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Your Search Results
Health Plan: HMO** Provider Type: Primary Care Physicians
You searched by: State: CA County: VENTURA
May 19, 2008
Jones, Christina K., MD Provider ID: 448237 REGAL MEDICAL GROUP-LA (HPN)
Camarillo, CA 422 Arneill Road SEAVIEW IPA Smyle, Bernard A., MD
Network 224 Suite B Santini, Brian Scott, MD 3901 Las Posas Road
Camarillo, CA 93010 422-B Arneill Road Suite 105
(805) 383-4510 Camarillo, CA 93010 Camarillo, CA 93010
Family Practice (805) 383-4510 (805) 383-7338
Provider ID: 426679 Provider ID: 306110
SEAVIEW IPA Provider ID: 770985
SEAVIEW IPA
Arnold, Christopher Duane, DO Lasher, Michael Eric, DO SEAVIEW IPA Fillmore, CA
2438 North Ponderosa Drive 5051 Verdugo Way Siu, Patrick, MD Network 224
Camarillo, CA 93012 422 Arneill Road
Suite 213
(805) 384-8071 Camarillo, CA 93010
Camarillo, CA 93010 Family Practice
(805) 383-4510
(805) 383-0647 SEAVIEW IPA Provider ID: 851017
Lasher, Michael Eric, DO Provider ID: 067963 REGAL MEDICAL GROUP -
Provider ID: 619517
SEAVIEW IPA 5051 Verdugo Way SEAVIEW IPA VENTURA
Bai, Brian, MD Suite 100 Walters, John Ramsay, MD Anees, Nasr Nagi, MD
5051 Verdugo Way Camarillo, CA 93012 2460 North Ponderosa Drive North 355 Central Avenue
Suite 100 (805) 384-8071 Suite A100 Fillmore, CA 93015
Camarillo, CA 93012 Camarillo, CA 93010 (805) 524-4926
SEAVIEW IPA (805) 482-4543
(805) 384-8071 Pluche, Lynn Steven, MD Provider ID: 701860
400 Mobil Avenue REGAL MEDICAL GROUP -
Provider ID: 067985 Suite C-2 Pediatrics
SEAVIEW IPA VENTURA
Dugger, Walter Ross, MD Camarillo, CA 93010 Provider ID: 527053 Bautista, Luis G., MD
4934 Verdugo Way (805) 445-3310 REGAL MEDICAL GROUP - 427 Central Avenue
Camarillo, CA 93012 VENTURA Fillmore, CA 93015
Provider ID: 067951 Ananda, Kumar, MD (805) 524-0777
(805) 484-0095 SEAVIEW IPA 3901 Las Posas Road
Pluche, Lynn Steven, MD Suite 105 SEAVIEW IPA
Provider ID: 896192 3801 East Las Posas Road Bundy, Logan K., MD
SEAVIEW IPA Camarillo, CA 93010
Dyer, Jeffrey J., MD Suite 214 533 Sespe Avenue #B
(805) 383-7338
5051 Verdugo Way Camarillo, CA 93010 Fillmore, CA 93015
Camarillo, CA 93012 (805) 445-3310 Provider ID: 067956 (805) 524-6700
(805) 384-8071 SEAVIEW IPA
Internal Medicine Ananda, Kumar, MD Provider ID: 388095
SEAVIEW IPA 3901 Las Posas Road SEAVIEW IPA
Dyer, Jeffrey J., MD Lieb, Gary, MD Suite 105 Bundy, Logan K., MD
5051 Verdugo Way 2620 East Las Posas Road Camarillo, CA 93010 545 Sespe Avenue
Suite 100 Camarillo, CA 93010 (805) 383-7338 Fillmore, CA 93015
Camarillo, CA 93012 (805) 383-2100 (805) 524-6700
(805) 384-8071 Provider ID: 108322
SEAVIEW IPA SEAVIEW IPA Provider ID: 147292
Provider ID: 708438 Lipper, Bennet L., MD Rao, Monisha, MD VALLEY CARE PHYSICIANS IPA
SEAVIEW IPA 2486 Ponderosa Drive 2438 Ponderosa Drive North Bundy, Logan K., MD
Fouad, Hany C., MD Suite D205 Suite C209 545 Sespe Avenue
422 Arniell Road Camarillo, CA 93010 Camarillo, CA 93010 Fillmore, CA 93015
Suite A (805) 482-4543 (805) 482-0721 (805) 524-6700
Camarillo, CA 93010
Provider ID: 107746 Provider ID: 067970 Provider ID: 419888
(805) 482-1282 SEAVIEW IPA
SEAVIEW IPA SEAVIEW IPA
Lyons, Harvey David, MD Sharma, Surekha, MD Hakansson, Mikael, MD
Provider ID: 497306
REGAL MEDICAL GROUP - 422 Arneill Road 2438 Ponderosa Drive North 533 Sespe Avenue
VENTURA Suite B Suite C209 Suite C
Fung, Wilson, MD Camarillo, CA 93010 Camarillo, CA 93010 Fillmore, CA 93015
2438 Ponderosa Drive North (805) 482-1282 (805) 482-0721 (805) 524-2749
Suite C101
Camarillo, CA 93010 Provider ID: 105649 Provider ID: 697626 Provider ID: 374320
SEAVIEW IPA REGAL MEDICAL GROUP - VALLEY CARE PHYSICIANS IPA
(805) 484-1190 Hakansson, Mikael, MD
Nathan, Sudha R., MD VENTURA
Provider ID: 373995 3687 Las Posas Road Smyle, Bernard A., MD 533 Sespe Avenue
SEAVIEW IPA Suite H-187 3901 Las Posas Road Suite C
Gorman, Lenna G., MD Camarillo, CA 93010 Suite 105 Fillmore, CA 93015
3801 Las Posas Road (805) 445-4189 Camarillo, CA 93010 (805) 524-2749
Suite 106A (805) 383-7338
Camarillo, CA 93010
(805) 482-1416
Note: Please refer to www.aetna.com for specific state legal disclaimer information.
* This specialist has been designated for Aexcel®. If the specialist name is followed by a future effective or future end date, this indicates the date
when the specialist Aexcel designation begins or ends.
** As of the date indicated, this provider has elected not to participate in Aexcel®.
# Provider may participate with Aetna through an agreement that Aetna has with a vendor. The provider may not be directly contracted with Aetna,
and, consequently, not credentialed by Aetna. Providers available through these vendors are only subject to the credentialing requirements, if any, of
the vendor. If you should have any questions, contact Aetna Member Services.
Please see DocFind online for additional information about these and other providers.
2
Your Search Results
Health Plan: HMO** Provider Type: Primary Care Physicians
You searched by: State: CA County: VENTURA
May 19, 2008
Provider ID: 322430 Provider ID: 510100 Provider ID: 639380 Provider ID: 148229
SEAVIEW IPA REGAL MEDICAL GROUP - REGAL MEDICAL GROUP - OJAI VALLEY COMMUNITY MED.
Johnston, Christine M., MD VENTURA VENTURA GRP. INC
828 Ventura Street Miller, Jeffrey Dean, MD Koe, Steven R., MD Hartenstein, Kenneth M., MD
Suite 100 35 West Los Angeles Avenue 558 North Ventu Park Road 1320 Maricopa Hwy.
Fillmore, CA 93015 Moorpark, CA 93021 Suite A Suite F
(805) 524-2000 (805) 529-4624 Newbury Park, CA 91320 Ojai, CA 93023
(805) 375-1614 (805) 646-4313
Provider ID: 147296
VALLEY CARE PHYSICIANS IPA Newbury Park, CA COMMUNITY MED. GRP. OF THE Provider ID: 148236
Johnston, Christine M., MD Network 224 WEST VAL OJAI VALLEY COMMUNITY MED.
828 Ventura Street Koe, Steven R., MD GRP. INC
Suite 100 558 North Ventu Park Road Nelson, Douglas Keith, DO
Family Practice Suite A 1202 Maricopa Hwy.
