuste, Brian B., M.D.

Nephrology

1

License No: A99851

NPI: 1104003458

23928 Lyons Ave. # 205

Newhall, CA 91321

1068 195150

(661) 254-0193

Office Staff Language

#

: Hindi

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Ayuste, Brian B., M.D.

Nephrology

1

License No: A99851

NPI: 1104003458

23928 Lyons Ave. # 205

Newhall, CA 91321

1072 195150

(661) 254-0193

Office Staff Language

#

: Hindi

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 760: 2018 Provider and Pharmacy Directory

760 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Newhall Specialty/

Specialists PPG/Phy #

Ayuste, Brian B., M.D.

Nephrology

1

License No: A99851

NPI: 1104003458

23928 Lyons Ave. # 205

Newhall, CA 91321

1069 195150

(661) 254-0193

Office Staff Language

#

: Hindi

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Desai, Anant J., M.D.

Nephrology

1

License No: A72186

NPI: 1871500389

23928 Lyons Ave. # 205

Newhall, CA 91321

1068 088853

(661) 254-0193

Prov Language: Gujarati, Hindi

Office Staff Language

#

: Hindi

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Newhall Specialty/

Specialists PPG/Phy #

Desai, Anant J., M.D.

Nephrology

1

License No: A72186

NPI: 1871500389

23928 Lyons Ave. # 205

Newhall, CA 91321

1069 088853

(661) 254-0193

Prov Language: Gujarati, Hindi

Office Staff Language

#

: Hindi

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Desai, Anant J., M.D.

Nephrology

1

License No: A72186

NPI: 1871500389

23928 Lyons Ave. # 205

Newhall, CA 91321

1072 088853

(661) 254-0193

Prov Language: Gujarati, Hindi

Office Staff Language

#

: Hindi

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 761: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 761

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

761

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Newhall Specialty/

Specialists PPG/Phy #

Desai, Anant J., M.D.

Nephrology

1

License No: A72186

NPI: 1871500389

23928 Lyons Ave. # 205

Newhall, CA 91321

1070 088853

(661) 254-0193

Prov Language: Gujarati, Hindi

Office Staff Language

#

: Hindi

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Desai, Anant J., M.D.

Nephrology

1

License No: A72186

NPI: 1871500389

23928 Lyons Ave. # 205

Newhall, CA 91321

1071 088853

(661) 254-0193

Prov Language: Gujarati, Hindi

Office Staff Language

#

: Hindi

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Newhall Specialty/

Specialists PPG/Phy #

aasd

Gandhi, Dayan K., M.D.

Internal Medicine

1

License No: A114933

NPI: 1285961789

23928 Lyons Ave. # 205

Newhall, CA 91321

1070 206073

(661) 254-0193

Prov Language: Hindi, Sindhi, Spanish

Office Staff Language

#

: Hindi

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Gandhi, Dayan K., M.D.

Nephrology

License No: A114933

NPI: 1285961789

23928 Lyons Ave. # 205

Newhall, CA 91321

1070 206073

(661) 254-0193

Prov Language: Hindi, Sindhi, Spanish

Office Staff Language

#

: Hindi

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 762: 2018 Provider and Pharmacy Directory

762 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Newhall Specialty/

Specialists PPG/Phy #

aasd

Gandhi, Kamal V., M.D.

Nephrology

1

License No: A38328

NPI: 1972510485

23928 Lyons Ave. # 205

Newhall, CA 91321

1071 021523

(661) 254-0193

Prov Language: Hindi

Office Staff Language

#

: Hindi

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Gandhi, Kamal V., M.D.

Nephrology

1

License No: A38328

NPI: 1972510485

23928 Lyons Ave. # 205

Newhall, CA 91321

1070 021523

(661) 254-0193

Prov Language: Hindi

Office Staff Language

#

: Hindi

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Newhall Specialty/

Specialists PPG/Phy #

Gandhi, Kamal V., M.D.

Nephrology

1

License No: A38328

NPI: 1972510485

23928 Lyons Ave. # 205

Newhall, CA 91321

1069 021523

(661) 254-0193

Prov Language: Hindi

Office Staff Language

#

: Hindi

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Gandhi, Kamal V., M.D.

Nephrology

1

License No: A38328

NPI: 1972510485

23928 Lyons Ave. # 205

Newhall, CA 91321

1068 021523

(661) 254-0193

Prov Language: Hindi

Office Staff Language

#

: Hindi

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 763: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 763

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

763

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Newhall Specialty/

Specialists PPG/Phy #

Gandhi, Kamal V., M.D.

Nephrology

1

License No: A38328

NPI: 1972510485

23928 Lyons Ave. # 205

Newhall, CA 91321

1072 021523

(661) 254-0193

Prov Language: Hindi

Office Staff Language

#

: Hindi

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Kayvanfar, James F., M.D.

Orthopedic

Surgery

License No: G72876

NPI: 1548288194

24318 Walnut St.

4

Newhall, CA 91321

1068 047467

(661) 222-9466

Prov Language: Farsi

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Newhall Specialty/

Specialists PPG/Phy #

aasd

Mehta, Kalyani N., M.D.

Internal Medicine

1

License No: A89911

NPI: 1699899724

23928 Lyons Ave. # 205

Newhall, CA 91321

1068 172362

(661) 254-0193

Prov Language: Gujarati, Hindi

Office Staff Language

#

: Hindi

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mehta, Kalyani N., M.D.

Nephrology

1

License No: A89911

NPI: 1699899724

23928 Lyons Ave. # 205

Newhall, CA 91321

5010 172362

(661) 254-0193

Prov Language: Gujarati, Hindi

Office Staff Language

#

: Hindi

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 764: 2018 Provider and Pharmacy Directory

764 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Newhall Specialty/

Specialists PPG/Phy #

Mehta, Kalyani N., M.D.

Nephrology

1

License No: A89911

NPI: 1699899724

23928 Lyons Ave. # 205

Newhall, CA 91321

1071 172362

(661) 254-0193

Prov Language: Gujarati, Hindi

Office Staff Language

#

: Hindi

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mehta, Kalyani N., M.D.

Nephrology

1

License No: A89911

NPI: 1699899724

23928 Lyons Ave. # 205

Newhall, CA 91321

1068 172362

(661) 254-0193

Prov Language: Gujarati, Hindi

Office Staff Language

#

: Hindi

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Newhall Specialty/

Specialists PPG/Phy #

Mehta, Kalyani N., M.D.

Nephrology

1

License No: A89911

NPI: 1699899724

23928 Lyons Ave. # 205

Newhall, CA 91321

1070 172362

(661) 254-0193

Prov Language: Gujarati, Hindi

Office Staff Language

#

: Hindi

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Specialists PPG/Phy #

aasd

Barsoum, Noha R., M.D.

Nephrology

License No: A64657

NPI: 1053391185

12660 Riverside Dr. # 225

4

North Hollywood, CA 91607

5302 109292

(818) 487-0040

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 765: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 765

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

765

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Specialists PPG/Phy #

aasd

Boyer, David S., M.D.

Ophthalmology

License No: G25107

NPI: 1295736916

12840 Riverside Dr. # 333

4

North Hollywood, CA 91607

5302 501730

(818) 754-2090

Office Staff Language

#

: Armenian, Korean,

Russian, Spanish

Accessibility:*:

Hours: M-F 8 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Chu, Thomas G., M.D.

Ophthalmology

License No: G68694

NPI: 1760482806

12840 Riverside Dr. # 333

4

North Hollywood, CA 91607

5302 053384

(818) 754-2090

Prov Language: Armenian, Korean, Mandarin,

Russian, Spanish, Tagalog

Office Staff Language

#

: Armenian, Korean,

Russian, Spanish

Accessibility:*:

Hours: TH 7 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Specialists PPG/Phy #

aasd

Esmaili, Daniel D., M.D.

Ophthalmology

1

License No: A91049

NPI: 1629279864

12840 Riverside Dr. # 333

4

North Hollywood, CA 91607

5302 198233

(818) 754-2090

Prov Language: Farsi

Office Staff Language

#

: Armenian, Korean,

Russian, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Garabekyan, Tigran, M.D.

Orthopedic

Surgery

1

License No: A137629

NPI: 1659532331

10640 Riverside Dr.

4

North Hollywood, CA 91602

5302 227677

(818) 755-6500

Prov Language: Armenian

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 766: 2018 Provider and Pharmacy Directory

766 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Specialists PPG/Phy #

aasd

Glick, Jeffrey A., M.D.

Nephrology

1

License No: G58181

NPI: 1477533511

12660 Riverside Dr. # 225

4

North Hollywood, CA 91607

5302 024989

(818) 487-0040

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Mahboubian, Shahab, D.O.

Orthopedic

Surgery

License No: 20A10721

NPI: 1144439316

10640 Riverside Dr.

4

North Hollywood, CA 91602

5302 164957

(818) 322-0126

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: TU,F 7 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Specialists PPG/Phy #

aasd

Novack, Roger L., M.D.

Ophthalmology

1

License No: G53779

NPI: 1104828706

12840 Riverside Dr. # 333

4

North Hollywood, CA 91607

5302 012492

(818) 754-2090

Prov Language: Armenian, Korean, Russian,

Spanish

Office Staff Language

#

: Armenian, Korean,

Russian, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 767: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 767

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

767

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Specialists PPG/Phy #

aasd

Tabandeh, Homayoun, M.D.

Ophthalmology

License No: A89087

NPI: 1003861576

12840 Riverside Dr. # 333

4

North Hollywood, CA 91607

5302 133109

(818) 754-2090

Prov Language: Arabic, Armenian, Farsi,

Korean, Mandarin, Russian, Spanish, Tagalog

Office Staff Language

#

: Armenian, Korean,

Russian, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Specialists PPG/Phy #

aasd

Atiya, Azmi W., M.D.

Thoracic Surgery

1

License No: G78432

NPI: 1639109648

18350 Roscoe Blvd. # 201

4

Northridge, CA 91325

1069 094173

(818) 993-4471

Prov Language: Arabic

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Atiya, Azmi W., M.D.

Thoracic Surgery

1

License No: G78432

NPI: 1639109648

18350 Roscoe Blvd. # 201

4

Northridge, CA 91325

1072 094173

(818) 993-4471

Prov Language: Arabic

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 768: 2018 Provider and Pharmacy Directory

768 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Specialists PPG/Phy #

aasd

Coleman, William R., M.D.

Dermatology

1

License No: G67719

NPI: 1760404792

9535 Reseda Blvd. # 304

Northridge, CA 91324

5302 044899

(818) 886-3884

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Corry, Dalila B., M.D.

Internal Medicine

License No: A38970

NPI: 1023168127

18433 Roscoe Blvd. # 212

4

Northridge, CA 91325

1069 185593

(818) 349-1872

Prov Language: French

Office Staff Language

#

:

Accessibility:*:

Hours: M-W 9 AM - 5 PM, TH 9 AM - 7 PM, F 9

AM - 1 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Specialists PPG/Phy #

Corry, Dalila B., M.D.

Internal Medicine

License No: A38970

NPI: 1023168127

18433 Roscoe Blvd. # 212

4

Northridge, CA 91325

1068 185593

(818) 349-1872

Prov Language: French

Office Staff Language

#

:

Accessibility:*:

Hours: M-W 9 AM - 5 PM, TH 9 AM - 7 PM, F 9

AM - 1 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Corry, Dalila B., M.D.

Internal Medicine

License No: A38970

NPI: 1023168127

18433 Roscoe Blvd. # 212

4

Northridge, CA 91325

1072 185593

(818) 349-1872

Prov Language: French

Office Staff Language

#

:

Accessibility:*:

Hours: M-W 9 AM - 5 PM, TH 9 AM - 7 PM, F 9

AM - 1 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 769: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 769

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

769

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Specialists PPG/Phy #

Corry, Dalila B., M.D.

Nephrology

1

License No: A38970

NPI: 1023168127

18433 Roscoe Blvd. # 212

4

Northridge, CA 91325

1072 185593

(818) 349-1872

Prov Language: French

Office Staff Language

#

:

Accessibility:*:

Hours: M-W 9 AM - 5 PM, TH 9 AM - 7 PM, F 9

AM - 1 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Corry, Dalila B., M.D.

Nephrology

1

License No: A38970

NPI: 1023168127

18433 Roscoe Blvd. # 212

4

Northridge, CA 91325

1068 185593

(818) 349-1872

Prov Language: French

Office Staff Language

#

:

Accessibility:*:

Hours: M-W 9 AM - 5 PM, TH 9 AM - 7 PM, F 9

AM - 1 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Specialists PPG/Phy #

Corry, Dalila B., M.D.

Nephrology

1

License No: A38970

NPI: 1023168127

18433 Roscoe Blvd. # 212

4

Northridge, CA 91325

1069 185593

(818) 349-1872

Prov Language: French

Office Staff Language

#

:

Accessibility:*:

Hours: M-W 9 AM - 5 PM, TH 9 AM - 7 PM, F 9

AM - 1 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Dukkipati, Ramanath B.,

M.D.

Internal Medicine

1

License No: A88861

NPI: 1457570376

18531 Roscoe Blvd. # 206

4

Northridge, CA 91324

1069 151171

(818) 993-5600

Prov Language: Hindi, Spanish, Telugu

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 770: 2018 Provider and Pharmacy Directory

770 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Specialists PPG/Phy #

Dukkipati, Ramanath B.,

M.D.

Internal Medicine

1

License No: A88861

NPI: 1457570376

18531 Roscoe Blvd. # 206

4

Northridge, CA 91324

1068 151171

(818) 993-5600

Prov Language: Hindi, Spanish, Telugu

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Dukkipati, Ramanath B.,

M.D.

Internal Medicine

1

License No: A88861

NPI: 1457570376

18531 Roscoe Blvd. # 206

4

Northridge, CA 91324

1072 151171

(818) 993-5600

Prov Language: Hindi, Spanish, Telugu

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Specialists PPG/Phy #

Dukkipati, Ramanath B.,

M.D.

Nephrology

1

License No: A88861

NPI: 1457570376

18531 Roscoe Blvd. # 206

4

Northridge, CA 91324

1072 151171

(818) 993-5600

Prov Language: Hindi, Spanish, Telugu

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Dukkipati, Ramanath B.,

M.D.

Nephrology

1

License No: A88861

NPI: 1457570376

18531 Roscoe Blvd. # 206

4

Northridge, CA 91324

1068 151171

(818) 993-5600

Prov Language: Hindi, Spanish, Telugu

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 771: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 771

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

771

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Specialists PPG/Phy #

Dukkipati, Ramanath B.,

M.D.

Nephrology

1

License No: A88861

NPI: 1457570376

18531 Roscoe Blvd. # 206

4

Northridge, CA 91324

1069 151171

(818) 993-5600

Prov Language: Hindi, Spanish, Telugu

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Friedman, David H., M.D.

Dermatology

1

License No: G47863

NPI: 1841213873

9535 Reseda Blvd. # 304

Northridge, CA 91324

5302 045535

(818) 842-8000

Office Staff Language

#

:

Accessibility:*:

Hours: TH-F 8:30 AM - 5 PM, M,W 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Specialists PPG/Phy #

aasd

Gandhi, Dayan K., M.D.

Internal Medicine

1

License No: A114933

NPI: 1285961789

18433 Roscoe Blvd. # 202

4

Northridge, CA 91325

1072 206073

(818) 349-1262

Prov Language: Hindi, Sindhi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Gandhi, Dayan K., M.D.

Internal Medicine

1

License No: A114933

NPI: 1285961789

18433 Roscoe Blvd. # 202

4

Northridge, CA 91325

1068 206073

(818) 349-1262

Prov Language: Hindi, Sindhi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 772: 2018 Provider and Pharmacy Directory

772 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Specialists PPG/Phy #

Gandhi, Dayan K., M.D.

Internal Medicine

1

License No: A114933

NPI: 1285961789

18433 Roscoe Blvd. # 202

4

Northridge, CA 91325

1069 206073

(818) 349-1262

Prov Language: Hindi, Sindhi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Gandhi, Dayan K., M.D.

Nephrology

License No: A114933

NPI: 1285961789

18433 Roscoe Blvd. # 202

4

Northridge, CA 91325

1069 206073

(818) 349-1262

Prov Language: Hindi, Sindhi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Specialists PPG/Phy #

Gandhi, Dayan K., M.D.

Nephrology

License No: A114933

NPI: 1285961789

18433 Roscoe Blvd. # 202

4

Northridge, CA 91325

1068 206073

(818) 349-1262

Prov Language: Hindi, Sindhi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Gandhi, Dayan K., M.D.

Nephrology

License No: A114933

NPI: 1285961789

18433 Roscoe Blvd. # 202

4

Northridge, CA 91325

1072 206073

(818) 349-1262

Prov Language: Hindi, Sindhi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 773: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 773

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

773

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Specialists PPG/Phy #

aasd

Goswami, Puja, M.D.

Nephrology

License No: A126554

NPI: 1912168857

18433 Roscoe Blvd. # 202

4

Northridge, CA 91325

1068 207711

(818) 349-1262

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Haggiagi, Jehad M., M.D.

Nephrology

License No: A140556

NPI: 1437420072

18433 Roscoe Blvd. # 208

Northridge, CA 91325

1069 223937

(818) 365-1194

Prov Language: Arabic

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Specialists PPG/Phy #

Haggiagi, Jehad M., M.D.

Nephrology

License No: A140556

NPI: 1437420072

18433 Roscoe Blvd. # 208

Northridge, CA 91325

1072 223937

(818) 365-1194

Prov Language: Arabic

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Haggiagi, Jehad M., M.D.

Nephrology

License No: A140556

NPI: 1437420072

18433 Roscoe Blvd. # 208

Northridge, CA 91325

5010 223937

(818) 365-1194

Prov Language: Arabic

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 774: 2018 Provider and Pharmacy Directory

774 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Specialists PPG/Phy #

Haggiagi, Jehad M., M.D.

Nephrology

License No: A140556

NPI: 1437420072

18433 Roscoe Blvd. # 208

Northridge, CA 91325

1071 223937

(818) 365-1194

Prov Language: Arabic

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Haggiagi, Jehad M., M.D.

Nephrology

License No: A140556

NPI: 1437420072

18433 Roscoe Blvd. # 208

Northridge, CA 91325

1068 223937

(818) 365-1194

Prov Language: Arabic

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Specialists PPG/Phy #

Haggiagi, Jehad M., M.D.

Nephrology

License No: A140556

NPI: 1437420072

18433 Roscoe Blvd. # 208

Northridge, CA 91325

1070 223937

(818) 365-1194

Prov Language: Arabic

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Lee, Jong C., M.D.

Pediatrics

1

License No: A83310

NPI: 1518973502

19950 Rinaldi St. # 200

4

Northridge, CA 91326

1069 106110

(818) 403-2400

Prov Language: Korean

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,IB,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 775: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 775

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

775

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Specialists PPG/Phy #

aasd

Mahoney, Carey W., NP

Adult Nurse

Practitioner

License No: NP19797

NPI: 1790082139

9111 Corbin Ave.

Northridge, CA 91324

1072 208675

(818) 743-5700

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: M 8 AM - 7:30 PM, TU-F 8 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Nagaraja, Mysore R., M.D.

Gastroenterology

License No: A25685

NPI: 1760451298

17075 Devonshire St. # 200

4

Northridge, CA 91325

5302 012103

(818) 363-3105

Prov Language: Hindi, Kannada, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Specialists PPG/Phy #

aasd

Nemeh, Moufid N., M.D.

Nephrology

License No: A43231

NPI: 1508923160

18250 Roscoe Blvd. # 235

4

Northridge, CA 91325

1069 079117

(818) 885-0063

Prov Language: Arabic

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Nemeh, Moufid N., M.D.

Nephrology

License No: A43231

NPI: 1508923160

18250 Roscoe Blvd. # 235

4

Northridge, CA 91325

1072 079117

(818) 885-0063

Prov Language: Arabic

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 776: 2018 Provider and Pharmacy Directory

776 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Specialists PPG/Phy #

aasd

Patak, Ramachandra V.,

M.D.

Internal Medicine

1

License No: C39711

NPI: 1144218488

18531 Roscoe Blvd. # 206

4

Northridge, CA 91324

1069 520624

(818) 993-5600

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Patak, Ramachandra V.,

M.D.

Internal Medicine

1

License No: C39711

NPI: 1144218488

18531 Roscoe Blvd. # 206

4

Northridge, CA 91324

1072 520624

(818) 993-5600

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Specialists PPG/Phy #

Patak, Ramachandra V.,

M.D.

Nephrology

License No: C39711

NPI: 1144218488

18531 Roscoe Blvd. # 206

4

Northridge, CA 91324

1072 520624

(818) 993-5600

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Patak, Ramachandra V.,

M.D.

Nephrology

License No: C39711

NPI: 1144218488

18531 Roscoe Blvd. # 206

4

Northridge, CA 91324

1069 520624

(818) 993-5600

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 777: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 777

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

777

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Specialists PPG/Phy #

aasd

Shah, Sanjay K., M.D.

Cardiology/

Cardiovascular

Disease

1

License No: A95498

NPI: 1588876585

18350 Roscoe Blvd. # 603

4

Northridge, CA 91325

1072 138119

(818) 993-8283

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Shah, Sanjay K., M.D.

Internal Medicine

1

License No: A95498

NPI: 1588876585

18350 Roscoe Blvd. # 603

4

Northridge, CA 91325

1072 138119

(818) 993-8283

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Specialists PPG/Phy #

Shah, Sanjay K., M.D.

Interventional

Cardiology

1

License No: A95498

NPI: 1588876585

18350 Roscoe Blvd. # 603

4

Northridge, CA 91325

1072 138119

(818) 993-8283

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Soltero, Michael J., M.D.

Thoracic Surgery

1

License No: G40042

NPI: 1437180023

18350 Roscoe Blvd. # 201

4

Northridge, CA 91325

1069 016229

(818) 993-4471

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 778: 2018 Provider and Pharmacy Directory

778 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Specialists PPG/Phy #

Soltero, Michael J., M.D.

Thoracic Surgery

1

License No: G40042

NPI: 1437180023

18350 Roscoe Blvd. # 201

4

Northridge, CA 91325

1072 016229

(818) 993-4471

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Soltero, Michael J., M.D.

Thoracic Surgery

1

License No: G40042

NPI: 1437180023

18350 Roscoe Blvd. # 201

4

Northridge, CA 91325

1068 016229

(818) 993-4471

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Specialists PPG/Phy #

aasd

Wheeler, Michael G., DPM

Podiatry

License No: E5287

NPI: 1487090973

18531 Roscoe Blvd. # 215

4

Northridge, CA 91324

5302 228321

(818) 848-5588

Office Staff Language

#

: Tagalog

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Yamini, Syamak, DPM

Podiatry

1

License No: E4835

NPI: 1992992366

19950 Rinaldi St. # 101D

Northridge, CA 91326

1069 163011

(818) 336-1356

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 779: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 779

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

779

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Specialists PPG/Phy #

aasd

Yasuda, Roderick K., M.D.

Cardiovascular

Surgery

1

License No: G54353

NPI: 1518997527

18350 Roscoe Blvd. # 201

4

Northridge, CA 91325

1072 018845

(818) 993-4471

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Yasuda, Roderick K., M.D.

Thoracic Surgery

License No: G54353

NPI: 1518997527

18350 Roscoe Blvd. # 201

4

Northridge, CA 91325

1068 018845

(818) 993-4471

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Specialists PPG/Phy #

Yasuda, Roderick K., M.D.

Thoracic Surgery

License No: G54353

NPI: 1518997527

18350 Roscoe Blvd. # 201

4

Northridge, CA 91325

1072 018845

(818) 993-4471

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Yasuda, Roderick K., M.D.

Thoracic Surgery

License No: G54353

NPI: 1518997527

18350 Roscoe Blvd. # 201

4

Northridge, CA 91325

1069 018845

(818) 993-4471

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 780: 2018 Provider and Pharmacy Directory

780 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Boyer, David S., M.D.

Ophthalmology

License No: G25107

NPI: 1295736916

301 S. Fair Oaks Ave. # 301

4

Pasadena, CA 91105

5302 501730

(626) 204-1410

Office Staff Language

#

: Armenian, Korean,

Russian, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Esmaili, Daniel D., M.D.

Ophthalmology

1

License No: A91049

NPI: 1629279864

301 S. Fair Oaks Ave. # 301

4

Pasadena, CA 91105

5302 198233

(626) 204-1410

Prov Language: Farsi

Office Staff Language

#

: Armenian, Korean,

Russian, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Gabrielian, Victor A., M.D.

Cardiology/

Cardiovascular

Disease

1

License No: A101256

NPI: 1811189822

625 S. Fair Oaks Ave. # 215

4

Pasadena, CA 91105

5302 186683

(626) 793-4139

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Gabrielian, Victor A., M.D.

Internal Medicine

1

License No: A101256

NPI: 1811189822

625 S. Fair Oaks Ave. # 215

4

Pasadena, CA 91105

5302 186683

(626) 793-4139

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 781: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 781

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

781

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Liao, David S., M.D.

Ophthalmology

License No: A112736

NPI: 1962541847

301 S. Fair Oaks Ave. # 301

4

Pasadena, CA 91105

5302 166241

(626) 204-1410

Prov Language: Mandarin

Office Staff Language

#

: Armenian, Korean,

Russian, Spanish

Accessibility:*:

Hours: M,W,F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Novack, Roger L., M.D.

Ophthalmology

1

License No: G53779

NPI: 1104828706

301 S. Fair Oaks Ave. # 301

4

Pasadena, CA 91105

5302 012492

(626) 204-1410

Prov Language: Armenian, Korean, Russian,

Spanish

Office Staff Language

#

: Armenian, Korean,

Russian, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 782: 2018 Provider and Pharmacy Directory

782 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Tabandeh, Homayoun, M.D.

Ophthalmology

License No: A89087

NPI: 1003861576

301 S. Fair Oaks Ave. # 301

4

Pasadena, CA 91105

5302 133109

(626) 204-1410

Prov Language: Arabic, Armenian, Farsi,

Korean, Mandarin, Russian, Spanish, Tagalog

Office Staff Language

#

: Armenian, Korean,

Russian, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Tan, Jeffrey J., M.D.

Ophthalmology

1

License No: A135284

NPI: 1033407549

301 S. Fair Oaks Ave. # 407

Pasadena, CA 91105

1068 231950

(626) 204-1410

Prov Language: Mandarin, Spanish

Office Staff Language

#

: Armenian, Korean,

Mandarin, Russian, Spanish, Tagalog

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 783: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 783

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

783

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

Tan, Jeffrey J., M.D.

Ophthalmology

1

License No: A135284

NPI: 1033407549

301 S. Fair Oaks Ave. # 407

Pasadena, CA 91105

1069 231950

(626) 204-1410

Prov Language: Mandarin, Spanish

Office Staff Language

#

: Armenian, Korean,

Mandarin, Russian, Spanish, Tagalog

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

Tan, Jeffrey J., M.D.

Ophthalmology

1

License No: A135284

NPI: 1033407549

301 S. Fair Oaks Ave. # 407

Pasadena, CA 91105

1072 231950

(626) 204-1410

Prov Language: Mandarin, Spanish

Office Staff Language

#

: Armenian, Korean,

Mandarin, Russian, Spanish, Tagalog

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 784: 2018 Provider and Pharmacy Directory

784 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Porter Ranch Specialty/

Specialists PPG/Phy #

aasd

Brison, Daniel I., M.D.

Urology

License No: A107310

NPI: 1386808624

19950 Rinaldi St. # 200

Porter Ranch, CA 91326

1069 153872

(818) 403-2470

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Chien, David W., M.D.

Pediatrics

1

License No: A83875

NPI: 1346303674

19950 Rinaldi St. # 200

Porter Ranch, CA 91326

1069 141996

(818) 403-2440

Prov Language: Mandarin

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Porter Ranch Specialty/

Specialists PPG/Phy #

aasd

Chung, Sue Y., M.D.

Internal Medicine

1

License No: A100200

NPI: 1033396767

19950 Rinaldi St. # 200

Porter Ranch, CA 91326

1069 171967

(818) 403-2420

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Chung, Sue Y., M.D.

Rheumatology

1

License No: A100200

NPI: 1033396767

19950 Rinaldi St. # 200

Porter Ranch, CA 91326

1069 171967

(818) 403-2420

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 785: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 785

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

785

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Porter Ranch Specialty/

Specialists PPG/Phy #

aasd

Dietz, Adam G., M.D.

Orthopedic

Surgery

License No: A105159

NPI: 1346384898

19950 Rinaldi St. # 200

Porter Ranch, CA 91326

1069 152175

(818) 403-2460

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Dietz, Adam G., M.D.

Sports Medicine

License No: A105159

NPI: 1346384898

19950 Rinaldi St. # 200

Porter Ranch, CA 91326

1069 152175

(818) 403-2460

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Porter Ranch Specialty/

Specialists PPG/Phy #

aasd

Landers, Richard D., M.D.

Pulmonary

Medicine

1

License No: G53483

NPI: 1679689921

19950 Rinaldi St. # 200

Porter Ranch, CA 91326

1069 051303

(818) 403-2420

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Levy, Mya E., M.D.

Urology

License No: A114065

NPI: 1205132628

19950 Rinaldi St.

4

Porter Ranch, CA 91326

1069 219773

(818) 403-2470

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB,IB,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 786: 2018 Provider and Pharmacy Directory

786 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Porter Ranch Specialty/

Specialists PPG/Phy #

aasd

Nowfar-Rad, Mehran, M.D.

Dermatology

1

License No: A66360

NPI: 1912979048

19950 Rinaldi St.

4

Porter Ranch, CA 91326

1069 141307

(818) 403-2450

Prov Language: Farsi

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB,IB,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Roth, Robert H., M.D.

Orthopedic

Surgery

1

License No: G32092

NPI: 1609971027

19950 Rinaldi St. # 200

Porter Ranch, CA 91326

1069 014521

(818) 403-2460

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Porter Ranch Specialty/

Specialists PPG/Phy #

aasd

Stepanian, Sevan V., M.D.

