Medi-Cal Suspended and Ineligible Provider List - December Update
ADDITIONS:
Physician (susp A)
Bowman, Thomas W.G74979Suspended
aka: Thomas Bowman00G749790indefinitely effective
1320 Maricopa Hwy.19321545159/26/2012
Ste. A
Ojai, CA
and
3506 Sugarberry Ln.
Walnut Creek, CA
Peter, Edward Turberville36239Suspended
445 S. Cedar Ave.00C362391indefinitely effective
Fresno, CACGP06767010/5/2012
and
432 Washington St.
Red Bluff, CA
and
13980 Valley View Dr.
Red Bluff, CA
Schwartz, Irving JackA37528Suspended
4312 Woodman Ave.00A375280indefinitely effective
Ste.#101123528208810/18/2012
Sherman Oaks, CA
and
1061 E. Vernon Ave.
Ste. F
Los Angeles, CA
and
605 Queens Ave.
Apt.#17
Yuba City, CA
Shaw, John R.G15265Suspended
aka: John Robert Shaw00G152650indefinitely effective
4440 Brockton Ave.00G15265110/9/2012
Riverside, CA1538126438
and
3719 Arlington Ave.
Ste.#1
Riverside, CA
Sun, Andrew S. O.G13537Suspended
7940 Garvey Ave.00G135370indefinitely effective
Ste.#10500G1353719/20/2012
Rosemead, CA00G135372
and00G135373
7530 Garvey Ave.
Rosemead, CA
and
929 S. Atlantic Blvd.
Monterey Park, CA
and
171 N. La Brea Ave.
Ste.#207
Inglewood, CA
and
5161 Pomona Blvd.
Ste.#105
Los Angeles, CA
Toth, Kathleen M.G64248Suspended
aka: Kathleen Marie00G642480indefinitely effective
Toth10/10/2012
aka: Kathleen Marie T.
Lundell
2600 Redondo Ave.
Long Beach, CA
and
5702 S. Amberwood Dr.
Chandler, AZ
Physician/Surgeon (susp A)
Jones, Michael FranklinC36511Suspended
P.O. Box 3204XPY198908indefinitely effective
Sioux City, IA9/24/2012
Psychiatric Technician (susp C)
Castrillo, Eugene Michael32116Suspended
1681 W. Mulberry Ave.indefinitely effective
Porterville, CA7/6/2012
Cuevas, Veronica Amelia31631Suspended
11101 Emerson Wayindefinitely effective
Stanton, CA11/25/2012
Husband, Paula Denise31540Suspended
900 Patria Cir.indefinitely effective
Atascadero, CA11/21/2012
Iniguez, Stephanie Marie32161Suspended
845 E. 6th St.indefinitely effective
Apt.#143/30/2012
Long Beach, CA
Ioppini, Misti31072Suspended
822 Bolen Dr.indefinitely effective
Paso Robles, CA3/29/2012
Lopez, Claudia Rochelle31460Suspended
864 W. Lambert Rd.indefinitely effective
Unit E1047/7/2012
La Habra, CA
Winchell, September24508Suspended
Willeneindefinitely effective
aka: September Willene7/7/2012
Stirling
364 Avalon Dr.
Lemoore, CA
Psychologist (susp C)
Galleher, Gay11633Suspended
650 E. Blithedale Ave.PSY116330indefinitely effective
Ste. M6/29/2012
Mill Valley, CA
and
10 State Rd.
Ste.#9
P.O. Box 266
Bath, ME
Pharmaceutical Technician (susp E)
