IF EMERGENCY MEDICAL CARE IS NEEDED: Call 911, fire or police. This directory is not intended to identify emergency medical providers.

Transcription

1 Prepared For: Prepared By: Thank you for using the WellComp Online Provider Search Tool. This personalized directory includes information on physicians and medical facilities contracted to provide medical care for employees with work related injuries or illnesses. IF EMERGENCY MEDICAL CARE IS NEEDED: Call 911, fire or police. This directory is not intended to identify emergency medical providers. These listed medical providers are independent contractors and are not the agents or employees of WellComp. The attached information is intended to assist with the selection of medical providers for employees with workers' compensation claims, where allowed by state law. Before making an appointment, be sure to notify the provider that this treatment is related to a workers' compensation claim. For any questions concerning your claim, please call your Examiner. WellComp is not responsible for the accuracy of listings of medical providers contained herein. Any person using the information contained herein understands and acknowledges that WellComp will not be responsible for any losses incurred by, or as a result of, any person relying on such information.

2 Table of Contents by County/City Alameda / Berkeley, CA 1 Alameda / Castro Valley, CA 1 Alameda / Dublin, CA 1 Alameda / Emeryville, CA 1 Alameda / Fremont, CA 2 Alameda / Hayward, CA 2 Alameda / Livermore, CA 3 Alameda / Oakland, CA 3 Alameda / Pleasanton, CA 5 Alameda / San Leandro, CA 5 Alameda / Union City, CA 6 Amador / Pine Grove, CA 7 Butte / Chico, CA 7 Butte / Oroville, CA 7 Butte / Paradise, CA 8 Calaveras / Angels Camp, CA 8 Contra Costa / Antioch, CA 8 Contra Costa / Brentwood, CA 8 Contra Costa / Concord, CA 8 Contra Costa / Danville, CA 9 Contra Costa / El Cerrito, CA 9 Contra Costa / Martinez, CA 9 Contra Costa / Pleasant Hill, CA 9 Contra Costa / Richmond, CA 9 Contra Costa / San Ramon, CA 10 Contra Costa / Walnut Creek, CA 10 Del Norte / Crescent City, CA 11 El Dorado / Cameron Park, CA 11 El Dorado / El Dorado Hills, CA 11 El Dorado / Placerville, CA 11 El Dorado / South Lake Tahoe, CA 11 Fresno / Clovis, CA 11 Fresno / Fresno, CA 12 Fresno / Reedley, CA 14 Fresno / Selma, CA 14 Glenn / Orland, CA 14 Glenn / Willows, CA 14 Humboldt / Arcata, CA 15 Imperial / Brawley, CA 15 Imperial / Calexico, CA 15 Imperial / El Centro, CA 15 Imperial / Imperial, CA 16 Inyo / Bishop, CA 16 Inyo / Lone Pine, CA 16 Kern / Bakersfield, CA 16 Kern / Buttonwillow, CA 19 Kern / Delano, CA 19 Kern / Lamont, CA 19 Kern / Ridgecrest, CA 19 Kern / Taft, CA 20 Kern / Tehachapi, CA 20 Kings / Hanford, CA 20 Kings / Lemoore, CA 20 Lassen / Bieber, CA 20 Lassen / Susanville, CA 20 Los Angele / Downey, CA 21 Los Angele / Los Angeles, CA 21 Los Angele / Reseda, CA 21 Los Angeles / Alhambra, CA 21 Los Angeles / Arcadia, CA 21 Los Angeles / Azusa, CA 22 Los Angeles / Baldwin Park, CA 22 Los Angeles / Bell, CA 23 Los Angeles / Beverly Hills, CA 23 Los Angeles / Burbank, CA 24 Los Angeles / Carson, CA 25 Los Angeles / Cerritos, CA 25 Los Angeles / Chatsworth, CA 25 Los Angeles / City of Industry, CA 26 Los Angeles / Claremont, CA 27 Los Angeles / Commerce, CA 27 Los Angeles / Compton, CA 28 Los Angeles / Covina, CA 28 Los Angeles / Culver City, CA 28 Los Angeles / Diamond Bar, CA 29 Los Angeles / Downey, CA 29 Los Angeles / Duarte, CA 32 Los Angeles / El Monte, CA 32 Los Angeles / El Segundo, CA 32 Los Angeles / Encino, CA 33 Los Angeles / Gardena, CA 33 Los Angeles / Glendale, CA 34 Los Angeles / Glendora, CA 35 Los Angeles / Granada Hills, CA 35 Los Angeles / Harbor City, CA 36 Los Angeles / Hawthorne, CA 37 Los Angeles / Hermosa Beach, CA 37 Los Angeles / Huntington Park, CA 37 Los Angeles / Inglewood, CA 37 Los Angeles / Irwindale, CA 37 Los Angeles / La Canada Flintridge, CA 38 Los Angeles / La Mirada, CA 39 Los Angeles / La Verne, CA 39 Los Angeles / Lakewood, CA 40 Los Angeles / Lancaster, CA 40 Los Angeles / Lawndale, CA 41 Los Angeles / Long Beach, CA 41 Los Angeles / Los Angeles, CA 44 Los Angeles / Manhattan Beach, CA 63 Los Angeles / Marina del Rey, CA 64 Los Angeles / Mission Hills, CA 64 Los Angeles / Montebello, CA 64 Los Angeles / Monterey Park, CA 64 Los Angeles / Newhall, CA 64 Los Angeles / North Hollywood, CA 65 Los Angeles / Northridge, CA 65 Los Angeles / Palmdale, CA 65 Los Angeles / Panorama City, CA 67 Los Angeles / Paramount, CA 68 Los Angeles / Pasadena, CA 69 Los Angeles / Pico Rivera, CA 70 Los Angeles / Pomona, CA 70 Los Angeles / Porter Ranch, CA 71 Los Angeles / Rancho Dominguez, CA 72 Los Angeles / Reseda, CA 72 Los Angeles / San Dimas, CA 72 Los Angeles / San Fernando, CA 72 Los Angeles / San Gabriel, CA 72 Los Angeles / San Pedro, CA 72 Los Angeles / Santa Clarita, CA 72 Los Angeles / Santa Fe Springs, CA 72 Los Angeles / Santa Monica, CA 73 Los Angeles / Saugus, CA 74 Los Angeles / Sherman Oaks, CA 74 Los Angeles / Signal Hill, CA 74 Los Angeles / South Pasadena, CA 74 Los Angeles / Stevenson Ranch, CA 74 Los Angeles / Sun Valley, CA 75 Los Angeles / Tarzana, CA 75 You may contact our MPN Contact, Medical Access Assistants, obtain regional area listings, and report listing inaccuracies by calling or ing info@wellcomp.com. In accordance with LC 4616, providers listed on the WellComp MPN are deemed in-network providers at the listed locations only and no other. Any other locations and/or affiliations with these providers are not under contract and are therefore not within the WellComp MPN. TOC 1

