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ROSTER OFTREATINGPHYSICIANSPreston, Charles F, MDGolden State Orthopedics & Spine350 John Muir ParkwaySte. 100Brentwood CA 94513(925) 939-8585Wiseman, Craig M, MDGolden State Orthopedics & Spine350 John Muir ParkwayBrentwood CA 94513(925) 939-8585Wyzykowski, Richard J, MDGolden State Orthopedics & Spine350 John Muir ParkwayBrentwood CA 94513(925) 939-8585Pain ManagementChang, Michael Y, DOGolden State Orthopedics & Spine350 John Muir PkwySte 100, 155Brentwood CA 94513(925) 939-8585Narloch, Joseph, MDGolden State Orthopedics & Spine350 John Muir ParkwayBrentwood CA 94513(925) 939-8585Physical Medicine & Rehabilitation /PhysiatryChang, Michael Y, DOGolden State Orthopedics & Spine350 John Muir PkwySte 100, 155Brentwood CA 94513(925) 939-8585Narloch, Joseph, MDGolden State Orthopedics & Spine350 John Muir ParkwayBrentwood CA 94513(925) 939-8585Spine SurgerySports MedicineLee, Steven S, MDGolden State Orthopedics & Spine350 John Muir PkwySte 100, 155Brentwood CA 94513(925) 939-8585Bader, Semon R, MDGolden State Orthopedics & Spine1800 Sutter StSte 100Concord CA 94520(925) 939-8585Sports MedicinePreston, Charles F, MDGolden State Orthopedics & Spine350 John Muir ParkwaySte. 100Brentwood CA 94513(925) 939-8585Wiseman, Craig M, MDGolden State Orthopedics & Spine350 John Muir ParkwayBrentwood CA 94513(925) 939-8585ConcordProvidersChiropractorNassiri, Massoud, DCMassoud Nassiri, D.C. dba Back Specialist2425 E StSte 8Concord CA 94520(510) 378-3715Orthopedics SurgeryHerculesProvidersCytopathologyCompagno, John, MDWest Coast Pathology Laboratories712 Alfred Nobel Dr.Hercules CA 94547(510) 662-5200Garrett, Wayne L, DOWest Coast Pathology Laboratories712 Alfred Nobel Dr.Hercules CA 94547(510) 662-5200Lin-Chang, Lynne, MDWest Coast Pathology Laboratories712 Alfred Nobel Dr.Hercules CA 94547(510) 662-5200Smith, Aara V, MDWest Coast Pathology Laboratories712 Alfred Nobel Dr.Hercules CA 94547(510) 662-5200PathologySacco, Michael F, MDGolden State Orthopedics & Spine1800 Sutter StSte 100Concord CA 94520(925) 939-8585Compagno, John, MDWest Coast Pathology Laboratories712 Alfred Nobel Dr.Hercules CA 94547(510) 662-5200Garrett, Wayne L, DOWest Coast Pathology Laboratories712 Alfred Nobel Dr.Hercules CA 94547(510) 662-5200To Reach The MPN Contact And / Or To Request Copies Of The MPN Notices, Please Call (877) 854-3353 Or Email: mpninfo@netbyd.com. Medical Access Assistant: If you need assistance in scheduling anappointment please call (877) 854-3353 Or Email: mpninfo@netbyd.com. To report any MPN updates or corrections, please contact (877) 854-3353, mpninfo@netbyd.com. Para informar cualquieractualización MPN o correcciones, póngase en contacto con (877) 854-3353, mpninfo@netbyd.com.This data is current as of 7/5/2022Page 5