Aldana-Chacon, Vianet74867Suspended
aka: Vianet Yahaizaindefinitely effective
Aldana11/21/2012
1018 Evelyn St.
San Diego, CA
Hartman, Carmen L.27285Suspended
aka: Carmen Lindaindefinitely effective
Calvin9/14/2012
29729 Nadina Dr.
Escondido, CA
Mai, Tony98224Suspended
5336 Oak Park Dr.indefinitely effective
San Diego, CA3/9/2012
Tamayo, Gabriel Jaime61215Suspended
aka: Gabriel J. Tamayoindefinitely effective
aka: Gabriel Tamayo5/25/2012
1204 E. El Norte Pkwy.
Escondido, CA
Pharmaceutical Technician (susp E) . . . (continued)
Torres, Alfonso83487Suspended
c/o Ironwood Stateindefinitely effective
Prison1/11/2012
P.O. Box 2229
Blythe, CA
Chiropractor (susp J)
Fields, Jon Allan15991Suspended
21822 Sherman WaySAT4593indefinitely effective
Unit #106SAT742210/31/2012
Canoga Park, CADC0157910
Laghaee, Peyman22043Suspended
25760 Pacific Hills Dr.indefinitely effective
Mission Viejo, CA10/30/2012
Meriott, Robert Beal16002Suspended
26562 Camino de VistaSAT6839indefinitely effective
Unit ASAT917810/30/2012
San Juan Capistrano, CASAT13069
Sherf, John31222Suspended
1508 Greenfield Ave.SAT12043indefinitely effective
Unit #108SAT132536/30/2012
Los Angeles, CASAT13254
Sklyut, Dmitriy30184Suspended
1210 N. Cherokee Ave.indefinitely effective
Unit #4124/28/2012
Los Angeles, CA
Yandell, Ellen Carol22494Suspended
313 Holly Dr.indefinitely effective
San Rafael, CA4/17/2012
Lab Technician (susp M)
Isaac, ImeldaUnknownSuspended
11333 Virginia Ave.indefinitely effective
Lynwood, CA10/31/2012
Home Health Aide (susp P)
Harmon, Julie177532Suspended
P.O. Box 246166indefinitely effective
Sacramento, CA7/12/2012
Martinez, Maria Theresa213958Suspended
432 Gateway Dr.indefinitely effective
Apt.#47/6/2012
Pacifica, CA
Certified Nurse Assistant (susp R)
Al-Hawi, Dawn580922Suspended
3303 S. Archibald Ave.indefinitely effective
Unit #3018/22/2012
Ontario, CA
Bernard, Elvira789249Suspended
788 Pointe Vista Ln.indefinitely effective
Corona, CA4/19/2012
Boyd, Robin M.734577Suspended
717 York St.indefinitely effective
Vallejo, CA4/27/2012
Castillo, Veronica Ruiz729792Suspended
716 Bard Rd.indefinitely effective
Unit #310/31/2012
Port Hueneme, CA
Certified Nurse Assistant (susp R) . . . (continued)
Dalusung, Janalita552477Suspended
563 Granite Springs Wayindefinitely effective
American Canyon, CA8/28/2012
Gardner, Olivia Lauren822814Suspended
310 N. Locust Ave.indefinitely effective
Compton, CA6/21/2012
Harmon, Julie579070Suspended
P.O. Box 246166indefinitely effective
Sacramento, CA7/12/2012
Martinez, Maria Theresa74200Suspended
432 Gateway Dr.indefinitely effective
Apt.#47/6/2012
Pacifica, CA
Watson, Trisha479831Suspended
543 Wall St.indefinitely effective
Windsor, CA5/17/2012
Licensed Vocational Nurse (susp R)