3 Table of Contents by County/City Los Angeles / Torrance, CA 75 Los Angeles / Universal City, CA 77 Los Angeles / Valencia, CA 77 Los Angeles / Van Nuys, CA 79 Los Angeles / Venice, CA 81 Los Angeles / Vernon, CA 81 Los Angeles / Walnut, CA 81 Los Angeles / West Covina, CA 81 Los Angeles / West Hills, CA 82 Los Angeles / Westlake Village, CA 82 Los Angeles / Whittier, CA 83 Los Angeles / Winnetka, CA 83 Los Angeles / Woodland Hills, CA 83 Madera / Madera, CA 86 Marin / Corte Madera, CA 87 Marin / Novato, CA 87 Marin / San Rafael, CA 87 Mendocino / Manchester, CA 87 Mendocino / Ukiah, CA 88 Merced / Atwater, CA 88 Merced / Gustine, CA 88 Merced / Los Banos, CA 88 Merced / Merced, CA 88 Modoc / Cedarville, CA 89 Monterey / King City, CA 89 Monterey / Marina, CA 89 Monterey / Monterey, CA 89 Monterey / Pacific Grove, CA 90 Monterey / Salinas, CA 90 Monterey / Seaside, CA 92 Monterey / Soledad, CA 92 Napa / Napa, CA 93 Nevada / Grass Valley, CA 93 Nevada / Truckee, CA 93 Orange / Aliso Viejo, CA 94 Orange / Anaheim, CA 94 Orange / Anaheim Hills, CA 98 Orange / Brea, CA 98 Orange / Buena Park, CA 98 Orange / Costa Mesa, CA 99 Orange / Fountain Valley, CA 99 Orange / Fullerton, CA 99 Orange / Garden Grove, CA 100 Orange / Huntington Beach, CA 101 Orange / Irvine, CA 102 Orange / La Palma, CA 105 Orange / Laguna Beach, CA 106 Orange / Laguna Hills, CA 106 Orange / Laguna Niguel, CA 106 Orange / Laguna Woods, CA 107 Orange / Lake Forest, CA 107 Orange / Los Alamitos, CA 107 Orange / Mission Viejo, CA 108 Orange / Newport Beach, CA 109 Orange / Orange, CA 110 Orange / Placentia, CA 112 Orange / Rancho Santa Margarita, CA 112 Orange / San Clemente, CA 113 Orange / San Juan Capistrano, CA 113 Orange / Santa Ana, CA 113 Orange / Seal Beach, CA 115 Orange / Tustin, CA 115 Orange / Westminster, CA 116 Orange / Yorba Linda, CA 117 Placer / Auburn, CA 117 Placer / Rocklin, CA 117 Placer / Roseville, CA 117 Plumas / Graeagle, CA 119 Plumas / Portola, CA 119 Riverside / Banning, CA 120 Riverside / Beaumont, CA 120 Riverside / Cathedral City, CA 121 Riverside / Coachella, CA 122 Riverside / Corona, CA 122 Riverside / Eastvale, CA 123 Riverside / Hemet, CA 123 Riverside / Indio, CA 124 Riverside / La Quinta, CA 124 Riverside / Lake Elsinore, CA 124 Riverside / Menifee, CA 124 Riverside / Moreno Valley, CA 124 Riverside / Murrieta, CA 125 Riverside / Norco, CA 127 Riverside / Palm Desert, CA 127 Riverside / Palm Springs, CA 127 Riverside / Perris, CA 127 Riverside / Rancho Mirage, CA 128 Riverside / Riverside, CA 128 Riverside / Temecula, CA 133 Riverside / Wildomar, CA 134 Sacramento / Carmichael, CA 134 Sacramento / Citrus Heights, CA 135 Sacramento / Elk Grove, CA 135 Sacramento / Fair Oaks, CA 135 Sacramento / Folsom, CA 136 Sacramento / Gold River, CA 136 Sacramento / Rancho Cordova, CA 136 Sacramento / Rio Linda, CA 137 Sacramento / Sacramento, CA 137 San Benito / Hollister, CA 143 San Bernardino / Adelanto, CA 143 San Bernardino / Apple Valley, CA 143 San Bernardino / Barstow, CA 143 San Bernardino / Big Bear Lake, CA 143 San Bernardino / Chino, CA 144 San Bernardino / Chino Hills, CA 144 San Bernardino / Colton, CA 144 San Bernardino / Crestline, CA 146 San Bernardino / Fontana, CA 146 San Bernardino / Hesperia, CA 151 San Bernardino / Lake Arrowhead, CA 151 San Bernardino / Loma Linda, CA 151 San Bernardino / Ontario, CA 163 San Bernardino / Rancho Cucamonga, CA 167 San Bernardino / Redlands, CA 168 San Bernardino / Rialto, CA 169 San Bernardino / San Bernardino, CA 170 San Bernardino / Upland, CA 172 San Bernardino / Victorville, CA 172 San Bernardino / Yucaipa, CA 173 San Bernardino / Yucca Valley, CA 174 San Diego / Bonita, CA 174 San Diego / Carlsbad, CA 174 San Diego / Chula Vista, CA 174 San Diego / Coronado, CA 177 San Diego / Del Mar, CA 177 San Diego / El Cajon, CA 178 San Diego / Encinitas, CA 179 San Diego / Escondido, CA 179 You may contact our MPN Contact, Medical Access Assistants, obtain regional area listings, and report listing inaccuracies by calling or ing info@wellcomp.com. In accordance with LC 4616, providers listed on the WellComp MPN are deemed in-network providers at the listed locations only and no other. Any other locations and/or affiliations with these providers are not under contract and are therefore not within the WellComp MPN. TOC 2

