Medi-Cal Suspended and Ineligible Provider List - January Update
ADDITIONS:
Physician (susp A)
Benzor, JoanneG53502Suspended
aka: Joanne M. Benzor00G535020indefinitely effective
701 Highland Springs00G5350215/18/2012
Ave.1700977220
Beaumont, CA
and
1001 E. Latham Ave.
Ste. F
Hemet, CA
and
15942 Ninya Ave.
Moreno Valley, CA
Bonham, MarvinC38511Suspended
Lawrence00C385110indefinitely effective
aka: Lawrence M.10/18/2012
Bonham
250 Blossom Hill Rd.
Los Gatos, CA
and
P.O. Box 2328
Los Gatos, CA
Cattani, Robert VincentG27337Suspended
450 Slosson Ave.indefinitely effective
Staten Island, NY1/26/2012
Chabrier, Lana LeA90040Suspended
716 19th St.indefinitely effective
Ste.#1008/29/2012
Sacramento, CA
Chan, KimberlyA96889Suspended
aka: Kimberly Mingindefinitely effective
Yee Chan12/30/2011
1803 Camelot Park S.W.
Olympia, WA
David, Erin M.A65697Suspended
4647 Zion Ave.00A656970indefinitely effective
San Diego, CA110497490611/29/2012
and
5165 Rancho Quinta
Bend
San Diego, CA
De Zubiria, RodrigoA70728Suspended
Castle Family Health00A707280indefinitely effective
Center12150405639/7/2012
Bloss Memorial
District
3605 Hospital Rd.
Ste. H
Atwater, CA
Garner, WilliamA103679Suspended
Brandtindefinitely effective
1351 N. Wishon1/6/2012
Ave.
Unit #103
Fresno, CA
Garrison, ThomasC50929Suspended
Edwinindefinitely effective
8900 E. Pinnacle2/4/2012
Peak Rd.
Ste. E200
Scottsdale, AZ
Goldman, MichaelA66810Suspended
4610 Park Adelfaindefinitely effective
Calabasas, CA10/19/2012
Physician (susp A) . . . (continued)
Groth, Stephen JohnG36991Suspended
1830 W. Romneya Dr.CGP161781indefinitely effective
Anaheim, CAGR00282707/23/2012
andGR0028271
1111 W. La Palma
Ave.
Anaheim, CA
and
1278 Glenneyre St.
Unit #421
Laguna Beach, CA
Jackson, William W.G78919Suspended
2601 E. Chapman00G789190indefinitely effective
Ave.00G7891915/9/2012
Orange, CA00G789192
and1811966468
800 S. Main St.
Corona, CA
and
3050 E. Imperial
Hwy.
Unit #143
Brea, CA
Lakhani, AbdusCFE50742Suspended
Samadindefinitely effective
P.O. Box 52211/14/2012
Chesterton, IN
Livingston,G27982Suspended
Lawrence H.00G279820indefinitely effective
255 N. Jackson Ave.192205308111/20/2012
San Jose, CA
and
336 Hidden Ln.
Santa Cruz, CA
McNeil, John WilliamG34418Suspended
400 S. La Brea Ave.00G344180indefinitely effective
Ste.#101195243020910/17/2012
Inglewood, CA
and
P.O. Box 8250
Inglewood, CA
Milam, MalloryA78479Suspended
Stanton00A784790indefinitely effective
1328 22nd St.11/27/2012
Santa Monica, CA
and
148 S. Anita Ave.
Los Angeles, CA
Prakash, RamanathanA38484Suspended
Quality Health Care00A384840indefinitely effective
Medical Center CGP06689011/8/2012
9375 San Fernando
Rd.
Sun Valley, CA
and
1011 E. Ave. J
Lancaster, CA
Rand, Jerry NeilG25749 Suspended
2206 Balboa Ave.00G257490indefinitely effective
San Diego, CA00G25749110/31/2012
and
1675 Morena Blvd.
Ste.#100
San Diego, CA
and
4241 Jutland Dr.
Ste.#103
San Diego, CA
Physician (susp A) . . . (continued)
Rosales, GilbertA53868Suspended
1960 Glenoaks Blvd.00A538680indefinitely effective
Ste.#100A53868111/27/2012
San Fernando, CA00A538682
and00A538683
13333 Van Nuys1194914234
Blvd.