Abbate, Barbara Ellen75110Suspended
26965 Kaftan Wayindefinitely effective
Moreno Valley, CA6/17/2012
Allison, Karen Elizabeth190210Suspended
aka: Karen Elizabethindefinitely effective
Ramsey7/6/2012
aka: Karen Elizabeth
Emery
1208 Ohio St.
Redlands, CA
Anderson, Taifia212082Suspended
Rashidaindefinitely effective
5248 Adenmoor Ave.5/2/2012
Lakewood, CA
Borrero, Elihu Cruz233927Suspended
12518 Crystal Cove St.indefinitely effective
Bakersfield, CA6/20/2012
Carrillo, Beatriz Lizet217557Suspended
504 J St.indefinitely effective
Mendota, CA5/10/2012
Chambers, Amy Marie188447Suspended
33836 Old Trail Dr.indefinitely effective
Yucaipa, CA6/16/2012
Christy, Toni Sonja79366Suspended
3701 Ripley St.indefinitely effective
Sacramento, CA7/7/2012
Cleveland, Eric L.225344Suspended
15670 Rio Blanco Trl.indefinitely effective
Moreno Valley, CA5/12/2012
Conlu, Jude Lim222796Suspended
2110 Atlantic Ave.indefinitely effective
Long Beach, CA6/20/2012
Duke, Lori Michelle192179Suspended
4128 Iowa St.indefinitely effective
Apt.#13/30/2012
San Diego, CA
Flannery, Ruth Maryellen177869Suspended
aka: Ruth Maryellenindefinitely effective
Keanes7/7/2012
P.O. Box 236
Lake Hughes, CA
Licensed Vocational Nurse (susp R) . . . (continued)
Flint-Herrera, Mary Lynn179722Suspended
37247 52nd St. E.indefinitely effective
Palmdale, CA7/6/2012
Francois, Benito217952Suspended
Raphaelindefinitely effective
12425 Oak Knoll Rd.6/17/2012
Unit #4F
Poway, CA
Friend, Kevin Anthony214341Suspended
2331 N. Crest Ave.indefinitely effective
Martinez, CA7/5/2012
Gage, Becky Jo139059Suspended
22400 Vaquero Dr.indefinitely effective
Tehachapi, CA6/27/2012
Gordon, Vercinia199835Suspended
Michelleindefinitely effective
1077 1/2 Almond Ct.6/29/2012
Long Beach, CA
Guzman, Jerome I.244826Suspended
240606 Ave. 95indefinitely effective
Terra Bella, CA5/13/2012
Herlihy, Rebecca Anne212063Suspended
885 W. Olive St.indefinitely effective
Colton, CA7/29/2012
Herron, Sharon118688Suspended
Loyrraineindefinitely effective
11634 Atkinson Ave.3/29/2012
Hawthorne, CA
Hibsch, Mary Anne197012Suspended
P.O. Box 234indefinitely effective
Williams, CA6/20/2012
Jackson, Kambria246725Suspended
Kelleyindefinitely effective
7552 Gibraltar St.7/6/2012
Apt.#104
Carlsbad, CA
Jackson, Karen Fay108324Suspended
15601 Pinto Wayindefinitely effective
Chino Hills, CA7/29/2012
Jacobs, Diane Christy192248Suspended
aka: Diane C. Jacobsindefinitely effective
Hernandez5/2/2012
aka: Diane Hernandez
aka: Diane Keberdle
25587 Via Cresta
Laguna Niguel, CA
Lacuesta, Gerald219967Suspended
Taclibonindefinitely effective
16511 S. Garfield Ave.7/5/2012
Sp. #4C
Paramount, CA
LeClaire, Tanya Christie191363Suspended
aka: Tania Christieindefinitely effective
Chimera7/7/2012
aka: Tania Christy
Chimera
285 E. Cooper Ave.
Crescent City, CA
Maldonado, Jennifer229815Suspended
488 E. Ocean Blvd.indefinitely effective
Unit #9157/5/2012
Long Beach, CA
Licensed Vocational Nurse (susp R) . . . (continued)
Moua, Ge217370Suspended
1341 S. Kenmore St.indefinitely effective
Anaheim, CA7/7/2012
Osborn, Jeff Stuart172683Suspended
1201 Napa Ave.indefinitely effective
Chula Vista, CA5/12/2012
Ower, Donna Darlene70359Suspended
1403 Cossacks Pl.indefinitely effective
Glendora, CA6/17/2012
Rangel, Osvaldo200101Suspended
1114 E. Wilson Ave.indefinitely effective
Apt.#15/11/2012
Glendale, CA
Riley, Brenda Jo118890Suspended
6823 Fisk Ave.indefinitely effective
San Diego, CA5/2/2012
Rodrigues, Charlotte188435Suspended
Dianeindefinitely effective
aka: Charlotte Diane5/13/2012
Kirkland
5631 Dalhart Way
Sacramento, CA
Salinas, Miles Peter179450Suspended
P.O. Box 993843indefinitely effective
Redding, CA3/29/2012
Townsend, Stacy Marie209598Suspended
aka: Stacey Marieindefinitely effective
Bordo6/20/2012
11303 Burl Dr.
Fontana, CA
Watson, Katie Lee231162Suspended
518 Ranchette Rd.indefinitely effective
Blythe, CA7/17/2012
Ybanez, Adrienne210829Suspended
Genevieveindefinitely effective
1497 Trenton Dr.11/14/2012
Riverside, CA
Nurse Practitioner (susp R)
Gibson, Toya Lavetta19263Suspended
aka: Toya Lynne Gibsonindefinitely effective
59 Ammunition Rd.11/4/2012
Apt.#16
Fallbrook, CA
Jones, Felipa1836Suspended
aka: Felipa Hurtadoindefinitely effective
4840 Glencannon St.7/3/2012
Santa Rosa, CA
Public Health Nurse (susp R)
Galousin, Laura L.47458Suspended
aka: Laura L. Bakerindefinitely effective
13385 Skyline Blvd.7/3/2012
Woodside, CA
Gibson, Toya Lavetta70252Suspended
aka: Toya Lynne Gibsonindefinitely effective
59 Ammunition Rd.11/4/2012
Apt.#16
Fallbrook, CA
Public Health Nurse (susp R) . . . (continued)