Fillmore, CA 93015
(805) 524-2000 Provider ID: 108356 Newbury Park, CA 91320 Suite C
COMMUNITY MED. GRP. OF THE (805) 375-1614 Ojai, CA 93023
Provider ID: 542189 WEST VAL (805) 640-0068
SEAVIEW IPA Su, Weiyang Stanley, MD
Menchaca, Raymond M., MD 1000 Newbury Road
Ojai, CA Provider ID: 446209
852 Ventura Street Suite 115 Network 224 OJAI VALLEY COMMUNITY MED.
Fillmore, CA 93015 Newbury Park, CA 91320
GRP. INC
(805) 524-2672 Petroff, Helen, MD
(805) 375-1611 Family Practice 1202 Maricopa Hwy.
Provider ID: 147293 Provider ID: 809364 Provider ID: 148228 Suite C
VALLEY CARE PHYSICIANS IPA REGAL MEDICAL GROUP - OJAI VALLEY COMMUNITY MED. Ojai, CA 93023
Menchaca, Raymond M., MD VENTURA GRP. INC (805) 640-0068
852 Ventura Street Su, Weiyang Stanley, MD Dial, Mary Elizabeth, MD
Fillmore, CA 93015 558 North Ventu Park Road 117 Pirie Road Provider ID: 392372
(805) 524-2672 Suite A Suite D REGAL MEDICAL GROUP -
Newbury Park, CA 91320 Ojai, CA 93023 VENTURA
Wageneck, Robert Allen, DO
Internal Medicine (805) 375-1611 (805) 646-7246 1200 Maricopa Hwy.
Provider ID: 366575 COMMUNITY MED. GRP. OF THE Provider ID: 148231 Ojai, CA 93023
REGAL MEDICAL GROUP - WEST VAL OJAI VALLEY COMMUNITY MED. (805) 640-8293
VENTURA Su, Weiyang Stanley, MD GRP. INC
Bautista, Jose Luis, MD 558 North Ventu Park Road Gilmore, Michael J., MD Internal Medicine
427 Central Avenue Suite A 1320 Maricopa Hwy.
Fillmore, CA 93015 Newbury Park, CA 91320 Suite A Provider ID: 148212
(805) 524-0777 (805) 375-1611 Ojai, CA 93023 OJAI VALLEY COMMUNITY MED.
(805) 646-4375 GRP. INC
Buckingham, Robert, MD
Moorpark, CA General Practice 115 Pirie Road
Provider ID: 148240
Network 224 Provider ID: 433421 OJAI VALLEY COMMUNITY MED. Suite D
REGAL MEDICAL GROUP - GRP. INC Ojai, CA 93023
VENTURA Gross, Carl A., MD (805) 646-0104
Family Practice Hunt, Linda M., MD 117 Pirie Road
2080 Newbury Road Suite D Provider ID: 148235
Provider ID: 731597
REGAL MEDICAL GROUP - Newbury Park, CA 91320 Ojai, CA 93023 OJAI VALLEY COMMUNITY MED.
VENTURA (805) 499-0308 (805) 646-7246 GRP. INC
Ippolito, John M., MD McManus, Jeffery C., MD
35 West Los Angeles Avenue Provider ID: 382387 Provider ID: 148234 1320 Maricopa Hwy.
Moorpark, CA 93021 REGAL MEDICAL GROUP - OJAI VALLEY COMMUNITY MED. Suite A
VENTURA GRP. INC Ojai, CA 93023
(805) 529-4624 Halverson, James R., MD
Judd, Marc W., MD (805) 646-6406
2080 Newbury Road 117 Pirie Road
Provider ID: 888882
REGAL MEDICAL GROUP - Newbury Park, CA 91320 Suite D
VENTURA (808) 499-0308 Ojai, CA 93023
Jones, Amy Elizabeth, MD (805) 646-7246
35 West Los Angeles Avenue Internal Medicine
Moorpark, CA 93021 Provider ID: 148233
(805) 529-4624 OJAI VALLEY COMMUNITY MED.
Provider ID: 520127 GRP. INC
COMMUNITY MED. GRP. OF THE Halvorson, Maria L., DO
WEST VAL
Koe, Steven R., MD 1202 Maricopa Hwy.
1000 Newbury Road Suite C
Suite 115 Ojai, CA 93023
Newbury Park, CA 91320 (805) 640-0068
(805) 375-1611
Note: Please refer to www.aetna.com for specific state legal disclaimer information.
* This specialist has been designated for Aexcel®. If the specialist name is followed by a future effective or future end date, this indicates the date
when the specialist Aexcel designation begins or ends.
** As of the date indicated, this provider has elected not to participate in Aexcel®.
# Provider may participate with Aetna through an agreement that Aetna has with a vendor. The provider may not be directly contracted with Aetna,
and, consequently, not credentialed by Aetna. Providers available through these vendors are only subject to the credentialing requirements, if any, of
the vendor. If you should have any questions, contact Aetna Member Services.
Please see DocFind online for additional information about these and other providers.
3
Your Search Results
Health Plan: HMO** Provider Type: Primary Care Physicians
You searched by: State: CA County: VENTURA
May 19, 2008
Provider ID: 280225 Provider ID: 147293 Provider ID: 659407
Oxnard, CA REGAL MEDICAL GROUP - VALLEY CARE PHYSICIANS IPA SEAVIEW IPA
Network 224 VENTURA Menchaca, Raymond M., MD Pleitez, Jose Mauricio, MD
Isidoro-Torres, Marinor C., MD 1901 Outlet Center Drive 2100 Solar Drive
1300 North Ventura Road Suite 200 Suite 200
Family Practice Suite 6 Oxnard, CA 93036 Oxnard, CA 93036
Provider ID: 376977 Oxnard, CA 93030 (805) 981-8300 (805) 988-6114
REGAL MEDICAL GROUP - (805) 983-8810
VENTURA Provider ID: 787079 Provider ID: 108353
Arndt, Preston Walter, MD Provider ID: 646012 REGAL MEDICAL GROUP - SEAVIEW IPA
2240 Gonzales Road REGAL MEDICAL GROUP - VENTURA Reich, Thelma A., MD
Suite 100 VENTURA Moya Viamonte, Genevieve E., MD 1200 North Ventura Road
Jindani, Shilpa, MD 2240 East Gonzales Road Suite H
Oxnard, CA 93036 1200 North Ventura Road Suite 100 Oxnard, CA 93030
(805) 981-5151 Suite E Oxnard, CA 93036 (805) 983-0933
Provider ID: 309366 Oxnard, CA 93030 (805) 981-5151
REGAL MEDICAL GROUP - (805) 988-0053 Provider ID: 713260
VENTURA Provider ID: 067950 REGAL MEDICAL GROUP -
Bui, Minh (James) Q., MD Provider ID: 469533 SEAVIEW IPA VENTURA
631 Cooper Road REGAL MEDICAL GROUP - O’Hara, Robert Ross, MD Rockney, Lynn R., MD
Oxnard, CA 93030 VENTURA 2100 North Solar Drive 2240 East Gonzales Road
Johnson, Susan L., MD Suite 201 Suite 100
(805) 487-9150 2240 East Gonzales Road Oxnard, CA 93030 Oxnard, CA 93036
Provider ID: 888607 Suite 100 (805) 981-8300 (805) 981-5151
SEAVIEW IPA Oxnard, CA 93036
Bui, Minh (James) Q., MD (805) 981-5151 Provider ID: 100799 Provider ID: 108483
631 Cooper Road SEAVIEW IPA SEAVIEW IPA
Oxnard, CA 93030 Provider ID: 105570 Orozco, Abraham, MD Sherman, Adam B., DO
(805) 487-9150 SEAVIEW IPA 250 Citrus Grove Lane 532 North Ventura Road
Lin, James W., MD Suite 150 Oxnard, CA 93030
Provider ID: 147292 981 West 7th Street Oxnard, CA 93036 (805) 488-8974
VALLEY CARE PHYSICIANS IPA Oxnard, CA 93030 (805) 981-3770
Bundy, Logan K., MD (805) 486-4526 Provider ID: 830700
1901 Outlet Center Drive Provider ID: 509191 SEAVIEW IPA
Suite 200 Provider ID: 835213 REGAL MEDICAL GROUP-LA (HPN) Soliz, Josephine, MD
Oxnard, CA 93036 SEAVIEW IPA Pakala, Shilpa Reddy, MD 1100 West Gonzales Road
Lundeen, Linda, MD 2240 East Gonzales Road Suite 210
(805) 981-8300 1100 West Gonzales Road Suite 100 Oxnard, CA 93036
Provider ID: 105712 Suite 210 Oxnard, CA 93036 (805) 988-1443
SEAVIEW IPA Oxnard, CA 93036 (805) 981-5151
Chen, Donald F., MD (805) 988-1443 Provider ID: 457768
975 West 7th Street Provider ID: 403530 REGAL MEDICAL GROUP -
