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California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

County Alpine Alpine Alpine Alpine Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador

Specialty Emergency Medicine Family Practice General Practice Public Health & General Prevention Acute/General Hospital Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Chiropractic Dermatology Dermatology Emergency Medicine Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Federally Qualified Health Center Gastroenterology Gynecology Gynecology Home Health Agency Home Infusion Therapy Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Interventional Cardiology Licensed Clinical Social Work Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Harvey Harvey Harvey Harvey

Last Name Organization Name Richard Richard Richard Richard

First Name A A A A

MI

Title MD MD MD MD

Address 75 Diamond Valley Rd 75 Diamond Valley Rd 75 Diamond Valley Rd 75 Diamond Valley Rd 200 Mission Blvd

City Markleeville Markleeville Markleeville Markleeville Jackson Jackson Jackson Jackson Jackson Jackson Jackson Jackson Jackson Jackson Ione Jackson Jackson Jackson Jackson Jackson Pine Grove Pine Grove Ione Pioneer Plymouth Jackson Jackson Jackson Jackson Jackson Jackson Jackson Jackson Jackson Jackson Jackson Jackson Jackson Jackson Jackson Jackson Jackson Jackson Jackson Jackson Sutter Creek Jackson Jackson Sutter Creek Jackson CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

St

Zip 96120 96120 96120 96120 95642 95642 95642 95642 95642 95642 95642 95642 95642 95642 95640 95642 95642 95642 95642 95642 95665 95665 95640 95666 95669 95642 95642 95642 95642 95642 95642 95642 95642 95642 95642 95642 95642 95642 95642 95642 95642 95642 95642 95642 95642 95685 95642 95642 95685 95642

Phone (530) 694-2146 (530) 694-2146 (530) 694-2146 (530) 694-2146 (209) 223-7500 (209) 257-1593 (209) 223-7500 (209) 223-7420 (209) 223-7420 (209) 223-7420 (916) 830-2000 (209) 223-1194 (209) 223-5445 (209) 223-5445 (209) 274-2000 (209) 223-0038 (209) 223-2608 (209) 223-7500 (209) 223-7040 (209) 223-2030 (209) 296-3350 (209) 296-3350 (209) 274-2183 (209) 295-5544 (209) 245-6968 (209) 223-2030 (209) 223-7420 (209) 257-2400 (209) 257-0301 (209) 223-1031 (209) 257-1057 (209) 223-3866 (209) 223-7727 (916) 830-2000 (209) 223-3837 (209) 223-3837 (209) 223-3837 (209) 257-1057 (209) 223-5445 (209) 257-2400 (209) 223-3837 (209) 223-5445 (209) 223-3837 (209) 223-1194 (209) 223-3430 (209) 267-0550 (209) 304-5695 (209) 304-5695 (209) 601-5989 (209) 223-9088

Acc Pts Y Y Y Y

Sutter Amador Hospital Chew Granger Hasson Vuksinich Weyrauch Bach Charn Pourzia Xu Dunbar Bruce Herbold Chew Bowhay Braggs Buss Buss Hall Palladino Palladino Tadlock Weyrauch Jackson Rancheria Health Complex Siddiqui Colliflower Eastman United Home Care Of Jackson Apria Healthcare Inc Bach Hartmann Kerr Nousaine Oshea Pourzia Watson Woodward Xu Zineski Charn Bitler Coleman Ducray Ducray Limas Pignataro Philip Robert Darrel Dennis Geraldine Gholamreza Matthew Gary Zi-Jian Stefan Kenny Christine Christine James James Jesse Kathleen R R S M H K A M C K A T F M J MD MD MD MD DO MD MD MD MD MD MD LCSW MFT MFT MFT MFT Shanti William Mark W E MD MD DO Vicki Krystin Grant Gregory Henry Philip Kenny Gholamreza Zi-Jian Charles David Kyle Bradford Thomas Belinda Richard Richard Craig Lawrence Lawrence Deon Henry E R W J A L F F W M M L M MD MD MD MD MD L C E S M M K F MD DO MD MD MD MD MD MD MD DC DO MD MD MD MD