Impanglozada, Maria15345Suspended
aka: Maria R. Lozadaindefinitely effective
aka: Maria7/30/2012
Impang-Lozada
4930 Montaya Ave.
San Pablo, CA
Jones, Felipa30448Suspended
aka: Felipa Hurtadoindefinitely effective
4840 Glencannon St.7/3/2012
Santa Rosa, CA
Ong, See Pin56395Suspended
21953 Princeton St.indefinitely effective
Hayward, CA7/3/2012
Pando, Thomas Gilbert47378Suspended
336 Molokai Dr.indefinitely effective
Placentia, CA7/27/2012
Weber, Johanna Marie71656Suspended
3813 Pasadena Ave.indefinitely effective
Unit #87/25/2012
Sacramento, CA
Yasuda, Yutaka74770Suspended
9045 Judicial Dr.indefinitely effective
Apt. #11137/25/2012
San Diego,CA
Registered Nurse (susp R)
Adeleye, Adeniyi689211Suspended
aka: Prince Adeniyiindefinitely effective
A. Adeleye7/25/2012
aka: Adelaja Adeleye
18424 S. Normandie Ave.
Unit #5
Los Angeles, CA
Bartels-Scherer,583969Suspended
Sherylynn J.L.indefinitely effective
P.O. Box 7131956/4/2012
Santee, CA
Beattie, Kenneth R.621570Suspended
66194 Lantana Ln.indefinitely effective
Desert Hot Springs, CA6/1/2012
Butt, Zubair Mehmud679012Suspended
2133 Stockton St.indefinitely effective
Apt. C2077/27/2012
San Francisco, CA
Canlas, May Calaguas462165Suspended
25 Dart St.indefinitely effective
Loma Linda, CA7/3/2012
Cantos, Remedios R.462170Suspended
217 Berverdor Ave.indefinitely effective
Tracy, CA7/16/2012
Carmean, Julie Kay438377Suspended
aka: Julie Kay Reicherindefinitely effective
aka: Julie Kay Bayer7/3/2012
aka: Julie Kay Vasquez
29730 Cottonwood
Cove Dr.
Menifee, CA
Choi, In-Young528169Suspended
4606 Ocean View Blvd.indefinitely effective
La Canada, CA1/27/2012
Registered Nurse (susp R) . . . (continued)