Oxnard, CA 93030 Provider ID: 147291 REGAL MEDICAL GROUP - VENTURA
(805) 486-5600 VALLEY CARE PHYSICIANS IPA VENTURA Soroka, Eugene, MD
Lyne, Alan W., MD Panossian, Christine H., DO 215 West Pleasant Valley Road
Provider ID: 107582 1901 Outlet Center Drive 2240 East Gonzales Road Oxnard, CA 93033
SEAVIEW IPA Suite 200 Suite 100 (805) 247-0708
English, Keith Q., MD Oxnard, CA 93036 Oxnard, CA 93036
451 West Gonzales Road (805) 981-8300 (805) 981-5151 Provider ID: 856609
Suite 240 SEAVIEW IPA
Oxnard, CA 93036 Provider ID: 721199 Provider ID: 309902 Soroka, Eugene, MD
(805) 988-3355 REGAL MEDICAL GROUP - REGAL MEDICAL GROUP - 215 West Pleasant Valley Road
VENTURA VENTURA Oxnard, CA 93033
Provider ID: 385712
Maker-Clark, Geeta A., MD Patterson, Stanley C., MD (805) 247-0708
SEAVIEW IPA 2240 East Gonzales Road 2240 East Gonzales Road
Fatemi, Shahram, MD Suite 100 Suite 100 Provider ID: 390647
3641 West 5th Street Oxnard, CA 93036 Oxnard, CA 93036 REGAL MEDICAL GROUP -
Oxnard, CA 93030 (805) 981-5151 (805) 981-5151 VENTURA
Sujanani, Sunita Angela, MD
(805) 487-5588
Provider ID: 473833 REGAL MEDICAL GROUP-LA (HPN) 4400 Olds Road
Provider ID: 108336 REGAL MEDICAL GROUP - Patterson, Stanley C., MD Oxnard, CA 93033
SEAVIEW IPA VENTURA 2240 East Gonzales Road (805) 986-5551
Ford, John Ralph, MD Marston, Natasha Marie, MD Suite 100
1100 West Gonzales Road 2240 Gonzales Road Oxnard, CA 93036
Suite 210 Suite 100 (805) 981-5151
Oxnard, CA 93036 Oxnard, CA 93036
(805) 988-1443 (805) 981-5151
Note: Please refer to www.aetna.com for specific state legal disclaimer information.
* This specialist has been designated for Aexcel®. If the specialist name is followed by a future effective or future end date, this indicates the date
when the specialist Aexcel designation begins or ends.
** As of the date indicated, this provider has elected not to participate in Aexcel®.
# Provider may participate with Aetna through an agreement that Aetna has with a vendor. The provider may not be directly contracted with Aetna,
and, consequently, not credentialed by Aetna. Providers available through these vendors are only subject to the credentialing requirements, if any, of
the vendor. If you should have any questions, contact Aetna Member Services.
Please see DocFind online for additional information about these and other providers.
4
Your Search Results
Health Plan: HMO** Provider Type: Primary Care Physicians
You searched by: State: CA County: VENTURA
May 19, 2008
Provider ID: 062091 Provider ID: 105638 Provider ID: 067998
Villasenor, Maria D., MD Internal Medicine SEAVIEW IPA Mescher, Weymer, Yu, MDs
2000 Outlet Centers Drive Provider ID: 067983 Merrick, Nancy J., MD SEAVIEW IPA
Suite 110 SEAVIEW IPA 120 Magnolia Avenue Weymer, Andrew R., MD
Oxnard, CA 93036 Alcocer, Victor H., MD Oxnard, CA 93030 1700 North Rose Avenue
(805) 604-4588 1901 Outlet Center Drive (805) 652-6139 Suite 280
Suite 200 Oxnard, CA 93030
Provider ID: 250478 (805) 485-7877
General Practice Oxnard, CA 93036
REGAL MEDICAL GROUP -
(805) 981-8300 VENTURA
Provider ID: 105580 Merrick, Nancy J., MD Pediatrics
SEAVIEW IPA Provider ID: 067955 2240 East Gonzales Road
Liao, Shang Chien, MD SEAVIEW IPA Provider ID: 105658
Avery, Charles Hochette, MD Suite 100 SEAVIEW IPA
1532 Saviers Road
Oxnard, CA 93033 903 West 7th Street Oxnard, CA 93036 Armijo, Cristina Ana, MD
(805) 483-8211 Oxnard, CA 93030 (805) 981-5151 250 Citrus Grove Lane
(805) 385-3155 Suite 150
Provider ID: 067998
Provider ID: 067965 Oxnard, CA 93036
SEAVIEW IPA Provider ID: 108331 Mescher, Weymer, Yu, MDs
SEAVIEW IPA (805) 981-3770
Mall, Yacoob S., MD SEAVIEW IPA Mescher, David Anthony, MD
3007 Saviers Road Brand, Richard D., MD Provider ID: 067996
1700 North Rose Avenue
Oxnard, CA 93033 2241 Wankel Way Coastal Pediatrics
Suite 280 SEAVIEW IPA
(805) 487-9451 Suite B
Oxnard, CA 93030 Blank, David Scott, MD
Oxnard, CA 93030
Provider ID: 067971 (805) 983-0425 (805) 485-7877 451 West Gonzales Road
SEAVIEW IPA Suite 340
Nguyen, Ba Xuan, MD Provider ID: 067998
Provider ID: 714303 Oxnard, CA 93036
815 Cooper Road SEAVIEW IPA Mescher, Weymer, Yu, MDs
SEAVIEW IPA (805) 983-3900
Oxnard, CA 93030 Hong, Stephen Shou-Li, MD
1700 North Rose Avenue
(805) 487-9892 921 West 7th Street Provider ID: 067960
Suite 280 SEAVIEW IPA
Oxnard, CA 93030
Provider ID: 105619 Oxnard, CA 93030 Cheng, Chun-Lang, MD
(805) 486-1601
SEAVIEW IPA (805) 485-7877 931 West 7th Street
Oldt, Robert F., MD Provider ID: 067968 Oxnard, CA 93030
1555 West 5th Street SEAVIEW IPA Provider ID: 105625
(805) 483-1879
Suite 180 Hoos, Howard Jules, MD SEAVIEW IPA
943 West 7th Street Neira, Sergio O., MD Provider ID: 844564
Oxnard, CA 93030 2100 North Solar Drive Cheng, Cynthia, MD
(805) 985-5599 Oxnard, CA 93030
(805) 487-0464 Suite 201 931 West Seventh Street
Provider ID: 067979 Oxnard, CA 93030 Oxnard, CA 93030
SEAVIEW IPA Provider ID: 067964 (805) 981-8300 (805) 483-1879
Tamura, Brian H., MD SEAVIEW IPA
1100 North Ventura Road Hostetler, Theodore G., MD Provider ID: 136261 Provider ID: 067996
Suite 105 703 North A Street SEAVIEW IPA Coastal Pediatrics
Oxnard, CA 93030 Perng, Jiunn C., MD SEAVIEW IPA
Oxnard, CA 93030
(805) 485-2340 3125 Saviers Road 451 West Gonzales Road
(805) 983-0897 Oxnard, CA 93033 Suite 340
Provider ID: 555344 Provider ID: 348306 (805) 483-0131 Oxnard, CA 93036
REGAL MEDICAL GROUP - REGAL MEDICAL GROUP - (805) 983-3900
VENTURA VENTURA Provider ID: 832125
Torres, Juan G., MD Lipper, Bennet L., MD REGAL MEDICAL GROUP - Provider ID: 067948
1300 North Ventura Road 703 North A Street VENTURA SEAVIEW IPA
Oxnard, CA 93030
Walters, John Ramsay, MD De Forest, Imelda V., MD
Suite 6 703 North A Street
Oxnard, CA 93030 (805) 485-2340 451 West Gonzales Road
Oxnard, CA 93030
(805) 983-8810 Suite 260
Provider ID: 105655 (805) 485-2340 Oxnard, CA 93036
Provider ID: 067953 SEAVIEW IPA (805) 983-3557
Lipper, Bennet L., MD Provider ID: 067963
SEAVIEW IPA SEAVIEW IPA
Von Trampe, Hans Joachim, MD 703 North A Street Provider ID: 067996
Oxnard, CA 93030 Walters, John Ramsay, MD
2100 North Solar Drive
703 North A Street Coastal Pediatrics
Suite 201 (805) 485-2340 SEAVIEW IPA
Oxnard, CA 93030 Fostakowsky, Robert T., MD
Oxnard, CA 93030
Provider ID: 107746 (805) 485-2340 451 West Gonzales Road
(805) 981-8300
SEAVIEW IPA Suite 340
Lyons, Harvey David, MD Oxnard, CA 93036
2921 Saviers Road (805) 983-3900
Oxnard, CA 93033
(805) 487-5585
Note: Please refer to www.aetna.com for specific state legal disclaimer information.
