Medi Cal Suspended and Ineligible Provider List susp J (DOC)

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Medi-Cal Suspended and Ineligible List
Chiropractor
Aboul-Hosn, Zeyad aka: Zeyad Danny Aboul aka: Zeyad Danny Hosn 2200 Park Newport Dr. #403 Newport Beach, CA Abu-El-Haj, Fawzi 7441 White Haven Ln. Riverside, CA Adams, Todd 4121 Westerly Pl. Ste. #116 Newport Beach, CA and 27865 Ameno Mission Viejo, CA Aguilar, John Jr. 507 Oller St. Mendota, CA and 7010 N. Marks Ave. #103-382 Fresno, CA Ahrablou, Mehrad aka: Ahrablou, Matt 11803 Washington Blvd. Los Angeles, CA Aiken, Richard F. 512 Main St. #1 El Segundo, CA Aivazian, Peter 8811 Reseda Blvd. Northridge, CA Akin, Kathy L. 6475 E. Pacific Coast Highway Long Beach, CA

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Provider Numbers
DC0173500 Suspended indefinitely effective 2/14/1994

Provider Numbers
DC28609 Suspended indefinitely effective 5/20/2009

Chiropractor
Alesescu, Kenneth J. 805 Douglas Blvd. #100 Roseville, CA Aliakbar, Reza 1511 Roll Rd. Burlingame, CA Allen, Lawrence P. 28636 Front St. Temecula, CA Allen, Richard Amrit 1018 E St. San Rafael, CA Altvatter, Robert F. 324 Oak St. Ste. H Bakersfield, CA Alvarado, Jaime A. aka: Alvarado, Jaime Alejandro 2925 Cottingham St. Oceanside, CA

24268

DC14866

Suspended indefinitely effective 6/1/2001 Suspended indefinitely effective 6/26/2009

Suspended indefinitely effective 5/1/2008 Suspended indefinitely effective 5/20/1998

DC0134340

12733

Suspended indefinitely effective 7/7/2008 Suspended indefinitely effective 5/20/1998

DC0172470

Suspended indefinitely effective 4/23/2009

DC-11481

Suspended indefinitely effective 1/06/2004

DC24266

Suspended indefinitely effective 3/10/2003

Alvarado, Mario 6650 Stockton Blvd. Sacramento, CA Amini, Daryoush M. 324 W. 4th St. Ste. E Santa Ana, CA Anderson, David P. 2535 Camino Del Rio Ste. #245 San Diego, CA Anderson, Douglas W. 1020 Cabrillo Park Dr. Ste. E Santa Ana, CA 22570

Suspended indefinitely effective 2/14/1996 Suspended indefinitely effective 5/17/2007

DC0180440

Suspended indefinitely effective 5/6/1997

DC0178860 DC0178861

Suspended indefinitely effective 8/20/2001 Suspended indefinitely effective 1/5/1997

DC20105

Suspended indefinitely effective 9/20/2001

Suspended indefinitely effective 11/9/1994

Ten-digit NPI numbers were assigned to the specific provider at the time of suspension and may be transferable to new owners. It is suggested that a thorough name search be conducted.

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Chiropractor
Anderson, Jeffrey R. 21294 Ocean View Dr. Hayward, CA Anderson, Paul Victor 398 Webster St. Petaluma, CA Anguiano, Gabriel 5221 W. Canal Dr. Kennewhich, WA Ankrom, Bruce Edward 7200 Parkway Dr. #117 La Mesa, CA Aquila, James F. c/o Deena Oshins 26800 Avenida Maravilla Cathedral City, CA Araghi, Mahbod aka: Araghi, Jon M. 31385 Brae Burn Ave. Haywood, CA Ardalan, Mehrnaz aka: Vatandoust, Mehrnaz 23939 Van Owen St. West Hills, CA Argon, Janette L. 411 Corte Blanco Upland, CA Armstrong, Daniel J. 421 N. Rodeo Dr. Apt. #365 Beverly Hills, CA

Provider Numbers
23623 Suspended indefinitely effective 3/19/2004 Suspended indefinitely effective 11/2/2008 Suspended indefinitely effective 12/20/1998 Suspended indefinitely effective 7/15/2002

Chiropractor
Arnesen, Douglas W. 9455 El Camino Real Atascadero, CA Arnold, Dorienne 2017 Robert Way Sacramento, CA Arteaga, Walter J. 112 Myrtlewood` Ste. A Paso Robles, CA Asplin, Michael S. 23018 Ventura Blvd. Ste. #1A Woodland Hills, CA Assem, Ahmad H. 2103 Lincoln Ave. Ste. D San Jose, CA Ausmus, Daniel G. 43673 San Canyon Big Bear Lake, CA Azar, James Mitri P.O. Box 1047 Leesburg, VA Azgorov, Todor 6363 Wilshire Blvd. #218 Los Angeles, CA Azzopardi, Thomas 909 E. Alissal St. Salinas, CA

Provider Numbers
Suspended indefinitely effective 2/18/1999 Suspended indefinitely effective 4/23/1997 Suspended indefinitely effective 12/20/1999

18305

U36850

DC-11845

DC18732

Suspended indefinitely effective 6/20/2001

DC-10702

Suspended indefinitely effective 6/28/2002

23199

Suspended indefinitely effective 7/19/2001

Suspended indefinitely effective 10/20/2003

DC0196950

Suspended indefinitely effective 2/18/1999 Suspended indefinitely effective 11/20/2004 Suspended indefinitely effective 5/6/1997

Suspended indefinitely effective 1/18/2001

DC20176

Suspended indefinitely effective 2/19/1998 Suspended indefinitely effective 2/18/1999

DC0174120

Suspended indefinitely effective 4/23/1997

Ten-digit NPI numbers were assigned to the specific provider at the time of suspension and may be transferable to new owners. It is suggested that a thorough name search be conducted.

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Chiropractor
Bahnsen, John Joseph, D.C. P.O. Box 207 Santa Barbara, CA Bai, Chung H. 1450 Virginia Ave. Glendale, CA Bain, Lee R. P.O. Box 4161 Covina, CA Baird, Wayne 363 Pinefield Rd. San Jose, CA Balarezo, Benjamin 5107 Buffalo Ave. #5 Sherman Oaks, CA Ball, Gregory Alan P.O. Box 7835 Thousand Oaks, CA Ball, Louis Albert 1205 Emerald Bay Rd. South Lake Tahoe, CA Ball, Margaret R. 5414 Oberlin Dr. #250 San Diego, CA Mordechai 821 N. Formosa Ave. Ste. #103 Los Angeles, CA DC27307

Provider Numbers
22277 Suspended indefinitely effective 10/26/2006

Chiropractor
Banayan, Farajollah Barahemi, Mansoureh 1180 S. Miramar Ave. Anaheim Hills, CA Baratta, George A., Jr. 228 La Pera Cir. Danville, CA Bardsley, Marijane c/o 7529 Susnset Ave. Ste. G Fair Oaks, CA Barnes, DeElward Frank 1716 W. 108th St. Los Angeles, CA Barno Chiropractic 8854 Greenback Ln. Orangevale, CA Barno, Michael 8854 Greenback Ln. #2 Orangevale, CA Barrett, Royce Alan 820 West St. Redding, CA Bartlett, Gary Earl 7345 Yellow Jasmine Dr. Highland, CA Bayles, Jay 2900 Townsgate Rd. Ste. #119 Westlake Village, CA Beach, Christopher Hugh 362 Redwood Dr. Felton, CA

Provider Numbers
DC20115 Suspended Suspended indefinitely effective 9/20/1999 Suspended indefinitely effective 10/19/2000 DC0196990 Suspended indefinitely effective 6/5/1997

Suspended indefinitely effective 1/5/1997 Suspended indefinitely effective 1/5/1997 Suspended indefinitely effective 1/24/2001 Suspended indefinitely effective 4/19/2001

26949

Suspended indefinitely effective 9/20/2004 Suspended indefinitely effective 6/20/2000 Suspended indefinitely effective 9/20/1999

DC17267

19374

Suspended indefinitely effective 2/7/2004 Suspended indefinitely effective 1/18/2001 Suspended indefinitely effective 4/10/2002

DC0114000

DC0118480

Suspended indefinitely effective 9/20/2000 Suspended indefinitely effective 10/7/1997

DC-18114

indefinitely effective 3/20/2001

21233

Suspended indefinitely effective 6/20/2005

DC13451

Suspended indefinitely effective 6/20/2001

Ten-digit NPI numbers were assigned to the specific provider at the time of suspension and may be transferable to new owners. It is suggested that a thorough name search be conducted.

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Chiropractor
Bearden, Thomas R. 1142 E. Princeton Ave. #113 Fresno, CA Becchetti, Sondra D., D.C. 2545 Carlmont Dr. Belmont, CA Beck, Stony R. 7425 N. Backer Ave. Fresno, CA Bell, Derrick (Rick) Lee aka: G.D. Bell 500 Coffee Rd. Ste. C Modesto, CA Benedict, Susan 612 Colorado Ave. #110 Santa Monica, CA Benkula, Jan K. P.O. Box 56275 Hayward, CA Benoit-Spence, Suzanne E. 10767 Valle Vista Rd. Lakeside, CA Berg, Troy Lynn 17161 Goldenwest St. Ste. H Huntington Beach, CA Beshqoy, Yousef 21551 Brookhurst St. Huntington Beach, CA Betoushana, Dematour, D.C. 3187 Meridian Dr. San Jose, CA Beverleigh, Howard K. 510 Saddlebrook Dr. #227 San Jose, CA Beyerle, Clinton 307 S. Maclay St. San Fernando, CA DC22551

Provider Numbers
000212340 Suspended indefinitely effective 9/20/2000

Chiropractor
Biernacki, Richard Stanley P.O. Box 277 Fairfax, CA Birdsell-Lee, Esther V. 1837 Caddington Dr. Apt. #47 Rancho Palos Verdes, CA Blewitt, Daniel 14626 Whittier Blvd. Whittier, CA Bochniak, Marie L. 675 Whispering Oaks Thousand Oaks, CA Bono, John E. 1058 Lee Ave. San Jose, CA Booher-Fulton, Janette L. c/o 615 W. Orange Ave. South San Francisco, CA Boron, Steven J. 17590 Orchard Ave. Guerneville, CA Bostock IV, Robert J. 911 2nd St. Gilroy, CA Boyko, John Joseph aka: Joseph, John aka: Boyle, John J. 801 E. Chapman Ave. Ste. #112 Fullerton, CA Brahm, aka: Bruce, James Allen 2069 Abbott St. #4 Ocean Beach, CA Branvold, Ronald D. 807 Main St. Susanville, CA Bricker, Daniel S. 4130 La Jolla Village Dr. La Jolla, CA

Provider Numbers
DC-24286 Suspended indefinitely effective 3/12/2003 Suspended indefinitely effective 6/20/2001

20620

DC0183250

Suspended indefinitely effective 2/14/1996 Suspended indefinitely effective 3/20/2002 Suspended indefinitely effective 6/18/1998

24084

Suspended indefinitely effective 11/7/1996 Suspended indefinitely effective 11/9/1994 Suspended indefinitely effective 9/10/1996 21903 Suspended indefinitely effective 1/18/2001 Suspended indefinitely effective 1/5/1997 DC12134 Suspended indefinitely effective 4/29/2002 Suspended indefinitely effective 12/20/2004

Suspended indefinitely effective 5/4/1995

Suspended indefinitely effective 1/5/1997 Suspended indefinitely effective 8/20/2001 Suspended indefinitely effective 8/12/1996

17627

Suspended indefinitely effective 4/20/1999 Suspended indefinitely effective 2/20/2001

14324

Suspended indefinitely effective 8/24/2006

DC-17015

Suspended indefinitely effective 5/09/2003

Suspended indefinitely effective 12/9/1996 23752 Suspended indefinitely effective 9/20/2001

DC-12129

Suspended indefinitely effective 6/20/2002

Ten-digit NPI numbers were assigned to the specific provider at the time of suspension and may be transferable to new owners. It is suggested that a thorough name search be conducted.

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Chiropractor
Britt, Clyde E. Highway 140 & 8th St. Mariposa, CA Broussard, Linda C. 5597 Harcross Dr. Los Angeles, CA Brown, Derek L. 1163 N. Calle Rolph St. Palm Springs, CA Brown, Jeffrey T. 28965 Live Oak Cir. Trabuco Canyon, CA Burch, Gregory 18705 John F. Kennedy Dr. Riverside, CA Burkley, Anton 600 Grand Ave. #308 Oakland, CA Burt, Thomas R. 35286 Farnham Dr. Newark, CA Bystrom, Michael Eric 307 Santa Barbara Ave. Modesto, CA Caballero, Jorge R. 1333 Fraser Ave. Los Angeles, CA Cabello, Alejandro 633 San Benito Ave. Los Gatos, CA Cafagna Sr., Mark W. 24648 Gardenstone Ln. West Hills, CA Cahan, Aaron, D.C. 660 S. Vermont Ave. #4 Los Angeles, CA Calix, Raul O. 10751 Wilshire Blvd. Apt. #603 Los Angeles, CA 27211 DC0204600 DC23755

Provider Numbers
DC0103560 Suspended indefinitely effective 2/13/1990 Suspended indefinitely effective 9/20/2001 Suspended indefinitely effective 7/20/1998 Suspended indefinitely effective 9/20/2001 Suspended indefinitely effective 6/1/1995 Suspended indefinitely effective 4/4/1994

Chiropractor
Calof, Jan Ellen aka: Dunbar, Jan C. 17362 Trosa St. Granada Hills, CA Campbell, Dennis L. 237 Central Ave. Shafter, CA Campbell, Robert Donald 30001 Town Center Dr. Ste. #2 Laguna Niguel, CA Cantong, David E. 8413 Seth St. San Gabriel, CA Cappa, Claude L. 3264 Pelandale Ave. #30 Modesto, CA Carlson, Eric Douglas 230 S. Canon Ave. Sierra Madre, CA Carlson, Joanne G. 1777 Shoreline Dr. #104 Alameda, CA Carlos, Lester Bernard 4994 Seaview Ave. Castro Valley, CA Carr, Wayne S., Sr. 2002 Spring St. Healdsburg, CA Castaline, Perren V. 27361 Sierra Highway Space #65 Canyon Country, CA Catinas, Florin G. 504 S. Brookhurst St. Anaheim, CA Cephus, Maurice N., II 82 Bear Claw Way San Jose, CA

Provider Numbers
22612 Suspended indefinitely effective 9/20/2004

25201

Suspended indefinitely effective 6/27/1996 DC-16296 Suspended indefinitely effective 1/22/2004

Suspended indefinitely effective 5/18/2000 Suspended indefinitely effective 5/16/1995

DC18351

DC0162910

Suspended indefinitely effective 1/5/1997 Suspended indefinitely effective 4/15/2006 Suspended indefinitely effective 12/4/1994 Suspended indefinitely effective 5/10/2006 Suspended indefinitely effective 2/20/2002 Suspended indefinitely effective 9/21/1984

Suspended indefinitely effective 2/18/1999 Suspended indefinitely effective 9/20/2004

DC-23474

19660

Suspended indefinitely effective 6/18/2004 Suspended indefinitely effective 1/5/1997

19404

16673

Suspended indefinitely effective 7/20/2005

DC0110520

DC0268490

Suspended indefinitely effective 8/31/2009 Suspended indefinitely effective 10/29/2002

DC0183500

Suspended indefinitely effective 6/20/2001

Ten-digit NPI numbers were assigned to the specific provider at the time of suspension and may be transferable to new owners. It is suggested that a thorough name search be conducted.