Combs, Dorothy353881Suspended
Francesindefinitely effective
889 S. Main St.7/3/2012
P.M.B. 172
Willits, CA
De Lota, Cecilia689041Suspended
Forondaindefinitely effective
aka: Cecilia Foronda6/22/2012
Martinez
433 Pioneer Dr.
Apt.#22
Glendale, CA
Dvorak, Jaime Marie708763Suspended
30 Horizon Ave.indefinitely effective
Apt.#68/15/2012
Los Angeles, CA
Elder, Jill Elizabeth504431Suspended
aka: Jill Elizabethindefinitely effective
Attwood7/27/2012
7216 Greta Ave.
Whittier, CA
Ford, Karen Lynn424876Suspended
aka: Karen L. Fordindefinitely effective
aka: Karen Lynn7/3/2012
Herzig
2112 Motmot Ct.
North Las Vegas, NV
Gallien, Deborah Jo634540Suspended
4265 N. Dickensonindefinitely effective
Ave.10/12/2012
Fresno, CA
Galousin, Laura L.392223Suspended
aka: Laura L. Bakerindefinitely effective
13385 Skyline Blvd.7/3/2012
Woodside, CA
Gibson, Toya Lavetta628722Suspended
aka: Toya Lynne Gibsonindefinitely effective
59 Ammunition Rd.11/4/2012
Apt.#16
Fallbrook, CA
Giron, Orilynn Tunacao626516Suspended
aka: Orilynnindefinitely effective
Giron-Roxas7/3/2012
120 Hemmingway
Commons
Martinez, CA
Goodlow, Stephen736904Suspended
Jaimellindefinitely effective
135 E. 3rd St.8/23/2012
Forest, MS
Greer, Geraldine Arce690391Suspended
1286 University Ave.indefinitely effective
Unit #5127/27/2012
San Diego, CA
Griepp, Heidi Lyn750097Suspended
18681 Joplin Ave.indefinitely effective
Lakeville, MN6/22/2012
Groark, Susan1961489Suspended
2409 Mikemary Ct.indefinitely effective
Castro Valley, CA4/20/2012
Grove, James Carey522255Suspended
2797 N. Nugent Rd.indefinitely effective
Lummi Island, WA1/27/2012
Registered Nurse (susp R) . . . (continued)
Hammurabi, Heaven B.627607Suspended
aka: Saundra Boydindefinitely effective
aka: Heaven Boyd7/3/2012
Hammurabi
aka: Heaven
Hammurabi-Boyd
4607 Colonial Cir.
College Station, TX
Hodges, Valerie J.361032Suspended
2530 N. Hermosa St.indefinitely effective
Palm Springs, CA7/3/2012
Hodson, J. Scott555164Suspended
aka: Jerry Scottindefinitely effective
Hodson8/23/2012
42242 Harwick Ln.
Temecula, CA
Impanglozada, Maria189995Suspended
aka: Maria R. Lozadaindefinitely effective
aka: Maria7/30/2012
Impang-Lozada
4930 Montaya Ave.
San Pablo, CA
James, Janice Mae555164Suspended
aka: Janice Mae Ruggeriindefinitely effective
aka: Janice Mae Norris5/18/2012
aka: Janice Mae Spinks
7754 Mallard Way
Millville, CA
Jones, Felipa268333Suspended
aka: Felipa Hurtadoindefinitely effective
4840 Glencannon St.7/3/2012
Santa Rosa, CA
Kerr, Diedra Fran596001Suspended
101 Brookins St.indefinitely effective
Moraga, CA7/27/2012
Kleine, Maria Kamilah648902Suspended
aka: Kamilah Khanindefinitely effective
741 W. Hackberry Dr.10/11/2012
Changler, AZ
Lewis, Kristin Marie593751Suspended
2843 Briarcote Dr.indefinitely effective
Maryland Heights, MO3/9/2012
Linx, Cynthia Ann373060Suspended
aka: Cynthia Ann Milneindefinitely effective
5710 E. Ave.6/27/2012
Palmdale, CA
Loomis, Joni Lynn393640Suspended
aka: Joni Wishonindefinitely effective
aka: Joni Saylor7/3/2012
1180 Afton St.
Pasadena, CA
Lynch, Leigh Linda555485Suspended
P.O. Box 3656indefinitely effective
Clearlake, CA10/15/2012
McCarter, Tonya Kay516131Suspended
aka: Tonya Kayindefinitely effective
Whitfield8/23/2012
2110 Crystal Cove Way
San Marcos, CA
McCoy, Brinda Sue476733Suspended
aka: Brinda Suie Millsindefinitely effective
4596 Tuscani Dr.6/27/2012
Cypress, CA
Registered Nurse (susp R) . . . (continued)
