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

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Transcription:

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.

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 800.544.8150 or emailing 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

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 800.544.8150 or emailing 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

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 800.544.8150 or emailing 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

Alameda, CA Berkeley Belfer, Howard, MD 2850 Seventh Street Suite 100 Berkeley, CA 94710 510-845-5170 Busfield, Benjamin T., MD 2850 Seventh Street Suite 100 Berkeley, CA 94710 510-845-5170 Cheng, Ernest Y., DO 2850 Seventh Street Suite 100 Berkeley, CA 94710 510-845-5170 Davenport, Mikel, LAc 2850 Seventh St, Ste 100 Berkeley, CA 94710 510-845-5170 Hsieh, Jing W., MD Orthopedic: Hand 2850 Seventh Street Suite 100 Berkeley, CA 94710 510-845-5170 Matthews, Joshua M., MD 2850 Seventh St, Ste 100 Berkeley, CA 94710 510-845-5170 Reyes, Regalado, DC 2850 Seventh St, Ste 100 Berkeley, CA 94710 510-845-5170 Weinberg, Sara, LAc Sara Weinberg LAc Acu & Herbs 3179 College Ave #4 Berkeley, CA 94705 510-316-1391 Castro Valley Stuffmann, Eric S., MD Webster Orthopedics 19842 Lake Chabot Rd Castro Valley, CA 94546 925-556-7320 Dublin Bava, Eric, MD Hand to Shoulder Orthopedics & Sports Medicine 11828 Dublin Blvd Dublin, CA 94568 925-828-7471 Donnelly, Joseph R., MD Webster Orthopedics 4000 Dublin Blvd #100 Dublin, CA 94568 925-556-7320 Elrashidy, Hany R., MD Webster Orthopedics 4000 Dublin Blvd #100 Dublin, CA 94568 925-556-7320 Hou, Andrew Y., MD Webster Orthopedics 4000 Dublin Blvd #100 Dublin, CA 94568 925-556-7320 Kanwal, Tehmina, MD Stat Med, PC 7667 Amador Valley Blvd Ste 100 Dublin, CA 94556 925-828-9211 Palomares, David M., DC David M Palomares, DC 7752 Dublin Blvd Dublin, CA 94568 925-556-1188 Safanda, John F., MD Hand to Shoulder Orthopedics & Sports Medicine 11828 Dublin Blvd Dublin, CA 94568 925-828-7471 Schwartz Jr, John T., MD Webster Orthopedics 4000 Dublin Blvd #100 Dublin, CA 94568 925-556-7320 Stuffmann, Eric S., MD Webster Orthopedics 4000 Dublin Blvd #100 Dublin, CA 94568 925-556-7320 Viess, Stephen R., MD Webster Orthopedics 4000 Dublin Blvd #100 Dublin, CA 94568 925-556-7320 Emeryville Gest, Steven A., MD Santa Cruz Occupational Med 6001 Shellmound Ave #115 Emeryville, CA 94608 510-653-5200 Strudwick Jr, Warren, MD Bay Area Ortho & Sports 5900 Hollis St Ste K Emeryville, CA 94608 510-922-1614 Fremont You may contact our MPN Contact, Medical Access Assistants, obtain regional area listings, and report listing inaccuracies by calling 800.544.8150 or emailing 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

Acharya, Jaishree, MD 39400 Paseo Padre Pkwy Fremont, CA 94538 510-248-3015 Banh, Co V., MD Mission Peak Orthopaedic Medical 39350 Civic Center Dr #300 Fremont, CA 94538 510-797-3933 Bui, Vinh, MD 39400 Paseo Padre Pkwy Fremont, CA 94538 510-248-3015 Francis Scorca, DC 39775 Paseo Padre Pkwy Fremont, CA 94538 510-656-9077 Gay, Andre N., MD Orthopaedic Sports Specialists 39180 Farwell Dr #110 Fremont, CA 94538 510-739-6520 Giddens, Jr, John, MD 3161 Walnut Ave Fremont, CA 94538 510-796-1000 Hinman, Adrian D., MD 39400 Paseo Padre Pkwy Fremont, CA 94538 510-248-3015 Hsu, Alan, MD 39400 Paseo Padre Pkwy Fremont, CA 94538 510-248-3015 Kale, Ashay A., MD 3161 Walnut Ave. Fremont, CA 94538 510-796-1000 Kale, Ashay A., MD Mission Peak Orthopaedic Medical 39350 Civic Center Dr #300 Fremont, CA 94538 510-797-3933 Kilaru, Prasad G., MD Orthopedic: Hand 3161 Walnut Ave. Fremont, CA 94538 510-796-1000 Miller, Robert B., MD Robert Bruce Miller 4535 Mattos Dr Fremont, CA 94536 510-795-7746 Molina, Ricardo A., MD Mission Peak Orthopaedic Medical 39350 Civic Center Dr #300 Fremont, CA 94538 510-797-3933 Motamed, Soheil, MD Mission Peak Orthopaedic Medical 39350 Civic Center Dr #300 Fremont, CA 94538 510-797-3933 Nyquist, Julia R. 3161 Walnut Avenue Fremont, CA 94538 510-769-1000 Reynolds, April M., DO Orthopaedic Sports Specialists 39180 Farwell Dr #110 Fremont, CA 94538 510-739-6520 Reynolds, Kerisimasi L., DO Orthopaedic Sports Specialists 39180 Farwell Dr #110 Fremont, CA 94538 510-739-6520 Hayward Banh, Co V., MD Mission Peak Orthopaedic Medical 27206 Calaroga Ave #107 Hayward, CA 94545 510-300-9898 Huang, Lillian L., LAc California Center 1025 B St Hayward, CA 94541 510-733-0288 Molina, Ricardo A., MD Mission Peak Orthopaedic Medical 27206 Calaroga Ave #107 Hayward, CA 94545 510-300-9898 Motamed, Soheil, MD Mission Peak Orthopaedic Medical 27206 Calaroga Ave #107 Hayward, CA 94545 510-300-9898 Retodo, Albert V., MD Albert V Retodo, MD 24301 Southland Dr #609 You may contact our MPN Contact, Medical Access Assistants, obtain regional area listings, and report listing inaccuracies by calling 800.544.8150 or emailing 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