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Chiropractor
Chandler, Betty K. 3649 W. Beechwood #105 Fresno, CA Chang, Dong Hyun 7318 Topanga Canyon Blvd. Canoga Park, CA Chau, Kit Yuen 1901 Isabella Ave. Monterey Park, CA Chen, Ricky 17808 S. Pioneer Blvd. Ste. #112 Artesia, CA and 17726 Pioneer Blvd. Ste. A Artesia, CA and 455 N. Garfield Ave. Floor #2 Monterey Park, CA Cheney, Julian L. 7607 White Oak Ave. Reseda, CA Cheney, Julian Lee DC-15765 42810 Frazier Mt. Park Rd. Lebec, CA Chidlowsky, Sergei 1463 Roman Dr. Rohnert Park, CA Chipponeri, Scott P.O. Box 39 Waterford, CA Choe, Kevin 20106 Brenda Ct. Lakewood, CA Choe, Kevin 1580 Wilshire Blvd. Ste. #200C Los Angeles, CA Choiniere, David Michael 5657 Clark Rd., #4 Paradise, CA 22225 DC0161060

Provider Numbers
DC16304 Suspended indefinitely effective 6/9/2001

Chiropractor
Chowdhry, Salim Akhtar 3156 Wilshire Blvd. #9 Los Angeles, CA Christensen, Casey D. 16315 E. Whittier Blvd. Whittier, CA Cipolone, Richard Alfred dba: Cipolone & Brennan, DCS 4802 Matney Ave. Long Beach, CA Clark, Richard D. 5055 N. Harbor Dr. San Diego, CA Clifford, Steven Eugene P.O. Box 1543 Carnelian Bay, CA Cobbs, Joseph E. 4861 Convoy St. San Diego, CA Suspended indefinitely effective 4/6/1997 Suspended indefinitely effective 7/6/2006 Suspended indefinitely effective 9/20/2000 Suspended indefinitely effective 11/19/2004 Suspended indefinitely effective 6/5/1997 Suspended indefinitely effective 10/13/2006 Cochrane, Gary A. 10903 Scripps Ranch Blvd. San Diego, CA Cohen, Dorothy A. 1060 Minnesota Ave. #6 San Jose, CA Coleman, Richard Register #32117-112 aka: Bola, Anthony Crawford, Richard USP Lompoc U.S. Penitentiary 3901 Klein Blvd. Lompoc, CA Coleman, Sean Dylan 809-B Cuesta Dr. #150 Mountain View, CA Conlin, Garry J. 20620 Tanton Ave. Castro Valley, CA

Provider Numbers
DC26363 Suspended indefinitely effective 8/22/2003

DC13973

Suspended indefinitely effective 6/14/2006

Suspended indefinitely effective 5/6/1997 13978 Suspended indefinitely effective 4/19/2001

17056

Suspended indefinitely effective 5/14/2007 Suspended indefinitely effective 4/17/2007

21268

DC0170620

Suspended indefinitely effective 3/20/2000 Suspended indefinitely effective 10/10/2003 Suspended indefinitely effective 4/12/2002 Suspended indefinitely effective 5/20/1998 Suspended indefinitely effective 11/20/1997

DC-14339

DC-15816

Inmate

Suspended indefinitely effective 4/19/2007

20937

DC24320

Suspended indefinitely effective 1/25/2001

DC0132940

DC14335

Suspended indefinitely effective 9/20/2000

Suspended indefinitely effective 1/14/2008

Ten-digit NPI numbers were assigned to the specific provider at the time of suspension and may be transferable to new owners. It is suggested that a thorough name search be conducted.

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Chiropractor
Connor, Kenneth J. 631 Irvine Ave. Newport Beach, CA Contreras, Lawrence 400 N. Meyers St. Oceanside, CA Coombs, Timothy R. 1727 W. Romneya Dr. Anaheim, CA Cope, Dennis Brooks 5230 N. Clark Ave. #26 Lakewood, CA Cota, Christopher T. 10565 Brunswick Rd. #5 Grass Valley, CA Cox, Stewart J. 283 Belva Ln. Pleasant Hill, CA Cragen, Kenneth R. 3670 Westwood Blvd. Ste. E Los Angeles, CA Crawford, Jack Wesley 120 E. Shore Dr. Kemah, Texas Cuccia, Ronald Daniel, D.C. P.O. Box 3538 San Dimas, CA Curtin, Michael M. 472 Oak Manor Fairfax, CA Cymerint, John H. 263632 Rockfield, Ste. #202 Lake Forest, CA Dahlin, James Allen 2351 Sunset Blvd. #120 Rocklin, CA Dailey, Douglas O. 638 Norene Way Grass Valley, CA DC18371 DC18272 DC-24017

Provider Numbers
21926 Suspended indefinitely effective 8/20/2001 Suspended indefinitely effective 12/20/1999 Suspended indefinitely effective 2/20/2000 Suspended indefinitely effective 5/28/2002

Chiropractor

Provider Numbers
Suspended indefinitely effective 6/29/2001 Suspended indefinitely effective 4/23/1997 DC0093920 Suspended indefinitely effective 4/29/1982 Suspended indefinitely effective 5/10/2002 Suspended indefinitely effective 5/3/2004

Daniels, Peter J. DC-17263 19925 Stevens Creek Blvd. Cupertino, CA Dankman, Mark 1829 Del Rio Dr. Lafayette, CA Danner, Fredda 1028 Crenshaw Blvd. Torrance, CA Dardashti, Robert E. 16661 Ventura Blvd. Encino, CA Daris, James 210 Eagle Pointe Dr. Branson, MO and 11600 Wilshire Blvd. Ste. #412 Los Angeles, CA Davalos, Steven M. c/o 3 Pilot Rd. Carmel Valley, CA Davidson, Truman A. 360 Line Ave. Ste. #305 Long Beach, CA Davis, Beth Lehr 1025 Schofield Ln. Farmington, CA Davis, Charles G. 417B W. Foothill #401 Glendora, CA Davis, Daniel Kent 1307 W. 6th St. Ste. B-114 Corona, CA Defiore, William E., Jr. 11343 Snowdrop Ave. Santa Ana, CA Del Pozzo, Phillip Vincent 94 Stanton San Francisco, CA DC18380 21664

DC20870

DC11421

95945

Suspended indefinitely effective 6/20/2001

Suspended indefinitely effective 8/12/1996 Suspended indefinitely effective 10/18/2001

DC0212900

Suspended indefinitely effective 6/20/2000 Suspended indefinitely effective 8/21/1996

DC0223150

27217

Suspended indefinitely effective 2/15/2007 Suspended indefinitely effective 2/20/2001

14583

DC20557

Suspended indefinitely effective 2/25/2008 Suspended indefinitely effective 3/6/1997

Suspended indefinitely effective 1/5/1997 Suspended indefinitely effective 2/6/2004

Suspended indefinitely effective 8/1/2006

DC17661

Suspended indefinitely effective 6/28/2002

Suspended indefinitely effective 12/4/1994 Suspended indefinitely effective 7/4/2001

DC15830

Suspended indefinitely effective 12/20/2000

Ten-digit NPI numbers were assigned to the specific provider at the time of suspension and may be transferable to new owners. It is suggested that a thorough name search be conducted.

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Chiropractor
DeMatteo, Thomas N. 7140 Marblethorpe Dr. Roseville, CA and 1273 W. Central Ave. Brea, CA Desantis, Nicholas 4636 Lee Ave. La Mesa, CA Dewees, Randel 165 Belwood Gateway Los Gatos, CA Dhaliwal, Emaline 11395 Daybreak Trail Moreno Valley, CA Diamond, Mike Robert DC0240700 8632 S. Sepulveda Blvd. #101 Los Angeles, CA and 6228 3/4 W. Manchester Ave. Westchester, CA Dickershaid, Thomas Frances 2055 N. Rodney Dr. #112 Los Angeles, CA Didomenico, Fred John 6304 Lakeview Dr. Kirkland, WA Dieter, Lawrence 2115 10th St. Los Osos, CA Dinkane, Ehalid P.O. Box 470039 Los Angeles, CA DiQuattro, Scott 69885 Bluegrass Way Cathedral City, CA Dishman, Robert W. 42-600 Bob Hope Dr. Ste. #407 Rancho Mirage, CA DC27323

Provider Numbers
20950 Suspended indefinitely effective 7/6/2006

Chiropractor
Docktor, Kennith Spencer 2873 Arcade Way #210 Redding, CA and 2765 Bechelli Ln. Redding, CA Dominicis, Beth A. aka: Dominisis, Beth A. 28266 N. Bay Rd. Los Angeles, CA Donner, Jeffrey S. 2435 Eagle Run Way Weston, FL Dorian, Saro S. aka: Mousapour, Sarshekany S. 1646 Larco Way Glendale, CA Dounies, Therese M. 36 Malaga Cove Plaza #202 Palos Verdes Estates, CA Suspended indefinitely effective 6/9/2008

Provider Numbers
27045 Suspended indefinitely effective 5/26/2006

Suspended indefinitely effective 6/1/1995 Suspended indefinitely effective 5/4/1995 Suspended indefinitely effective 8/12/1996 Suspended indefinitely effective 9/4/2009

23475

Suspended indefinitely effective 1/18/2001

CH0006561

Suspended indefinitely effective 9/20/2001 Suspended indefinitely effective 9/20/2001

DC20383

Suspended indefinitely effective 8/20/1998

Dr. Kahn’s Chiropractic Clinic dba: Dr. Aly Kahn, Inc. 1683 Alum Rock Ave. Ste. D San Jose, CA Dubowski, Walter 300 Glenwood Cir. #119 Monterey, CA Dunevitz, Benjamin S. 4440 Pebble Beach Rd. Rocklin, CA Duff, Richard A. 120 Deer Park Ave. San Rafael, CA Earth-Child, Erin I. 466 41st St. #3 Oakland, CA Eaton, Brian P.O. Box 1751 Grass Valley, CA DC9524 DC13505

Suspended indefinitely effective 6/20/2000

DC19430

Suspended indefinitely effective 6/16/2003 Suspended indefinitely effective 10/10/1995 Suspended indefinitely effective 4/19/2001 Suspended indefinitely effective 8/10/1994 Suspended indefinitely effective 2/14/2002

Suspended indefinitely effective 10/18/2001

DC0200760

00025430

DC0126550

Suspended indefinitely effective 8/20/2000 Suspended indefinitely effective 4/13/1997 Suspended indefinitely effective 1/5/1997

DC0171000

DC5318

Suspended indefinitely effective 5/20/2002

Ten-digit NPI numbers were assigned to the specific provider at the time of suspension and may be transferable to new owners. It is suggested that a thorough name search be conducted.

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Chiropractor
Eckel, David 1146 Commerce Cir. Lancaster, CA Eggleston, Adelbert J. 8 W. Swain St. Ste. A Stockton, CA Eli, Desiree 4895 Capitola Rd. Capitola, CA Ellenberger, Lori M. 15005 Washington St. Riverside, CA Ellis, Carl Edison, Jr. 1796 S. Juniper St. Escondido, CA Elsea, Steven 6724 Plymouth Rd. #10 Stockton, CA Emmerson, Lloyd Alan 1360 N. Fresno St. Fresno, CA Emmerson, Ronald E. 25 W. 19th St. Merced, CA Ensign, Lorie A. aka: Lorie A. Phillips 1107 Buena Vista Ste. #3 San Clemente, CA Entezami, Ahmad 20803 Tulsa St. Chatsworth, CA Esparza, Edgar Eduardo 15124 Paramount Blvd. Paramount, CA Estey, Raymond G. 3975 Durock Rd. Ste. #101 Shingle Springs, CA DC25234 DC0180850

Provider Numbers
DC0183900 Suspended indefinitely effective 8/18/1994 Suspended indefinitely effective 7/3/2002

Chiropractor
Fallman, James M. III c/0 450 H St. Crescent City, CA Fang, Linda C. 2733 Lavender Dr. Walnut Creek, CA Farzam, Lida 48201 Henry Ave. #G29 Philadelphia, PA Fasoli, William John 7214 S. Marina Pacifica Dr. Long Beach, CA Fathi, Nasrin H. aka: Hadizadeh, Nancy 4610 Densmore Ave. #101 Encino, CA Fawcett, Joe Willis, III 4974 N. Fresno St. Fresno, CA Fayazfar, Mitra 5744 Oak Bend Ln. #111 Agoura Hills, CA Fenton, Mark A. 13616 Victory Blvd. Van Nuys, CA Fergusson, Olantungie C. 14822 Morrison St. Sherman Oaks, CA Fickel, Theodore E. 93 Depot Rd. Santa Barbara, CA Fifield, Fred W. 2333 Edmonds Ave. Modesto, CA Fighter, Sara Esther 1904 Franklin St. #250 Oakland, CA

Provider Numbers
DC0216790 Suspended indefinitely effective 4/20/2000 Suspended indefinitely effective 5/11/2007 Suspended indefinitely effective 5/31/2001

DC-15562

25435

DC-22661

Suspended indefinitely effective 8/12/1996 Suspended indefinitely effective 5/18/2000 Suspended indefinitely effective 6/5/1997 Suspended indefinitely effective 4/9/1995

23000

Suspended indefinitely effective 1/17/2007

27332

Suspended indefinitely effective 9/13/2007

DC19766

Suspended indefinitely effective 6/16/2003 Suspended indefinitely effective 5/6/1996 Suspended indefinitely effective 8/20/1998

Suspended indefinitely effective 7/18/1995 Suspended indefinitely effective 8/20/2001

21682

Suspended indefinitely effective 3/20/2006 Suspended indefinitely effective 12/20/2001 Suspended indefinitely effective 12/9/1996 Suspended indefinitely effective 11/9/1994

DC15497

Suspended indefinitely effective 4/29/2003 Suspended indefinitely effective 12/30/2005 Suspended indefinitely effective 3/27/2002

DC0154840

26716

DC25323

23803

Suspended indefinitely effective 12/7/2006

Ten-digit NPI numbers were assigned to the specific provider at the time of suspension and may be transferable to new owners. It is suggested that a thorough name search be conducted.

