2017 Sharp Advantage (HMO) Provider and Pharmacy Directory Addendum

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1 2017 Sharp Advantage (HMO) Provider and Pharmacy Directory Addendum This addendum shows changes to the Sharp Advantage (HMO) provider network and pharmacies since the initial publication of the Sharp Advantage Provider and Pharmacy Directory. Some network providers or pharmacies may have been added or removed from our network after this addendum was printed. To get the most up-to-date information about Sharp Advantage s network providers in your area, please visit sharpmedicareadvantage.com or contact Sharp Advantage Customer Care at (TTY users should call 711). For your convenience, our office hours from October 1 to February 14 are 7 days per week, 8 a.m. to 8 p.m., and from February 15 to September 30 our office hours are Monday through Friday, 8 a.m. to 8 p.m. and on weekends and holidays, your call will be handled by our voic system. A Customer Care Representative will return your phone call the next business day. Sharp Advantage is an HMO plan with a Medicare contract. Enrollment in Sharp Advantage depends on contract renewal. Sharp Advantage is offered by Sharp Health Plan. 15:39 Page 1 of 22 Provider Directory Addendum_Individual

2 2017 Sharp Advantage (HMO) Provider and Pharmacy Directory Addendum PCP Additions Wilfredo Abesamis, Internal Medicine 300 Fir St (858) Alexander Espinoza, San Marcos/ Family Medicine SCMG - Graybill 277 Rancheros STE (866) Rene Gonzalez, Family Medicine 1400 E Palomar St (858) No Gregory Hammett, Internal Medicine SCMG 230 Prospect Pl STE 340-B Coronado/ DO (619) Paul Han, Family Medicine SCMG th St Ramona/ (760) Yong Lee, Family Medicine 1400 E Palomar St (858) Jorge Mota, Family Medicine 1400 E Palomar St (858) Christopher Pudol, DO Family Medicine GTC 1000 Vale Terrace Vista/ (760) Sajib Saha, Internal Medicine 300 Fir St (858) Jyotu Sandhu, Family Medicine 8881 Fletcher Pkwy STE 105 (858) Susette Var, Family Medicine 5525 Grossmont Center (858) PCP Deletions Raymond Dann, Family Medicine SCMG - Graybill 160 N Date St (760) N/A 15:39 Page 2 of 22 Provider Directory Addendum_Individual

3 David Greb, Family Medicine Health Valley Center Rd STE B Valley Center/ (760) N/A Alison Lynch, Family Medicine Genetic Center (858) N/A Patricia Rose, Family Medicine W Bernardo (858) N/A Sheri Walter, Family Medicine 8881 Fletcher Pkwy STE 105 (858) N/A Selene Yuen, Family Medicine SCMG 4060 Fairmount Ave (619) N/A PCP Change - Address David Carty, Pomerado Rd, 4th Internal Medicine Health Floor Poway/ (858) Carol Cornelius, Family Medicine Pomerado Rd, 3rd Health Floor Poway/ (858) Viet Dao, Family Medicine SCMG 4616 El Cajon Blvd STE (619) Belinda Dure-Smith, Pomerado Rd, 4th Internal Medicine Health Floor Poway/ (858) No Ramiz Elias, Internal Medicine SCMG 7695 Cardinal Ct, STE 370 (858) Nagi Ibrahim, Internal Medicine GTC 3231 Waring Ct STE K Oceanside/ (760) Kathlyn Ignacio, Internal Medicine Genetic Center (858) Patricia Kettlehake, Coronado/ Internal Medicine SCMG 230 Prospect Pl STE (619) Louis Maletz, Family Medicine Pomerado Rd, 3rd Health Floor Poway/ (858) :39 Page 3 of 22 Provider Directory Addendum_Individual