Hayward, CA 94545 510-781-0211 Sabsovich, Ilya, MD Ilya Sabsovich, MD Pain Management 243 Southland Dr #508 Hayward, CA 94545 510-758-7462 Livermore Gottlieb, Alan R., MD Stat Med, PC 4465 1st St Livermore, CA 94551 925-315-8828 Kanwal, Tehmina, MD Stat Med, PC 4465 1st St Livermore, CA 94551 925-315-8828 Lee, Rong X., MD 3000 Las Positas Rd Livermore, CA 94551 925-243-4880 Sattar, Hena R., MD 3000 Las Positas Rd Livermore, CA 94551 925-243-4880 Steppe, Marilyn K., MD 3000 Las Positas Rd Livermore, CA 94551 925-243-4880 Oakland Abbi, Gaurav, MD 333 Hegenberger Road Suite 100 Oakland, CA 94621 510-638-0701 Azizi, Khaled A., DC 384 Embarcadero West Oakland, CA 94607 510-465-9565 Bava, Eric, MD 384 Embarcadero West Oakland, CA 94607 510-465-9565 Belfer, Howard, MD 333 Hegenberger Road Suite 100 Oakland, CA 94621 510-638-0701 Calvo, Donald, MD 384 Embarcadero West Oakland, CA 94607 510-465-9565 Campbell, William, DO 333 Hegenberger Road Suite 100 Oakland, CA 94621 510-638-0701 Canga, Joel H., MD 384 Embarcadero West Oakland, CA 94607 510-465-9565 Chan, Mark H., MD Mark Chan, MD 80 Grand Ave Ste 610 Oakland, CA 94612 510-835-0235 Chen, Kevin W., DC Chen Lin Chiropractic & Center 345 9th St Ste 209 Oakland, CA 94607 510-268-8898 Chen, Michael G., LAc Chen`s & Chinese Medicine Clinic 259 8th St, Ste 201 Oakland, CA 94607 510-836-6118 Conlon, Britta, DC 384 Embarcadero West Oakland, CA 94607 510-465-9565 Cummins, John F., MD 3701 Broadway 5th Fl #501 Oakland, CA 94611 510-752-1244 Dave, Neesha, DO Pain Management 333 Hegenberger Rd, Ste 100 Oakland, CA 94621 510-638-0701 Dixit, Rakesh, MD 384 Embarcadero West Oakland, CA 94607 510-465-9565 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 800.544.8150 or emailing 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 3: Alameda / Hayward to Alameda / Oakland

3315 Broadway Oakland, CA 94611 510-486-2300 Fei, Xiang, LAc Mark Chan, MD 80 Grand Ave Ste 610 Oakland, CA 94612 510-835-0235 Gill, Kanwaljit S., MD 3701 Broadway 5th Fl #501 Oakland, CA 94611 510-752-1244 Han, Albert D., DC 384 Embarcadero West Oakland, CA 94607 510-465-9565 Horner, Gregory, MD Orthopedic: Hand 333 Hegenberger Road Suite 100 Oakland, CA 94621 510-638-0701 Hou, Andrew Y., MD Webster Orthopedics 3315 Broadway Oakland, CA 94611 510-486-2300 Hsu, Chiachen, MD 3701 Broadway 5th Fl #501 Oakland, CA 94611 510-752-1244 Jiang, Xiaohua, MD 3701 Broadway 5th Fl #501 Oakland, CA 94611 510-752-1244 Jourgensen, David R. 384 Embarcadero West Oakland, CA 94607 510-465-9565 Jung, Seunghun, DC 384 Embarcadero West Oakland, CA 94607 510-465-9565 Kim, Roy, MD Orthopedic: Hand 384 Embarcadero West Oakland, CA 94607 510-465-9565 Laroche, Charles J., MD 3701 Broadway 5th Fl #501 Oakland, CA 94611 510-752-1244 Le, Tram, DC 333 Hegenberger Rd, Ste 100 Oakland, CA 94621 510-638-0701 Miller, Amanda, LAc 384 Embarcadero West Oakland, CA 94607 510-465-9565 Ou, Li C., LAc 384 Embarcadero West Oakland, CA 94607 510-465-9565 Park, Edward J., MD 3701 Broadway 5th Fl #501 Oakland, CA 94611 510-752-1244 Peatman, Thomas W., MD Webster Orthopedics 3315 Broadway Oakland, CA 94611 510-486-2300 Petersen, Scott J., MD 3701 Broadway 5th Fl #501 Oakland, CA 94611 510-752-1244 Rena, Diokson, MD 384 Embarcadero West Oakland, CA 94607 510-465-9565 Rena, Diokson, MD 333 Hegenberger Rd, Ste 100 Oakland, CA 94621 510-638-0701 Roache, Paul B., MD 384 Embarcadero West Oakland, CA 94607 510-465-9565 Seidman, David W., MD 275 W MacArthur Blvd Oakland, CA 94611 You may contact our MPN Contact, Medical Access Assistants, obtain regional area listings, and report listing inaccuracies by calling 800.544.8150 or emailing 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