McMillan, Kyla Kym641771Suspended
11248 Crazy Horse Dr.indefinitely effective
Lakeside, CA11/1/2012
Mohr, Mary Frances627861Suspended
aka: Mary Francesindefinitely effective
Fenner7/3/2012
712 Clamath St.
Spring Valley, CA
Moore, Holly Renee585957Suspended
aka: Holly Renee Kellindefinitely effective
1031 Balboa St.1/20/2012
Morro Bay, CA
Newcomer, Brent289407Suspended
Archerindefinitely effective
244 W. Cypress Ave.6/27/2012
Unit C
Monrovia, CA
Omosun-Fadal, Kate603255Suspended
Elizabethindefinitely effective
aka: Kate Elizabeth7/3/2012
Willig
2502 Palomino Ct.
West Linn, OR
Ong, See Pin56395Suspended
21953 Princeton St.indefinitely effective
Hayward, CA7/3/2012
Pando, Thomas Gilbert428817Suspended
336 Molokai Dr.indefinitely effective
Placentia, CA7/27/2012
Pascual, Evelyn Dugay725760Suspended
31770 Alvarado Blvd.indefinitely effective
Apt. #1557/30/2012
Union City, CA
Patel, Minaxiben411072Suspended
7452 8th St.indefinitely effective
Apt.#512/30/2011
Buena Park, CA
Pearce, Sarah Marie712602Suspended
aka: Sarah Marieindefinitely effective
Lopez10/12/2012
11412 Ming Ct.
El Cajon, CA
Putman, Shannon Lynn691501Suspended
2112 Caleb Dr.indefinitely effective
Searcy, AR7/3/2012
Schoeni, Nancy Jean224359Suspended
aka: Nancy Jeanindefinitely effective
Damrath4/27/2012
13560 E. Sutter Ct.
Fontana, CA
Shimozono, Gail Irene470599Suspended
Poolindefinitely effective
aka: Gail Irene8/15/2012
Shimozono
62 Rainier Ave.
Livermore, CA
Simatupang, Ronauli678798Suspended
JaIan Krukah Pasar No.9indefinitely effective
12 Surabaya Jawa Timur10/12/2012
Indonesia
Swafford, Beatrice428817Suspended
Evelynindefinitely effective
17530 Day Run Ct.7/27/2012
Riverside, CA
Registered Nurse (susp R) . . . (continued)
Taurman, Debra Lynn605739Suspended
aka: Debbie Lynnindefinitely effective
Taurman6/22/2012
24143 Del Monte Dr.
Unit #278
Valencia, CA
Uhles, Lance Alan506009Suspended
25106 Starr St.indefinitely effective
Loma Linda, CA7/16/2012
Weber, Johnna Marie679012Suspended
3813 Pasadena Ave.indefinitely effective
Unit #87/25/2012
Sacramento, CA
Wilkins, Shawn Linton702502Suspended
1801 County Rd. 514indefinitely effective
Elba, AL8/23/2012
and
1655 County Rd. 514
Elba, AL
Word, Evelyn Fisher446114Suspended
aka: Evelyn Fisherindefinitely effective
Jones1/27/2012
717 El Dorado
Apt. #9
Vallejo, CA
Yasuda, Yutaka742403Suspended
9045 Judicial Dr.indefinitely effective
Apt.#11137/25/2012
San Diego, CA
Nurse Midwife (susp R)
Jones, Felipa1321Suspended
aka: Felipa Hurtadoindefinitely effective
4840 Glencannon St.7/3/2012
Santa Rosa, CA
Respiratory Care Practitioner (susp S)
Adams, Melissa Alene24691Suspended
P.O. Box 878indefinitely effective
Highland, CA7/1/2012
Del Coppock, Christopher28642Suspended
8762 Edwin St.indefinitely effective
Rancho Cucamonga, CA6/1/2012
Halepeska, Debra Lynn12835Suspended
9269 44th St.indefinitely effective
Riverside, CA6/29/2012
Kline, Priscilla16217Suspended
800 E. Washington St.indefinitely effective
Apt.#3945/11/2012
Colton, CA
Laster, Robert Thomas25810Suspended
12200 Lantz Ln.indefinitely effective
Moreno Valley, CA6/7/2012
Outlaw, Mary-Ann14442Suspended
1234 Beach Ct.indefinitely effective
Discovery Bay, CA7/23/2012
Phillips, Karen Lynn13798Suspended
1339 Fiori Ave.indefinitely effective
Modesto, CA6/8/2012
Respiratory Care Practitioner (susp S) . . . (continued)
Rayman-Hart, Holly3397Suspended
1765 Santa Ana Ave.indefinitely effective
Apt. A1017/27/2012
Costa Mesa, CA
Sandel, Kirk P.29882Suspended
431 Vine Ave.indefinitely effective
Apt. D7/28/2012
Glendale, CA
Soeung, Sean Kim231530Suspended
1573 Hardt St.indefinitely effective
San Bernardino, CA10/19/2012
Zysk, Robert25192Suspended
24181 Marie St.indefinitely effective
Perris, CA6/7/2012
Capper (susp T)
Osorio, AlejandraSuspended
169 S. Burlington Ave.indefinitely effective
Unit #310/30/2012
Los Angeles, CA
Rozenberg, EllaSuspended
2309 Apollo Dr.indefinitely effective
Los Angeles, CA10/30/2012
Sosa, Augustine,Suspended
Romeroindefinitely effective
10325 Aldea St.10/30/2012
Granada Hills, CA
Corporation (susp T)
Rehab Medical SuppliesSuspended
Inc.indefinitely effective
10801 National Blvd.10/18/2011
Ste.#260
Los Angeles, CA
Employees (susp T)
Banuelos, MariaSuspended
7359 Alabama Ave.indefinitely effective
Canoga Park, CA10/31/2012
Buki, AttilaSuspended
1050 N. Perris Blvd.indefinitely effective
Perris, CA10/31/2012
Cardinal, WilhelminaSuspended
Johannaindefinitely effective
3023 Leroy St.11/11/2012
San Bernardino, CA
Harris-Kirkwood, MarySuspended
Keisha Lashunindefinitely effective
aka: Mary Kirkwood10/18/2012
aka: Mary Diane Harris
3336 9th Ave.