Pacoima, CA
and
13711 Van Nuys
Blvd.
Unit #1
Pacoima, CA
and
7136 Pacific Blvd.
Ste.#225
Huntington Park, CA
and
2100 W. 30th St.
Los Angeles, CA
Sadaghiani, IrajA41291Suspended
aka: Roger Gianiindefinitely effective
3444 Whittier Blvd.8/30/2012
Los Angeles, CA
Scott, Michael J.G1094Suspended
509 Olive Wayindefinitely effective
Unit #8179/21/2012
Seattle, WA
Smith, David, HarlanG67850Suspended
1350 W. 6th St.00G678500indefinitely effective
San Pedro, CA124532127211/6/2012
Taylor, Lynn EdwinC40646Suspended
9693 Portofino Dr.indefinitely effective
Orlando, FL11/21/2012
Yandle, Susan H.G74588Suspended
11760 Bird Rd.indefinitely effective
Ste.#7018/29/2012
Miami, FL
Yang, George GangA76886Suspended
1200 El Camino Real00A768860indefinitely effective
South San Francisco, CA152810597011/6/2012
and
20 Lydia Ave.
San Francisco, CA
Psychologist (susp C)
Blakeley, Philip BrucePSY4734Suspended
667 Bucher Ave.indefinitely effective
Santa Clara, CA6/8/2012
Kappler, Kevin9536Suspended
AndrewPV0095360indefinitely effective
2025 Redwood Rd.CGP0378708/24/2012
Ste. #6B
Napa, CA
and
605 Cabot Way
Napa, CA
and
544 Innocent Way
Copperopolis, CA
Linamen, ChristopherPSY8844Suspended
Eugeneindefinitely effective
15950 Oak10/24/2012
Canyon Dr.
Chino Hills, CA
Psychologist (susp C) . . . (continued)
MacFarland, PhillipPSY17254Suspended
Darrylindefinitely effective
aka: Phillip Daryl8/20/2009
MacFarland
609 Jefferson St.
Ste. C
Fairfield, CA
and
1823 Landmark Dr.
Vallejo, CA
and
P.O. Box 1383
Lincoln, CA
Pharmaceutical Technician (susp E)
Cetrone, Amy Marie54565Suspended
3775 Villa Terraceindefinitely effective
San Diego, CA12/21/2011
Patterson II, Charles T.16685Suspended
4560 Twain Ave.indefinitely effective
Unit #16/7/2012
San Diego, CA
Pharmacist (susp E)
Faucher, Douglas37890Suspended
Martinindefinitely effective
aka: Douglas12/3/2012
Faucher
250 Bonita Glen Dr.
Unit A2
Chula Vista, CA
Zenuni, Jemal57261Suspended
3687 4th Ave.indefinitely effective
Unit #51511/17/2011
San Diego, CA
Dentist (susp G)
Suelflohn, Mark39480Suspended
LeroyB39480indefinitely effective
aka: Mark9/30/2011
Suelflohn
4730 3rd St.
Ste. C
La Mesa, CA
Chiropractor (susp J)
El-Shimey, Mohamed31876Suspended
15564 Hesperian Blvd.indefinitely effective
San Lorenzo, CA11/9/2012
Le, Stacie Phuong26889Suspended
aka: Phuong DiemDC0268890indefinitely effective
Thi Le7/12/2012
12302 Garden Grove
Blvd.
Unit #21
Garden Grove, CA
Nguyen, AndyDC30002Suspended
301 E. Santa Clara St.indefinitely effective
Unit D10/28/2012
San Jose, CA
Occupational Therapist (susp O)
Duran, Carmen R.6659Suspended
20058 Ventura Blvd.indefinitely effective
P.M.B.#2611/5/2012
Woodland Hills, CA
Harris, Donald FelipeOTA1772Suspended
17050 San Bruno St.indefinitely effective
Apt. E1111/11/2011
Fountain Valley, CA
Quinne, Mary-KayeOTA550Suspended
aka: Mary Kayindefinitely effective
Quinne11/27/2012
8259 Athel Rd.
Inyokem, CA
Sandhu, Gurprett7284Suspended
Singhindefinitely effective
4510 Hazeltine Ave.11/27/2012
Unit #8
Sherman Oaks, CA
Health Care Provider (susp P)
Abdulle, MukhtatSuspended
Mohammedindefinitely effective
5472 El Cajon Blvd.9/20/2012
San Diego, CA
Gonzales, LeonardSuspended
aka: Aki Aleongindefinitely effective
aka: Leonard12/3/2012
Gonzalez
13746 Gladstone
Ave.