4 Dennis Mamaril, Internal Medicine Health Susan Meram, Family Medicine Health Pomerado Rd, 4th Floor Pomerado Rd, 3rd Floor Poway/ (858) Poway/ (858) Peter Minkoff, Family Medicine SCMG - Graybill 306 W El Norte Pkwy STE S (760) Yusra Mir, Family Medicine Pomerado Rd, 3rd Health Floor Poway/ (858) Vivek Nazareth, Family Medicine Pomerado Rd, 3rd Health Floor Poway/ (858) Larry Presant, Pomerado Rd, 4th Internal Medicine Health Floor Poway/ (858) Howard Wynne, Internal Medicine 3555 Kenyon St STE (858) Kamen Zakov, Pomerado Rd, 4th Internal Medicine Health Floor Poway/ (858) No PCP Change - Phone Amy Abola, Family Medicine W Bernardo Harriett Adamson, Brian Barmettler, Bethani Bernaba, Family Medicine W Bernardo Internal Medicine W Bernardo Family Medicine 8933 Activity Rd Audra Budde, DO Family Medicine W Bernardo Michelle Cao, Family Medicine 8881 Fletcher Pkwy STE Carmen Gupta, Family Medicine Genetic Center (858) (858) (858) No 15:39 Page 4 of 22 Provider Directory Addendum_Individual

5 Laura Hackett, Family Medicine 5525 Grossmont Center Rakhi Khatri, Internal Medicine W Bernardo Emmet Lee, Internal Medicine SCMG - Graybill 625 E. Grand Ave Douglas Levey, Internal Medicine 5525 Grossmont Center Gary Levinson, Internal Medicine 2600 Via De La Valle STE Del Mar/ James Lin, Internal Medicine W Bernardo Dawn Long, Family Medicine 2020 Genesee Ave Kathryn Maxwell, Family Medicine Genetic Center Brian Meyerhoff, Internal Medicine SCMG - Graybill 625 E Grand Ave Indira Molai, Internal Medicine SCMG - Graybill 625 E Grand Ave Ellen Pastrano, Family Medicine W Bernardo Veena Prabhakar, Family Medicine W Bernardo DO Pany Robinson, Family Medicine W Bernardo Rebecca Samuels, Internal Medicine SCMG - Graybill 625 E Grand Ave DO Tova Steinhauser, Family Medicine 2020 Genesee Ave Ahmet Turek, Internal Medicine 525 3rd Ave (858) (858) (866) (858) No (858) (858) (858) (866) (866) (858) (858) No (866) No (858) No (858) :39 Page 5 of 22 Provider Directory Addendum_Individual

6 Michael Wilson, Family Medicine 1400 E Palomar St Marie Adamson, Family Medicine W Bernardo Jessica Adeleke, DO Family Medicine 1400 E Palomar St Bethani Bernaba, Family Medicine 8933 Activity Rd Daniel Brown, Internal Medicine 3555 Kenyon St STE 200 Hector Cardenas, Jeanie Chung, Internal Medicine Internal Medicine Christine Eros, Family Medicine SCMG Angelica Espinoza, 5525 Grossmont Center 5525 Grossmont Center 5030 Camino De La Siesta STE 204 Family Medicine Wexford St Anna Garcia, Family Medicine 5525 Grossmont Center Carmen Gupta, Family Medicine Genetic Center Laura Hackett, Family Medicine 5525 Grossmont Center Timothy Lee, Internal Medicine 1400 E Palomar St Eva Leonard, Internal Medicine PCP Change - Panel Status 5525 Grossmont Center Ellyn Levine, Internal Medicine SCMG 5290 Baltimore (858) (858) No (858) (858) (858) (858) (858) No (858) No (858) No (858) (858) (858) No (619) No 15:39 Page 6 of 22 Provider Directory Addendum_Individual

7 Teh Liang, Internal Medicine 5525 Grossmont Center Cyril Light, Family Medicine Genetic Center Jieyu Lowery, Family Medicine 5525 Grossmont Center Thomas Martinez, Family Medicine SCMG 584 E St Kathryn Maxwell, Family Medicine Genetic Center Shirley Metz, DO Family Medicine 8933 Activity Rd Perry Montoya, Internal Medicine 525 3rd Ave James Morgan, Internal Medicine 300 Fir St Jose Pelayo, Internal Medicine 1400 E Palomar St Jorge Pelayo-Garcia, Family Medicine 1400 E Palomar St Airisha Ramirez, Family Medicine Wexford St Elizabeth Anne Pomerado Rd STE Internal Medicine Salada, North 520 Kristen Sanford, DO Internal Medicine W Bernardo Ingrid Scharpf, Internal Medicine W Bernardo Jennifer Simkin 5525 Grossmont Center Family Medicine Kostrinsky, DO 5525 Grossmont Center Rebecca Smith, Family Medicine (858) No (858) (619) No (858) (858) (858) Poway/ (858) No (858) (858) (858) No (858) :39 Page 7 of 22 Provider Directory Addendum_Individual