ROSTER OFTREATINGPHYSICIANSLin-Chang, Lynne, MDWest Coast Pathology Laboratories712 Alfred Nobel Dr.Hercules CA 94547(510) 662-5200Smith, Aara V, MDWest Coast Pathology Laboratories712 Alfred Nobel Dr.Hercules CA 94547(510) 662-5200MartinezProvidersOccupational MedicineNefkens, Julie M, MDKaiser Permanente On-the-JobOccupational Health Center200 Muir RdHacienda Bldg 1st FlrMartinez CA 94553(925) 313-0301OrindaProvidersChiropractorWong, Kevin M, DCKevin Michael Wong dba OrindaChiropractic Center89 Moraga WayOrinda CA 94563(925) 254-4040PachecoProvidersOrthopedics SurgeryRahman, Faiz, DOConcentra Medical Centers801 Corporate Center DrSte 130Pacheco CA 91768(877) 678-4612Physical Medicine & Rehabilitation /PhysiatryNeurologyPatel, Rohini, MDConcentra Medical Centers801 Corporate Center DrSte 130Pacheco CA 91768(877) 678-4612Rutchik, Jonathan S, MDNEOMA120 BroadwaySecond Flr., Ste. 23Richmond CA 94804(415) 381-3133PinoleProvidersNeurological SurgeryMampalam, Thomas J, MDMampalam2150 Appian WaySte 100Pinole CA 94564(510) 724-9888Orthopedics SurgeryWelborn, John H, MDWelborn1700 San Pablo AveSte APinole CA 94564(510) 724-4600Pleasant HillProvidersChiropractorBritt, Denise, DCBritt620 Contra Costa BlvdSte. 203Pleasant Hill CA 94523(866) 389-0211RichmondProvidersOccupational MedicineMaher, W J Kevin, MDKaiser Permanente On-the-JobOccupational Health Center901 Nevin AveBldg B, 1st FlrRichmond CA 94801(510) 307-1560Mansell, Sarah A, MDKaiser Permanente On-the-JobOccupational Health Center901 Nevin AveBldg B 1st FlrRichmond CA 94801(510) 307-1560Rutchik, Jonathan S, MDNEOMA120 BroadwaySecond Flr., Ste. 23Richmond CA 94804(415) 381-3133Orthopedics Surgery – By ReferralOnlyGill, Kanwaljit S, MDThe Permanente Medical Group901 Nevin AveRichmond CA 94801(510) 307-1560Physical Medicine & Rehabilitation /PhysiatryDixit, Rakesh K, MDConcentra Medical Centers2970 Hilltop Mall RdSte 203Richmond CA 94806(510) 222-8000To Reach The MPN Contact And / Or To Request Copies Of The MPN Notices, Please Call (877) 854-3353 Or Email: mpninfo@netbyd.com. Medical Access Assistant: If you need assistance in scheduling anappointment please call (877) 854-3353 Or Email: mpninfo@netbyd.com. To report any MPN updates or corrections, please contact (877) 854-3353, mpninfo@netbyd.com. Para informar cualquieractualización MPN o correcciones, póngase en contacto con (877) 854-3353, mpninfo@netbyd.com.This data is current as of 7/5/2022Page 6

ROSTER OFTREATINGPHYSICIANSPsychiatryOrthopedicsBokarius, Vladimir, MDCenter for Occupational Health2970 Hilltop Mall RdSte 101Richmond CA 94806(510) 323-2524Behzadi, Kambiz, MDTri Valley Orthopedic Specialist Inc5601 Norris Canyon RdSte 130San Ramon CA 94583(925) 463-0470San RamonProvidersFoot and Ankle SurgeryKou, Joseph X, MDGolden State Orthopedics & Spine5201 Norris Canyon RdSte 300, 230San Ramon CA 94583(925) 939-8585General MedicineMichlitsch, Michael G, MDGolden State Orthopedics & Spine5201 Norris Canyon RdSte 300, 230San Ramon CA 94583(925) 939-8585Hand SurgeryBurgar, Alexandra M, MDTri Valley Orthopedic Specialist Inc5601 Norris Canyon RdSte 130San Ramon CA 94583(925) 463-0470Schilling, John P, MDGolden State Orthopedics & Spine5201 Norris Canyon RdSte 300San Ramon CA 94583(925) 939-8585Schilling, John P, MDGolden State Orthopedics & Spine5201 Norris Canyon RdSte 300San Ramon CA 94583(925) 939-8585Physical Medicine & Rehabilitation /PhysiatryBurgar, Alexandra M, MDTri Valley Orthopedic Specialist Inc5601 Norris Canyon RdSte 130San Ramon CA 94583(925) 463-0470Lewis, Moshe M, MDLewis1081 Market PlSte 600San Ramon CA 94583(650) 366-4542Dainer, Roger D, DOTri Valley Orthopedic Specialist Inc5601 Norris Canyon RdSte 130San Ramon CA 94583(925) 463-0470Sports