510-752-1244 Slabaugh, Peter B., MD Webster Orthopedics 3315 Broadway Oakland, CA 94611 510-486-2300 Stuffmann, Eric S., MD Webster Orthopedics 3315 Broadway Oakland, CA 94611 510-486-2300 Sundar, Bindu, DO 3701 Broadway 5th Fl #501 Oakland, CA 94611 510-752-1244 Tanouye, Cheryl A., MD 3701 Broadway 5th Fl #501 Oakland, CA 94611 510-752-1244 Trolan, William H., MD 384 Embarcadero West Oakland, CA 94607 510-465-9565 Walasek, Alina E., MD 3701 Broadway 5th Fl #501 Oakland, CA 94611 510-752-1244 Weddington, Joel A., MD 333 Hegenberger Rd, Ste 100 Oakland, CA 94621 510-638-0701 Wender, David A., DO 3701 Broadway 5th Fl #501 Oakland, CA 94611 510-752-1244 Wiesner, Steven L., MD 3701 Broadway 5th Fl #501 Oakland, CA 94611 510-752-1244 Wilson, Aundrea, MD 333 Hegenberger Rd, Ste 100 Oakland, CA 94621 510-638-0701 Wolfe, Valeria M., MD 275 W MacArthur Blvd Oakland, CA 94611 510-752-1244 Wong, Grace E., MD 3701 Broadway 5th Fl #501 Oakland, CA 94611 510-752-1244 Wu, Serena, MD 384 Embarcadero West Oakland, CA 94607 510-465-9565 Pleasanton Banh, Co V., MD Mission Peak Orthopaedic Medical 5924 Stoneridge Dr #110 Pleasanton, CA 94588 925-846-6200 Chow, David W., MD California Spine Center, A professional Medical Corporation Pain Management 1393 Santa Rita Rd, Ste B Pleasanton, CA 94566 925-926-0195 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 800.544.8150 or emailing 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 94588 925-846-6200 Motamed, Soheil, MD Mission Peak Orthopaedic Medical 5924 Stoneridge Dr #110 Pleasanton, CA 94588 925-846-6200 San Leandro Balytsky, Natalia, MD Pain Management 2587 Merced Street San Leandro, CA 94577 510-351-3553 Behravan, H. D., DO Bay Area Pain & Spine Institute Pain Management 13690 E 14th St Ste 230 San Leandro, CA 94578 510-614-9200 Belfer, Howard, MD 13939 E. 14th Street Suite 150 San Leandro, CA 94578 510-343-8300 Calvo, Donald A. to Alameda / San Leandro

2587 Merced Street San Leandro, CA 94577 510-351-3553 Campbell, William, DO 13939 E. 14th Street Suite 150 San Leandro, CA 94578 510-343-8300 Canga, Joel H., MD 2587 Merced St San Leandro, CA 94577 510-351-3553 Cheng, Joseph C., MD Joseph C Cheng, MD, Inc 15035 East 14th St San Leandro, CA 94578 510-481-3400 Danny, Chan P., MD 2500 Merced St San Leandro, CA 94577 510-675-4807 Eile, Susan C., MD Susan C Eile, MD Cardiology 13847 E 14th St #214 San Leandro, CA 94578 510-483-2377 Franko, Orrin I., MD East Bay Hand Medical Center, Inc 13690 E 14th St Ste 200 San Leandro, CA 94578 510-297-0550 Han, Albert D., DC 2587 Merced St San Leandro, CA 94577 510-351-3553 Kraetzer, Bradford B., MD 2500 Merced St San Leandro, CA 94577 510-675-4807 North, Will A., MD 2500 Merced St San Leandro, CA 94577 510-675-4807 Panganiban, Walter G., MD 13939 E 14th St, Ste 150 San Leandro, CA 94578 510-343-8300 Patel, Chirag R., MD Turner Eye Institute 276 Dolores Ave San Leandro, CA 94577 510-614-1515 Phelps, Kenneth, LAc 13939 E 14th St, Ste 150 San Leandro, CA 94578 510-343-8300 Rodriguez, Bruce D., MD 2500 Merced St San Leandro, CA 94577 510-675-4807 Sheppard, John 13939 E. 14th Street Suite 150 San Leandro, CA 94578 510-343-8300 Stein, Andrew J., MD East Bay Hand Medical Center, Inc Orthopedic: Hand 13690 E 14th St Ste 200 San Leandro, CA 94578 510-297-0550 Sumetanon, Dewate, MD 2500 Merced St San Leandro, CA 94577 510-675-4807 Wu, Serena, MD 2587 Merced St San Leandro, CA 94577 510-351-3553 Yu, Roger, DC 13939 E 14th St, Ste 150 San Leandro, CA 94578 510-343-8300 Union City Belfer, Howard, MD 33560 Alvarado Niles Road Union City, CA 94587 510-489-8700 Hsia, Ting T., LAc 33560 Alvarado Niles Rd Union City, CA 94587 510-489-8700 Hsieh, Jing W., MD You may contact our MPN Contact, Medical Access Assistants, obtain regional area listings, and report listing inaccuracies by calling 800.544.8150 or emailing 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