* This specialist has been designated for Aexcel®. If the specialist name is followed by a future effective or future end date, this indicates the date
when the specialist Aexcel designation begins or ends.
** As of the date indicated, this provider has elected not to participate in Aexcel®.
# Provider may participate with Aetna through an agreement that Aetna has with a vendor. The provider may not be directly contracted with Aetna,
and, consequently, not credentialed by Aetna. Providers available through these vendors are only subject to the credentialing requirements, if any, of
the vendor. If you should have any questions, contact Aetna Member Services.
Please see DocFind online for additional information about these and other providers.
5
Your Search Results
Health Plan: HMO** Provider Type: Primary Care Physicians
You searched by: State: CA County: VENTURA
May 19, 2008
Provider ID: 784525 Provider ID: 452676 Provider ID: 147226 Provider ID: 289493
REGAL MEDICAL GROUP - REGAL MEDICAL GROUP - VALLEY CARE PHYSICIANS IPA SEAVIEW IPA
VENTURA VENTURA Dekkers, Robert J., MD Stelman, Michael A., MD
Garcia, Sonya, MD Rios, Guillermo R., MD 243 March Street 242 East Harvard Blvd.
1331 West Doris Avenue 450 West Clara Street Santa Paula, CA 93060 Suite C
Oxnard, CA 93030 Oxnard, CA 93033 (805) 525-7131 Santa Paula, CA 93060
(805) 604-4588 (805) 488-0210 (805) 525-9595
Provider ID: 107648
Provider ID: 067977 Provider ID: 067969 SEAVIEW IPA Provider ID: 147225
SEAVIEW IPA SEAVIEW IPA Dominguez, Victor G., MD VALLEY CARE PHYSICIANS IPA
Hansuvadha, Sam Kasemsant, MD Shah, Roshan Ara, MD 242 East Harvard Blvd. Tubbs, Jeffrey V., MD
915 West 7th Street 1700 North Rose Avenue Suite C 811 West Telegraph Road
Oxnard, CA 93030 Suite 310 Santa Paula, CA 93060 Santa Paula, CA 93060
(805) 487-9897 Oxnard, CA 93030 (805) 525-9595 (805) 525-6112
(805) 983-1566
Provider ID: 067981 Provider ID: 067959 VALLEY CARE PHYSICIANS IPA
SEAVIEW IPA Provider ID: 067996 SEAVIEW IPA Tubbs, Jeffrey V., MD
Huang, J. Andrew, MD Coastal Pediatrics Lyne, Alan W., MD 825 North 10th Street
911 West 7th Street SEAVIEW IPA 245 North 10th Street Santa Paula, CA 93060
Oxnard, CA 93030 White, Kevin G., MD Santa Paula, CA 93060 (805) 525-7171
(805) 487-9492 451 West Gonzales Road (805) 525-7515
Suite 340 VALLEY CARE PHYSICIANS IPA
Provider ID: 327180 Oxnard, CA 93036 Provider ID: 147291 Tubbs, Jeffrey V., MD
SEAVIEW IPA (805) 983-3900 VALLEY CARE PHYSICIANS IPA 126 North 10th Street
Lin, Calvin, MD Lyne, Alan W., MD Santa Paula, CA 93060
915 West 7th Street 245 North 10th Street (805) 525-6112
Oxnard, CA 93030 Port Hueneme, CA Santa Paula, CA 93060
(805) 487-0669 Network 224 (805) 525-7515 VALLEY CARE PHYSICIANS IPA
Tushla, Michael C., MD
SEAVIEW IPA Provider ID: 138752 252 West Harvard Blvd.
Lin, Victor, MD Family Practice VALLEY CARE PHYSICIANS IPA Santa Paula, CA 93060
963 West 7th Street Meyer, Alexander B., MD (805) 524-6700
REGAL MEDICAL GROUP -
Oxnard, CA 93030 VENTURA 400 East Santa Barbara Street
(805) 487-0669 Soroka, Eugene, MD Suite A Provider ID: 147297
246 East Scott Street Santa Paula, CA 93060 VALLEY CARE PHYSICIANS IPA
Provider ID: 318162 Tushla, Michael C., MD
Port Hueneme, CA 93041 (805) 525-2121
REGAL MEDICAL GROUP-LA (HPN) 400 E. Santa Barbara St.
Lipeles, Lois Carol, MD (805) 247-0708
Provider ID: 635657 Suite A
2000 Outlet Center Drive SEAVIEW IPA ALLIANCE PHYSICIANS, Santa Paula, CA 93060
Suite 110 Soroka, Eugene, MD A CALFORNIA (805) 525-2121
Oxnard, CA 93036 246 East Scott Street Rodriguez, Joseph L., MD
(805) 604-4588 Port Hueneme, CA 93041 242 East Harvard Blvd. Provider ID: 710720
(805) 247-0708 Suite C SEAVIEW IPA
Provider ID: 476948 Santa Paula, CA 93060 Tushla, Richard J., MD
SEAVIEW IPA (805) 525-9595 400 East Santa Barbara Street
Onstot, Danielle R., MD Santa Paula, CA Suite A
451 West Gonzales Road VALLEY CARE PHYSICIANS IPA Santa Paula, CA 93060
Network 224
Suite 260 Schrock, Jon, MD (805) 525-2121
Oxnard, CA 93036 845 North 10th Street
(805) 278-7110 Family Practice Suite 1 Provider ID: 314793
Santa Paula, CA 93060 REGAL MEDICAL GROUP -
Provider ID: 414278 Provider ID: 460110 VENTURA
REGAL MEDICAL GROUP - (805) 525-5762
SEAVIEW IPA Vicente, Joan Morales, MD
Pecht, Benjamin, MD VENTURA 500 East Main Street
Aftab, Fouzia Anwar, MD Provider ID: 829486
451 West Gonzales Road SEAVIEW IPA Santa Paula, CA 93060
500 East Main Street
Suite 340 Schrock, Jon, MD (805) 933-0895
Santa Paula, CA 93060
Oxnard, CA 93036 845 N. 10th Street
(805) 933-0895
(805) 983-3900 Suite 1 Internal Medicine
Provider ID: 770027 Santa Paula, CA 93060
Provider ID: 357414 REGAL MEDICAL GROUP - (805) 525-5762 Provider ID: 147294
REGAL MEDICAL GROUP - VENTURA VALLEY CARE PHYSICIANS IPA
VENTURA Contreras, Victor Delgado, MD Provider ID: 147228 Chen, Jian Anna, MD
Pinzon-Arellano, Sonia E., MD VALLEY CARE PHYSICIANS IPA 243 March Street
126 North 10th Street
650 Meta Street Schrock, Jon, MD Santa Paula, CA 93060
Santa Paula, CA 93060
Oxnard, CA 93030 845 N. 10th Street (805) 525-7131
(805) 525-4446
(805) 487-5351 Suite 1
Santa Paula, CA 93060
(805) 525-5762
Note: Please refer to www.aetna.com for specific state legal disclaimer information.