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Chiropractor
Figoten, Bruce Barry 20315 Ventura Blvd. Ste. A Woodland Hills, CA Fiore, James Philip c/o 1850 E. 17th St. Ste. #102 Santa Ana, CA Fischer, Steven A. 155 Turnberry Way Vallejo, CA Fishkin, William H. 2460 Mission Ste. #203 San Francisco, CA Fitches, Spencer 17000 Clark Ave. Bellflower, CA Fitzpatrick, Patrick 7161 Kingsley Ave. Hesperia, CA Florez, Stephen 253 Merville Dr. Bassett, CA Ford, Jerold R. 1208 Floyd Ave. Ste. D11 Modesto, CA Ford, Thomas M. 23365 Camden Ct. Yorba Linda, CA Foster, Nathaniel W. aka: Nathaniel W. Foster, Jr. 230 Montrose Dr. Folsom, CA Fridrick, Tim P. 5541 N. Laurel Canyon #1 North Hollywood, CA Fox, Carl Anthony 33101 Marina Vista Dr. Dana Point, CA DC19119 DC0197810

Provider Numbers
DC0133070 Suspended indefinitely effective 1/03/2001

Chiropractor
Fox, Michael A. 3870 La Colina Rd. El Sobrante, CA Frye, Dan A. 3566 Ridge Rd. Oceanside, CA Gallaher, David aka: Gallagher, David Barnes 22734 Calvert St. Woodland Hills, CA Gallagher, Tamara 12716 Central Ave. Chino, CA Gamble, Jeffrey G., Sr. 9360 Activity Rd. Ste. B San Diego, CA Gamboa, Franco 1960 N. Indian Hill Blvd. Pomona, CA Garsha, Marlena R., D.C. 2211 Martin St. Ste. #113 Irvine, CA Garza, John 187 E. Wilbur Rd. Ste. #1 Thousand Oaks, CA Garza, Rudolph P. 185 Gordon Ave. San Jose, CA Gaydos, Richard F., Jr. 10064 Citrus Ave. Ste. C Fontana, CA Gearhart, Cindy 6102 Bigelow Ave. Lakewood, CA German, Carl 1600-403 Saratoga Ave. Apt. #201 San Francisco, CA

Provider Numbers
Suspended indefinitely effective 10/20/2005 Suspended indefinitely effective 11/7/1996 DC16385 Suspended indefinitely effective 11/4/2005

19454

Suspended indefinitely effective 5/20/2001

DC19662

Suspended indefinitely effective 10/18/2001 Suspended indefinitely effective 9/10/1996

DC0197750

Suspended indefinitely effective 6/1/1995 DC0171450 Suspended indefinitely effective 1/4/1998

21685

Suspended indefinitely effective 10/20/2005 Suspended indefinitely effective 12/19/1995 Suspended indefinitely effective 6/10/1996 Suspended indefinitely effective 5/20/1998

DC19793

Suspended indefinitely effective 12/30/2005

24884

Suspended indefinitely effective 10/26/2006

Suspended indefinitely effective 6/5/1997

Suspended indefinitely effective 11/20/2000 Suspended indefinitely effective 5/20/2001

DC0173610

Suspended indefinitely effective 8/12/1996 Suspended indefinitely effective 9/20/2001

DC19125

Suspended indefinitely effective 1/5/1997

Suspended indefinitely effective 5/6/1997 Suspended indefinitely effective 8/20/1998

Suspended indefinitely effective 4/20/2005

Ten-digit NPI numbers were assigned to the specific provider at the time of suspension and may be transferable to new owners. It is suggested that a thorough name search be conducted.

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Chiropractor
Getachew, Dawit 1850 N. Vineyard Ave. Ste. D Ontario, CA Ghalbi, Abdollnaser aka: Ghalbi, Timothy aka: Ghalbi, Nasser 451 W. Lincoln Ave. #251 Anaheim, CA 92805 Gharrirassi, Amir aka: Rassi Amir Gharri aka: Amir Gharri Rassi 25082 Bellota Mission Viejo, CA Gichtin, Matis 9190 W. Olympic Blvd. #246 Beverly Hills, CA Gieschen, John M. 500 Cornstock Ln. Santa Cruz, CA Givargis, Vladimir 411 Cameron Pl. #19 Glendale, CA Givargis, Vladimir 3200 La Cresenta Ste. A Glendale, CA Giventer, Alex 1607 N. El Centro Ave. Ste. #1 Hollywood, CA and 1271 N. Wilton Pl. Ste. #1 Los Angeles, CA Glassman, Clifford 550 Glen Holly Dr. Pasadena, CA Gleason, Michael Oren 2126 Louis Rd. Palo Alto, CA

Provider Numbers
DC-26390 Suspended indefinitely effective 8/22/2003

Chiropractor
Glomah, Tabla B. aka: Glomah, Tab aka: Glomah, Tabla B. 2723 Brookfield Pl. West Covina, CA Glum, Gary 333 S. Doheny Dr. Placentia, CA Goettsch, Jason Phillip 3725 Lone Tree Way Ste. #A2 Antioch, CA and 3720 Sunset Ln. Ste. D Antioch, CA Good, Kathryn M., D.C. 13722 Goldenwest St. Ste. #620 Westminster, CA and 3600 Wilshire Blvd. Ste. #226 Los Angeles, CA and 2202 W. Martin Luther King Blvd. Los Angeles, CA Gorbahn, Mark Kenneth c/o 9455 El Camino Real Atascadero, CA Greenland, Richard Kent 2211 Corinth Ave. Ste. #301 West Los Angeles, CA Gregory, Todd A. 5075 S. Bradley Rd. #115 Santa Maria, CA

Provider Numbers
DC20195 Suspended indefinitely effective 10/18/2001

19798 2940

Suspended indefinitely effective 4/18/2002

Suspended indefinitely effective 6/1/1995 DC0270710 Suspended indefinitely effective 6/23/2008

23006

Suspended indefinitely effective 5/20/2001

24378

Suspended indefinitely effective 5/14/2007

DC0216990 DC0216991 DC0216992

Suspended indefinitely effective 5/4/2007

22680

Suspended indefinitely effective 1/18/2001 Suspended indefinitely effective 5/2/2002

22910

DC0229100

Suspended indefinitely effective 6/20/01

21193

Suspended indefinitely effective 4/18/2002 Suspended indefinitely effective 8/7/2006

15938

DC2234500 DC0223450

Suspended indefinitely effective 12/10/2008

Suspended indefinitely effective 12/4/1994

DC0191290

Suspended indefinitely effective 1/6/1999 Suspended indefinitely effective 5/27/2009

Gregson, Randall P.O. Box 8124 Rancho Santa Fe, CA Grubstein, Alan P. 9921 Placer St. Rancho Cucamonga, CA

19135

Suspended indefinitely effective 4/19/2007 Suspended indefinitely effective 2/14/1996

DC28875

Ten-digit NPI numbers were assigned to the specific provider at the time of suspension and may be transferable to new owners. It is suggested that a thorough name search be conducted.

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Chiropractor
Gullish, Amy B. 15250 Rentrua Blvd. Sherman Oaks, CA Guyer, Larry G. 5325 Quayle Ln. Sebastopol, CA Haberman, Amy Aileen 331 Union St. Santa Cruz, CA Haberman, Arthur Joseph 60 E. Foothill Blvd. Ste. B Upland, CA Haeckel, Joseph B. 752 1st St. Gilroy, CA Hagen, David L. 3948 Quail Ridge Rd. Lafayette, CA Hahn, Peter 310 W. Orange Ave. Placentia, CA Haines, Donna 2193 Cochran Rd. McKinleyville, CA Halle, Thomas C. 2840 Partridge Ave. #4 Los Angeles, CA Halstead, Kurt C. 11 Cragmont Ct. Pacifica, CA Hamilton, Aaron J. 128 Flor Del Sol #26 Rancho Santa Margarita, CA Han, Duk Kyu 20836 Missionary Ridge Rd. Walnut, CA 23011 DC0198140 DC0110650 DC23827

Provider Numbers
Suspended indefinitely effective 04/20/2000 Suspended indefinitely effective 9/20/2001 Suspended indefinitely effective 3/20/2002 Suspended indefinitely effective 11/07/2003

Chiropractor
Hanes, Kathryn Jane aka: Kathy Jane Hanes c/o 6904 Miramar Rd. #214 San Diego, CA Harerchan, Nader 6171 Mission Gorge Rd. San Diego, CA Harper, John L. 1816 Oceanside Blvd. Ste. B Oceanside, CA Harper, Nicholas 1082 E. Artesia Blvd. Long Beach, CA Harvey, Alexis H. 31 Highland Ave. Felton, CA Hatcher, Byron Kirkland 9550 San Marcos Rd. Atascadero, CA Hatfield, Brian L. 2309 Santa Monica Blvd. Santa Monica, CA Hatner, Diane 1856 Woodside Rd. Redwood, CA Havet, Keith E. P.O. Box 1252 Covina, CA Heineken, Lorie J. Moeller 26551 Naccome Dr. Mission Viejo, CA Helleis, Joseph Franklin 21740 Richard St. Perris, CA Hempsey, William C. 14620 Ventura Blvd. Sherman Oaks, CA

Provider Numbers
Suspended indefinitely effective 6/20/2000

DC-21350

22935

Suspended indefinitely effective 8/21/2002 Suspended indefinitely effective 12/20/1999

DC-14619

DC0172910

Suspended indefinitely effective 4/20/1999 Suspended indefinitely effective 10/19/2000 Suspended indefinitely effective 6/1/1995 Suspended indefinitely effective 6/6/1994 Suspended indefinitely effective 4/6/1997

Suspended indefinitely effective 8/25/1993 Suspended indefinitely effective 9/20/2001 Suspended indefinitely effective 11/18/2002 Suspended indefinitely effective 2/14/1996

17907

DC17229

Suspended indefinitely effective 11/7/1996 DC0107240 Suspended indefinitely effective 3/20/2001 Suspended indefinitely effective 12/20/1998 Suspended indefinitely effective 3/20/2006 Suspended indefinitely effective 2/14/1996

Suspended indefinitely effective 7/20/2004 Suspended indefinitely effective 12/9/1996

DC0018890

DC0156530

DC28297

26397

Suspended indefinitely effective 2/28/2007

Ten-digit NPI numbers were assigned to the specific provider at the time of suspension and may be transferable to new owners. It is suggested that a thorough name search be conducted.

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Chiropractor
Henry, Judith L. 9740 Campo Rd. #113 Spring Valley, CA Hermosillo, Francisco J. 18350 Hatteras St. Tarzana, CA Hernandez, Orester M. 2138 W. Santa Ynez Los Angeles, CA Herring, Charles M. 4180 Ridge Rd. Hayward, CA Hickman, Steven G. 17660 Tannery Ln. Pine Grove, CA Hileman, Kent A. 1411 Gabilan Dr. Apt. A Hollister, CA Hileman, Kent A. aka: Hileman Chiropractic 1411 Gabilan Dr. Apt. A Hollister, CA Hines, Darren Norman 1595 Woodbury Dr. Harbor City, CA Hines, John E. 3010 N. Brea Blvd. Fullerton, CA Hirsch, Michael P. 401 29th St. Ste. #205 Oakland, CA Hiserodt, David W. 7339 Woodman Ave. #8 Aliso Viejo, CA Ho, Dan M. 4075 Evergreen Village Square #160-250 San Jose, CA DC16186 18818

Provider Numbers
Suspended indefinitely effective 9/20/1998 Suspended indefinitely effective 1/5/1997 Suspended indefinitely effective 11/9/1994 Suspended indefinitely effective 10/19/2006 Suspended indefinitely effective 6/20/2001 Suspended indefinitely effective 11/16/1995

Chiropractor
Hoang, Philip Van 23110 Atlantic Cir. Unit D Moreno Valley, CA Hobson, Thomas A., D.C. 1622 S. Grand Ave. Glendora, CA Hodies, Geoffrey Adam 3694 San Pablo Dam Rd. El Sobrante, CA Hoffman, Thomas B. 530 W. Vista Way Vista, CA Holding, Eugene V., D.C. 1761 N. D St. San Bernardino, CA Holeman, David Mark 40620 Geyser St. Murrieta, CA Holl, Patricia 6801 Coldwater Creek Canyon Ave. Ste. #1C North Hollywood, CA Hollis, Corey Arthur 2755 Bristol Ave. #130 Costa Mesa, CA

Provider Numbers
DC27776 Suspended indefinitely effective 4/2/2009

DC0119310

Suspended indefinitely effective 12/6/1990 Suspended indefinitely effective 5/7/2003 Suspended indefinitely effective 9/20/2001 Suspended indefinitely effective 7/1/1979 Suspended indefinitely effective 12/14/2000 Suspended indefinitely effective 9/26/2005

DC020224

21717

DC15950

DC0070800

DC0180410

DC22370

DC0180410

Suspended indefinitely effective 3/14/1996

25705

Suspended indefinitely effective 2/12/2003 Suspended indefinitely effective 2/20/2001 Suspended indefinitely effective 5/3/2002

28089

Suspended indefinitely effective 4/24/2007

Holt, Kenneth G. DC0198390 31534 Railroad Canyon Rd. Canyon Lake, CA Hoot, Steven P. 755 14th Ave. Apt. #814 Santa Cruz, CA Hopkins, Mitchell E. 3420 Bristol St. Ste. #750 Costa Mesa, CA Hopstock, Richard M. 334 N. Azusa Ave. La Puente, CA 19157

Suspended indefinitely effective 2/12/1995 Suspended indefinitely effective 9/20/1998

DC-16187

22004

Suspended indefinitely effective 10/18/2001

Suspended indefinitely effective 10/18/2007

24142

Suspended indefinitely effective 11/2/2006

DC0177110

Suspended indefinitely effective 2/23/1995

Ten-digit NPI numbers were assigned to the specific provider at the time of suspension and may be transferable to new owners. It is suggested that a thorough name search be conducted.