223 Clinton Rd 200 Mission Blvd 200 Mission Blvd 200 Mission Blvd 200 Mission Blvd 12140 New York Ranch Rd 201 Clinton Rd 815 Court St 815 Court St 119 Clay St 817 Court St 817 Court St 200 Mission Blvd 1245 Jackson Gate Rd 605 New York Ranch Rd 13828 Gold Mine Rd 19620 State Highway 88 305 Preston Ave 24685 State Hwy 88 9279 Locust St 605 New York Ranch Rd 200 Mission Blvd 12140 New York Ranch Rd 609 New York Ranch Rd 817 Court St 235 New York Ranch Rd 245 New York Ranch Rd 220 Scottsville Blvd 12140 New York Ranch Rd 815 Court St 815 Court St 815 Court St 235 New York Ranch Rd 815 Court St 12140 New York Ranch Rd 815 Court St 815 Court St 815 Court St 201 Clinton Rd 157 Main St 16 Bryson Dr 1001 Broadway 8 Court St 32 Main St 625 A Court St

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Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent Licensees of the Blue Cross Association. ANTHEM is a registered trademark of Anthem Insurance Companies, inc The Blue Cross name and symbol are registered marks of the Blue Cross Association.

10/24/2013

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Amador Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte

Medical Vendor (DME) Nephrology Neurology Obstetrics & Gynecology Obstetrics & Gynecology Ophthalmology Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Orthopedic Surgery Orthopedic Surgery Pediatrics Podiatry Podiatry Podiatry Podiatry Podiatry Psychology Psychology Rural Health Clinic Rural Health Clinic Surgery Acupuncture Acupuncture Acupuncture Acupuncture Acupuncture Acupuncture Acupuncture Acupuncture Acupuncture Acute Psychiatric Hospital Acute/General Hospital Acute/General Hospital Acute/General Hospital Acute/General Hospital Allergy & Immunology Allergy & Immunology Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Anesthesiology Anesthesiology Anesthesiology

Apria Healthcare Inc Zineski Van Fossan Colliflower Young Cooper Col Fronk Garcia Gibson Mc George Merry Pickens Remick Van Buskirk Krpan Rogalski Roda Dutra Shock Smalley Smalley Stroh Ponder Randolph Sutter Amador Health Center-Pioneer Sutter Amador Hlth Center-Plymouth Ellyson Baume Baume Conlin Dawson Lerner Nichols Nichols Votaw Wilder Enloe Behavioral Health Biggs Gridley Memorial Hospital Enloe Medical Center Inc Feather River Hospital Oroville Hospital & Medical Center Berry Wooding Advanced Eye Surgery Center Chico Surgery Center Eye Life Institute North Valley Endoscopy Center Skyway Surgery Center Llc Avakumov Avakumov Borg Tigran Tigran Randall V V K MD MD MD Paul Lenore S G MD MD John Adrian Richard Jennifer Amy James William William Janette Hopi H P P N I R D D MD LAC LAC LAC LAC LAC LAC LAC LAC Stefan Donald William Robert Howard Peter Steven Kelli Duane Janice Michael Todd Kristy Richard Christopher Roger Alisa David Thomas Alton Alton Kevin John Robert H D W E D R J G P M J R M H J P A L G J J I C L PHD MD MD MD MD MD OD OD OD OD OD OD OD OD OD DO MD MD DPM DPM DPM DPM DPM

220 Scottsville Blvd 815 Court St 201 Clinton Rd 817 Court St 100 Mission Blvd 817 Court St 13828 Gold Mine Rd 817 Court St 10 Bryson Dr 817 Court St 817 Court St 817 Court St 10 Bryson Dr 817 Court St 817 Court St 100 Mission Blvd 613 New York Ranch Rd 12140 New York Ranch Rd 619 New York Ranch Rd 813 Court St 12140 New York Ranch Rd 12150 New York Ranch Rd 813 Court St 1001 Broadway 320 Court St 24685 State Hwy 88 9279 Locust Ave 815 Court St 3006 Esplanade 3006 Esplanade 1209 Esplanade 572 Rio Lindo Ave 244 W 9Th St 1209 Esplanade 1224 Mangrove Ave 852 Manzanita Ct 1664 Montgomery St 1531 Esplanade 240 Spruce St 1531 Esplanade 5974 Pentz Rd 2767 Olive Hwy 2767 Olive Hwy 254 Cohasset Rd 627 W East Ave 615 W East Ave 6283 Clark Rd 888 Lakeside Village Commo 121 Raley Blvd 1531 Esplanade 888 Lakeside Vlg Commons 5974 Pentz Rd