Sylmar, CA
Home Health Aide (susp P)
Douk, Dannies240977Suspended
3227 45th St.indefinitely effective
San Diego, CA7/30/2012
Green, Tammy130664Suspended
P.O. Box 15907indefinitely effective
San Luis Obispo, CA9/11/2012
Medeiros, Shanna K.194803Suspended
P.O. Box 4796indefinitely effective
Crestline, CA9/11/2012
Certified Nurse Assistant (susp R)
Alanis, Carol693623Suspended
P.O. Box 262182indefinitely effective
San Diego, CA11/20/2012
Cooper, Lorre225357Suspended
aka: Lorre Annindefinitely effective
Canady1/25/2012
P.O. Box 691591
Stockton, CA
Douk, Dannies790181Suspended
3227 45th St.indefinitely effective
San Diego, CA7/30/2012
Estondido, Marlon B.622095Suspended
3500 Bahia Blanca W.indefinitely effective
Unit #39/11/2012
Laguna Woods, CA
Green, Tammy429068Suspended
P.O. Box 15907indefinitely effective
San Luis Obispo, CA9/11/2012
Certified Nurse Assistant (susp R). . . (continued)
Gutierrez, Carlos337741Suspended
1054 W. 93rd St.indefinitely effective
Los Angeles, CA12/3/2012
Medeiros, Shanna K.637705Suspended
P.O. Box 4796indefinitely effective
Crestline, CA9/11/2012
Singh, Sukhpreet716715Suspended
5740 N. La Paz Ave.indefinitely effective
Fresno, CA9/11/2012
Victoria, Maria686342Suspended
aka: Mariaisabel V.indefinitely effective
Victoria11/20/2012
aka: Maria Vengco
Victoriz
337 Deanne Ln.
Daly City, CA
Villa, Luis A.00455551Suspended
2500 Soquel Dr.indefinitely effective
Unit G411/20/2012
Santa Cruz, CA
Licensed Vocational Nurse (susp R)
Kamrud, Leif Mathew224525Suspended
1659 Meadowlark Ct.indefinitely effective
Fortuna, CA6/20/2012
Nurse Aide (susp R)
Bravo, Meriam A.287163Suspended
6248 66th Ave.indefinitely effective
Sacramento, CA12/3/2012
Nurse Practitioner (susp R)
Lorbiecki, Joann3598Suspended
25982 La Cuesta Ave.indefinitely effective
Laguna Hills, CA8/30/2012
Wahpepah, Laura12723Suspended
Catharineindefinitely effective
aka: Laura Catharine7/27/2012
Bruce
Nurse Practitioner
Furnishing
4516 Fran Way
Richmond, CA
Public Health Nurse (susp R)
Goguen, Cynthia Lynn23773Suspended
aka: Cynthia L.indefinitely effective
Montanus7/30/2012
5161 Carter Ave.
San Jose, CA
Wahpepah, Laura61564Suspended
Catharineindefinitely effective
aka: Laura Catharine7/27/2012
Bruce
4516 Fran Way
Richmond, CA
Registered Nurse (susp R)
Baker, Robert Owen590827-CASuspended
306 Springdale Dr.1643452-FLindefinitely effective
Bradenton, FL1/26/2012
Registered Nurse (susp R). . . (continued)
