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TO: BOARD OF SUPERVISORS -
FROM: William Walker, M.D., Health Services Director o. .,,,, Costa
By: Jacqueline Pigg, Contracts Administrator
DATE: December 197 2007
County
SUBJECT: Approve New and Recredentialing Providers 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 November 20, 2007 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:
_.eo� K COMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(
ACTION OF BO®R ON�n C�� !�C/� APPROVE AS RECOMMENDED OT/ER
VOTE OF SUPERVISORS
q! I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT !e ) 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: \\ nn''I
ATTESTEDJ6M(Aa-q (5) 2VQo
JOHN CULLEN,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person: Patricia Tanquary,CCHP CEO ,
CC: William Walker,MD,HSD
Terri Lieder,MPA,Provider Relations BY: DEPUTY
595 Center Avenue,Suite 100
Martinez,CA 94553
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Providers Approved by Credentialing Committee
November 20, 2007
CREDENTIALING PROVIDERS NOVEMBER 2007
Name Specialty
Akera-Dow, Chika,M.D. Primary Care
Family Medicine
Barocio,Azucena, P.A. Primary Care
Family Medicine
Choy, Susanna, PA Vascular Surgery
Cleveland,Aaron, M.D. Primary Care
Family Medicine
Darmawan, Steve, M.D. Primary Care
Pediatrician
Giessman, Dale, D.C. Chiropractic
Hopkins, Frederick, M.D. Family Planning
Massullo, Vincent,M.D. Radiation Oncology
RECREDENTIALING PROVIDERS NOVEMBER 2007
Name Specialty
Denman, Sara,Psy.D. Mental Health
Services
Enz,Jose, M.D. Primary Care
Pediatrician
Fahlsing,Michelle,NP Family Planning
Gargaro,Mary, LCSW Mental Health
Services
Golchehreh, Mehran,D.C. Chiropractic
Gourlay, Stuart,M.D. General Surgery
Greene, Paulette,NP Family Planning
Jumper,James, M.D. Ophthalmology
Neuman, Raymond,MFT Mental Health
Services
Ong, Winson, O.D. Optometry
Rostkowski,John,M.D. Psychiatry
Toranto,Terry, M.D. Psychiatry
Zapata,Carlos,M.D. Psychiatry
c/bopl-1107