Jackson Jackson Jackson Jackson Jackson Jackson Pine Grove Jackson Sutter Creek Jackson Jackson Jackson Sutter Creek Jackson Jackson Jackson Jackson Jackson Jackson Jackson Jackson Jackson Jackson Jackson Jackson Pioneer Plymouth Jackson Chico Chico Chico Chico Chico Chico Chico Chico Oroville Chico Gridley Chico Paradise Oroville Oroville Chico Chico Chico Paradise Chico Chico Chico Chico Paradise

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

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(209) 223-7727 (209) 223-3837 (209) 223-3021 (209) 223-1031 (209) 257-0177 (209) 223-2020 (209) 296-5565 (209) 223-2020 (209) 223-1402 (209) 223-2020 (209) 223-2020 (209) 223-2020 (209) 223-1402 (209) 223-2020 (209) 223-2020 (209) 736-1147 (209) 223-5864 (209) 257-2400 (209) 223-3030 (209) 223-3732 (209) 257-2400 (209) 257-2460 (209) 223-3732 (619) 813-7154 (209) 223-1151 (209) 295-5544 (209) 245-6968 (209) 223-4413 (530) 891-0268 (530) 891-0268 (530) 342-2895 (530) 891-1823 (530) 343-8932 (530) 342-2895 (530) 345-9685 (530) 892-1196 (530) 282-5882 (530) 891-7300 (530) 846-5671 (530) 332-6353 (530) 876-7121 (530) 533-8500 (530) 533-8500 (530) 893-9244 (530) 342-1800 (530) 895-1800 (530) 877-2020 (530) 894-9050 (530) 230-2000 (530) 332-7330 (530) 332-6800 (530) 877-9361 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

10/24/2013

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte

Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology, Pain Management Anesthesiology, Pain Management Anesthesiology, Pain Management Anesthesiology, Pain Management Anesthesiology, Pain Management Anesthesiology, Pain Management Applied Behavioral Analyst Audiology Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease

Borg Borg Brady Brady Coleman Coleman Eldenburg Eldenburg Eldenburg Galland Gleason Johnson Johnson Marcus Menefee Menefee Mercer Osifo Pal Phillips Phillips Reiman Tym Yip Borg Borg Borg Johnson Johnson Pal Romano Touchette Anderson Anderson Khanna Kusumoto Kusumoto Lary Lary Lary Magnusson Massa Moffett Moore More Postiglione Schwartz Schwartz Schwartz Watson Watson Watson

Randall Randall Kevin Kevin Lewis Lewis Curtis Curtis Curtis Jeffrey Timothy Barry Barry Franklin Alan Alan Timothy Osahon Joshua Roger Roger Charles Bradley Raymond Randall Randall Randall Barry Barry Joshua Laura Deborah Douglas Douglas Deepak Walter Walter Darrel Darrel Darrel Peter Christopher Eugene Marcia Gary Paulo Ari Steven Steven Steven Andrew Andrew Frederick

K K M M S S E E E D W K K J D D E

MD MD MD MD MD MD

615 W East Ave 627 W East Ave 1531 Esplanade 888 Lakeside Vlg Commons 1531 Esplanade 888 Lakeside Vlg Commons 121 Raley Blvd 1531 Esplanade 888 Lakeside Vlg Commons

Chico Chico Chico Chico Chico Chico Chico Chico Chico Paradise Paradise Chico Chico Chico Chico Chico Chico Oroville Chico Chico Chico Oroville Paradise Chico Paradise Chico Chico Chico Chico Chico Chico Paradise Paradise Paradise Oroville Chico Chico Chico Chico Oroville Chico Chico Chico Chico Chico Chico Chico Chico Oroville Chico Oroville Oroville

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

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(530) 895-1800 (530) 342-1800 (530) 332-7330 (530) 332-6800 (530) 332-7330 (530) 332-6800 (530) 230-2000 (530) 332-7300 (530) 332-6800 (530) 877-9361 (530) 877-2020 (530) 332-7300 (530) 332-6800 (530) 332-7300 (530) 332-7300 (530) 332-6800 (800) 564-2661 (530) 532-8584 (530) 342-4395 (530) 332-7300 (530) 332-6800 (530) 533-8500 (530) 877-9361 (530) 230-2000 (530) 877-9361 (530) 895-1800 (530) 342-1800 (530) 332-7300 (530) 332-6800 (530) 342-4395 (530) 514-8179 (530) 872-5500 (530) 872-2000 (530) 872-1578 (530) 532-8609 (530) 332-6010 (530) 893-8806 (530) 891-7300 (530) 342-0123 (530) 533-9664 (530) 893-4393 (530) 343-5828 (530) 343-0200 (530) 343-5006 (530) 342-0123 (530) 332-7300 (530) 891-7300 (530) 342-0123 (530) 533-1554 (530) 342-0123 (530) 534-6517 (530) 533-1554