8 Thynn Wai, Internal Medicine 5525 Grossmont Center (858) No Michael Wilson, Family Medicine 1400 E Palomar St Sara Wong, Family Medicine 8881 Fletcher Pkwy STE 105 (858) No Corinne Yarbrough, Internal Medicine 300 Fir St (858) No PCP Change - Medical Group Sangeetha Murthy, Internal Medicine 2020 Genesee Ave (858) Specialist Additions Roger Acheatel, Cardiology 225 E 2nd Ave North (866) Maryam Balouch, 1955 Citracado Pkwy STE Cardiology Health, SCMG Inland North (760) Mohamed Bidair, Urology SCMG 8851 Center STE 208 (619) Scott Brown, Urology SCMG 8851 Center STE 208 (619) Jared Brummel, DO Orthopedic SCMG - Graybill 225 E 2nd Ave Surgery (866) Nancy Cheng, Dermatology 1400 E Palomar St (619) Jose De La Mota, Obstetrics & W Bernardo (858) Laura Delcore, Obstetrics & 2600 Via De La Valle STE Del Mar/ (858) :39 Page 8 of 22 Provider Directory Addendum_Individual

9 Taddese Desta, Gastroenterolog y SCMG 292 Euclid Ave STE (619) Nella Green, Infectious Disease Health, SCMG Inland North, SCMG - Graybill Pomerado Rd STE 202 Poway/ (858) Jennifer Jothen, DO Neurology SCMG th St STE 205 Jennifer Jothen, DO Neurology SCMG 765 Medical Center Ct STE 218 Coronado/ (619) (619) SCMG, SCMG - Yuan Lin, Vascular Surgery Arch Health, Graybill 1955 Citracado Pkwy STE (760) SCMG, SCMG - Yuan Lin, Vascular Surgery Arch Health, Graybill 345 F St STE (619) SCMG, SCMG - Yuan Lin, Vascular Surgery Arch Health, Graybill 5565 Grossmont Center STE 153 (619) Arvin Narula, Cardiology SCMG 3131 Berger Ave STE 200 (858) :39 Page 9 of 22 Provider Directory Addendum_Individual

10 Raul Oviedo-Linares, National City/ Cardiology SCMG 502 Euclid Ave STE (619) Jan Penvose-Yi Obstetrics & Oceanside/ GTC 3998 Vista Way STE C (760) Luan Pham, DPM Podiatric Surgery 5525 Grossmont Center (858) Luan Pham, DPM Podiatric Surgery W Bernardo (858) Brad Ruetenik, DPM Podiatry 5525 Grossmont Center (619) Craig Salt, Plastic Surgery Wexford St (858) Karo Torosian, DO Nephrology SCMG, SCMG Genesee Ave STE Arch 312 La Jolla/ (858) Dara West, Neurology 2929 Health Center (858) Danny Younes, Obstetrics & 2600 Via De La Valle STE Del Mar/ (858) Specialist Deletions Rajesh Belani, Hematology, 3075 Health Center STE SCMG Oncology 102 (858) N/A John Casey, Orthopedic Genetic Center Surgery (858) N/A Gary Clark, General Surgery 2020 Genesee Ave (858) N/A SCMG - Laura Desadier, DO Neurology 1955 Citracado Pkwy STE Inland North, 102 Health (760) N/A 15:39 Page 10 of 22 Provider Directory Addendum_Individual