Barranco, Kimberly588150Suspended
Jo Vinesindefinitely effective
9500 Greythorne Ct.8/3/2012
Montgomery, AL
Behne, Cassandra Kae707770Suspended
aka: Cassie Behneindefinitely effective
5300 W. Memorial Rd.8/6/2012
Apt.#22K
Oklahoma City, OK
Benson, Francis Irene654837Suspended
350 Sharon Park Dr.indefinitely effective
Unit M28/12/2012
Menlo Park, CA
Brunet, Troy Michael597648Suspended
26691 Oliver Wheatindefinitely effective
Rd.8/31/2012
Livingston, LA
Burrows, Nikki481029Suspended
14 Gardenia Cir.indefinitely effective
Salinas, CA8/30/2012
Burton, Roy Arthur498361Suspended
9339 W. McKinley Ave.indefinitely effective
Fresno, CA8/30/2012
Carter, Deanna Kaye374498Suspended
aka: Deanna Kayeindefinitely effective
Rivera11/20/2012
aka: Deanna Kaye
McGraw
7037 Delisle Dr.
Jacksonville, FL
Chavez, John Eduardo740074Suspended
6362 E. 45th Pl.indefinitely effective
Yuma, AZ9/20/2012
Chen, Ralph462280Suspended
2951 Murat St.indefinitely effective
San Diego, CA8/31/2012
Corona, Leslie Kaye456190Suspended
1172 S. Main St.indefinitely effective
Apt.#1508/10/2012
Salinas, CA
Corona, Patricia718574Suspended
99 Cable Cir.indefinitely effective
Folsom, CA8/28/2012
Deklyn, Nancy Latham738504Suspended
238 Tom Cir.indefinitely effective
Chico, CA8/10/2012
Delfaro, Peter William492786Suspended
P.O. Box 2337indefinitely effective
Wilmington, CA8/10/2012
Duffy, Laura Anne456262Suspended
3720 W. Palo Altoindefinitely effective
Ave.7/24/2012
Fresno, CA
Eaves, Debra Lynn614986Suspended
aka: Debra Shawindefinitely effective
Eaves8/10/2012
aka: Debra Lynn Fox
aka: Debra Lynn Fox
1071 Eaves Loop
Merryville, LA
Registered Nurse (susp R). . . (continued)
Eubanks, Trudy Lorena767110Suspended
201 S. Columbia St.indefinitely effective
Unit #9118/31/2012
Hemet, CA
Fajardo, Estrella248457Suspended
Custodioindefinitely effective
aka: Estrella Singh8/28/2012
Custodio
15619 Wheatstone
Ave.
Norwalk,CA
Farnstrom, Carol Ann613677Suspended
aka: Carol Annindefinitely effective
Franstron8/6/2012
aka: Carol Ann
Farstrom
aka: Carol Ann
Pageau
3730 Southview Dr.
Unit #417
San Diego, CA
Fields, Leah580113Suspended
aka: Leah Meaganindefinitely effective
Fields8/15/2012
aka: Leah Fields
Daigle
2859 Truffle Cove
Memphis, TN
Frazier, Candace Clorese538954Suspended
2351 Shoal Creek Dr.indefinitely effective
Pensacola, FL8/3/2012
and
101 Shannon Dr.
Greenville, SC
Gauthier, Alia Christian683221Suspended
9140 Brookshire Ave.indefinitely effective
Apt.#1218/3/2012
Downey, CA
Gipson, Ethel D.301198Suspended
aka: Ethel Delloriceindefinitely effective
Gipson9/20/2012
26942 Orchard Ave.
Mission Viejo, CA
Goguen, Cynthia Lynn271500Suspended
aka: Cynthia L.indefinitely effective
Montanus7/30/2012
5161 Carter Ave.
San Jose, CA
Grewal, Josh Singh679290Suspended
aka: Jashandeep Singhindefinitely effective
Grewal9/12/2012
6557 Tokay Rd.
Tujunga, CA
Hamilton, Janean670038Suspended
1216 Broadway St.indefinitely effective
Alameda, CA8/3/2012
Harris, Marie Amy277582Suspended
3325 N. Grannen Rd.indefinitely effective
Tucson, AZ8/6/2012
Harrison, Therese Lynn588729Suspended
aka: Therese Lynnindefinitely effective
Bielic9/18/2012
2040 Valencia Way
Clearwater, FL
Registered Nurse (susp R). . . (continued)
Hermann, Michael603826Suspended
Josephindefinitely effective
60 Stephanie Dr.8/17/2012
Unit C206
and
27622 Jefferson Ave.
Unit #320
Temecula, CA
Hibner, Keri Diane626015Suspended
7814 Whelan Dr.indefinitely effective
San Diego, CA8/16/2012
Hoagland, Ardice J.575795Suspended
9129 Mandel St.indefinitely effective
Denver, CO8/16/2012
Horn, David Allen638901Suspended
162 Casentini S.E.indefinitely effective
Apt.#111G8/31/2012
Salinas, CA
Hunt, Patricia Eileen539872Suspended
aka: Patricia Eileenindefinitely effective
Flynn11/11/2011
5881 Pony Express
Trl.