Orthopedic: Hand 33560 Alvarado Niles Road Union City, CA 94587 510-489-8700 Jaureguito, John W., MD 33560 Alvarado Niles Road Union City, CA 94587 510-489-8700 Kim, Kyung, LAc 33560 Alvarado Niles Rd Union City, CA 94587 510-489-8700 Kreiman, Hadassah R., MD 3553 Whipple Rd Bldg B Union City, CA 94587 510-675-4807 33560 Alvarado Niles Rd Union City, CA 94587 510-489-8700 Tu, Sophie, LAc 3553 Whipple Rd Bldg B Union City, CA 94587 510-675-4807 Amador, CA Pine Grove Sullivan, Arno E., DC Sullivan Chiropractic Cntr 20104 Highway 88 Pine Grove, CA 95665 209-296-5755 605 W East Ave Chico, CA 95926 530-895-1727 Ballard, Leslie J., MD Chico Immediate Care Medical General Practice 376 Vallombrosa Ave Chico, CA 95926 530-891-1676 David, Frederick M., MD Chico Immediate Care Medical General Practice 376 Vallombrosa Ave Chico, CA 95926 530-891-1676 Gilbert, Benjamin N., MD Chico Eye Center 605 W East Ave Chico, CA 95926 530-895-1727 Stabel, John E., MD Stabel Eye Clinic 2109 Forest Ave #20 Chico, CA 95928 530-892-4815 Wolk, Peter J., MD Northstate Cardiology Consultants Cardiology 198 Cohasset Rd Chico, CA 95926 530-342-0123 Oroville Ching, Brian T., MD Brian T Ching, MD 2809 Olive Hwy #230 Oroville, CA 95966 530-532-5044 Mallavaram, Navin A., MD Pain Management 33560 Alvarado Niles Road Union City, CA 94587 510-489-8700 Mbagwu, Chukwudi 33560 Alvarado Niles Road Union City, CA 94587 510-489-8700 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 95928 530-898-9200 Schwartz, Steven A., MD Northstate Cardiology Consultants Cardiology 198 Cohasset Rd Chico, CA 95926 530-342-0123 You may contact our MPN Contact, Medical Access Assistants, obtain regional area listings, and report listing inaccuracies by calling 800.544.8150 or emailing 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 95966 530-532-8606 Page 7: Alameda / Union City McKinney, David W., MD North Valley Urgent Care 1940 Featheriver Blvd Oroville, CA 95965 530-534-5135 Schwartz, Steven A., MD Northstate Cardiology Consultants to Butte / Oroville

Cardiology 2721 Olive Hwy #11 Oroville, CA 95966 530-342-0123 Shieh, Chih J., MD CJ Shieh, MD 2630 Olive Hwy Ste B Oroville, CA 95966 530-534-3037 Paradise Niswonger, Jerome W., MD Eye Life Institute 6283 Clark Rd Ste 10 Paradise, CA 95969 530-898-9200 Calaveras, CA Angels Camp Haugen, Perry, MD Donaldson Eye Care Associates 595 Stanislaus Ave Ste A Angels Camp, CA 95222 209-736-6555 Contra Costa, CA Antioch Cruz, Myra T., MD 4501 Sand Creek Rd 3rd Fl Antioch, CA 94531 925-813-3770 Dhindsa, Gurinder S., MD 4501 Sand Creek Rd 3rd Fl Antioch, CA 94531 925-813-3770 Jenkins, Philip N., MD 4501 Sand Creek Rd 3rd Fl Antioch, CA 94531 925-813-3770 Kazem Haghighi, Asieh, MD 4501 Sand Creek Rd 3rd Fl Antioch, CA 94531 925-813-3770 Kim, John C., MD 4501 Sand Creek Rd 3rd Fl Antioch, CA 94531 925-813-3770 Brentwood Chow, David W., MD California Spine Center, A professional Medical Corporation Pain Management 100 Cortona Way, Ste 160 Brentwood, CA 94513 925-926-0195 Dockman, Timothy 3140 Balfour Road Suites C Brentwood, CA 94513 925-626-3801 Granado, Zylna, DC 3140 Balfour Rd, Ste C Brentwood, CA 94513 925-626-3801 You may contact our MPN Contact, Medical Access Assistants, obtain regional area listings, and report listing inaccuracies by calling 800.544.8150 or emailing 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 94513 925-626-3801 Concord Page 8: Butte / Oroville Brooks, Adam G., MD 1855 Gateway Blvd. Suite 100 Concord, CA 94520 925-685-7744 Busfield, Benjamin T., MD 1855 Gateway Blvd. Suite 100 Concord, CA 94520 925-685-7744 Chung, Michael T., DC 1855 Gateway Blvd, Ste 100 Concord, CA 94520 925-685-7744 Ehasz, Donald, DC 1855 Gateway Blvd, Ste 100 Concord, CA 94520 925-685-7744 Gottlieb, Alan R., MD Stat Med, PC 901 Sunvalley Blvd Ste 100 Concord, CA 94520 925-234-4447 Granado, Zylna, DC 1855 Gateway Blvd, Ste 100 Concord, CA 94520 925-685-7744 Jung, Seunghun, DC to Contra Costa / Concord