Sacramento, CA
Employees (susp T) . . . (continued)
Labayen, Mila P.Suspended
1132 West Viaindefinitely effective
Rancho Pkwy.11/1/2012
Escondido, CA
Martinez, Michael CarlosSuspended
3265 Santa Fe Ave.indefinitely effective
Unit #13911/7/2012
Long Beach, CA
Oh, Alvin SilSuspended
12639 Sparwood Ln.indefinitely effective
La Mirada, CA10/18/2012
Palafox, LeticiaSuspended
14951 Berg St.indefinitely effective
Sylmar, CA10/30/2012
Palomera, Victoriana RuizSuspended
18325 Vanowen St.indefinitely effective
Unit #13811/1/2012
Reseda, CA
Trujillo, Mona MarieSuspended
885 E. Oak St.indefinitely effective
Anaheim, CA11/7/2012
Zavdi, YehudaSuspended
aka: Judah Zavdiindefinitely effective
1489 Rexford Dr.10/18/2012
Los Angeles, CA
In-Home Support Services Provider (susp U)
Asay III, Robert CliftonSuspended
1050 N. Perris Blvd.indefinitely effective
Perris, CA10/31/2012
Bryant, April LynnSuspended
4353 Don Tomaso Dr.indefinitely effective
Unit #611/4/2012
Los Angeles, CA
Brysk, MarcelSuspended
4269 Hawk St.indefinitely effective
San Diego, CA10/24/2012
Chea, ThearaSuspended
5411 Carrington Cir.indefinitely effective
Stockton, CA11/4/2012
Corona, CeciliaSuspended
704 Crippen Ave.indefinitely effective
Modesto, CA11/11/2012
Cravens, TynelleSuspended
2367 S. Ophir St.indefinitely effective
Stockton, CA11/4/2012
Damonel, Deborah AnnSuspended
428 E. Hardy Ave.indefinitely effective
Inglewood, CA11/11/2012
Frausto Jr., SalvadorSuspended
12045 E. Copperopolis Rd.indefinitely effective
Stockton, CA11/4/2012
Garcia, ValeriaSuspended
14605 Rayen St.indefinitely effective
Apt.#2110/31/2012
Panorama City, CA
Garcia, ValeriaSuspended
14605 Rayen St.indefinitely effective
Apt.#2110/31/2012
Panorama City, CA
In-Home Support Services Provider (susp U) . . . (continued)
Gonzales, George PatrickSuspended
1310 Princess Dr.indefinitely effective
Stockton, CA11/11/2012
Gutman, IgorSuspended
921 N. Ogden Dr.indefinitely effective
Unit #311/11/2012
Los Angeles, CA
Hassouna, Eman MohamedSuspended
3755 Ben Holt Dr.indefinitely effective
Stockton, CA10/24/2012
Hatley, Cynthia DeneceSuspended
3401 W. Rosecrans Ave.indefinitely effective
Unit #17810/31/2012
Hawthorne, CA
Ikahihifo, Paula JaneSuspended
2730 Victoria St.indefinitely effective
Rialto, CA10/24/2012
Khumalo, LetiSuspended
423 Acacia St.indefinitely effective
Unit #311/4/2012
Tracy, CA
King, Jr. WesleySuspended
4068 Muirfield Rd.indefinitely effective
Apt. D10/24/2012
Los Angeles, CA
Lomax, Donna MarieSuspended
6969 Argyle Ave.indefinitely effective
San Bernardino, CA10/30/2012
Mason, Marilyn440148Suspended
12523 Limonite Ave.indefinitely effective
Mira Loma, CA11/7/2012
Mejia, RosalvaSuspended
4085 Menlo Ave.indefinitely effective
San Diego, CA11/1/2012
Mestas, CarmenSuspended
Rosemaryindefinitely effective
1558 McLaughlin Ave.10/30/2012
San Jose, CA
Moore, Cynthia AnnSuspended
1325 W. 55th St.indefinitely effective
Los Angeles, CA11/7/2012
