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This section lists providers placed on Procedure/Drug Code Limitation (P/DCL) sanction, in accordance with Senate Bill (SB) 857 and Welfare and Institutions Code (W&I Code), Section 14044. The list includes the provider name, provider number and/or state license number, P/DCL time frame, category of service, gender restrictions, age range restrictions and restricted codes, as applicable. For additional information, refer to the Medi-Cal Procedure/Drug Code Limitation Introduction section at
www.medi-cal.ca.gov. To access this section, click the “References” tab, then the Medi-Cal “Procedure/Drug Code Limitation List” link.
A
Provider Name / LicenseNumber / Time Frame / Category
of Service / Gender / Age
Range / Codes
Aaron, Benjamin L., MD / C23473 / 7/28/10 – 12/31/69 (Indefinitely) / All codes
Adams, Jan R., MD / A51004 / 4/9/09 – 12/31/69 (Indefinitely) / All codes
Agee, Douglas M., MD / A28581 / 10/31/08 – 12/31/69 (Indefinitely) / All codes
Alavi, Abdollah, MD / A33686 / 9/24/09 – 12/31/69 (Indefinitely) / All codes
Albert, Wesley D., MD / A29091 / 5/5/09 – 12/31/69 (Indefinitely) / All codes
Alvarado, Hernan C., MD / A40827 / 11/24/11 – 12/31/69 (Indefinitely) / All codes
Ames Jr., Bruce A., MD / A97046 / 2/20/09 – 12/31/69 (Indefinitely) / All codes
Anderson, Paul W., MD / G61583 / 11/6/08 – 12/31/69 (Indefinitely) / All codes
Anderson, Richard C. II, MD / G87404 / 3/9/10 – 12/31/69 (Indefinitely) / All codes
Ang, Eriberto C., Jr., MD / A42030 / 5/7/09 – 12/31/69 (Indefinitely) / All codes
Angel Adult Day Health Center / None / 8/21/09 – 12/31/69 (indefinitely) / All codes
1 – Medi-Cal Procedure/Drug Code Limitation List
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A through B
Provider Name / LicenseNumber / Time Frame / Category
of Service / Gender / Age
Range / Codes
Anwar, Habibullah, MD / A36305 / 7/20/10 – 12/31/69 (Indefinitely) / All codes
Anwar, Romilla M., MD / C52984 / 8/16/10 – 12/31/69 (Indefinitely) / All codes
Aram, Davar, MD / A46392 / 8/5/09 – 12/31/69 (Indefinitely) / All codes
Aslan, Muzaffer, MD / A18999 / 12/3/10 – 12/31/69 (Indefinitely) / All codes
Assad, Hany Y., MD / A54309 / 11/23/09 – 12/31/69 (Indefinitely) / All codes
Attygalla, Mallika P., MD / AFE36990 / 12/30/09 – 12/31/69 (Indefinitely) / All codes
Baber, James R., MD / C52817 / 3/25/10 – 12/31/69 (Indefinitely) / All codes
Bains, Sartaj S., MD / A51579 / 12/15/09 – 12/31/69 (Indefinitely) / All codes
Bamdad, Masoud, MD / A51598 / 9/1/08 – 12/31/69 (Indefinitely) / All codes
Bararsani, Mohammad, MD / A35392 / 9/2/07 – 12/31/69 (Indefinitely) / All codes
Barron, Rodney S., MD / G40052 / 12/3/10 – 12/31/69 (Indefinitely) / All codes
Bass, Howard R., MD / C39193 / 11/11/09 – 12/31/69 (Indefinitely) / All codes
