HomeMy WebLinkAboutMINUTES - 06172008 - C.129 (2) SE_-L
TO: BOARD OF SUPERVISORS - Contra
FROM: William Walker, M.D., Health Services Director , :;;i,;,,,,,; s Costa
G
By: Jacqueline Pigg' Contracts Administrator
DATE: June 4, 2008 Aa-
Co
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: del
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: C �J
� RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
✓APPROVE OTHER
SIGNATURE(S):14
ACTION OF BOR ON U I1P� (�, 2�-C/Z� 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: 1
ATTESTED
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 BYV- !Oqh�� 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,NPPrimary Care
Family Medicine
.,
Cai, Lai-Fu, LAC— Acupuncture
KhanShahbaz;M.D. Psychiatry
Meyer,Gretchen,NP,.. Primary Care
Pediatrician
Smallwood, Laura, PA I 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
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CREDENTIALING ORGANIZATIONAL PROVIDERS MAY 2008
Name:., Provide the Following DBA & Location
Services
Bayberry Care Center„LLC Skilled Nursing Facility BayberryCare Center
Concord.
Bio-Medical Applications of " Dialysis BMA Berkeley;'
California, Inc. ! Berkeley.
aka: Fresenius._:;
Diablo Renal Services,
Antioch.
Diablo Renal Services,
Concord.
ri Diablo Renal Services,
Pittsburg.
Diablo Renal Services,
Walnut Creek.
MS of Brentwood,
Brentwood.
D Arid 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.4, Inc. Skilled Nursing Facility Oak Park:Convalescent Hospital,
'Pleasant Hill..'
Norcal Care Centers, Inc. Skilled Nursing Facility Antioch:Convalescent Hospital1
Antioch.
—.. -_.__ ... ......_:. W._ .. -.
SSC Pittsburg Operatmg Company Skilled Nursing Facility Diamond Ridge Healthcare Center,
LP Pittsburg.
Tranquility, Inc: Skilled Nursing Facility San Miguel Villa;
Concord.
Ygnaco 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;)
cibopl-MayO8
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