4 Table of Contents by County/City San Diego / La Jolla, CA 180 San Diego / La Mesa, CA 180 San Diego / Mission Valley, CA 182 San Diego / National City, CA 182 San Diego / Oceanside, CA 183 San Diego / Poway, CA 183 San Diego / San Diego, CA 183 San Diego / San Marcos, CA 204 San Diego / Santee, CA 205 San Diego / Vista, CA 206 San Francisco / San Francisco, CA 206 San Joaquin / Lodi, CA 208 San Joaquin / Manteca, CA 208 San Joaquin / Ripon, CA 208 San Joaquin / Stockton, CA 209 San Joaquin / Tracy, CA 211 San Luis Obispo / Atascadero, CA 212 San Luis Obispo / Morro Bay, CA 212 San Luis Obispo / Nipomo, CA 212 San Luis Obispo / Pismo Beach, CA 212 San Luis Obispo / San Luis Obispo, CA 212 San Luis Obispo / Templeton, CA 212 San Mateo / Daly City, CA 213 San Mateo / Foster City, CA 213 San Mateo / Redwood City, CA 213 San Mateo / San Bruno, CA 214 San Mateo / San Carlos, CA 214 San Mateo / South San Francisco, CA 214 Santa Barbara / Carpinteria, CA 215 Santa Barbara / Lompoc, CA 215 Santa Barbara / Santa Barbara, CA 216 Santa Barbara / Santa Maria, CA 219 Santa Barbara / Solvang, CA 219 Santa Clara / Campbell, CA 220 Santa Clara / Gilroy, CA 220 Santa Clara / Los Gatos, CA 221 Santa Clara / Milpitas, CA 221 Santa Clara / Mountain View, CA 222 Santa Clara / San Jose, CA 222 Santa Clara / Santa Clara, CA 225 Santa Clara / Sunnyvale, CA 227 Santa Cruz / Aptos, CA 227 Santa Cruz / Ben Lomond, CA 227 Santa Cruz / Capitola, CA 227 Santa Cruz / Freedom, CA 227 Santa Cruz / Santa Cruz, CA 228 Santa Cruz / Scotts Valley, CA 228 Santa Cruz / Soquel, CA 228 Santa Cruz / Watsonville, CA 228 Shasta / Anderson, CA 229 Shasta / Burney, CA 229 Shasta / Fall River Mills, CA 229 Shasta / Redding, CA 229 Sierra / Loyalton, CA 230 Siskiyou / Dorris, CA 230 Siskiyou / Mount Shasta, CA 230 Siskiyou / Tulelake, CA 230 Siskiyou / Yreka, CA 230 Solano / Fairfield, CA 230 Solano / Vacaville, CA 231 Solano / Vallejo, CA 232 Sonoma / Petaluma, CA 233 Sonoma / Rohnert Park, CA 233 Sonoma / Santa Rosa, CA 234 Sonoma / Sebastopol, CA 236 Sonoma / Sonoma, CA 236 Stanislaus / Modesto, CA 236 Stanislaus / Newman, CA 240 Stanislaus / Oakdale, CA 240 Stanislaus / Patterson, CA 240 Stanislaus / Turlock, CA 240 Sutter / Yuba City, CA 241 Tehama / Corning, CA 241 Tehama / Red Bluff, CA 241 Tulare / Porterville, CA 241 Tulare / Tulare, CA 241 Tulare / Visalia, CA 242 Ventura / Camarillo, CA 242 Ventura / Newbury Park, CA 243 Ventura / Oakview, CA 243 Ventura / Ojai, CA 243 Ventura / Oxnard, CA 243 Ventura / Port Hueneme, CA 245 Ventura / Santa Paula, CA 246 Ventura / Simi Valley, CA 246 Ventura / Thousand Oaks, CA 247 Ventura / Ventura, CA 249 Yolo / Davis, CA 250 Yolo / West Sacramento, CA 251 Yolo / Woodland, CA 251 You may contact our MPN Contact, Medical Access Assistants, obtain regional area listings, and report listing inaccuracies by calling or ing info@wellcomp.com. In accordance with LC 4616, providers listed on the WellComp MPN are deemed in-network providers at the listed locations only and no other. Any other locations and/or affiliations with these providers are not under contract and are therefore not within the WellComp MPN. TOC 3

5 Alameda, CA Berkeley Belfer, Howard, MD 2850 Seventh Street Suite 100 Berkeley, CA Busfield, Benjamin T., MD 2850 Seventh Street Suite 100 Berkeley, CA Cheng, Ernest Y., DO 2850 Seventh Street Suite 100 Berkeley, CA Davenport, Mikel, LAc 2850 Seventh St, Ste 100 Berkeley, CA Hsieh, Jing W., MD Orthopedic: Hand 2850 Seventh Street Suite 100 Berkeley, CA Matthews, Joshua M., MD 2850 Seventh St, Ste 100 Berkeley, CA Reyes, Regalado, DC 2850 Seventh St, Ste 100 Berkeley, CA Weinberg, Sara, LAc Sara Weinberg LAc Acu & Herbs 3179 College Ave #4 Berkeley, CA Castro Valley Stuffmann, Eric S., MD Webster Orthopedics Lake Chabot Rd Castro Valley, CA Dublin Bava, Eric, MD Hand to Shoulder Orthopedics & Sports Medicine Dublin Blvd Dublin, CA Donnelly, Joseph R., MD Webster Orthopedics 4000 Dublin Blvd #100 Dublin, CA Elrashidy, Hany R., MD Webster Orthopedics 4000 Dublin Blvd #100 Dublin, CA Hou, Andrew Y., MD Webster Orthopedics 4000 Dublin Blvd #100 Dublin, CA Kanwal, Tehmina, MD Stat Med, PC 7667 Amador Valley Blvd Ste 100 Dublin, CA Palomares, David M., DC David M Palomares, DC 7752 Dublin Blvd Dublin, CA Safanda, John F., MD Hand to Shoulder Orthopedics & Sports Medicine Dublin Blvd Dublin, CA Schwartz Jr, John T., MD Webster Orthopedics 4000 Dublin Blvd #100 Dublin, CA Stuffmann, Eric S., MD Webster Orthopedics 4000 Dublin Blvd #100 Dublin, CA Viess, Stephen R., MD Webster Orthopedics 4000 Dublin Blvd #100 Dublin, CA Emeryville Gest, Steven A., MD Santa Cruz Occupational Med 6001 Shellmound Ave #115 Emeryville, CA Strudwick Jr, Warren, MD Bay Area Ortho & Sports 5900 Hollis St Ste K Emeryville, CA Fremont You may contact our MPN Contact, Medical Access Assistants, obtain regional area listings, and report listing inaccuracies by calling or ing info@wellcomp.com. In accordance with LC 4616, providers listed on the WellComp MPN are deemed in-network providers at the listed locations only and no other. Any other locations and/or affiliations with these providers are not under contract and are therefore not within the WellComp MPN. Page 1: Alameda / Berkeley to Alameda / Fremont

6 Acharya, Jaishree, MD Paseo Padre Pkwy Fremont, CA Banh, Co V., MD Mission Peak Orthopaedic Medical Civic Center Dr #300 Fremont, CA Bui, Vinh, MD Paseo Padre Pkwy Fremont, CA Francis Scorca, DC Paseo Padre Pkwy Fremont, CA Gay, Andre N., MD Orthopaedic Sports Specialists Farwell Dr #110 Fremont, CA Giddens, Jr, John, MD 3161 Walnut Ave Fremont, CA Hinman, Adrian D., MD Paseo Padre Pkwy Fremont, CA Hsu, Alan, MD Paseo Padre Pkwy Fremont, CA Kale, Ashay A., MD 3161 Walnut Ave. Fremont, CA Kale, Ashay A., MD Mission Peak Orthopaedic Medical Civic Center Dr #300 Fremont, CA Kilaru, Prasad G., MD Orthopedic: Hand 3161 Walnut Ave. Fremont, CA Miller, Robert B., MD Robert Bruce Miller 4535 Mattos Dr Fremont, CA Molina, Ricardo A., MD Mission Peak Orthopaedic Medical Civic Center Dr #300 Fremont, CA Motamed, Soheil, MD Mission Peak Orthopaedic Medical Civic Center Dr #300 Fremont, CA Nyquist, Julia R Walnut Avenue Fremont, CA Reynolds, April M., DO Orthopaedic Sports Specialists Farwell Dr #110 Fremont, CA Reynolds, Kerisimasi L., DO Orthopaedic Sports Specialists Farwell Dr #110 Fremont, CA Hayward Banh, Co V., MD Mission Peak Orthopaedic Medical Calaroga Ave #107 Hayward, CA Huang, Lillian L., LAc California Center 1025 B St Hayward, CA Molina, Ricardo A., MD Mission Peak Orthopaedic Medical Calaroga Ave #107 Hayward, CA Motamed, Soheil, MD Mission Peak Orthopaedic Medical Calaroga Ave #107 Hayward, CA Retodo, Albert V., MD Albert V Retodo, MD Southland Dr #609 You may contact our MPN Contact, Medical Access Assistants, obtain regional area listings, and report listing inaccuracies by calling or ing info@wellcomp.com. In accordance with LC 4616, providers listed on the WellComp MPN are deemed in-network providers at the listed locations only and no other. Any other locations and/or affiliations with these providers are not under contract and are therefore not within the WellComp MPN. Page 2: Alameda / Fremont to Alameda / Hayward