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

MD MD MD MD MD MD MD MD MD

5974 Pentz Rd 6283 Clark Rd 1531 Esplanade 888 Lakeside Vlg Commons 1531 Esplanade 1531 Esplanade 888 Lakeside Vlg Commons 1531 Esplanade 2767 Olive Hwy 680 Cohasset Rd 1531 Esplanade 888 Lakeside Vlg Commons 2767 Olive Hwy 5974 Pentz Rd 121 Raley Blvd 5974 Pentz Rd 615 W East Ave 627 W East Ave 1531 Esplanade 888 Lakeside Vlg Commons 680 Cohasset Rd 5 Greg Ct 5500 Clark Rd 5125 Skyway 6009 Pentz Rd 2721 Olive Hwy

S B B B D A K K K K K S C A E E

MD MD MD MD MD MD MD MD MD MD MD MD MFT MA MD MD

T T L L L T S V A D D A A A D D S

MD MD MD MD MD MD

1430 Esplanade 1645 Esplanade 1531 Esplanade 198 Cohasset Rd 2721 Olive Hwy 185 E 7Th Ave 185 E 7Th Ave

MD MD MD MD MD MD MD MD MD MD

185 E 7Th Ave 1601 Esplanade 198 Cohasset Rd 1531 Esplanade 1531 Esplanade 198 Cohasset Rd 2721 Olive Hwy 198 Cohasset Rd 2721 Olive Hwy 2721 Olive Hwy

10/24/2013

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte

Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Chemical Dependency Rehab Center, Outpatient Chemical Dependency Rehab Center, Outpatient Outpatient Psychiatric Facility Child & Adolescent Psychiatry Child & Adolescent Psychiatry Child & Adolescent Psychiatry Child & Adolescent Psychiatry Child & Adolescent Psychiatry Child & Adolescent Psychiatry Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Colon & Rectal Surgery Colon & Rectal Surgery Colon & Rectal Surgery Colon & Rectal Surgery Colon & Rectal Surgery Critical Care Medicine Critical Care Medicine Critical Care Medicine Critical Care Medicine

Wolk Wolk Wolk Wolk Wong Wright Wright Yhip Yhip Chico Recovery Center Therapeutic Solutions Pc Del Rosario Hidalgo Nielsen Nielsen Ramanujam Shibata Anderson Baker Bunganich Commendatore Dollinger Edwards Engler Englund Escott Greitzer James Laufer Leask Mc Donald Mcarthur Mcdonald Mclogan Ogden Parrott Penner Porter Smith Turner Weddell Wulbern Zwinger Dorsey-Tyler Matthews Matthews Shieh Shieh Batin Batin Batin Brady

Peter Peter Peter Peter Michael Janet Janet James James

J J J J J S S P P

MD MD MD MD MD MD MD MD MD

1531 Esplanade 198 Cohasset Rd 2721 Olive Hwy 5125 Skyway 5125 Skyway 1531 Esplanade 198 Cohasset Rd 198 Cohasset Rd 5125 Skyway 40 Comanche Ct 3255 Esplanade

Chico Chico Oroville Paradise Paradise Chico Chico Chico Paradise Chico Chico Chico Chico Chico Chico Chico Chico Chico Chico Chico Chico Chico Chico Chico Oroville Chico Paradise Chico Chico Chico Chico Magalia Chico Oroville Paradise Paradise Chico Chico Chico Chico Chico Oroville Durham Chico Chico Chico Oroville Gridley Paradise Paradise Paradise Chico

