HomeMy WebLinkAboutMINUTES - 12092008 - C.99 SE__L
TO: BOARD OF SUPERVISORS ontra•`?� `��
FROM: William Walker, M.D., .Health Services Director 181Costa
By: Jacqueline Pigg, Contracts Administrator X40
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DATE: December 9, 2008 ---------
U - County
SUBJECT: Approve New and Recredentialing Providers and New Organizational
Provider in Contra Costa Health Plan's Community Provider Network
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDATION:
Approve the providers listed on the attachment recommended by the Contra Costa Health
Plan's Credentialing Committee at the October 21, 2008 meeting, as recommended by the
Health Services Director.
FISCAL IMPACT:
BACKGROUND:
The National Committee on Quality Assurance (NCAA) 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 Credentialing Committee.
CONTINUED ON ATTACHMENT: xx YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
--j�--APPROVE OTHER
SI ATURE(S): . .
ACTION OF BOARD ON J�CC-eMbtr- ! d APPROVE AS RECOMMENDED ✓ OT�1ER
VOTE OF SUPERVISORS
/ I HEREBY CERTIFY THAT THIS IS A TRUE'
V UNANIMOUS (ABSENT'/y ) AND CORRECT COPY OF AN ACTION TAKEN
AND ENTERED ON THE MINUTES OF THE BOARD
AYES: NOES: OF SUPERVISORS ON THE DATE SHOWN.
ABSENT: ABSTAIN:
ATTESTED
DAVIDAVA,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTYADMINISTRATOR
Contact Person: Patricia Tanquary,CCHP CEO
CC: William Walker,MD,HSD `
Terri Lieder,MPA,Provider Relations BY:` ' jLN DEPUTY
595 Center Avenue,Suite 100
Martinez,CA 94553
s
Providers Approved by Credentialing Committee
October 21, 2008
CREDENTIALING PROVIDERS OCTOBER 2008
'_ Name Specialty
Dehlendorf;Ghnstme M D Family Planning
JangiriMohammadM; D Psychiatry
ah
Kao,jelena,MW Hematology/Oncology
Perera J.Sharlene M D. Primary Care
Pediatrician
Sanford, Mark,Au ;HAD Audiology
Smith,Melissa,MD Ophthalmology
Suison;Cyryl;Aud.,HAD -- Audiology
Waxman,Norma Jo;',M D Family Planning
RECREDENTIALING PROVIDERS OCTOBER 2008
Name Specialty
Bhat,Kaletyathodi;M D Allergy&Immunology
Brinton,Darnel,M D Ophthalmology
Brophy,Donald,DC Chiropractic
CarmelRichard,1VI D. Radiology/Oncology
Dong,Kevtn,OD Optometry
Evans Robert,Ph!D Mental Health Services
Hannon,Robert;DDS _ Pediatric Dentistry
Kaplan,Eugene,M.D. Urogynecology&
Pelvic Reconstructive
Surgery
Leon Ronald M.p Psychiatry
Le..ong, Cratg,M.D Ophthalmology
Mahony,John,M_ Primary Care
Family.Medicine
Makooi,Mahmood;'DC Chiropractic
Mendoza;Julio,DDS Dentist
Shirai,Ted,DDS Dentist
Trombla,'Laune;PA Primary Care
? s Family Medicine
ValleJo Greg411RDQh Registered Dispensing Optician
Wa`sfimgton,'.Pamela,NP Primary Care
Family Medicine
CREDENTIALING ORGANIZATIONAL PROVIDERS
OCTOBER 2008
Name Provide the Following DBA&L&A,ion
Services
"Nalysis Access Center Inc . Fistulagrams,perm cath Dtalysis Access Center,
placement, Inc:
removal,declots Oakland
dbopl-OctoberOS
1