* This specialist has been designated for Aexcel®. If the specialist name is followed by a future effective or future end date, this indicates the date
when the specialist Aexcel designation begins or ends.
** As of the date indicated, this provider has elected not to participate in Aexcel®.
# Provider may participate with Aetna through an agreement that Aetna has with a vendor. The provider may not be directly contracted with Aetna,
and, consequently, not credentialed by Aetna. Providers available through these vendors are only subject to the credentialing requirements, if any, of
the vendor. If you should have any questions, contact Aetna Member Services.
Please see DocFind online for additional information about these and other providers.
6
Your Search Results
Health Plan: HMO** Provider Type: Primary Care Physicians
You searched by: State: CA County: VENTURA
May 19, 2008
Provider ID: 147226 Provider ID: 066432 Provider ID: 066432
VALLEY CARE PHYSICIANS IPA Simi Valley, CA COMMUNITY MED. GRP. OF THE Community Medical Group -
Dekkers, Robert J., MD Network 224 WEST VAL Simi Valley
243 March Street Hom, Denise Lu-Gee, MD COMMUNITY MED. GRP. OF THE
Santa Paula, CA 93060 3605 Alamo Street WEST VAL
Family Practice Suite 100 Shaw, Richard, MD
(805) 525-7131
Simi Valley, CA 93063 3605 Alamo Street
Provider ID: 066432
Provider ID: 147230 (805) 522-6577 Suite 100
Community Medical Group -
VALLEY CARE PHYSICIANS IPA Simi Valley Simi Valley, CA 93063
Deutsch, Gary, MD COMMUNITY MED. GRP. OF THE Provider ID: 325529 (805) 522-6577
243 March Street WEST VAL REGAL MEDICAL GROUP -
Santa Paula, CA 93060 Brusky, Robert John, MD VENTURA Provider ID: 739093
(805) 525-7131 3605 Alamo Street Kim, Catherine, MD REGAL MEDICAL GROUP -
Suite 100 4531 Alamo Street VENTURA
Provider ID: 408731 Simi Valley, CA 93063 Sportelli, Marisa, MD
Simi Valley, CA 93063
REGAL MEDICAL GROUP - (805) 520-3248 4531 Alamo Street
(805) 522-6577
VENTURA Simi Valley, CA 93063
Jamei, Mohsen, MD Provider ID: 066432 Provider ID: 105594 (805) 584-4885
500 East Main Street Community Medical Group - REGAL MEDICAL GROUP -
Santa Paula, CA 93060 Simi Valley VENTURA Provider ID: 108358
(805) 933-0895 COMMUNITY MED. GRP. OF THE Kushigemachi, Masahiro, MD REGAL MEDICAL GROUP -
WEST VAL 2925 Sycamore Drive VENTURA
Provider ID: 147229 3605 Alamo Street Suite 204 & 205 Thomas, Walter D., MD
VALLEY CARE PHYSICIANS IPA Simi Valley, CA 93065 2925 North Sycamore Drive
Suite 100
Swartout, Michael, MD Simi Valley, CA 93063 (805) 578-9620 Suite 312
247 March Street Simi Valley, CA 93065
(805) 522-6577
Santa Paula, CA 93060 Provider ID: 526997 (805) 527-1804
(805) 933-6622 Provider ID: 352630 REGAL MEDICAL GROUP -
COMMUNITY MED. GRP. OF THE VENTURA Internal Medicine
WEST VAL Michaels, Brooks Carlton, MD
Pediatrics 2925 North Sycamore Drive
Downs, Donald Gratton, MD Provider ID: 422394
Provider ID: 144363 2950 North Sycamore Drive Suite 101A ALLIED PHYSICIANS IPA
SEAVIEW IPA Suite 300 Simi Valley, CA 93065 Gonzalez, Carlos Rosas, MD
Bohl, Janelle, MD Simi Valley, CA 93065 (805) 578-9751 880 Chambers Lane
254 West Harvard Blvd. (805) 520-8999 Simi Valley, CA 93065
Suite B Provider ID: 105612 (323) 726-3868
Santa Paula, CA 93060 Provider ID: 107537 REGAL MEDICAL GROUP -
COMMUNITY MED. GRP. OF THE VENTURA Provider ID: 854479
(805) 921-1600 Muzsnai, Dominic I., Jr, MD
WEST VAL COMMUNITY MED. GRP. OF THE
Drummond, Harry, MD 2925 Sycamore Drive WEST VAL
Provider ID: 147298
VALLEY CARE PHYSICIANS IPA 2950 Sycamore Drive Suite 204 & 205 Lee, William A., MD
Bohl, Janelle, MD Suite 300 Simi Valley, CA 93065 2950 Sycamore Drive
254 West Harvard Blvd. Simi Valley, CA 93065 (805) 578-9620 Suite 300
Suite B (805) 526-0226 Simi Valley, CA 93065
Santa Paula, CA 93060 Provider ID: 105601 (805) 520-8999
Provider ID: 876748 REGAL MEDICAL GROUP -
(805) 921-1600 VENTURA
REGAL MEDICAL GROUP - Provider ID: 143013
VENTURA Odio, Alberto J., MD REGAL MEDICAL GROUP -
Provider ID: 486160
REGAL MEDICAL GROUP-LA (HPN) Flom, Sheila G., MD 2925 Sycamore Drive VENTURA
Nichols, Heather F., MD 4531 Alamo Street Suite 204 & 205 Makhsoosi, Mojgan, MD
254 West Harvard Blvd. Simi Valley, CA 93063 Simi Valley, CA 93065 2750 Sycamore Drive
Santa Paula, CA 93060 (805) 584-4885 (805) 578-9620 Suite 209
(805) 921-1600 Simi Valley, CA 93065
Provider ID: 142428 Provider ID: 144409 (805) 915-0315
Provider ID: 442514 COMMUNITY MED. GRP. OF THE REGAL MEDICAL GROUP -
VALLEY CARE PHYSICIANS IPA WEST VAL VENTURA Provider ID: 523050
Nichols, Heather F., MD Ghiyam, Daniel, MD Parola, Kenneth Drew, DO COMMUNITY MED. GRP. OF THE
2840 East Los Angeles Avenue 2045 Royal Avenue WEST VAL
254 West Harvard Blvd.
Simi Valley, CA 93065 Suite 121 Mann, Amardeep S., MD
Santa Paula, CA 93060
(805) 921-1600 (805) 526-8360 Simi Valley, CA 93065 2876 North Sycamore Drive
(805) 526-4380 Suite 201
Provider ID: 652187 Simi Valley, CA 93065
COMMUNITY MED. GRP. OF THE Provider ID: 508412 (805) 527-6616
WEST VAL REGAL MEDICAL GROUP -
Hernandez, Ruben A., MD VENTURA
2950 North Sycamore Drive Reeves, Clarence Albert, MD
Suite 300 4531 Alamo Street
Simi Valley, CA 93065 Simi Valley, CA 93063
(805) 520-8999 (805) 584-4885
Note: Please refer to www.aetna.com for specific state legal disclaimer information.
* This specialist has been designated for Aexcel®. If the specialist name is followed by a future effective or future end date, this indicates the date
when the specialist Aexcel designation begins or ends.
** As of the date indicated, this provider has elected not to participate in Aexcel®.
# Provider may participate with Aetna through an agreement that Aetna has with a vendor. The provider may not be directly contracted with Aetna,
and, consequently, not credentialed by Aetna. Providers available through these vendors are only subject to the credentialing requirements, if any, of
the vendor. If you should have any questions, contact Aetna Member Services.