Urology

License No: A108795

NPI: 1790941029

19950 Rinaldi St. # 200

Porter Ranch, CA 91326

1069 226343

(818) 403-2400

Office Staff Language

#

:

Accessibility:*:

Hours: F 8 AM - 5:30 PM, M-TU 8 AM - 7:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Yamini, Syamak, DPM

Podiatry

1

License No: E4835

NPI: 1992992366

19950 Rinaldi St. # 200

Porter Ranch, CA 91326

1069 163011

(818) 403-2460

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 787: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 787

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

787

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Santa Clarita Specialty/

Specialists PPG/Phy #

aasd

Esmaili, Daniel D., M.D.

Ophthalmology

1

License No: A91049

NPI: 1629279864

23501 Cinema Dr. # 109

Santa Clarita, CA 91355

5302 198233

(661) 290-2336

Prov Language: Farsi

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Offenberger, Jacob, M.D.

Allergy/

Immunology

License No: A38800

NPI: 1033121249

27141 Hidaway Ave. # 204

4

Santa Clarita, CA 91351

5302 023441

(661) 298-1491

Prov Language: Hebrew, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-TH 9 AM - 5 PM, F 9 AM - 3 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Santa Clarita Specialty/

Specialists PPG/Phy #

aasd

Patel, Lina C., M.D.

Pediatrics

1

License No: A136716

NPI: 1730446709

26357 McBean Pkwy.

Santa Clarita, CA 91355

1071 233706

(661) 222-2643

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: SA 8 AM - 5:30 PM, M-F 9 AM - 8:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 788: 2018 Provider and Pharmacy Directory

788 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sherman Oaks Specialty/

Specialists PPG/Phy #

aasd

Berg, Alan M., M.D.

Ophthalmology

1

License No: G34555

NPI: 1992798920

13320 Riverside Dr. # 114

4

Sherman Oaks, CA 91423

5302 501188

(818) 501-3937

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Cook, Emily E., D.O.

Ophthalmology

1

License No: 20A10709

NPI: 1770748758

13320 Riverside Dr. # 114

4

Sherman Oaks, CA 91423

5359 169737

(818) 501-3937

Prov Language: Japanese, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Sherman Oaks Specialty/

Specialists PPG/Phy #

Cook, Emily E., D.O.

Ophthalmology

1

License No: 20A10709

NPI: 1770748758

13320 Riverside Dr. # 114

4

Sherman Oaks, CA 91423

5302 169737

(818) 501-3937

Prov Language: Japanese, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

aasd

Feinfield, Robert E., M.D.

Ophthalmology

1

License No: G48218

NPI: 1013900182

13320 Riverside Dr. # 114

4

Sherman Oaks, CA 91423

5302 004853

(818) 845-3557

Prov Language: Danish, Spanish, Swedish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 4:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 789: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 789

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

789

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sherman Oaks Specialty/

Specialists PPG/Phy #

aasd

Felestian, Carol S., O.D.

Optometrist

License No: OPT13011

NPI: 1962567677

13320 Riverside Dr. # 114

4

Sherman Oaks, CA 91423

5302 165481

(818) 501-3937

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: F 9 AM - 3 PM, M-TH 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Lee, Jarnette, O.D.

Optometrist

License No: OPT12823

NPI: 1053405738

13320 Riverside Dr. # 114

4

Sherman Oaks, CA 91423

5302 206314

(818) 501-3937

Office Staff Language

#

:

Accessibility:*:

Hours: M-TH 9 AM - 5 PM, F 9 AM - 3 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sherman Oaks Specialty/

Specialists PPG/Phy #

aasd

Malekmehr, Farshad, M.D.

Thoracic Surgery

1

License No: G83840

NPI: 1710904651

5000 Van Nuys Blvd. # 200

4

Sherman Oaks, CA 91403

1068 064319

(818) 908-9752

Prov Language: Farsi

Office Staff Language

#

:

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Malekmehr, Farshad, M.D.

Thoracic Surgery

1

License No: G83840

NPI: 1710904651

5000 Van Nuys Blvd. # 200

4

Sherman Oaks, CA 91403

1072 064319

(818) 908-9752

Prov Language: Farsi

Office Staff Language

#

:

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 790: 2018 Provider and Pharmacy Directory

790 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sherman Oaks Specialty/

Specialists PPG/Phy #

Malekmehr, Farshad, M.D.

Thoracic Surgery

1

License No: G83840

NPI: 1710904651

5000 Van Nuys Blvd. # 200

4

Sherman Oaks, CA 91403

1069 064319

(818) 908-9752

Prov Language: Farsi

Office Staff Language

#

:

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Malekmehr, Farshad, M.D.

Vascular Surgery

License No: G83840

NPI: 1710904651

5000 Van Nuys Blvd. # 200

4

Sherman Oaks, CA 91403

1069 064319

(818) 908-9752

Prov Language: Farsi

Office Staff Language

#

:

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sherman Oaks Specialty/

Specialists PPG/Phy #

Malekmehr, Farshad, M.D.

Vascular Surgery

License No: G83840

NPI: 1710904651

5000 Van Nuys Blvd. # 200

4

Sherman Oaks, CA 91403

5010 064319

(818) 908-9752

Prov Language: Farsi

Office Staff Language

#

:

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Malekmehr, Farshad, M.D.

Vascular Surgery

License No: G83840

NPI: 1710904651

5000 Van Nuys Blvd. # 200

4

Sherman Oaks, CA 91403

1071 064319

(818) 908-9752

Prov Language: Farsi

Office Staff Language

#

:

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 791: 2018 Provider and Pharmacy Directory

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Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

791

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sherman Oaks Specialty/

Specialists PPG/Phy #

Malekmehr, Farshad, M.D.

Vascular Surgery

License No: G83840

NPI: 1710904651

5000 Van Nuys Blvd. # 200

4

Sherman Oaks, CA 91403

1072 064319

(818) 908-9752

Prov Language: Farsi

Office Staff Language

#

:

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Malekmehr, Farshad, M.D.

Vascular Surgery

License No: G83840

NPI: 1710904651

5000 Van Nuys Blvd. # 200

4

Sherman Oaks, CA 91403

1070 064319

(818) 908-9752

Prov Language: Farsi

Office Staff Language

#

:

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sherman Oaks Specialty/

Specialists PPG/Phy #

Malekmehr, Farshad, M.D.

Vascular Surgery

License No: G83840

NPI: 1710904651

5000 Van Nuys Blvd. # 200

4

Sherman Oaks, CA 91403

1068 064319

(818) 908-9752

Prov Language: Farsi

Office Staff Language

#

:

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 792: 2018 Provider and Pharmacy Directory

792 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sherman Oaks Specialty/

Specialists PPG/Phy #

aasd

Namazie, Ali R., M.D.

Otolaryngology

(ENT)

License No: A60291

NPI: 1184603102

4955 Van Nuys Blvd. # 505

4

Sherman Oaks, CA 91403

5302 080159

(818) 609-0600

Prov Language: Arabic, Armenian, Farsi,

Spanish, Tagalog

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Song, Grace Y., O.D.

Optometrist

License No: OPT12945

NPI: 1821149063

13320 Riverside Dr. # 114

4

Sherman Oaks, CA 91423

5302 206345

(818) 501-3937

Office Staff Language

#

:

Accessibility:*:

Hours: M-TH 9 AM - 5 PM, F 9 AM - 3 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sherman Oaks Specialty/

Specialists PPG/Phy #

aasd

Tiarraz, Roya, LMFT

Marriage/ Family

Counseling

License No: MFC85415

NPI: 1790179133

4419 Van Nuys Blvd. # 305

Sherman Oaks, CA 91403

5359 215744

(818) 314-0002

Prov Language: Farsi, Hebrew

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Page 793: 2018 Provider and Pharmacy Directory

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Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

793

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sun Valley Specialty/

Specialists PPG/Phy #

aasd

Haggiagi, Jehad M., M.D.

Nephrology

License No: A140556

NPI: 1437420072

8987 Laurel Canyon Blvd.

Sun Valley, CA 91352

1070 223937

(818) 485-1830

Prov Language: Arabic

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Haggiagi, Jehad M., M.D.

Nephrology

License No: A140556

NPI: 1437420072

8987 Laurel Canyon Blvd.

Sun Valley, CA 91352

5010 223937

(818) 485-1830

Prov Language: Arabic

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sun Valley Specialty/

Specialists PPG/Phy #

Haggiagi, Jehad M., M.D.

Nephrology

License No: A140556

NPI: 1437420072

8987 Laurel Canyon Blvd.

Sun Valley, CA 91352

1072 223937

(818) 485-1830

Prov Language: Arabic

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Haggiagi, Jehad M., M.D.

Nephrology

License No: A140556

NPI: 1437420072

8987 Laurel Canyon Blvd.

Sun Valley, CA 91352

1069 223937

(818) 485-1830

Prov Language: Arabic

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 794: 2018 Provider and Pharmacy Directory

794 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sun Valley Specialty/

Specialists PPG/Phy #

Haggiagi, Jehad M., M.D.

Nephrology

License No: A140556

NPI: 1437420072

8987 Laurel Canyon Blvd.

Sun Valley, CA 91352

1071 223937

(818) 485-1830

Prov Language: Arabic

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Haggiagi, Jehad M., M.D.

Nephrology

License No: A140556

NPI: 1437420072

8987 Laurel Canyon Blvd.

Sun Valley, CA 91352

1068 223937

(818) 485-1830

Prov Language: Arabic

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Tarzana Specialty/

Specialists PPG/Phy #

aasd

Ben-nissan, Dina, R.D.

Designated

Transplant Center

License No: RD86063099

NPI: 1114468667

18372 Clark St. # 228

Tarzana, CA 91356

5359 241089

(818) 881-9192

Prov Language: Hebrew, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

aasd

Copps, Daniel P., DDS

Oral/ Maxillofacial

Surgery

License No: DD28670

NPI: 1548481757

5667 Reseda Blvd. # 312

4

Tarzana, CA 91356

1068 177308

(818) 705-1300

Office Staff Language

#

:

Accessibility:*:

Hours: M-TH 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 795: 2018 Provider and Pharmacy Directory

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Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

795

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Tarzana Specialty/

Specialists PPG/Phy #

aasd

Kapoor, Nimmi S., M.D.

Oncology

1

License No: A116258

NPI: 1437221611

18133 Ventura Blvd. # 200

Tarzana, CA 91356

5359 192448

(818) 480-7269

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

aasd

Liebross, Burton A., M.D.

Nephrology

1

License No: G32169

NPI: 1659350718

5525 Etiwanda Ave. # 320

4

Tarzana, CA 91356

5302 024990

(818) 787-2410

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Tarzana Specialty/

Specialists PPG/Phy #

aasd

Mischel, Matthew G., M.D.

Internal Medicine

1

License No: G57538

NPI: 1013996172

5525 Etiwanda Ave. # 320

4

Tarzana, CA 91356

5302 531079

(818) 774-3838

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: F 9 AM - 3 PM, M-TH 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mischel, Matthew G., M.D.

Nephrology

1

License No: G57538

NPI: 1013996172

5525 Etiwanda Ave. # 320

4

Tarzana, CA 91356

5302 531079

(818) 774-3838

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: F 9 AM - 3 PM, M-TH 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 796: 2018 Provider and Pharmacy Directory

796 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Tarzana Specialty/

Specialists PPG/Phy #

aasd

Namazie, Ali R., M.D.

Otolaryngology

(ENT)

License No: A60291

NPI: 1184603102

5525 Etiwanda Ave. # 312

Tarzana, CA 91356

5302 080159

(818) 609-0600

Prov Language: Arabic, Armenian, Farsi,

Spanish, Tagalog

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Tarzana Specialty/

Specialists PPG/Phy #

aasd

Rahhal, Firas M., M.D.

Ophthalmology

1

License No: G78656

NPI: 1881658615

5525 Etiwanda Ave. # 112

Tarzana, CA 91356

5302 044521

(818) 578-7408

Prov Language: Arabic

Office Staff Language

#

: Korean, Mandarin,

Russian, Spanish

Accessibility:*:

Hours: M-TU 8 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Romoff, Mark S., M.D.

Nephrology

License No: G27803

NPI: 1578543179

5525 Etiwanda Ave. # 320

4

Tarzana, CA 91356

5302 024991

(818) 774-3838

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 797: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 797

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

797

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Tarzana Specialty/

Specialists PPG/Phy #

aasd

Shelub, Aaron M., M.D.

Infectious Disease

License No: A92108

NPI: 1124103619

18370 Burbank Blvd. # 414

Tarzana, CA 91356

1069 150301

(818) 506-3384

Prov Language: Hebrew

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Shelub, Aaron M., M.D.

Infectious Disease

License No: A92108

NPI: 1124103619

18370 Burbank Blvd. # 414

Tarzana, CA 91356

1072 150301

(818) 506-3384

Prov Language: Hebrew

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Tarzana Specialty/

Specialists PPG/Phy #

Shelub, Aaron M., M.D.

Infectious Disease

License No: A92108

NPI: 1124103619

18370 Burbank Blvd. # 414

Tarzana, CA 91356

1068 150301

(818) 506-3384

Prov Language: Hebrew

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Shelub, Aaron M., M.D.

Infectious Disease

License No: A92108

NPI: 1124103619

18370 Burbank Blvd. # 414

Tarzana, CA 91356

5359 150301

(818) 506-3384

Prov Language: Hebrew

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 798: 2018 Provider and Pharmacy Directory

798 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Tarzana Specialty/

Specialists PPG/Phy #

aasd

Solasi, Baharak, R.D.

Designated

Transplant Center

License No: RD86028026

NPI: 1780130633

18372 Clark St. # 228

Tarzana, CA 91356

5359 241086

(818) 881-9192

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

aasd

Trites, Dafna, D.O.

Obstetrics/

Gynecology

1

License No: 20A6852

NPI: 1699734319

18133 Ventura Blvd. # 404

Tarzana, CA 91356

5359 075075

(818) 466-7700

Prov Language: Hebrew, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Tarzana Specialty/

Specialists PPG/Phy #

aasd

Verder, Tina B., M.D.

Obstetrics/

Gynecology

1

License No: G71902

NPI: 1285653683

18133 Ventura Blvd. # 404

Tarzana, CA 91356

5359 035395

(818) 466-7700

Prov Language: Spanish, Tagalog

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Wong, Diana Y., M.D.

Obstetrics/

Gynecology

1

License No: G72281

NPI: 1922019637

18133 Ventura Blvd. # 404

Tarzana, CA 91356

5359 039377

(818) 466-7700

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 799: 2018 Provider and Pharmacy Directory

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Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

799

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Tarzana Specialty/

Specialists PPG/Phy #

aasd

Yamini, Syamak, DPM

Podiatry

1

License No: E4835

NPI: 1992992366

5620 Wilbur Ave. # 305

Tarzana, CA 91356

1069 163011

(818) 336-1356

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Specialists PPG/Phy #

aasd

Abdeen, Omaran A., M.D.

Nephrology

1

License No: A55592

NPI: 1700878410

23421 Lyons Ave.

Valencia, CA 91355

1068 056820

(661) 753-9891

Prov Language: Arabic, Armenian, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Abdeen, Omaran A., M.D.

Nephrology

1

License No: A55592

NPI: 1700878410

23421 Lyons Ave.

Valencia, CA 91355

1072 056820

(661) 753-9891

Prov Language: Arabic, Armenian, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 800: 2018 Provider and Pharmacy Directory

800 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Specialists PPG/Phy #

Abdeen, Omaran A., M.D.

Nephrology

1

License No: A55592

NPI: 1700878410

23421 Lyons Ave.

Valencia, CA 91355

1071 056820

(661) 753-9891

Prov Language: Arabic, Armenian, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Abdeen, Omaran A., M.D.

Nephrology

1

License No: A55592

NPI: 1700878410

23421 Lyons Ave.

Valencia, CA 91355

1069 056820

(661) 753-9891

Prov Language: Arabic, Armenian, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Specialists PPG/Phy #

aasd

Bagga, Dilprit, M.D.

Hematology/

Oncology

1

License No: A118256

NPI: 1427262757

26357 Mcbean Pkwy. # 150

Valencia, CA 91355

1071 206770

(661) 222-2629

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Bagga, Dilprit, M.D.

Internal Medicine

1

License No: A118256

NPI: 1427262757

26357 Mcbean Pkwy. # 150

Valencia, CA 91355

1071 206770

(661) 222-2629

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 801: 2018 Provider and Pharmacy Directory

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Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

801

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Specialists PPG/Phy #

aasd

Burks Jr, James A., M.D.

Vascular Surgery

License No: C54736

NPI: 1356378566

28212 Kelly Johnson Pkwy. #

239

Valencia, CA 91355

1071 204973

(661) 505-7079

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Burks Jr, James A., M.D.

Vascular Surgery

License No: C54736

NPI: 1356378566

28212 Kelly Johnson Pkwy. #

239

Valencia, CA 91355

5010 204973

(661) 505-7079

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Specialists PPG/Phy #

Burks Jr, James A., M.D.

Vascular Surgery

License No: C54736

NPI: 1356378566

28212 Kelly Johnson Pkwy. #

239

Valencia, CA 91355

1070 204973

(661) 505-7079

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Burks Jr, James A., M.D.

Vascular Surgery

License No: C54736

NPI: 1356378566

28212 Kelly Johnson Pkwy. #

239

Valencia, CA 91355

5302 204973

(661) 505-7079

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 802: 2018 Provider and Pharmacy Directory

802 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Specialists PPG/Phy #

aasd

Chambers, Joseph D., M.D.

Emergency

Medicine

License No: C43363

NPI: 1467435297

26357 McBean Pkwy.

Valencia, CA 91355

1071 130731

(661) 222-2643

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: S,SA 8 AM - 5:30 PM, M,F 9 AM - 8:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Chen, Anna M., D.O.

Emergency

Medicine

License No: 20A10564

NPI: 1245475599

26357 McBean Pkwy.

Valencia, CA 91355

1071 227641

(661) 222-2643

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M,F 9 AM - 8:30 PM, S,SA 8 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Specialists PPG/Phy #

Chen, Anna M., D.O.

Internal Medicine

1

License No: 20A10564

NPI: 1245475599

26357 McBean Pkwy.

Valencia, CA 91355

1071 227641

(661) 222-2643

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M,F 9 AM - 8:30 PM, S,SA 8 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Dabel, Pascal, M.D.

Internal Medicine

1

License No: A131011

NPI: 1033306592

27420 Tourney Rd. # 200

Valencia, CA 91355

1071 205314

(661) 783-9891

Prov Language: French, Spanish

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 803: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 803

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

803

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Specialists PPG/Phy #

Dabel, Pascal, M.D.

Nephrology

1

License No: A131011

NPI: 1033306592

27420 Tourney Rd. # 200

Valencia, CA 91355

1071 205314

(661) 783-9891

Prov Language: French, Spanish

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Dadgostar, Hajir, M.D.

Ophthalmology

1

License No: A90804

NPI: 1144427568

23838 Valencia Blvd. # 302

Valencia, CA 91355

1068 197895

(661) 705-1075

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Specialists PPG/Phy #

aasd

Dardashti, Simon, M.D.

Pain Management

1

License No: A117883

NPI: 1023335957

23803 McBean Pkwy.

Valencia, CA 91355

1071 210459

(661) 481-2440

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,IB,E)

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed:

Provider Training and Experience:

aasd

Das, Jayanta R., M.D.

Interventional

Cardiology

1

License No: A91850

NPI: 1891843827

23929 McBean Pkwy. # 216

Valencia, CA 91355

1069 195163

(661) 259-1534

Office Staff Language

#

: Armenian

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 804: 2018 Provider and Pharmacy Directory

804 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Specialists PPG/Phy #

Das, Jayanta R., M.D.

Interventional

Cardiology

1

License No: A91850

NPI: 1891843827

23929 McBean Pkwy. # 216

Valencia, CA 91355

1072 195163

(661) 259-1534

Office Staff Language

#

: Armenian

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Das, Jayanta R., M.D.

Interventional

Cardiology

1

License No: A91850

NPI: 1891843827

23929 McBean Pkwy. # 216

Valencia, CA 91355

1068 195163

(661) 259-1534

Office Staff Language

#

: Armenian

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Specialists PPG/Phy #

aasd

Dekker, Albert, M.D.

Hematology/

Oncology

1

License No: A83739

NPI: 1578553590

26357 Mcbean Pkwy. # 150

Valencia, CA 91355

1068 110322

(661) 222-2629

Prov Language: Russian, Ukranian

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Dekker, Albert, M.D.

Hematology/

Oncology

1

License No: A83739

NPI: 1578553590

26357 Mcbean Pkwy. # 150

Valencia, CA 91355

1071 110322

(661) 222-2629

Prov Language: Russian, Ukranian

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 805: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 805

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

805

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Specialists PPG/Phy #

aasd

Engstrom Jr, Robert E.,

M.D.

Ophthalmology

1

License No: G69965

NPI: 1689663395

23838 Valencia Blvd. # 302

Valencia, CA 91355

1072 530983

(661) 705-1075

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Engstrom Jr, Robert E.,

M.D.

Ophthalmology

1

License No: G69965

NPI: 1689663395

23838 Valencia Blvd. # 302

Valencia, CA 91355

1068 530983

(661) 705-1075

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Specialists PPG/Phy #

Engstrom Jr, Robert E.,

M.D.

Ophthalmology

1

License No: G69965

NPI: 1689663395

23838 Valencia Blvd. # 302

Valencia, CA 91355

1069 530983

(661) 705-1075

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 806: 2018 Provider and Pharmacy Directory

806 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

2

Physician is currently unavailable to new patients through this physician group.

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Specialists PPG/Phy #

aasd

Fazel, Maryam S., M.D.

2

Emergency

Medicine

License No: A114531

NPI: 1285910356

26357 McBean Pkwy.

Valencia, CA 91355

1071 191274

(661) 222-2600

Prov Language: Farsi

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M,F 9 AM - 8:30 PM, S,SA 8 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Specialists PPG/Phy #

aasd

Garabedian, Shahe K., M.D.

Cardiology/

Cardiovascular

Disease

License No: A103461

NPI: 1841313772

23929 McBean Pkwy. # 216

Valencia, CA 91355

1068 167196

(661) 259-1534

Prov Language: Armenian, Spanish

Office Staff Language

#

: Armenian

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 807: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 807

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

807

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Specialists PPG/Phy #

Garabedian, Shahe K., M.D.

Cardiology/

Cardiovascular

Disease

License No: A103461

NPI: 1841313772

23929 McBean Pkwy. # 216

Valencia, CA 91355

1071 167196

(661) 259-1534

Prov Language: Armenian, Spanish

Office Staff Language

#

: Armenian

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Specialists PPG/Phy #

aasd

Golder, Michael G., M.D.

Psychiatry

1

License No: G141046

NPI: 1760455778

26357 McBean Pkwy. # 380

Valencia, CA 91355

1071 226679

(661) 222-2690

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Guerami, Amir H., M.D.

Ophthalmology

1

License No: A124952

NPI: 1457475303

23838 Valencia Blvd. # 302

Valencia, CA 91355

1068 197907

(661) 705-1075

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 808: 2018 Provider and Pharmacy Directory

808 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Specialists PPG/Phy #

aasd

Huang, Zhen S., M.D.

Vascular Surgery

License No: A136744

NPI: 1780834770

28212 Kelly Johnson Pkwy. #

239

Valencia, CA 91355

5302 214703

(661) 505-7079

Prov Language: Cantonese

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Huang, Zhen S., M.D.

Vascular Surgery

License No: A136744

NPI: 1780834770

28212 Kelly Johnson Pkwy. #

239

Valencia, CA 91355

1070 214703

(661) 505-7079

Prov Language: Cantonese

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Specialists PPG/Phy #

Huang, Zhen S., M.D.

Vascular Surgery

License No: A136744

NPI: 1780834770

28212 Kelly Johnson Pkwy. #

239

Valencia, CA 91355

5010 214703

(661) 505-7079

Prov Language: Cantonese

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Huang, Zhen S., M.D.

Vascular Surgery

License No: A136744

NPI: 1780834770

28212 Kelly Johnson Pkwy. #

239

Valencia, CA 91355

1071 214703

(661) 505-7079

Prov Language: Cantonese

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 809: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 809

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

809

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Specialists PPG/Phy #

aasd

Kalantari, Parvaneh N.,

R.D.

2

Designated

Transplant Center

License No: RD713180

NPI: 1891979985

26357 Mcbean Pkwy. # 205

Valencia, CA 91355

1071 130252

(818) 837-5779

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: M 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Katerelos, Ari, M.D.

Radiation

Oncology

1

License No: A99003

NPI: 1861607418

25751 McBean Pkwy. # 110

Valencia, CA 91355

1071 161797

(661) 259-2990

Office Staff Language

#

: Farsi, German,

Russian, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Specialists PPG/Phy #

Katerelos, Ari, M.D.

Radiation

Oncology

1

License No: A99003

NPI: 1861607418

25751 McBean Pkwy. # 110

Valencia, CA 91355

5010 161797

(661) 259-2990

Office Staff Language

#

: Farsi, German,

Russian, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Katerelos, Ari, M.D.

Radiation

Oncology

1

License No: A99003

NPI: 1861607418

25751 McBean Pkwy. # 110

Valencia, CA 91355

1070 161797

(661) 259-2990

Office Staff Language

#

: Farsi, German,

Russian, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 810: 2018 Provider and Pharmacy Directory

810 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Specialists PPG/Phy #

aasd

Kouz, Rafid J., M.D.

Hematology/

Oncology

1

License No: C52317

NPI: 1346272994

26357 Mcbean Pkwy. # 150

Valencia, CA 91355

1071 165641

(661) 222-2629

Prov Language: Arabic

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Lazar, David B., M.D.

Ophthalmology

1

License No: A127933

NPI: 1417242975

23838 Valencia Blvd. # 302

Valencia, CA 91355

1068 230995

(661) 705-1075

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Valencia Specialty/

Specialists PPG/Phy #

Lazar, David B., M.D.

Ophthalmology

1

License No: A127933

NPI: 1417242975

23838 Valencia Blvd. # 302

Valencia, CA 91355

1069 230995

(661) 705-1075

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Lazar, David B., M.D.

Ophthalmology

1

License No: A127933

NPI: 1417242975

23838 Valencia Blvd. # 302

Valencia, CA 91355

5359 230995

(661) 705-1075

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Page 811: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 811

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

811

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Specialists PPG/Phy #

Lazar, David B., M.D.

Ophthalmology

1

License No: A127933

NPI: 1417242975

23838 Valencia Blvd. # 302

Valencia, CA 91355

1072 230995

(661) 705-1075

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

aasd

Liao, David S., M.D.

Ophthalmology

License No: A112736

NPI: 1962541847

23501 Cinema Dr. # 109

Valencia, CA 91355

5302 166241

(661) 290-2336

Prov Language: Mandarin

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Specialists PPG/Phy #

aasd

Lobo, Bjorn M., M.D.

Neurosurgery

License No: A129324

NPI: 1275703969

25751 Mcbean Pkwy. # 305

Valencia, CA 91355

1072 214765

(661) 799-2542

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Lobo, Bjorn M., M.D.

Neurosurgery

License No: A129324

NPI: 1275703969

25751 Mcbean Pkwy. # 305

Valencia, CA 91355

1070 214765

(661) 799-2542

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 812: 2018 Provider and Pharmacy Directory

812 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Specialists PPG/Phy #

Lobo, Bjorn M., M.D.

Neurosurgery

License No: A129324

NPI: 1275703969

25751 Mcbean Pkwy. # 305

Valencia, CA 91355

1068 214765

(661) 799-2542

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Lobo, Bjorn M., M.D.

Neurosurgery

License No: A129324

NPI: 1275703969

25751 Mcbean Pkwy. # 305

Valencia, CA 91355

1069 214765

(661) 799-2542

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Specialists PPG/Phy #

Lobo, Bjorn M., M.D.

Neurosurgery

License No: A129324

NPI: 1275703969

25751 Mcbean Pkwy. # 305

Valencia, CA 91355

5010 214765

(661) 799-2542

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Lobo, Bjorn M., M.D.

Neurosurgery

License No: A129324

NPI: 1275703969

25751 Mcbean Pkwy. # 305

Valencia, CA 91355

1071 214765

(661) 799-2542

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 813: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 813

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

813

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Specialists PPG/Phy #

aasd

Lopez, Pedro N., M.D.

Emergency

Medicine

1

License No: A103617

NPI: 1710140025

26357 McBean Pkwy.

Valencia, CA 91355

1071 157822

(661) 222-2600

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M-TU 8 AM - 7:30 PM

Cultural Competence Training Completed:

Provider Training and Experience:

aasd

Malekmehr, Farshad, M.D.

Thoracic Surgery

1

License No: G83840

NPI: 1710904651

27420 Tourney Rd. # 220

Valencia, CA 91355

1069 064319

(818) 908-9752

Prov Language: Farsi

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Specialists PPG/Phy #

Malekmehr, Farshad, M.D.

Thoracic Surgery

1

License No: G83840

NPI: 1710904651

27420 Tourney Rd. # 220

Valencia, CA 91355

1072 064319

(818) 908-9752

Prov Language: Farsi

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Malekmehr, Farshad, M.D.

Thoracic Surgery

1

License No: G83840

NPI: 1710904651

27420 Tourney Rd. # 220

Valencia, CA 91355

1068 064319

(818) 908-9752

Prov Language: Farsi

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 814: 2018 Provider and Pharmacy Directory

814 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Specialists PPG/Phy #

Malekmehr, Farshad, M.D.

Vascular Surgery

License No: G83840

NPI: 1710904651

27420 Tourney Rd. # 220

Valencia, CA 91355

1068 064319

(818) 908-9752

Prov Language: Farsi

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Malekmehr, Farshad, M.D.

Vascular Surgery

License No: G83840

NPI: 1710904651

27420 Tourney Rd. # 220

Valencia, CA 91355

5010 064319

(818) 908-9752

Prov Language: Farsi

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Specialists PPG/Phy #

Malekmehr, Farshad, M.D.

Vascular Surgery

License No: G83840

NPI: 1710904651

27420 Tourney Rd. # 220

Valencia, CA 91355

1072 064319

(818) 908-9752

Prov Language: Farsi

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Malekmehr, Farshad, M.D.

Vascular Surgery

License No: G83840

NPI: 1710904651

27420 Tourney Rd. # 220

Valencia, CA 91355

1069 064319

(818) 908-9752

Prov Language: Farsi

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 815: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 815

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

815

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Specialists PPG/Phy #

Malekmehr, Farshad, M.D.