7 Hayward, CA Sabsovich, Ilya, MD Ilya Sabsovich, MD Pain Management 243 Southland Dr #508 Hayward, CA Livermore Gottlieb, Alan R., MD Stat Med, PC st St Livermore, CA Kanwal, Tehmina, MD Stat Med, PC st St Livermore, CA Lee, Rong X., MD 3000 Las Positas Rd Livermore, CA Sattar, Hena R., MD 3000 Las Positas Rd Livermore, CA Steppe, Marilyn K., MD 3000 Las Positas Rd Livermore, CA Oakland Abbi, Gaurav, MD 333 Hegenberger Road Suite 100 Oakland, CA Azizi, Khaled A., DC 384 Embarcadero West Oakland, CA Bava, Eric, MD 384 Embarcadero West Oakland, CA Belfer, Howard, MD 333 Hegenberger Road Suite 100 Oakland, CA Calvo, Donald, MD 384 Embarcadero West Oakland, CA Campbell, William, DO 333 Hegenberger Road Suite 100 Oakland, CA Canga, Joel H., MD 384 Embarcadero West Oakland, CA Chan, Mark H., MD Mark Chan, MD 80 Grand Ave Ste 610 Oakland, CA Chen, Kevin W., DC Chen Lin Chiropractic & Center 345 9th St Ste 209 Oakland, CA Chen, Michael G., LAc Chen`s & Chinese Medicine Clinic 259 8th St, Ste 201 Oakland, CA Conlon, Britta, DC 384 Embarcadero West Oakland, CA Cummins, John F., MD 3701 Broadway 5th Fl #501 Oakland, CA Dave, Neesha, DO Pain Management 333 Hegenberger Rd, Ste 100 Oakland, CA Dixit, Rakesh, MD 384 Embarcadero West Oakland, CA Elrashidy, Hany R., MD Webster Orthopedics You may contact our MPN Contact, Medical Access Assistants, obtain regional area listings, and report listing inaccuracies by calling or ing In accordance with LC 4616, providers listed on the WellComp MPN are deemed in-network providers at the listed locations only and no other. Any other locations and/or affiliations with these providers are not under contract and are therefore not within the WellComp MPN. Page 3: Alameda / Hayward to Alameda / Oakland

8 3315 Broadway Oakland, CA Fei, Xiang, LAc Mark Chan, MD 80 Grand Ave Ste 610 Oakland, CA Gill, Kanwaljit S., MD 3701 Broadway 5th Fl #501 Oakland, CA Han, Albert D., DC 384 Embarcadero West Oakland, CA Horner, Gregory, MD Orthopedic: Hand 333 Hegenberger Road Suite 100 Oakland, CA Hou, Andrew Y., MD Webster Orthopedics 3315 Broadway Oakland, CA Hsu, Chiachen, MD 3701 Broadway 5th Fl #501 Oakland, CA Jiang, Xiaohua, MD 3701 Broadway 5th Fl #501 Oakland, CA Jourgensen, David R. 384 Embarcadero West Oakland, CA Jung, Seunghun, DC 384 Embarcadero West Oakland, CA Kim, Roy, MD Orthopedic: Hand 384 Embarcadero West Oakland, CA Laroche, Charles J., MD 3701 Broadway 5th Fl #501 Oakland, CA Le, Tram, DC 333 Hegenberger Rd, Ste 100 Oakland, CA Miller, Amanda, LAc 384 Embarcadero West Oakland, CA Ou, Li C., LAc 384 Embarcadero West Oakland, CA Park, Edward J., MD 3701 Broadway 5th Fl #501 Oakland, CA Peatman, Thomas W., MD Webster Orthopedics 3315 Broadway Oakland, CA Petersen, Scott J., MD 3701 Broadway 5th Fl #501 Oakland, CA Rena, Diokson, MD 384 Embarcadero West Oakland, CA Rena, Diokson, MD 333 Hegenberger Rd, Ste 100 Oakland, CA Roache, Paul B., MD 384 Embarcadero West Oakland, CA Seidman, David W., MD 275 W MacArthur Blvd Oakland, CA You may contact our MPN Contact, Medical Access Assistants, obtain regional area listings, and report listing inaccuracies by calling or ing info@wellcomp.com. In accordance with LC 4616, providers listed on the WellComp MPN are deemed in-network providers at the listed locations only and no other. Any other locations and/or affiliations with these providers are not under contract and are therefore not within the WellComp MPN. Page 4: Alameda / Oakland

9 Slabaugh, Peter B., MD Webster Orthopedics 3315 Broadway Oakland, CA Stuffmann, Eric S., MD Webster Orthopedics 3315 Broadway Oakland, CA Sundar, Bindu, DO 3701 Broadway 5th Fl #501 Oakland, CA Tanouye, Cheryl A., MD 3701 Broadway 5th Fl #501 Oakland, CA Trolan, William H., MD 384 Embarcadero West Oakland, CA Walasek, Alina E., MD 3701 Broadway 5th Fl #501 Oakland, CA Weddington, Joel A., MD 333 Hegenberger Rd, Ste 100 Oakland, CA Wender, David A., DO 3701 Broadway 5th Fl #501 Oakland, CA Wiesner, Steven L., MD 3701 Broadway 5th Fl #501 Oakland, CA Wilson, Aundrea, MD 333 Hegenberger Rd, Ste 100 Oakland, CA Wolfe, Valeria M., MD 275 W MacArthur Blvd Oakland, CA Wong, Grace E., MD 3701 Broadway 5th Fl #501 Oakland, CA Wu, Serena, MD 384 Embarcadero West Oakland, CA Pleasanton Banh, Co V., MD Mission Peak Orthopaedic Medical 5924 Stoneridge Dr #110 Pleasanton, CA Chow, David W., MD California Spine Center, A professional Medical Corporation Pain Management 1393 Santa Rita Rd, Ste B Pleasanton, CA Kale, Ashay A., MD Mission Peak Orthopaedic Medical You may contact our MPN Contact, Medical Access Assistants, obtain regional area listings, and report listing inaccuracies by calling or ing info@wellcomp.com. In accordance with LC 4616, providers listed on the WellComp MPN are deemed in-network providers at the listed locations only and no other. Any other locations and/or affiliations with these providers are not under contract and are therefore not within the WellComp MPN. Page 5: Alameda / Oakland 5924 Stoneridge Dr #110 Pleasanton, CA Motamed, Soheil, MD Mission Peak Orthopaedic Medical 5924 Stoneridge Dr #110 Pleasanton, CA San Leandro Balytsky, Natalia, MD Pain Management 2587 Merced Street San Leandro, CA Behravan, H. D., DO Bay Area Pain & Spine Institute Pain Management E 14th St Ste 230 San Leandro, CA Belfer, Howard, MD E. 14th Street Suite 150 San Leandro, CA Calvo, Donald A. to Alameda / San Leandro