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Chiropractor
Hough, Reginio T., Jr. 1301 East Ave. Apt. #25 Lancaster, CA Houshyarimanesh, Hamid Reza aka: Manesh, Hamid 2379 Daphne Pl. Fullerton, CA Howard, Marty B. California Chiropractic Care Pleasanton, CA Howell, Ralph G. 692 Decatur Ave. Clovis, CA Huang, Kenneth K. 5851 Mission St. San Francisco, CA Huerta, Debra X. 2080 Mountain Blvd. Oakland, CA Hughes, Joseph R. Jr. 3439 Adam Ave. San Diego, CA Hui, Anthony Keilock DC94109 Pine St. Chiropractic Center 1473 Pine St. San Francisco, CA Hunger Jr., Edwin Lee 4305 Gesner St. San Diego, CA Hungerford, Richard 1095 San Leandro Blvd. San Leandro, CA Hunt, Celia A. c/o Antony & Phyllis Hunt 1649 Andalusia Way San Jose, CA Hunt, Richard D. 985 Cornell Rd. Pasadena, CA 18115 DC17251 1540

Provider Numbers
DC0230220 Suspended indefinitely effective 7/20/2000

Chiropractor
Hurtado, Arthur F. 5051 Canyon Crest Dr. #101 Riverside, CA Icke, Brian Steven 1066 4th St. Ste. B I Santa Rosa, CA Inskeep, Norman D. 3031 Wall St. San Jose, CA Irani, Geve Keeko 12728 Washington Blvd. Los Angeles, CA Jackson, Francesca A. c/o 554 Oakland Ave. Oakland, CA Jacob, David J., D.C. 16960 E. Bastanchury Rd. Ste. C Yorba Linda, CA Janczar, Bozena 1848 Lomita Blvd. Lomita, CA Jardon, Leonard A. 2219 W. Olive Ave. Burbank, CA Jasper, Charles 520 C St. San Rafael, CA Javaherian, Omid 12525 Magnolia Blvd. North Hollywood, CA Jeffcoat, Lori M. 1500 Encinal Ave. Alameda, CA Jensen, Morgan S. aka: Jensen, Darlene Elizabeth 57 Post St. #612 San Francisco, CA

Provider Numbers
16424 Suspended indefinitely effective 3/12/2003

24417

Suspended indefinitely effective 12/18/2003

22374

Suspended indefinitely effective 9/7/2005

DC0182360

Suspended indefinitely effective 4/6/1997 Suspended indefinitely effective 9/20/2001 Suspended indefinitely effective 5/14/2007 Suspended indefinitely effective 1/4/1995 Suspended indefinitely effective 4/23/1997 Suspended indefinitely effective 3/3/2003

Suspended indefinitely effective 4/6/1997 Suspended indefinitely effective 6/24/2002 Suspended indefinitely effective 10/7/1997

DC019021

26962

DC-23851

Suspended indefinitely effective 9/7/2006

DC0172050

Suspended indefinitely effective 2/20/2001 Suspended indefinitely effective 5/18/2000 Suspended indefinitely effective 5/4/1995

DC0119430 RCP10052

Suspended indefinitely effective 3/20/2001 Suspended indefinitely effective 4/13/1997 Suspended indefinitely effective 10/20/2003

23177

Suspended indefinitely effective 4/9/2007 Suspended indefinitely effective 10/20/2003

17452

Suspended indefinitely effective 1/20/2002

Suspended indefinitely effective 12/20/2006

Ten-digit NPI numbers were assigned to the specific provider at the time of suspension and may be transferable to new owners. It is suggested that a thorough name search be conducted.

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Chiropractor
Jette, Steven 29 5th Ave. Petaluma, CA Johnson, Anthony Terrell 9400 Brighton Way #409 Beverly Hills, CA and 435 N. Bedford Dr. Beverly Hills, CA Johnson, Eric D. 14650 King Canyon Rd. Victorville, CA Johnson, Gary M. 3728 McNab Ave. Long Beach, CA Johnson, Gertrude, D.C. 3756 Santa Rosalia Dr. Ste. #524 Los Angeles, CA Johnson, Randall G. 1614 Virginia Rd. Los Angeles, CA Johnson, Randall Glen 7260 Hillside Ave. #304 Los Angeles, CA Joiner, Ward L., D.C. P.O. Box 2045 Loomis, CA Joudy, Ghassan M. 4545 Royale Park Ct. San Jose, CA Judd, Michael R. 13699 Peardale Rd. Grass Valley, CA Kahan, Robert M. 27676 Via Granados Mission Viejo, CA Kahn, Albert 1863 Alum Rock Ave. Ste. D San Jose, CA DC22255 DC-15963

Provider Numbers
Suspended indefinitely effective 4/6/1997 Suspended indefinitely effective 5/03/2004

Chiropractor
Kalia, Neil Kumar 6891 Douglas Blvd. Granite Bay, CA Katz, Steven M. 5741 Vesper Ave. #139 Van Nuys, CA Kaufman, Todd 2 Creekside Way Mill Valley, CA Suspended indefinitely effective 7/18/1995 Suspended indefinitely effective 6/18/1998 Suspended indefinitely effective 8/22/2005 Keklikian, Ara Michael 541 W. Colorado St. #201 Glendale, CA Keledjian, Koko Krikor 541 W. Colorado Blvd. Ste. #205 Glendale, CA and 13651 Van Owen St. Van Nuys, A Kelly, Kevin M. c/o 2286 Sunrise Blvd. #3 Rancho Cordova, CA Kelly, Mark S. 11480 Santa Anita Ave. Chino, CA Kessler, Michael 143 Lillean Way Vallejo, CA Kifle, Aster aka: Aster Kifle-Thompson 1440 Fremont Blvd. Seaside, CA Kim, Chin H. 1303 S. Gramercy Ave. #202 Los Angeles, CA Kim, Chongsu 2221 Dublin Ln. #1 Diamond Bar, CA

Provider Numbers
27455 Suspended indefinitely effective 10/18/2007 Suspended indefinitely effective 5/20/2001

Suspended indefinitely effective 5/20//1999 DC0252050 Suspended indefinitely effective 11/16/2007

25577

Suspended indefinitely effective 8/24/2006

DC0206390

Suspended indefinitely effective 1/5/1997 Suspended indefinitely effective 8/12/2002

DC0177250

Suspended indefinitely effective 6/20/2000

DC-20639

DC0177260

Suspended indefinitely effective 6/1/1995 Suspended indefinitely effective 12/19/1995

11947

Suspended indefinitely effective 6/5/2007 Suspended indefinitely effective 10/26/2006 Suspended indefinitely effective 12/20/1998 Suspended indefinitely effective 2/16/1995 Suspended indefinitely effective 4/20/2000

25454

DC0227390

Suspended indefinitely effective 9/4/2008

DC26079

Suspended indefinitely effective 2/4/2002

DC-19180

Suspended indefinitely effective 5/20/2001

Ten-digit NPI numbers were assigned to the specific provider at the time of suspension and may be transferable to new owners. It is suggested that a thorough name search be conducted.

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Chiropractor
Kim, Han Kyung 3407 W. 6th St. Ste. #604 Los Angeles, CA Kim, Junghak 333 S. Kingsley Dr. #233 Los Angeles, CA Knott Jr, Kevin T. 3668 Harbor View Way Oceanside, CA Ko, Joo Hawn 350 Reservation Rd. Marina, CA Ko, Yeun Jin 2787 Bristol St. Ste. #102 Costa Mesa, CA Kosak, Jerome E. 1252 Travis Blvd. Fairfield, CA Kotsch, Simone Pamela 218 7th St. Huntington Beach, CA Kowalski, Brian 1545 Nutmeg Pl. Costa Mesa, CA Kowalski, Brian A. 601 Dover Dr. #11 Newport Beach, CA Kullrich, Regan Timothy 59955 Cascadel Dr. Ste. N North Fork, CA and 49063 Road 426 Ste. #C-4D Oakhurst, CA and 41969 Highway 41 Oakhurst, CA DC0202720 DC26421

Provider Numbers
Suspended indefinitely effective 8/20/2009

Chiropractor
Kwon, Ohun dba: Ohun Kwon Chiropractic Inc. 19123 Bloomfield Ave. Cerritos, CA La, Phu Quoc 8815 E. Fallbrook Way Anaheim Hills, CA Lacey, Gregory 8258 Louise Ave. Northridge, CA and 9900 Balboa Blvd. Ste. B Northridge, CA

Provider Numbers
25014/2531 Suspended indefinitely effective 3/26/2008

Suspended indefinitely effective 11/18/2002

Suspended indefinitely effective 10/31/2005 12204 Suspended indefinitely effective 5/11/2006

24453

Suspended indefinitely effective 12/20/2001 Suspended indefinitely effective 4/20/2009 Suspended indefinitely effective 5/7/2008

226213

28388

Lacey, Sharon J. DC0200890 19000 Sweetwater Springs Guerneville, CA LaConte, Daniel William P.O. Box 1672 Lafayette, CA Lagomasino, Frank S. 5637 N. Pershing Ave. #F-1 Stockton, CA and 4422 N. Pershing Ave. #D9 Stockton, CA Lahaie, Sheri 697 Menlo Ave. Menlo Park, CA Lai, Hoan Ngoc 16575 A Brookhurst St. Fountain Valley, CA Lam, The C. aka: Lam, The Chi aka: Lam, Chester aka: Chi, Lam T. 48 Goldenrain Dr. San Jose, CA DC23472 DC17546

Suspended indefinitely effective 8/12//1996 Suspended indefinitely effective 4/19/2004 Suspended indefinitely effective 5/16/2007

DC0155200

Suspended indefinitely effective 11/9/1994 Suspended indefinitely effective 3/10/2003 Suspended indefinitely effective 8/25/2004 Suspended indefinitely effective 5/16/1995

27930

DC18124

DC-15545

Suspended indefinitely effective 3/20/1998 Suspended indefinitely effective 8/22/2003 Suspended indefinitely effective 11/18/2004

Suspended indefinitely effective 4/23/2009

Ten-digit NPI numbers were assigned to the specific provider at the time of suspension and may be transferable to new owners. It is suggested that a thorough name search be conducted.

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Chiropractor
Lam, Tony Motung 2440 S. Hacienda Blvd. Ste. #105 Hacienda Heights, CA Lamb, Robert D. 420 Morris St. Sebastopol, CA Landemare, Henry M. 2305 Carlos St. Moss Beach, CA Landis, Kerby E. 1137 Stone Hearth Ln. Lincoln, CA Lang, Thomas Arthur 2119 March Ln. Ste. B Stockton, CA Lanzarotta, Suzette 10907 E. Main St. Grass Valley, CA Latzer, Saul Allen 2062 Tapo St. Simi Valley, CA Laugen, Louise M. aka: Carlson, Louise M. aka: Carlson, Louise Mary 6228 Idylwood Ln. Edina, MN Laughter, James S. 3578 30th St. San Diego, CA Lawrence, Robert D. aka: Donald R. Lawrence 308 Fell St. San Francisco, CA DC0198870 DC-9674

Provider Numbers
DC-13340 Suspended indefinitely effective 10/10/2003

Chiropractor
Lee, Stephen Junho 706 E. Main St. Mesa, AZ Lee, Sujin 1555 W. Olympic Blvd. #103 Los Angeles, CA Leeds, Robert W., Jr. 426 Barnegat Ln. Redwood City, CA Leonard, Robert 142 S. Cloverdale Blvd. Cloverdale, CA Lescht, Ira C. P.O. Box 1510 Pismo Beach, CA Lewis, Edward L. 617 High St. Auburn, CA Lien, Jonathan Tri Vi aka: Lien, Tri Vi 5199 Running Bear Dr. San Jose, CA Liners, Eric S. 834 Provincetown Dr. Salinas, CA and 100 E. Romie Ln. Ste. #4 Salinas, CA Lippay, Ronald W. 521 N. Fair Oaks Ave. Sunnyvale, CA

Provider Numbers
25745 Suspended indefinitely effective 6/19/2006 Suspended indefinitely effective 10/16/2003

DC-22754

Suspended indefinitely effective 8/12//1996 Suspended indefinitely effective 12/4/1994 Suspended indefinitely effective 3/24/2005 Suspended indefinitely effective 3/24/2004

Suspended indefinitely effective 4/13/1997 DC-20290 Suspended indefinitely effective 6/20/2002 Suspended indefinitely effective 10/18/2001 Suspended indefinitely effective 8/12/1996 Suspended indefinitely effective 10/19/2006

DC17511

DC21038

DC0202920

Suspended indefinitely effective 5/4/1995 Suspended indefinitely effective 2/10/2001 Suspended indefinitely effective 11/8/2004.

DC24478

DC11214

15630

Suspended indefinitely effective 9/1/2006

Suspended indefinitely effective 8/12/1996 Suspended indefinitely effective 10/19/2000

Suspended indefinitely effective 10/20/2003

Ten-digit NPI numbers were assigned to the specific provider at the time of suspension and may be transferable to new owners. It is suggested that a thorough name search be conducted.

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Chiropractor
Liu, Lorinda Nai 12531 Harbor Blvd. Ste. C Garden Grove, CA Loader, Michael Leslie 451 Sycamore Ave. Claremont, CA Lodwig, Michael J. 45 Quail Ct. Ste. #110 Walnut Creek, CA Long, David 8895 Westminster Ave. Garden Grove, CA Lopez, Roberto aka: Ramirez, Roberto P.O. Box 1912 Seaside, CA Lovelace, James C. 216 F St. Ste. #141 Davis, CA Lowe, Dane Elisabeth c/o 119 Clay St. Ione, CA Lowry, Paulette M. 96 Schooner Ct. Richmond, CA Lowy-Berry, Christie 634 W. Mauna Loa Ave. Glendora, CA Loy, Lamont S. 321 N. Highway 101 Ste. A Solano Beach, CA DC10155 22056

Provider Numbers
DC-25593 Suspended indefinitely effective 5/20/2002

Chiropractor
Lucia, Jamie aka: Lucia, Jaime 86 Third St. Los Altos, CA Luly, John C. 13743 Victory Blvd. Ste. C Van Nuys, CA and 4459 Morrell St. San Diego, CA Lugo, Fernando David 43775 N. 15th St. West Lancaster, CA or 519 E. Broadway Glendale, CA Lunceford, Glenn W. 4723 Bluff St. Norco, CA Luong, Anhue Thi 1260 Walnut Ave. Apt. #19 Tustin, CA Luta, Patricia L. 4344 Occidental Rd. Santa Rosa, CA Lyons, Dorothy A. 18687 Main St. Groveland, CA Maher, Deborah Zeitsoff aka: Deborah Bergstrom 2900 Bristol St. G-101 Costa Mesa, CA

Provider Numbers
DC-18596 Suspended indefinitely effective 6/30/2004

Suspended indefinitely effective 4/19/2007 Suspended indefinitely effective 2/12/1995

10420

Suspended indefinitely effective 12/7/2006

DC20295

Suspended indefinitely effective 5/25/2005 Suspended indefinitely effective 12/20/2004

Suspended indefinitely effective 7/28/2003

DC0179970

Suspended indefinitely effective 2/12/1995 Suspended indefinitely effective 6/20/2001

Suspended indefinitely effective 4/15/2004

DC24484

DC0166020

Suspended indefinitely effective 11/20/2000 Suspended indefinitely effective 4/2/1997 Suspended indefinitely effective 6/1/1995 Suspended indefinitely effective 4/20/1998

Suspended indefinitely effective 12/20/1999 DC0202960 Suspended indefinitely effective 3/20/1998 Suspended indefinitely effective 6/1/1995

DC0198980

DC0169570

Ten-digit NPI numbers were assigned to the specific provider at the time of suspension and may be transferable to new owners. It is suggested that a thorough name search be conducted.