Please see DocFind online for additional information about these and other providers.
7
Your Search Results
Health Plan: HMO** Provider Type: Primary Care Physicians
You searched by: State: CA County: VENTURA
May 19, 2008
Provider ID: 073295 Provider ID: 108340 Provider ID: 067418 Provider ID: 865074
REGAL MEDICAL GROUP-LA (HPN) REGAL MEDICAL GROUP - Community Med Grp-Thousand REGAL MEDICAL GROUP -
Nguyen, Duc V., MD VENTURA Oaks FP VENTURA
2650 Jones Way Huang, Wei Chi, MD COMMUNITY MED. GRP. OF THE Thomas, Lucille Charmaine, MD
Suite 7 2650 Jones Way WEST VAL 620 East Janss Road
Simi Valley, CA 93065 Suite 11 612 East Janss Road Thousand Oaks, CA 91360
(805) 520-1577 Simi Valley, CA 93065 Thousand Oaks, CA 91360 (805) 495-6866
(805) 562-2700 (805) 373-0725
Provider ID: 833257 Provider ID: 455851
REGAL MEDICAL GROUP - Provider ID: 106254 Provider ID: 875820 REGAL MEDICAL GROUP -
VENTURA Community Med Grp - Simi REGAL MEDICAL GROUP - VENTURA
Phan, Anthony Thong, MD Vly Peds VENTURA Venturina, Arturo, MD
2925 North Sycamore Drive COMMUNITY MED. GRP. OF THE Holbrook, Pamela L., MD 430 Avenida De Los Arboles
Suite 304 WEST VAL 233 East Thousand Oaks Blvd. Suite 205
Simi Valley, CA 93065 Mahdavie, Karim Nouri, MD Suite 102 Thousand Oaks, CA 91360
(805) 526-3213 3605 Alamo Street Thousand Oaks, CA 91360 (805) 492-1255
Suite 100 (805) 371-8355
Provider ID: 066432 Simi Valley, CA 93063
Provider ID: 108350 Internal Medicine
Community Medical Group - (805) 552-6577
Simi Valley COMMUNITY MED. GRP. OF THE Provider ID: 720209
COMMUNITY MED. GRP. OF THE Provider ID: 106262 WEST VAL REGAL MEDICAL GROUP -
WEST VAL Community Med Grp-Thousand Lindberg, Frederick S., MD VENTURA
Trompetto, Brent, MD Oaks Ped 612 East Janss Road Chesnut, Treise N., MD
3605 Alamo Street COMMUNITY MED. GRP. OF THE Thousand Oaks, CA 91360 1000 Newbury Road
Suite 100 WEST VAL (805) 373-0725
Miller, Alvin, MD Suite 130
Simi Valley, CA 93063 Thousand Oaks, CA 91320
(805) 522-6577 2950 North Sycamore Drive Provider ID: 067418
Suite 300 Community Med Grp-Thousand (805) 214-3122
Simi Valley, CA 93065 Oaks FP
Pediatrics (805) 520-8999 COMMUNITY MED. GRP. OF THE Provider ID: 066434
WEST VAL Community Medical Group -
Provider ID: 552592 Liss, Verna S., MD Thousand Oaks IM
REGAL MEDICAL GROUP - Provider ID: 376624 COMMUNITY MED. GRP. OF THE
REGAL MEDICAL GROUP - 612 East Janss Road WEST VAL
VENTURA VENTURA Thousand Oaks, CA 91360
Brooks, Stewart I., MD Pattanachinda, Jutharat, MD 612 East Janss Road
(805) 373-0725
2950 North Sycamore Drive Thousand Oaks, CA 91360
2950 North Sycamore Drive
Suite 200 Suite 200 Provider ID: 517866 (805) 373-0725
Simi Valley, CA 93065 REGAL MEDICAL GROUP -
Simi Valley, CA 93065 Provider ID: 744419
(805) 527-9400 VENTURA
(805) 527-9400 REGAL MEDICAL GROUP -
Liu, Joey, MD
Provider ID: 106254 620 East Janss Road
VENTURA
Community Med Grp - Simi Thousand Oaks, CA Gureghian, Eric J., MD
Thousand Oaks, CA 91360
Vly Peds 1000 Newbury Road
Network 224 (805) 495-6866
COMMUNITY MED. GRP. OF THE Suite 130
WEST VAL MEMORIAL HEALTHCARE IPA Thousand Oaks, CA 91320
3605 Alamo Street Family Practice Panossian, Christine H., DO (805) 214-3122
Suite 100 107 West Avenida De Los Arboles
Simi Valley, CA 93063 Provider ID: 434007 Apt. 109 Provider ID: 066434
(805) 552-6577 Ahmed, Nusrat, MD Thousand Oaks, CA 91360
COMMUNITY MED. GRP. OF THE
612 East Janss Road WEST VAL
(562) 498-0029 Lee, Gloria Lo, MD
Provider ID: 106262 Thousand Oaks, CA 91360
Community Med Grp-Thousand (805) 373-0725 612 East Janss Road
Provider ID: 764468
Oaks Ped COMMUNITY MED. GRP. OF THE Thousand Oaks, CA 91360
COMMUNITY MED. GRP. OF THE Provider ID: 067418 WEST VAL (805) 373-0725
WEST VAL Community Med Grp-Thousand Singh, Juhee, MD
2950 North Sycamore Drive Oaks FP 612 East Janss Road Provider ID: 529944
Suite 300 COMMUNITY MED. GRP. OF THE Thousand Oaks, CA 91360 REGAL MEDICAL GROUP -
Simi Valley, CA 93065 WEST VAL VENTURA
Ahmed, Nusrat, MD (805) 373-0725 Merrin, James Steven, MD
(805) 520-8999
612 East Janss Road 2125 East Thousand Oaks Blvd.
Provider ID: 764002
Provider ID: 359680 Thousand Oaks, CA 91360 REGAL MEDICAL GROUP - Suite B1
REGAL MEDICAL GROUP - (805) 373-0725 VENTURA Thousand Oaks, CA 91362
VENTURA Smith, Mark J., MD (805) 494-4414
Doberne, Yale I., MD 223 East Thousand Oaks Blvd.
2950 North Sycamore Drive Suite 102 REGAL MEDICAL GROUP-LA (HPN)
Suite 200 Merrin, James Steven, MD
Thousand Oaks, CA 91360
Simi Valley, CA 93065 2125 East Thousand Oaks Blvd.
(805) 370-0600
(805) 527-9400 Suite B1
Thousand Oaks, CA 91362
(805) 494-4414
Note: Please refer to www.aetna.com for specific state legal disclaimer information.
* This specialist has been designated for Aexcel®. If the specialist name is followed by a future effective or future end date, this indicates the date
when the specialist Aexcel designation begins or ends.
** As of the date indicated, this provider has elected not to participate in Aexcel®.
# Provider may participate with Aetna through an agreement that Aetna has with a vendor. The provider may not be directly contracted with Aetna,
and, consequently, not credentialed by Aetna. Providers available through these vendors are only subject to the credentialing requirements, if any, of
the vendor. If you should have any questions, contact Aetna Member Services.
Please see DocFind online for additional information about these and other providers.