Vascular Surgery

License No: G83840

NPI: 1710904651

27420 Tourney Rd. # 220

Valencia, CA 91355

1071 064319

(818) 908-9752

Prov Language: Farsi

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Malekmehr, Farshad, M.D.

Vascular Surgery

License No: G83840

NPI: 1710904651

27420 Tourney Rd. # 220

Valencia, CA 91355

1070 064319

(818) 908-9752

Prov Language: Farsi

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Specialists PPG/Phy #

aasd

Marino, Natalie G., M.D.

Family Practice

1

License No: A111889

NPI: 1477856789

26357 McBean Pkwy.

Valencia, CA 91355

1071 167259

(661) 222-2643

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: S,SA 8 AM - 5:30 PM, W-F 9 AM - 8:30

PM

Cultural Competence Training Completed:

Provider Training and Experience:

aasd

Moghimi, Robert B., M.D.

Gastroenterology

1

License No: A94790

NPI: 1184679664

23823 Valencia Blvd. # 210

Valencia, CA 91355

5302 132915

(661) 206-1800

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 816: 2018 Provider and Pharmacy Directory

816 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Specialists PPG/Phy #

aasd

Montalvo, Rafael D., M.D.

Emergency

Medicine

License No: A132041

NPI: 1568722007

26357 McBean Pkwy.

Valencia, CA 91355

1071 230703

(661) 222-2643

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: S,SA 8 AM - 5:30 PM, M,F 9 AM - 8:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Specialists PPG/Phy #

Montalvo, Rafael D., M.D.

Family Practice

1

License No: A132041

NPI: 1568722007

26357 McBean Pkwy.

Valencia, CA 91355

1071 230703

(661) 222-2643

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: S,SA 8 AM - 5:30 PM, M,F 9 AM - 8:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Nangiana, Jasvinder S.,

M.D.

Neurosurgery

License No: A115268

NPI: 1104072545

26357 Mcbean Pkwy. # 150

Valencia, CA 91355

1071 221735

(818) 361-0917

Prov Language: Hindi

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 817: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 817

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

817

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Specialists PPG/Phy #

Nangiana, Jasvinder S.,

M.D.

Neurosurgery

License No: A115268

NPI: 1104072545

26357 Mcbean Pkwy. # 150

Valencia, CA 91355

1069 221735

(818) 361-0917

Prov Language: Hindi

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Nangiana, Jasvinder S.,

M.D.

Neurosurgery

License No: A115268

NPI: 1104072545

26357 Mcbean Pkwy. # 150

Valencia, CA 91355

1072 221735

(818) 361-0917

Prov Language: Hindi

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Specialists PPG/Phy #

Nangiana, Jasvinder S.,

M.D.

Neurosurgery

License No: A115268

NPI: 1104072545

26357 Mcbean Pkwy. # 150

Valencia, CA 91355

5010 221735

(818) 361-0917

Prov Language: Hindi

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Nangiana, Jasvinder S.,

M.D.

Neurosurgery

License No: A115268

NPI: 1104072545

26357 Mcbean Pkwy. # 150

Valencia, CA 91355

1068 221735

(818) 361-0917

Prov Language: Hindi

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 818: 2018 Provider and Pharmacy Directory

818 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Specialists PPG/Phy #

Nangiana, Jasvinder S.,

M.D.

Neurosurgery

License No: A115268

NPI: 1104072545

26357 Mcbean Pkwy. # 150

Valencia, CA 91355

1070 221735

(818) 361-0917

Prov Language: Hindi

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Specialists PPG/Phy #

aasd

Nikamal, Arash J., D.O.

Emergency

Medicine

License No: 20A12561

NPI: 1427393784

26357 McBean Pkwy.

Valencia, CA 91355

1071 202057

(661) 222-2643

Prov Language: Farsi

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M,F 9 AM - 8:30 PM, S,SA 8 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 819: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 819

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

819

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Specialists PPG/Phy #

Nikamal, Arash J., D.O.

Family Practice

1

License No: 20A12561

NPI: 1427393784

26357 McBean Pkwy.

Valencia, CA 91355

1071 202057

(661) 222-2643

Prov Language: Farsi

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M,F 9 AM - 8:30 PM, S,SA 8 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Rahhal, Firas M., M.D.

Ophthalmology

1

License No: G78656

NPI: 1881658615

23501 Cinema Dr. # 109

Valencia, CA 91355

5302 044521

(661) 290-2336

Prov Language: Arabic

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Specialists PPG/Phy #

aasd

Shah, Parag A., M.D.

Nephrology

1

License No: A78966

NPI: 1225020886

27420 Tourney Rd. # 200

Valencia, CA 91355

1072 101052

(818) 365-1194

Prov Language: Armenian, Hindi, Spanish

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Shah, Parag A., M.D.

Nephrology

1

License No: A78966

NPI: 1225020886

27420 Tourney Rd. # 200

Valencia, CA 91355

1071 101052

(818) 365-1194

Prov Language: Armenian, Hindi, Spanish

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 820: 2018 Provider and Pharmacy Directory

820 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Specialists PPG/Phy #

Shah, Parag A., M.D.

Nephrology

1

License No: A78966

NPI: 1225020886

27420 Tourney Rd. # 200

Valencia, CA 91355

1068 101052

(818) 365-1194

Prov Language: Armenian, Hindi, Spanish

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Shah, Parag A., M.D.

Nephrology

1

License No: A78966

NPI: 1225020886

27420 Tourney Rd. # 200

Valencia, CA 91355

1069 101052

(818) 365-1194

Prov Language: Armenian, Hindi, Spanish

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Specialists PPG/Phy #

aasd

Shaw, David B., M.D.

Family Practice

1

License No: G72672

NPI: 1609896075

26357 McBean Pkwy.

Valencia, CA 91355

1071 067987

(661) 222-2600

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: S,SA 8 AM - 5:30 PM, M,F 9 AM - 8:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Shaw, Manessa C., D.O.

Family Practice

License No: 20A14739

NPI: 1770900821

26357 McBean Pkwy.

Valencia, CA 91355

1071 231841

(661) 222-2643

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M,F 9 AM - 8:30 PM, S,SA 8 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 821: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 821

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

821

2

Physician is currently unavailable to new patients through this physician group.

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Specialists PPG/Phy #

aasd

Sinha, Abhishek, M.D.

2

Cardiology/

Cardiovascular

Disease

License No: A116939

NPI: 1902971567

23929 McBean Pkwy. # 216

Valencia, CA 91355

1069 161517

(661) 259-1534

Office Staff Language

#

: Armenian

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Specialists PPG/Phy #

Sinha, Abhishek, M.D.

2

Cardiology/

Cardiovascular

Disease

License No: A116939

NPI: 1902971567

23929 McBean Pkwy. # 216

Valencia, CA 91355

1070 161517

(661) 259-1534

Office Staff Language

#

: Armenian

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 822: 2018 Provider and Pharmacy Directory

822 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

2

Physician is currently unavailable to new patients through this physician group.

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Specialists PPG/Phy #

Sinha, Abhishek, M.D.

2

Cardiology/

Cardiovascular

Disease

License No: A116939

NPI: 1902971567

23929 McBean Pkwy. # 216

Valencia, CA 91355

1072 161517

(661) 259-1534

Office Staff Language

#

: Armenian

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Specialists PPG/Phy #

Sinha, Abhishek, M.D.

2

Cardiology/

Cardiovascular

Disease

License No: A116939

NPI: 1902971567

23929 McBean Pkwy. # 216

Valencia, CA 91355

1068 161517

(661) 259-1534

Office Staff Language

#

: Armenian

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 823: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 823

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

823

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Specialists PPG/Phy #

Sinha, Abhishek, M.D.

2

Cardiology/

Cardiovascular

Disease

License No: A116939

NPI: 1902971567

23929 McBean Pkwy. # 216

Valencia, CA 91355

5010 161517

(661) 259-1534

Office Staff Language

#

: Armenian

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Specialists PPG/Phy #

Sinha, Abhishek, M.D.

2

Interventional

Cardiology

1

License No: A116939

NPI: 1902971567

23929 McBean Pkwy. # 216

Valencia, CA 91355

1070 161517

(661) 259-1534

Office Staff Language

#

: Armenian

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sinha, Abhishek, M.D.

2

Interventional

Cardiology

1

License No: A116939

NPI: 1902971567

23929 McBean Pkwy. # 216

Valencia, CA 91355

1072 161517

(661) 259-1534

Office Staff Language

#

: Armenian

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 824: 2018 Provider and Pharmacy Directory

824 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Specialists PPG/Phy #

Sinha, Abhishek, M.D.

2

Interventional

Cardiology

1

License No: A116939

NPI: 1902971567

23929 McBean Pkwy. # 216

Valencia, CA 91355

5010 161517

(661) 259-1534

Office Staff Language

#

: Armenian

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sinha, Abhishek, M.D.

2

Interventional

Cardiology

1

License No: A116939

NPI: 1902971567

23929 McBean Pkwy. # 216

Valencia, CA 91355

1069 161517

(661) 259-1534

Office Staff Language

#

: Armenian

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Specialists PPG/Phy #

Sinha, Abhishek, M.D.

2

Interventional

Cardiology

1

License No: A116939

NPI: 1902971567

23929 McBean Pkwy. # 216

Valencia, CA 91355

1068 161517

(661) 259-1534

Office Staff Language

#

: Armenian

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 825: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 825

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

825

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Specialists PPG/Phy #

aasd

Souferzadeh, Behzad, D.O.

Emergency

Medicine

License No: 20A12379

NPI: 1851694988

26357 McBean Pkwy.

Valencia, CA 91355

1071 191629

(661) 222-2643

Prov Language: Farsi

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M,F 9 AM - 8:30 PM, S,SA 8 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Specialists PPG/Phy #

Souferzadeh, Behzad, D.O.

General Practice

License No: 20A12379

NPI: 1851694988

26357 McBean Pkwy.

Valencia, CA 91355

1071 191629

(661) 222-2643

Prov Language: Farsi

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: M,F 9 AM - 8:30 PM, S,SA 8 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Tabandeh, Homayoun, M.D.

Ophthalmology

License No: A89087

NPI: 1003861576

23501 Cinema Dr. # 109

Valencia, CA 91355

5302 133109

(661) 290-2336

Prov Language: Arabic, Armenian, Farsi,

Korean, Mandarin, Russian, Spanish, Tagalog

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 826: 2018 Provider and Pharmacy Directory

826 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Specialists PPG/Phy #

aasd

Tam, Kenneth K., M.D.

Cardiology/

Cardiovascular

Disease

License No: G71122

NPI: 1821081423

23929 McBean Pkwy. # 216

Valencia, CA 91355

1071 068013

(661) 259-1534

Prov Language: Arabic, Armenian

Office Staff Language

#

: Armenian

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Specialists PPG/Phy #

Tam, Kenneth K., M.D.

Cardiology/

Cardiovascular

Disease

License No: G71122

NPI: 1821081423

23929 McBean Pkwy. # 216

Valencia, CA 91355

5010 068013

(661) 259-1534

Prov Language: Arabic, Armenian

Office Staff Language

#

: Armenian

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 827: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 827

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

827

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Specialists PPG/Phy #

Tam, Kenneth K., M.D.

Cardiology/

Cardiovascular

Disease

License No: G71122

NPI: 1821081423

23929 McBean Pkwy. # 216

Valencia, CA 91355

1070 068013

(661) 259-1534

Prov Language: Arabic, Armenian

Office Staff Language

#

: Armenian

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Specialists PPG/Phy #

aasd

Ugochukwu, Ifeoma, M.D.

Internal Medicine

License No: A132154

NPI: 1336524412

26357 McBean Pkwy.

Valencia, CA 91355

1071 226636

(661) 222-2643

Prov Language: Bahasa Indonesia

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: S,SA 8 AM - 5:30 PM, M-F 9 AM - 8:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Wheeler, Michael G., DPM

Podiatry

License No: E5287

NPI: 1487090973

23734 Valencia Blvd. # 203

Valencia, CA 91355

5302 228321

(818) 848-5588

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 828: 2018 Provider and Pharmacy Directory

828 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Specialists PPG/Phy #

aasd

Yee, Ting S., M.D.

Cardiology/

Cardiovascular

Disease

License No: G37806

NPI: 1801889365

23929 McBean Pkwy. # E

Valencia, CA 91355

1069 530974

(661) 259-1534

Prov Language: Mandarin

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Specialists PPG/Phy #

Yee, Ting S., M.D.

Cardiology/

Cardiovascular

Disease

License No: G37806

NPI: 1801889365

23929 McBean Pkwy. # 216

Valencia, CA 91355

1068 530974

(661) 259-1534

Prov Language: Mandarin

Office Staff Language

#

: Armenian

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 829: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 829

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

829

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Specialists PPG/Phy #

aasd

Zolfaghari, Touraj, M.D.

Gastroenterology

1

License No: A104747

NPI: 1659537926

23803 McBean Pkwy. # 202

Valencia, CA 91355

1068 187597

(661) 481-2400

Prov Language: Farsi, Hungarian, Turkish

Office Staff Language

#

: Spanish

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: M-W 9 AM - 5 PM, TH-F 1:30 PM - 4:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Zucker, Victor A., M.D.

Internal Medicine

1

License No: G56741

NPI: 1780603167

26357 McBean Pkwy.

Valencia, CA 91355

1071 019129

(661) 222-2643

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,E)

Hours: S,SA 8 AM - 5:30 PM, M,F 9 AM - 8:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valley Village Specialty/

Specialists PPG/Phy #

aasd

Feinstein, Barry D., DPM

Podiatry

1

License No: E2349

NPI: 1376663740

12840 Riverside Dr. # 204

4

Valley Village, CA 91607

5302 067415

(818) 508-7922

Prov Language: German, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Shapiro, Joseph R., M.D.

Allergy/

Immunology

1

License No: A77622

NPI: 1528070737

12660 Riverside Dr. # 325

Valley Village, CA 91607

1070 133070

(818) 769-5998

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-SA 8 AM - 1 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 830: 2018 Provider and Pharmacy Directory

830 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valley Village Specialty/

Specialists PPG/Phy #

aasd

Tan, Jeffrey J., M.D.

Ophthalmology

1

License No: A135284

NPI: 1033407549

12840 Riverside Dr. # 333

Valley Village, CA 91607

1069 231950

(818) 754-2090

Prov Language: Mandarin, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Tan, Jeffrey J., M.D.

Ophthalmology

1

License No: A135284

NPI: 1033407549

12840 Riverside Dr. # 333

Valley Village, CA 91607

1068 231950

(818) 754-2090

Prov Language: Mandarin, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valley Village Specialty/

Specialists PPG/Phy #

Tan, Jeffrey J., M.D.

Ophthalmology

1

License No: A135284

NPI: 1033407549

12840 Riverside Dr. # 333

Valley Village, CA 91607

1072 231950

(818) 754-2090

Prov Language: Mandarin, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Specialists PPG/Phy #

aasd

Austin, Joseph P., M.D.

Vascular Surgery

1

License No: A117666

NPI: 1932314283

16917 Enadia Way

4

Van Nuys, CA 91406

1072 170594

(818) 401-1010

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 831: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 831

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

831

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Specialists PPG/Phy #

aasd

Aziz, Ihab N., M.D.

Vascular Surgery

License No: A66104

NPI: 1700873593

16917 Enadia Way

4

Van Nuys, CA 91406

1068 117048

(818) 401-1010

Prov Language: Arabic, French, Fujian, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Aziz, Ihab N., M.D.

Vascular Surgery

License No: A66104

NPI: 1700873593

16917 Enadia Way

4

Van Nuys, CA 91406

1071 117048

(818) 401-1010

Prov Language: Arabic, French, Fujian, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Specialists PPG/Phy #

Aziz, Ihab N., M.D.

Vascular Surgery

License No: A66104

NPI: 1700873593

16917 Enadia Way

4

Van Nuys, CA 91406

1069 117048

(818) 401-1010

Prov Language: Arabic, French, Fujian, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Aziz, Ihab N., M.D.

Vascular Surgery

License No: A66104

NPI: 1700873593

16917 Enadia Way

4

Van Nuys, CA 91406

5302 117048

(818) 401-1010

Prov Language: Arabic, French, Fujian, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 832: 2018 Provider and Pharmacy Directory

832 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Specialists PPG/Phy #

Aziz, Ihab N., M.D.

Vascular Surgery

License No: A66104

NPI: 1700873593

16917 Enadia Way

4

Van Nuys, CA 91406

1072 117048

(818) 401-1010

Prov Language: Arabic, French, Fujian, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Burks Jr, James A., M.D.

Vascular Surgery

License No: C54736

NPI: 1356378566

16917 Enadia Way

4

Van Nuys, CA 91406

1071 204973

(818) 401-1010

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Specialists PPG/Phy #

Burks Jr, James A., M.D.

Vascular Surgery

License No: C54736

NPI: 1356378566

16917 Enadia Way

4

Van Nuys, CA 91406

1070 204973

(818) 401-1010

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Burks Jr, James A., M.D.

Vascular Surgery

License No: C54736

NPI: 1356378566

16917 Enadia Way

4

Van Nuys, CA 91406

5302 204973

(818) 401-1010

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 833: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 833

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

833

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Specialists PPG/Phy #

Burks Jr, James A., M.D.

Vascular Surgery

License No: C54736

NPI: 1356378566

16917 Enadia Way

4

Van Nuys, CA 91406

5010 204973

(818) 401-1010

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Das, Jayanta R., M.D.

Interventional

Cardiology

1

License No: A91850

NPI: 1891843827

15243 Vanowen St. # 301

4

Van Nuys, CA 91405

1069 195163

(818) 782-5041

Office Staff Language

#

: Arabic, Armenian,

Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Specialists PPG/Phy #

Das, Jayanta R., M.D.

Interventional

Cardiology

1

License No: A91850

NPI: 1891843827

15243 Vanowen St. # 301

4

Van Nuys, CA 91405

1068 195163

(818) 782-5041

Office Staff Language

#

: Arabic, Armenian,

Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Das, Jayanta R., M.D.

Interventional

Cardiology

1

License No: A91850

NPI: 1891843827

15243 Vanowen St. # 301

4

Van Nuys, CA 91405

1072 195163

(818) 782-5041

Office Staff Language

#

: Arabic, Armenian,

Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 834: 2018 Provider and Pharmacy Directory

834 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Specialists PPG/Phy #

aasd

Di Domenico, Nicholas C.,

M.D.

Nephrology

License No: G42658

NPI: 1982674222

15211 Vanowen St. # 315

4

Van Nuys, CA 91405

5302 024953

(818) 787-2410

Office Staff Language

#

: Arabic, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Specialists PPG/Phy #

aasd

El-Bialy, Adel K., M.D.

Cardiology/

Cardiovascular

Disease

License No: A53313

NPI: 1063512473

15243 Vanowen St.

4

Van Nuys, CA 91405

1072 153716

(818) 365-1339

Prov Language: Arabic, Armenian, Greek,

Mandarin, Spanish, Tamil

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 835: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 835

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

835

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Specialists PPG/Phy #

aasd

Huang, Zhen S., M.D.

Vascular Surgery

License No: A136744

NPI: 1780834770

16917 Enadia Way

4

Van Nuys, CA 91406

5010 214703

(818) 401-1010

Prov Language: Cantonese

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Huang, Zhen S., M.D.

Vascular Surgery

License No: A136744

NPI: 1780834770

16917 Enadia Way

4

Van Nuys, CA 91406

5302 214703

(818) 401-1010

Prov Language: Cantonese

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Specialists PPG/Phy #

Huang, Zhen S., M.D.

Vascular Surgery

License No: A136744

NPI: 1780834770

16917 Enadia Way

4

Van Nuys, CA 91406

1071 214703

(818) 401-1010

Prov Language: Cantonese

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Huang, Zhen S., M.D.

Vascular Surgery

License No: A136744

NPI: 1780834770

16917 Enadia Way

4

Van Nuys, CA 91406

1070 214703

(818) 401-1010

Prov Language: Cantonese

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 836: 2018 Provider and Pharmacy Directory

836 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Specialists PPG/Phy #

aasd

Lee, James S., M.D.

Cardiology/

Cardiovascular

Disease

1

License No: A90106

NPI: 1205008950

15243 Vanowen St. # 301

4

Van Nuys, CA 91405

1072 153438

(818) 782-5041

Prov Language: Korean, Spanish

Office Staff Language

#

: Arabic, Armenian,

Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Specialists PPG/Phy #

aasd

Lensky, Mark M., M.D.

Cardiology/

Cardiovascular

Disease

1

License No: A86838

NPI: 1558582866

14411 Hamlin St.

4

Van Nuys, CA 91401

5302 154339

(818) 994-0616

Prov Language: Russian

Office Staff Language

#

: Armenian, Farsi, Hindi,

Punjabi, Spanish, Tagalog

Accessibility:*:

Hours: M-F 7:30 AM - 4:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 837: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 837

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

837

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Specialists PPG/Phy #

aasd

Mischel, Matthew G., M.D.

Internal Medicine

1

License No: G57538

NPI: 1013996172

15211 Vanowen St. # 315

4

Van Nuys, CA 91405

5302 531079

(818) 787-2410

Prov Language: Spanish

Office Staff Language

#

: Arabic, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mischel, Matthew G., M.D.

Nephrology

1

License No: G57538

NPI: 1013996172

15211 Vanowen St. # 315

4

Van Nuys, CA 91405

5302 531079

(818) 787-2410

Prov Language: Spanish

Office Staff Language

#

: Arabic, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Specialists PPG/Phy #

aasd

Romoff, Mark S., M.D.

Nephrology

License No: G27803

NPI: 1578543179

15211 Vanowen St. # 315

4

Van Nuys, CA 91405

5302 024991

(818) 787-2410

Office Staff Language

#

: Arabic, Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Sevilla, Linda J., M.D.

Endocrinology

License No: A69127

NPI: 1285785980

15211 Vanowen St. # 100

4

Van Nuys, CA 91405

5302 103573

(818) 778-1920

Prov Language: French, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 838: 2018 Provider and Pharmacy Directory

838 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Specialists PPG/Phy #

aasd

Silberstein, Sylvain S., M.D.

Endocrinology

License No: G22959

NPI: 1710038427

15211 Vanowen St. # 100

4

Van Nuys, CA 91405

5302 045084

(818) 778-1920

Prov Language: German, Hebrew

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Specialists PPG/Phy #

aasd

Wiener, Isaac, M.D.

Cardiology/

Cardiovascular

Disease

License No: G46722

NPI: 1427041078

15243 Vanowen St. # 301

4

Van Nuys, CA 91405

1072 018359

(818) 782-5041

Prov Language: Hebrew, Spanish

Office Staff Language

#

: Arabic, Armenian,

Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 839: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 839

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

839

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Specialists PPG/Phy #

Wiener, Isaac, M.D.

Clinical CRD

Electrophysiology

License No: G46722

NPI: 1427041078

15243 Vanowen St. # 301

4

Van Nuys, CA 91405

1072 018359

(818) 782-5041

Prov Language: Hebrew, Spanish

Office Staff Language

#

: Arabic, Armenian,

Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

West Hills Specialty/

Specialists PPG/Phy #

aasd

Li, John J., M.D.

Infectious Disease

1

License No: A85389

NPI: 1487678041

7230 Medical Center Dr. # 203

4

West Hills, CA 91307

5359 141328

(818) 226-6811

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Miller, Robert M., M.D.

Dermatology

1

License No: A20197

NPI: 1194708289

7345 Medical Center Dr. # 310

4

West Hills, CA 91307

5359 011546

(818) 884-8044

Prov Language: Hebrew, Spanish, Yiddish

Office Staff Language

#

:

Self Reported Accessibility:*: Limited(P,R,E,T)

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Page 840: 2018 Provider and Pharmacy Directory

840 / www.healthnet.com/calmediconnect

Facey Med Fnd - Mission Hills PPG 1068

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

West Hills Specialty/

Specialists PPG/Phy #

aasd

Park, Justine H., M.D.

Dermatology

1

License No: A88512

NPI: 1164570180

7345 Medical Center Dr. # 310

4

West Hills, CA 91307

5359 139021

(818) 884-8044

Prov Language: Korean, Spanish

Office Staff Language

#

:

Self Reported Accessibility:*: Limited(P,R,E,T)

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Park, Justine H., M.D.

Dermatology

1

License No: A88512

NPI: 1164570180

7345 Medical Center Dr. # 310

4

West Hills, CA 91307

5302 139021

(818) 884-8044

Prov Language: Korean, Spanish

Office Staff Language

#

:

Self Reported Accessibility:*: Limited(P,R,E,T)

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

West Hills Specialty/

Specialists PPG/Phy #

aasd

Shah, Nirav J., M.D.

Orthopedic

Surgery

1

License No: A129443

NPI: 1255531182

7301 Medical Center Dr. # 400

4

West Hills, CA 91307

5359 205999

(818) 264-3344

Prov Language: Gujarati

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Page 841: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 841

Facey Med Fnd - Mission Hills PPG 1068

Specialists

Sp

ec

ialists

841

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

West Hills Specialty/

Specialists PPG/Phy #

aasd

Shapiro, Joseph R., M.D.

Allergy/

Immunology

1

License No: A77622

NPI: 1528070737

7230 Medical Center Dr. # 602

4

West Hills, CA 91307

1070 133070

(818) 769-5998

Prov Language: Spanish

Office Staff Language

#

: English

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: W 9 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 842: 2018 Provider and Pharmacy Directory

842 / www.healthnet.com/calmediconnect

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Greater Covina - Regal Medical Group

PPG 5144

605 East Badillo Street

Covina, CA 91723-2846

(626) 974-0440

Urgent Care:

Greater Covina Medical Clinic - (626)732-9232

Mon - Fri 4:00 p.m. - 10:30 p.m.

Sat - Sun 9:00 a.m. - 5:00 p.m.

Holidays - 9:00 a.m.- 4:00 p.m.

Hospitals Used:

Foothill Presbyterian Hospital - Morris L.

Johnston Memorial

Inter-Community, Citrus Valley

Queen of the Valley, Citrus Valley Medical

Center

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Kondra, Lawrence J., M.D.

Ophthalmology

1

License No: G47580

NPI: 1821013467

800 Fairmount Ave. # 120

Pasadena, CA 91105

5144 009166

(626) 440-9920

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: W 8 AM - 5 PM, TH 1 PM - 5 PM

Cultural Competence Training Completed: Yes

Provider Training and Experience:

aasd

Loitz, Robert D., M.D.

Pediatric

Cardiology

1

License No: G43246

NPI: 1225010077

50 Bellefontaine St. # 405

4

Pasadena, CA 91105

5144 010313

(626) 796-9259

Prov Language: Spanish

Office Staff Language

#

: Portuguese, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 843: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 843

Greater Covina - Regal Medical Group PPG 5144

Specialists

Sp

ec

ialists

843

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

Loitz, Robert D., M.D.

Pediatrics

1

License No: G43246

NPI: 1225010077

50 Bellefontaine St. # 405

4

Pasadena, CA 91105

5144 010313

(626) 796-9259

Prov Language: Spanish

Office Staff Language

#

: Portuguese, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 844: 2018 Provider and Pharmacy Directory

844 / www.healthnet.com/calmediconnect

Specialists

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

HCP IPA - San Fernando Valley

PPG 1922

2175 Park Pl.

El Segundo, CA 90245-4705

(800) 403-4160

Urgent Care:

Healthcare Partners UCC

(818) 838-4500

Hospitals Used:

Providence Holy Cross Medical Center

Valley Presbyterian Hospital

HCP IPA - Northridge Med Grp (PPG 5233)

2175 Park Pl. Ste 200

El Segundo, CA 90245-4705

(800) 403-4160

Urgent Care

Healthcare Partners UCC (818) 341-1540

Hospitals Used:

Valley Presbyterian Hospital

Canyon Country Specialty/

Specialists PPG/Phy #

aasd

Offenberger, Jacob, M.D.

Allergy/

Immunology

License No: A38800

NPI: 1033121249

27141 Hidaway Ave. # 204

Canyon Country, CA 91351

1922 023441

(661) 298-1491

Prov Language: Hebrew, Spanish

Office Staff Language

#

: Armenian, Russian,

Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 845: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 845

HCP IPA - San Fernando Valley PPG 1922

Specialists

Sp

ec

ialists

845

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Encino Specialty/

Specialists PPG/Phy #

aasd

Goss, Jeffrey D., DPM

Podiatry

License No: E2510

NPI: 1912902792

16311 Ventura Blvd. # 630

4

Encino, CA 91436

1922 028310

(818) 995-3039

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Granada Hills Specialty/

Specialists PPG/Phy #

aasd

Mehta, Kalyani N., M.D.

Nephrology

1

License No: A89911

NPI: 1699899724

10605 Balboa Blvd. # 240

4

Granada Hills, CA 91344

5233 172362

(818) 366-4626

Prov Language: Gujarati, Hindi

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Granada Hills Specialty/

Specialists PPG/Phy #

aasd

Naltsas, Steven, M.D.

Dermatology

License No: C37351

NPI: 1770505299

10515 Balboa Blvd. # 250

4

Granada Hills, CA 91344

1922 046583

(818) 368-5175

Prov Language: Greek

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Offenberger, Jacob, M.D.

Allergy/

Immunology

License No: A38800

NPI: 1033121249

10515 Balboa Blvd. # 390

4

Granada Hills, CA 91344

1922 023441

(818) 366-8112

Prov Language: Hebrew, Spanish

Office Staff Language

#

: German, Hebrew,

Italian, Spanish

Accessibility:*:

Hours: M-F 8 AM - 1 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 846: 2018 Provider and Pharmacy Directory

846 / www.healthnet.com/calmediconnect

HCP IPA - San Fernando Valley PPG 1922

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Lancaster Specialty/

Specialists PPG/Phy #

aasd

Devore, Greggory R., M.D.

Maternal & Fetal

Medicine

1

License No: G44446

NPI: 1851305312

44241 15th St. West # 205

Lancaster, CA 93534

1922 074586

(800) 360-3984

Prov Language: French, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-TH 8 AM - 5 PM, F 8 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Fass, Arthur H., DPM

Podiatry

1

License No: E2475

NPI: 1508965286

1672 W. Ave. J # 201

Lancaster, CA 93534

1922 004808

(818) 701-5088

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Marr, Stephanie T., D.O.