Bebawi, Naguib S., MD aka: Bebawi, Nagui S., MD dba Advantage Plus Med Center / A46388 / 7/23/11 – 12/31/69 (Indefinitely) / 0 – 16 years of age / All codes
Bedney, Donald L., MD / C38955 / 1/27/09 – 12/31/69 (Indefinitely) / All codes
Behniwal, Mandeep J.B., MD / A79753 / 12/31/10 – 12/31/69 (Indefinitely) / All services to female patients
Bergstrom, Carl R., MD / G59866 / 11/23/09 – 12/31/69 (Indefinitely) / All codes
Bialy, Michele, CRNA, aka Bialy, Michele Louise, CRNA; aka Loffredo, Michele Louise, CRNA / 3311 / 6/22/11 – 12/31/69 (Indefinitely) / All codes
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B through C
Provider Name / LicenseNumber / Time Frame / Category
of Service / Gender / Age
Range / Codes
Biscotti, Louis J., DO / 20A4646 / 11/16/09 – 12/31/69 (Indefinitely) / All codes
Bittner, Craig A., MD / A53795 / 10/15/11 – 12/31/69
(Indefinitely) / All codes
Blawie, Cecelia R., MD / G70136 / 11/16/11 – 12/31/69 (Indefinitely) / All codes
Blicker, Ilena J., MD / G19424 / 12/2/11 – 12/31/69 (Indefinitely) / All codes
Bloomquist, Cathy A., MD
aka: Lebed, Catrina Anne, MD / G42635 / 6/27/09 – 12/31/69 (Indefinitely) / All codes
Bohlman, Gary R., MD / G25154 / 3/23/10 – 12/31/69 (Indefinitely) / All codes
Bolanos, Jose Raul, MD
aka: La Femme Medical Inc. / G52463 / 4/20/10 – 12/31/69 (Indefinitely) / All codes
Bonilla, Roberto R., MD / A36897 / 2/28/11 – 12/31/69 (Indefinitely) / All codes
Boucher, Michelle, PA / PA15464 / 4/21/11 – 12/31/69 (Indefinitely) / All codes
Brannigan, John, MD / A77781 / 1/12/09 – 12/31/69 (Indefinitely) / All codes
Brewer, Eugene A., MD / G59832 / 2/9/10 – 12/31/69 (Indefinitely) / All codes
Bryan, Bruce Jackson, MD / G53799 / 6/15/09 – 12/31/69 (Indefinitely) / All codes
Burman, Matthew L., MD / G31513 / 7/17/10 – 12/31/69 (Indefinitely) / All codes
Cahoon, Valerie L., PA / PA15679 / 4/16/09 – 12/31/69 (Indefinitely) / All codes
Call, Justin D., MD / G2658 / 4/14/10 – 12/31/69 (Indefinitely) / All codes
Camp, Gregory Burnham, MD / C34329 / 4/16/09 – 12/31/69 (Indefinitely) / All codes
Casa, Thomas W., CRNA / 1302 / 6/14/11 – 12/31/69 (Indefinitely) / All codes
Casey, Kirk C., MD / G61633 / 9/30/11 – 12/31/69 (Indefinitely) / All codes
Catley, Mark F., DPM / E43520 / 8/22/08 – 12/31/69 (Indefinitely) / All codes
Celniker, Ben, MD
aka: Celniker, Benny MD / G35877 / 8/5/10 – 12/31/69 (Indefinitely) / All codes
Chan, Kimberly Ming Yee, MD / A96998 / 12/31/11 – 12/31/69 (Indefinitely) / All codes
Charlestham, Sutham P., MD / A35696 / 8/10/10 – 12/31/69 (Indefinitely) / All codes
Chase, David S., MD / G14199 / 6/30/09 – 12/31/69 (Indefinitely) / All codes
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C through D
Provider Name / LicenseNumber / Time Frame / Category
of Service / Gender / Age
Range / Codes
Chavez, Eric M., MD / A67412 / 5/5/09 – 12/31/69 (Indefinitely) / All codes
Chen, Dennis Hui-Ting, MD / A26597 / 3/25/10 – 12/31/69 (Indefinitely) / All codes