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Chiropractor
Malati, Hani Moneir 4515 W. 137th Place Hawthorne, CA Mallary, Peter 1571 W. 8th Ave. Chico, CA and 2006 Freedom Blvd. Freedom, CA Mallary, Peter M. 1790 Estatesway St. Chico, CA Manfre, Vincent 12812 Elkwood St. N. Hollywood, CA Mannino-Siegel, Holly L. 4910 Birch St. Newport Beach, CA Manriquez, Antonio Jr. 85690 Calle Limon Coachella, CA Manson, Rex Howard 457 Monterey Dr. Aptos, CA and 4125 Blackford Ave. Ste. #105 San Jose, CA Manvel, Barry J. 1434 3rd St. Calistoga, CA Maravilla, Carlo Ravara 3469 Tennessee St. Ste. #101 Vallejo, CA and 4616 El Camino Ave. Ste. B Sacramento, CA 23308

Provider Numbers
DC30416 Suspended indefinitely effective 3/12/2009 Suspended indefinitely effective 8/24/2006

Chiropractor
Marin, Melody Ann 7301 Sepulveda Blvd. Ste. #3 Van Nuys, CA Marinaro, Ronald 12215 Ventura Blvd. #114 Studio City, CA Mark, Jeffrey 2820 Kelsey St. Berkeley, CA Martin, Diana 110 Oak Rim Ct. #56 Los Gatos, CA Martin, Diana J. 110 Oak Rim Ct. Apt. #56 Los Gatos, CA Martin, Joseph E. 597 N. Acacia Ave. Reedley, CA Martin, Joseph E. 17295 S. Monterey Rd. Morgan Hill, CA Martin, Kathleen L. 10620 River Rd. Forestville, CA

Provider Numbers
23311 Suspended indefinitely effective 1/19/2005

19903

Suspended indefinitely effective 2/12/1995

DC0199030

Suspended indefinitely effective 6/27/1996 Suspended indefinitely effective 11/7/1996 Suspended indefinitely effective 1/5/1997 Suspended indefinitely effective 2/20/2005 Suspended indefinitely effective 12/15/2006

Suspended indefinitely effective 5/6/1997 Suspended indefinitely effective 11/7/1996

DC0212010

DC18718

Suspended indefinitely effective 8/26/2003

21748

Suspended indefinitely effective 6/16/2004 Suspended indefinitely effective 1/19/2000 Suspended indefinitely effective 10/20/2003

13599

DC0217480

DC0159970

Suspended indefinitely effective 4/20/1998 Suspended indefinitely effective 12/29/2006

25896

Martinez, Theodore J. c/o 3985 N. Fresno St. Ste. #106 Fresno, CA Marts, Richard A. 660 San Fernando Rd. #18 Los Angeles, CA Mason, Jeffrey Hayes P.O. Box 24121 Ventura, CA

DC0195310

Suspended indefinitely effective 6/20/2000

Suspended indefinitely effective 10/20/1999

DC-17568

Suspended indefinitely effective 4/15/2004

Ten-digit NPI numbers were assigned to the specific provider at the time of suspension and may be transferable to new owners. It is suggested that a thorough name search be conducted.

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Chiropractor
Massien, Jeffrey 44-200 Monterey Ave. Ste. A Palm Desert, CA Mattson, James A. 2319 Derby St. Berkeley, CA Maurer, Craig 969 Valencia St. San Francisco, CA May, Ben G. 1413 Moyer Ln. #2 Morristown, Tennessee Mayfield-Andrews, Sheryl A. c/o 1615 E. Plaza Blvd. San Diego, CA Maynard, Jennifer 24124 Afamado Ln. Diamond Bar, CA Mays-Good, Kathryn M. 19234 Vanowen St. Reseda, CA Mazhar, Mostafa (Mark) 1353 Carmelina Ave. #209 Los Angeles, CA McGee, Billie J. 1872 Springgate Ln. Ste. C Simi Valley, CA McGhee, Michael T. 1519 Willowgate Ave. San Jose, CA McGinnis, Kimberly Ann P.O. Box 6051 Auburn, CA McKinney, Otha G. 11468 Kiowa Rd. Apple Valley, CA McJilton, Stephen J. 11641 Wembley Rd. Rossmoor, CA DC0227690 22767 DC0227660 DC0214260 DC0206980

Provider Numbers
DC21424 Suspended indefinitely effective 6/9/2001

Chiropractor
McLaughlin, Robert M. 4571 Bou Bear Lake Summerset, CA McWilliams, Patrick R. 2101 Violet St. Sacramento, CA Mehmandoust, Marcello 6170 Thornton Ave. Ste. B Newark, CA Melville, Carl 5804 Forest Shade Dr. Crestline, CA Meyer, Jason L. 17401 Ventura Blvd. Ste. #A29 Encino, CA Michaels, Barry 952 E. 82nd St. #158 Brooklyn, New York Michaels, Jon P.O. Box 3879 Palm Desert, CA Milano, William Lockard 1105 Buchanan Rd. Antioch, CA Milkey, John Joseph 1720 Ximeno Ave. Ste. #8 Long Beach, CA Miller, Brad 2960 Harbor Blvd. Costa Mesa, CA Miller, David E. 306 Wellington Ave. Clyde, CA Miller, Linda L. aka: Linda L. Mulkiewica 316 N. Poplar St. Anaheim, CA Millikan, Ronal D. 2365 Alden Ave. Redding, CA

Provider Numbers
Suspended indefinitely effective 12/9/1996 18534 Suspended indefinitely effective 4/20/2004 Suspended indefinitely effective 1/10/2009

Suspended indefinitely effective 8/20/2001 Suspended indefinitely effective 7/14/2001 Suspended indefinitely effective 10/20/2006

DC27126

15713

Suspended indefinitely effective 5/4/1995 DC-23554 Suspended indefinitely effective 1/15/2003

Suspended indefinitely effective 8/12/1996 Suspended indefinitely effective 3/6/1997 Suspended indefinitely effective 11/9/1994 Suspended indefinitely effective 5/20/2001

DC0106260

Suspended indefinitely effective 5/24/2001

DC25505

Suspended indefinitely effective 5/23/2001 Suspended indefinitely effective 3/20/02 Suspended indefinitely effective 10/18/2002

DC011777

Suspended indefinitely effective 12/4/1994

DC11988

Suspended indefinitely effective 6/20/2006 Suspended indefinitely effective 10/19/2000 Suspended indefinitely effective 3/27/2002 Suspended indefinitely effective 2/19/1998

Suspended indefinitely effective 6/27/1996 DC0214420 DC0214421 Suspended indefinitely effective 11/16/1995 Suspended indefinitely effective 12/20/1998

DC18142

U13780

DC0112270

Suspended indefinitely effective 12/31/2002

Ten-digit NPI numbers were assigned to the specific provider at the time of suspension and may be transferable to new owners. It is suggested that a thorough name search be conducted.

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Chiropractor
Millward, Dennis E. 3913 22nd St. Apt. A San Francisco, CA Miszklevitz, Anthony PO Box 1421 Lucerne, CA and 4020 Calle Real Ste. #6 Santa Barbara, CA Mitchell, Gregory Wayne 5880 Benner St. #304 Los Angeles, CA Mitchell, Jimmy M. 1491 Detroit Ave. Ste. #250 Concord, CA Mitchell, Ronald G. 814 S. Wooster St. Ste. #208 Los Angeles, CA Moarefi, Mahmoud R. c/o 150 S. Barrington Ave. Los Angeles, CA Mohammadkhani, 22929 Alireza Darivosh aka: Mohammadkhani, Ariuosh A. aka: Mohammadkhani, Dariuch Ali aka: Mohammadkhani, Darivesh A. aka: Mohammadkhani, Alireza Daruosh aka: Mohammadkhani, Daruosh aka: Mohammadkhani, Darius Ali aka: Mohammadkh, Dariush A. aka: Mohammadkhani, Alireza Dariuosh 10328 Laramie Ave. Vallejo, CA Molina, Robert 543 California Ave. West Covina, CA

Provider Numbers
00022775 Suspended indefinitely effective 10/19/2000

Chiropractor
Monoson, Richard 17525 Ventura Blvd. #105 Encino, CA Montana, Matt Reza 10311 S. DeAnza Blvd. #6 Cupertino, CA Montoya, Robert 436 W. Arlight St. Monterey Park, CA

Provider Numbers
DC17809 Suspended indefinitely effective 12/27/2000

DC0114850

Suspended indefinitely effective 6/12/2008

DC21066

Suspended indefinitely effective 4/19/2001

DC-18547

Suspended indefinitely effective 2/20/2001 Suspended indefinitely effective 4/2/1997

DC-22549

Suspended indefinitely effective 8/16/2002

Moore, Dennis J. 1525 Mesa Verde E. Costa Mesa, CA Moore, Waylon Carl 18202 Foothill Blvd. Fontana, CA Moore, Wesley B. 102 S. 12th St. San Jose, CA Mora, Matthew James aka: Mora, Matt J. 7341 Tulipwood Cir. Pleasanton, CA and 16927 Vanowen St. Ste. #3 Van Nuys, CA Morita, Phuong T. Minh 18021 Skypark Cir. Irvine, CA Moroney, William P. 161 W. 25th Ave. San Mateo, CA Moscatel, Raymond A., D.C. 8710 S. Western Los Angeles, CA DC0104680 DC0136170

89102

Suspended indefinitely effective 1/20/2006

Suspended indefinitely effective 4/19/2001 Suspended indefinitely effective 4/13/1997 Suspended indefinitely effective 9/20/2004

DC0167560

DC10464

Suspended indefinitely effective 6/1/2001

22089

Suspended indefinitely effective 12/20/1999 Suspended indefinitely effective 6/20/2005

Suspended indefinitely effective 12/20/1998 Suspended indefinitely effective 11/20/1997 Suspended indefinitely effective 10/25/1974

Suspended indefinitely effective 2/12/1995

Mullinax, Jeffrey S. 8868 Lakewood Dr. #137 Windsor, CA

Suspended indefinitely effective 3/20/2005

Ten-digit NPI numbers were assigned to the specific provider at the time of suspension and may be transferable to new owners. It is suggested that a thorough name search be conducted.

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Chiropractor
Muenker, Mark E. 15008 Haynes St. Van Nuys, CA Mullins, Marilyn E. 229 Turf Dr. Placentia, CA Murphy, Deborah C. 607 Emily St. Ste. C Ojai, CA Murphy, Marc A. 17 Calle Gazapo Rancho Santa Margarita, CA Musicant, Barbara D. 4920 Soquel Dr. Ste. B Soquel, CA Nabatmama, Jeffrey 1059 S. Shenandoah St. Apt. #105 Los Angeles, CA Nadreau, Marc H.P. 7408 S. Western Ave. Los Angeles, CA Natividad, Ventura 2005 Highland Ave. Ste. #2 National City, CA Nathanson, Robert Jeffery 1115 Geary Blvd. San Francisco, CA Navai, Mehdi 104 N. 1st St. #7 Alhambra, CA DC0167660

Provider Numbers
Suspended indefinitely effective 5/20/1998 Suspended indefinitely effective 12/12/1996 Suspended indefinitely effective 12/4/1994

Chiropractor
Ndem, Murphy M. aka: Emole, Emole Ndem aka: Ndem, Emole aka: Ndem, Murphy aka: Nwokeka, Emole 3623 MacArthur Blvd. Ste. B Oakland, CA Neault, Charles Carey 2345 Erringer Rd. Ste. #210 Simi Valley, CA Nelson, Robert 301 Engell Ct. Suisun City, CA Nenadov, Barney aka: Nevaoloz, Barney aka: Nenadovic, Branislav 29275 Poppy Meadow St. Canyon Country, CA Newell, Charles F. 9830 Prospect Ave. Santee, CA Next Level Personal Fitness Systems 585 Mandana Blvd. Ste. #1 Oakland, CA Nguyen, David Cuong Manh 2324 Montpelier Dr. Ste. #7 San Jose, CA Nguyen, Dung 5895 E. Trapper Trail Anaheim, CA Nguyen, Lenard Linh aka: Nguyen, Linh N. 1710 Berryessa Rd. Ste. #101 San Jose, CA

Provider Numbers
DC-25604 Suspended indefinitely effective 9/24/2002

DC0119960

Suspended indefinitely effective 7/7/2002

Suspended indefinitely effective 11/7/1996

DC0195500

Suspended indefinitely effective 5/6/1996 Suspended indefinitely effective 7/23/2004

DC-24528

Suspended indefinitely effective 6/20/2002

DC11346

DC24181

Suspended indefinitely effective 12/18/2004

Suspended indefinitely effective 12/20/1999 DC0228150 Suspended indefinitely effective 7/19/2001

24058

Suspended indefinitely effective 1/24/2004 Suspended indefinitely effective 4/13/2006

DC-26646

DC-22241

Suspended indefinitely effective 6/16/2003

DC26907

Suspended indefinitely effective 1/26/2005 Suspended indefinitely effective 4/23/1997

DC0230780

DC0214480

Suspended indefinitely effective 4/13/1997 Suspended indefinitely effective 8/24/2006

26787

Ten-digit NPI numbers were assigned to the specific provider at the time of suspension and may be transferable to new owners. It is suggested that a thorough name search be conducted.