Obstetrics/

Gynecology

License No: 20A15362

NPI: 1750726899

11600 Indian Hills Rd.

4

Mission Hills, CA 91345

5233 240464

(818) 838-4500

Prov Language: Cantonese

Office Staff Language

#

:

Accessibility:*: Limited(P,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Marr, Stephanie T., D.O.

Obstetrics/

Gynecology

License No: 20A15362

NPI: 1750726899

11600 Indian Hills Rd.

4

Mission Hills, CA 91345

1922 240464

(818) 838-4500

Prov Language: Cantonese

Office Staff Language

#

:

Accessibility:*: Limited(P,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Page 847: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 847

HCP IPA - San Fernando Valley PPG 1922

Specialists

Sp

ec

ialists

847

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Potruch, Michael L., M.D.

Obstetrics/

Gynecology

1

License No: G70733

NPI: 1013977768

11600 Indian Hills Rd.

4

Mission Hills, CA 91345

1922 028255

(818) 838-4535

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,IB,R,E)

Hours: M-W,F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Rauchman, Steven H., M.D.

Ophthalmology

1

License No: G54533

NPI: 1497707384

11550 Indian Hills Rd. # 341

4

Mission Hills, CA 91345

1922 522124

(818) 365-0606

Prov Language: Spanish

Office Staff Language

#

: French, Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Rivera, Claudio A., M.D.

Gastroenterology

License No: A123409

NPI: 1144594045

11600 Indian Hills Rd.

4

Mission Hills, CA 91345

5233 240950

(818) 838-4500

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Rivera, Claudio A., M.D.

Gastroenterology

License No: A123409

NPI: 1144594045

11600 Indian Hills Rd.

4

Mission Hills, CA 91345

1922 240950

(818) 838-4500

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Page 848: 2018 Provider and Pharmacy Directory

848 / www.healthnet.com/calmediconnect

HCP IPA - San Fernando Valley PPG 1922

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Newhall Specialty/

Specialists PPG/Phy #

aasd

Mehta, Kalyani N., M.D.

Nephrology

1

License No: A89911

NPI: 1699899724

23928 Lyons Ave. # 205

Newhall, CA 91321

5233 172362

(661) 254-0193

Prov Language: Gujarati, Hindi

Office Staff Language

#

: Hindi

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Specialists PPG/Phy #

aasd

Barakat, Sawssan N., M.D.

Endocrinology

1

License No: A43624

NPI: 1811928484

18350 Roscoe Blvd. # 300

4

Northridge, CA 91325

1922 045023

(818) 717-3021

Prov Language: Arabic

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-TH 8 AM - 4 PM, F 8 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Elias, Zouheir H., M.D.

Cardiology/

Cardiovascular

Disease

1

License No: A33856

NPI: 1962460501

18350 Roscoe Blvd. # 401

4

Northridge, CA 91325

5233 541158

(818) 734-4888

Prov Language: Arabic, French

Office Staff Language

#

: Spanish

Accessibility:*: Limited(IB,R,E)

Hours: S-SA 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 849: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 849

HCP IPA - San Fernando Valley PPG 1922

Specialists

Sp

ec

ialists

849

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Specialists PPG/Phy #

Elias, Zouheir H., M.D.

Interventional

Cardiology

1

License No: A33856

NPI: 1962460501

18350 Roscoe Blvd. # 401

4

Northridge, CA 91325

5233 541158

(818) 734-4888

Prov Language: Arabic, French

Office Staff Language

#

: Spanish

Accessibility:*: Limited(IB,R,E)

Hours: S-SA 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Fass, Arthur H., DPM

Podiatry

1

License No: E2475

NPI: 1508965286

18250 Roscoe Blvd. # 125

4

Northridge, CA 91325

1922 004808

(818) 701-5088

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Specialists PPG/Phy #

aasd

Greenstadt, Mark A., M.D.

Endocrinology

1

License No: G35141

NPI: 1861424418

18350 Roscoe Blvd. # 300

4

Northridge, CA 91325

1922 050597

(818) 717-3021

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: F 9 AM - 12 PM, M-TH 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Levy, Leslie G., DPM

Podiatry

1

License No: E2448

NPI: 1699700518

9535 Reseda Blvd. # 109

4

Northridge, CA 91324

1922 540349

(818) 341-4292

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: TU,TH 8:30 AM - 5 PM, M,W,F 8:30 AM

- 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 850: 2018 Provider and Pharmacy Directory

850 / www.healthnet.com/calmediconnect

HCP IPA - San Fernando Valley PPG 1922

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Specialists PPG/Phy #

aasd

Lunchick, Eric J., O.D.

Optometrist

License No: OPT7837

NPI: 1003928318

8956 Corbin Ave.

4

Northridge, CA 91324

1922 048856

(818) 885-1954

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: SA 10 AM - 3 PM, M-F 8:30 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Patak, Ramachandra V.,

M.D.

Nephrology

License No: C39711

NPI: 1144218488

18531 Roscoe Blvd. # 206

4

Northridge, CA 91324

1922 520624

(818) 993-5600

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Specialists PPG/Phy #

aasd

Patel, Kalpesh S., M.D.

Nephrology

1

License No: A101127

NPI: 1902099146

17075 Devonshire St. # 303

Northridge, CA 91325

5233 200434

(818) 448-1840

Prov Language: Gujarati, Hindi, Spanish

Office Staff Language

#

: Arabic, Armenian,

Hebrew, Sign Language, Spanish, Tagalog

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Potruch, Michael L., M.D.

Obstetrics/

Gynecology

1

License No: G70733

NPI: 1013977768

18546 Roscoe Blvd. # 300

4

Northridge, CA 91324

1922 028255

(818) 886-4028

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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www.healthnet.com/calmediconnect / 851

HCP IPA - San Fernando Valley PPG 1922

Specialists

Sp

ec

ialists

851

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Specialists PPG/Phy #

aasd

Soltero, Michael J., M.D.

Thoracic Surgery

1

License No: G40042

NPI: 1437180023

18350 Roscoe Blvd. # 201

4

Northridge, CA 91325

1922 016229

(818) 993-4471

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Stotland, Mira, M.D.

Dermatology

1

License No: A118635

NPI: 1104023837

18546 Roscoe Blvd. # 300

4

Northridge, CA 91324

5233 198789

(818) 886-4028

Prov Language: Armenian, French

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Northridge Specialty/

Specialists PPG/Phy #

aasd

Taban, Asher H., M.D.

Neurosurgery

License No: A30808

NPI: 1588619357

18350 Roscoe Blvd. # 304

4

Northridge, CA 91325

5233 016878

(818) 993-6063

Prov Language: Farsi

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Winston, Mark E., O.D.

Optometrist

License No: OPT7679

NPI: 1548232010

9153 Reseda Blvd.

4

Northridge, CA 91324

1922 071771

(818) 701-0123

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 852: 2018 Provider and Pharmacy Directory

852 / www.healthnet.com/calmediconnect

HCP IPA - San Fernando Valley PPG 1922

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Specialists PPG/Phy #

aasd

Yasuda, Roderick K., M.D.

Thoracic Surgery

License No: G54353

NPI: 1518997527

18350 Roscoe Blvd. # 201

4

Northridge, CA 91325

1922 018845

(818) 993-4471

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Palmdale Specialty/

Specialists PPG/Phy #

aasd

Sobeck, Gregg R., M.D.

Orthopedic

Surgery

1

License No: A68256

NPI: 1417912270

38660 Medical Center Dr. # A250

Palmdale, CA 93551

1922 078632

(661) 267-7777

Prov Language: Farsi, Portuguese, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sobeck, Gregg R., M.D.

Orthopedic

Surgery

1

License No: A68256

NPI: 1417912270

38660 Medical Center Dr. # A250

Palmdale, CA 93551

5233 078632

(661) 267-7777

Prov Language: Farsi, Portuguese, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP IPA - San Fernando Valley PPG 1922

Specialists

Sp

ec

ialists

853

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Devore, Greggory R., M.D.

Maternal & Fetal

Medicine

1

License No: G44446

NPI: 1851305312

50 Alessandro Pl. # 330

Pasadena, CA 91105

1922 074586

(626) 583-8911

Prov Language: French, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: F 8 AM - 12 PM, M-TH 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sherman Oaks Specialty/

Specialists PPG/Phy #

aasd

Anwar, Muhammad, M.D.

2

Pulmonary

Medicine

License No: A63134

NPI: 1497769145

4955 Van Nuys Blvd. # 502

4

Sherman Oaks, CA 91403

1922 068940

(818) 325-0200

Prov Language: Arabic, Spanish, Urdu

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 854: 2018 Provider and Pharmacy Directory

854 / www.healthnet.com/calmediconnect

HCP IPA - San Fernando Valley PPG 1922

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sherman Oaks Specialty/

Specialists PPG/Phy #

aasd

Sobeck, Gregg R., M.D.

Orthopedic

Surgery

1

License No: A68256

NPI: 1417912270

4955 Van Nuys Blvd. # 615

4

Sherman Oaks, CA 91403

5233 078632

(818) 905-2222

Prov Language: Farsi, Portuguese, Spanish

Office Staff Language

#

:

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sherman Oaks Specialty/

Specialists PPG/Phy #

Sobeck, Gregg R., M.D.

Orthopedic

Surgery

1

License No: A68256

NPI: 1417912270

4955 Van Nuys Blvd. # 615

4

Sherman Oaks, CA 91403

1922 078632

(818) 905-2222

Prov Language: Farsi, Portuguese, Spanish

Office Staff Language

#

:

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 855: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 855

HCP IPA - San Fernando Valley PPG 1922

Specialists

Sp

ec

ialists

855

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Stevenson Ranch Specialty/

Specialists PPG/Phy #

aasd

Winston, Mark E., O.D.

Optometrist

License No: OPT7679

NPI: 1548232010

25834 The Old Rd.

Stevenson Ranch, CA 91381

1922 071771

(661) 259-3300

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Tarzana Specialty/

Specialists PPG/Phy #

aasd

Devore, Greggory R., M.D.

Maternal & Fetal

Medicine

1

License No: G44446

NPI: 1851305312

5525 Etiwanda Ave. # 313

4

Tarzana, CA 91356

1922 074586

(626) 583-8911

Prov Language: French, Spanish

Office Staff Language

#

: French, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Roesler, John M., M.D.

Otolaryngology

(ENT)

1

License No: A72319

NPI: 1124037635

5525 Etiwanda Ave. # 322

4

Tarzana, CA 91356

1922 108766

(818) 609-7200

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 856: 2018 Provider and Pharmacy Directory

856 / www.healthnet.com/calmediconnect

HCP IPA - San Fernando Valley PPG 1922

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Specialists PPG/Phy #

aasd

Levy, Leslie G., DPM

Podiatry

1

License No: E2448

NPI: 1699700518

23501 Cinema Dr. # 209

Valencia, CA 91355

1922 540349

(661) 254-0795

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Liker, Mark A., M.D.

Neurology

1

License No: A62368

NPI: 1407806292

25751 Mcbean Pkwy. # 305

Valencia, CA 91355

1922 109558

(661) 799-2542

Prov Language: Farsi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Specialists PPG/Phy #

aasd

Tang, Ronald, D.O.

Hematology/

Oncology

License No: 20A11008

NPI: 1609022383

6850 Sepulveda Blvd. # 211

4

Van Nuys, CA 91405

1922 215306

(818) 782-4104

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB,IB,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Tang, Ronald, D.O.

Hematology/

Oncology

License No: 20A11008

NPI: 1609022383

6850 Sepulveda Blvd. # 211

4

Van Nuys, CA 91405

5233 215306

(818) 782-4104

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB,IB,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 857: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 857

HCP IPA - San Fernando Valley PPG 1922

Specialists

Sp

ec

ialists

857

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Specialists PPG/Phy #

aasd

Thompson, Jotika P., M.D.

Hematology/

Oncology

1

License No: C146990

NPI: 1265626360

15211 Vanowen St. # 201

Van Nuys, CA 91405

1922 238204

(818) 574-3798

Prov Language: French

Office Staff Language

#

: Hindi, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Thompson, Jotika P., M.D.

Hematology/

Oncology

1

License No: C146990

NPI: 1265626360

15211 Vanowen St. # 201

Van Nuys, CA 91405

5233 238204

(818) 574-3798

Prov Language: French

Office Staff Language

#

: Hindi, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Van Nuys Specialty/

Specialists PPG/Phy #

aasd

Vasan, Sheila, M.D.

Hematology/

Oncology

License No: A106086

NPI: 1487846416

6250 Sepulveda Blvd. # 211

Van Nuys, CA 91411

5233 198194

(818) 782-4104

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Vasan, Sheila, M.D.

Hematology/

Oncology

License No: A106086

NPI: 1487846416

6250 Sepulveda Blvd. # 211

Van Nuys, CA 91411

1922 198194

(818) 782-4104

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 858: 2018 Provider and Pharmacy Directory

858 / www.healthnet.com/calmediconnect

HCP IPA - San Fernando Valley PPG 1922

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

West Hills Specialty/

Specialists PPG/Phy #

aasd

Amerian, Roger, M.D.

Pulmonary

Medicine

License No: G33671

NPI: 1033105614

7320 Woodlake Ave. # 200

West Hills, CA 91307

1922 500306

(818) 716-6446

Office Staff Language

#

:

Accessibility:*:

Hours: TU-TH 9 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Amerian, Roger, M.D.

Pulmonary

Medicine

License No: G33671

NPI: 1033105614

7320 Woodlake Ave. # 290

4

West Hills, CA 91307

1922 500306

(818) 716-6446

Office Staff Language

#

: Farsi

Accessibility:*:

Hours: TU-TH 9 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

West Hills Specialty/

Specialists PPG/Phy #

aasd

Bhagia, Umesh T., M.D.

Orthopedic

Surgery

1

License No: A80509

NPI: 1568468528

7230 Medical Center Dr. # 604

West Hills, CA 91307

1922 103820

(818) 657-5640

Office Staff Language

#

:

Accessibility:*:

Hours: TU-TH 9 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Blau, Jonathan M., M.D.

Orthopedic

Surgery

License No: A141061

NPI: 1396066619

7230 Medical Center Dr. # 604

West Hills, CA 91307

5233 221789

(818) 657-5640

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Page 859: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 859

HCP IPA - San Fernando Valley PPG 1922

Specialists

Sp

ec

ialists

859

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

West Hills Specialty/

Specialists PPG/Phy #

aasd

Fields, Robert H., M.D.

Orthopedic

Surgery

1

License No: G56960

NPI: 1568465334

7301 Medical Center Dr. # 400

4

West Hills, CA 91307

5233 041136

(818) 264-3344

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Fox, James M., M.D.

Orthopedic

Surgery

1

License No: G22396

NPI: 1043310683

7301 Medical Center Dr. # 400

4

West Hills, CA 91307

5233 520877

(818) 264-3344

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

West Hills Specialty/

Specialists PPG/Phy #

aasd

Karlin, Jamshyd D., M.D.

Ophthalmology

1

License No: G33163

NPI: 1003880261

7301 Medical Center Dr. # 410

4

West Hills, CA 91307

1922 540948

(818) 340-9960

Prov Language: Farsi

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-W 8:30 AM - 6 PM, F 8:30 AM - 3:30

PM, TH 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 860: 2018 Provider and Pharmacy Directory

860 / www.healthnet.com/calmediconnect

HCP IPA - San Fernando Valley PPG 1922

Specialists

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

West Hills Specialty/

Specialists PPG/Phy #

aasd

Ohanian-Goncuian, Biana

L., O.D.

Optometrist

License No: OPT9955

NPI: 1427143817

7301 Medical Center Dr. # 410

4

West Hills, CA 91307

1922 100782

(818) 340-9960

Prov Language: Armenian, Turkish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-TH 8:30 AM - 5:30 PM, F 8 AM - 3:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 861: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 861

Specialists

Sp

ec

ialists

861

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

HCP Med Grp - Los Angeles

PPG 829

1120 W Washington Blvd

Los Angeles, CA 90015-3316

(213) 623-2225

Urgent Care:

Healthcare Partners UCC (213) 861-5950

929 S. Georgia St.

Los Angeles, CA 90015

Hospitals Used:

California Hospital Medical Center

Glendale Adventist Medical Center

Glendale Memorial Hospital and Health Center

Good Samaritan Hospital

Greater El Monte Community Hospital

Monterey Park Hospital

San Gabriel Valley Medical Center

St. Vincent Medical Center

White Memorial Medical Center

Arroyo Seco Med Grp, Div of HCP (PPG

5159)

301 S. Fair Oaks Ave. Ste 300

Pasadena, CA 91105-2562

(626) 795-7556

Urgent Care:

Healthcare Partners (626) 795-2244

797 S. Fair Oaks Ave.

Pasadena CA 91105

Hospitals Used:

Glendale Adventist Medical Center

Methodist Hospital of Southern California

San Gabriel Valley Medical Center

USC Verdugo Hills Hospital LLC

HCP IPA - Los Angeles County (PPG 1905)

2175 Park Pl.

El Segundo, CA 90245-4705

(800) 403-4160

Urgent Care:

Healthcare Partners UCC (213) 861-5950

Hospitals Used:

California Hospital Medical Center

Glendale Adventist Medical Center

Glendale Memorial Hospital and Health Center

Good Samaritan Hospital

Monterey Park Hospital

Page 862: 2018 Provider and Pharmacy Directory

862 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

San Gabriel Valley Medical Center

St. Vincent Medical Center

White Memorial Medical Center

HCP Med Grp - Alhambra (PPG 859)

55 S. Raymond Ave. Ste 200

Alhambra, CA 91801-7103

(626) 570-8005

Urgent Care:

Healthcare Partners UCC (626) 795-2244

797 S. Fair Oaks Ave.

Pasadena, CA 91105

Hospitals Used:

Glendale Adventist Medical Center

Methodist Hospital of Southern California

San Gabriel Valley Medical Center

USC Verdugo Hills Hospital LLC

HCP Med Grp - Arcadia (PPG 1520)

450 E. Huntington Dr.

Arcadia, CA 91006-3748

(626) 462-1884

Urgent Care:

Healthcare Partners UCC (626) 795-2244

797 S. Fair Oaks Ave.

Pasadena CA 91105

Hospitals Used:

Glendale Adventist Medical Center

Methodist Hospital of Southern California

San Gabriel Valley Medical Center

USC Verdugo Hills Hospital LLC

HCP Med Grp - East LA (PPG 1346)

3800 E. First St.

Los Angeles, CA 90063-3602

(323) 261-7520

Urgent Care:

Healthcare Partners UCC (213) 861-5950

929 S. Georgia St.

Los Angeles, CA 90015

Hospitals Used:

California Hospital Medical Center

Glendale Adventist Medical Center

Glendale Memorial Hospital and Health Center

Good Samaritan Hospital

Monterey Park Hospital

San Gabriel Valley Medical Center

St. Vincent Medical Center

Whittier Hospital Medical Center

Page 863: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 863

HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

863

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

HCP Med Grp - Glen Oaks (PPG 1846)

988 S. Fair Oaks Ave.

Pasadena, CA 91105-2626

(626) 799-4194

Urgent Care:

Healthcare Partners UCC (626) 795-2244

Hospitals Used:

Glendale Adventist Medical Center

Methodist Hospital of Southern California

San Gabriel Valley Medical Center

USC Verdugo Hills Hospital LLC

HCP Med Grp - Glendale (PPG 828)

225 West Broadway Ste. 100

Glendale, CA 91204-1393

(818) 545-7117

Urgent Care:

Healthcare Partners UCC (213) 861-5950

929 S. Georgia St.

Los Angeles CA 90015

Hospitals Used:

Glendale Adventist Medical Center

Glendale Memorial Hospital and Health Center

Good Samaritan Hospital

San Gabriel Valley Medical Center

St. Vincent Medical Center

White Memorial Medical Center

HCP Med Grp - Glendora (PPG 862)

2025 E. Route 66

Glendora, CA 91740-4670

(626) 335-4610

Urgent Care:

Healthcare Partners UCC

(626) 857-2580

1365 S. Grand Ave.

Glendora, CA 91740

Hospitals Used:

Foothill Presbyterian Hospital - Morris L.

Johnston Memorial

Glendale Adventist Medical Center

Methodist Hospital of Southern California

San Gabriel Valley Medical Center

USC Verdugo Hills Hospital LLC

Page 864: 2018 Provider and Pharmacy Directory

864 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

HCP Med Grp - Huntington Park (PPG 1025)

2750 E. Slauson Ave.

Huntington Park, CA 90255-3063

(323) 582-1863

Urgent Care:

HEALTHCARE PARTNERS UCC:

213-861-5950

929 S. Georgia St.

Los Angeles CA 90015

Hospitals Used:

California Hospital Medical Center

Glendale Adventist Medical Center

Glendale Memorial Hospital and Health Center

Good Samaritan Hospital

Monterey Park Hospital

San Gabriel Valley Medical Center

St. Vincent Medical Center

White Memorial Medical Center

HCP Med Grp - Mission Hills (PPG 1923)

11600 Indian Hills Rd.

Mission Hills, CA 91345-1225

(818) 838-4500

Urgent Care Center

Healthcare Partners UCC (818) 838-4500

Hospitals Used:

Providence Holy Cross Medical Center

Valley Presbyterian Hospital

HCP Med Grp - Monrovia (PPG 861)

831 E. Huntington Dr. Ste 101

Monrovia, CA 91016-6423

(626) 358-0269

Urgent Care

Healthcare Partners UCC (626) 795-2244

797 S. Fair Oaks Ave.

Pasadena CA 91105

Hospitals Used:

Glendale Adventist Medical Center

Methodist Hospital of Southern California

San Gabriel Valley Medical Center

USC Verdugo Hills Hospital LLC

HCP Med Grp - Montebello (PPG 830)

2601 Via Campo

Montebello, CA 90640-1807

(323) 720-1144

Urgent Care:

Healthcare Partners UCC (323) 720-1144

2903 Via Campo

Montebello CA 90640

Page 865: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 865

HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

865

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Hospitals Used:

California Hospital Medical Center

Glendale Adventist Medical Center

Glendale Memorial Hospital and Health Center

Good Samaritan Hospital

Greater El Monte Community Hospital

Monterey Park Hospital

San Gabriel Valley Medical Center

St. Vincent Medical Center

White Memorial Medical Center

HCP Med Grp - Monterey Park (PPG 1023)

880 S. Atlantic Blvd. Ste 101

Monterey Park, CA 91754-4772

(626) 281-6969

Urgent Care:

Healthcare Partners UCC (323) 720-1144

2903 Via Campo

Montebello CA 90640

Hospitals Used:

California Hospital Medical Center

Glendale Adventist Medical Center

Glendale Memorial Hospital and Health Center

Good Samaritan Hospital

Monterey Park Hospital

San Gabriel Valley Medical Center

St. Vincent Medical Center

White Memorial Medical Center

HCP Med Grp - Pasadena (PPG 863)

675 Arroyo Pkwy.

Pasadena, CA 91105-3263

(626) 585-4120

Urgent Care:

Healthcare Partners UCC (626) 795-2244

797 S. Fair Oaks Ave.

Pasadena CA 91105

Hospitals Used:

Glendale Adventist Medical Center

Methodist Hospital of Southern California

San Gabriel Valley Medical Center

USC Verdugo Hills Hospital LLC

HCP Med Grp - Van Nuys (PPG 1924)

14600 Sherman Way Ste 300

Van Nuys, CA 91405-2272

(818) 781-7097

Urgent Care

Healthcare Partners UCC (818) 838-4500

11600 Indian Hills Rd. #100

Mission Hills CA 91345

Hospitals Used:

Providence Holy Cross Medical Center

Valley Presbyterian Hospital

Page 866: 2018 Provider and Pharmacy Directory

866 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

HCP Med Grp - West Hills (PPG 1925)

7301 Medical Center Dr. Ste 500

Canoga Park, CA 91307-4101

(818) 226-3666

Urgent Care:

Healthcare Partners UCC (818) 341-1540

Hospitals Used:

Providence Holy Cross Medical Center

Valley Presbyterian Hospital

Healthcare Partners - Valencia (PPG 5153)

23501 Cinema Dr Ste 100

Valencia, CA 91355-5429

(661) 367-9200

Urgent Care:

Healthcare Partners UCC (818) 341-1540

18433 Roscoe Blvd #206

Northridge CA 91325

Hospitals Used:

Providence Holy Cross Medical Center

Valley Presbyterian Hospital

HealthCare Partners IPA - Glendale (PPG

1904)

2175 Park Pl.

El Segundo, CA 90245-4705

(800) 403-4160

Urgent Care:

Healthcare Partners UCC (213) 861-5950

Hospitals Used:

California Hospital Medical Center

Glendale Adventist Medical Center

Glendale Memorial Hospital and Health Center

Good Samaritan Hospital

Monterey Park Hospital

San Gabriel Valley Medical Center

St. Vincent Medical Center

White Memorial Medical Center

HealthCare Partners IPA - Montebello (PPG

1907)

2175 Park Pl.

El Segundo, CA 90245-4705

(800) 403-4160

Urgent Care:

Healthcare Partners UCC (323) 720-1114

Hospitals Used:

California Hospital Medical Center

Page 867: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 867

HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

867

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Glendale Adventist Medical Center

Glendale Memorial Hospital and Health Center

Good Samaritan Hospital

Monterey Park Hospital

San Gabriel Valley Medical Center

St. Vincent Medical Center

White Memorial Medical Center

Agoura Hills Specialty/

Specialists PPG/Phy #

aasd

Barkodar, Leon, M.D.

Nephrology

1

License No: A120910

NPI: 1760700496

29525 Canwood St. # 202

4

Agoura Hills, CA 91301

1925 209980

(818) 593-2191

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Canyon Country Specialty/

Specialists PPG/Phy #

aasd

Kechichian, Aram H., D.O.

Family Practice

License No: 20A8307

NPI: 1841241486

27141 Hidaway Ave. # 104

4

Canyon Country, CA 91351

1923 101553

(661) 299-6900

Prov Language: Arabic, French

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,IB,E)

Hours: M-F 8 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Encino Specialty/

Specialists PPG/Phy #

aasd

Gravely, Lance E., M.D.

Neurosurgery

1

License No: A87871

NPI: 1538228135

16661 Ventura Blvd. # 506

4

Encino, CA 91436

1346 149942

(323) 221-1302

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 868: 2018 Provider and Pharmacy Directory

868 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Encino Specialty/

Specialists PPG/Phy #

aasd

Gregson, Aric L., M.D.

Infectious Disease

1

License No: A68156

NPI: 1588683007

16133 Ventura Blvd. # 360

4

Encino, CA 91436

1904 129761

(818) 986-6009

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Gregson, Aric L., M.D.

Infectious Disease

1

License No: A68156

NPI: 1588683007

16133 Ventura Blvd. # 360

4

Encino, CA 91436

0828 129761

(818) 986-6009

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Encino Specialty/

Specialists PPG/Phy #

aasd

Sinha, Abhishek, M.D.

Cardiology/

Cardiovascular

Disease

License No: A116939

NPI: 1902971567

16542 Ventura Blvd. # 402

4

Encino, CA 91436

1923 161517

(818) 782-5041

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: F 8:30 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 869: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 869

HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

869

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Granada Hills Specialty/

Specialists PPG/Phy #

aasd

Assomull, Vinod M., M.D.

Nephrology

1

License No: A31336

NPI: 1982619359

10605 Balboa Blvd. # 240

4

Granada Hills, CA 91344

1923 500586

(818) 366-4626

Prov Language: Hindi, Punjabi

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Ayuste, Brian B., M.D.

Nephrology

1

License No: A99851

NPI: 1104003458

10605 Balboa Blvd. # 240

4

Granada Hills, CA 91344

1923 195150

(818) 366-4626

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Granada Hills Specialty/

Specialists PPG/Phy #

aasd

Desai, Anant J., M.D.

Nephrology

1

License No: A72186

NPI: 1871500389

10605 Balboa Blvd. # 240

4

Granada Hills, CA 91344

1923 088853

(818) 366-4626

Prov Language: Gujarati, Hindi

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Mehta, Kalyani N., M.D.

2

Nephrology

1

License No: A89911

NPI: 1699899724

10605 Balboa Blvd. # 240

4

Granada Hills, CA 91344

1923 172362

(818) 366-4626

Prov Language: Gujarati, Hindi

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 870: 2018 Provider and Pharmacy Directory

870 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Granada Hills Specialty/

Specialists PPG/Phy #

aasd

Moghimi, Robert B., M.D.

Gastroenterology

1

License No: A94790

NPI: 1184679664

10515 Balboa Blvd. # 380

4

Granada Hills, CA 91344

1923 132915

(818) 363-7120

Office Staff Language

#

: Farsi, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Naltsas, Steven, M.D.

Dermatology

License No: C37351

NPI: 1770505299

10515 Balboa Blvd. # 250

4

Granada Hills, CA 91344

1923 046583

(818) 368-5175

Prov Language: Greek

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

La Canada Specialty/

Specialists PPG/Phy #

aasd

Gupta, Satish S., M.D.

Allergy/

Immunology

1

License No: A29545

NPI: 1649287004

2258 Foothill Blvd # 100

La Canada, CA 91011

0828 006551

(818) 249-7200

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 871: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 871

HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

871

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Lancaster Specialty/

Specialists PPG/Phy #

aasd

Anthony, Vincent L., M.D.

Nephrology

1

License No: A96566

NPI: 1396851903

1600 W. Avenue J

Lancaster, CA 93534

1905 161166

(661) 949-5000

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Chen, Emery L., M.D.

General Surgery

1

License No: A82839

NPI: 1922201763

1658 W. Ave. J

Lancaster, CA 93534

1923 139788

(661) 942-6565

Prov Language: Mandarin

Office Staff Language

#

: Mandarin, Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Lancaster Specialty/

Specialists PPG/Phy #

aasd

Devore, Greggory R., M.D.

Maternal & Fetal

Medicine

1

License No: G44446

NPI: 1851305312

44241 15th St. West # 205

Lancaster, CA 93534

0863 074586

(800) 360-3984

Prov Language: French, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-TH 8 AM - 5 PM, F 8 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Devore, Greggory R., M.D.