11 SCMG - Laura Desadier, DO Neurology 6010 Hidden Valley Rd STE Inland North, 200 Health Carlsbad/ (760) N/A Robert Eisenberg, Urology SCMG 8851 Center STE 501 Robert Eisenberg, Urology SCMG 655 Euclid Ave STE 301 Nora El-Khatib, Ophthalmology SCMG 681 Third Ave Charles Hames, Gastroenterolog y 2929 Health Center Henry Hudson, Ophthalmology GTC 7695 Cardinal Ct STE 100 Henry Hudson, Ophthalmology GTC 3231 Waring Ct STE S National City/ Oceanside/ (619) N/A (619) N/A (619) N/A (858) N/A (858) N/A (760) N/A Dana Huskey, Obstetrics & Arch Health 488 E Valley Pkwy STE 311 (760) N/A Sunil Jeswani, Neurosurgery Health, SCMG - Graybill, SCMG Inland North 705 E Ohio Ave (760) N/A Stephanie Joseph, Physical Medicine & Rehabilitation Health, SCMG - Graybill, SCMG Inland North 1955 Citracado Pkwym STE (760) N/A 15:39 Page 11 of 22 Provider Directory Addendum_Individual

12 Stephanie Joseph, Physical Medicine & Rehabilitation Health, SCMG - Graybill, SCMG Inland North 6010 Hidden Valley Rd STE 200 Carlsbad/ (760) N/A Jon Kelly, Orthopedic GTC 2777 Jefferson St STE 100 Carlsbad/ Surgery Madjid Keyvani, Neurology 7901 Frost St Robert Lawson, Gastroenterolog 2929 Health Center y Robert Lawson, Gastroenterolog Wexford St y Michael Lobatz, Neurology Health, SCMG - Graybill, SCMG Inland North, GTC 6010 Hidden Valley Rd STE 200 Carlsbad/ Henrik Manassarians, Neurology 7901 Frost St (760) N/A (858) N/A (858) N/A (858) N/A (760) N/A (858) N/A Maurice Papier, Podiatry Pomerado Rd STE North C9 Barratt Phillips, Ophthalmology SCMG - Graybill 521 E Elder St STE 102 Charles Schuetz, Otolaryngology 2929 Health Center John Slight, Ophthalmology 300 Fir St Robert Sorenson, Ophthalmology SCMG - Graybill 521 E Elder St STE 102 Poway/ (858) N/A Fallbrook/ (760) N/A (858) N/A (619) N/A Fallbrook/ (760) N/A 15:39 Page 12 of 22 Provider Directory Addendum_Individual

13 Carmen Taype-Perez Pulmonary De Roberts, Disease SCMG 841 Kuhn STE (619) N/A David Terry, DPM Podiatry Genetic Center Paul Treger, Ophthalmology SCMG 7877 Parkway STE (858) N/A (619) N/A Robert Warren, Neurology SCMG E Pennsylvania Ave Inland North (760) N/A Specialist Change - Address Frank Bender, Pulmonary Disease Pomerado Rd, 4th Floor Arch Health Poway/ (760) Andrew Chen, Cardiology Arch Health, SCMG - Graybill Pomerado Rd 4th Floor Poway/ (858) SCMG - Steven Eisenberg, DO Oncology Arch Health, 838 Nordahl Rd STE 300 North San Marcos/ (760) :39 Page 13 of 22 Provider Directory Addendum_Individual

14 SCMG - Gregory Hirsch, Pulmonary Disease Pomerado Rd 4th Arch Health, Floor Poway/ (760) North Mark Huang, Vascular Surgery & Thoracic Surgery SCMG 345 F St STE (619) Atul Jain, Ophthalmology GTC 3231 Waring Ct STE S Oceanside/ (760) Michael Kosmo, Oncology 838 Nordahl Rd STE 300 San Marcos/ (760) Arch Health Akther Kotha, Rheumatology SCMG, SCMG H Street Inland North (619) Gastroenterolog Pomerado Rd 4th Alan Larson, y Health Floor Ann Lopez, Ophthalmology 3075 Health Center Pomerado Rd 4th Jeffrey Lozier, Ophthalmology Health Floor Poway/ (858) (858) Poway/ (858) :39 Page 14 of 22 Provider Directory Addendum_Individual