1855 Gateway Blvd Ste 100 Concord, CA 94520 925-685-7744 Kanwal, Tehmina, MD Stat Med, PC 901 Sunvalley Blvd Ste 100 Concord, CA 94520 925-234-4447 Kujac, Tanja L., MD 1855 Gateway Blvd. Suite 100 Concord, CA 94520 925-685-7744 Marshman, Kimberly, LAc 1855 Gateway Blvd Ste 100 Concord, CA 94520 925-685-7744 Miller, Amanda, LAc 1855 Gateway Blvd Ste 100 Concord, CA 94520 925-685-7744 Rikhy, Seema, MD 1855 Gateway Blvd Ste 100 Concord, CA 94520 925-685-7744 Shic, Frank, MD 1855 Gateway Blvd Ste 100 Concord, CA 94520 925-685-7744 Tomsky, Jana, MD Stat Med, PC 901 Sunvalley Blvd Ste 100 Concord, CA 94520 925-234-4447 Danville Chow, David W., MD California Spine Center, A professional Medical Corporation Pain Management 1320 El Capitan Dr, Ste 200 Danville, CA 94526 925-926-0195 Talwar, Vikram, MD Vikram Talwar, MD, Inc 1320 El Capitan Dr #200 Danville, CA 94526 925-275-0700 El Cerrito Tu, Jiang, LAc Evergreen Medicine 1833 Key Blvd El Cerrito, CA 94530 510-235-5166 Martinez Brody, Wendy A., MD 200 Muir Rd 1st Fl Martinez, CA 94553 925-313-0301 Nefkens, Julie M., MD 200 Muir Rd 1st Fl Martinez, CA 94553 925-313-0301 Tang, Charles B., MD CareOnSite 1805 Arnold Dr Martinez, CA 94553 925-335-5000 Tang, Christopher M., MD CareOnSite 1805 Arnold Dr Martinez, CA 94553 925-335-5000 Pleasant Hill Wilbur, Mark W., DC Mark William Wilbur, DC 2100 Monument Blvd #16 Pleasant Hill, CA 94523 925-676-1955 Richmond Campbell, William R., DO 2970 Hilltop Mall Rd #203 Richmond, CA 94806 510-222-8000 Canga, Joel H., MD 2970 Hilltop Mall Rd #203 Richmond, CA 94806 510-222-8000 Dixit, Rakesh, MD 2970 Hilltop Mall Road Suite 203 Richmond, CA 94806 510-222-8000 Gill, Kanwaljit S., MD 901 Nevin Ave Richmond, CA 94801 510-307-1560 Kownacki, Roman P., MD You may contact our MPN Contact, Medical Access Assistants, obtain regional area listings, and report listing inaccuracies by calling 800.544.8150 or emailing 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

901 Nevin Ave Bldg B 1st Fl Richmond, CA 94801 510-307-1560 Maher, W. J Kevin, MD 901 Nevin Ave Bldg B 1st Fl Richmond, CA 94801 510-307-1560 Mittal, Sheilaja, MD 2970 Hilltop Mall Rd #203 Richmond, CA 94806 510-222-8000 Piazza, Lawrence D., MD 2970 Hilltop Mall Rd #203 Richmond, CA 94806 510-222-8000 Wu, Serena, MD 2970 Hilltop Mall Rd #203 Richmond, CA 94806 510-222-8000 San Ramon Ball, Hieu T., MD California Comprehensive Spine Institute 5401 Norris Canyon Rd Ste 206 San Ramon, CA 94583 925-838-8830 Donnelly, Joseph R., MD Webster Orthopedics 5801 Norris Canyon Rd #210 San Ramon, CA 94583 925-355-7350 Elrashidy, Hany R., MD Webster Orthopedics 5801 Norris Canyon Rd #210 San Ramon, CA 94583 925-355-7350 Hou, Andrew Y., MD Webster Orthopedics 5801 Norris Canyon Rd #210 San Ramon, CA 94583 925-355-7350 Peatman, Thomas W., MD Webster Orthopedics 5801 Norris Canyon Rd #210 San Ramon, CA 94583 925-355-7350 Schwartz Jr, John T., MD Webster Orthopedics 5801 Norris Canyon Rd #210 San Ramon, CA 94583 925-355-7350 Walnut Creek Busfield, Benjamin T., MD 1981 N. Broadway Suite 190 Walnut Creek, CA 94596 925-932-7715 Chow, David W., MD California Spine Center, A professional Medical Corporation Pain Management 2123 Ygnacio Valley Rd, Ste K-200 Walnut Creek, CA 94598 925-926-0195 Gupta, Charu, MD 320 Lennon Ln Lassen Bldg 2nd Fl Walnut Creek, CA 94598 925-906-2060 Horner, Gregory, MD 1981 N Broadway, Ste 190 Walnut Creek, CA 94596 925-932-7715 Jenkins, Philip N., MD 320 Lennon Ln Lassen Bldg 2nd Fl Walnut Creek, CA 94598 925-906-2060 Kapoor, Sachin, DO 320 Lennon Ln Lassen Bldg 2nd Fl Walnut Creek, CA 94598 925-906-2060 Kauffman, Hilary M., MD 320 Lennon Ln Lassen Bldg 2nd Fl Walnut Creek, CA 94598 925-906-2060 Kujac, Tanja L., MD 1981 N. Broadway Suite 190 Walnut Creek, CA 94596 925-932-7715 Mallavaram, Navin A., MD Pain Management 1981 N. Broadway Suite 190 Walnut Creek, CA 94596 925-932-7715 Ventura, Arjay, DC 1810 N Broadway Walnut Creek, CA 94596 925-932-0160 Voelkel, August G., MD A Gene Voelkel MD Cardiology 1399 Ygnacio Valley Rd #11 Walnut Creek, CA 94598 You may contact our MPN Contact, Medical Access Assistants, obtain regional area listings, and report listing inaccuracies by calling 800.544.8150 or emailing 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