Maternal & Fetal

Medicine

1

License No: G44446

NPI: 1851305312

44241 15th St. West # 205

Lancaster, CA 93534

5159 074586

(800) 360-3984

Prov Language: French, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-TH 8 AM - 5 PM, F 8 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 872: 2018 Provider and Pharmacy Directory

872 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Lancaster Specialty/

Specialists PPG/Phy #

Devore, Greggory R., M.D.

Maternal & Fetal

Medicine

1

License No: G44446

NPI: 1851305312

44241 15th St. West # 205

Lancaster, CA 93534

1923 074586

(800) 360-3984

Prov Language: French, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-TH 8 AM - 5 PM, F 8 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Madhavan, Sethu V., M.D.

Gastroenterology

1

License No: A38104

NPI: 1194732230

867 W. Lancaster Blvd.

Lancaster, CA 93534

1923 021335

(661) 945-7181

Prov Language: Hindi, Kannada, Tamil

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Lancaster Specialty/

Specialists PPG/Phy #

aasd

Shanmugam, Vijay, M.D.

Neurology

1

License No: A66787

NPI: 1174576839

44215 15th St. West # 204

Lancaster, CA 93534

1925 070108

(661) 726-9220

Prov Language: Spanish, Tamil

Office Staff Language

#

:

Accessibility:*:

Hours: W-F 8 AM - 5 PM, TU 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 873: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 873

HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

873

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Gabrielian, Anna, M.D.

Ophthalmology

1

License No: A124559

NPI: 1659528602

5449 Hollywood Blvd. # B

4

Los Angeles, CA 90027

1923 208588

(323) 871-1777

Prov Language: Armenian, Russian, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Gabrielian, Karine, M.D.

Ophthalmology

License No: A66613

NPI: 1740388982

5449 Hollywood Blvd. # B

4

Los Angeles, CA 90027

0829 089528

(323) 871-1777

Prov Language: Armenian, Farsi, Russian,

Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Specialists PPG/Phy #

Gabrielian, Karine, M.D.

Ophthalmology

License No: A66613

NPI: 1740388982

5449 Hollywood Blvd. # B

4

Los Angeles, CA 90027

1923 089528

(323) 871-1777

Prov Language: Armenian, Farsi, Russian,

Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Hauptschein, Martin, M.D.

Geriatrics

1

License No: G46619

NPI: 1083733695

2101 Hillhurst Ave.

4

Los Angeles, CA 90027

1904 007002

(323) 664-2931

Prov Language: Spanish

Office Staff Language

#

: Arabic, Armenian,

Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 874: 2018 Provider and Pharmacy Directory

874 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Hovanesian, Haroutun H.,

M.D.

Ophthalmology

1

License No: A67565

NPI: 1154341626

5449 Hollywood Blvd. # B

4

Los Angeles, CA 90027

0829 078678

(323) 871-1777

Prov Language: Armenian, Russian, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 6 PM, SA 9 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Hovanesian, Haroutun H.,

M.D.

Ophthalmology

1

License No: A67565

NPI: 1154341626

5449 Hollywood Blvd. # B

4

Los Angeles, CA 90027

1923 078678

(323) 871-1777

Prov Language: Armenian, Russian, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 6 PM, SA 9 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Kang, John C., M.D.

General Surgery

1

License No: A84086

NPI: 1669531463

1300 N. Vermont Ave. 1st Fl.

4

Los Angeles, CA 90027

0829 199084

(323) 913-4350

Prov Language: Korean, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Yoon, Steven J., M.D.

Ophthalmology

License No: A107383

NPI: 1215138110

5449 Hollywood Blvd. # B

4

Los Angeles, CA 90027

0829 153382

(323) 871-1777

Prov Language: Armenian, Russian, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

875

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Artola, Rosa T., D.O.

Rheumatology

License No: 20A14903

NPI: 1962848978

11600 Indian Hills Rd.

4

Mission Hills, CA 91345

1923 226580

(818) 838-4500

Office Staff Language

#

:

Accessibility:*: Limited(P,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Barry, Daniel C., DPM

Podiatry

License No: E3719

NPI: 1104877885

11600 Indian Hills Rd.

4

Mission Hills, CA 91345

1925 065940

(818) 838-4524

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Bittar, Tarek, M.D.

Orthopedic

Surgery

1

License No: A71373

NPI: 1902822760

11550 Indian Hills Rd. # 300

4

Mission Hills, CA 91345

1923 127522

(661) 253-3399

Prov Language: Arabic, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Brusil, Olga O., M.D.

Nephrology

1

License No: A75982

NPI: 1730275223

11600 Indian Hills Rd.

4

Mission Hills, CA 91345

1923 228130

(818) 838-4500

Prov Language: Russian

Office Staff Language

#

:

Accessibility:*: Limited(P,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 876: 2018 Provider and Pharmacy Directory

876 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Chhablani, Rahul K., M.D.

Gastroenterology

1

License No: A106762

NPI: 1376799395

11550 Indian Hills Rd. # 381

4

Mission Hills, CA 91345

1923 164616

(818) 361-0917

Prov Language: Hindi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8:30 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Chuang, Tsu-Yi, M.D.

Dermatology

1

License No: C50711

NPI: 1942268149

11600 Indian Hills Rd.

4

Mission Hills, CA 91345

1923 131365

(818) 838-4500

Office Staff Language

#

:

Accessibility:*: Limited(P,IB,R,E)

Hours: M-F 8:30 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Dabel, Pascal, M.D.

Nephrology

1

License No: A131011

NPI: 1033306592

11550 Indian Hills Rd. # 371

4

Mission Hills, CA 91345

0829 205314

(818) 365-1194

Prov Language: French, Spanish

Office Staff Language

#

: Armenian, Cantonese,

Mandarin, Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Farid, Hany, M.D.

General Surgery

1

License No: G80565

NPI: 1215035415

11600 Indian Hills Rd. # 200A

Mission Hills, CA 91345

1923 067241

(818) 838-4500

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

877

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Ganjianpour, Ramin, M.D.

Orthopedic

Surgery

License No: A75503

NPI: 1447274782

11550 Indian Hills Rd. # 241

4

Mission Hills, CA 91345

1923 092769

(818) 361-0136

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Garabedian, Shahe K., M.D.

Cardiology/

Cardiovascular

Disease

License No: A103461

NPI: 1841313772

14901 Rinaldi St. # 110

4

Mission Hills, CA 91345

1923 167196

(818) 365-1335

Prov Language: Armenian, Spanish

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 878: 2018 Provider and Pharmacy Directory

878 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Grossman, Glenn M., M.D.

Obstetrics/

Gynecology

License No: G74125

NPI: 1063693000

11600 Indian Hills Rd.

4

Mission Hills, CA 91345

1925 045046

(818) 838-4535

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Grossman, Glenn M., M.D.

Obstetrics/

Gynecology

License No: G74125

NPI: 1063693000

11600 Indian Hills Rd.

4

Mission Hills, CA 91345

1923 045046

(818) 838-4535

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Kassabian, Garbis, M.D.

Critical Care

Medicine

1

License No: G79982

NPI: 1083692669

14901 Rinaldi St. # 305

4

Mission Hills, CA 91345

1923 074331

(818) 837-6830

Prov Language: Armenian, French, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Kassabian, Garbis, M.D.

Pulmonary

Medicine

1

License No: G79982

NPI: 1083692669

14901 Rinaldi St. # 305

4

Mission Hills, CA 91345

1923 074331

(818) 837-6830

Prov Language: Armenian, French, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 879: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 879

HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

879

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Lin, Rose H., M.D.

Endocrinology

1

License No: A90043

NPI: 1417975392

11600 Indian Hills Rd. # 200

4

Mission Hills, CA 91345

1904 155236

(818) 838-4524

Office Staff Language

#

:

Accessibility:*: Limited(EB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Lin, Rose H., M.D.

Endocrinology

1

License No: A90043

NPI: 1417975392

11600 Indian Hills Rd. # 200

4

Mission Hills, CA 91345

1925 155236

(818) 838-4524

Office Staff Language

#

:

Accessibility:*: Limited(EB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Lue, Peter C., M.D.

Family Practice

License No: A89644

NPI: 1174574404

11600 Indian Hills Rd.

4

Mission Hills, CA 91345

1923 130307

(818) 838-4554

Prov Language: Cantonese, Mandarin

Office Staff Language

#

:

Accessibility:*: Limited(P,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Marr, Stephanie T., D.O.

Obstetrics/

Gynecology

License No: 20A15362

NPI: 1750726899

11600 Indian Hills Rd.

4

Mission Hills, CA 91345

5153 240464

(818) 838-4500

Prov Language: Cantonese

Office Staff Language

#

:

Accessibility:*: Limited(P,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Page 880: 2018 Provider and Pharmacy Directory

880 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

Marr, Stephanie T., D.O.

Obstetrics/

Gynecology

License No: 20A15362

NPI: 1750726899

11600 Indian Hills Rd.

4

Mission Hills, CA 91345

1924 240464

(818) 838-4500

Prov Language: Cantonese

Office Staff Language

#

:

Accessibility:*: Limited(P,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Marr, Stephanie T., D.O.

Obstetrics/

Gynecology

License No: 20A15362

NPI: 1750726899

11600 Indian Hills Rd.

4

Mission Hills, CA 91345

1923 240464

(818) 838-4500

Prov Language: Cantonese

Office Staff Language

#

:

Accessibility:*: Limited(P,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

Marr, Stephanie T., D.O.

Obstetrics/

Gynecology

License No: 20A15362

NPI: 1750726899

11600 Indian Hills Rd.

4

Mission Hills, CA 91345

1025 240464

(818) 838-4500

Prov Language: Cantonese

Office Staff Language

#

:

Accessibility:*: Limited(P,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

aasd

Nangiana, Jasvinder S.,

M.D.

Neurosurgery

License No: A115268

NPI: 1104072545

11550 Indian Hills Rd. # 381

4

Mission Hills, CA 91345

1923 221735

(818) 361-0917

Prov Language: Hindi

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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www.healthnet.com/calmediconnect / 881

HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

881

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Osbourne, Audley L., M.D.

Urology

License No: C149950

NPI: 1992900062

11600 Indian Hills Rd.

4

Mission Hills, CA 91345

1923 236885

(818) 838-4500

Office Staff Language

#

:

Accessibility:*: Limited(P,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

aasd

Peress, Leo Y., M.D.

Obstetrics/

Gynecology

1

License No: A39492

NPI: 1932280591

11600 Indian Hills Rd.

4

Mission Hills, CA 91345

1923 013155

(818) 838-4535

Prov Language: Hebrew, Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Petersen, David J., M.D.

General Practice

License No: G60655

NPI: 1508932906

11600 Indian Hills Rd.

4

Mission Hills, CA 91345

1924 013229

(818) 838-4500

Office Staff Language

#

:

Accessibility:*: Limited(P,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Potruch, Michael L., M.D.

Obstetrics/

Gynecology

1

License No: G70733

NPI: 1013977768

11600 Indian Hills Rd.

4

Mission Hills, CA 91345

1925 028255

(818) 838-4535

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,IB,R,E)

Hours: M-W,F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 882: 2018 Provider and Pharmacy Directory

882 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

Potruch, Michael L., M.D.

Obstetrics/

Gynecology

1

License No: G70733

NPI: 1013977768

11600 Indian Hills Rd.

4

Mission Hills, CA 91345

1923 028255

(818) 838-4535

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,IB,R,E)

Hours: M-W,F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Rivera, Claudio A., M.D.

Gastroenterology

License No: A123409

NPI: 1144594045

11600 Indian Hills Rd.

4

Mission Hills, CA 91345

5153 240950

(818) 838-4500

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Sinha, Abhishek, M.D.

Cardiology/

Cardiovascular

Disease

License No: A116939

NPI: 1902971567

14901 Rinaldi St. # 110

4

Mission Hills, CA 91345

1923 161517

(818) 365-1339

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 883: 2018 Provider and Pharmacy Directory

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HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

883

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Smyth-Medina, Robert J.,

M.D.

Ophthalmology

1

License No: A48784

NPI: 1073565560

11550 Indian Hills Rd. # 341

4

Mission Hills, CA 91345

1923 048564

(818) 365-0606

Prov Language: French, Spanish

Office Staff Language

#

: French, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Spooler, Justin C., M.D.

Neurology

License No: A100848

NPI: 1962619924

11550 Indian Hills Rd. # 381

4

Mission Hills, CA 91345

1923 186325

(818) 361-0917

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Newhall Specialty/

Specialists PPG/Phy #

aasd

Assomull, Vinod M., M.D.

Nephrology

1

License No: A31336

NPI: 1982619359

23928 Lyons Ave. # 205

Newhall, CA 91321

1923 500586

(661) 254-0193

Prov Language: Hindi, Punjabi

Office Staff Language

#

: Hindi

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Ayuste, Brian B., M.D.

Nephrology

1

License No: A99851

NPI: 1104003458

23928 Lyons Ave. # 205

Newhall, CA 91321

1923 195150

(661) 254-0193

Office Staff Language

#

: Hindi

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 884: 2018 Provider and Pharmacy Directory

884 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Newhall Specialty/

Specialists PPG/Phy #

aasd

Desai, Anant J., M.D.

Nephrology

1

License No: A72186

NPI: 1871500389

23928 Lyons Ave. # 205

Newhall, CA 91321

1923 088853

(661) 254-0193

Prov Language: Gujarati, Hindi

Office Staff Language

#

: Hindi

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Mehta, Kalyani N., M.D.

2

Nephrology

1

License No: A89911

NPI: 1699899724

23928 Lyons Ave. # 205

Newhall, CA 91321

1923 172362

(661) 254-0193

Prov Language: Gujarati, Hindi

Office Staff Language

#

: Hindi

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Specialists PPG/Phy #

aasd

Barsoum, Noha R., M.D.

Nephrology

License No: A64657

NPI: 1053391185

12660 Riverside Dr. # 225

4

North Hollywood, CA 91607

0829 109292

(818) 487-0040

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Collins, Robert F., O.D.

Optometrist

License No: OPT4687

NPI: 1366522492

6765 Lankershim Blvd.

North Hollywood, CA 91606

1923 061021

(818) 982-0076

Prov Language: Farsi, Korean, Mandarin,

Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

885

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Specialists PPG/Phy #

aasd

Feldman, Richard J., M.D.

Orthopedic

Surgery

1

License No: G51661

NPI: 1194833202

10749 Riverside Dr.

4

North Hollywood, CA 91602

0829 004879

(818) 506-0999

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Glick, Jeffrey A., M.D.

Nephrology

1

License No: G58181

NPI: 1477533511

12660 Riverside Dr. # 225

4

North Hollywood, CA 91607

0828 024989

(818) 487-0040

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hollywood Specialty/

Specialists PPG/Phy #

Glick, Jeffrey A., M.D.

Nephrology

1

License No: G58181

NPI: 1477533511

12660 Riverside Dr. # 225

4

North Hollywood, CA 91607

0829 024989

(818) 487-0040

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Kasher, John A., M.D.

Gastroenterology

License No: A89366

NPI: 1285723304

12626 Riverside Dr.

North Hollywood, CA 91607

0829 157612

(818) 845-3773

Prov Language: Farsi

Office Staff Language

#

: Farsi, Hebrew, Russian

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 886: 2018 Provider and Pharmacy Directory

886 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hollywood Specialty/

Specialists PPG/Phy #

aasd

Korchek, Jeffrey I., M.D.

Orthopedic

Surgery

1

License No: G50547

NPI: 1669402228

10749 Riverside Dr.

4

North Hollywood, CA 91602

0829 009200

(818) 506-0999

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Specialists PPG/Phy #

aasd

Arimie, Raluca B., M.D.

Cardiology/

Cardiovascular

Disease

License No: A54502

NPI: 1295760395

18350 Roscoe Blvd. # 600

4

Northridge, CA 91325

1923 090710

(818) 710-8045

Prov Language: Romanian, Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 887: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 887

HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

887

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Specialists PPG/Phy #

Arimie, Raluca B., M.D.

Interventional

Cardiology

License No: A54502

NPI: 1295760395

18350 Roscoe Blvd. # 600

4

Northridge, CA 91325

1923 090710

(818) 710-8045

Prov Language: Romanian, Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Artola, Rosa T., D.O.

Rheumatology

License No: 20A14903

NPI: 1962848978

18546 Roscoe Blvd. # 300

4

Northridge, CA 91324

1923 226580

(818) 886-4028

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Specialists PPG/Phy #

aasd

Barakat, Sawssan N., M.D.

Endocrinology

1

License No: A43624

NPI: 1811928484

18350 Roscoe Blvd. # 300

4

Northridge, CA 91325

1924 045023

(818) 717-3021

Prov Language: Arabic

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-TH 8 AM - 4 PM, F 8 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Brusil, Olga O., M.D.

Nephrology

1

License No: A75982

NPI: 1730275223

18546 Roscoe Blvd. # 300

4

Northridge, CA 91324

1923 228130

(818) 886-4028

Prov Language: Russian

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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888 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Specialists PPG/Phy #

aasd

Buttelman, Christopher R.,

M.D.

Internal Medicine

1

License No: A47864

NPI: 1437128840

17075 Devonshire St. # 209

4

Northridge, CA 91325

1924 024965

(818) 832-7802

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Specialists PPG/Phy #

aasd

Fakheri, Saman, M.D.

Cardiology/

Cardiovascular

Disease

1

License No: A107753

NPI: 1790017218

17075 Devonshire St. # 201

4

Northridge, CA 91325

1923 207519

(818) 923-5453

Prov Language: Farsi, Spanish

Office Staff Language

#

: Farsi, Hungarian,

Spanish

Accessibility:*: Limited(EB,E)

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 889: 2018 Provider and Pharmacy Directory

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HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

889

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Specialists PPG/Phy #

aasd

Gandhi, Dayan K., M.D.

Nephrology

License No: A114933

NPI: 1285961789

18433 Roscoe Blvd. # 202

4

Northridge, CA 91325

1923 206073

(818) 349-1262

Prov Language: Hindi, Sindhi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Greenstadt, Mark A., M.D.

Endocrinology

1

License No: G35141

NPI: 1861424418

18350 Roscoe Blvd. # 300

4

Northridge, CA 91325

1924 050597

(818) 717-3021

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: F 9 AM - 12 PM, M-TH 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Specialists PPG/Phy #

aasd

Grossman, Glenn M., M.D.

Obstetrics/

Gynecology

License No: G74125

NPI: 1063693000

18546 Roscoe Blvd. # 300

4

Northridge, CA 91324

1923 045046

(818) 886-4028

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Grossman, Glenn M., M.D.

Obstetrics/

Gynecology

License No: G74125

NPI: 1063693000

18546 Roscoe Blvd. # 300

4

Northridge, CA 91324

1925 045046

(818) 886-4028

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 890: 2018 Provider and Pharmacy Directory

890 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Specialists PPG/Phy #

aasd

Lavian, Dana, DPM

Podiatry

License No: E4311

NPI: 1720010200

9535 Reseda Blvd. # 109

4

Northridge, CA 91324

1925 137340

(818) 341-4292

Prov Language: Hebrew

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Levy, Leslie G., DPM

Podiatry

1

License No: E2448

NPI: 1699700518

9535 Reseda Blvd. # 109

4

Northridge, CA 91324

1923 540349

(818) 341-4292

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: TU,TH 8:30 AM - 5 PM, M,W,F 8:30 AM

- 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Specialists PPG/Phy #

aasd

Liker, Mark A., M.D.

Neurology

1

License No: A62368

NPI: 1407806292

18350 Roscoe Blvd. # 405

4

Northridge, CA 91325

1923 109558

(747) 206-5424

Prov Language: Farsi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Lobo, Bjorn M., M.D.

Neurology

License No: A129324

NPI: 1275703969

18350 Roscoe Blvd. # 405

4

Northridge, CA 91325

1923 214765

(747) 206-5424

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 891: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 891

HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

891

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Specialists PPG/Phy #

Lobo, Bjorn M., M.D.

Neurosurgery

License No: A129324

NPI: 1275703969

18350 Roscoe Blvd. # 405

4

Northridge, CA 91325

1923 214765

(747) 206-5424

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Lunchick, Eric J., O.D.

Optometrist

License No: OPT7837

NPI: 1003928318

8956 Corbin Ave.

4

Northridge, CA 91324

1923 048856

(818) 885-1954

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: SA 10 AM - 3 PM, M-F 8:30 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Specialists PPG/Phy #

aasd

Nangiana, Jasvinder S.,

M.D.

Neurosurgery

License No: A115268

NPI: 1104072545

19950 Rinaldi St. # 101D

Northridge, CA 91326

1923 221735

(818) 361-0917

Prov Language: Hindi

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Navabi, Kasra, M.D.

Endocrinology

License No: A116768

NPI: 1114172897

18546 Roscoe Blvd. # 300

4

Northridge, CA 91324

1923 168703

(818) 886-4028

Prov Language: Farsi

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 892: 2018 Provider and Pharmacy Directory

892 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Specialists PPG/Phy #

Navabi, Kasra, M.D.

Endocrinology

License No: A116768

NPI: 1114172897

18546 Roscoe Blvd. # 300

4

Northridge, CA 91324

0863 168703

(818) 886-4028

Prov Language: Farsi

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Patak, Ramachandra V.,

M.D.

Nephrology

License No: C39711

NPI: 1144218488

18531 Roscoe Blvd. # 206

4

Northridge, CA 91324

1923 520624

(818) 993-5600

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Northridge Specialty/

Specialists PPG/Phy #

aasd

Patel, Kalpesh S., M.D.

Nephrology

1

License No: A101127

NPI: 1902099146

17075 Devonshire St. # 303

Northridge, CA 91325

1025 200434

(818) 448-1840

Prov Language: Gujarati, Hindi, Spanish

Office Staff Language

#

: Arabic, Armenian,

Hebrew, Sign Language, Spanish, Tagalog

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Potruch, Michael L., M.D.

Obstetrics/

Gynecology

1

License No: G70733

NPI: 1013977768

18546 Roscoe Blvd. # 300

4

Northridge, CA 91324

1925 028255

(818) 886-4028

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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www.healthnet.com/calmediconnect / 893

HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

893

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Specialists PPG/Phy #

Potruch, Michael L., M.D.

Obstetrics/

Gynecology

1

License No: G70733

NPI: 1013977768

18546 Roscoe Blvd. # 300

4

Northridge, CA 91324

1923 028255

(818) 886-4028

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Stotland, Mira, M.D.

Dermatology

1

License No: A118635

NPI: 1104023837

18546 Roscoe Blvd. # 300

4

Northridge, CA 91324

1025 198789

(818) 886-4028

Prov Language: Armenian, French

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Northridge Specialty/

Specialists PPG/Phy #

aasd

Tang, Ronald, D.O.

Hematology/

Oncology

License No: 20A11008

NPI: 1609022383

18300 Roscoe Blvd.

4

Northridge, CA 91325

0829 215306

(818) 700-2336

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Tang, Ronald, D.O.

Internal Medicine

1

License No: 20A11008

NPI: 1609022383

18300 Roscoe Blvd.

4

Northridge, CA 91325

0829 215306

(818) 700-2336

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 894: 2018 Provider and Pharmacy Directory

894 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Northridge Specialty/

Specialists PPG/Phy #

aasd

Yang, William, M.D.

Internal Medicine

1

License No: A120820

NPI: 1609005479

18433 Roscoe Blvd. # 202

4

Northridge, CA 91325

1923 212308

(818) 349-1262

Prov Language: Mandarin

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Palmdale Specialty/

Specialists PPG/Phy #

aasd

Kechichian, Aram H., D.O.

Family Practice

License No: 20A8307

NPI: 1841241486

38460 5th St West # G

Palmdale, CA 93551

1923 101553

(661) 299-6900

Prov Language: Arabic, French

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Sisto, Domenick J., M.D.

Orthopedic

Surgery

1

License No: G52313

NPI: 1568427029

38660 Medical Center Dr. # A250

Palmdale, CA 93551

1923 531816

(661) 267-7777

Prov Language: Portuguese, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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www.healthnet.com/calmediconnect / 895

HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

895

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Palmdale Specialty/

Specialists PPG/Phy #

aasd

Sobeck, Gregg R., M.D.

Orthopedic

Surgery

1

License No: A68256

NPI: 1417912270

38660 Medical Center Dr. # A250

Palmdale, CA 93551

5153 078632

(661) 267-7777

Prov Language: Farsi, Portuguese, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sobeck, Gregg R., M.D.

Orthopedic

Surgery

1

License No: A68256

NPI: 1417912270

38660 Medical Center Dr. # A250

Palmdale, CA 93551

1924 078632

(661) 267-7777

Prov Language: Farsi, Portuguese, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Palmdale Specialty/

Specialists PPG/Phy #

Sobeck, Gregg R., M.D.

Orthopedic

Surgery

1

License No: A68256

NPI: 1417912270

38660 Medical Center Dr. # A250

Palmdale, CA 93551

1923 078632

(661) 267-7777

Prov Language: Farsi, Portuguese, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sobeck, Gregg R., M.D.

Orthopedic

Surgery

1

License No: A68256

NPI: 1417912270

38660 Medical Center Dr. # A250

Palmdale, CA 93551

1025 078632

(661) 267-7777

Prov Language: Farsi, Portuguese, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 896: 2018 Provider and Pharmacy Directory

896 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Panorama City Specialty/

Specialists PPG/Phy #

aasd

Choi, Joon, M.D.

Obstetrics/

Gynecology

License No: G80351

NPI: 1023073152

8215 Van Nuys Blvd. # 104

Panorama City, CA 91402

0828 050536

(818) 994-4010

Prov Language: Armenian, Korean, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Agrawal, Vibha, M.D.

Pain Management

1

License No: C135409

NPI: 1528196045

1017 S. Fair Oaks Ave.

4

Pasadena, CA 91105

1904 215187

(626) 403-6200

Prov Language: Hindi

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

897

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

Agrawal, Vibha, M.D.

Physical Medicine

Rehab

1

License No: C135409

NPI: 1528196045

1017 S. Fair Oaks Ave.

4

Pasadena, CA 91105

1904 215187

(626) 403-6200

Prov Language: Hindi

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Balikian, Sevag, M.D.

Internal Medicine

License No: A105269

NPI: 1346485315

301 S. Fair Oaks Ave. # 208

Pasadena, CA 91105

0863 189033

(626) 352-0010

Prov Language: Armenian

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Chandrasoma, Brooke B.,

M.D.

Pulmonary

Medicine

1

License No: A97268

NPI: 1770785610

800 Fairmount Ave. # 220

Pasadena, CA 91105

0859 235476

(626) 486-0181

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Chandrasoma, Brooke B.,

M.D.

Pulmonary

Medicine

1

License No: A97268

NPI: 1770785610

800 Fairmount Ave. # 220

Pasadena, CA 91105

5159 235476

(626) 486-0181

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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898 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Chen, Tommy H., M.D.

Dermatology

1

License No: C37340

NPI: 1326136854

675 S. Arroyo Pkwy. # 120

4

Pasadena, CA 91105

0863 044009

(626) 793-8886

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Chen, Tommy H., M.D.

Dermatology

1

License No: C37340

NPI: 1326136854

675 S. Arroyo Pkwy. # 120

4

Pasadena, CA 91105

5159 044009

(626) 793-8886

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Cheung, Bonnie W., M.D.

Obstetrics/

Gynecology

1

License No: A76760

NPI: 1194740480

10 Congress St. # 511

4

Pasadena, CA 91105

0863 152299

(626) 796-0360

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Cheung, Bonnie W., M.D.

Obstetrics/

Gynecology

1

License No: A76760

NPI: 1194740480

10 Congress St. # 511

4

Pasadena, CA 91105

0829 152299

(626) 796-0360

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

899

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Chong, Ming Ta, M.D.

Oncology

1

License No: A29483

NPI: 1356395073

675 S. Arroyo Pkwy # 200

Pasadena, CA 91105

0863 502844

(626) 585-4120

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Conrad, Gary L., M.D.

Cardiology/

Cardiovascular

Disease

1

License No: C37034

NPI: 1669424271

625 S. Fair Oaks Ave. # 215

4

Pasadena, CA 91105

0863 503190

(626) 793-4139

Prov Language: Gujarati, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

Conrad, Gary L., M.D.

Cardiology/

Cardiovascular

Disease

1

License No: C37034

NPI: 1669424271

625 S. Fair Oaks Ave. Fl. 2 # 215

Pasadena, CA 91105

5159 503190

(626) 793-4139

Prov Language: Gujarati, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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900 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Devore, Greggory R., M.D.

Maternal & Fetal

Medicine

1

License No: G44446

NPI: 1851305312

50 Alessandro Pl. # 330

Pasadena, CA 91105

1923 074586

(626) 583-8911

Prov Language: French, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: F 8 AM - 12 PM, M-TH 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Devore, Greggory R., M.D.

Maternal & Fetal

Medicine

1

License No: G44446

NPI: 1851305312

625 S. Fair Oaks Ave. # 220

4

Pasadena, CA 91105

5159 074586

(626) 583-8911

Prov Language: French, Spanish

Office Staff Language

#

: French, Spanish

Accessibility:*:

Hours: M-TH 8 AM - 5 PM, F 8 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

Devore, Greggory R., M.D.

Maternal & Fetal

Medicine

1

License No: G44446

NPI: 1851305312

625 S. Fair Oaks Ave. # 220

4

Pasadena, CA 91105

0863 074586

(626) 583-8911

Prov Language: French, Spanish

Office Staff Language

#

: French, Spanish

Accessibility:*:

Hours: M-TH 8 AM - 5 PM, F 8 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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www.healthnet.com/calmediconnect / 901

HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

901

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Durairaj, Azhil, M.D.

Cardiology/

Cardiovascular

Disease

1

License No: A54721

NPI: 1609826973

625 S. Fair Oaks Ave. # 215

4

Pasadena, CA 91105

0863 090343

(626) 793-4139

Prov Language: Hindi, Spanish, Tamil

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

Durairaj, Azhil, M.D.

Cardiology/

Cardiovascular

Disease

1

License No: A54721

NPI: 1609826973

625 S. Fair Oaks Ave. Fl. 2 # 215

Pasadena, CA 91105

5159 090343

(626) 793-4139

Prov Language: Hindi, Spanish, Tamil

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 902: 2018 Provider and Pharmacy Directory

902 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Eng, Calvin T., M.D.