MedicineHorner, Gregory, MDTri Valley Orthopedic Specialist Inc5601 Norris Canyon RdSte 130San Ramon CA 94583(925) 463-0470Jupina, David J, MDTri Valley Orthopedic Specialist Inc5601 Norris Canyon RdSte 130San Ramon CA 94583(925) 463-0470Stine, Ian A, MDTri Valley Orthopedic Specialist Inc5601 Norris Canyon RdSte 130San Ramon CA 94583(925) 463-0470Orthopedics SurgeryPreston, Charles F, MDGolden State Orthopedics & Spine5201 Norris Canyon RdSte 300San Ramon CA 94583(925) 939-8585Behzadi, Kambiz, MDTri Valley Orthopedic Specialist Inc5601 Norris Canyon RdSte 130San Ramon CA 94583(925) 463-0470Dainer, Roger D, DOTri Valley Orthopedic Specialist Inc5601 Norris Canyon RdSte 130San Ramon CA 94583(925) 463-0470Horner, Gregory, MDTri Valley Orthopedic Specialist Inc5601 Norris Canyon RdSte 130San Ramon CA 94583(925) 463-0470Michlitsch, Michael G, MDGolden State Orthopedics & Spine5201 Norris Canyon RdSte 300, 230San Ramon CA 94583(925) 939-8585Preston, Charles F, MDGolden State Orthopedics & Spine5201 Norris Canyon RdSte 300San Ramon CA 94583(925) 939-8585To Reach The MPN Contact And / Or To Request Copies Of The MPN Notices, Please Call (877) 854-3353 Or Email: mpninfo@netbyd.com. Medical Access Assistant: If you need assistance in scheduling anappointment please call (877) 854-3353 Or Email: mpninfo@netbyd.com. To report any MPN updates or corrections, please contact (877) 854-3353, mpninfo@netbyd.com. Para informar cualquieractualización MPN o correcciones, póngase en contacto con (877) 854-3353, mpninfo@netbyd.com.This data is current as of 7/5/2022Page 7

ROSTER OFTREATINGPHYSICIANSWalnut CreekProvidersGeneral MedicineKronick, John, MDGolden State Orthopedics & Spine2405 Shadelands DrWalnut Creek CA 94598(925) 939-8585Occupational MedicineSpine SurgeryLee, Steven S, MDGolden State Orthopedics & Spine2405 Shadelands DrWalnut Creek CA 94598(925) 939-8585Fresno CountyClovisProvidersGupta, Charu, MDKaiser Permanente On-the-JobOccupational Health Center320 Lennon LnLassen Bldg. 2nd Flr.Walnut Creek CA 94598(925) 906-2060Orthopedics SurgeryKnight, John M, MDGolden State Orthopedics & Spine5201 Norris Canyon RdSte 300Walnut Creek CA 94598(925) 939-8585Knight, John M, MDGolden State Orthopedics & Spine2405 Shadelands DrWalnut Creek CA 94598(925) 939-8585Pain ManagementChang, Michael Y, DOGolden State Orthopedics & Spine2405 Shadelands DrWalnut Creek CA 94598(925) 939-8585Physical Medicine & Rehabilitation /PhysiatryChang, Michael Y, DOGolden State Orthopedics & Spine2405 Shadelands DrWalnut Creek CA 94598(925) 939-8585Family PracticeBaron, Kathleen A, MDPrimary Care Consultants255 W Bullard AveSte 124Clovis CA 93612(559) 297-1300FresnoProvidersOccupational MedicineJahromi, Shahzad, MDKaiser Permanente On-the-JobOccupational Health Center7300 N Fresno StOak 1 BldgFresno CA 93720(559) 448-4886Orthopedics Surgery – By ReferralOnlyGaur, Alok, MDThe Permanente Medical Group7300 N Fresno StFresno CA 93720(559) 448-4886Kumar, Sanjay, MDThe Permanente Medical Group7300 N Fresno StFresno CA 93720(559) 448-4886Safian, Christian C, MDThe Permanente Medical Group7300 N Fresno StFresno CA 93720(559) 448-4886Podiatry – By Referral OnlyBurns, Michael D, DPMThe Permanente Medical Group7300 N Fresno StFresno CA 93720(559) 448-4886Radiation