HomeMy WebLinkAboutMINUTES - 06172008 - C.124 TO: BOARD OF SUPERVISORS SE L �� . Contra
FROM: William Walker, M.D., Health Services Director Costa
By: Jacqueline Pigg, Contracts Administrator ti4°
= ��~
DATE:
June 4, 2008 STi-coCUly� County
SUBJECT: Approve New and Recredentialing Providers and New Organizational
Providers in Contra Costa Health Plan's Community Provider Network
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDATION: 61 &
Approve the providers listed on the attachment recommended by the Contra Costa Health
Plan's Credentialing Committee at the May 20, 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: (,,� b4,/—/-IV
� RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
- APPROVE OTHER
SIGNATURE(S):
ACTION OF BOR ON J U AO APPROVE AS RECOMMENDED V OYER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT 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 junc, t7) znc)e�
JOHN CULLEN,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
Contact Person: Patricia Tanquary,CCHP CEO
CC: William Walker,MD,HSD 'r,' �I n
Terri Lieder,MPA, Provider Relations BY: DEPUTY
595 Center Avenue,Suite 100
Martinez,CA 94553
Providers Approved by Credentialing Committee
May 20, 2008
CREDENTIALING PROVIDERS MAY 2008
Name Specialty
Blaufarb, Pamela,NP Primary Care
Family Medicine
Cai,Lai-Fu,L.Ac. Acupuncture
Khan, Shahbaz,M.D. Psychiatry
Meyer,Gretchen,NP Primary Care
Pediatrician
Smallwood,Laura,PA Family Planning
Weissman, Richard,L.Ac. Acupuncture
RECREDENTIALING PROVIDERS MAY 2008
Name Specialty
Heller, Stuart,OD Optometry
Serebrakian,Armen, M.D. Otolaryngology
(ENT)
Wong,Kevin, D.C. Chiropractic
Page 1 of 2
s .
CREDENTIALING ORGANIZATIONAL PROVIDERS MAY 2008
Name Provide the Following ( DBA & Location
Services
Bayberry Care Center,LLC Skilled Nursing Facility Bayberry Care Center,
Concord.
Bio-Medical Applications of Dialysis BMA Berkeley,
California, Inc. Berkeley.
aka: Fresenius
Diablo Renal Services,
Antioch.
Diablo Renal Services,
Concord.
Diablo Renal Services,
Pittsburg.
Diablo Renal Services,
Walnut Creek.
FMS of Brentwood,
Brentwood.
D And J Associates,Inc. Skilled Nursing Facility Muir Senior Care,
Martinez.
Diablo Dialysis Access Center Fistulagrams,perm cath Diablo Dialysis Access Center,
(Diablo Nephrology Medical Group placement, Concord.
providers use this facility as an removal,declots
extension of their practice)
.. ..... . _ _ .. ..... ...._.. .........................................._...... _....._ ......
Lone Tree Convalescent Hospital, Skilled Nursing Facility Lone Tree Convalescent Hospital,
Inc. Inc.,
Antioch.
Marquis Companies I, Inc. Skilled Nursing Facility Oak Park Convalescent Hospital,
Pleasant Hill.
.... ___ ,_
Norcal Care Centers,Inc. Skilled Nursing Facility Antioch Convalescent Hospital,
Antioch.
_. ..............._...-- ......._....__......................_....... . ....................._...................._......._..........._.._..__.._.__..................._ .__................-_.............................._ _..._. ._
SSC Pittsburg Operating Company Skilled Nursing Facility Diamond Ridge Healthcare Center,
LP Pittsburg.
Tranquility,Inc. Skilled Nursing Facility San Miguel Villa,
Concord.
Ygnacio Valley Care Center Skilled Nursing Facility Ygnacio Valley Care Center,
Walnut Creek.
Willow Pass Healthcare Nursing& Skilled Nursing Facility Willow Pass Healthcare Center,
Rehabilitation Concord.
(Willow Pass Healthcare Center,
Inc.)
c/bopl-Mayo8
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