HomeMy WebLinkAboutMINUTES - 01112011 - C.113RECOMMENDATION(S):
Approve the lists of providers recommended by the Contra Costa Health Plan's Medical Director on October 26, 2010
and by the Contra Costa Health Plan's Peer Review and Credentialing Committee at their November 9, 2010
meeting, and by the Health Services Director, as required by the State Departments of Health Care Services and
Managed Health Care, and the Centers for Medicare and Medicaid Services.
FISCAL IMPACT:
None.
BACKGROUND:
The National Committee on Quality Assurance (NCQA) has requested evidence of Board
Approval for each CCHP provider be contained within the provider’s credentials file.
The recommendations were made by CCHP’s Medical Director and CCHP’s Peer Review and Credentialing
Committee.
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD
COMMITTEE
Action of Board On: 01/11/2011 APPROVED AS RECOMMENDED OTHER
Clerks Notes:
VOTE OF SUPERVISORS
AYES 4 NOES ____
ABSENT ____ ABSTAIN ____
RECUSE ____
Contact: Patricia Tanquary,
313-6004
I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of
the Board of Supervisors on the date shown.
ATTESTED: January 11, 2011
David J. Twa, County Administrator and Clerk of the Board of Supervisors
By: June McHuen, Deputy
cc: Tasha Scott, Barbara Borbon, l. Maria Perez
C.113
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:January 11, 2011
Contra
Costa
County
Subject:Approve New and Recredentialing Providers in Contra Costa Health Plan’s Community Provider Network
CONSEQUENCE OF NEGATIVE ACTION:
If this action is not approved, Contra Costa Health Plan's Providers would not be appropriately credentialed and not
be in compliance with the NCQA.
CHILDREN'S IMPACT STATEMENT:
Not applicable.
Page 1 of 3
Contra Costa Health Plan
Providers Approved by Medical Director
October 26, 2010
CREDENTIALING PROVIDERS OCTOBER 2010
Name Specialty
Boora, Kamaljeet, M.D. Psychiatry
Goodwin, Susan, DC Chiropractic
Jensen, Kirk, M.D. Orthopaedic Surgery
Milani, Cannon, M.D. Hematology/Oncology
Rooney, Michelle, NP Hematology/Oncology
Rudnick, Craig, M.D. Psychiatry
Villanueva, Lee, M.D. Primary Care
Family Medicine
RECREDENTIALING PROVIDERS OCTOBER 2010
Name Specialty
Buenviaje, Sarah, NP Hematology/Oncology
Eaglin, Olga, PA Primary Care
Family Medicine
Goodman, Suzan, M.D. Family Planning
Iaroli, Doris, PA Family Planning
Junnila, Rick, DC Chiropractic
McLaughlin, Ina, PA Primary Care
Family Medicine
Merriman, William, DC Chiropractic
Patel, Nisha, DPM Podiatry
Shipman, Elizabeth, O.D. Optometry
Swope, Brian, M.D. Primary Care
Pediatrician
Tinio, Susanna, PA Surgery – Vascular
Varela, Francis, Ph.D. Mental Health Services
Wood, Monica, MFT Mental Health Services
Page 2 of 3
Contra Costa Health Plan
Providers Approved by Peer Review and Credentialing Committee
November 9, 2010
CREDENTIALING PROVIDERS NOVEMBER 2010
Name Specialty
Ally, Zahora, M.D. Radiation Oncology
Beatty, Kelly, M.D. Primary Care
Pediatrician
Burgham, Jennifer, M.D. Primary Care
Pediatrician
Chang, S. Ming, M.D. Primary Care
Pediatrician
Falsafi, Sassan, M.D. Otolaryngology (ENT)
Fulkerson, Eric, M.D. Orthopaedic Surgery
Holden, Jennifer, M.D. Primary Care
Pediatrician
Huang, Harry, M.D. Primary Care
Pediatrician
Jhatakia, Sejal, M.D. Hematology/Oncology
Kalra, Ruben, M.D. Pain Management
Kamath, Sachin, M.D. Radiation Oncology
Kronick, John, M.D. Orthopaedic Surgery
Longton, William, M.D. Pain Management
Mariotti, Eric, M.D. Surgery – Plastic
Quan, Jessica, M.D. Primary Care
Pediatrician
Schram, Ethan, M.D. Hematology/Oncology
Shah, Nishant, M.D. Family Planning
Shenkin, Budd, M.D. Primary Care
Pediatrician
Shinaman, Richard, M.D. Pain Management
Toma, Louay, M.D. Orthopaedic Surgery
Tracy, Ryan, M.D. Primary Care
Pediatrician
Veal, Ulanda, M.D. Primary Care
Pediatrician
Wu, Jenny, M.D. Primary Care
Pediatrician
Yang, Lucia, M.D. Primary Care
Pediatrician
Page 3 of 3
RECREDENTIALING PROVIDERS NOVEMBER 2010
Name Specialty
Akera-Dow, Chika, M.D. Primary Care
Family Medicine
Barocio, Azucena, PA Primary Care
Family Medicine
Cleveland, Aaron, M.D. Primary Care
Family Medicine
Denman, Sara, Psy.D. Mental Health Services
Enz, Jose, M.D. Primary Care
Pediatrician
Fahlsing, Michelle, N.P. Family Planning
Giessman, Dale, DC Chiropractic
Golchehreh, Mehran, DC Chiropractic
Gourlay, Stuart, M.D. Surgery – General
Greene, Paulette, N.P. Family Planning
Hopkins, Frederick, M.D. Family Planning
Jumper, James, M.D. Ophthalmology
Landau, Kathryn, PA Surgery – Vascular
Massullo, Vincent, M.D. Radiation Oncology
Neuman, Raymond, MFT Mental Health Services
Rostkowski, John, M.D. Psychiatry
Said, Bassem, M.D. Otolaryngology (ENT)
Toranto, Terry, M.D. Psychiatry
Zapata, Carlos, M.D. Psychiatry
bopl-October 26, 2010 and November 9, 2010