925-937-1770 Xue, Chulong, LAc Chulong Xue 1111 Civic Dr #111 Walnut Creek, CA 94596 925-977-1638 Del Norte, CA Crescent City Caldwell, Kevin J., MD Redwood Medical 1240 Marshall St Crescent City, CA 95531 707-465-5566 Sund, Donna M., DO Redwood Medical 1240 Marshall St Crescent City, CA 95531 707-465-5566 El Dorado, CA Cameron Park Farr, Lorin G., DC Cameron Park Chiropractic 3091 Alhambra Dr Ste A Cameron Park, CA 95682 530-677-4468 El Dorado Hills Agrawal, Bella G., MD MD Stat Urgent Care 3860 El Dorado Hills Blvd #601 El Dorado Hills, CA 95762 916-941-9222 Danesh, Wali A., MD MD Stat Urgent Care 3860 El Dorado Hills Blvd #601 El Dorado Hills, CA 95762 916-941-9222 Flores, Joseph, MD MD Stat Urgent Care 3860 El Dorado Hills Blvd #601 El Dorado Hills, CA 95762 916-941-9222 Gaddis, Alfred T., MD MD Stat Urgent Care 3860 El Dorado Hills Blvd #601 El Dorado Hills, CA 95762 916-941-9222 3860 El Dorado Hills Blvd #601 El Dorado Hills, CA 95762 916-941-9222 Robinson, Tamara S., MD MD Stat Urgent Care 3860 El Dorado Hills Blvd #601 El Dorado Hills, CA 95762 916-941-9222 Tarrar, Wais, MD MD Stat Urgent Care 3860 El Dorado Hills Blvd #601 El Dorado Hills, CA 95762 916-941-9222 Placerville Foltz, Ronald E., MD Ronald E Foltz, MD 1000 Fowler Way #2 Placerville, CA 95667 530-626-0058 Schwartzmeyer, Mark, DC Back to Health Chiropractic 640 Placerville Dr Placerville, CA 95667 530-622-3982 Botto, Richard D., MD Barton Healthcare System General Practice 2170 South Ave South Lake Tahoe, CA 96150 530-542-3000 Tang, Andrew H., MD Barton Healthcare System 2170 South Ave South Lake Tahoe, CA 96150 530-542-3000 Tomita, Robin Y., MD Robin Y Tomita, MD 1139 3rd St South Lake Tahoe, CA 96150 775-783-6190 Fresno, CA Clovis Cunningham, Mark A., MD Community Foundation Medical (CFMG) 782 Medical Center Dr East Ste #101 Clovis, CA 93611 559-256-4111 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 800.544.8150 or emailing 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

604 N Magnolia Ave Ste 100 Clovis, CA 93611 559-320-0531 Lindvall, Eric M., DO University Faculty Associates, Inc 604 N Magnolia Ave Ste 100 Clovis, CA 93611 559-320-0531 Martirosian, Armen, MD University Faculty Associates, Inc 604 N Magnolia Ave Ste 100 Clovis, CA 93611 559-320-0531 Simonian, Peter T., MD Community Foundation Medical (CFMG) Simonian Sports Medicine Clinic 729 N Medical Cntr Dr West #101 Clovis, CA 93611 559-439-7633 Fresno Abdalla, Sherif M., MD 2555 S East Avenue Fresno, CA 93706 559-499-2400 Abdalla, Sherif, MD 7265 N First St #105 Fresno, CA 93720 559-431-8181 Avena, Ricardo, MD Orthopedic: Hand 7265 N First Street Suite 105 Fresno, CA 93720 559-431-8181 Avena, Ricardo, MD Regional Hand Surgery Assoc 2139 E Beechwood Ave Fresno, CA 93720 559-322-4263 Awadalla, Farraj C., MD LA Laser & Skin Center Dermatology 6181 N Thesta Ave, Ste 104 Fresno, CA 93710 559-825-0300 Azevedo, Micheal P., MD 7300 N Fresno St Oak 1 Bldg Fresno, CA 93720 559-448-4886 Bowen, Jason B., DC Bowen Chiropractic 5777 N Fresno St #101 Fresno, CA 93710 559-438-4055 Brant, Adam J., MD Neurosurgical Associates Med Surgery: Neurosurgery 7130 N Sharon Ave #100 Fresno, CA 93720 559-449-1100 Burnett, John, MD Surgery: Plastic 7265 N First St #105 Fresno, CA 93720 559-431-8181 Burri, Robert A., MD 7300 N Fresno St Fresno, CA 93720 559-448-4886 Castonguay, Ronald, MD 2555 S East Avenue Fresno, CA 93706 559-499-2400 Christensen, Joseph T., MD 7300 N Fresno St Fresno, CA 93720 559-448-4886 Deshmukh, Sanjay V., MD Sanjay M Deshmukh, MD 6061 N 1st St, #102 Fresno, CA 93710 714-543-9555 Dhindsa, Gurinder S., MD 7300 N Fresno St Oak 1 Bldg Fresno, CA 93720 559-448-4886 Duran, Marcos A., DO 7300 N Fresno St Oak 1 Bldg Fresno, CA 93720 559-448-4886 Fernandez, Tony C., MD 2555 S East Ave Fresno, CA 93706 559-499-2400 Fletcher, John P., DO Saint Agnes Occupational Health 7202 N Millbrook Ave #108 Fresno, CA 93720 559-450-7777 Fujihara, Glenn A. 7265 North First Street Suite 105 You may contact our MPN Contact, Medical Access Assistants, obtain regional area listings, and report listing inaccuracies by calling 800.544.8150 or emailing 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