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(530) 891-7300 (530) 342-0123 (530) 533-1554 (530) 872-2000 (530) 872-2000 (530) 891-7300 (530) 342-0123 (530) 342-0123 (530) 872-2000 (530) 343-6566 (530) 899-3150 (530) 895-8888 (530) 838-4188 (530) 838-4188 (530) 838-4188 (530) 838-4188 (530) 895-8888 (530) 456-1457 (530) 897-4188 (530) 894-7261 (530) 456-1457 (530) 891-1391 (530) 892-1884 (530) 345-2556 (530) 534-3590 (530) 345-4204 (530) 877-9333 (530) 566-1234 (530) 895-1151 (530) 893-3828 (530) 895-0224 (530) 873-3200 (530) 895-0224 (530) 533-3117 (530) 877-3898 (530) 877-9355 (530) 342-8464 (530) 894-2565 (530) 809-2695 (530) 342-2111 (530) 345-3043 (530) 534-3590 (530) 521-4690 (530) 891-4523 (530) 332-7144 (530) 891-4523 (530) 534-3037 (530) 846-9072 (530) 872-2000 (530) 872-3175 (530) 872-3175 (530) 332-7330

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Alice Vilma Welby Welby Abhijit Shigefumi Michelle Kelly David Vincent Mark Kristilyn James Amber Karen Lauri Kirk Alexander Stephanie Christina Gary Martin Michael Gary Blane Deborah Nancy Jesse Richard Gary Richard Susan Kevin Joseph Joseph Chih Chih Ronald Ronald Ronald Kevin R M L M T D L A M D C L H R R M M J J S S S M K B R D L L A L W W L D D V

MD MD DO DO MD MD DC DC DC DC DC DC DC DC DC DC DC DC DC DC DC DC DC DC DC DC DC

3 Governors Ln 3 Governors Ln 3 Governors Ln 400 W 1St St 3 Governors Ln 3 Governors Ln 1350 E 9Th St 852 Manzanita Ct 166 Cohasset Rd 1350 E 9Th St 578 Rio Lindo Ave 1279 E 1St Ave 676 E 1St Ave 2335 Lincoln St 389 Connors Ct 800 Fir St 2062 Talbert Dr 1810 Esplanade Ste A 1601 Esplanade 1635 Magnolia Ave 14154 Skyway 1635 Magnolia Ave 2990 Oro Dam Blvd E 164 Pearson Rd 5849 Almond St 360 E 1St St 366 Rio Lindo Ave 1166 Esplanade

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DC DC DC DC MD MD MD MD MD MD MD MD MD

1324 Mangrove Ave 1140 Mangrove Ave 2335 Lincoln St 9287 Midway Rd Ste 1B 2 Governors Ln 1026 Mangrove Ave 2 Governors Ln 2630 Olive Hwy Ste B 284 Spruce St 5125 Skyway 6460 Pentz Rd 6480 Pentz Rd 1531 Esplanade

10/24/2013

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte

Critical Care Medicine Critical Care Medicine Critical Care Medicine Dermatology Dermatology Dermatology Dermatology Dermatology Dermatology Dermatology Dermatology Dermatology Dermatology Dermatology Dermatology Dermatology Dermatopathology Dermatopathology Dermatopathology Dermatopathology Diagnostic Imaging Center Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine

Brady Singh Verma Abildgaard Abildgaard Chiao Davis Reed Hodari Hodari Pardini Richey Sajben Sajben Vannucci Vannucci Zumwalt Richey Sasaki Vannucci Vannucci Open System Mri Llc Aikin Aikin Aikin Artzner Artzner Artzner Balardi Bills Boyles Chillar Disano Fleming Fraters Gill Harman Harter Hawkins Heinrich Johnson Johnson Knapp Leavitt Merriman Moore Nunley Nunley Nunley Nunley Russo Schneider Seaman

Kevin Narindar Dinesh William William Nor Linda Kafele Kafele Daniel Donald Francis Francis Stephen Stephen Richard Donald Geoffrey Stephen Stephen

MD MD MD

888 Lakeside Vlg Commons 2721 Olive Hwy 130 Independence Cir 2721 Olive Hwy 2780 Oro Dam Blvd E 251 Cohasset Rd 270 Cohasset Rd 251 Cohasset Rd 251 Cohasset Rd 2Nd Fl 270 Cohasset Rd 251 Cohasset Rd 251 Cohasset Rd 251 Cohasset Rd 2Nd Fl 251 Cohasset Rd 251 Cohasset Rd 2Nd Fl 6283 Clark Rd