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Chiropractor
Nguyen, Phu Ba 5467 Lean Ave. San Jose, CA Nguyen, Sandy L. 5916 Garbough Dr. San Jose, CA Nicholls, Hilary J. 78 Passo Hondo Carmel Valley, CA Nichols, Stuart Alan DC-23051 4061 E. Castro Valley Blvd. Ste. #234 Castro Valley, CA Nieman, Edwar H. c/o 9100 Wilshire Blvd. East Tower Ste. #245 Beverly Hills, CA Nikkhah, Mohammad 2183 Fairview Rd. Ste. #103 Costa Mesa, CA Nikravesh, David N. 17410 Cohassett St. Van Nuys, CA DC0192320

Provider Numbers
27350 Suspended indefinitely effective 6/20/2005 Suspended indefinitely effective 11/18/2002 Suspended indefinitely effective 1/05/1997 Suspended indefinitely effective 3/27/2002

Chiropractor
Norville, Michael Thomas 1755 Orange Ave. Ste. B Costa Mesa, CA Nguyen, Loc Bao 5125 Hampton Ct. Westminister, CA Nunoo, Godfrey O. 1103 12th St. Oakland, CA Oberstein, Lawrence Infinity Chiropractic Center 1229 N. Dutton Ave. Santa Rosa, CA Ocean Hills Chiropractic 8405 Playa Del Rey #404 Playa Del Rey, CA Ocon, Luis E. 806 Inglewood St. Salinas, CA Odell, Michael C. 12630 Monte Vista Rd. Poway, CA Ohanesian, Keith Richard 13600 Ventura Blvd. Sherman Oaks, CA Olajide, Gbolahan A. 3701 Stocker St. Ste. #309 Los Angeles, CA Olajide, Gbolahan A. 4343 Crenshaw Blvd. Ste. #305 Los Angeles, CA Suspended indefinitely effective 8/12/1996 Olberg, Gregory S. 778 B St. Hayward, CA Orenstein, David 9044 Alcott St. Los Angeles, CA Ortiz, Ernest E. 24345 La Glorita Cir. Valencia, CA

Provider Numbers
21863 Suspended indefinitely effective 7/23/2007

DC21761

DC20721

Suspended indefinitely effective 7/30/1997 Suspended indefinitely effective 1/20/2002 Suspended indefinitely effective 5/26/1997

18568

Suspended indefinitely effective 11/20/2000

Suspended indefinitely effective 6/20/2000

DC-25769

Suspended indefinitely effective 4/15/2004

Suspended indefinitely effective 10/20/2003 Suspended indefinitely effective 12/20/1998 DC-19238 Suspended indefinitely effective 7/1/2002 Suspended indefinitely effective 10/20/1999

DC0203340 DC0203341

Suspended indefinitely effective 6/4/2001 Suspended indefinitely effective 7/31/2006

Noble, Deborah M. 13361 aka: Noble, Deborah Magret aka: Noble-Gephart, Deborah Magret P.O. Box 974 Fort Jones Ste. A and 620 E. San Antonio Dr. Long Beach, CA Norie, John B. 1427 San Lucas Rd. Palm Springs, CA Norris, Scott 8224 Auburn Blvd. Citrus Heights, CA Norville, Michael 3261 Idaho Ln. Costa Mesa, CA DC0174990

00007592

Suspended indefinitely effective 2/7/2009

Suspended indefinitely effective 7/20/1998 U42091 Suspended indefinitely effective 12/20/1998 Suspended indefinitely effective 9/20/1999

Suspended indefinitely effective 5/12/1994 Suspended indefinitely effective 4/23/1997

Ten-digit NPI numbers were assigned to the specific provider at the time of suspension and may be transferable to new owners. It is suggested that a thorough name search be conducted.

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Chiropractor
Oum, Chul O. 10342 Lindley Ave. Apt. #337 Northridge, CA Paik, Kenneth Whan II 3944 Grandview Dr. Brea, CA Paiso, Adam C. 278 Clarke Ave. Livermore, CA Pallas, James 517 S. Euclid St. La Habra, CA Palmer, Becky A. 606 Elbrook Dr. Fallbrook, CA Palmer, Richard M. 1239 Ramona Dr. Newbury Park, CA Panebianco, Anthony G. 3400 Bechelli Ln., Ste. A Redding, CA Pankey, John R. 1301 Webster St. #C-11 Alameda, CA Pardo, Fernando 2800 E. Riverside Dr. Apt. #296 Ontario, CA Pardo, Fernando Antonio 9788 Pauline Dr. Cypress, CA Parkinson, Robert B. 877 S. Vine Ave. Rialto, CA Parks, Rin A. 1063 Morse Ave. #11-204 Sunnyvale, CA DC-21771

Provider Numbers
AC4686 Suspended indefinitely effective 10/18/2001

Chiropractor
Pashko, Robert A. 1949 S. Manchester Space #87 Anaheim, CA Patton, Michael Christopher 1216 S. Glendora Ave. West Covina, CA Pavlov, Andrey A. 14471 Clarissa Ln. Tustin, CA Pellerin, Stephen P. 42744 Windy Gap Dr. Ahwahee, CA Perez, Jesus V. 1871 Mattews Pl. Pomona, CA Peterson, Jon B. 2115 25th St. S. Saint Cloud, MN Pfeiffer, Arlene H. 20281 Eastwood Cir. Huntington Beach, CA Pham, Megan Loan 5962 Westminster Blvd. Westminster, CA Pham, Nghi D. 11051 Tilton Cir. Fountain Valley, CA Philipson, David 16532 Kellog Cir. Apt. #1 Huntington Beach, CA Pigott, Abu Gamal 40 Moss Ave. Apt. #202 Oakland, CA Pinkerman, James 29645 Rancho California Temecula, CA

Provider Numbers
DC0141880-1 Suspended indefinitely effective 1/03/2001

22557

Suspended indefinitely effective 9/26/2005 Suspended indefinitely effective 8/20/2001 Suspended indefinitely effective 7/5/1994 Suspended indefinitely effective 1/5/1997 Suspended indefinitely effective 8/20/1998 Suspended indefinitely effective 8/20/2001 Suspended indefinitely effective 7/20/2004

DC24195 SAT-2851

Suspended indefinitely effective 11/19/2004

DC0217700

25607

Suspended indefinitely effective 12/28/2005 Suspended indefinitely effective 9/24/1996 Suspended indefinitely effective 4/6/1997

DC0177770

DC0177840

DC17789

Suspended indefinitely effective 10/18/2001 Suspended indefinitely effective 6/10/1996

DC27145

Suspended indefinitely effective 9/23/2002 Suspended indefinitely effective 11/7/1996

Suspended indefinitely effective 6/5/1997

DC0185880

Suspended indefinitely effective 8/9/2002 Suspended indefinitely effective 8/20/2001 Suspended indefinitely effective 10/18/2001

Suspended indefinitely effective 10/20/1999

DC0228050

DC0228150

Suspended indefinitely effective 5/20/2001

DC0195720

Suspended indefinitely effective 4/10/1996

Ten-digit NPI numbers were assigned to the specific provider at the time of suspension and may be transferable to new owners. It is suggested that a thorough name search be conducted.

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Chiropractor
Polidori, Rollie J. 1725 Lampton Ln. Norco, CA Pollock, Kent W. 4343 Marconi Ave. Sacramento, CA and 445 Rosewood Ave. Ste. A Camarillo, CA Poole, Gregory T. c/o Barbara J. Poole 5045 E. Madison Ave. Fresno, CA Portillo Chiropractic 1790 Winchester Blvd. #4 Campbell, CA Portillo, J. Carlos aka: Carlos J. Portillo 5832 Chesbro Ave. San Jose, CA Postajian, Jon Michael 638 E. Colorado St. Glendale, CA Powell, Curtis 231 E. Camino Real Monrovia, CA Powell, Leo E. 625 E. Arrow Highway Glendora, CA Powaser, Michael John 3155 Gold Ridge Trail Pollock Pines, CA Powers, Linda May 2571 California Park Dr. #130 Chico, CA Prins, Leslie Julian 2527 Noble Ave. Alameda, CA DC10608 DC23569

Provider Numbers
DC12508 Suspended indefinitely effective 5/28/2003 Suspended indefinitely effective 11/29/2007

Chiropractor
Pritchard, Doyle P. 520 Wensley Ave. El Centro, CA Quick, Bradley Keith 5610 Stardust Rd. La Canada, CA Rached, Elias Y. aka: Rached, Elias Youssef 23846 Sunnymead Blvd. Ste. #4 Moreno Valley, CA Radetic, Peter M. 890 Gold Club Rd. Pleasant Hill, CA Radetic, Peter M. 220 Hoffman Ln. Byron, CA Rafii, Ahmad R. 85 Saratoga Ave. Ste. #103 Santa Clara, CA Rafle, Philip Jay 1422 E. Bell Ave. Anaheim, CA Rahn, Roger S. 5424 Woodlake Ave. Woodland Hills, CA Raines, Francis 6176 W. Charleston Blvd. Las Vegas, Nevada Rasmussen, Rhett David P.O. Box 70674 Bakersfield, CA Ratliff, Cynthia A. 305 Valencia School Rd. Aptos, CA

Provider Numbers
Suspended indefinitely effective 9/20/2001 DC15356 Suspended indefinitely effective 8/29/2001 Suspended indefinitely effective 6/7/2006

11503

18154

Suspended indefinitely effective 5/20/2001

Suspended indefinitely effective 6/20/2000

Suspended indefinitely effective 1/4/1995 U18461 Suspended indefinitely effective 9/11/2003 Suspended indefinitely effective 10/20/1999

Suspended indefinitely effective 2/20/2000

DC0217880

Suspended indefinitely effective 3/2/2004 Suspended indefinitely effective 4/20/2000 Suspended indefinitely effective 2/1/2002 Suspended indefinitely effective 2/13/2002 Suspended indefinitely effective 3/28/2008

DC21479

Suspended indefinitely effective 2/7/2004 Suspended indefinitely effective 4/13/1997

12513

Suspended indefinitely effective 5/10/2006 Suspended indefinitely effective 9/20/2000 Suspended indefinitely effective 11/20/2005 Suspended indefinitely effective 4/6/1997

DC-18595

23959

12729

15636

Suspended indefinitely effective 6/20/2006

Rayas-Felix, Magdalena c/o Sebastian & Leonor Rayas 700 S. Leonard Ave. Los Angeles, CA

Ten-digit NPI numbers were assigned to the specific provider at the time of suspension and may be transferable to new owners. It is suggested that a thorough name search be conducted.

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Chiropractor
Razavian, Fahimeh aka: Fahimeh Ghaffari 21622 Marguerite Parkway Apt. #269 Mission Viejo, CA Redd, Timothy J. 1252 San Dimas Canyon Rd. San Dimas, CA Reed, Robert William California State Prison Solana – J86205 P.O. Box 4000 Vacaville, CA Reed, Walter W. 1481 N. Waterman Ave. San Bernardino, CA Reeves, Daniel 730 W. California St. Glendale, CA Renolds, Michael J. DCD # K45191 CTF-C P.O. Box 689 Soledad, CA Rey, Jorge E. 12665 Monte Vista Ave. Chino, CA Reyes Chiropractic Center 609 W. Acequia Ave. Ste. B Visalia, CA Reyes, Daniel A. 609 W. Acequia Ave. Ste. B Visalia, CA Reynolds, Bob R. 3812 Fambrough Dr. Bakersfield, CA Rich, Kenneth 1340 W. Lambert Rd. #84 La Habra, CA DC0182510 DC0189290

Provider Numbers
Suspended indefinitely effective 9/20/1999

Chiropractor
Richards, Terence J. 1655 Anza St. San Francisco, CA Richardson, John A. 872 Lakeport Blvd. Lakeport, CA Richardson, Justin W. 7100 Owensmouth Canoga Park, CA Ridley, Charles Lynwood 1431 Town & Country Dr. Ste. C Santa Rosa, CA Rinkleib, Karen M. 17464 Penn Valley Dr. Penn Valley, CA Rios, Emanuel J. 227 S. Madison Apt. #101 Pasadena, CA Ripley, Michael Paul 416 A Moraga Way Orinda, CA Rivene, Zaida 407 N. San Mateo Dr. San Mateo, CA Robinson, Francis T., Jr. 1253 Seacliff Ct. Unit #1 Ventura, CA Rockmael, Allan 1348 Broadway Apt. A San Francisco, CA Rodrigues, Paul J. 18102 Pioneer Blvd. #104 Artesia, CA Rodrigues, Paul Jorge 17915 Thornlake Ave. Artesia, CA

Provider Numbers
00022136 Suspended indefinitely effective 12/20/2000 Suspended indefinitely effective 10/20/2003 Suspended indefinitely effective 1/5/1997 20486 Suspended indefinitely effective 11/20/2000

Suspended indefinitely effective 12/4/1994

Suspended indefinitely effective 9/20/2000

DC0189290

Suspended indefinitely effective 2/14/1994 Suspended indefinitely effective 1/04/2001 Suspended indefinitely effective 9/20/2000

Suspended indefinitely effective 1/20/1999 Suspended indefinitely effective 4/23/1997

DC10808

DC0113610

DC-18934

Suspended indefinitely effective 6/30/2004 Suspended indefinitely effective 3/20/2002 Suspended indefinitely effective 2/18/1999

Suspended indefinitely effective 1/18/2001 Suspended indefinitely effective 6/20/2000

DC-14527

DC019850

Suspended indefinitely effective 12/20/1998

Suspended indefinitely effective 4/2/1997

21107

DC0186060

Suspended indefinitely effective 9/10/1996 Suspended indefinitely effective 2/7/2004

Suspended indefinitely effective 10/18/2001

23096

DC21107

Suspended indefinitely effective 9/18/2002

Ten-digit NPI numbers were assigned to the specific provider at the time of suspension and may be transferable to new owners. It is suggested that a thorough name search be conducted.