Moore, Joan PostSuspended
68697 Calle Tolosaindefinitely effective
Cathedral City, CA10/30/2012
Oganesyan, MariamSuspended
5055 Coldwater Canyonindefinitely effective
Unit #10110/30/2012
Sherman Oaks, CA
Pallarez, AntonioSuspended
2452 Malabar St.indefinitely effective
Los Angeles, CA11/14/2012
Paquette Jr., Jerry DavidSuspended
2891 Camarillo Dr.indefinitely effective
Sacramento, CA10/18/2012
Raz, AbrahamSuspended
13838 Victory Blvd.indefinitely effective
Unit #411/14/2012
Van Nuys, CA
In-Home Support Services Provider (susp U) . . . (continued)
Rejano, RestitutoSuspended
172 N. Normandie Ave.indefinitely effective
Los Angeles, CA10/30/2012
Robinson, Keith LemarSuspended
43524 N. Carpenter Dr.indefinitely effective
Lancaster, CA10/30/2012
Sanchez-Pineda, MariaSuspended
Dominguezindefinitely effective
9594 San Rafael Dr.10/30/2012
Desert Hot Springs, CA
Sandavol, Claudia JanetSuspended
1217 JB Rodriguez St.indefinitely effective
Calexico, CA10/30/2012
Semas III, John WilliamSuspended
221 Bernice Ave.indefinitely effective
Stockton, CA11/7/2012
Srey, HemSuspended
1712 Cerritos Ave.indefinitely effective
Long Beach, CA11/7/2012
Steere, Christopher RyanSuspended
2809 E. Los Felices Cir.indefinitely effective
Ste. G11010/30/2012
Palm Springs, CA
Stewart, LanceSuspended
1524 W. 59th St.indefinitely effective
Los Angeles, CA11/14/2012
Thomas, John CurtisSuspended
2516 Carmichael Ave.indefinitely effective
Sacramento,CA11/7/2012
Toso, Pixie LeeSuspended
15927 Santa Ana Ave.indefinitely effective
Unit #610/24/2012
Bellflower, CA
Vue, Julie MeeSuspended
P.O. Box 3366indefinitely effective
Bakersfield, CA10/18/2012
Watson, LeroySuspended
1113 Portolaindefinitely effective
Meadows Rd.10/30/2012
Livermore, CA
Westing, MelanieSuspended
Deanneindefinitely effective
2905 Poppypath Dr.11/1/2012
Modesto, CA
Woods, LawrenceSuspended
Richardindefinitely effective
200 W. 104th St.11/7/2012
Los Angeles, CA
REINSTATEMENTS:
Physician (susp A)
Albert, Samuel H.G18039Suspended(removed from pg. 3)
10840 Warner Ave.indefinitely effective
Ste. #10910/15/2012
Fountain Valley, CA
and
1203 Cabrillo Park Dr.
Santa Ana, CA
Farhadi, TouradjA51505Suspended(removed from pg. 30)
dba: Panaceaindefinitely effective
Health Care10/29/2012
Medical Group
11711 Ohio Ave.
Unit #201
Los Angeles, CA
Sokolski, Kenneth00G645980Suspended(removed from pg. 98)
Neilindefinitely effective
5 Gibbs Ct.11/5/2012
Irvine, CA
Licensed Vocational Nurse (susp R)
Rice, Petrie OdettaSuspended(removed from pg. 211)
aka: Brown, Petrieindefinitely effective
Odetta11/5/2012
aka: Wilder, Petrie
Odetta
14152 Foothill Blvd.
Unit #3
Sylmar, CA
CORRECTIONS:
(Corrections to existing list are bolded).
Audiologist (susp H)
Nahmouli, Nina366Suspended(additional address added
3525 PacificAU0036600indefinitely effectiveto pg. 2)
Coast Hwy.AU00366018/11/2010
Torrance, CA
and
2265 S. Beverly Glen
Blvd.
Ste. #103
Los Angeles, CA
and
2342 Beverwil Dr.
Los Angeles, CA