10 2587 Merced Street San Leandro, CA Campbell, William, DO E. 14th Street Suite 150 San Leandro, CA Canga, Joel H., MD 2587 Merced St San Leandro, CA Cheng, Joseph C., MD Joseph C Cheng, MD, Inc East 14th St San Leandro, CA Danny, Chan P., MD 2500 Merced St San Leandro, CA Eile, Susan C., MD Susan C Eile, MD Cardiology E 14th St #214 San Leandro, CA Franko, Orrin I., MD East Bay Hand Medical Center, Inc E 14th St Ste 200 San Leandro, CA Han, Albert D., DC 2587 Merced St San Leandro, CA Kraetzer, Bradford B., MD 2500 Merced St San Leandro, CA North, Will A., MD 2500 Merced St San Leandro, CA Panganiban, Walter G., MD E 14th St, Ste 150 San Leandro, CA Patel, Chirag R., MD Turner Eye Institute 276 Dolores Ave San Leandro, CA Phelps, Kenneth, LAc E 14th St, Ste 150 San Leandro, CA Rodriguez, Bruce D., MD 2500 Merced St San Leandro, CA Sheppard, John E. 14th Street Suite 150 San Leandro, CA Stein, Andrew J., MD East Bay Hand Medical Center, Inc Orthopedic: Hand E 14th St Ste 200 San Leandro, CA Sumetanon, Dewate, MD 2500 Merced St San Leandro, CA Wu, Serena, MD 2587 Merced St San Leandro, CA Yu, Roger, DC E 14th St, Ste 150 San Leandro, CA Union City Belfer, Howard, MD Alvarado Niles Road Union City, CA Hsia, Ting T., LAc Alvarado Niles Rd Union City, CA Hsieh, Jing W., MD You may contact our MPN Contact, Medical Access Assistants, obtain regional area listings, and report listing inaccuracies by calling or ing info@wellcomp.com. In accordance with LC 4616, providers listed on the WellComp MPN are deemed in-network providers at the listed locations only and no other. Any other locations and/or affiliations with these providers are not under contract and are therefore not within the WellComp MPN. Page 6: Alameda / San Leandro to Alameda / Union City

11 Orthopedic: Hand Alvarado Niles Road Union City, CA Jaureguito, John W., MD Alvarado Niles Road Union City, CA Kim, Kyung, LAc Alvarado Niles Rd Union City, CA Kreiman, Hadassah R., MD 3553 Whipple Rd Bldg B Union City, CA Alvarado Niles Rd Union City, CA Tu, Sophie, LAc 3553 Whipple Rd Bldg B Union City, CA Amador, CA Pine Grove Sullivan, Arno E., DC Sullivan Chiropractic Cntr Highway 88 Pine Grove, CA W East Ave Chico, CA Ballard, Leslie J., MD Chico Immediate Care Medical General Practice 376 Vallombrosa Ave Chico, CA David, Frederick M., MD Chico Immediate Care Medical General Practice 376 Vallombrosa Ave Chico, CA Gilbert, Benjamin N., MD Chico Eye Center 605 W East Ave Chico, CA Stabel, John E., MD Stabel Eye Clinic 2109 Forest Ave #20 Chico, CA Wolk, Peter J., MD Northstate Cardiology Consultants Cardiology 198 Cohasset Rd Chico, CA Oroville Ching, Brian T., MD Brian T Ching, MD 2809 Olive Hwy #230 Oroville, CA Mallavaram, Navin A., MD Pain Management Alvarado Niles Road Union City, CA Mbagwu, Chukwudi Alvarado Niles Road Union City, CA Pham, Amy-Trinh, DC Butte, CA Chico Arregui, Pablo M., MD Chico Eye Center Niswonger, Jerome W., MD Eye Life Institute 111 Raley Blvd Ste 240 Chico, CA Schwartz, Steven A., MD Northstate Cardiology Consultants Cardiology 198 Cohasset Rd Chico, CA You may contact our MPN Contact, Medical Access Assistants, obtain regional area listings, and report listing inaccuracies by calling or ing info@wellcomp.com. In accordance with LC 4616, providers listed on the WellComp MPN are deemed in-network providers at the listed locations only and no other. Any other locations and/or affiliations with these providers are not under contract and are therefore not within the WellComp MPN. Ching, Robert M., MD M Robert Ching, MD 2809 Olive Hwy #230 Oroville, CA Page 7: Alameda / Union City McKinney, David W., MD North Valley Urgent Care 1940 Featheriver Blvd Oroville, CA Schwartz, Steven A., MD Northstate Cardiology Consultants to Butte / Oroville

12 Cardiology 2721 Olive Hwy #11 Oroville, CA Shieh, Chih J., MD CJ Shieh, MD 2630 Olive Hwy Ste B Oroville, CA Paradise Niswonger, Jerome W., MD Eye Life Institute 6283 Clark Rd Ste 10 Paradise, CA Calaveras, CA Angels Camp Haugen, Perry, MD Donaldson Eye Care Associates 595 Stanislaus Ave Ste A Angels Camp, CA Contra Costa, CA Antioch Cruz, Myra T., MD 4501 Sand Creek Rd 3rd Fl Antioch, CA Dhindsa, Gurinder S., MD 4501 Sand Creek Rd 3rd Fl Antioch, CA Jenkins, Philip N., MD 4501 Sand Creek Rd 3rd Fl Antioch, CA Kazem Haghighi, Asieh, MD 4501 Sand Creek Rd 3rd Fl Antioch, CA Kim, John C., MD 4501 Sand Creek Rd 3rd Fl Antioch, CA Brentwood Chow, David W., MD California Spine Center, A professional Medical Corporation Pain Management 100 Cortona Way, Ste 160 Brentwood, CA Dockman, Timothy 3140 Balfour Road Suites C Brentwood, CA Granado, Zylna, DC 3140 Balfour Rd, Ste C Brentwood, CA You may contact our MPN Contact, Medical Access Assistants, obtain regional area listings, and report listing inaccuracies by calling or ing info@wellcomp.com. In accordance with LC 4616, providers listed on the WellComp MPN are deemed in-network providers at the listed locations only and no other. Any other locations and/or affiliations with these providers are not under contract and are therefore not within the WellComp MPN. Noall, Terryol, DO 3140 Balfour Rd, Ste C Brentwood, CA Concord Page 8: Butte / Oroville Brooks, Adam G., MD 1855 Gateway Blvd. Suite 100 Concord, CA Busfield, Benjamin T., MD 1855 Gateway Blvd. Suite 100 Concord, CA Chung, Michael T., DC 1855 Gateway Blvd, Ste 100 Concord, CA Ehasz, Donald, DC 1855 Gateway Blvd, Ste 100 Concord, CA Gottlieb, Alan R., MD Stat Med, PC 901 Sunvalley Blvd Ste 100 Concord, CA Granado, Zylna, DC 1855 Gateway Blvd, Ste 100 Concord, CA Jung, Seunghun, DC to Contra Costa / Concord