OncologyDave, Giatri, MDCancer Therapy Medical Group7887 N Cedar AveFresno CA 93720(559) 437-1000Liu, Li, MDCancer Therapy Medical Group7887 N Cedar AveFresno CA 93720(559) 437-1000RiverdaleProvidersFamily PracticeMontana, Anthony W, MDAdventist Health Physicians network Riverdale3567 Mt. Whitney AveRiverdale CA 93656(559) 867-7500Humboldt CountyArcataProvidersTo Reach The MPN Contact And / Or To Request Copies Of The MPN Notices, Please Call (877) 854-3353 Or Email: mpninfo@netbyd.com. Medical Access Assistant: If you need assistance in scheduling anappointment please call (877) 854-3353 Or Email: mpninfo@netbyd.com. To report any MPN updates or corrections, please contact (877) 854-3353, mpninfo@netbyd.com. Para informar cualquieractualización MPN o correcciones, póngase en contacto con (877) 854-3353, mpninfo@netbyd.com.This data is current as of 7/5/2022Page 8

ROSTER OFTREATINGPHYSICIANSNeurologyRutchik, Jonathan S, MDNEOMA3798 Janes RdSte. 9Arcata CA 95521(415) 381-3133Occupational MedicineRutchik, Jonathan S, MDNEOMA3798 Janes RdSte. 9Arcata CA 95521(415) 381-3133Kern CountyBakersfieldProvidersAcupunctureLiu, Ang, LAcConcentra Medical Centers1800 Westwind DrSte 301Bakersfield CA 93301(661) 327-9617General Surgery – By Referral OnlyMishkind, Mark T, MDSouthern California Permanente MedicalGroup2531 Chester AveBakersfield CA 93301(661) 398-3813Wang, Guixi, MDSouthern California Permanente MedicalGroup1200 Discovery DriveBakersfield CA 93309(661) 398-3813Mishkind, Mark T, MDKaiser Permanente Stockdale MedicalOffices2531 Chester AveBakersfield CA 93301(661) 398-3813Surgery - Head & Neck – By ReferralOnlyOccupational MedicineCho, Larry M, MDIndustrial Medical Group Bakersfield2501 G StBakersfield CA 93301(661) 327-2225Deza, Cecilie R, MDIndustrial Medical Group Bakersfield2501 G StBakersfield CA 93301(661) 327-2225Orthopedics – By Referral OnlyFang, David M, MDKaiser Permanente Physicians PlazaMedical Offices2531 Chester AveBakersfield CA 93301(661) 398-3813Chen, Benjamin, MDKaiser Permanente Physicians PlazaMedical Offices2531 Chester AveBakersfield CA 93301(661) 398-3813Levins, Anthony D, MDKaiser Permanente Stockdale MedicalOffices2531 Chester AveBakersfield CA 93301(661) 398-3813Hoffman, Doug, MDSouthern California Permanente MedicalGroup2531 Chester AveBakersfield CA 93301(661) 398-3813Physical Medicine & Rehabilitation /Physiatry – By Referral OnlyInocentes, Alan, MDKaiser Permanente Stockdale MedicalOffices1200 Discovery Dr.Bakersfield CA 93309(661) 398-3813Hoffman, Doug, MDSouthern California Permanente MedicalGroup2531 Chester AveBakersfield CA 93301(661) 398-3813Kings CountyHanfordProvidersGeneral Surgery – By Referral OnlyScherer, Thomas, DOAH Community Care1025 N. Douty StHanford CA 93230(888) 443-2273Orthopedics Surgery – By ReferralOnlyVarshney, Anuj, MDHanford Regional Health Network125 Mall DrSte 303Hanford CA 93230(559) 537-0310Varshney, Anuj, MDAH Community Care1025 N. Douty StHanford CA 93230(888) 443-2273Spine SurgeryVarshney, Anuj, MDHanford Regional Health Network125 Mall DrSte 303Hanford CA 93230(559) 537-0310To Reach The MPN Contact And / Or To Request Copies Of The MPN Notices, Please Call (877) 854-3353 Or Email: mpninfo@netbyd.com. Medical Access Assistant: If you need assistance in scheduling anappointment please call (877) 854-3353 Or Email: mpninfo@netbyd.com. To report any MPN updates or corrections, please contact (877) 854-3353, mpninfo@netbyd.com. Para informar cualquieractualización MPN o correcciones, póngase en contacto con (877) 854-3353, mpninfo@netbyd.com.This data is current as of 7/5/2022Page 9