Fresno, CA 93720 559-431-8181 Galli, Randi A., MD Regional Hand Surgery Assoc Orthopedic: Hand 2139 E Beechwood Ave Fresno, CA 93720 559-322-4263 Gaur, Alok, MD 7300 N Fresno St Fresno, CA 93720 559-448-4886 Goldstein, Ron Y., MD Surgery: Plastic 7265 N First St #105 Fresno, CA 93720 559-431-8181 Goldstein, Ron Y., MD The Institute for Hand & Microsurgery Surgery: Plastic 7015 N Chestnut Ave, Ste 103 Fresno, CA 93720 714-564-8210 Goswami, Amitabh U., DO Amitabh Goswami, DO 7235 N First St #103 Fresno, CA 93720 559-478-4757 Grossman, Jonathan D., MD Saint Agnes Occupational Health Pain Management 4770 W Herndon Ave #110 Fresno, CA 93722 559-450-6340 Jahromi, Shahzad, MD 7300 N Fresno St Oak 1 Bldg Fresno, CA 93720 559-448-4886 Kenfack, Rophine M., LAc Universal Medical & Clinic 6700 N First St Ste #124 Fresno, CA 93710 559-451-0131 Kirby, John F., MD John F Kirby, MD 5680 N Fresno St #107 Fresno, CA 93710 559-435-1800 Krier, Steven, DC 2555 S East Ave Fresno, CA 93706 559-499-2400 Kumar, Sanjay, MD 7300 N Fresno St Fresno, CA 93720 559-448-4886 Mangat, Amarjit S., MD 2555 S East Ave Fresno, CA 93706 559-499-2400 Mochizuki, Robert M., MD 2555 S East Ave Fresno, CA 93706 559-499-2400 Najafi, Ali, MD Ali Najafi MD Inc Neurosurgical Associates Med Surgery: Neurosurgery 7130 N Sharon Ave Ste 100 Fresno, CA 93726 559-449-1100, 559-892-4542 Ozaeta, Jere S., MD 7300 N Fresno St Oak 1 Bldg Fresno, CA 93720 559-448-4886 Safian, Christian C., MD 7300 N Fresno St Fresno, CA 93720 559-448-4886 Shantharam, Sanagaram S., MD Center for Bone & Joint Surgery 7065 N Maple Ave #102 Fresno, CA 93720 559-322-0887 Stehr, Ryan C., MD Regional Hand Surgery Assoc Surgery: Plastic 2139 E Beechwood Ave Fresno, CA 93720 559-322-4263 Tan, Hongjing, MD 7300 N Fresno St Oak 1 Bldg Fresno, CA 93720 559-448-4886 Wiebe, Timothy M., MD The Institute for Hand & Microsurgery Surgery: Neurosurgery 7015 N Chestnut Ave, Ste 103 Fresno, CA 93720 714-564-8210 Wong, Steven, DC 7265 N First St #105 Fresno, CA 93720 559-431-8181 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 800.544.8150 or emailing 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

7015 N Chestnut Ave, Ste 103 Fresno, CA 93720 714-564-8210 Yalom, Anisa M., MD Regional Hand Surgery Assoc 2139 E Beechwood Ave Fresno, CA 93720 559-322-4263 Reedley Belanger, Brian D., DC Kings Industrial Occ Med Cntr 936 G St Ste B Reedley, CA 93654 559-637-4426 Sorensen, Eric N., MD Kings Industrial Occ Med Cntr 936 G St Ste B Reedley, CA 93654 559-637-4426 Selma Verma, Yash P., MD Industrial Health Care 1850 Whitson St Selma, CA 93662 559-896-1414 Glenn, CA Orland Joyce, Michael J., DC Michael J Joyce, DC 220 Walker St Orland, CA 95963 530-865-5930 Willows Bagga-Malhotra, Shagun, MD Glenn Medical Center 1133 W Sycamore St Willows, CA 95988 530-934-1816 Frezza, Ermenegildo E., MD Glenn Medical Center Gastroenterology 1133 W Sycamore St Willows, CA 95988 530-934-1816 Garrison, Jared, DO Glenn Medical Center 1133 W Sycamore St Willows, CA 95988 530-934-1816 Garrison, Mark, OD Glenn Medical Center 1133 W Sycamore St Willows, CA 95988 530-934-1816 Highman, Lawrence M., MD Glenn Medical Center Gastroenterology 1133 W Sycamore St Willows, CA 95988 530-934-1816 Highman, Lawrence M., MD Glenn Medical Center Gastroenterology 130 N Enright Willows, CA 95988 530-934-4681 Malhotra, Pankaj, MD Glenn Medical Center 1133 W Sycamore St Willows, CA 95988 530-934-1816 McLarty, Marcella R., MD Glenn Medical Center 1133 W Sycamore St Willows, CA 95988 530-934-1816 Mohammad, Khan H., MD Glenn Medical Center Gastroenterology 1133 W Sycamore St Willows, CA 95988 530-934-1816 Moses, Kenneth P., MD Glenn Medical Center 1133 W Sycamore St Willows, CA 95988 530-934-1816 Sakal, Lijun W., MD Glenn Medical Center 1133 W Sycamore St Willows, CA 95988 530-934-1816 Shaw, Val K., MD Glenn Medical Center 1133 W Sycamore St Willows, CA 95988 530-934-1816 Singh, Devinderjit, MD Glenn Medical Center Cardiology 1133 W Sycamore St Willows, CA 95988 530-934-1816 Singh, Gurpreet, MD Glenn Medical Center 1133 W Sycamore St Willows, CA 95988 530-934-1816 Skeehan, David M., DO Glenn Medical Center 130 N Enright Willows, CA 95988 530-934-4681 Throm, Billy, DC Glenn Medical Center 1133 W Sycamore St Willows, CA 95988 530-934-1816 You may contact our MPN Contact, Medical Access Assistants, obtain regional area listings, and report listing inaccuracies by calling 800.544.8150 or emailing 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