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Chiropractor
Rodrigues, Paul Jorge 11245 183rd St. Apt. #267 Cerritos, CA Rodriguez, Consuelo P.O. Box 4916 El Monte, CA Rogers, Guy A. 15200 Sunnybank Ave. Bakersfield, CA Rogers, Robert 7246 Lotus Way Aptos, CA Rogers, Thomas C. 2625 W. Orion Ave. #1 Santa Ana, CA Rose, Lorraine B. 6212 Tunney Ave. Reseda, CA Rosenfeld, Jeffrey B. 3435 Ocean Park Dr. Ste. #206 Los Angeles, CA Rosenthal, Larry M. 823 S. Orange Grove Los Angeles, CA Rothman, Laura L. aka: Lee, Reya P.O. Box 1558 Arroyo Grande, CA Royal, Don C. 2100 Westcliff Dr. Ste. #8 Newport Beach, CA Ruiz, Henry S. 815 W. Palmdale Blvd. Palmdale, CA Ruiz, Henry Soliz DC18712 dba: Marine Health Center Rex Therapy 15020 Hawthorne Blvd. Ste. G Lawndale, CA 16837 22831

Provider Numbers
00021107 Suspended indefinitely effective 2/27/2009

Chiropractor
Russell, Michael D. c/o 6442 Platt Ave. West Hills, CA Sabel, Larry A. P.O. Box 439 Lumberton, New Jersey Sackett, Maurice F. aka: Maurice F. Koukeh 409 Nottingham Dr. Redlands, CA Sahrab, Neda 2855 Pine Creek Dr. Costa Mesa, CA Sainten, Adrienne C. 2287 Washington Ave. San Leandro, CA Sakalis, Gregory H. 2505 Canada Blvd. Ste. #2 Glendale, CA Salomons, Rudy 3156 Wilshire Blvd. Los Angeles, CA Sanchez, Jorge G. 8726 Imperial Highway Downey, CA Sargent, John 4117 Redondo Beach Blvd. Lawndale, CA Schartman, Allyson C. 12707 High Bluff Dr. San Diego, CA Schauer, Michele Ruth 3981 18th St. San Francisco, CA Schiller, Christine M. aka: Christine S. Palitz c/o 10551 La Rosa Cir. Fountain Valley, CA Schleicher, Kyle 710 Wilshire Blvd. Ste. #314 Santa Monica, CA

Provider Numbers
Suspended indefinitely effective 10/7/1997 DC-13864 Suspended indefinitely effective 12/18/2003 Suspended indefinitely effective 11/9/1994

Suspended indefinitely effective 4/6/1997 Suspended indefinitely effective 2/12/1995 Suspended indefinitely effective 1/20/2002 Suspended indefinitely effective 12/20/1998

Suspended indefinitely effective 8/12/1996 H-09-40105-4 Suspended indefinitely effective 7/20/2009 Suspended indefinitely effective 10/11/2006

20379

Suspended indefinitely effective 4/20/1999 Suspended indefinitely effective 3/14/1996

DC0072750

Suspended indefinitely effective 10/26/1984 Suspended indefinitely effective 4/5/2000 Suspended indefinitely effective 1/5/1997

Suspended indefinitely effective 4/19/2001 Suspended indefinitely effective 10/18/2001

20769

DC0165070

Suspended indefinitely effective 12/12/1996

Suspended indefinitely effective 12/20/1999 22457 Suspended indefinitely effective 4/17/2007 Suspended indefinitely effective 6/20/2000

Suspended indefinitely effective 1/5/1997 Suspended indefinitely effective 8/22/2003

00021121

DC0214990

Suspended indefinitely effective 4/23/1997

Ten-digit NPI numbers were assigned to the specific provider at the time of suspension and may be transferable to new owners. It is suggested that a thorough name search be conducted.

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Chiropractor
Schluter, Lyle C.A. 108 Mendocino Pl. Ukiah, CA Schoenhoeft, Joseph CDC # P87112 P.O. Box 3030 Susanville, CA Schow, Kenneth M. 21521 Brookhurst St. Huntington Beach, CA Schroeder, Paul F. 720 E. Bullard Ave. Ste. #104 Fresno, CA Scorca, Francis 39775 Paseo Padre Way Fremont, CA Scott, Clinton D. 2840 E Maraquita St. Apt. #8 Long Beach, CA Scott, John Elijah 2405 Woodvale Dr. Modesto, CA Seals, Carlos V. 2821 S. Vermont Ave. Los Angeles, CA Segota, Debra A. aka: Debra A. Hensel c/o 1254 Irvine Blvd. Ste. #100 Tustin, CA Serratos, Ernesto aka: Ernesto S. Orendain 1321 Valley View Way Crestline, CA Sessoms, Mark Desmond P.O. Box 6315 Vallejo, CA Shaffer, Jeffrey 1300 SW Campus Dr. Federal Way, WA DC0181820 B-620

Provider Numbers
Suspended indefinitely effective 6/27/1996 Suspended indefinitely effective 5/20/2002

Chiropractor
Shaffer, Steven E. 12373 Lewis St. Ste. #103 Garden Grove, CA Shaft, Bruce K. 865 Leyland Dr. Diamond Bar, CA Shahrestani, Shahriar 150 Circulo Robel Anaheim, CA Shami, Fethi Y. 101 N. La Brea Ave. Ste. #300 Inglewood, CA Shanefelter, Charles, III 18982 Bonnet Way Saratoga, CA Shanley, Nisha Denise 5420 Carlsbad Blvd. Carlsbad, CA Shapiro, Michael 23120 W. Lyon Ave. #5103 Newhall, CA

Provider Numbers
Suspended indefinitely effective 9/20/1998

DC22463

Suspended indefinitely effective 3/10/2003 Suspended indefinitely effective 1/27/1999 Suspended indefinitely effective 6/1/2001

Suspended indefinitely effective 12/9/1996 Suspended indefinitely effective 12/30/2001

DC0196010

DC-23368

14230

Suspended indefinitely effective 5/11/2006 Suspended indefinitely effective 1/19/2005

Suspended indefinitely effective 5/4/1995 18950 Suspended indefinitely effective 2/10/2005 Suspended indefinitely effective 6/27/1996

7169

DC0175800 DC0175801

Suspended indefinitely effective 8/20/1998 Suspended indefinitely effective 6/1/2001 Suspended indefinitely effective 8/20/2000

DC-16052

00021501

Sheehy, Daniel J. 20400 17454 Deerhill Rd. Middletown, CA And 1441 6th St. Coachella, CA And 67555 E. Palm Canyon Dr. Ste. F114 Cathedral City, CA Shirzad, Medhi 8833 Monterey Rd. Ste. J Gilroy, CA Shouka, Mohammed 1025 Mt. Vernon Ave. Ste. A Colton, CA DC0207900

Suspended indefinitely effective 11/18/2004

DC0199810

Suspended indefinitely effective 6/10/1996

Suspended indefinitely effective 9/20/1998

DC-19982

Suspended indefinitely effective 6/21/2002 Suspended indefinitely effective 6/9/2001

Suspended indefinitely effective 3/14/1996

DC23463

Ten-digit NPI numbers were assigned to the specific provider at the time of suspension and may be transferable to new owners. It is suggested that a thorough name search be conducted.

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Chiropractor
Siegler, Michael Lawrence 11692 Belleville Way Sunnyvale, CA Sim, Christopher Hyungkeun 20900 Homestead Rd. Ste. #E8 Cupertino, CA Sim, Tom Hyangkeun 3131 Homestead Rd. Ste. #7E Santa Clara, CA Simmons, Lester Alwyn 2301 Dartmouth Pl. El Dorado Hills, CA Simon, Cathy L. aka: Simon, Catherine L. 14 Kara Ct. Aliso Viejo, CA Simon, Greg L. 25959 Summer Hill Ct. Murieta, CA Simon, Michelle R. 1333 S. Thousand Oaks Blvd. Thousand Oaks, CA Sivas, Edward Daniel 14074 Monte Verde Rd. Apple Valley, CA Skower, Haynes 905 G St. Marysville, CA Slavin, Mark B. 11912 Silver Crest St. Moorpark, CA Slusher, James Richard 1182 S.E. Bristol St. Santa Ana Heights, CA Slusher-Maroudas, Patricia L. 8010 Wayland Ln. Ste. #1B Gilroy, CA DC12058 DC0122800

Provider Numbers
DE17243 Suspended indefinitely effective 11/18/2002 Suspended indefinitely effective 1/19/2006

Chiropractor
Smiley, James Dwight 2005 Devereux Dr. Burlingame, CA Smith Buddingh, Susanne E. 4455 Torrance Blvd. #610 Torrance, CA

Provider Numbers
DC0181890 Suspended indefinitely effective 9/20/2000 Suspended indefinitely effective 11/20/2001

25931

DC15593

26928

Suspended indefinitely effective 12/9/2004

Smith, Jessica DC0162120 10000 E. Imperial Highway Downey, CA Smith, Robert L. 129 Felix Dr. Ojai, CA Smith, Rusty A. Star Route Box 255 Santa Barbara, CA Smith, Stacey D. 29500 Heathercliff Rd. Malibu, CA Smith, Thomas Patrick 2050 W. Chapman Ave. Ste. #110 Orange, CA Snavely, Daniel H. 32221 Camino Capistrano #B106 San Juan Capistrano, CA Snow, Eddie S. 2587 Charleston St. Oakland, CA Solum, Jim D. 1167 N. Orange Grove Ave. Los Angeles, CA Son, Won-Joon 5530 Cascade Way Ste. E Buena Park, CA Soto, Mario J. 3883 North Palm Ave. Fresno, CA Stalker, James W. 210 Reflections Dr. #21 Fresno, CA 15399 29879 DC-13874 DC0178260

Suspended indefinitely effective 1/5/1997 Suspended indefinitely effective 1/14/1998 Suspended indefinitely effective 11/19/1998 Suspended indefinitely effective 7/20/2000 Suspended indefinitely effective 5/15/2004

16521

Suspended indefinitely effective 9/20/2000 Suspended indefinitely effective 9/20/2001

DC22857

Suspended indefinitely effective 12/9/1996 Suspended indefinitely effective 9/10/1996

T18618

Suspended indefinitely effective 3/20/2001 Suspended indefinitely effective 6/20/2001 Suspended indefinitely effective 08/20/2000 Suspended indefinitely effective 6/18/2001 Suspended indefinitely effective 4/20/2006

Suspended indefinitely effective 9/10/2003

/19992

DC12281

Suspended indefinitely effective 11/20/2005 Suspended indefinitely effective 2/19/1998 Suspended indefinitely effective 3/8/2007

20796

Suspended indefinitely effective 1/18/2001 Suspended indefinitely effective 12/6/2001

Ten-digit NPI numbers were assigned to the specific provider at the time of suspension and may be transferable to new owners. It is suggested that a thorough name search be conducted.

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Chiropractor
Stalker, James W. 7450 San Ramon Rd. Dublin, CA Stanbridge, Gary 13815 Mystic St. Whittier, CA Starace, William J. 4422 N. Pershing Ave. #D-9 Stockton, CA Starrett, Scott Douglas 167 Flying Cloud Isle Foster City, CA Stasko, Edward G. 21861 Kiowa Ln. Huntington, CA Stauffer, Kelly J. 2235 California St. Apt. #229 Mountain View, CA Steinfeld, Audrey G. 9018 Balboa Blvd. Ste. #142 Northridge, CA Stern, Kenneth H. 2206 Balboa Ave. Pacific Beach, CA Stewart, Jeannine L. 2814 Newport Blvd. Newport Beach, CA Stickle, John Daniel aka: Dan Stickle c/o 240 Beach Pines Dr. Aptos, CA Stiga, John Patrick 1816 Tully Rd. Ste. #225 San Jose, CA Stone Chiropractic 193 Penton Center Way San Leandro, CA DC-15044 DC0218120 23377

Provider Numbers
Suspended indefinitely effective 5/16/1995 Suspended indefinitely effective 1/19/2005 Suspended indefinitely effective 4/18/2002

Chiropractor
Stone, Steven 14305 Bancrofft Ave. #5 San Leandro, CA Strohbach, Robert I. 9673 A Sierra Ave. Fontana, CA Stromlund, Vicki 6628 Graham Cir. Citrus Heights, CA Studer, Jonathan 3076 Union Ave. San Jose, CA Sullivan, John Neil 15030 Imperial Highway Ste. A La Mirada, CA Sullivan, Joseph C. 525 S. Shelton Ave. #210 Burbank, CA Sutton, Brian L. 27142 Galvez Ln. Mission Viejo, CA Szabo, Stephanie 2336 Newhall St. San Jose, CA Tardaguila, Gregory S. 23604 Crenshaw Blvd. Torrance, CA Taymoori, Zahra N. aka: Taymoori, Nasrin Zahra 16661 Ventura Blvd. #826 Encino, CA Tchakalian, Leon J. 3960 Glenridge Dr. Sherman Oaks, CA

Provider Numbers
Suspended indefinitely effective 12/19/1995

DC18969

Suspended indefinitely effective 2/7/2004 Suspended indefinitely effective 8/4/1997

23996

DC18654

Suspended indefinitely effective 8/8/2005 Suspended indefinitely effective 4/6/1997 Suspended indefinitely effective 7/20/2000

DC0186610

Suspended indefinitely effective 8/18/1994 Suspended indefinitely effective 5/9/2007

20809

Suspended indefinitely effective 5/6/1996

Suspended indefinitely effective 9/23/2002

Suspended indefinitely effective 12/9/1996 Suspended indefinitely effective 12/20/1998 DC-19629 Suspended indefinitely effective 6/23/2004 Suspended indefinitely effective 9/20/2004

DC-22864

Suspended indefinitely effective 1/15/2003 Suspended indefinitely effective 12/9/1996 Suspended indefinitely effective 5/20/2001

DC0165420

21820

Suspended indefinitely effective 7/5/2002

23386

Suspended indefinitely effective 10/18/2001

Suspended indefinitely effective 3/14/1996

Ten-digit NPI numbers were assigned to the specific provider at the time of suspension and may be transferable to new owners. It is suggested that a thorough name search be conducted.

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Chiropractor Provider Numbers
Suspended indefinitely effective 2/27/2002

Chiropractor
Tyan, Er-Gan dba: Tyan Chiropractic, Inc. 328 N. Garfield Ave. Ste. D Monterey Park, CA Tyler, John R. 1304 W. Foothill Blvd. Rialto, CA Uchibori, Bert Harumi P.O. Box 552 Penngrove, CA Ummach-Calomino, Jude L. P.O. Box 5252 San Clemente, CA Urdea, Judith P.O. Box 2641 Costa Mesa, CA Usher, Yvonne Irene 550 River Glen Dr. #91 Napa, CA Vacco, Ralph Robert 425 W. 5th Ave. Ste. #104 Escondido, CA Vafaee, Mohammadali Amir 214 26th St. Santa Monica, CA and 11819 Wilshire Blvd. Ste. #209 Los Angeles, CA Vaishvila, Gail A. 2521 34th St. Santa Monica, CA Van Gorder, Kurt F. 40250 Starling St. Temecula, CA

Provider Numbers
26821/2196 Suspended indefinitely effective 4/9/2007

Tefft, Gregory H. DC17842 23961 Calle De La Magdena #429 Laguna Hills, CA Terides, Michael A. 4610 Garnet St. Capitola, CA Thompson, Steven P. 43 Paradise Rd. Castroville, CA Thornton, James 251 Willow Valley Rd. #1 Nevada City, CA Todd, Carolyn A. aka: Carolyn A. Crocevera 707 - 17 Mile Dr. Pacific Grove, CA Tolman, Eric Scott 1497 W. Yosemite Ave. Manteca, CA Tran, Binh Van 13411 Coast St. Garden Grove, CA Tran, Ngoc Hoai 18700 Sherman Way # 114 Reseda, CA Tropeano, Raymond 3772 Katella Ave. #205 Los Alamitos, CA Turk, Harold Elliot 17525 Ventura Blvd. Encino, CA Tutashinda, Kweli 3358 Adeline St. Berkeley, CA Tuttle, Eugene C., D.C. Eureka, CA 27180 21143

Suspended indefinitely effective 10/20/2003 Suspended indefinitely effective 11/30/2000 Suspended indefinitely effective 5/4/1995

Suspended indefinitely effective 7/20/1998 DC17517 Suspended indefinitely effective 12/31/2002 Suspended indefinitely effective 11/20/2001

20017

Suspended indefinitely effective 2/12/1995

16942

Suspended indefinitely effective 12/20/2006 Suspended indefinitely effective 9/13/2007

Suspended indefinitely effective 3/24/2005 Suspended indefinitely effective 6/1/2001 Suspended indefinitely effective 4/30/2007

26938

DC-25939

DC0215420

24236

Suspended indefinitely effective 12/20/1998

24646

DC0165640

Suspended indefinitely effective 4/20/2000

Suspended indefinitely effective 1/19/2005

DC25632

Suspended indefinitely effective 3/10/2003 Suspended indefinitely effective 7/19/2007 Suspended indefinitely effective 1/21/1981

00020019

20825

Suspended indefinitely effective 6/20/2000 Suspended indefinitely effective 9/1/1994 (old date)

DC0089830

Ten-digit NPI numbers were assigned to the specific provider at the time of suspension and may be transferable to new owners. It is suggested that a thorough name search be conducted.