8
Your Search Results
Health Plan: HMO** Provider Type: Primary Care Physicians
You searched by: State: CA County: VENTURA
May 19, 2008
Primary Medical Group of Ventura Provider ID: 503692 Provider ID: 430912
Pediatrics County Inc. REGAL MEDICAL GROUP - REGAL MEDICAL GROUP -
SEAVIEW IPA VENTURA VENTURA
Provider ID: 106262 Banman, Edward J., MD England, Linda D., MD Jones, Brock S., MD
Community Med Grp-Thousand 3555 Loma Vista Road
Oaks Ped 133 West Santa Clara Street 133 West Santa Clara Street
COMMUNITY MED. GRP. OF THE Suite 110 Ventura, CA 93001 Ventura, CA 93001
WEST VAL Ventura, CA 93003 (805) 641-5600 (805) 641-5600
612 East Janss Road (805) 653-0303
Thousand Oaks, CA 91360 Provider ID: 533277 Provider ID: 880789
(805) 373-0725
Provider ID: 105731 SEAVIEW IPA SEAVIEW IPA
SEAVIEW IPA England, Linda D., MD Jones, Brock S., MD
Provider ID: 106262 Barbosa, J. Bruce, MD 133 West Santa Clara Street 133 West Santa Clara Street
Community Med Grp-Thousand 2945 Loma Vista Road Ventura, CA 93001 Ventura, CA 93001
Oaks Ped Ventura, CA 93003 (805) 641-5600 (805) 641-5600
COMMUNITY MED. GRP. OF THE (805) 648-6851
WEST VAL Provider ID: 444057 Provider ID: 717739
Miller, Alvin, MD Provider ID: 067988 REGAL MEDICAL GROUP - REGAL MEDICAL GROUP -
612 East Janss Road SEAVIEW IPA VENTURA VENTURA
Thousand Oaks, CA 91360 Bloom, Stuart M., MD Francke, Wendy, MD Jorgensen, Neil W., MD
(805) 373-0725 2533 East Main Street 133 West Santa Clara Street 133 West Santa Clara Street
Ventura, CA 93003 Ventura, CA 93001 Ventura, CA 93001
Provider ID: 151268 (805) 652-2244 (805) 641-5600 (805) 641-5600
COMMUNITY MED. GRP. OF THE
WEST VAL Provider ID: 147300 Provider ID: 147300 REGAL MEDICAL GROUP-LA (HPN)
Tysch, Sherri R., DO Brent Street Family Practice (FP) VALLEY CARE PHYSICIANS IPA Jorgensen, Neil W., MD
166 North Moorpark Road VALLEY CARE PHYSICIANS IPA Garrison, Robert K., MD 133 West Santa Clara Street
Suite 304 168 North Brent Street 168 North Brent Street Ventura, CA 93001
Thousand Oaks, CA 91360 Suite 502 Suite 502 (805) 641-5600
(805) 496-4488 Ventura, CA 93003 Ventura, CA 93003
(805) 641-2000 (805) 641-2000 Provider ID: 338774
REGAL MEDICAL GROUP -
Ventura, CA Provider ID: 420187 Provider ID: 147300 VENTURA
SEAVIEW IPA Brent Street Family Practice (FP) Kubo, Koji, MD
Network 224 200 South Wells Road
Campwala, Khozema Hatim, MD VALLEY CARE PHYSICIANS IPA
138 West Main Street Garrison, Robert K., MD Suite 100
Family Practice Suite E 168 North Brent Street Ventura, CA 93004
Ventura, CA 93001 Suite 502 (805) 659-1740
Provider ID: 067997
Primary Medical Group of Ventura (805) 667-2850 Ventura, CA 93003
(805) 641-2000 Provider ID: 147300
County Inc. VALLEY CARE PHYSICIANS IPA
SEAVIEW IPA Provider ID: 067975
SEAVIEW IPA Provider ID: 148230 Larsen, Fran S., MD
Bailey, Michael, MD
Chase, Carolyn, MD OJAI VALLEY COMMUNITY MED. 168 North Brent Street
10885 Telegraph Road
10885 Telegraph Road GRP. INC Suite 502
Ventura, CA 93004 Gay, James P., MD
Ventura, CA 93004 Ventura, CA 93003
(805) 647-7704 655 North Ventura Avenue
(805) 647-7704 (805) 641-2000
Primary Medical Group of Ventura Ventura, CA 93001
County Inc. Provider ID: 067975 (805) 649-3750 Provider ID: 147300
SEAVIEW IPA SEAVIEW IPA Brent Street Family Practice (FP)
Bailey, Michael, MD Chase, Carolyn, MD Provider ID: 461247 VALLEY CARE PHYSICIANS IPA
3555 Loma Vista Road 3555 Loma Vista Road REGAL MEDICAL GROUP-LA (HPN) Larsen, Fran S., MD
Suite 110 Suite 110 Gupana, Christabeth Josefina 168 North Brent Street
Ventura, CA 93003 Kuaya, MD Suite 502
Ventura, CA 93003
(805) 653-0303 200 South Wells Road Ventura, CA 93003
(805) 653-0303
Suite 200 (805) 641-2000
Provider ID: 067997 Provider ID: 067972 Ventura, CA 93004
Primary Medical Group of Ventura SEAVIEW IPA (805) 659-1740 Provider ID: 144032
County Inc. Datlow, Michael S., MD SEAVIEW IPA
SEAVIEW IPA 2715 East Main Street Provider ID: 067957 Lish, Benjamin, MD
Banman, Edward J., MD Ventura, CA 93003 SEAVIEW IPA 120 North Ashwood Avenue
10885 Telegraph Road (805) 643-2228 Hornstein, James S., MD Ventura, CA 93003
Ventura, CA 93004 2793 Loma Vista Road (805) 643-1871
(805) 647-7704 Provider ID: 147300 Ventura, CA 93003
Brent Street Family Practice (FP) (805) 643-9292 Provider ID: 888585
VALLEY CARE PHYSICIANS IPA VALLEY CARE PHYSICIANS IPA
Dodge, Robert F., MD VALLEY CARE PHYSICIANS IPA Loman, Geoffrey, MD
168 North Brent Street Johnston, Christine M., MD 168 North Brent Street
Suite 502 3291 Loma Vista Road Suite 502
Ventura, CA 93003 Ventura, CA 93003 Ventura, CA 93003
(805) 641-2000 (805) 524-2000 (805) 651-2000
Note: Please refer to www.aetna.com for specific state legal disclaimer information.
* This specialist has been designated for Aexcel®. If the specialist name is followed by a future effective or future end date, this indicates the date
when the specialist Aexcel designation begins or ends.
** As of the date indicated, this provider has elected not to participate in Aexcel®.
# Provider may participate with Aetna through an agreement that Aetna has with a vendor. The provider may not be directly contracted with Aetna,
and, consequently, not credentialed by Aetna. Providers available through these vendors are only subject to the credentialing requirements, if any, of
the vendor. If you should have any questions, contact Aetna Member Services.
Please see DocFind online for additional information about these and other providers.