13 1855 Gateway Blvd Ste 100 Concord, CA Kanwal, Tehmina, MD Stat Med, PC 901 Sunvalley Blvd Ste 100 Concord, CA Kujac, Tanja L., MD 1855 Gateway Blvd. Suite 100 Concord, CA Marshman, Kimberly, LAc 1855 Gateway Blvd Ste 100 Concord, CA Miller, Amanda, LAc 1855 Gateway Blvd Ste 100 Concord, CA Rikhy, Seema, MD 1855 Gateway Blvd Ste 100 Concord, CA Shic, Frank, MD 1855 Gateway Blvd Ste 100 Concord, CA Tomsky, Jana, MD Stat Med, PC 901 Sunvalley Blvd Ste 100 Concord, CA Danville Chow, David W., MD California Spine Center, A professional Medical Corporation Pain Management 1320 El Capitan Dr, Ste 200 Danville, CA Talwar, Vikram, MD Vikram Talwar, MD, Inc 1320 El Capitan Dr #200 Danville, CA El Cerrito Tu, Jiang, LAc Evergreen Medicine 1833 Key Blvd El Cerrito, CA Martinez Brody, Wendy A., MD 200 Muir Rd 1st Fl Martinez, CA Nefkens, Julie M., MD 200 Muir Rd 1st Fl Martinez, CA Tang, Charles B., MD CareOnSite 1805 Arnold Dr Martinez, CA Tang, Christopher M., MD CareOnSite 1805 Arnold Dr Martinez, CA Pleasant Hill Wilbur, Mark W., DC Mark William Wilbur, DC 2100 Monument Blvd #16 Pleasant Hill, CA Richmond Campbell, William R., DO 2970 Hilltop Mall Rd #203 Richmond, CA Canga, Joel H., MD 2970 Hilltop Mall Rd #203 Richmond, CA Dixit, Rakesh, MD 2970 Hilltop Mall Road Suite 203 Richmond, CA Gill, Kanwaljit S., MD 901 Nevin Ave Richmond, CA Kownacki, Roman P., MD You may contact our MPN Contact, Medical Access Assistants, obtain regional area listings, and report listing inaccuracies by calling or ing info@wellcomp.com. In accordance with LC 4616, providers listed on the WellComp MPN are deemed innetwork providers at the listed locations only and no other. Any other locations and/or affiliations with these providers are not under contract and are therefore not within the WellComp MPN. Page 9: Contra Costa / Concord to Contra Costa / Richmond

14 901 Nevin Ave Bldg B 1st Fl Richmond, CA Maher, W. J Kevin, MD 901 Nevin Ave Bldg B 1st Fl Richmond, CA Mittal, Sheilaja, MD 2970 Hilltop Mall Rd #203 Richmond, CA Piazza, Lawrence D., MD 2970 Hilltop Mall Rd #203 Richmond, CA Wu, Serena, MD 2970 Hilltop Mall Rd #203 Richmond, CA San Ramon Ball, Hieu T., MD California Comprehensive Spine Institute 5401 Norris Canyon Rd Ste 206 San Ramon, CA Donnelly, Joseph R., MD Webster Orthopedics 5801 Norris Canyon Rd #210 San Ramon, CA Elrashidy, Hany R., MD Webster Orthopedics 5801 Norris Canyon Rd #210 San Ramon, CA Hou, Andrew Y., MD Webster Orthopedics 5801 Norris Canyon Rd #210 San Ramon, CA Peatman, Thomas W., MD Webster Orthopedics 5801 Norris Canyon Rd #210 San Ramon, CA Schwartz Jr, John T., MD Webster Orthopedics 5801 Norris Canyon Rd #210 San Ramon, CA Walnut Creek Busfield, Benjamin T., MD 1981 N. Broadway Suite 190 Walnut Creek, CA Chow, David W., MD California Spine Center, A professional Medical Corporation Pain Management 2123 Ygnacio Valley Rd, Ste K-200 Walnut Creek, CA Gupta, Charu, MD 320 Lennon Ln Lassen Bldg 2nd Fl Walnut Creek, CA Horner, Gregory, MD 1981 N Broadway, Ste 190 Walnut Creek, CA Jenkins, Philip N., MD 320 Lennon Ln Lassen Bldg 2nd Fl Walnut Creek, CA Kapoor, Sachin, DO 320 Lennon Ln Lassen Bldg 2nd Fl Walnut Creek, CA Kauffman, Hilary M., MD 320 Lennon Ln Lassen Bldg 2nd Fl Walnut Creek, CA Kujac, Tanja L., MD 1981 N. Broadway Suite 190 Walnut Creek, CA Mallavaram, Navin A., MD Pain Management 1981 N. Broadway Suite 190 Walnut Creek, CA Ventura, Arjay, DC 1810 N Broadway Walnut Creek, CA Voelkel, August G., MD A Gene Voelkel MD Cardiology 1399 Ygnacio Valley Rd #11 Walnut Creek, CA You may contact our MPN Contact, Medical Access Assistants, obtain regional area listings, and report listing inaccuracies by calling or ing info@wellcomp.com. In accordance with LC 4616, providers listed on the WellComp MPN are deemed in-network providers at the listed locations only and no other. Any other locations and/or affiliations with these providers are not under contract and are therefore not within the WellComp MPN. Page 10: Contra Costa / Richmond to Contra Costa / Walnut Creek

15 Xue, Chulong, LAc Chulong Xue 1111 Civic Dr #111 Walnut Creek, CA Del Norte, CA Crescent City Caldwell, Kevin J., MD Redwood Medical 1240 Marshall St Crescent City, CA Sund, Donna M., DO Redwood Medical 1240 Marshall St Crescent City, CA El Dorado, CA Cameron Park Farr, Lorin G., DC Cameron Park Chiropractic 3091 Alhambra Dr Ste A Cameron Park, CA El Dorado Hills Agrawal, Bella G., MD MD Stat Urgent Care 3860 El Dorado Hills Blvd #601 El Dorado Hills, CA Danesh, Wali A., MD MD Stat Urgent Care 3860 El Dorado Hills Blvd #601 El Dorado Hills, CA Flores, Joseph, MD MD Stat Urgent Care 3860 El Dorado Hills Blvd #601 El Dorado Hills, CA Gaddis, Alfred T., MD MD Stat Urgent Care 3860 El Dorado Hills Blvd #601 El Dorado Hills, CA El Dorado Hills Blvd #601 El Dorado Hills, CA Robinson, Tamara S., MD MD Stat Urgent Care 3860 El Dorado Hills Blvd #601 El Dorado Hills, CA Tarrar, Wais, MD MD Stat Urgent Care 3860 El Dorado Hills Blvd #601 El Dorado Hills, CA Placerville Foltz, Ronald E., MD Ronald E Foltz, MD 1000 Fowler Way #2 Placerville, CA Schwartzmeyer, Mark, DC Back to Health Chiropractic 640 Placerville Dr Placerville, CA Botto, Richard D., MD Barton Healthcare System General Practice 2170 South Ave South Lake Tahoe, CA Tang, Andrew H., MD Barton Healthcare System 2170 South Ave South Lake Tahoe, CA Tomita, Robin Y., MD Robin Y Tomita, MD rd St South Lake Tahoe, CA Fresno, CA Clovis Cunningham, Mark A., MD Community Foundation Medical (CFMG) 782 Medical Center Dr East Ste #101 Clovis, CA Davis, Jason, MD University Faculty Associates, Inc Jaeger, Marcella M., MD MD Stat Urgent Care South Lake Tahoe You may contact our MPN Contact, Medical Access Assistants, obtain regional area listings, and report listing inaccuracies by calling or ing info@wellcomp.com. In accordance with LC 4616, providers listed on the WellComp MPN are deemed in-network providers at the listed locations only and no other. Any other locations and/or affiliations with these providers are not under contract and are therefore not within the WellComp MPN. Page 11: Contra Costa / Walnut Creek to Fresno / Clovis