Chico Oroville Chico Oroville Oroville Chico Chico Chico Chico Chico Chico Chico Chico Chico Chico Paradise Chico Chico Chico Chico Chico Chico Chico Paradise Chico Chico Chico Chico Oroville Chico Chico Chico Chico Chico Chico Oroville Oroville Oroville Oroville Chico Paradise Chico Chico Chico Chico Chico Chico Paradise Chico Oroville Chico Oroville

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

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(530) 332-6800 (530) 533-6061 (530) 343-5864 (530) 533-3571 (530) 533-3571 (530) 342-3686 (530) 895-1396 (530) 342-3686 (530) 342-3686 (530) 895-1396 (530) 342-3686 (530) 342-3686 (530) 342-3686 (530) 342-3686 (530) 342-3686 (530) 872-0617 (530) 342-3686 (530) 891-6244 (530) 342-3686 (530) 342-3686 (530) 342-8121 (530) 332-7330 (530) 332-5100 (530) 877-9361 (530) 332-5100 (530) 896-5000 (530) 332-6890 (530) 332-7300 (530) 533-8500 (530) 332-7330 (530) 332-7330 (530) 332-7330 (530) 332-7330 (530) 332-7330 (530) 332-7300 (530) 533-8500 (530) 532-8636 (530) 532-8648 (530) 533-8500 (530) 891-1676 (530) 877-5433 (530) 332-7144 (530) 332-7330 (530) 332-7330 (530) 332-7330 (530) 332-5100 (530) 896-5000 (530) 877-9361 (530) 332-6890 (530) 533-8500 (530) 322-7330 (530) 533-8500

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H H C

MD MD MD MD

T T A F P P A A D F T A A

MD MD MD MD MD MD MD MD

MD

251 Cohasset Rd 183 E 8Th Ave

MD MD

251 Cohasset Rd 251 Cohasset Rd 2Nd Fl 670 Rio Lindo Ave

Bruce Bruce Bruce Thomas Thomas Thomas Vincent Brent Cory Paul Michael Kenneth Michael Jerry Patricia Joan Marie Matthew Mark Ronald Ronald Andrew Douglas Charles James David David David David Peter Margaret Laurence

M M M H H H F A D P J W G H J G T T D D L L S A L L L L M B R

MD MD MD MD MD MD MD MD MD MD MD MD DO MD MD MD MD DO MD MD

1531 Esplanade 560 Cohasset Rd 5974 Pentz Rd 1531 Esplanade 560 Cohasset Rd 888 Lakeside Vlg Commons 1531 Esplanade 2767 Olive Hwy 1531 Esplanade 1531 Esplanade 1531 Esplanade 1531 Esplanade 1531 Esplanade 1531 Esplanade 2767 Olive Hwy 2809 Olive Hwy 2767 Olive Hwy 2767 Olive Hwy 376 Vallombrosa Ave 5875 Clark Rd 1026 Mangrove Ave

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

MD MD MD MD MD MD MD

1531 Esplanade 1531 Esplanade 1531 Esplanade 1531 Esplanade 560 Cohasset Rd 5974 Pentz Rd 888 Lakeside Vlg Commons 2767 Olive Hwy 1531 Esplanade

MD

2767 Olive Hwy

10/24/2013

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte

Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Endocrinology & Metabolism Endocrinology & Metabolism Endocrinology & Metabolism Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice

Shipley Starkes Stesin Taylor Triebswetter Voelker Vu Zlotowski Singh Singh Singh Abed-Amoli Badour Badour Bishop Bohlander Bowers Brandstater Brown Brown Carlson Carlson Caviness Caviness Challburg Chopan Cottrell Darwin Darwin Darwin Dechavez Dorjee Ekkens Foster Garrison Garrison Hahn Johnson Kong-Sibal Layne Layne Layne Lee Lee Lee Lim Logan Miller Miller Morrissey Nayduch Nayduch

Stephen Henry Alan Gregory Gary William Trinh Steven Leena Leena Leena Hossein Courtney Courtney Roy Mark Maralee Nigel James Kevin Rhonda Rhonda Dewayne Dewayne Norman Sultan Maria Amy Amy Amy Carmelito Kunchok Daniel Terrance Douglas Jared David Kurt Jeannette Tanya Tanya Tanya Joseph Joseph Joseph Herbert Kenneth Dwight Dwight Ann J J