Unit #30
Pollock Pines, CA
Hurt, Lynda Darnell613791Suspended
aka: Lynda Hurtindefinitely effective
833 Marsha St.8/17/2012
Wasco, TX
Jimerson, Vikki Dianne496923Suspended
aka: Vikki Dianneindefinitely effective
Childress Jimerson8/3/2012
460 Taylor Cemetery
Rd.
Guntersville, AL
Johnson, Jill A.497584Suspended
P.O. Box 1018indefinitely effective
Honokaa, HI8/6/2012
Jones, Terri Louise572369Suspended
aka: Terry L. Slendersindefinitely effective
aka: Terri Heyman9/27/2012
961 F St.
Los Banos, CA
Joushanpoosh, Luanna431723Suspended
aka: Luanna Ceciliaindefinitely effective
Joushanpoosh9/17/2012
aka: Luanna Cecilia
Joqshanpoosh
aka: Luanna C.
Jovshanpoosh
6160 Pacheco Pass
Hwy.
Hollister, CA
Kessler, Sheldon Leo689170Suspended
427 Spruce St.indefinitely effective
Apt.#49/20/2012
Clearfield, PA
Lavoie, Arthur Robert383631Suspended
7805 Reseda Blvd.indefinitely effective
Apt #2078/6/2012
Reseda, CA
Layne, Lisa Marie538490Suspended
428 S. GeneseeAve.indefinitely effective
Los Angeles, CA8/15/2012
Registered Nurse (susp R). . . (continued)
Legasse, Charles641905Suspended
Georgeindefinitely effective
6221 Brian Cir.8/3/2012
Riverside, CA
Lepine, Lisha D.605161Suspended
9000 W. Wildernessindefinitely effective
Way8/3/2012
Unit #289
Shreveport, LA
Long, Betty AnnRN 575186Suspended
2559 Polk Ave.indefinitely effective
Ogden, UT9/17/2012
Lorbiecki, Joann212081Suspended
25982 La Cuesta Ave.indefinitely effective
Laguna Hills, CA8/30/2012
Ludlam, Brenda Kay388810Suspended
aka: Brenda Kayindefinitely effective
Soderstrom9/18/2012
460 N. Arthur St.
Kennewick, WA
McWhorter, Jennifer785546Suspended
Paigeindefinitely effective
P.O. Box 60368/3/2012
Metairie, LA
Meiring, Molly606645Suspended
aka: Molly Ellenindefinitely effective
Meiring8/3/2012
229 S.E. 4th Ave.
Delray Beach, FL
Miller, Mischa Lee560454Suspended
aka: Mischa Leeindefinitely effective
Thelen8/3/2012
5166 Morrice Rd.
Webberville, MI
Minster, Brian Donald537286Suspended
729 Decatur St.indefinitely effective
Apt.#38/3/2012
Bakersfield, CA
Perryman, James573502Suspended
Storeyindefinitely effective
327 N. Depot St.8/31/2012
Leary, GA
Plouffe, Shannon538120Suspended
Nicholeindefinitely effective
21661 Brookhurst St.8/6/2012
Unit #26
Huntington Beach, CA
Raniero, Kathy Lois719001Suspended
2564 Pioneer Dr.indefinitely effective
Oakville, MO8/6/2012
Reece, Christopher611209Suspended
Michaelindefinitely effective
6272 Black Cinder Ct.8/3/2012
Sparks, NV
Rescola, Terry Michael578455Suspended
1323 Balboa St.indefinitely effective
San Luis Obispo, CA8/6/2012
Ricketts, Candace Elaine662483Suspended
491 Northlake Dr.indefinitely effective
Unit #2048/3/2012
San Jose, CA
Registered Nurse (susp R). . . (continued)