Childress, Kathleen Janice, PHN / 72069 / 2/4/09 – 12/31/69 (Indefinitely) / All codes
Cohen, Robert Hugh, MD / G60961 / 10/5/08 – 12/31/69 (Indefinitely) / All codes
Cohen, Wendy E., MD / G22145 / 11/8/10 – 12/31/69 (Indefinitely) / All codes
Cohn, Cal Kenneth, MD / G17175 / 10/29/09 – 12/31/69 (Indefinitely) / All codes
Conner-Roscoe, Parris, NP / 5955 / 12/21/11 – 12/31/69 (Indefinitely) / All codes
Cook, Albert P., MD / A22030 / 9/23/09 – 12/31/69 (Indefinitely) / All codes
Cosgrove, Zachary King, MD / A70710 / 2/19/09 – 12/31/69 (Indefinitely) / All codes
Courson, Daniel D., PA / AP15531 / 4/17/09 – 12/31/69 (Indefinitely) / All codes
Covarrubias, Gonzalo A., MD / A32492 / 11/10/09 – 12/31/69 (Indefinitely) / All codes
Cowan, Christopher L., MD / G64589, E0083 / 11/13/08 – 12/31/69 (Indefinitely) / All codes
Crawford, James V., MD / A81994 / 7/2/11 – 12/31/69 (Indefinitely) / All codes
Cruz, Emilio L., MD
dba Tower Medical Group / G39954 / 12/17/10 – 12/31/69 (Indefinitely) / All codes
Daniels, Toni D., MD / A34345 / 4/6/11 – 12/31/69 (Indefinitely) / All codes
Dasari, Murthy S., MD / AFE50358 / 5/12/11 – 12/31/69 (Indefinitely) / All codes
Decunto, Mario J., MD / A32867 / 12/11/08 – 12/31/69 (Indefinitely) / All codes
De Los Angeles, Reynaldo, MD / A35904 / 7/2/11 – 12/31/69 (Indefinitely) / All codes
Denson-Lino, Joyce Marie, MD / G78985 / 12/22/09 – 12/31/69 (Indefinitely) / All codes
Derbes, Linda K., MD / G81106 / 2/23/09 – 12/31/69 (Indefinitely) / All codes
Desert Drugs – Moazzem Chowdhury / None / 12/9/08 – 12/31/69 (Indefinitely) / HICL 01615
Dewanjee, Sumit, MD / A82775 32013 / 1/7/12 – 12/31/69 (Indefinitely) / All codes
1 – Medi-Cal Procedure/Drug Code Limitation List
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D through E
Provider Name / LicenseNumber / Time Frame / Category
of Service / Gender / Age
Range / Codes
Diaz, Robert, PA / PA16822 / 2/26/10 – 12/31/69 (Indefinitely) / All codes
Dickerson, Charles H., MD / G41769 / 10/29/07– 12/31/69 (Indefinitely) / All codes
Dietrich, Peter S., MD / G60965 / 3/26/10 – 12/31/69 (Indefinitely) / All codes
Dixon, Susan Mary, PHN / 62631 and 15740 / 8/27/09 – 12/31/69 (Indefinitely) / All codes
Dlugie, Paul D., MD / G14648 / 4/16/10 – 12/31/69 (Indefinitely) / All codes
Do, David Hung, MD / A92915 / 4/30/11 – 12/31/69 (Indefinitely) / All codes
Dreyer, Joel Stanley, MD / C31198 / 8/14/10 – 12/31/69 (Indefinitely) / All codes
Dusel, Jan S., NMW
aka: Shell, Jan, NMW / 166 / 12/9/10 – 12/31/69 (Indefinitely) / All codes
Dutta-Choudhury, Amrita, MD / A75362 / 9/24/11 – 12/31/69
(Indefinitely) / All codes
Ecton, Thomas R., DPM / E4330 / 5/4/10 – 12/31/69 (Indefinitely) / All codes
Edison, Richard Bruce, MD / G39624 / 6/11/08 – 12/31/69 (Indefinitely) / All codes
Edwards, Beverley J., MD / C52231 / 10/2/10 – 12/31/69 (Indefinitely) / All codes