ROSTER OFTREATINGPHYSICIANSVarshney, Anuj, MDAH Community Care1025 N. Douty StHanford CA 93230(888) 443-2273Thoracic Surgery – By Referral OnlyScherer, Thomas R, DOHanford Regional Health Network125 Mall DrSte 213Hanford CA 93230(559) 537-0290Lake CountyClearlakeProvidersGeneral Surgery – By Referral OnlyCassim, Muthalib M, MDAdventist Health Physicians Network15322 Lakeshore DrSte 101Clearlake CA 95422(707) 461-7986Welker, Gerald S, MDAdventist Health Physicians Network15322 Lakeshore Dr.Ste. 102Clearlake CA 95422(707) 995-5034Los Angeles CountyBaldwin ParkProvidersGeneral Surgery – By Referral OnlyKim, Ju Y, MDSouthern California Permanente MedicalGroup1011 Baldwin Park BlvdBaldwin Park CA 91706(562) 463-4357Rodgers, Paula, MDSouthern California Permanente MedicalGroup1011 Baldwin Park BlvdBaldwin Park CA 91706(562) 463-4357Garcia, Ivan A., MDKaiser Permanente Baldwin Park MedicalCenter1011 Baldwin Park BlvdBaldwin Park CA 91706(562) 463-4357Ophthalmology – By Referral OnlyGraham, Jennifer A, MDKaiser Permanente Baldwin Park MedicalCenter1011 Baldwin Park BlvdBaldwin Park CA 91706(562) 463-4357Agarwal, Soma, MDSouthern California Permanente MedicalGroup1011 Baldwin Park BlvdBaldwin Park CA 91706(562) 463-4357Ali, Baber H, MDSouthern California Permanente MedicalGroup1011 Baldwin Park BlvdBaldwin Park CA 91706(562) 463-4357Low, Savina, MDSouthern California Permanente MedicalGroup1011 Baldwin Park BlvdBaldwin Park CA 91706(562) 463-4357Yo, Christopher, MDSouthern California Permanente MedicalGroup1011 Baldwin Park BlvdBaldwin Park CA 91706(562) 463-4357Orthopedics – By Referral OnlyChoi, Lisa E, MDKaiser Permanente Baldwin Park MedicalCenter1011 Baldwin Park BlvdBaldwin Park CA 91706(562) 463-4357Diekmann, Gleen R., MDKaiser Permanente Baldwin Park MedicalCenter1011 Baldwin Park BlvdBaldwin Park CA 91706(562) 463-4357Khachatourians, Armand G., MDKaiser Permanente Baldwin Park MedicalCenter1011 Baldwin Park BlvdBaldwin Park CA 91706(562) 463-4357Khanna, Gaurav, MDKaiser Permanente Baldwin Park MedicalCenter1011 Baldwin Park BlvdBaldwin Park CA 91706(562) 463-4357Kim, Paul D, MDSouthern California Permanente MedicalGroup1011 Baldwin Park BlvdBaldwin Park CA 91706(562) 463-4357Maletis, Gregory B, MDSouthern California Permanente MedicalGroup1011 Baldwin Park BlvdBaldwin Park CA 91706(562) 463-4357Schilz, Jerry L, MDSouthern California Permanente MedicalGroup1011 Baldwin Park BlvdBaldwin Park CA 91706(562) 463-4357Shean, Chris J, MDSouthern California Permanente MedicalGroup1011 Baldwin Park BlvdBaldwin Park CA 91706(562) 463-4357To Reach The MPN Contact And / Or To Request Copies Of The MPN Notices, Please Call (877) 854-3353 Or Email: mpninfo@netbyd.com. Medical Access Assistant: If you need assistance in scheduling anappointment please call (877) 854-3353 Or Email: mpninfo@netbyd.com. To report any MPN updates or corrections, please contact (877) 854-3353, mpninfo@netbyd.com. Para informar cualquieractualización MPN o correcciones, póngase en contacto con (877) 854-3353, mpninfo@netbyd.com.This data is current as of 7/5/2022Page 10