Humboldt, CA Arcata Bass, Randall D., MD Mad River Comm Hospital Occ Hlth 592 14th St Arcata, CA 95521 707-825-4907 Imperial, CA Brawley Lai, Christopher C., MD Christopher C Lai, MD 196 W Legion Rd Brawley, CA 92227 760-344-9093 Calexico Kelada, Mervat G., MD De Anza Clinic 1001 Blair Ave Calexico, CA 92231 760-768-5055 El Centro Ansari, Athar M., MD Athar M Ansari, MD Cardiology 790 W Orange Ave Ste B El Centro, CA 92243 760-353-3222 Arbenz, Frederick C., MD Industrial Family Medical Care 1441 W State St #B El Centro, CA 92243 760-337-1771 Behr, Christopher T., MD San Diego Orthopedic Assoc 1665 South Imperial Ave, Ste C El Centro, CA 92243 619-299-8500 Chavez, Cesar T., MD California Retina & Assoc 1452 S La Brucherie Ste A El Centro, CA 92243 760-352-7755 Delengocky, Tayson, DO California Retina & Assoc 1452 S La Brucherie Ste A El Centro, CA 92243 760-352-7755 Elfenbaum, Marcia E., MD Institutes of Health Behavioral Medicine & Med Psych 2302 Merrill Center Dr El Centro, CA 92243 619-929-0528 Khatchatrian, Andranik V., MD Institutes of Health Behavioral Medicine & Med Psych 2302 Merrill Center Dr El Centro, CA 92243 619-929-0528 Lai, Christopher C., MD Christopher C Lai, MD 1441 State St El Centro, CA 92243 760-336-2410 Lane, John G., MD John G Lane, MD 1501 Ocotillo Dr Ste G El Centro, CA 92243 858-292-1433 Mani, Hamid D., MD California Retina & Assoc 1452 S La Brucherie Ste A El Centro, CA 92243 760-352-7755 Mani, Majid, MD California Retina & Assoc 1452 S La Brucherie Ste A El Centro, CA 92243 760-352-7755 Mani, Nasrin, MD California Retina & Assoc 1452 S La Brucherie Ste A El Centro, CA 92243 760-352-7755 Mulvany, Terence M., MD Imperial Valley Occupational Medicine General Practice 1850 W Main St Ste E El Centro, CA 92243 760-370-0020 Pons, Mauricio E., MD California Retina & Assoc 1452 S La Brucherie Ste A El Centro, CA 92243 760-352-7755 Skaf, Ayham R., MD California Retina & Assoc 1452 S La Brucherie Ste A El Centro, CA 92243 760-352-7755 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 800.544.8150 or emailing 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

El Centro, CA 92243 619-929-0528 Imperial Tontz, Jr, William L., MD California Orthopaedic Institute Medical 2410 Commerce Trail Imperial, CA 92251 619-291-8930 Inyo, CA Bishop Abaza, Moutasem S., MD LA Laser & Skin Center Dermatology 621 West Line St Ste 105 Bishop, CA 93514 760-873-8781 Awadalla, Farraj C., MD LA Laser & Skin Center Dermatology 621 West Line St Ste 105 Bishop, CA 93514 760-873-8781 Schmidt, Phil B., DC Phil B Schmidt, DC 389 N Main St Ste C Bishop, CA 93514 760-873-7178 Taheri, Daniel P., MD LA Laser & Skin Center Dermatology 621 West Line St Ste 105 Bishop, CA 93514 760-873-8781 Lone Pine Jones, Milton, MD Southern Inyo Community Clinic 510 Locust St Lone Pine, CA 93545 760-876-5501 Kern, CA Bakersfield Abdou, Wafik, MD Sillect Orthopedic Pain Management 2901 Sillect Ave Ste 201 Bakersfield, CA 93308 661-407-2200 Alvarez, Carlos, MD Occupational Ortho Med 5401 White Ln Bakersfield, CA 93309 888-678-4609 Alvidrez, Virginia, MD Memorial Occupational Medicine & Urgent Care General Practice 3838 San Dimas St #B100 Bakersfield, CA 93301 661-326-0088 Anders, Alpha J., MD Alpha J Anders, MD Pulmonology 2203 19th St Bakersfield, CA 93301 661-633-5474 Anderson, Bradford A., MD 1800 WestWind Dr Suite 301 Bakersfield, CA 93301 661-327-9617 Andrews-Stelle, Rahila, MD 3501 Stockdale Hwy Bakersfield, CA 93309 661-398-3813 Awadalla, Farraj C., MD LA Laser & Skin Center Dermatology 5600 California Ave, Ste 101 Bakersfield, CA 93309 661-322-2700 Berkowitz, Jonathan, MD California Hand Center 4100 Truxtun Ave Ste 200 Bakersfield, CA 93309 818-386-5575 Bloze, Elizabeth A., MD UCLA Intergrated Provider Network (SCOI) 2400 Bahamas Dr Ste 200 Bakersfield, CA 93309 661-328-5565 Chen, Benjamin, MD 2531 Chester Ave Bakersfield, CA 93301 661-398-3813 Cho, Larry M., MD The Industrial Med Grp Bakersfield 2501 G St Bakersfield, CA 93301 661-327-2225 Darakjian, Hrair, MD 1800 WestWind Dr Suite 301 Bakersfield, CA 93301 661-327-9617 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 800.544.8150 or emailing 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