Edwards, Hannibal, MD / GFE44813 / 9/14/07 – 12/31/69 (Indefinitely) / All codes
Edwards, Robert N., MD / C39176 / 10/8/09 – 12/31/69 (Indefinitely) / All codes
Elbitash, Abdelfattah M., MD / A25763 / 4/7/09 – 12/31/69 (Indefinitely) / All codes
El-Nachef, Mohamed W., MD / A50556 / 8/27/2016 – 2/27/2018 / National Drug Codes (NDC): 00006022761, 00310028360, 00310028460, 59148001113, 59676056630, 61958070101, 61958120101, 63402031230
Engel, Susan, NA / 2191 / 8/3/10 – 12/31/69 (Indefinitely) / All codes
Escalera, Javier P., MD / A95344 / 03/29/11 – 12/31/69 (Indefinitely) / All codes
Estiandan, Carlos P., MD
dba San Antonio Health Care / A38326 / 9/10/09 – 12/31/69 (Indefinitely) / All codes
Ewing, Douglass E., MD / G20110 / 1/1/09 – 12/31/69 (Indefinitely) / All codes
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F through G
Provider Name / LicenseNumber / Time Frame / Category
of Service / Gender / Age
Range / Codes
Faithorn, Eleanor P., MD / G47495 / 1/27/11 – 12/31/69 (Indefinitely) / All codes
Fider, Alex Abelardo Sarmiento, MD / A51631 / 8/5/10 – 12/31/69 (Indefinitely) / All codes
Fitzpatrick, Christian John, MD / G47520 / 6/27/08 – 12/31/69 (Indefinitely) / All codes
Flager, James D., PA / PA13738 / 9/23/10 – 12/31/69 (Indefinitely) / All codes
Flores, Pepito, MD / A37508 / 12/17/08 – 12/31/69 (Indefinitely) / All codes
Flynn, Donna Lynn, MD / G80223 / 10/29/11 – 12/31/69 (Indefinitely) / All codes
Foliente, Esther L., MD / A30616 / 1/5/09 – 12/31/69 (Indefinitely) / All codes
Freeman, Mark Evan, MD / C52034 / 5/11/10 – 12/31/69 (Indefinitely) / All codes
Friedman, Enrique J., MD / A26023 / 8/13/10 – 12/31/69 (Indefinitely) / All codes
Friedman, Ernest H., MD / CFE19198 / 3/25/10 – 12/31/69 (Indefinitely) / All codes
Fullton, James A., NP / 11514 / 3/26/10 – 12/31/69 (Indefinitely) / All codes
Funk, Wayne A., MD / C15738 / 11/17/09 – 12/31/69 (Indefinitely) / All codes
Garner, William B., MD / A103679 / 1/7/12 to 12/31/69 (Indefinitely) / All codes
Gay, James Douglas, MD / G64488 / 3/17/11 – 12/31/69 (Indefinitely) / All codes
Gee, Victor H., DO / 20A4793 / 2/6/09 – 12/31/69 (Indefinitely) / All codes
Gherman, Charles R., MD / A19240 / 9/1/11 – 12/31/69 (Indefinitely) / All codes
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G through H
Provider Name / LicenseNumber / Time Frame / Category
of Service / Gender / Age
Range / Codes
Gibson, Glenn Randall, MD / A81769 / 1/28/11 – 12/31/69 (Indefinitely) / All codes
Gillespie, Thomas M., MD / A84706 / 1/5/09 – 12/31/69 (Indefinitely) / All codes
Grant, John Francis, aka Garcia, John F., MD / A63101 / 9/3/11 – 12/31/69 (Indefinitely) / All codes
Grollmus, John M., MD, dba John M. Grollmus, MD, Inc. / C27979 / 8/18/11 – 12/31/69 (Indefinitely) / All codes
Gohari, Geeti Parsa, MD / A78241 / 11/15/10 – 12/31/69 (Indefinitely) / All codes