15 Edward McClay, Oncology 838 Nordhal Rd STE 300 Arch Health San Marcos/ (760) SCMG - Daniel Mulvihill, Cardiology Pomerado Rd 4th Inland North, Floor Health Poway/ (858) Mearl Naponic, Obstetrics & SCMG 8851 Center Ste 100 Tony Nguyen, DPM Specialty Genetic Center (619) (858) James Otoshi, Pulmonary Disease Health, SCMG Pomerado Rd 4th Floor Inland North Poway/ (760) Sunanda Pejavar, Sunanda Pejavar, Soumya Rao, Radiation Oncology Radiation Oncology Rheumatology SCMG SCMG Health, SCMG - Inland North 3075 Health Center Level Medical Center Ct Pomerado Rd 4th Floor (858) Chula Vista/91911 (619) Poway/ (858) :39 Page 15 of 22 Provider Directory Addendum_Individual

16 SCMG - Navinder Sawhney, Cardiology Pomerado Rd 4th Inland North, Floor Poway/ (858) Health SCMG - Rod Serry, Cardiology Pomerado Rd 4th Inland North, Floor Poway/ (858) Health Diane Scott, Clyde Steele, Dermatology Obstetrics & Pomerado Rd 4th Health Floor SCMG 8851 Center STE 100 Poway/ (858) (619) Cyrus Taghavi, Orthopaedic Surgery, Foot & Ankle Surgery SCMG Pomerado Rd 4th Floor Inland North Poway/ (858) Kenneth Trestman, Pulmonary Disease Arch Health, Pomerado Rd 4th Floor Poway/ (760) SCMG - Graybill Arun Venkat, Dermatology SCMG Nordahl Rd STE 250 Arch Health San Marcos/ (760) Geoffrey Weinstein, Radiation Oncology SCMG 3075 Health Center Level-0 (858) :39 Page 16 of 22 Provider Directory Addendum_Individual

17 Geoffrey Weinstein, Radiation Oncology Mark Yamanaka, Pulmonary Disease Kamen Zakov, Cardiology SCMG SCMG - Graybill, GTC North 769 Medical Center Ct 3231 Waring Ct STE D Pomerado Rd 4th Floor Specialist Change - Phone Oceanside/ (619) (760) Poway/ (858) Orthopedic Gregory Alberton, 2600 Via De La Valle, STE Del Mar/ Surgery, Hand Surgery (858) Orthopedic Gregory Alberton, Surgery, Hand 2929 Health Center Surgery (858) Franklin Boyer, General Surgery 1400 E Palomar St (619) Lori Coleman, Radiation Oncology Arch Health 555 E Valley Pkwy Esondido/ (760) Alon Garay, Hand Surgery, Orthopedic Surgery 2929 Health Center Robert Gillespie, Cardiology W Bernardo Lisa Gleason, Cardiology 2600 Via De La Valle STE 200 Marisa Gonzalez, Obstetrics & 765 Medical Center Ct STE SCMG 203 Ernesto Hernandez, DPM Podiatric Surgery 525 3rd Ave Del Mar/ (858) (858) (858) (619) (619) :39 Page 17 of 22 Provider Directory Addendum_Individual

18 Andrea Journagin, Obstetrics & 5525 Grossmont Center Michael Keefe, Otolaryngology 2929 Health Center Michael Keefe, Otolaryngology Wexford St Karen Kobayashi, Obstetrics & 765 Medical Center Ct STE SCMG DO 203 Robert Kumar, Cardiology W Bernardo Matthew LaBarbera, Cardiology 2929 Health Center Thuy Anh Le, Gastroenterolog y 2929 Health Center Thuy Anh Le, Gastroenterolog y Wexford St (858) (619) (858) (619) (858) (858) (619) (858) Josue Leon, Obstetrics & Arch Health 488 E Valley Pkwy STE 400 (760) Ronald MacIntyre, Urology 2929 Health Center (858) Camela McGrath, Obstetrics & Arch Health 488 E Valley Pkwy STE (760) :39 Page 18 of 22 Provider Directory Addendum_Individual