Ophthalmology

License No: G55239

NPI: 1225039092

625 S. Fair Oaks Ave. # 235

Pasadena, CA 91105

1023 004553

(626) 796-7006

Prov Language: Cantonese, Mandarin,

Spanish, Vietnamese

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Eng, Calvin T., M.D.

Ophthalmology

License No: G55239

NPI: 1225039092

625 S. Fair Oaks Ave. # 235

Pasadena, CA 91105

0830 004553

(626) 796-7006

Prov Language: Cantonese, Mandarin,

Spanish, Vietnamese

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Enriquez, Abilene A., M.D.

Family Practice

1

License No: A104931

NPI: 1740474733

100 W. California Blvd.

4

Pasadena, CA 91105

1846 148758

(626) 397-5000

Prov Language: Spanish, Tagalog

Office Staff Language

#

:

Accessibility:*: Limited(EB,IB,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Enriquez, Abilene A., M.D.

Family Practice

1

License No: A104931

NPI: 1740474733

100 W. California Blvd.

4

Pasadena, CA 91105

0862 148758

(626) 397-5000

Prov Language: Spanish, Tagalog

Office Staff Language

#

:

Accessibility:*: Limited(EB,IB,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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www.healthnet.com/calmediconnect / 903

HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

903

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

Enriquez, Abilene A., M.D.

Family Practice

1

License No: A104931

NPI: 1740474733

100 W. California Blvd.

4

Pasadena, CA 91105

1520 148758

(626) 397-5000

Prov Language: Spanish, Tagalog

Office Staff Language

#

:

Accessibility:*: Limited(EB,IB,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Gabrielian, Victor A., M.D.

Cardiology/

Cardiovascular

Disease

1

License No: A101256

NPI: 1811189822

625 S. Fair Oaks Ave. Fl. 2 # 215

Pasadena, CA 91105

0863 186683

(626) 793-4139

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Gravely, Lance E., M.D.

Neurosurgery

1

License No: A87871

NPI: 1538228135

50 Alessandro Pl # 340

Pasadena, CA 91105

1346 149942

(323) 221-1302

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 4:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Hu, Eddie H., M.D.

Hematology/

Oncology

1

License No: G46840

NPI: 1871537738

625 S. Fair Oaks Ave. # 320

Pasadena, CA 91105

0859 032943

(626) 396-2999

Prov Language: Cantonese, Mandarin,

Spanish, Tagalog, Vietnamese

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 904: 2018 Provider and Pharmacy Directory

904 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

Hu, Eddie H., M.D.

Hematology/

Oncology

1

License No: G46840

NPI: 1871537738

625 S. Fair Oaks Ave. # 320

Pasadena, CA 91105

1023 032943

(626) 396-2999

Prov Language: Cantonese, Mandarin,

Spanish, Tagalog, Vietnamese

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

Hu, Eddie H., M.D.

Internal Medicine

1

License No: G46840

NPI: 1871537738

625 S. Fair Oaks Ave. # 320

Pasadena, CA 91105

1023 032943

(626) 396-2999

Prov Language: Cantonese, Mandarin,

Spanish, Tagalog, Vietnamese

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 905: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 905

HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

905

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Koutnouyan, Hrair A., M.D.

Otolaryngology

(ENT)

License No: G79321

NPI: 1063499937

50 Alessandro Pl. # 230

4

Pasadena, CA 91105

0863 064302

(626) 577-5550

Prov Language: Arabic, Armenian, Mandarin,

Spanish, Tagalog

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

Koutnouyan, Hrair A., M.D.

Otolaryngology

(ENT)

License No: G79321

NPI: 1063499937

50 Alessandro Pl. # 230

4

Pasadena, CA 91105

0829 064302

(626) 577-5550

Prov Language: Arabic, Armenian, Mandarin,

Spanish, Tagalog

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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906 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Kuvalekar, Aparna V., P.T.

Physical Therapy

License No: PT35581

NPI: 1073960613

1017 S. Fair Oaks Ave.

4

Pasadena, CA 91105

0863 220782

(626) 403-6200

Prov Language: Hindi, Marathi

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Linane, Avriel S., D.O.

Neurology

License No: 20A11802

NPI: 1912135104

625 S. Fair Oaks Ave. # 325

Pasadena, CA 91105

0863 225843

(626) 535-9344

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Linsey, Michael S., M.D.

Internal Medicine

1

License No: G37688

NPI: 1841215217

808 S. Fair Oaks Ave.

4

Pasadena, CA 91105

1846 034411

(626) 577-1675

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Linsey, Michael S., M.D.

Nephrology

1

License No: G37688

NPI: 1841215217

808 S. Fair Oaks Ave.

4

Pasadena, CA 91105

1846 034411

(626) 577-1675

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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www.healthnet.com/calmediconnect / 907

HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

907

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Lopez, Timothy J., M.D.

Geriatrics

License No: A139216

NPI: 1710257597

401 S. Fair Oaks Ave.

4

Pasadena, CA 91105

0863 218984

(626) 304-4400

Prov Language: Tagalog

Office Staff Language

#

: Armenian, French,

Korean, Russian, Spanish

Accessibility:*: Limited(E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Mak, Albert C., M.D.

Radiation

Oncology

1

License No: G79330

NPI: 1902910904

630 S. Raymond Ave. # 104

4

Pasadena, CA 91105

0863 050330

(626) 768-7021

Prov Language: Cantonese, Mandarin,

Spanish, Vietnamese

Office Staff Language

#

: Cantonese, Mandarin,

Spanish, Vietnamese

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 908: 2018 Provider and Pharmacy Directory

908 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

Mak, Albert C., M.D.

Radiation

Oncology

1

License No: G79330

NPI: 1902910904

630 S. Raymond Ave. # 104

4

Pasadena, CA 91105

5159 050330

(626) 768-7021

Prov Language: Cantonese, Mandarin,

Spanish, Vietnamese

Office Staff Language

#

: Cantonese, Mandarin,

Spanish, Vietnamese

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Moore, Ann E., M.D.

Nephrology

1

License No: A86948

NPI: 1750506630

808 S. Fair Oaks Ave.

4

Pasadena, CA 91105

1846 142207

(626) 577-1675

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Rao, Vyshali S., M.D.

Cardiology/

Cardiovascular

Disease

License No: A72520

NPI: 1922059849

625 S. Fair Oaks Ave. # 215

4

Pasadena, CA 91105

0863 114240

(626) 793-4139

Prov Language: Hindi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 909: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 909

HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

909

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

Rao, Vyshali S., M.D.

Cardiology/

Cardiovascular

Disease

License No: A72520

NPI: 1922059849

625 S. Fair Oaks Ave. Fl. 2 # 215

Pasadena, CA 91105

5159 114240

(626) 793-4139

Prov Language: Hindi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Rashtian, Mayer Y., M.D.

Cardiology/

Cardiovascular

Disease

License No: G66273

NPI: 1104876002

625 S. Fair Oaks Ave. # 215

4

Pasadena, CA 91105

0859 049235

(626) 793-4139

Prov Language: Farsi, German

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 910: 2018 Provider and Pharmacy Directory

910 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

Rashtian, Mayer Y., M.D.

Cardiology/

Cardiovascular

Disease

License No: G66273

NPI: 1104876002

625 S. Fair Oaks Ave. # 215

4

Pasadena, CA 91105

0862 049235

(626) 793-4139

Prov Language: Farsi, German

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

Rashtian, Mayer Y., M.D.

Cardiology/

Cardiovascular

Disease

License No: G66273

NPI: 1104876002

625 S. Fair Oaks Ave. # 215

4

Pasadena, CA 91105

5159 049235

(626) 793-4139

Prov Language: Farsi, German

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 911: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 911

HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

911

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

Rashtian, Mayer Y., M.D.

Cardiology/

Cardiovascular

Disease

License No: G66273

NPI: 1104876002

625 S. Fair Oaks Ave. # 215

4

Pasadena, CA 91105

1520 049235

(626) 793-4139

Prov Language: Farsi, German

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

Rashtian, Mayer Y., M.D.

Cardiology/

Cardiovascular

Disease

License No: G66273

NPI: 1104876002

625 S. Fair Oaks Ave. # 215

4

Pasadena, CA 91105

1846 049235

(626) 793-4139

Prov Language: Farsi, German

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 912: 2018 Provider and Pharmacy Directory

912 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

Rashtian, Mayer Y., M.D.

Cardiology/

Cardiovascular

Disease

License No: G66273

NPI: 1104876002

625 S. Fair Oaks Ave. # 215

4

Pasadena, CA 91105

0861 049235

(626) 793-4139

Prov Language: Farsi, German

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

Rashtian, Mayer Y., M.D.

Clinical CRD

Electrophysiology

1

License No: G66273

NPI: 1104876002

625 S. Fair Oaks Ave. # 215

4

Pasadena, CA 91105

1846 049235

(626) 793-4139

Prov Language: Farsi, German

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Rashtian, Mayer Y., M.D.

Clinical CRD

Electrophysiology

1

License No: G66273

NPI: 1104876002

625 S. Fair Oaks Ave. # 215

4

Pasadena, CA 91105

1520 049235

(626) 793-4139

Prov Language: Farsi, German

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 913: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 913

HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

913

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

Rashtian, Mayer Y., M.D.

Clinical CRD

Electrophysiology

1

License No: G66273

NPI: 1104876002

625 S. Fair Oaks Ave. # 215

4

Pasadena, CA 91105

0861 049235

(626) 793-4139

Prov Language: Farsi, German

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Rashtian, Mayer Y., M.D.

Clinical CRD

Electrophysiology

1

License No: G66273

NPI: 1104876002

625 S. Fair Oaks Ave. # 215

4

Pasadena, CA 91105

0859 049235

(626) 793-4139

Prov Language: Farsi, German

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

Rashtian, Mayer Y., M.D.

Clinical CRD

Electrophysiology

1

License No: G66273

NPI: 1104876002

625 S. Fair Oaks Ave. # 215

4

Pasadena, CA 91105

5159 049235

(626) 793-4139

Prov Language: Farsi, German

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Rashtian, Mayer Y., M.D.

Clinical CRD

Electrophysiology

1

License No: G66273

NPI: 1104876002

625 S. Fair Oaks Ave. # 215

4

Pasadena, CA 91105

0862 049235

(626) 793-4139

Prov Language: Farsi, German

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 914: 2018 Provider and Pharmacy Directory

914 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Reehal, Vickram S., M.D.

Rheumatology

1

License No: A87717

NPI: 1235347188

988 S. Fair Oaks Ave

4

Pasadena, CA 91105

0863 168818

(626) 799-4194

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(EB,IB,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Reehal, Vickram S., M.D.

Rheumatology

1

License No: A87717

NPI: 1235347188

988 S. Fair Oaks Ave

4

Pasadena, CA 91105

0828 168818

(626) 799-4194

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(EB,IB,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Ross, Ian B., M.D.

Neurosurgery

1

License No: G87566

NPI: 1003853730

630 S. Raymond Ave. # 330

4

Pasadena, CA 91105

0863 129532

(626) 793-8194

Prov Language: French, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Ross, Ian B., M.D.

Neurosurgery

1

License No: G87566

NPI: 1003853730

630 S. Raymond Ave. # 330

4

Pasadena, CA 91105

5159 129532

(626) 793-8194

Prov Language: French, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 915: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 915

HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

915

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Roth, Raul F., M.D.

Cardiology/

Cardiovascular

Disease

1

License No: G56414

NPI: 1922050525

625 S. Fair Oaks Ave. Fl. 2 # 215

Pasadena, CA 91105

5159 014519

(626) 793-4139

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

Roth, Raul F., M.D.

Cardiology/

Cardiovascular

Disease

1

License No: G56414

NPI: 1922050525

625 S. Fair Oaks Ave. Fl. 2 # 215

Pasadena, CA 91105

0863 014519

(626) 793-4139

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 916: 2018 Provider and Pharmacy Directory

916 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Sather, Curtis C., M.D.

Pulmonary

Medicine

1

License No: A94214

NPI: 1902902943

401 S. Fair Oaks Ave.

4

Pasadena, CA 91105

1846 166058

(626) 304-4400

Office Staff Language

#

: Armenian, French,

Korean, Russian, Spanish

Accessibility:*: Limited(E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Smith, Giovanni M., M.D.

Critical Care

Medicine

1

License No: G73356

NPI: 1871689596

401 S. Fair Oaks Ave.

4

Pasadena, CA 91105

1520 048555

(626) 799-4194

Prov Language: Armenian, Spanish

Office Staff Language

#

: Armenian, French,

Korean, Russian, Spanish

Accessibility:*: Limited(E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 917: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 917

HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

917

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

Smith, Giovanni M., M.D.

Internal Medicine

1

License No: G73356

NPI: 1871689596

401 S. Fair Oaks Ave.

4

Pasadena, CA 91105

0863 048555

(626) 799-4194

Prov Language: Armenian, Spanish

Office Staff Language

#

: Armenian, French,

Korean, Russian, Spanish

Accessibility:*: Limited(E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

Smith, Giovanni M., M.D.

Pulmonary

Medicine

1

License No: G73356

NPI: 1871689596

401 S. Fair Oaks Ave.

4

Pasadena, CA 91105

0863 048555

(626) 799-4194

Prov Language: Armenian, Spanish

Office Staff Language

#

: Armenian, French,

Korean, Russian, Spanish

Accessibility:*: Limited(E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Tse, Ka-Lok E., M.D.

Nephrology

1

License No: G74931

NPI: 1093730491

808 S. Fair Oaks Ave.

4

Pasadena, CA 91105

1846 033740

(626) 577-1675

Prov Language: Cantonese, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 918: 2018 Provider and Pharmacy Directory

918 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Vaccaro, Seth A., M.D.

Dermatology

License No: G52858

NPI: 1477560951

800 Fairmount Ave. # 425

4

Pasadena, CA 91105

5159 017566

(626) 449-9992

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Vaccaro, Seth A., M.D.

Dermatology

License No: G52858

NPI: 1477560951

800 Fairmount Ave. # 425

4

Pasadena, CA 91105

0863 017566

(626) 449-9992

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Yang, David C., M.D.

Cardiology/

Cardiovascular

Disease

1

License No: A130909

NPI: 1588710933

797 S. Fair Oaks Ave.

4

Pasadena, CA 91105

0828 203912

(626) 795-2244

Prov Language: Mandarin

Office Staff Language

#

:

Accessibility:*: Limited(E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 919: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 919

HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

919

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

Yang, David C., M.D.

Cardiology/

Cardiovascular

Disease

1

License No: A130909

NPI: 1588710933

797 S. Fair Oaks Ave.

4

Pasadena, CA 91105

0863 203912

(626) 795-2244

Prov Language: Mandarin

Office Staff Language

#

:

Accessibility:*: Limited(E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

Yang, David C., M.D.

Cardiology/

Cardiovascular

Disease

1

License No: A130909

NPI: 1588710933

797 S. Fair Oaks Ave.

4

Pasadena, CA 91105

1520 203912

(626) 795-2244

Prov Language: Mandarin

Office Staff Language

#

:

Accessibility:*: Limited(E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Yeung, Yvette, M.D.

Neurology

1

License No: A106734

NPI: 1225270788

988 S. Fair Oaks Ave

4

Pasadena, CA 91105

1520 187102

(626) 799-4194

Prov Language: Mandarin

Office Staff Language

#

:

Accessibility:*: Limited(EB,IB,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 920: 2018 Provider and Pharmacy Directory

920 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Pasadena Specialty/

Specialists PPG/Phy #

aasd

Yun, Jean H., M.D.

Endocrinology

1

License No: A118910

NPI: 1265752380

301 S. Fair Oaks Ave. # 300

4

Pasadena, CA 91105

0862 213101

(626) 795-7556

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Zipin, Jerett A., M.D.

Internal Medicine

1

License No: 20A8860

NPI: 1154386829

401 S. Fair Oaks Ave.

4

Pasadena, CA 91105

0861 106921

(626) 304-4400

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Pasadena Specialty/

Specialists PPG/Phy #

Zipin, Jerett A., M.D.

Sports Medicine

License No: 20A8860

NPI: 1154386829

401 S. Fair Oaks Ave.

4

Pasadena, CA 91105

0861 106921

(626) 304-4400

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Porter Ranch Specialty/

Specialists PPG/Phy #

aasd

Chhablani, Rahul K., M.D.

Gastroenterology

1

License No: A106762

NPI: 1376799395

19950 Rinaldi St # 101D

4

Porter Ranch, CA 91326

1923 164616

(818) 361-0917

Prov Language: Hindi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8:30 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 921: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 921

HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

921

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Santa Clarita Specialty/

Specialists PPG/Phy #

aasd

Chhablani, Rahul K., M.D.

Gastroenterology

1

License No: A106762

NPI: 1376799395

26357 Mcbean Pkwy. # 150

Santa Clarita, CA 91355

1923 164616

(818) 361-0917

Prov Language: Hindi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8:30 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Kasher, John A., M.D.

Gastroenterology

License No: A89366

NPI: 1285723304

26357 McBean Pkwy. # 200

Santa Clarita, CA 91355

0829 157612

(818) 845-3773

Prov Language: Farsi

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Santa Clarita Specialty/

Specialists PPG/Phy #

aasd

Nangiana, Jasvinder S.,

M.D.

Neurosurgery

License No: A115268

NPI: 1104072545

26357 Mcbean Pkwy. # 150

Santa Clarita, CA 91355

1923 221735

(818) 361-0917

Prov Language: Hindi

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Spooler, Justin C., M.D.

Neurology

License No: A100848

NPI: 1962619924

26357 Mcbean Pkwy. # 150

Santa Clarita, CA 91355

1923 186325

(818) 361-0917

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 922: 2018 Provider and Pharmacy Directory

922 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

1

Board Certified

2

Physician is currently unavailable to new patients through this physician group.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sherman Oaks Specialty/

Specialists PPG/Phy #

aasd

Anwar, Muhammad, M.D.

2

Critical Care

Medicine

License No: A63134

NPI: 1497769145

4955 Van Nuys Blvd. # 502

4

Sherman Oaks, CA 91403

1923 068940

(818) 325-0200

Prov Language: Arabic, Spanish, Urdu

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Anwar, Muhammad, M.D.

2

Pulmonary

Medicine

License No: A63134

NPI: 1497769145

4955 Van Nuys Blvd. # 502

4

Sherman Oaks, CA 91403

1923 068940

(818) 325-0200

Prov Language: Arabic, Spanish, Urdu

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sherman Oaks Specialty/

Specialists PPG/Phy #

aasd

Gabrielian, Anna, M.D.

Ophthalmology

1

License No: A124559

NPI: 1659528602

13739 Riverside Dr. # A

4

Sherman Oaks, CA 91423

1923 208588

(818) 386-0008

Prov Language: Armenian, Russian, Spanish

Office Staff Language

#

: Armenian, Russian,

Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 923: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 923

HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

923

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sherman Oaks Specialty/

Specialists PPG/Phy #

aasd

Gabrielian, Karine, M.D.

Ophthalmology

License No: A66613

NPI: 1740388982

13739 Riverside Dr. # A

4

Sherman Oaks, CA 91423

1923 089528

(818) 386-0008

Prov Language: Armenian, Farsi, Russian,

Spanish

Office Staff Language

#

: Armenian, Russian,

Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sherman Oaks Specialty/

Specialists PPG/Phy #

Gabrielian, Karine, M.D.

Ophthalmology

License No: A66613

NPI: 1740388982

13739 Riverside Dr. # A

4

Sherman Oaks, CA 91423

0829 089528

(818) 386-0008

Prov Language: Armenian, Farsi, Russian,

Spanish

Office Staff Language

#

: Armenian, Russian,

Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 924: 2018 Provider and Pharmacy Directory

924 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sherman Oaks Specialty/

Specialists PPG/Phy #

aasd

Hovanesian, Haroutun H.,

M.D.

Ophthalmology

1

License No: A67565

NPI: 1154341626

13739 Riverside Dr. # A

4

Sherman Oaks, CA 91423

0829 078678

(818) 386-0008

Prov Language: Armenian, Russian, Spanish

Office Staff Language

#

: Armenian, Russian,

Spanish

Accessibility:*:

Hours: M-F 8 AM - 6 PM, SA 9 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sherman Oaks Specialty/

Specialists PPG/Phy #

Hovanesian, Haroutun H.,

M.D.

Ophthalmology

1

License No: A67565

NPI: 1154341626

13739 Riverside Dr. # A

4

Sherman Oaks, CA 91423

1923 078678

(818) 386-0008

Prov Language: Armenian, Russian, Spanish

Office Staff Language

#

: Armenian, Russian,

Spanish

Accessibility:*:

Hours: M-F 8 AM - 6 PM, SA 9 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 925: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 925

HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

925

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sherman Oaks Specialty/

Specialists PPG/Phy #

aasd

Malekmehr, Farshad, M.D.

Thoracic Surgery

1

License No: G83840

NPI: 1710904651

5000 Van Nuys Blvd. # 200

4

Sherman Oaks, CA 91403

0829 064319

(818) 908-9752

Prov Language: Farsi

Office Staff Language

#

:

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sherman Oaks Specialty/

Specialists PPG/Phy #

aasd

Namazie, Ali R., M.D.

Otolaryngology

(ENT)

License No: A60291

NPI: 1184603102

4955 Van Nuys Blvd. # 505

4

Sherman Oaks, CA 91403

1923 080159

(818) 609-0600

Prov Language: Arabic, Armenian, Farsi,

Spanish, Tagalog

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 926: 2018 Provider and Pharmacy Directory

926 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sherman Oaks Specialty/

Specialists PPG/Phy #

aasd

Sisto, Domenick J., M.D.

Orthopedic

Surgery

1

License No: G52313

NPI: 1568427029

4955 Van Nuys Blvd. # 615

4

Sherman Oaks, CA 91403

1923 531816

(818) 905-2222

Prov Language: Portuguese, Spanish

Office Staff Language

#

:

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sherman Oaks Specialty/

Specialists PPG/Phy #

aasd

Sobeck, Gregg R., M.D.

Orthopedic

Surgery

1

License No: A68256

NPI: 1417912270

4955 Van Nuys Blvd. # 615

4

Sherman Oaks, CA 91403

1924 078632

(818) 905-2222

Prov Language: Farsi, Portuguese, Spanish

Office Staff Language

#

:

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 927: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 927

HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

927

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sherman Oaks Specialty/

Specialists PPG/Phy #

Sobeck, Gregg R., M.D.

Orthopedic

Surgery

1

License No: A68256

NPI: 1417912270

4955 Van Nuys Blvd. # 615

4

Sherman Oaks, CA 91403

5153 078632

(818) 905-2222

Prov Language: Farsi, Portuguese, Spanish

Office Staff Language

#

:

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sherman Oaks Specialty/

Specialists PPG/Phy #

Sobeck, Gregg R., M.D.

Orthopedic

Surgery

1

License No: A68256

NPI: 1417912270

4955 Van Nuys Blvd. # 615

4

Sherman Oaks, CA 91403

1025 078632

(818) 905-2222

Prov Language: Farsi, Portuguese, Spanish

Office Staff Language

#

:

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 928: 2018 Provider and Pharmacy Directory

928 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sherman Oaks Specialty/

Specialists PPG/Phy #

Sobeck, Gregg R., M.D.

Orthopedic

Surgery

1

License No: A68256

NPI: 1417912270

4955 Van Nuys Blvd. # 615

4

Sherman Oaks, CA 91403

1923 078632

(818) 905-2222

Prov Language: Farsi, Portuguese, Spanish

Office Staff Language

#

:

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Vadgama, Sanjay V., M.D.

Internal Medicine

1

License No: A80650

NPI: 1679548556

4955 Van Nuys Blvd. # 502

4

Sherman Oaks, CA 91403

1923 103885

(818) 325-0200

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sherman Oaks Specialty/

Specialists PPG/Phy #

Vadgama, Sanjay V., M.D.

Pulmonary

Medicine

License No: A80650

NPI: 1679548556

4955 Van Nuys Blvd. # 502

4

Sherman Oaks, CA 91403

1923 103885

(818) 325-0200

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Yoon, Steven J., M.D.

Ophthalmology

License No: A107383

NPI: 1215138110

13739 Riverside Dr. # A

4

Sherman Oaks, CA 91423

0829 153382

(818) 386-0008

Prov Language: Armenian, Russian, Spanish

Office Staff Language

#

: Armenian, Russian,

Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 929: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 929

HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

929

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Sun Valley Specialty/

Specialists PPG/Phy #

aasd

Dabel, Pascal, M.D.

Nephrology

1

License No: A131011

NPI: 1033306592

8987 Laurel Canyon Blvd.

Sun Valley, CA 91352

0829 205314

(818) 485-1830

Prov Language: French, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Sylmar Specialty/

Specialists PPG/Phy #

aasd

Marxen, Denis M., D.C.

Chiropractor

License No: DC14136

NPI: 1952309601

13867 Foothill Blvd. # 110

4

Sylmar, CA 91342

1923 045178

(818) 364-2323

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Tarzana Specialty/

Specialists PPG/Phy #

aasd

Barsoum, Noha R., M.D.

Nephrology

License No: A64657

NPI: 1053391185

5525 Etiwanda Ave. # 320

4

Tarzana, CA 91356

0829 109292

(818) 774-3838

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 930: 2018 Provider and Pharmacy Directory

930 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Tarzana Specialty/

Specialists PPG/Phy #

aasd

Cohen, Marc, M.D.

Otolaryngology

(ENT)

1

License No: A93233

NPI: 1962632547

5525 Etiwanda Ave. # 312

Tarzana, CA 91356

1923 174101

(818) 609-0600

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Devore, Greggory R., M.D.

Maternal & Fetal

Medicine

1

License No: G44446

NPI: 1851305312

5525 Etiwanda Ave. # 313

4

Tarzana, CA 91356

5159 074586

(626) 583-8911

Prov Language: French, Spanish

Office Staff Language

#

: French, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Tarzana Specialty/

Specialists PPG/Phy #

Devore, Greggory R., M.D.

Maternal & Fetal

Medicine

1

License No: G44446

NPI: 1851305312

5525 Etiwanda Ave. # 313

4

Tarzana, CA 91356

1923 074586

(626) 583-8911

Prov Language: French, Spanish

Office Staff Language

#

: French, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Devore, Greggory R., M.D.

Maternal & Fetal

Medicine

1

License No: G44446

NPI: 1851305312

5525 Etiwanda Ave. # 313

4

Tarzana, CA 91356

0863 074586

(626) 583-8911

Prov Language: French, Spanish

Office Staff Language

#

: French, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 931: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 931

HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

931

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Tarzana Specialty/

Specialists PPG/Phy #

aasd

Glick, Jeffrey A., M.D.

Nephrology

1

License No: G58181

NPI: 1477533511

5525 Etiwanda Ave. # 320

4

Tarzana, CA 91356

0829 024989

(818) 774-3838

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Glick, Jeffrey A., M.D.

Nephrology

1

License No: G58181

NPI: 1477533511

5525 Etiwanda Ave. # 320

4

Tarzana, CA 91356

0828 024989

(818) 774-3838

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Tarzana Specialty/

Specialists PPG/Phy #

aasd

Martin, David W., M.D.

Otolaryngology

(ENT)

1

License No: G135733

NPI: 1942379755

5525 Etiwanda Ave. # 312

Tarzana, CA 91356

1923 086888

(818) 609-0600

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Namazie, Ali R., M.D.

Otolaryngology

(ENT)

License No: A60291

NPI: 1184603102

5525 Etiwanda Ave. # 312

Tarzana, CA 91356

1923 080159

(818) 609-0600

Prov Language: Arabic, Armenian, Farsi,

Spanish, Tagalog

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 932: 2018 Provider and Pharmacy Directory

932 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Tarzana Specialty/

Specialists PPG/Phy #

aasd

Patel, Mayank V., M.D.

Urology

License No: A103731

NPI: 1669637013

18370 Burbank Blvd. # 514

Tarzana, CA 91356

0829 229209

(818) 776-0660

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Patel, Mayank V., M.D.

Urology

License No: A103731

NPI: 1669637013

18370 Burbank Blvd. # 514

Tarzana, CA 91356

1923 229209

(818) 776-0660

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Tarzana Specialty/

Specialists PPG/Phy #

aasd

Roesler, John M., M.D.

Otolaryngology

(ENT)

1

License No: A72319

NPI: 1124037635

5525 Etiwanda Ave. # 322

4

Tarzana, CA 91356

1923 108766

(818) 609-7200

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Shelub, Aaron M., M.D.

Infectious Disease

License No: A92108

NPI: 1124103619

18370 Burbank Blvd. # 414

Tarzana, CA 91356

1923 150301

(818) 506-3384

Prov Language: Hebrew

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 933: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 933

HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

933

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Tarzana Specialty/

Specialists PPG/Phy #

aasd

Toomari, Nojan, D.O.

General Surgery

License No: 20A11162

NPI: 1326364373

18200 Ventura Blvd.

Tarzana, CA 91356

1923 194934

(818) 570-1845

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-TH 9 AM - 5 PM, F 9 AM - 3 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Specialists PPG/Phy #

aasd

Aziz, Ihab N., M.D.

General Surgery

License No: A66104

NPI: 1700873593

28212 Kelly Johnson Pkwy. #

239

Valencia, CA 91355

1923 117048

(661) 505-7079

Prov Language: Arabic, French, Fujian, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Aziz, Ihab N., M.D.

Vascular Surgery

License No: A66104

NPI: 1700873593

28212 Kelly Johnson Pkwy. #

239

Valencia, CA 91355

1923 117048

(661) 505-7079

Prov Language: Arabic, French, Fujian, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 934: 2018 Provider and Pharmacy Directory

934 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Specialists PPG/Phy #

aasd

Bittar, Tarek, M.D.

Orthopedic

Surgery

1

License No: A71373

NPI: 1902822760

25751 McBean Pkwy. # 215

Valencia, CA 91355

1923 127522

(661) 253-3399

Prov Language: Arabic, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Charnock, George A., M.D.

Endocrinology

1

License No: G34579

NPI: 1235292533

27420 Tourney Rd. # 120

Valencia, CA 91355

1923 522267

(661) 259-0361

Office Staff Language

#

:

Accessibility:*:

Hours: M-TH 9 AM - 6 PM, F 9 AM - 12:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Specialists PPG/Phy #

Charnock, George A., M.D.