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Chiropractor
Van Gorder, Kurt Fridhjof 40250 Starling St. Temecula, CA Van Olphen, Anneka 7716 Eureaka Ave. El Cerrito, CA VanRensselaer, Jeffrey Alan 23361 El Toro Rd. Ste. #103 Lake Forest, CA Vardanian, Michael 537 Via Cobo Fullerton, CA Vessels, Steven L. 11584 Nelson St. Loma Linda, CA Vessey, Ned S. 923 N. Santa Anita Ave. Arcadia, CA Vissers, Michael J. 199 Main St. Brawley, CA Volpato, Ronald N. 11576 Meridian Rd. Chico, CA Vought, Raymond J. 2045 Royal Ave. #102 Simi Valley, CA Vu, Giang H. aka: Giang Hoang Vu 310 S. Lyn Haven Anaheim, CA Wagoner, Ira J. 820 Seaspray Ln. #211 Foster City, CA Wagoner, Ira Joseph 363 Torino Dr. Ste. #4 San Carlos, CA DC-20830 DC20436 U22074

Provider Numbers
22222 Suspended indefinitely effective 1/24/2005 (new date) Suspended indefinitely effective 10/10/1995 Suspended indefinitely effective 2/19/1998

Chiropractor
Walls-Fenwick, Jan D. 2656 W. 5th St. San Bernardino, CA Walsh, John Francis P.O. Box 213 Tahoe City, CA Walsh, Richard J. 300 E. Santa Clara St. Ventura, CA Warner, Richard A. 2901 Ocean Park Blvd. Ste. #207 Santa Monica, CA

Provider Numbers
Suspended indefinitely effective 12/9/1996 25819 Suspended indefinitely effective 12/15/2006 Suspended indefinitely effective 4/9/1996 DC15734 Suspended indefinitely effective 12/20/2000

Suspended indefinitely effective 12/9/1996 Suspended indefinitely effective 12/9/1996 Suspended indefinitely effective 7/20/2000 Suspended indefinitely effective 9/24/1998 Suspended indefinitely effective 5/12/1999 Suspended indefinitely effective 6/17/2002

Wassif, Anthony A. DC0259960 dba: North Hills Therapy dba: Reseda Chiropractic and Health Therapy Massage dba: La Brea Health Therapy dba: Sunset Therapy dba: Sunset Therapy Oriental Massage 8750 Sepulveda Blvd. Ste. #C6 North Hills, CA Waterman, E. Mark D.C. Chiropractic Corporation 689 W. Foothill Blvd. Ste. C Claremont, CA Weathersby, Leon P., Jr. aka: Leon Patrick Weathersby, Jr. 18083 Chieftain Ct. San Diego, CA Wedemeyer, Ronald A. 201 New Stine Rd. #120 Bakersfield, CA Weisman, Annette F. 3609 N. Old Stage Rd. Mount Shasta, CA Weiss, Gwenn M. 10630 Carver Dr. Cupertino, CA 22887

Suspended indefinitely effective 10/07/2002

DC0212060

Suspended indefinitely effective 6/20/2000

DC-11528

Suspended indefinitely effective 1/20/2008

DC0231360

Suspended indefinitely effective 8/19/1999

Suspended indefinitely effective 5/16/1995

Suspended indefinitely effective 2/20/2000

Suspended indefinitely effective 8/19/1999 Suspended indefinitely effective 2/12/1995

Suspended indefinitely effective 6/28/2002

Ten-digit NPI numbers were assigned to the specific provider at the time of suspension and may be transferable to new owners. It is suggested that a thorough name search be conducted.

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Chiropractor
West, Emmett 5479 Abbeyfield St. #6 Long Beach, CA Westing, Denise 2816 Central Ave. Alameda, CA Wexler, Harold Mark 20004 Septo St. Chatsworth, CA White, Judith U. aka: Judith A. Urdea 1835 Newport Blvd. Costa Mesa, CA Whitney, Charles Leslie, II 6602 Kings Crown Rd. Orange, CA Whittlesey, James B. 2055C Novato Blvd. Novato, CA Wieberdink, Kip Edward 2418 S. Azusa Ave. Ste. A West Covina, CA Wies, David L. 1245 Center Court Dr. Westlake Village, CA Wignall, Joleen P. 1231 Stevenson Ave. Calistoga, CA Williams, Duane A. 2735 Jefferson St. Livermore, CA Williams, Russell C. 143 Inyo Ct. Vacaville, CA Wilson, Joanne Elaine 2551 San Ramon Valley Blvd. #108 San Ramon, CA 24666 25823 DC0125760

Provider Numbers
11532 Suspended indefinitely effective 7/03/2004

Chiropractor
Wolf, Jason Ernie Mount Gleason CC #16 26650 N. Angeles Forest Highway Palmdale, CA Wong, Danny 965 N. Marview Ave. Los Angeles, CA Wong, John Barry 18107 Sherman Way #200 Reseda, CA Woo, Ming Jey 11645 Wilshire Blvd. Ste. #120 Los Angeles, CA

Provider Numbers
24670 Suspended indefinitely effective 10/12/2007

Suspended indefinitely effective 6/1/1995 Suspended indefinitely effective 1/03/2001 Suspended indefinitely effective 11/16/1995

DC21567

Suspended indefinitely effective 5/24/2001 Suspended indefinitely effective 12/18/2003

DC-22212

DC0169420

25828

DC20035

Suspended 10/20/99 for 20 years Suspended indefinitely effective 12/4/1994 Suspended indefinitely effective 3/29/2002

Suspended indefinitely effective 4/9/2007

DC0182650

DC-21560

Wood, Jeffrey Allen 23408 aka: Wood, Jeff aka: Crowder, Jeffrey Allen aka: Wood, Jeff Allen aka: Wood, Jeffrey A. aka: Woods, Jeff 4905 Pelican Hill Dr. Bakersfield, CA Worth, Kelly 2105 N. Main St. Anaheim, CA Wright, Larry A. 975 E. Ave. Apt. #204 Chico, CA Wright, Letitia S. 10621 Civic Center Dr. Ste. H Rancho Cucamonga, CA Wu, David C. 1831 Ocean Ave San Francisco, CA Wu, Vincent Jui-Hsuan 210 N. Garfield Ave. Ste. #201 Monterey Park, CA DC0228980

Suspended indefinitely effective 11/2/2006

Suspended indefinitely effective 5/6/1996 Suspended indefinitely effective 9/10/2007 Suspended indefinitely effective 1/5/1997 Suspended indefinitely effective 10/20/1999 Suspended indefinitely effective 12/15/2006

Suspended indefinitely effective 5/6/1997 Suspended indefinitely effective 3/18/1999

Suspended indefinitely effective 9/20/1998

DC24868 SAT5976 COR2369 21837

Suspended indefinitely effective 4/28/2008 Suspended indefinitely effective 4/27/2006

Ten-digit NPI numbers were assigned to the specific provider at the time of suspension and may be transferable to new owners. It is suggested that a thorough name search be conducted.

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Chiropractor
Yoder, Kyle J. 1433 Mitchell Way Redwood, CA Young, David P. 37092 Main St. Burney, CA Zaccaglini, Anthony B. 22400 Barton Rd. Apt. #20 Grand Terrace, CA

Provider Numbers
20046 Suspended indefinitely effective 2/20/2002 Suspended indefinitely effective 10/13/2006 Suspended indefinitely effective 1/20/1999

Chiropractic Center
Deirdre J. Little Chiropractic 674 Via De La Valle St. Solana Beach, CA Downtown Chiropractic 707 State St. El Centro, CA GAH Chiropractic Center 451 W. Lincoln Ave. #251 Anaheim, CA Guyer Chiropractic 809 College Ave. Santa Rosa, CA Suspended indefinitely effective 12/20/2001 Heineken Chiropractic 214 Avenue Delmar Ste. A San Clemente, CA Inland Valley Chiropractic 10064 Citrus Ave. Ste. C Fontana, CA Jerold R. Ford Chiropractic 1208 Floyd Ste. D11 Modesto, CA Joseph E. Cobbs Chiropractic Corp. 4861 Convoy St. San Diego, CA Joseph Haeckel Chiropractic 752 1st St. Gilroy, CA Lamb Chiropractic 420 Morris St. Sebastopol, CA Livermore Chiropractic and Wellness Center 370 S. Livermore Ave. Ste. B Livermore, CA

Provider Numbers
Suspended indefinitely effective 7/20/1999 Suspended indefinitely effective 1/20/2002 Suspended indefinitely effective 7/18/2002

26525

Chiropractic Center
Arroyo Chiropractic 717 Grand Ave. #B Arroyo Grande, CA Bartlett Chiropractic 538 Orange St. Redlands, CA Calomino Family Chiropractic 418 N. El Camino Real Ste. B San Clemente, CA Coastal Industrial Health Care 3701 Stocker St. Ste. #309 Los Angeles, CA Cole Chiropractic 22140 Ventura Blvd. Woodland Hills, CA Cure House Chiropractic Center Ahmad, Assem H. (Owner) 2103 Lincoln Ave. Ste. D San Jose, CA Davisson Chiropractic 1807 Jefferson St. Ste. A Napa, CA

Suspended indefinitely effective 11/20/2001 Suspended indefinitely effective 5/20/1999

Suspended indefinitely effective 5/20/1999 Suspended indefinitely effective 3/20/2002

Suspended indefinitely effective 11/20/2001

Suspended indefinitely effective 5/20/1999

Suspended indefinitely effective 12/20/1999

1927

Suspended indefinitely effective 8/20/2003

Suspended indefinitely effective 04/20/2000 Suspended indefinitely effective 9/20/2001

Suspended indefinitely effective 7/20/1999 Suspended indefinitely effective 5/20/1999 Suspended indefinitely effective 10/18/2001

Suspended indefinitely effective 5/20/1999

Ten-digit NPI numbers were assigned to the specific provider at the time of suspension and may be transferable to new owners. It is suggested that a thorough name search be conducted.

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Chiropractic Center
Ohun Kwon Chiropractic Inc. 19123 Bloomfield Ave. Cerritos, CA Optimum Health Chiropractic 30111 Niguel Rd. Ste. D Laguna, CA Pacific Family Clinic, Inc. 1101 N. Pacific Ave. #103 Glendale, CA Progressive Health Chiropractic 530 W. Vista Way Vista, CA Richard Clark Chiropractic 5055 N. Harbor Dr. San Diego, CA Shaw Avenue Chiropractic 3025 W. Shaw Ave. Ste. #103 Fresno, CA Sheri Lahaie Chiropractic 697 Meno Ave. Menlo Park, CA Stockton Chiropractic Center 4422 N. Pershing Ave. #D-9 Stockton, CA Straight Chiropractic 1850 E. 17th St. Ste. #102 Santa Ana, CA Summit Chiropractic 3400 Bechelli Ln. Ste. A Redding, CA Todd Kaufmann Chiropractic 520 Tamalpias Dr. San Francisco, CA William T. Bunting Chiropractic 256 N. Highway 101 Encinitas, CA

Provider Numbers
25312531 Suspended indefinitely effective 9/18/2008

Chiropractic Clinic
Bologna, Paul J. 1234 Howard Ave. Burlingame, CA Chiro Acu Center 11972 Gary St. Garden Grove, CA Community Chiropractic 455 Los Gatos Blvd. #107 Los Gatos, CA Costa Mesa Chiropractic Clinic 316 N. Cedar St. #7 Glendale, CA Island Chiropractic 2316 Central Ave. Alameda, CA Keoshian, Craig c/o Town Center Chiropractic 24510 Town Center Dr. Ste. #230 Valencia, CA Low Back Pain Clinic 2345 Erringer Rd. Ste. #210 Simi Valley, CA Marin Chiropractic, Inc. attn: Marin, Melody 7301 Sepulveda Blvd. Ste. #3 Van Nuys, CA Pain Relief Medical Center attn: Marin, Melody 7301 Sepulveda Blvd. Ste. #3 Van Nuys, CA Weathersby, Leon, D.C. A Professional Corp. 886 W. Foothill Blvd. Ste. E Upland, CA

Provider Numbers
22290 Suspended indefinitely effective 7/5/2005 Suspended indefinitely effective 8/20/2003 Suspended indefinitely effective 8/20/2006

Suspended indefinitely effective 11/20/2001

Suspended indefinitely effective 11/20/2001

Suspended indefinitely effective 10/20/2004

Suspended indefinitely effective 11/20/2001 Suspended indefinitely effective 4/20/2000 Suspended indefinitely effective 9/20/1999

Suspended indefinitely effective 8/20/2006 17303 Suspended indefinitely effective 3/20/2006

Suspended indefinitely effective 5/20/1999 Suspended indefinitely effective 1/20/2003

Suspended indefinitely effective 4/20/2004

Suspended indefinitely effective 3/20/2005

Suspended indefinitely effective 8/20/2001

Suspended indefinitely effective 3/20/2005

Suspended indefinitely effective 10/18/2001

Suspended indefinitely effective 7/20/1999 Suspended indefinitely effective 5/20/1999

Suspended indefinitely effective 1/20/2008

Ten-digit NPI numbers were assigned to the specific provider at the time of suspension and may be transferable to new owners. It is suggested that a thorough name search be conducted.

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Chiropractic Assistant
Stanbridge Chiropractic 7007 Washington Ave. #200 Whittier, CA Sunshine Chiropractic Clinic 266 N. Jackson Ave. Ste. #6 San Jose, CA Shvartsburd, Paul c/o Volunteers of America 650 11th Ave. San Diego, CA Suspended indefinitely effective 7/20/2005

Suspended indefinitely effective 6/19/2003

Suspended indefinitely effective 7/20/2003

Ten-digit NPI numbers were assigned to the specific provider at the time of suspension and may be transferable to new owners. It is suggested that a thorough name search be conducted.

1 – Medi-Cal Suspended and Ineligible Provider List October 2009


				
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