16 604 N Magnolia Ave Ste 100 Clovis, CA Lindvall, Eric M., DO University Faculty Associates, Inc 604 N Magnolia Ave Ste 100 Clovis, CA Martirosian, Armen, MD University Faculty Associates, Inc 604 N Magnolia Ave Ste 100 Clovis, CA Simonian, Peter T., MD Community Foundation Medical (CFMG) Simonian Sports Medicine Clinic 729 N Medical Cntr Dr West #101 Clovis, CA Fresno Abdalla, Sherif M., MD 2555 S East Avenue Fresno, CA Abdalla, Sherif, MD 7265 N First St #105 Fresno, CA Avena, Ricardo, MD Orthopedic: Hand 7265 N First Street Suite 105 Fresno, CA Avena, Ricardo, MD Regional Hand Surgery Assoc 2139 E Beechwood Ave Fresno, CA Awadalla, Farraj C., MD LA Laser & Skin Center Dermatology 6181 N Thesta Ave, Ste 104 Fresno, CA Azevedo, Micheal P., MD 7300 N Fresno St Oak 1 Bldg Fresno, CA Bowen, Jason B., DC Bowen Chiropractic 5777 N Fresno St #101 Fresno, CA Brant, Adam J., MD Neurosurgical Associates Med Surgery: Neurosurgery 7130 N Sharon Ave #100 Fresno, CA Burnett, John, MD Surgery: Plastic 7265 N First St #105 Fresno, CA Burri, Robert A., MD 7300 N Fresno St Fresno, CA Castonguay, Ronald, MD 2555 S East Avenue Fresno, CA Christensen, Joseph T., MD 7300 N Fresno St Fresno, CA Deshmukh, Sanjay V., MD Sanjay M Deshmukh, MD 6061 N 1st St, #102 Fresno, CA Dhindsa, Gurinder S., MD 7300 N Fresno St Oak 1 Bldg Fresno, CA Duran, Marcos A., DO 7300 N Fresno St Oak 1 Bldg Fresno, CA Fernandez, Tony C., MD 2555 S East Ave Fresno, CA Fletcher, John P., DO Saint Agnes Occupational Health 7202 N Millbrook Ave #108 Fresno, CA Fujihara, Glenn A North First Street Suite 105 You may contact our MPN Contact, Medical Access Assistants, obtain regional area listings, and report listing inaccuracies by calling or ing info@wellcomp.com. In accordance with LC 4616, providers listed on the WellComp MPN are deemed in-network providers at the listed locations only and no other. Any other locations and/or affiliations with these providers are not under contract and are therefore not within the WellComp MPN. Page 12: Fresno / Clovis to Fresno / Fresno

17 Fresno, CA Galli, Randi A., MD Regional Hand Surgery Assoc Orthopedic: Hand 2139 E Beechwood Ave Fresno, CA Gaur, Alok, MD 7300 N Fresno St Fresno, CA Goldstein, Ron Y., MD Surgery: Plastic 7265 N First St #105 Fresno, CA Goldstein, Ron Y., MD The Institute for Hand & Microsurgery Surgery: Plastic 7015 N Chestnut Ave, Ste 103 Fresno, CA Goswami, Amitabh U., DO Amitabh Goswami, DO 7235 N First St #103 Fresno, CA Grossman, Jonathan D., MD Saint Agnes Occupational Health Pain Management 4770 W Herndon Ave #110 Fresno, CA Jahromi, Shahzad, MD 7300 N Fresno St Oak 1 Bldg Fresno, CA Kenfack, Rophine M., LAc Universal Medical & Clinic 6700 N First St Ste #124 Fresno, CA Kirby, John F., MD John F Kirby, MD 5680 N Fresno St #107 Fresno, CA Krier, Steven, DC 2555 S East Ave Fresno, CA Kumar, Sanjay, MD 7300 N Fresno St Fresno, CA Mangat, Amarjit S., MD 2555 S East Ave Fresno, CA Mochizuki, Robert M., MD 2555 S East Ave Fresno, CA Najafi, Ali, MD Ali Najafi MD Inc Neurosurgical Associates Med Surgery: Neurosurgery 7130 N Sharon Ave Ste 100 Fresno, CA , Ozaeta, Jere S., MD 7300 N Fresno St Oak 1 Bldg Fresno, CA Safian, Christian C., MD 7300 N Fresno St Fresno, CA Shantharam, Sanagaram S., MD Center for Bone & Joint Surgery 7065 N Maple Ave #102 Fresno, CA Stehr, Ryan C., MD Regional Hand Surgery Assoc Surgery: Plastic 2139 E Beechwood Ave Fresno, CA Tan, Hongjing, MD 7300 N Fresno St Oak 1 Bldg Fresno, CA Wiebe, Timothy M., MD The Institute for Hand & Microsurgery Surgery: Neurosurgery 7015 N Chestnut Ave, Ste 103 Fresno, CA Wong, Steven, DC 7265 N First St #105 Fresno, CA Xeller, Charles F., MD The Institute for Hand & Microsurgery You may contact our MPN Contact, Medical Access Assistants, obtain regional area listings, and report listing inaccuracies by calling or ing info@wellcomp.com. In accordance with LC 4616, providers listed on the WellComp MPN are deemed in-network providers at the listed locations only and no other. Any other locations and/or affiliations with these providers are not under contract and are therefore not within the WellComp MPN. Page 13: Fresno / Fresno