Internal Medicine

1

License No: G34579

NPI: 1235292533

27420 Tourney Rd. # 120

Valencia, CA 91355

1923 522267

(661) 259-0361

Office Staff Language

#

:

Accessibility:*:

Hours: M-TH 9 AM - 6 PM, F 9 AM - 12:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Garabedian, Shahe K., M.D.

Cardiology/

Cardiovascular

Disease

License No: A103461

NPI: 1841313772

23929 McBean Pkwy. # 216

Valencia, CA 91355

1923 167196

(661) 259-1534

Prov Language: Armenian, Spanish

Office Staff Language

#

: Armenian

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 935: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 935

HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

935

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Specialists PPG/Phy #

aasd

Lavian, Dana, DPM

Podiatry

License No: E4311

NPI: 1720010200

23501 Cinema Dr. # 209

Valencia, CA 91355

1925 137340

(661) 254-0795

Prov Language: Hebrew

Office Staff Language

#

:

Accessibility:*:

Hours: M,TH 9:30 AM - 1:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Levy, Leslie G., DPM

Podiatry

1

License No: E2448

NPI: 1699700518

23501 Cinema Dr. # 209

Valencia, CA 91355

1923 540349

(661) 254-0795

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M,TH 9:30 AM - 1:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Specialists PPG/Phy #

aasd

Liker, Mark A., M.D.

Neurology

1

License No: A62368

NPI: 1407806292

25751 Mcbean Pkwy. # 305

Valencia, CA 91355

1923 109558

(661) 799-2542

Prov Language: Farsi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Lobo, Bjorn M., M.D.

Neurology

License No: A129324

NPI: 1275703969

25751 Mcbean Pkwy. # 305

Valencia, CA 91355

1923 214765

(661) 799-2542

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 936: 2018 Provider and Pharmacy Directory

936 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Valencia Specialty/

Specialists PPG/Phy #

Lobo, Bjorn M., M.D.

Neurosurgery

License No: A129324

NPI: 1275703969

25751 Mcbean Pkwy. # 305

Valencia, CA 91355

1923 214765

(661) 799-2542

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Malekmehr, Farshad, M.D.

Thoracic Surgery

1

License No: G83840

NPI: 1710904651

23823 Valencia Blvd. # 150

Valencia, CA 91355

0829 064319

(661) 799-7444

Prov Language: Farsi

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Valencia Specialty/

Specialists PPG/Phy #

aasd

Moghimi, Robert B., M.D.

Gastroenterology

1

License No: A94790

NPI: 1184679664

23823 Valencia Blvd. # 210

Valencia, CA 91355

1923 132915

(661) 206-1800

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Sinha, Abhishek, M.D.

Cardiology/

Cardiovascular

Disease

License No: A116939

NPI: 1902971567

23929 McBean Pkwy. # 216

Valencia, CA 91355

1923 161517

(661) 259-1534

Office Staff Language

#

: Armenian

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 937: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 937

HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

937

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Specialists PPG/Phy #

aasd

Aziz, Ihab N., M.D.

General Surgery

License No: A66104

NPI: 1700873593

16917 Enadia Way

4

Van Nuys, CA 91406

1923 117048

(818) 401-1010

Prov Language: Arabic, French, Fujian, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Aziz, Ihab N., M.D.

Vascular Surgery

License No: A66104

NPI: 1700873593

16917 Enadia Way

4

Van Nuys, CA 91406

1923 117048

(818) 401-1010

Prov Language: Arabic, French, Fujian, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Specialists PPG/Phy #

aasd

Bagdasarian, Boris, D.O.

Hematology/

Oncology

1

License No: 20A6598

NPI: 1598758062

6850 Sepulveda Blvd. # 211

4

Van Nuys, CA 91405

5159 084500

(818) 782-4104

Prov Language: Armenian, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB,IB,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Barsoum, Noha R., M.D.

Nephrology

License No: A64657

NPI: 1053391185

15211 Vanowen St. # 315

4

Van Nuys, CA 91405

0829 109292

(818) 787-2410

Office Staff Language

#

: Arabic, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 938: 2018 Provider and Pharmacy Directory

938 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Specialists PPG/Phy #

aasd

Danchik, Steven P., P.T.

Physical Therapy

License No: PT5208

NPI: 1700809340

15333 Sherman Way # P

4

Van Nuys, CA 91406

0829 108208

(818) 909-7038

Prov Language: Spanish

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E)

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Glick, Jeffrey A., M.D.

Nephrology

1

License No: G58181

NPI: 1477533511

15211 Vanowen St. # 315

4

Van Nuys, CA 91405

0828 024989

(818) 787-2410

Prov Language: Spanish

Office Staff Language

#

: Arabic, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Specialists PPG/Phy #

Glick, Jeffrey A., M.D.

Nephrology

1

License No: G58181

NPI: 1477533511

15211 Vanowen St. # 315

4

Van Nuys, CA 91405

0829 024989

(818) 787-2410

Prov Language: Spanish

Office Staff Language

#

: Arabic, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Marouni, Payam, M.D.

Family Practice

1

License No: A101224

NPI: 1386800225

13750 Victory Blvd.

4

Van Nuys, CA 91401

1907 149162

(818) 988-9090

Prov Language: Armenian, Farsi, Spanish

Office Staff Language

#

: Armenian, Farsi,

Spanish

Accessibility:*: Limited(IB)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 939: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 939

HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

939

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Specialists PPG/Phy #

aasd

Rokaw, Joshua A., M.D.

Endocrinology

1

License No: G59641

NPI: 1356492060

15211 Vanowen St. # 100

4

Van Nuys, CA 91405

0828 058888

(818) 778-1920

Prov Language: Korean, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Rokaw, Joshua A., M.D.

Endocrinology

1

License No: G59641

NPI: 1356492060

15211 Vanowen St. # 100

4

Van Nuys, CA 91405

1904 058888

(818) 778-1920

Prov Language: Korean, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Specialists PPG/Phy #

aasd

Tang, Ronald, D.O.

Hematology/

Oncology

License No: 20A11008

NPI: 1609022383

15211 Vanowen St. # 201

Van Nuys, CA 91405

0829 215306

(818) 574-3798

Office Staff Language

#

: Hindi, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Tang, Ronald, D.O.

Hematology/

Oncology

License No: 20A11008

NPI: 1609022383

6850 Sepulveda Blvd. # 211

4

Van Nuys, CA 91405

1924 215306

(818) 782-4104

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB,IB,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 940: 2018 Provider and Pharmacy Directory

940 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Specialists PPG/Phy #

Tang, Ronald, D.O.

Hematology/

Oncology

License No: 20A11008

NPI: 1609022383

6850 Sepulveda Blvd. # 211

4

Van Nuys, CA 91405

1025 215306

(818) 782-4104

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB,IB,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Tang, Ronald, D.O.

Hematology/

Oncology

License No: 20A11008

NPI: 1609022383

6850 Sepulveda Blvd. # 211

4

Van Nuys, CA 91405

5153 215306

(818) 782-4104

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB,IB,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Van Nuys Specialty/

Specialists PPG/Phy #

Tang, Ronald, D.O.

Hematology/

Oncology

License No: 20A11008

NPI: 1609022383

6850 Sepulveda Blvd. # 211

4

Van Nuys, CA 91405

1923 215306

(818) 782-4104

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB,IB,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Tang, Ronald, D.O.

Internal Medicine

1

License No: 20A11008

NPI: 1609022383

15211 Vanowen St. # 201

Van Nuys, CA 91405

0829 215306

(818) 574-3798

Office Staff Language

#

: Hindi, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 941: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 941

HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

941

1

Board Certified

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Specialists PPG/Phy #

aasd

Thompson, Jotika P., M.D.

Hematology/

Oncology

1

License No: C146990

NPI: 1265626360

15211 Vanowen St. # 201

Van Nuys, CA 91405

1924 238204

(818) 574-3798

Prov Language: French

Office Staff Language

#

: Hindi, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Thompson, Jotika P., M.D.

Hematology/

Oncology

1

License No: C146990

NPI: 1265626360

15211 Vanowen St. # 201

Van Nuys, CA 91405

1025 238204

(818) 574-3798

Prov Language: French

Office Staff Language

#

: Hindi, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Van Nuys Specialty/

Specialists PPG/Phy #

Thompson, Jotika P., M.D.

Hematology/

Oncology

1

License No: C146990

NPI: 1265626360

15211 Vanowen St. # 201

Van Nuys, CA 91405

1923 238204

(818) 574-3798

Prov Language: French

Office Staff Language

#

: Hindi, Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

aasd

Vasan, Sheila, M.D.

Hematology/

Oncology

License No: A106086

NPI: 1487846416

6250 Sepulveda Blvd. # 211

Van Nuys, CA 91411

1924 198194

(818) 782-4104

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 942: 2018 Provider and Pharmacy Directory

942 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Van Nuys Specialty/

Specialists PPG/Phy #

Vasan, Sheila, M.D.

Hematology/

Oncology

License No: A106086

NPI: 1487846416

6250 Sepulveda Blvd. # 211

Van Nuys, CA 91411

1025 198194

(818) 782-4104

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Vasan, Sheila, M.D.

Hematology/

Oncology

License No: A106086

NPI: 1487846416

6250 Sepulveda Blvd. # 211

Van Nuys, CA 91411

5153 198194

(818) 782-4104

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

West Hills Specialty/

Specialists PPG/Phy #

aasd

Amerian, Roger, M.D.

Pulmonary

Medicine

License No: G33671

NPI: 1033105614

7320 Woodlake Ave, # 200

West Hills, CA 91307

1925 500306

(818) 716-6446

Office Staff Language

#

:

Accessibility:*:

Hours: TU-TH 9 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Amerian, Roger, M.D.

Pulmonary

Medicine

License No: G33671

NPI: 1033105614

7320 Woodlake Ave. # 290

4

West Hills, CA 91307

1925 500306

(818) 716-6446

Office Staff Language

#

: Farsi

Accessibility:*:

Hours: TU-TH 9 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 943: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 943

HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

943

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

West Hills Specialty/

Specialists PPG/Phy #

aasd

Aminpour, Shervin, M.D.

Otolaryngology

(ENT)

1

License No: A99486

NPI: 1326022708

7345 Medical Center Dr. # 540

4

West Hills, CA 91307

1923 169595

(818) 992-0331

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: F 9 AM - 4 PM, M-TH 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

West Hills Specialty/

Specialists PPG/Phy #

aasd

Arimie, Raluca B., M.D.

Cardiology/

Cardiovascular

Disease

License No: A54502

NPI: 1295760395

7325 Medical Center Dr. # 306

West Hills, CA 91307

1923 090710

(818) 710-8045

Prov Language: Romanian, Spanish

Office Staff Language

#

:

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 944: 2018 Provider and Pharmacy Directory

944 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

West Hills Specialty/

Specialists PPG/Phy #

Arimie, Raluca B., M.D.

Interventional

Cardiology

License No: A54502

NPI: 1295760395

7325 Medical Center Dr. # 306

West Hills, CA 91307

1923 090710

(818) 710-8045

Prov Language: Romanian, Spanish

Office Staff Language

#

:

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Bachner, Evan J., M.D.

Orthopedic

Surgery

1

License No: G72023

NPI: 1336142157

7301 Medical Center Dr. # 400

4

West Hills, CA 91307

1923 541153

(818) 264-3344

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

West Hills Specialty/

Specialists PPG/Phy #

aasd

Barkodar, Leon, M.D.

Nephrology

1

License No: A120910

NPI: 1760700496

7320 Woodlake Ave. # 250

4

West Hills, CA 91307

1925 209980

(818) 593-2191

Office Staff Language

#

: Hindi, Spanish

Accessibility:*:

Hours: M-F 8:30 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Barry, Daniel C., DPM

Podiatry

License No: E3719

NPI: 1104877885

7301 Medical Center Dr. # 500

4

West Hills, CA 91307

1925 065940

(818) 226-3666

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*: Limited(P,EB)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 945: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 945

HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

945

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

West Hills Specialty/

Specialists PPG/Phy #

aasd

Blau, Jonathan M., M.D.

Orthopedic

Surgery

License No: A141061

NPI: 1396066619

7230 Medical Center Dr. # 604

West Hills, CA 91307

1025 221789

(818) 657-5640

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

aasd

Chuang, Tsu-Yi, M.D.

Dermatology

1

License No: C50711

NPI: 1942268149

7301 Medical Center Dr. # 500

4

West Hills, CA 91307

1923 131365

(818) 226-3666

Office Staff Language

#

:

Accessibility:*: Limited(P,EB)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

West Hills Specialty/

Specialists PPG/Phy #

aasd

Fields, Robert H., M.D.

Orthopedic

Surgery

1

License No: G56960

NPI: 1568465334

7301 Medical Center Dr. # 400

4

West Hills, CA 91307

1925 041136

(818) 264-3344

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Fields, Robert H., M.D.

Orthopedic

Surgery

1

License No: G56960

NPI: 1568465334

7301 Medical Center Dr. # 400

4

West Hills, CA 91307

1923 041136

(818) 264-3344

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 946: 2018 Provider and Pharmacy Directory

946 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

West Hills Specialty/

Specialists PPG/Phy #

aasd

Fox, James M., M.D.

Orthopedic

Surgery

1

License No: G22396

NPI: 1043310683

7301 Medical Center Dr. # 400

4

West Hills, CA 91307

1925 520877

(818) 264-3344

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Kamrava, David S., M.D.

Pulmonary

Medicine

1

License No: G102042

NPI: 1285800359

7320 Woodlake Ave. # 290

4

West Hills, CA 91307

0829 207174

(818) 716-6446

Office Staff Language

#

: Farsi

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

West Hills Specialty/

Specialists PPG/Phy #

Kamrava, David S., M.D.

Pulmonary

Medicine

1

License No: G102042

NPI: 1285800359

7320 Woodlake Ave. # 290

4

West Hills, CA 91307

1923 207174

(818) 716-6446

Office Staff Language

#

: Farsi

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Lee, Michael, M.D.

Orthopedic

Surgery

1

License No: G65065

NPI: 1013994896

7345 Medical Center Dr. # 280

4

West Hills, CA 91307

1923 048815

(818) 888-2855

Prov Language: Fukienese, Mandarin, Spanish,

Tagalog

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 947: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 947

HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

947

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

West Hills Specialty/

Specialists PPG/Phy #

aasd

Li, John J., M.D.

Infectious Disease

1

License No: A85389

NPI: 1487678041

7230 Medical Center Dr. # 203

4

West Hills, CA 91307

1925 141328

(818) 226-6811

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Li, John J., M.D.

Internal Medicine

1

License No: A85389

NPI: 1487678041

7230 Medical Center Dr. # 203

4

West Hills, CA 91307

1925 141328

(818) 226-6811

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

West Hills Specialty/

Specialists PPG/Phy #

aasd

Nadel, Kevin A., M.D.

Orthopedic

Surgery

1

License No: A89739

NPI: 1407822935

7301 Medical Center Dr. # 400

4

West Hills, CA 91307

1923 128743

(818) 264-3344

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Ohanian-Goncuian, Biana

L., O.D.

Optometrist

License No: OPT9955

NPI: 1427143817

7301 Medical Center Dr. # 410

4

West Hills, CA 91307

1923 100782

(818) 340-9960

Prov Language: Armenian, Turkish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-TH 8:30 AM - 5:30 PM, F 8 AM - 3:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 948: 2018 Provider and Pharmacy Directory

948 / www.healthnet.com/calmediconnect

HCP Med Grp - Los Angeles PPG 829

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

West Hollywood Specialty/

Specialists PPG/Phy #

aasd

Gabrielian, Anna, M.D.

Ophthalmology

1

License No: A124559

NPI: 1659528602

7739 Santa Monica Blvd.

4

West Hollywood, CA 90046

1923 208588

(323) 656-7771

Prov Language: Armenian, Russian, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Gabrielian, Karine, M.D.

Ophthalmology

License No: A66613

NPI: 1740388982

7739 Santa Monica Blvd.

4

West Hollywood, CA 90046

0829 089528

(323) 656-7771

Prov Language: Armenian, Farsi, Russian,

Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

West Hollywood Specialty/

Specialists PPG/Phy #

Gabrielian, Karine, M.D.

Ophthalmology

License No: A66613

NPI: 1740388982

7739 Santa Monica Blvd.

4

West Hollywood, CA 90046

1923 089528

(323) 656-7771

Prov Language: Armenian, Farsi, Russian,

Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 949: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 949

HCP Med Grp - Los Angeles PPG 829

Specialists

Sp

ec

ialists

949

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

West Hollywood Specialty/

Specialists PPG/Phy #

aasd

Hovanesian, Haroutun H.,

M.D.

Ophthalmology

1

License No: A67565

NPI: 1154341626

7739 Santa Monica Blvd.

4

West Hollywood, CA 90046

0829 078678

(323) 656-7771

Prov Language: Armenian, Russian, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: SA 9 AM - 4 PM, W-F 8 AM - 6 PM, TU

9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

West Hollywood Specialty/

Specialists PPG/Phy #

Hovanesian, Haroutun H.,

M.D.

Ophthalmology

1

License No: A67565

NPI: 1154341626

7739 Santa Monica Blvd.

4

West Hollywood, CA 90046

1923 078678

(323) 656-7771

Prov Language: Armenian, Russian, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: SA 9 AM - 4 PM, W-F 8 AM - 6 PM, TU

9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Yoon, Steven J., M.D.

Ophthalmology

License No: A107383

NPI: 1215138110

7739 Santa Monica Blvd.

4

West Hollywood, CA 90046

0829 153382

(323) 656-7771

Prov Language: Armenian, Russian, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 950: 2018 Provider and Pharmacy Directory

950 / www.healthnet.com/calmediconnect

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Health Care LA

PPG 5284

6400 Canoga AVe. Ste 163

Woodland Hills, CA 91367-2435

(818) 702-0100

Urgent Care:

Express Care Mayflower Medical

(626)331-2209

Greater Covina UC (626)732-9232

Encino Urgent Care (818)708-6163

Dusk to Down Urgent Care -Gardena

(310)323-2273

Hospitals Used:

California Hospital Medical Center

Agoura Hills Specialty/

Specialists PPG/Phy #

aasd

Eisenkop, Scott, M.D.

Gynecologic

Oncology

1

License No: G41053

NPI: 1306958517

29525 Canwood St. # 205

Agoura Hills, CA 91301

5284 004455

(818) 905-1901

Office Staff Language

#

:

Accessibility:*:

Hours: M-W,F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Olshansky, Adel, M.D.

Neurology

License No: A106965

NPI: 1063694115

29525 Canwood St. # 202

4

Agoura Hills, CA 91301

5284 203589

(818) 707-0952

Prov Language: Russian

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 951: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 951

Health Care LA PPG 5284

Specialists

Sp

ec

ialists

951

1

Board Certified

3

Physician is currently not accepting new patients.

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Beverly Hills Specialty/

Specialists PPG/Phy #

aasd

Freed, Michael I., M.D.

Dermatology

1

License No: G53029

NPI: 1114918331

415 N. Crescent Dr. # 340

4

Beverly Hills, CA 90210

5284 059309

(310) 659-5173

Prov Language: Farsi, French, Spanish

Office Staff Language

#

: Farsi, French, Spanish

Accessibility:*:

Hours: M 11 AM - 5 PM, TU-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Green, Garth A., M.D.

3

Radiation

Oncology

License No: A51547

NPI: 1366426421

9229 Wilshire Blvd.

4

Beverly Hills, CA 90210

5284 060998

(310) 651-9292

Office Staff Language

#

: Armenian, French,

Mandarin, Spanish

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Beverly Hills Specialty/

Specialists PPG/Phy #

aasd

Murthy, Raghu C., M.D.

Ophthalmology

1

License No: A66228

NPI: 1194725390

435 N. Bedford Dr. # 210

4

Beverly Hills, CA 90210

5284 098475

(310) 275-4949

Prov Language: French, Kannada, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-SA 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Tao, May L., M.D.

Radiation

Oncology

1

License No: G84776

NPI: 1144204249

9229 Wilshire Blvd.

4

Beverly Hills, CA 90210

5284 071621

(310) 651-9292

Prov Language: Mandarin

Office Staff Language

#

: Armenian, French,

Mandarin, Spanish

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 952: 2018 Provider and Pharmacy Directory

952 / www.healthnet.com/calmediconnect

Health Care LA PPG 5284

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Beverly Hills Specialty/

Specialists PPG/Phy #

aasd

Yampolsky, Henry, M.D.

Radiation

Oncology

1

License No: A80272

NPI: 1295704237

9229 Wilshire Blvd.

4

Beverly Hills, CA 90210

5284 134984

(310) 651-9292

Prov Language: Russian, Ukranian

Office Staff Language

#

: Armenian, French,

Mandarin, Spanish

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Canoga Park Specialty/

Specialists PPG/Phy #

aasd

Alstadt, Scott C., P.T.

Physical Therapy

License No: PT9224

NPI: 1447370689

6900 Owensmouth Ave. # 102

Canoga Park, CA 91303

5284 166109

(818) 999-3582

Prov Language: Farsi, Spanish, Tagalog

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 6 PM, SA 9 AM - 12 PM

Cultural Competence Training Completed:

Provider Training and Experience:

aasd

Stammer, John W., P.T.

Physical Therapy

License No: PT9114

NPI: 1598885725

22235 Sherman Way

Canoga Park, CA 91303

5284 166092

(818) 999-3582

Prov Language: Farsi, Spanish, Tagalog

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 8 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Page 953: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 953

Health Care LA PPG 5284

Specialists

Sp

ec

ialists

953

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Canoga Park Specialty/

Specialists PPG/Phy #

Stammer, John W., P.T.

Physical Therapy

License No: PT9114

NPI: 1598885725

6900 Owensmouth Ave. # 102

Canoga Park, CA 91303

5284 166092

(818) 999-3582

Prov Language: Farsi, Spanish, Tagalog

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 8 AM - 6 PM, SA 9 AM - 12 PM

Cultural Competence Training Completed:

Provider Training and Experience:

Encino Specialty/

Specialists PPG/Phy #

aasd

Bahar, Ron J., M.D.

Pediatric

Gastroenterology

License No: A52195

NPI: 1750479002

5363 Balboa Blvd. # 540

4

Encino, CA 91316

5284 061392

(818) 905-6600

Prov Language: Hebrew, Korean, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Becker, Bruce B., M.D.

Ophthalmology

License No: C40316

NPI: 1376584433

5363 Balboa Blvd. # 246

4

Encino, CA 91316

5284 021238

(818) 783-3510

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 954: 2018 Provider and Pharmacy Directory

954 / www.healthnet.com/calmediconnect

Health Care LA PPG 5284

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Encino Specialty/

Specialists PPG/Phy #

aasd

Chin, Kenneth W., M.D.

Vascular Surgery

1

License No: G29660

NPI: 1902888704

16311 Ventura Blvd. # 120

4

Encino, CA 91436

5284 064078

(818) 817-7707

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Collins, Brynie S., M.D.

Pediatric

Gastroenterology

1

License No: A80600

NPI: 1790958015

5363 Balboa Blvd. # 540

4

Encino, CA 91316

5284 144556

(818) 905-6600

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Encino Specialty/

Specialists PPG/Phy #

aasd

Dini, Arash A., M.D.

Orthopedic

Surgery

License No: A127823

NPI: 1841433547

16260 Ventura Blvd. # 625

Encino, CA 91436

5284 216668

(818) 784-1020

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Durant, Bill, O.D.

Optometrist

License No: OPT8710

NPI: 1699830554

17310 Ventura Blvd.

4

Encino, CA 91316

5284 127930

(818) 728-6800

Office Staff Language

#

: Farsi, Spanish

Accessibility:*:

Hours: SA 9 AM - 5 PM, M-F 9 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 955: 2018 Provider and Pharmacy Directory

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Health Care LA PPG 5284

Specialists

Sp

ec

ialists

955

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Encino Specialty/

Specialists PPG/Phy #

aasd

Ebrahimi, Sam A., M.D.

Thoracic Surgery

License No: A60777

NPI: 1114916376

16030 Ventura Blvd. # 605

4

Encino, CA 91436

5284 105712

(818) 900-2700

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*: Limited(EB,IB,R,E)

Hours: M-F 8 AM - 5 PM, SA 8 AM - 12 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Gingold, Daniel S., M.D.

Colon & Rectal

Surgery

1

License No: A116809

NPI: 1376834309

16311 Ventura Blvd. # 505

4

Encino, CA 91436

5284 188919

(818) 387-8725

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Encino Specialty/

Specialists PPG/Phy #

aasd

Green, Gearin, M.D.

Orthopedic

Surgery

License No: A149777

NPI: 1871806315

16311 Ventura Blvd. # 1150

Encino, CA 91436

5284 241468

(818) 477-0787

Office Staff Language

#

: Spanish

Self Reported Accessibility:*: Limited(E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

aasd

Hasemi, Nafiseh, M.D.

Ophthalmology

License No: A136366

NPI: 1619264645

5400 Balboa Blvd. # 209

Encino, CA 91316

5284 232675

(818) 205-1200

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 8 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 956: 2018 Provider and Pharmacy Directory

956 / www.healthnet.com/calmediconnect

Health Care LA PPG 5284

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Encino Specialty/

Specialists PPG/Phy #

aasd

Headrick, Charles N., M.D.

Colon & Rectal

Surgery

1

License No: A48418

NPI: 1265537831

16311 Ventura Blvd. # 505

4

Encino, CA 91436

5284 048855

(818) 387-8725

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Hoang, Quynh B., M.D.

Orthopedic

Surgery

License No: A103880

NPI: 1689838708

5353 Balboa Blvd. # 202

4

Encino, CA 91316

5284 206390

(818) 789-9449

Prov Language: Vietnamese

Office Staff Language

#

:

Accessibility:*: Limited(EB,IB)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Encino Specialty/

Specialists PPG/Phy #

aasd

Khounganian, Gregory S.,

M.D.

Orthopedic

Surgery

1

License No: A102948

NPI: 1750560389

5363 Balboa Blvd. # 245

Encino, CA 91316

5284 155330

(818) 343-4430

Prov Language: Armenian, Spanish

Office Staff Language

#

: Farsi, Spanish, Tagalog

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Lake, Jeffrey P., M.D.

Colon & Rectal

Surgery

1

License No: A73315

NPI: 1326006024

16311 Ventura Blvd. # 505

4

Encino, CA 91436

5284 133709

(818) 387-8725

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 957: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 957

Health Care LA PPG 5284

Specialists

Sp

ec

ialists

957

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Encino Specialty/

Specialists PPG/Phy #

aasd

Lavian, Pouya, M.D.

Neurology

1

License No: A109429

NPI: 1912196874

16550 Ventura Blvd. # 120

Encino, CA 91436

5284 203796

(818) 394-0884

Prov Language: Farsi

Office Staff Language

#

:

Accessibility:*:

Hours: TH 9 AM - 1 PM, TU 4 PM - 5 PM, F 9

AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Leong, Frederic J., M.D.

Pediatric

Cardiology

License No: G71490

NPI: 1598876070

5400 Balboa Blvd. # 202

4

Encino, CA 91316

5284 052205

(818) 784-6269

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Encino Specialty/

Specialists PPG/Phy #

aasd

Merritt, Helen A., M.D.

Ophthalmology

License No: A132747

NPI: 1790075927

5363 Balboa Blvd. # 246

4

Encino, CA 91316

5284 219899

(213) 234-1000

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Morgan, Philip J., M.D.

Pain Management

1

License No: G56468

NPI: 1548211931

16500 Ventura Blvd. # 375

4

Encino, CA 91436

5284 025551

(818) 788-0910

Prov Language: Dutch, French, German,

Gujarati, Spanish

Office Staff Language

#

:

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-TH 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 958: 2018 Provider and Pharmacy Directory

958 / www.healthnet.com/calmediconnect

Health Care LA PPG 5284

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Encino Specialty/

Specialists PPG/Phy #

aasd

Paikal, David, M.D.

Ophthalmology

1

License No: A76744

NPI: 1578659405

16661 Ventura Blvd. # 522

4

Encino, CA 91436

5284 107772

(818) 981-1663

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*: Limited(EB,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Pourshahmir, Mohammad,

M.D.

Colon & Rectal

Surgery

1

License No: A78449

NPI: 1437187028

5400 Balboa Blvd. # 228

Encino, CA 91316

5284 097378

(818) 783-7277

Prov Language: Farsi, French

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Encino Specialty/

Specialists PPG/Phy #

aasd

Rozansky, Alison J., M.D.

Pediatric

Orthopedics

License No: A103944

NPI: 1285834846

5353 Balboa Blvd. # 202

4

Encino, CA 91316

5284 147047

(818) 789-9449

Office Staff Language

#

:

Accessibility:*: Limited(EB,IB)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Sarafzadeh, Shaden, M.D.

Ophthalmology

1

License No: A120299

NPI: 1346415395

16311 Ventura Blvd. # 955

Encino, CA 91436

5284 193495

(818) 650-2000

Prov Language: Farsi, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 959: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 959

Health Care LA PPG 5284

Specialists

Sp

ec

ialists

959

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Encino Specialty/

Specialists PPG/Phy #

aasd

Sheibani-Rad, Shahin E.,

M.D.

Orthopedic

Surgery

License No: A130858

NPI: 1679779649

16311 Ventura Blvd. # 1150

Encino, CA 91436

5284 218416

(818) 477-0787

Prov Language: Farsi, Spanish

Office Staff Language

#

: Spanish

Self Reported Accessibility:*: Limited(E,T)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Suchov, Mordo, M.D.

Gastroenterology

1

License No: A39778

NPI: 1609941301

16260 Ventura Blvd. # LL15

4

Encino, CA 91436

5284 016732

(818) 905-1567

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Encino Specialty/

Specialists PPG/Phy #

aasd

Tilki, Natalia, D.O.

Ophthalmology

License No: 20A8859

NPI: 1790793248

16260 Ventura Blvd. # 711

4

Encino, CA 91436

5284 135531

(818) 990-0088

Prov Language: Russian, Turkish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM, SA 9 AM - 1 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Yadegar, Sasan, M.D.

Neurosurgery

1

License No: G72739

NPI: 1376613455

16311 Ventura Blvd. # 1205

4

Encino, CA 91436

5284 068323

(818) 783-2616

Prov Language: Farsi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(EB,E)

Hours: M-F 8 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 960: 2018 Provider and Pharmacy Directory

960 / www.healthnet.com/calmediconnect

Health Care LA PPG 5284

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Granada Hills Specialty/

Specialists PPG/Phy #

aasd

Rangappa, Sunil, M.D.