Roberts, Kara M.589388Suspended
4030 Evening Trl.indefinitely effective
Spring, TX8/6/2012
Russell, Deborah Sue625972Suspended
aka: Deborah Sueindefinitely effective
Herbert8/28/2012
2063 N. Victoria Ave.
Upland, CA
Scarborough, Susan693753Suspended
Nadineindefinitely effective
2205 Montana Ave.8/6/2012
Santa Monica,CA
and
c/o Christopher
Morgenstern
7112 Kittyhawk Ave.
Apt. B
Los Angeles, CA
Scruggs, Sheila Mae553626Suspended
1320 Ashley Rd.indefinitely effective
Ramona, CA11/27/2012
Seamans, Sharon734506Suspended
Beverlyindefinitely effective
P.O. Box 2436/3/2011
Vista, CA
Sette, Theresa548499Suspended
aka: Theresa Marieindefinitely effective
Albans9/27/2012
1339 Bobolink Dr.
Vista, CA
Shea, Jacquelyn563933Suspended
7301 Shirley Ave.indefinitely effective
Reseda, CA8/10/2012
Siruno, Jacqueline495601Suspended
Catanindefinitely effective
121 Goodell Rd.8/10/2012
Folsom, CA
Stickler, Candy Sue478622Suspended
3007 N.E. 21st St.indefinitely effective
Ter.9/11/2012
Unit W
Fort Lauderdale, FL
Talaba, Judith Ann676704Suspended
3340 Gold Ct.indefinitely effective
Broomfield, CO8/10/2012
Tidwell, Harold B., Sr.545977Suspended
aka: Harold Bruceindefinitely effective
Tidwell Sr.8/30/2012
2405 Sunny Ln.
Apt. #7
Antioch, CA
Tiessen, Kathleen295797Suspended
Dianeindefinitely effective
aka: Kathleen Diane8/17/2012
Seron
aka: Kathleen Diane
Dowell
P.O. Box 3497
Arizona City, AZ
Toups, Roxanne716400Suspended
aka: Roxanne Snellindefinitely effective
1147 Ave. B8/17/2012
Westwego, LA
Registered Nurse (susp R). . . (continued)
Tuell, Deanna H.328463Suspended
aka: Deanna Helenaindefinitely effective
Tuell8/24/2012
P.O. Box 941
Cobb, CA
Uttermark, Melissa563504Suspended
aka: Melissa Marieindefinitely effective
Uttermark8/17/2012
aka: Melissa Marie
Uttermark-Arrington
5345 E. Vanburen St.
Unit #312
Phoenix, AZ
Vance, Elizabeth A.694503Suspended
aka: Elizabeth Annindefinitely effective
Vance8/31/2012
2700 Tyler Rd.
Birmingham, AL
Wahpepah, Laura557888Suspended
Catharine Bruceindefinitely effective
aka: Laura Catharine7/27/2012
Bruce
4516 Fran Way
Richmond, CA
Watson, Janet Arline269168Suspended
10730 Potranco Rd.indefinitely effective
Ste.#122-1448/10/2012
San Antonio, TX
Welch, Susan Denise573037Suspended
aka: Susan Katherisindefinitely effective
1940 Youngtown Rd.8/31/2012
Vicksburg, MS
Westerfield, Robert524460Suspended
Charlesindefinitely effective
144 Old Creek Dr.8/17/2012
Monument, CO
Whitaker, Joyce Marie615580Suspended
8633 W. Butler Dr.indefinitely effective
Peoria, AZ8/31/2012
Wilder, Heidi725303Suspended
2885 Sanford Ave. S.W.indefinitely effective
Unit #128068/10/2012
Grandville, MI
Williams, Nidenia Rae528285Suspended
28007 Newfield Ct.indefinitely effective
Saugas, CA8/31/2012
Winegarden, Lisa596597Suspended
aka: Lisa A.indefinitely effective
Winegardner8/17/2012
aka: Lisa A.