18 7015 N Chestnut Ave, Ste 103 Fresno, CA Yalom, Anisa M., MD Regional Hand Surgery Assoc 2139 E Beechwood Ave Fresno, CA Reedley Belanger, Brian D., DC Kings Industrial Occ Med Cntr 936 G St Ste B Reedley, CA Sorensen, Eric N., MD Kings Industrial Occ Med Cntr 936 G St Ste B Reedley, CA Selma Verma, Yash P., MD Industrial Health Care 1850 Whitson St Selma, CA Glenn, CA Orland Joyce, Michael J., DC Michael J Joyce, DC 220 Walker St Orland, CA Willows Bagga-Malhotra, Shagun, MD Glenn Medical Center 1133 W Sycamore St Willows, CA Frezza, Ermenegildo E., MD Glenn Medical Center Gastroenterology 1133 W Sycamore St Willows, CA Garrison, Jared, DO Glenn Medical Center 1133 W Sycamore St Willows, CA Garrison, Mark, OD Glenn Medical Center 1133 W Sycamore St Willows, CA Highman, Lawrence M., MD Glenn Medical Center Gastroenterology 1133 W Sycamore St Willows, CA Highman, Lawrence M., MD Glenn Medical Center Gastroenterology 130 N Enright Willows, CA Malhotra, Pankaj, MD Glenn Medical Center 1133 W Sycamore St Willows, CA McLarty, Marcella R., MD Glenn Medical Center 1133 W Sycamore St Willows, CA Mohammad, Khan H., MD Glenn Medical Center Gastroenterology 1133 W Sycamore St Willows, CA Moses, Kenneth P., MD Glenn Medical Center 1133 W Sycamore St Willows, CA Sakal, Lijun W., MD Glenn Medical Center 1133 W Sycamore St Willows, CA Shaw, Val K., MD Glenn Medical Center 1133 W Sycamore St Willows, CA Singh, Devinderjit, MD Glenn Medical Center Cardiology 1133 W Sycamore St Willows, CA Singh, Gurpreet, MD Glenn Medical Center 1133 W Sycamore St Willows, CA Skeehan, David M., DO Glenn Medical Center 130 N Enright Willows, CA Throm, Billy, DC Glenn Medical Center 1133 W Sycamore St Willows, CA You may contact our MPN Contact, Medical Access Assistants, obtain regional area listings, and report listing inaccuracies by calling or ing info@wellcomp.com. In accordance with LC 4616, providers listed on the WellComp MPN are deemed in-network providers at the listed locations only and no other. Any other locations and/or affiliations with these providers are not under contract and are therefore not within the WellComp MPN. Page 14: Fresno / Fresno to Humboldt / Arcata

19 Humboldt, CA Arcata Bass, Randall D., MD Mad River Comm Hospital Occ Hlth th St Arcata, CA Imperial, CA Brawley Lai, Christopher C., MD Christopher C Lai, MD 196 W Legion Rd Brawley, CA Calexico Kelada, Mervat G., MD De Anza Clinic 1001 Blair Ave Calexico, CA El Centro Ansari, Athar M., MD Athar M Ansari, MD Cardiology 790 W Orange Ave Ste B El Centro, CA Arbenz, Frederick C., MD Industrial Family Medical Care 1441 W State St #B El Centro, CA Behr, Christopher T., MD San Diego Orthopedic Assoc 1665 South Imperial Ave, Ste C El Centro, CA Chavez, Cesar T., MD California Retina & Assoc 1452 S La Brucherie Ste A El Centro, CA Delengocky, Tayson, DO California Retina & Assoc 1452 S La Brucherie Ste A El Centro, CA Elfenbaum, Marcia E., MD Institutes of Health Behavioral Medicine & Med Psych 2302 Merrill Center Dr El Centro, CA Khatchatrian, Andranik V., MD Institutes of Health Behavioral Medicine & Med Psych 2302 Merrill Center Dr El Centro, CA Lai, Christopher C., MD Christopher C Lai, MD 1441 State St El Centro, CA Lane, John G., MD John G Lane, MD 1501 Ocotillo Dr Ste G El Centro, CA Mani, Hamid D., MD California Retina & Assoc 1452 S La Brucherie Ste A El Centro, CA Mani, Majid, MD California Retina & Assoc 1452 S La Brucherie Ste A El Centro, CA Mani, Nasrin, MD California Retina & Assoc 1452 S La Brucherie Ste A El Centro, CA Mulvany, Terence M., MD Imperial Valley Occupational Medicine General Practice 1850 W Main St Ste E El Centro, CA Pons, Mauricio E., MD California Retina & Assoc 1452 S La Brucherie Ste A El Centro, CA Skaf, Ayham R., MD California Retina & Assoc 1452 S La Brucherie Ste A El Centro, CA Smith, Clark E., MD Institutes of Health Behavioral Medicine & Med Psych Psychiatry 2302 Merrill Center Dr You may contact our MPN Contact, Medical Access Assistants, obtain regional area listings, and report listing inaccuracies by calling or ing info@wellcomp.com. In accordance with LC 4616, providers listed on the WellComp MPN are deemed in-network providers at the listed locations only and no other. Any other locations and/or affiliations with these providers are not under contract and are therefore not within the WellComp MPN. Page 15: Imperial / Brawley to Imperial / El Centro

20 El Centro, CA Imperial Tontz, Jr, William L., MD California Orthopaedic Institute Medical 2410 Commerce Trail Imperial, CA Inyo, CA Bishop Abaza, Moutasem S., MD LA Laser & Skin Center Dermatology 621 West Line St Ste 105 Bishop, CA Awadalla, Farraj C., MD LA Laser & Skin Center Dermatology 621 West Line St Ste 105 Bishop, CA Schmidt, Phil B., DC Phil B Schmidt, DC 389 N Main St Ste C Bishop, CA Taheri, Daniel P., MD LA Laser & Skin Center Dermatology 621 West Line St Ste 105 Bishop, CA Lone Pine Jones, Milton, MD Southern Inyo Community Clinic 510 Locust St Lone Pine, CA Kern, CA Bakersfield Abdou, Wafik, MD Sillect Orthopedic Pain Management 2901 Sillect Ave Ste 201 Bakersfield, CA Alvarez, Carlos, MD Occupational Ortho Med 5401 White Ln Bakersfield, CA Alvidrez, Virginia, MD Memorial Occupational Medicine & Urgent Care General Practice 3838 San Dimas St #B100 Bakersfield, CA Anders, Alpha J., MD Alpha J Anders, MD Pulmonology th St Bakersfield, CA Anderson, Bradford A., MD 1800 WestWind Dr Suite 301 Bakersfield, CA Andrews-Stelle, Rahila, MD 3501 Stockdale Hwy Bakersfield, CA Awadalla, Farraj C., MD LA Laser & Skin Center Dermatology 5600 California Ave, Ste 101 Bakersfield, CA Berkowitz, Jonathan, MD California Hand Center 4100 Truxtun Ave Ste 200 Bakersfield, CA Bloze, Elizabeth A., MD UCLA Intergrated Provider Network (SCOI) 2400 Bahamas Dr Ste 200 Bakersfield, CA Chen, Benjamin, MD 2531 Chester Ave Bakersfield, CA Cho, Larry M., MD The Industrial Med Grp Bakersfield 2501 G St Bakersfield, CA Darakjian, Hrair, MD 1800 WestWind Dr Suite 301 Bakersfield, CA Dev, Vipul R., MD Sillect Orthopedic Surgery: Plastic 2901 Sillect Ave Ste 201 You may contact our MPN Contact, Medical Access Assistants, obtain regional area listings, and report listing inaccuracies by calling or ing info@wellcomp.com. In accordance with LC 4616, providers listed on the WellComp MPN are deemed in-network providers at the listed locations only and no other. Any other locations and/or affiliations with these providers are not under contract and are therefore not within the WellComp MPN. Page 16: Imperial / Imperial to Kern / Bakersfield