19 Camela McGrath, Obstetrics & Arch Health 488 E Valley Pkwy STE (760) Benjamin Saltman, Otolaryngology 2929 Health Center (858) Richard Schumann, Neurology Arch Health, SCMG - Graybill Bernardo Center STE (858) David Sitler, Orthopedic Surgery W Bernardo (858) Saurabh Shah, Otolaryngology SCMG E 2nd Ave Inland North (760) Curt Thomas, DPM Podiatry, Foot & Ankle Surgery 5525 Grossmont Center (619) Bianca Tribuzio, DO Barry Uhl, Physical Medicine & Rehabilitation Radiation Oncology SCMG 9610 Granite Ridge 5555 Grossmont Center (858) (619) Arun Venkat, Dermatology SCMG Lomas Santa Fe STE D Arch Health Solana Beach/ (858) :39 Page 19 of 22 Provider Directory Addendum_Individual

20 Dhwanil Vyas, Nephrology 525 3rd Ave (858) Specialist Change - Medical Group Rebecca Ensley, DO Gastroenterolog SCMG 8008 Frost St STE 200 y (858) Vision Additions Joseph Ho, Vision N/A 6945 El Cajon Blvd (619) Peter Joson, OD Vision N/A 3621 Vista Way Oceanside/ (760) Manel Lamouchi, Black Mountain Rd Vision N/A OD Ste (858) Karen Love, OD Vision N/A 1299 E Pennsylvania Ave Ste B (760) Jonathan Paul, Vision N/A 1620 Alpine Blvd Ste 117 Alpine/ (619) Jonathan Paul, Vision N/A 4344 Convoy St Ste C2 Jonathan Paul, Vision N/A 6945 El Cajon Blvd Diana Pust, OD Vision N/A 8910 University Ctr Ln Ste 800 Andrew Romeril, OD Vision N/A Black Mountain Rd Ste 7 Elesha Starkey, OD Vision N/A 2540 El Camino Real Ramin Tayani, Vision N/A 3621 Vista Way Carlsbad/ Oceanside/ (858) (619) (858) (858) (760) (760) Queen Thach, OD Vision N/A 702 Pearl St Ste G La Jolla/ (858) :39 Page 20 of 22 Provider Directory Addendum_Individual

21 Puneh Baha, OD Vision N/A th St Ste B George Bradford, OD Vision N/A Bruce Haight, Vision N/A Rachelle Keltner, OD Vision Grace Michelina Mellgren, N/A 2191 S El Camino Real Ste Grossmont Ctr Ste Black Mountain Rd Ste 7 Vision N/A 3621 Vista Way Quang Nguyen, OD Vision N/A 830 W Valley Pkwy Quang Nguyen, OD Vision N/A 2240 E Plaza Blvd Ste F G Quang Nguyen, OD Vision N/A 4344 Convoy St Ste C2 Quang Nguyen, OD Vision N/A 6945 El Cajon Blvd Debra Quick, OD Vision N/A 1400 E Palomar St Debra Quick, OD Vision N/A Genetic Center Norman Rose, OD Vision N/A 1299 E Pennsylvania Ave Ste B Vision Deletions Zachary Shore, OD Vision N/A 2355 India St Zachary Shore, OD Vision N/A 1947 Fern St Ste 3 Vision Change - Address Coronado/ Oceanside/ Oceanside/ National City/ (619) N/A (760) N/A (619) N/A (858) N/A (760) N/A (760) N/A (619) N/A (858) N/A (619) N/A (619) N/A (858) N/A (760) N/A (619) N/A (619) N/A 15:39 Page 21 of 22 Provider Directory Addendum_Individual

22 Abhishek Bajpai, OD Vision N/A 8989 Rio San Diego Ste (800) Behavioral Health Deletions SCMG, SCMG - Sabah Chammas, Psychiatry Arch Health, SCMG Graybill, 328 Encinitas Blvd STE 100 Encinitas/ (760) N/A North, SCMG, SCMG - Eric immer, Psychiatry Arch Health, SCMG Graybill, 221 W Crest St STE 102 (760) N/A North, 15:39 Page 22 of 22 Provider Directory Addendum_Individual

2017 Sharp Advantage (HMO) Provider and Pharmacy Directory Addendum

2017 Sharp Advantage (HMO) Provider and Pharmacy Directory Addendum This addendum shows changes to the Sharp Advantage (HMO) provider network and pharmacies since the initial publication of the Sharp Advantage