Bronemann
341 W. Graves Ave.
Orange City, FL
Woodfine, Nora Ann593637Suspended
10513 Green Hedgeindefinitely effective
Ave.8/17/2012
Charlotte, NC
Respiratory Care Practitioner (susp S)
Chavez, Mauricio23601Suspended
2525 Coventry Ave.indefinitely effective
Clovis, CA10/26/2011
Respiratory Care Practitioner (susp S). . . (continued)
Gilbreath, Lisa Gail1926Suspended
6480 Katherine Rd.indefinitely effective
Unit #7610/24/2011
Simi Valley, CA
Harvey, Dennise A.18930Suspended
733 Capitol Ave.indefinitely effective
San Francisco, CA8/1/2012
Kelly, Mario A.21695Suspended
5231 N. 1st St.indefinitely effective
San Bernardino, CA10/24/2011
Muhammad, Wallace6942Suspended
Yusufindefinitely effective
3698 Agnes Ave.8/27/2012
Lynwood, CA
Business Manager (susp T)
Bradford, CaroleSuspended
Elizabethindefinitely effective
CEO/President11/20/2012
aka: Carole R
Bradford
aka: Carole W.
Bradford
aka: Carole Elizabeth
Walsh
aka: Carole Elizabeth
Yent
1180 Walnut Ave.
Chula Vista, CA
Business Owner (susp T)
Byrd, Brigitte GerdaSuspended
RL Medical Supplyindefinitely effective
aka: Brigette Gerda11/20/2012
Sluder
aka: Brigitte Gerda
Schorpp
4405 Collwood Ln.
San Diego, CA
Franco, Pedro JuniorSuspended
aka: Pedro Franco Jr.indefinitely effective
1112 Barclay Dr.11/20/2012
Garden Grove, CA
Kirakosian, UsikSuspended
RL Medical Supplyindefinitely effective
13835 Gilmore St.11/20/2012
Van Nuys, CA
Capper (susp T)
Le, Thanh Ha NgocSuspended
aka: Ha Thanh Leindefinitely effective
aka: Karen Le11/20/2012
5701 8th St.
Camp Parks
Dublin, CA
Employee (susp T)
Aguilar, VeronicaSuspended
10767 Jamacha Blvd.indefinitely effective
Sp. #10212/27/2012
Spring Valley, CA
Fivecoat, Patricia MarieSuspended
528 S. Evergreen Rd.indefinitely effective
Spokane Valley, WA12/3/2012
Employee (susp T). . . (continued)
Marsh, John JacksonSuspended
6716 Las Lidia Ct.indefinitely effective
San Diego, CA12/17/2012
Russo, StephaneSuspended
1756 Essex St.indefinitely effective
Apt.#10412/17/2012
San Diego, CA
Private Citizen (susp T)
Adeshina, FolorunshoSuspended
Tosinindefinitely effective
10312 Primrose Ave.11/20/2012
Hesperia, CA
In-Home Support Services Provider (susp U)
Ball, James LesterSuspended
697 E. Mountain St.indefinitely effective
Apt.#412/23/2012
Pasadena, CA
Cadaing, Febe LazoSuspended
aka: Margie Fordindefinitely effective
22218 Dolores St.12/3/2012
Unit #2
Carson, CA
Callahan, Donna JeanSuspended
2312 Church Ave.indefinitely effective
Unit #912/3/2012
Sacramento, CA
Campbell, ValerieSuspended
8083 N. Antelope Rd.indefinitely effective
Antelope, CA12/23/2012
Cohan, JacobSuspended
9921 Edmore Pl.indefinitely effective
Sun Valley, CA12/23/2012
Collins, MitchellSuspended
348 Paige Blvd.indefinitely effective
Moundville, AL12/23/2012
Cooper, PamelaSuspended
4141 Palm Ave.indefinitely effective
Unit #56412/3/2012
Sacramento, CA
Ellington, CharleneSuspended
3317 22nd Ave.indefinitely effective
Sacramento, CA12/3/2012
Falls, GailSuspended
5989 Lake Crest Wayindefinitely effective
Unit #112/23/2012
Sacramento, CA
Faulcon, AkonoSuspended
2515 W. 21st St.indefinitely effective