9
Your Search Results
Health Plan: HMO** Provider Type: Primary Care Physicians
You searched by: State: CA County: VENTURA
May 19, 2008
Provider ID: 067986 Provider ID: 067980 Provider ID: 332010 Provider ID: 663665
SEAVIEW IPA SEAVIEW IPA REGAL MEDICAL GROUP-LA (HPN) REGAL MEDICAL GROUP -
McBreen, Thomas S., MD Pulido, Victor I., DO Sportelli, Marisa, MD VENTURA
2929 Loma Vista Road 138 West Main Street 3291 Loma Vista Road Ulrich, Ramsey C., MD
Suite E Suite E,F & G Ventura, CA 93003 133 West Santa Clara Street
Ventura, CA 93003 Ventura, CA 93001 (805) 652-6139 Ventura, CA 93001
(805) 653-5741 (805) 667-2850 (805) 641-5600
Provider ID: 426154
Provider ID: 147295 Provider ID: 067987 SEAVIEW IPA Provider ID: 106531
VALLEY CARE PHYSICIANS IPA SEAVIEW IPA Tushla, Scott J., MD SEAVIEW IPA
Moffatt, Robert Keith, MD Puls, Richard, MD 145 North Brent Street Ulrich, Ramsey C., MD
145 North Brent Street 145 North Brent Street Suite 103 133 West Santa Clara Street
Suite 201 Suite 101 Ventura, CA 93003 Ventura, CA 93001
Ventura, CA 93003 Ventura, CA 93003 (805) 648-2068 (805) 641-5600
(805) 653-5070 (805) 643-5471
Provider ID: 100580 Provider ID: 279353
Provider ID: 497533 SEAVIEW IPA SEAVIEW IPA REGAL MEDICAL GROUP -
VALLEY CARE PHYSICIANS IPA Puls, Richard, MD Wakam, Irene Bih, MD VENTURA
Nugent, Kristen A., MD 145 North Brent Street 3555 Loma Vista Road Wade, Becky J., MD
168 North Brent Street Suite 203 Suite 215 133 West Santa Clara Street
Suite 502 Ventura, CA 93003 Ventura, CA 93003 Ventura, CA 93001
Ventura, CA 93003 (805) 643-5471 (805) 652-1515 (805) 641-5600
(805) 641-2000
Provider ID: 540032 Provider ID: 829707
VALLEY CARE PHYSICIANS IPA REGAL MEDICAL GROUP - Internal Medicine SEAVIEW IPA
Nugent, Kristen A., MD VENTURA Wade, Becky J., MD
Provider ID: 407352 133 West Santa Clara Street
133 West Santa Clara Street Puri, Rahul Dinesh, MD SEAVIEW IPA
Ventura, CA 93001 200 South Wells Road Ventura, CA 93001
Baldwin, Erin, MD
(805) 641-5694 Suite 200 120 North Ashwood Avenue (805) 641-5600
Ventura, CA 93004 Ventura, CA 93003
Provider ID: 403530 (805) 659-1740 Pediatrics
(805) 643-1871
REGAL MEDICAL GROUP -
VENTURA Provider ID: 067984 Provider ID: 483761 Provider ID: 440672
Panossian, Christine H., DO SEAVIEW IPA REGAL MEDICAL GROUP - REGAL MEDICAL GROUP -
3291 Loma Vista Road Rocha, Jill E., MD VENTURA VENTURA
Ventura, CA 93003 2961 Loma Vista Road Barr, Steven Allen, MD Ahmed, Taha M., MD
(805) 981-5181 Ventura, CA 93003 133 West Santa Clara Street 200 South Wells Road
(805) 643-0070 Ventura, CA 93001 Suite 200
Provider ID: 663950 Ventura, CA 93004
(805) 641-5600
REGAL MEDICAL GROUP - SEAVIEW IPA (805) 659-1740
VENTURA Rocha, Jill E., MD REGAL MEDICAL GROUP-LA (HPN)
Patricio, Rosalie N., MD 745 Jasper Avenue Barr, Steven Allen, MD Provider ID: 067996
200 South Wells Road Apartment A 133 West Santa Clara Street SEAVIEW IPA
Suite 150 Ventura, CA 93004 Ventura, CA 93001 Blank, David Scott, MD
Ventura, CA 93004 (805) 643-0070 (805) 641-5600 100 North Brent Street
(805) 659-2752 Suite 102
Provider ID: 373263 Provider ID: 067958 Ventura, CA 93003
Provider ID: 067997 REGAL MEDICAL GROUP - SEAVIEW IPA (805) 643-9271
Primary Medical Group of Ventura VENTURA Inoshita, Arthur M., MD
County Inc. Saeed, Nabeel Afzal, MD 3003 Loma Vista Road Provider ID: 067996
SEAVIEW IPA 200 South Wells Road Suite B Coastal Pediatrics
10885 Telegraph Road Suite 200 SEAVIEW IPA
Ventura, CA 93003
Ventura, CA 93004 Ventura, CA 93004 Blank, David Scott, MD
(805) 652-1520
(805) 647-7704 (805) 659-1740 100 North Brent Street
Provider ID: 408731 Suite 102
Primary Medical Group of Ventura Provider ID: 067973 REGAL MEDICAL GROUP - Ventura, CA 93003
County Inc. SEAVIEW IPA VENTURA
SEAVIEW IPA (805) 643-9271
Sands, James Stewart, MD Jamei, Mohsen, MD
3555 Loma Vista Road 2715 East Main Street 200 South Wells Road Provider ID: 067982
Suite 110 Ventura, CA 93003 SEAVIEW IPA
Suite 100
Ventura, CA 93003 (805) 643-2228 Chronis, Carey B., MD
Ventura, CA 93004
(805) 653-0303 5850 Thille Street
(805) 659-1740
Provider ID: 722962 Suite 103
REGAL MEDICAL GROUP - SEAVIEW IPA Ventura, CA 93003
VENTURA Lyons, Harvey David, MD (805) 642-4704
Schoeld, Kristi, MD 2924 Loma Vista Road
133 West Santa Clara Street Ventura, CA 93003
Ventura, CA 93001 (805) 487-5585
(805) 641-5600
Note: Please refer to www.aetna.com for specific state legal disclaimer information.
* This specialist has been designated for Aexcel®. If the specialist name is followed by a future effective or future end date, this indicates the date
when the specialist Aexcel designation begins or ends.
** As of the date indicated, this provider has elected not to participate in Aexcel®.
# Provider may participate with Aetna through an agreement that Aetna has with a vendor. The provider may not be directly contracted with Aetna,
and, consequently, not credentialed by Aetna. Providers available through these vendors are only subject to the credentialing requirements, if any, of
the vendor. If you should have any questions, contact Aetna Member Services.
Please see DocFind online for additional information about these and other providers.
10
Your Search Results
Health Plan: HMO** Provider Type: Primary Care Physicians
You searched by: State: CA County: VENTURA
May 19, 2008
Provider ID: 067996 Provider ID: 432580
Coastal Pediatrics SEAVIEW IPA
SEAVIEW IPA White, Kevin G., MD
100 North Brent Street 2660 East Main St.
Suite 102 Suite 204
Ventura, CA 93003 Ventura, CA 93003
(805) 643-9271 (805) 643-7500
Provider ID: 346759
SEAVIEW IPA Westlake Village, CA
Feldheim, Paul, MD Network 224
5850 Thille Street
Suite 103 Pediatrics
Ventura, CA 93003
(805) 642-4704 Provider ID: 142492
COMMUNITY MED. GRP. OF THE
Provider ID: 067996 WEST VAL
SEAVIEW IPA Altmann, Tanya Remer, MD
Fostakowsky, Robert T., MD 1250 La Venta Drive
100 North Brent Street Suite 103
Suite 102 Westlake Village, CA 91361
Ventura, CA 93003 (805) 495-0841
(805) 643-9271
Provider ID: 455039
Provider ID: 067996 COMMUNITY MED. GRP. OF THE
Coastal Pediatrics WEST VAL
SEAVIEW IPA Cornett, Heather, MD
Fostakowsky, Robert T., MD 1250 La Venta Drive
100 North Brent Street Suite 103
Suite 102 Westlake Village, CA 91361
Ventura, CA 93003 (805) 495-0841
(805) 643-9271
Provider ID: 142371
Provider ID: 730599 COMMUNITY MED. GRP. OF THE
REGAL MEDICAL GROUP - WEST VAL
VENTURA Goldstine, Howard Roger, MD
Niazi, Suhad Z., MD 1250 La Venta Drive
3160 Loma Vista Road Suite 103
Ventura, CA 93003 Westlake Village, CA 91361
(805) 641-4490 (805) 495-0841
Provider ID: 287753 Provider ID: 142383
REGAL MEDICAL GROUP - COMMUNITY MED. GRP. OF THE
VENTURA WEST VAL
Park, Maggie S., MD Greene, William Howard, MD
3160 Loma Vista Road 1250 La Venta Drive
Ventura, CA 93003 Suite 103
(805) 641-4600 Westlake Village, CA 91361
(805) 495-0841
Provider ID: 414278
SEAVIEW IPA Provider ID: 142387
Pecht, Benjamin, MD COMMUNITY MED. GRP. OF THE
100 North Brent Street WEST VAL
Suite 102 Nudelman, Robert A., MD
Ventura, CA 93003 1250 La Venta Drive
(805) 643-9271 Suite 103
Westlake Village, CA 91361
Provider ID: 067996 (805) 495-0841
Coastal Pediatrics
SEAVIEW IPA Provider ID: 142385
White, Kevin G., MD COMMUNITY MED. GRP. OF THE
100 North Brent Street WEST VAL
Suite 102 Scherr, David, MD
Ventura, CA 93003 1250 La Venta Drive
(805) 643-9271 Suite 103
Westlake Village, CA 91361
(805) 495-0841
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