ROSTER OFTREATINGPHYSICIANSPhysical Medicine & Rehabilitation /Physiatry – By Referral OnlyHung, Lynn L, MDSouthern California Permanente MedicalGroup1011 Baldwin Park BlvdBaldwin Park CA 91706(562) 463-4357Pham, Joseph, MDSouthern California Permanente MedicalGroup1011 Baldwin Park BlvdBaldwin Park CA 91706(562) 463-4357Podiatry – By Referral OnlyByrnes, Matthew T, DPMSouthern California Permanente MedicalGroup1011 Baldwin Park BlvdBaldwin Park CA 91706(562) 463-4357Surgery - Head & Neck – By ReferralOnlyKim, Ju Y, MDSouthern California Permanente MedicalGroup1011 Baldwin Park BlvdBaldwin Park CA 91706(562) 463-4357Rodgers, Paula, MDSouthern California Permanente MedicalGroup1011 Baldwin Park BlvdBaldwin Park CA 91706(562) 463-4357Beverly HillsProvidersPhysical Medicine & Rehabilitation /PhysiatryHakimian, Kamran, MDCalifornia Sport & Rehab Center MedicalGroup, Inc.50 N La Cienega BlvdSte 219Beverly Hills CA 90211(310) 652-6060BurbankProvidersAcupunctureCudich, Gerardo, LAcConcentra Medical Centers2550 N Hollywood WaySte 100Burbank CA 91505(818) 524-3730Family PracticeChiropractorOlshansky, Marina, DCConcentra Medical Centers9700 De Soto AveChatsworth CA 91311(818) 882-8100Salehi, Sam, DCConcentra Medical Centers9700 De Soto AveChatsworth CA 91311(818) 882-8100Foot and Ankle SurgeryDuron, Paul, MDRapid Care Centers1130 W. Olive AveBurbank CA 91506(818) 843-8555Orthopedics SurgeryAlavynejad, Babak, DPMConcentra Medical Centers9700 De Soto AveChatsworth CA 91311(818) 882-8100NeurologyKhan, Maher, MDConcentra Medical Centers2550 N Hollywood WaySte 100Burbank CA 91505(818) 524-3730ChatsworthProvidersAcupunctureCudich, Gerardo, LAcConcentra Medical Centers9700 De Soto AveChatsworth CA 91311(818) 882-8100AnesthesiologyLipel, Vadim, MDConcentra Medical Centers9700 De Soto AveChatsworth CA 91311(818) 882-8100Lin, Frank, MDConcentra Medical Centers9700 De Soto AveSte 100Chatsworth CA 91311(818) 882-8100Occupational MedicineGabriel, Ephraim, MDConcentra Medical Centers9700 De Soto AveChatsworth CA 91311(818) 882-8100Orthopedics SurgerySaucedo, Tomas, MDConcentra Medical Centers9700 De Soto AveSte 100Chatsworth CA 91311(818) 882-8100To Reach The MPN Contact And / Or To Request Copies Of The MPN Notices, Please Call (877) 854-3353 Or Email: mpninfo@netbyd.com. Medical Access Assistant: If you need assistance in scheduling anappointment please call (877) 854-3353 Or Email: mpninfo@netbyd.com. To report any MPN updates or corrections, please contact (877) 854-3353, mpninfo@netbyd.com. Para informar cualquieractualización MPN o correcciones, póngase en contacto con (877) 854-3353, mpninfo@netbyd.com.This data is current as of 7/5/2022Page 11

ROSTER OFTREATINGPHYSICIANSZahiri, Christopher, MDConcentra Medical Centers9700 De Soto AveSte 100Cha

East Bay Hand Medical Center Neurology - By Referral Only North, Will A, MD 2500 Merced St San Leandro CA 94577 (510) 675-4807 Kaiser Permanente San Leandro Medical Center Orthopedics Behravan, Hooman D, DO 13690 E. 14th St # 230 San Leandro CA 94578 (510) 614-9200 Bay Area Pain and Spine Institute Orthopedics Surgery Cheng, Joseph C, MD .