Goings, Conchita Yatar, MD / A41071 / 3/24/09 – 12/31/69 (Indefinitely) / All codes
Goldman, Robert, MD / G67538 / 10/15/08 – 12/31/69 (Indefinitely) / All codes
Goldsmith, Stanley, MD / G20538 / 12/19/09 – 12/31/69 (Indefinitely) / All codes
Gomez, Gregory R., MD / A90854 / 7/2/11 – 12/31/69 (Indefinitely) / All codes
Good, Leonard James, MD / G46941 / 10/6/09 – 12/31/69 (Indefinitely) / All codes
Gough, James S., MD / C42510 / 3/2/10 – 12/31/69 (Indefinitely) / All codes
Gould, Murry J., MD aka Gould, Murray J., MD / C28453 / 11/12/11 – 12/31/69 (Indefinitely) / All codes
Greenwald, Steven H., MD / GFE28769 / 12/30/09 – 12/31/69 (Indefinitely) / All codes
Grier, Raymond E., MD / A32041 / 7/30/09 – 12/31/69 (Indefinitely) / All codes
Guo, Weixing W., MD / A85097 / 4/24/10 – 12/31/69 (Indefinitely) / All codes
Haduong, Quan, MD / G57891 / 5/25/11 – 12/31/69 (Indefinitely) / All codes
Hagen, Karl Matthew, MD / G70206 / 11/13/09 – 12/31/69 (Indefinitely) / All codes
Hageseth, Christian E., MD / G29527 / 4/20/09 – 12/31/69 (Indefinitely) / All codes
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H
Provider Name / LicenseNumber / Time Frame / Category
of Service / Gender / Age
Range / Codes
Hamlin, Jeffrey, PA / PA16524 / 11/16/09 – 12/31/69 (Indefinitely) / All codes
Hampton, William Wilson, MD / A41730 / 4/20/09 – 12/31/69 (Indefinitely) / All codes
Hang, Peter N., MD
dba Wellcare Medical Corporation,
dba Ever Green Health Care / A31451 / 4/15/11 – 12/31/69 (Indefinitely) / All codes
Hardman, John R., MD / A95527 / 12/29/11 – 12/31/69 (Indefinitely) / All codes
Hare, Susan Marie, MD / A66998 / 10/4/10 – 12/31/69 (Indefinitely) / All codes
Hautman, Barbara A., MD / A44852 / 3/31/10 – 12/31/69 (Indefinitely) / All codes
Hawkins, James W., MD / G16763 / 3/3/10 – 12/31/69 (Indefinitely) / All codes
Henry, Camille M., MD / A46016 / 3/1/09 – 12/31/69 (Indefinitely) / All codes
Hibbard, John P., MD / G37140 11965 / 1/19/12 – 12/31/69 (Indefinitely) / All codes
Hill, David M., MD / G39362 / 12/1/08 – 12/31/69 (Indefinitely) / All codes
Hinostroza, Felix, MD
dba San Juan Bosco
Medical Center / A29613 / 6/13/08 – 12/31/69 (Indefinitely) / All codes
Hirtle, James A., MD / A24439 / 4/29/10 – 12/31/69 (Indefinitely) / All codes
Ho, Steve S., MD / A29858 / 6/2/10 – 12/31/69 (Indefinitely) / All codes
Hoffman, Paul G., MD / G52763 / 1/29/11 – 12/31/69 (Indefinitely) / All codes
Holland, Sundy Rae, MD / C52693 / 3/24/09 – 12/31/69 (Indefinitely) / All codes
Hollander, Neil, MD / G18418 / 6/01/09 – 12/31/69 (Indefinitely) / All codes
Howard, DeGrasia A., MD / G49333 / 4/21/10 – 12/31/69 (Indefinitely) / All codes
Huang, Milton P., MD / CFE50791 / 12/25/09 – 12/31/69 (Indefinitely) / All codes
Hunter, Marysa S., PA / 50917 / 9/25/10 – 12/31/69 (Indefinitely) / All codes
1 – Medi-Cal Procedure/Drug Code Limitation List