Unit #112/3/2012
Los Angeles, CA
Gonzales, LawrenceSuspended
Davidindefinitely effective
2981 Camarillo Dr.12/23/2012
Sacramento, CA
Gonzalez, IreneSuspended
10446 Hopland St.indefinitely effective
Bellflower, CA12/23/2012
In-Home Support Services Provider (susp U). . . (continued)
Griffin, Dock Jr.Suspended
1154 E. 77th Pl.indefinitely effective
Los Angeles, CA12/23/2012
Gutman, GanyaSuspended
921 N. Ogden Dr.indefinitely effective
Unit #312/23/2012
Los Angeles, CA
Hebreo, Juliet LagataSuspended
19201 Riviera Dr.indefinitely effective
Walnut, CA12/3/2012
Holmes, JoyceSuspended
Browdenindefinitely effective
3001 1/2 29th St.12/3/2012
Sacramento, CA
Jackson, Charlotte574617Suspended
Reneeindefinitely effective
2017 Cherry Tree Dr.12/3/2012
Perris, CA
Jones, IvySuspended
1511 Peacock Ave.indefinitely effective
Clarksdale, MS12/23/2012
Liggins, Lareina D.Suspended
5800 Fair Oaks Blvd.indefinitely effective
Sacramento, CA12/3/2012
Pancotti, LillieSuspended
aka: Lillie Jean Harrisindefinitely effective
2929 S. Weller Ave.11/20/2012
Fresno, CA
Poon, LapaulSuspended
2323 Matson Dr.indefinitely effective
Sacramento, CA12/19/2012
Rainey, DavellSuspended
3317 22nd Ave.indefinitely effective
Sacramento, CA12/3/2012
Sherman, TanyaSuspended
Kathieindefinitely effective
1505 Anoka Ave.12/19/2012
Sacramento, CA
Smith, ReginaldSuspended
Gregoryindefinitely effective
1505 Anoka Ave.12/3/2012
Sacramento, CA
Smith, TraniceSuspended
Lashaiindefinitely effective
5622 Florin Rd.12/3/2012
Unit #52
Sacramento, CA
Spears, Ronald AllenSuspended
8740 Fair Oaks Blvd.indefinitely effective
Unit #4212/3/2012
Sacramento, CA
Strong, DarylSuspended
5748 63rd St.indefinitely effective
Sacramento, CA12/19/2012
Valentine, ReneeSuspended
7979 Bastien Ct.indefinitely effective
Sacramento, CA12/19/2012
Viramontes, AaronSuspended
4030 Sierra Vista Ave.indefinitely effective
Sacramento, CA12/3/2012
In-Home Support Services Provider (susp U). . . (continued)
Vonner, LenoriseSuspended
Michelleindefinitely effective
5647 Odea Dr.12/3/2012
Sacramento, CA
Washington, AnthoneySuspended
9502 Pace Ave.indefinitely effective
Los Angeles, CA12/3/2012
You, OkhuiSuspended
3150 Notre Dame Dr.indefinitely effective
Unit #3812/3/2012
Sacramento, CA
REINSTATEMENTS:
Physician (susp A)
Chung, Raymond, M.D.A6890911/9/2012(removedfrompg.20)
441 N. Lakeview Ave.00A689090
Anaheim, CA1922179993
and
32 Thalia St.
Ladera Ranch, CA
Lewis, BeverlyG4269711/27/2012(removed from pg. 60)
2675 E. Slauson Ave.
Huntington Park, CA
Vega, Julio Cesar, M.D.00A33429011/27/2012(removed from pg. 107)
1 Tattersall00A334291
Laguna Niguel, CA00A334292
CORRECTION:
Capper (susp T)
Gomez, Francisco SaucedoSuspended(added to pg. 1)
8749 Tobias Ave.indefinitely effective
Apt. #145/20/2012
Panorama City, CA
Employee (susp T)
Gomez, Francisco SaucedoSuspended(removed from pg. 13)
8749 Tobias Ave.indefinitely effective
Apt. #145/20/2012
Panorama City, CA
In-Home Support Services Provider (susp U)
Gomez, Francisco SaucedoSuspended(addedtopg.12)
8749 Tobias Ave.indefinitely effective
Apt. #145/20/2012
Panorama City, CA