Cardiology/

Cardiovascular

Disease

1

License No: A93249

NPI: 1730392887

10515 Balboa Blvd. # 375

Granada Hills, CA 91344

5284 166656

(818) 305-5671

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Granada Hills Specialty/

Specialists PPG/Phy #

aasd

Vasan, Sheila, M.D.

Hematology/

Oncology

License No: A106086

NPI: 1487846416

16801 Devonshire St.

4

Granada Hills, CA 91344

5284 198194

(818) 366-1878

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Weiss, Howard J., O.D.

Optometrist

License No: OPT5968

NPI: 1396833182

10605 Balboa Blvd. # 230

4

Granada Hills, CA 91344

5284 046574

(818) 368-4114

Prov Language: French, Portuguese, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8:30 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 961: 2018 Provider and Pharmacy Directory

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Health Care LA PPG 5284

Specialists

Sp

ec

ialists

961

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

La Crescenta Specialty/

Specialists PPG/Phy #

aasd

Kim, Melody J., O.D.

Optometrist

License No: OPT14726

NPI: 1487082749

3221 Rimhill Rd.

La Crescenta, CA 91214

5284 231654

(626) 269-5317

Prov Language: Korean, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Lancaster Specialty/

Specialists PPG/Phy #

aasd

Amoils, Clifford P., M.D.

Otolaryngology

(ENT)

1

License No: A52428

NPI: 1013986397

44105 15th St. West # 301

Lancaster, CA 93534

5284 063908

(661) 259-2500

Office Staff Language

#

:

Accessibility:*:

Hours: F 8 AM - 4:30 PM, M-TH 8 AM - 5:30

PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Baghoumian, Marineh, O.D.

Optometrist

License No: OPT14842

NPI: 1972929438

44815 Fig Ave.

4

Lancaster, CA 93534

5284 232921

(800) 898-2020

Prov Language: Armenian, Farsi

Office Staff Language

#

: Armenian, Cantonese,

Korean, Mandarin, Spanish, Vietnamese

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 962: 2018 Provider and Pharmacy Directory

962 / www.healthnet.com/calmediconnect

Health Care LA PPG 5284

Specialists

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Lancaster Specialty/

Specialists PPG/Phy #

aasd

Bardes, Allison G., M.D.

Ophthalmology

License No: A142949

NPI: 1144586942

44815 Fig Ave.

4

Lancaster, CA 93534

5284 223756

(661) 949-5955

Office Staff Language

#

: Armenian, Cantonese,

Korean, Mandarin, Spanish, Vietnamese

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Chawla, Anuj, M.D.

Ophthalmology

License No: A136993

NPI: 1083841027

44815 Fig Ave.

4

Lancaster, CA 93534

5284 214249

(661) 206-9753

Prov Language: Spanish

Office Staff Language

#

: Armenian, Cantonese,

Korean, Mandarin, Spanish, Vietnamese

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Lancaster Specialty/

Specialists PPG/Phy #

aasd

Chen, Brian H., M.D.

Ophthalmology

License No: A127719

NPI: 1952631632

44815 Fig Ave.

4

Lancaster, CA 93534

5284 205732

(661) 206-9753

Prov Language: Mandarin, Spanish

Office Staff Language

#

: Armenian, Cantonese,

Korean, Mandarin, Spanish, Vietnamese

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Grewal, Narinder S., M.D.

Pain Management

License No: C42572

NPI: 1396783270

1629 W. Ave. J # 106

Lancaster, CA 93534

5284 034075

(661) 942-9810

Prov Language: Punjabi, Spanish

Office Staff Language

#

: Spanish, Tagalog

Accessibility:*: Basic(P,EB,IB,R,E)

Hours: M-F 8:30 AM - 4:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 963: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 963

Health Care LA PPG 5284

Specialists

Sp

ec

ialists

963

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Lancaster Specialty/

Specialists PPG/Phy #

aasd

Kataria, Hardeep K., O.D.

Optometrist

License No: OPT15370

NPI: 1043564362

44815 Fig Ave.

4

Lancaster, CA 93534

5284 217656

(661) 206-9753

Prov Language: Spanish

Office Staff Language

#

: Armenian, Cantonese,

Korean, Mandarin, Spanish, Vietnamese

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Kim, Melody J., O.D.

Optometrist

License No: OPT14726

NPI: 1487082749

44815 Fig Ave.

4

Lancaster, CA 93534

5284 231654

(661) 206-9753

Prov Language: Korean, Spanish

Office Staff Language

#

: Armenian, Cantonese,

Korean, Mandarin, Spanish, Vietnamese

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Lancaster Specialty/

Specialists PPG/Phy #

aasd

Lemus-Rangel, Rafael, M.D.

General Surgery

1

License No: A107205

NPI: 1609102433

1658 W. Ave. J

Lancaster, CA 93534

5284 190717

(661) 942-8855

Prov Language: Spanish

Office Staff Language

#

: Mandarin, Spanish

Accessibility:*:

Hours: TU-TH 8 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Lindsay, Rebecca, M.D.

Ophthalmology

License No: A138836

NPI: 1093006694

44815 Fig Ave.

4

Lancaster, CA 93534

5284 214857

(661) 206-9753

Office Staff Language

#

: Armenian, Cantonese,

Korean, Mandarin, Spanish, Vietnamese

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 964: 2018 Provider and Pharmacy Directory

964 / www.healthnet.com/calmediconnect

Health Care LA PPG 5284

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Lancaster Specialty/

Specialists PPG/Phy #

aasd

Malek, Renia, O.D.

Optometrist

License No: OPT33840

NPI: 1639688179

44815 Fig Ave.

4

Lancaster, CA 93534

5284 238518

(661) 949-5955

Prov Language: Spanish

Office Staff Language

#

: Armenian, Cantonese,

Korean, Mandarin, Spanish, Vietnamese

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

aasd

Neuman, Thomas, DPM

Podiatry

1

License No: E1584

NPI: 1992757603

1672 W. Ave. J # 201

Lancaster, CA 93534

5284 034502

(661) 945-3628

Prov Language: Hungarian, Spanish

Office Staff Language

#

: Spanish

Self Reported Accessibility:*:

Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Lancaster Specialty/

Specialists PPG/Phy #

aasd

Sodhi, Avneet K., M.D.

Ophthalmology

License No: A136814

NPI: 1982929105

44815 Fig Ave.

4

Lancaster, CA 93534

5284 213099

(661) 206-9753

Prov Language: Armenian, Mandarin, Punjabi,

Spanish

Office Staff Language

#

: Armenian, Cantonese,

Korean, Mandarin, Spanish, Vietnamese

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Strand, Andrew T., D.O.

Ophthalmology

License No: 20A15577

NPI: 1295077402

44815 Fig Ave.

4

Lancaster, CA 93534

5284 231285

(800) 898-2020

Office Staff Language

#

: Armenian, Cantonese,

Korean, Mandarin, Spanish, Vietnamese

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 965: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 965

Health Care LA PPG 5284

Specialists

Sp

ec

ialists

965

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Lancaster Specialty/

Specialists PPG/Phy #

aasd

Su, Susan C., O.D.

Optometrist

License No: OPT15315

NPI: 1639553217

44815 Fig Ave.

4

Lancaster, CA 93534

5284 213103

(661) 949-5955

Prov Language: Mandarin, Spanish

Office Staff Language

#

: Armenian, Cantonese,

Korean, Mandarin, Spanish, Vietnamese

Accessibility:*:

Hours: SA 8 AM - 4 PM, M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Tran, Henry V., O.D.

Optometrist

License No: OPT15159

NPI: 1467846709

44815 Fig Ave.

4

Lancaster, CA 93534

5284 214779

(661) 949-5955

Office Staff Language

#

: Armenian, Cantonese,

Korean, Mandarin, Spanish, Vietnamese

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Al-Jazayrly, Ghassan M.,

M.D.

Hematology/

Oncology

1

License No: A52470

NPI: 1679590566

1300 N. Vermont Ave. # 606

4

Los Angeles, CA 90027

5284 069270

(323) 660-6200

Prov Language: Arabic, Armenian, Korean,

Russian, Spanish, Tagalog

Office Staff Language

#

:

Accessibility:*: Limited(IB,R)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 966: 2018 Provider and Pharmacy Directory

966 / www.healthnet.com/calmediconnect

Health Care LA PPG 5284

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Asiryan, Vardui, M.D.

Obstetrics/

Gynecology

1

License No: A128242

NPI: 1487880506

1530 Hillhurst Ave.

4

Los Angeles, CA 90027

5284 213170

(323) 644-3880

Prov Language: Armenian, Russian

Office Staff Language

#

: Bengali,

Cambodian,Khmer, Cantonese, Hindi,

Japanese, Spanish, Tagalog, Thai, Urdu

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: M-F 9 AM - 5:30 PM, SA 7 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Ayvazian, Hermoz, DPM

Podiatry

1

License No: E3761

NPI: 1760564272

1300 N. Vermont Ave. # 810

Los Angeles, CA 90027

5284 032592

(818) 242-4426

Prov Language: Armenian, Farsi, Russian,

Spanish

Office Staff Language

#

: Armenian, Farsi,

Spanish

Accessibility:*: Limited(EB,IB,R,E)

Hours: TH-F 9 AM - 6 PM, W 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 967: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 967

Health Care LA PPG 5284

Specialists

Sp

ec

ialists

967

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Bargout, Raed, M.D.

Cardiology/

Cardiovascular

Disease

License No: C53521

NPI: 1962498410

1300 N. Vermont Ave. # 1009

Los Angeles, CA 90027

5284 169064

(323) 668-9350

Prov Language: Arabic, Armenian, Spanish,

Tagalog

Office Staff Language

#

:

Accessibility:*: Limited(P,EB,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Batniji, Kamal A., M.D.

Otolaryngology

(ENT)

License No: A25477

NPI: 1699823021

1300 N. Vermont Ave. # 604

4

Los Angeles, CA 90027

5284 500956

(323) 660-1111

Prov Language: Arabic, Spanish

Office Staff Language

#

: Arabic, Spanish

Accessibility:*:

Hours: TU,F 2 PM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Batniji, Kamal A., M.D.

Pediatric

Otolaryngology

License No: A25477

NPI: 1699823021

1300 N. Vermont Ave. # 604

4

Los Angeles, CA 90027

5284 500956

(323) 660-1111

Prov Language: Arabic, Spanish

Office Staff Language

#

: Arabic, Spanish

Accessibility:*:

Hours: TU,F 2 PM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 968: 2018 Provider and Pharmacy Directory

968 / www.healthnet.com/calmediconnect

Health Care LA PPG 5284

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Gabrielian, Karine, M.D.

Ophthalmology

License No: A66613

NPI: 1740388982

5449 Hollywood Blvd. # B

4

Los Angeles, CA 90027

5284 089528

(323) 871-1777

Prov Language: Armenian, Farsi, Russian,

Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Gandhi, Shobhana A., M.D.

Obstetrics/

Gynecology

1

License No: A29540

NPI: 1316051451

1300 N. Vermont Ave. # 307

4

Los Angeles, CA 90027

5284 551368

(323) 953-8821

Prov Language: Armenian, Bengali, Gujarati,

Hindi, Russian, Spanish

Office Staff Language

#

: Armenian, Spanish

Accessibility:*: Limited(EB,IB,E)

Hours: M-TH 8 AM - 5 PM, F-SA 8 AM - 1 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 969: 2018 Provider and Pharmacy Directory

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Health Care LA PPG 5284

Specialists

Sp

ec

ialists

969

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Specialists PPG/Phy #

Gandhi, Shobhana A., M.D.

Obstetrics/

Gynecology

1

License No: A29540

NPI: 1316051451

1530 Hillhurst Ave.

4

Los Angeles, CA 90027

5284 551368

(323) 644-3888

Prov Language: Armenian, Bengali, Gujarati,

Hindi, Russian, Spanish

Office Staff Language

#

: Bengali,

Cambodian,Khmer, Cantonese, Hindi,

Japanese, Spanish, Tagalog, Thai, Urdu

Accessibility:*: Basic(P,EB,IB,R,E,T)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Ghazal, Joseph S., M.D.

Cardiology/

Cardiovascular

Disease

1

License No: C53712

NPI: 1275558330

1300 N. Vermont Ave. # 808

Los Angeles, CA 90027

5284 155646

(323) 913-4303

Prov Language: Arabic, Armenian, Farsi,

Korean, Mandarin, Russian, Spanish, Tagalog,

Turkish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 970: 2018 Provider and Pharmacy Directory

970 / www.healthnet.com/calmediconnect

Health Care LA PPG 5284

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Habibi, Mehdi, M.D.

Neurosurgery

License No: A39878

NPI: 1083759997

1300 N. Vermont Ave. # 504

4

Los Angeles, CA 90027

5284 051389

(323) 665-4690

Prov Language: Farsi, Spanish

Office Staff Language

#

: Farsi, Spanish

Accessibility:*:

Hours: M-TH 9 AM - 6 PM, F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Hovanesian, Haroutun H.,

M.D.

Ophthalmology

1

License No: A67565

NPI: 1154341626

5449 Hollywood Blvd. # B

4

Los Angeles, CA 90027

5284 078678

(323) 871-1777

Prov Language: Armenian, Russian, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 6 PM, SA 9 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Lamorena, Thelma Linda

S., M.D.

Endocrinology

License No: A29376

NPI: 1972603256

1300 N. Vermont Ave. # 806

4

Los Angeles, CA 90027

5284 009465

(818) 522-3146

Prov Language: Sign Language, Spanish,

Tagalog

Office Staff Language

#

: Arabic, Armenian,

French, Italian, Spanish, Turkish

Accessibility:*: Limited(EB,IB)

Hours: TU 1 PM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 971: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 971

Health Care LA PPG 5284

Specialists

Sp

ec

ialists

971

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Landis, Bradley, M.D.

Urology

1

License No: G42058

NPI: 1538203583

1300 N. Vermont Ave. # 1003

4

Los Angeles, CA 90027

5284 079822

(323) 663-0077

Prov Language: Spanish

Office Staff Language

#

: Arabic, Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Lee, Don W., M.D.

Cardiology/

Cardiovascular

Disease

1

License No: A34051

NPI: 1104806421

1300 N. Vermont Ave. # 403

4

Los Angeles, CA 90027

5284 056673

(323) 644-9500

Prov Language: Korean

Office Staff Language

#

: Korean

Accessibility:*:

Hours: TU 12:45 PM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Specialists PPG/Phy #

Lee, Don W., M.D.

Interventional

Cardiology

1

License No: A34051

NPI: 1104806421

1300 N. Vermont Ave. # 403

4

Los Angeles, CA 90027

5284 056673

(323) 644-9500

Prov Language: Korean

Office Staff Language

#

: Korean

Accessibility:*:

Hours: TU 12:45 PM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 972: 2018 Provider and Pharmacy Directory

972 / www.healthnet.com/calmediconnect

Health Care LA PPG 5284

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Lee, Edwin A., M.D.

Cardiology/

Cardiovascular

Disease

1

License No: A110733

NPI: 1629244918

1300 N. Vermont Ave. # 403

4

Los Angeles, CA 90027

5284 162229

(323) 644-9500

Prov Language: Farsi, Korean, Russian,

Spanish

Office Staff Language

#

: Korean

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Specialists PPG/Phy #

Lee, Edwin A., M.D.

Interventional

Cardiology

License No: A110733

NPI: 1629244918

1300 N. Vermont Ave. # 403

4

Los Angeles, CA 90027

5284 162229

(323) 644-9500

Prov Language: Farsi, Korean, Russian,

Spanish

Office Staff Language

#

: Korean

Accessibility:*:

Hours: M-F 8 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 973: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 973

Health Care LA PPG 5284

Specialists

Sp

ec

ialists

973

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Lee, Ryan K., M.D.

Obstetrics/

Gynecology

License No: G79984

NPI: 1982799953

4448 York Blvd.

4

Los Angeles, CA 90041

5284 069040

(323) 344-5233

Prov Language: Armenian, Spanish

Office Staff Language

#

: Armenian, Spanish,

Tagalog

Accessibility:*: Limited(P,EB,IB,E)

Hours: M-F 8:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Maki, Ahmed, D.O.

Otolaryngology

(ENT)

License No: 20A13553

NPI: 1457507998

1300 N. Vermont Ave. # 605

Los Angeles, CA 90027

5284 216575

(323) 268-6731

Prov Language: Arabic, Armenian, Cantonese,

Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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974 / www.healthnet.com/calmediconnect

Health Care LA PPG 5284

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Mansour, Antoine Y., M.D.

Colon & Rectal

Surgery

License No: A24054

NPI: 1053411637

1300 N. Vermont Ave. # 704

4

Los Angeles, CA 90027

5284 033517

(323) 462-0911

Prov Language: Arabic, French

Office Staff Language

#

: Arabic, Armenian,

French

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Specialists PPG/Phy #

Mansour, Antoine Y., M.D.

General Surgery

1

License No: A24054

NPI: 1053411637

1300 N. Vermont Ave. # 704

4

Los Angeles, CA 90027

5284 033517

(323) 462-0911

Prov Language: Arabic, French

Office Staff Language

#

: Arabic, Armenian,

French

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Shihady, Angela, O.D.

Optometrist

License No: OPT11955

NPI: 1841345477

7447 N. Figueroa St. # 200

4

Los Angeles, CA 90041

5284 233546

(323) 257-3937

Office Staff Language

#

: Armenian, Spanish,

Turkish

Accessibility:*:

Hours: TH-F 9 AM - 5 PM, M,W 8 AM - 5 PM,

TU 7 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 975: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 975

Health Care LA PPG 5284

Specialists

Sp

ec

ialists

975

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Simonian, Simon K., M.D.

Otolaryngology

(ENT)

1

License No: C39045

NPI: 1598771834

1300 N. Vermont Ave. # 701

4

Los Angeles, CA 90027

5284 015896

(323) 661-0772

Prov Language: Arabic, Armenian, Russian

Office Staff Language

#

: Farsi, Spanish

Accessibility:*:

Hours: TH-F 9 AM - 5 PM, M,W 8 AM - 5 PM,

TU 7 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Specialists PPG/Phy #

Simonian, Simon K., M.D.

Pediatric

Otolaryngology

License No: C39045

NPI: 1598771834

1300 N. Vermont Ave. # 701

4

Los Angeles, CA 90027

5284 015896

(323) 661-0772

Prov Language: Arabic, Armenian, Russian

Office Staff Language

#

: Farsi, Spanish

Accessibility:*:

Hours: TH-F 9 AM - 5 PM, M,W 8 AM - 5 PM,

TU 7 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 976: 2018 Provider and Pharmacy Directory

976 / www.healthnet.com/calmediconnect

Health Care LA PPG 5284

Specialists

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Los Angeles Specialty/

Specialists PPG/Phy #

aasd

Trenkle, Geoffrey B., D.O.

Otolaryngology

(ENT)

License No: 20A13166

NPI: 1003044876

1300 N. Vermont Ave. # 605

Los Angeles, CA 90027

5284 208564

(323) 593-7682

Prov Language: Arabic, Armenian, Cantonese,

Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Los Angeles Specialty/

Specialists PPG/Phy #

Trenkle, Geoffrey B., D.O.

Pediatric

Otolaryngology

License No: 20A13166

NPI: 1003044876

1300 N. Vermont Ave. # 605

Los Angeles, CA 90027

5284 208564

(323) 593-7682

Prov Language: Arabic, Armenian, Cantonese,

Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Turriago, Jonathan T., D.O.

Gynecology

License No: 20A14590

NPI: 1437413705

1300 N. Vermont Ave. # 307

4

Los Angeles, CA 90027

5284 228109

(323) 953-8821

Prov Language: Armenian, Spanish

Office Staff Language

#

: Armenian, Spanish

Accessibility:*: Limited(EB,IB,E)

Hours: M-SA 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 977: 2018 Provider and Pharmacy Directory

www.healthnet.com/calmediconnect / 977

Health Care LA PPG 5284

Specialists

Sp

ec

ialists

977

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Abdeen, Omaran A., M.D.

Nephrology

1

License No: A55592

NPI: 1700878410

11550 Indian Hills Rd. # 371

4

Mission Hills, CA 91345

5284 056820

(818) 365-1194

Prov Language: Arabic, Armenian, Spanish

Office Staff Language

#

: Armenian, Cantonese,

Mandarin, Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Avila, Tiffany P., M.D.

Neurosurgery

License No: A138522

NPI: 1528275864

11550 Indian Hills Rd. # 381

4

Mission Hills, CA 91345

5284 216806

(818) 361-0917

Prov Language: Hindi

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Chhablani, Rahul K., M.D.

Gastroenterology

1

License No: A106762

NPI: 1376799395

11550 Indian Hills Rd. # 381

4

Mission Hills, CA 91345

5284 164616

(818) 361-0917

Prov Language: Hindi, Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8:30 AM - 6 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Dabel, Pascal, M.D.

Nephrology

1

License No: A131011

NPI: 1033306592

11550 Indian Hills Rd. # 371

4

Mission Hills, CA 91345

5284 205314

(818) 365-1194

Prov Language: French, Spanish

Office Staff Language

#

: Armenian, Cantonese,

Mandarin, Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 978: 2018 Provider and Pharmacy Directory

978 / www.healthnet.com/calmediconnect

Health Care LA PPG 5284

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Ellerbroek, Nancy A., M.D.

Radiation

Oncology

License No: G53683

NPI: 1821071507

15031 Rinaldi St.

4

Mission Hills, CA 91345

5284 023123

(818) 496-4410

Prov Language: Spanish

Office Staff Language

#

: Hindi, Korean, Spanish

Accessibility:*: Limited(EB,IB,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Gomez, Caitlin L., M.D.

Radiation

Oncology

License No: A120188

NPI: 1619294907

15031 Rinaldi St.

4

Mission Hills, CA 91345

5284 214228

(818) 496-4410

Prov Language: Spanish

Office Staff Language

#

: Hindi, Korean, Spanish

Accessibility:*: Limited(EB,IB,E)

Hours: M-F 8 AM - 4:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Haggiagi, Jehad M., M.D.

Nephrology

License No: A140556

NPI: 1437420072

11550 Indian Hills Rd. # 371

4

Mission Hills, CA 91345

5284 223937

(818) 365-1194

Prov Language: Arabic

Office Staff Language

#

: Armenian, Cantonese,

Mandarin, Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Lusher, Frank R., M.D.

Dermatology

1

License No: C33258

NPI: 1912096280

15336 Devonshire St. # 1

4

Mission Hills, CA 91345

5284 058236

(818) 894-5616

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*: Limited(P,EB,IB,E)

Hours: M-F 9:30 AM - 5:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Health Care LA PPG 5284

Specialists

Sp

ec

ialists

979

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Mirchandani, Neha, M.D.

Neuropsychiatry

License No: A142081

NPI: 1801156880

14901 Rinaldi St. # 325

4

Mission Hills, CA 91345

5284 231007

(818) 898-9898

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Nangiana, Jasvinder S.,

M.D.

Neurosurgery

License No: A115268

NPI: 1104072545

11550 Indian Hills Rd. # 381

4

Mission Hills, CA 91345

5284 221735

(818) 361-0917

Prov Language: Hindi

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Nayyar, Kanwal K., M.D.

Neurology

License No: A56226

NPI: 1043238371

14901 Rinaldi St. # 325

4

Mission Hills, CA 91345

5284 077758

(818) 898-9898

Prov Language: Punjabi, Urdu

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Noghreian, Jacob, M.D.

Obstetrics/

Gynecology

1

License No: A30759

NPI: 1558450122

14901 Rinaldi St. # 320

4

Mission Hills, CA 91345

5284 025013

(818) 365-1616

Prov Language: Farsi, Spanish

Office Staff Language

#

: Spanish, Tagalog

Accessibility:*:

Hours: W-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 980: 2018 Provider and Pharmacy Directory

980 / www.healthnet.com/calmediconnect

Health Care LA PPG 5284

Specialists

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Ozohan, Mary L., M.D.

Radiation

Oncology

1

License No: A23566

NPI: 1609859412

15031 Rinaldi St.

4

Mission Hills, CA 91345

5284 012808

(818) 898-4410

Prov Language: Spanish

Office Staff Language

#

: Hindi, Korean, Spanish

Accessibility:*: Limited(EB,IB,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Rauchman, Steven H., M.D.

Ophthalmology

1

License No: G54533

NPI: 1497707384

11550 Indian Hills Rd. # 341

4

Mission Hills, CA 91345

5284 522124

(818) 365-0606

Prov Language: Spanish

Office Staff Language

#

: French, Spanish

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Shah, Parag A., M.D.

Nephrology

1

License No: A78966

NPI: 1225020886

11550 Indian Hills Rd. # 371

4

Mission Hills, CA 91345

5284 101052

(818) 365-1194

Prov Language: Armenian, Hindi, Spanish

Office Staff Language

#

: Armenian, Cantonese,

Mandarin, Spanish

Accessibility:*: Limited(P,E)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Spooler, Justin C., M.D.

Neurosurgery

License No: A100848

NPI: 1962619924

11550 Indian Hills Rd. # 381

4

Mission Hills, CA 91345

5284 186325

(818) 361-0917

Prov Language: Spanish

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8:30 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

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Health Care LA PPG 5284

Specialists

Sp

ec

ialists

981

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

Mission Hills Specialty/

Specialists PPG/Phy #

aasd

Tao, May L., M.D.

Radiation

Oncology

1

License No: G84776

NPI: 1144204249

15031 Rinaldi St.

4

Mission Hills, CA 91345

5284 071621

(818) 496-4410

Prov Language: Mandarin

Office Staff Language

#

: Hindi, Korean, Spanish

Accessibility:*: Limited(EB,IB,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hills Specialty/

Specialists PPG/Phy #

aasd

Chapman, Jill D., D.C.

Chiropractor

License No: DC27399

NPI: 1750387932

15206 Parthenia St.

4

North Hills, CA 91343

5284 139667

(818) 895-3100

Office Staff Language

#

: Spanish, Tagalog

Accessibility:*: Limited(P,EB,IB)

Hours: SA 7 AM - 4 PM, F 8:30 AM - 5 PM

Cultural Competence Training Completed:

Provider Training and Experience:

aasd

Ezra, Navid, M.D.

Dermatology

1

License No: A135378

NPI: 1104110071

15424 Nordhoff St. # B

4

North Hills, CA 91343

5284 229267

(805) 222-5803

Prov Language: Farsi

Office Staff Language

#

: Farsi, Spanish

Accessibility:*: Limited(EB,R,E)

Hours: M-F 8 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 982: 2018 Provider and Pharmacy Directory

982 / www.healthnet.com/calmediconnect

Health Care LA PPG 5284

Specialists

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hills Specialty/

Specialists PPG/Phy #

aasd

Fisher, Janelle, PSY.D

Psychology

License No: PSY23918

NPI: 1851418545

15206 Parthenia St.

4

North Hills, CA 91343

5284 232691

(818) 895-3100

Office Staff Language

#

: Spanish, Tagalog

Accessibility:*: Limited(P,EB,IB)

Hours: SA 9 AM - 3 PM, F 8 AM - 8 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Gad, Nimisha, O.D.

Optometrist

License No: OPT33669

NPI: 1740621010

9119 Haskell Ave.

4

North Hills, CA 91343

5284 235835

(888) 763-4070

Office Staff Language

#

: Spanish

Accessibility:*:

Hours: M-F 8 AM - 4 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hills Specialty/

Specialists PPG/Phy #

aasd

Galitz, Richard F., M.D.

Obstetrics/

Gynecology

License No: G42289

NPI: 1568421949

8527 Sepulveda Blvd

North Hills, CA 91343

5284 005519

(864) 516-2225

Prov Language: Mandarin, Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Ghodsi, Pari M., M.D.

Obstetrics/

Gynecology

License No: C137151

NPI: 1588823686

8527 Sepulveda Blvd

North Hills, CA 91343

5284 227299

(818) 895-3100

Office Staff Language

#

:

Accessibility:*:

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

Page 983: 2018 Provider and Pharmacy Directory

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Health Care LA PPG 5284

Specialists

Sp

ec

ialists

983

1

Board Certified

4

Public Transportation Accessible within half a mile of provider site

#

Telephonic interpreter services are available by calling Health Net Member Services

If you have questions, please call Health Net Cal MediConnect at 1-855-464-3571 (TTY: 711)

from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you can

leave a message. Your call will be returned within the next business day. The call is free.For more

information, visit www.healthnet.com/calmediconnect.

North Hills Specialty/

Specialists PPG/Phy #

aasd

Gillespie, William M., M.D.

Psychiatry

1

License No: G81203

NPI: 1538238118

15206 Parthenia St.

4

North Hills, CA 91343

5284 061005

(818) 895-3100

Office Staff Language

#

: Spanish, Tagalog

Accessibility:*: Limited(P,EB,IB)

Hours: M-TH 9:30 AM - 5 PM, F 9:30 AM -

12:30 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Green, Michael S., M.D.

Obstetrics/

Gynecology

1

License No: G80363

NPI: 1780631002

8527 Sepulveda Blvd

North Hills, CA 91343

5284 075266

(818) 895-3100

Prov Language: Spanish

Office Staff Language

#

:

Accessibility:*:

Hours: F 9 AM - 2 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

North Hills Specialty/

Specialists PPG/Phy #

aasd

Meier, Diana, LCSW

Social Worker

License No: LCS27686

NPI: 1851686026

15206 Parthenia St.

4

North Hills, CA 91343

5284 232676

(818) 895-3100

Office Staff Language

#

: Spanish, Tagalog

Accessibility:*: Limited(P,EB,IB)

Hours: M-F 9 AM - 5 PM

Cultural Competence Training Completed: No

Provider Training and Experience:

aasd

Meister, Jessica, LCSW

Social Worker

License No: LCS79425

NPI: 1649655713

15206 Parthenia St.

4

North Hills, CA 91343

5284 237876

(818) 895-3100

Office Staff Language

#

: Spanish, Tagalog

Accessibility:*: Limited(P,EB,IB)

Hours: W-TH 9 AM - 6 PM

Cultural Competence Training Completed:

Provider Training and Experience:

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