J B J M A O D J

MD MD MD MD MD MD MD MD MD MD MD MD

1531 Esplanade 284 Spruce St 1531 Esplanade 5974 Pentz Rd 5974 Pentz Rd 1531 Esplanade 2800 Lincoln St 1531 Esplanade 1488 East Ave 2145 5Th Ave 5125 Skyway 2800 Lincoln St 5125 Skyway 6585 Clark Rd 100 Independence Cir 888 Lakeside Vlg Commons 225 Spuce St 2800 Lincoln St 225 Spruce St 1531 Esplanade 10 Landing Cir 670 Rio Lindo Ave 1040 Mangrove Ave 5125 Skyway 2721 Olive Hwy 2809 Olive Hwy 680 Cohasset Rd 5125 Skyway 6470 Pentz Rd Ste D 6480 Pentz Rd 520 Kentucky St 680 Cohasset Rd 1040 Mangrove Ave 670 Rio Lindo Ave 1025 Village Ln 1025 Village Ln 1531 Esplanade 1040 Mangrove Ave 100 Independence Cir 270 Cohasset Rd 5125 Skyway 888 Lakeside Vlg Commons 5125 Skyway 5974 Pentz Rd 6585 Clark Rd 114 Mission Ranch Blvd 15151 Little Ron Rd 5125 Skyway 6585 Clark Rd 680 Cohasset Rd 114 Mission Ranch Blvd 254 Cohasset Rd

Chico Gridley Chico Paradise Paradise Chico Oroville Chico Chico Oroville Paradise Oroville Paradise Paradise Chico Chico Gridley Oroville Gridley Chico Chico Chico Chico Paradise Oroville Oroville Chico Paradise Paradise Paradise Gridley Chico Chico Chico Chico Chico Chico Chico Chico Chico Paradise Chico Paradise Paradise Paradise Chico Chico Paradise Paradise Chico Chico Chico

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

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(530) 332-7330 (530) 846-9072 (530) 332-7330 (530) 877-9361 (510) 877-9361 (530) 332-7740 (530) 534-7500 (530) 332-7330 (530) 342-1310 (530) 534-5394 (530) 872-2000 (530) 534-7500 (530) 872-2000 (530) 877-0762 (530) 899-0295 (530) 332-6890 (530) 846-5655 (530) 534-7500 (530) 846-5655 (530) 332-7557 (530) 893-3575 (530) 899-3575 (530) 345-0064 (530) 872-2000 (530) 538-3171 (530) 533-6670 (530) 342-4395 (530) 872-2000 (530) 877-8855 (530) 877-8855 (530) 846-6231 (530) 342-4395 (530) 343-7441 (530) 899-7120 (530) 566-0132 (530) 566-0132 (530) 332-7557 (530) 345-0064 (530) 899-0295 (530) 893-4200 (530) 872-2000 (530) 332-6890 (530) 872-2000 (530) 877-9361 (530) 877-0762 (530) 894-0500 (530) 894-5416 (530) 872-2000 (530) 877-4465 (530) 342-4395 (530) 894-0500 (530) 894-0500

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y N Y Y Y Y Y Y N Y Y Y Y Y N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

C C L J C S C E L L E E L M C L L L

DO DO MD MD MD MD DO MD MD MD MD MD MD MD MD MD MD MD MD MD

A J E D D E V E E E T T T H D L L

MD MD DO DO DO MD MD MD MD MD MD MD MD MD MD MD MD MD

R R

MD MD

10/24/2013

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte

Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice, Sports Federally Qualified Health Center Gastroenterology Gastroenterology Gastroenterology Gastroenterology Gastroenterology Gastroenterology Gastroenterology Gastroenterology General Practice General Practice General Practice General Practice General Practice General Practice General Practice

Nelson Olson Olson Ooi Rey Roth Roth Sahagian Sahagian Sahagian Sakal Sakal Saxman Saxman Schooling Smith Smith St Clair Stark Tatsuyama Toms Turner Turner Turner Tye Tye Tye Vaclavik Vance Vance Vang Wagner Wagner Westcott Yang Starkes Feather River Tribal Health Inc Howard Khorsandi Mansell Mansell Norum Pearce Pearce Zak Abed-Amoli Afrasiabi Berry Caviness Clay Ekkens Felthouse

Marcia Forrest Forrest James Arnold Robert Thomas Arnold Arnold Arnold Lijun Lijun Eric Eric Michael Vaughn Vaughn Donald Brandan Jed Carla Richard Richard Richard Ross Ross Ross Charles Jason Jason Nhia Steven Steven James Mee Henry

F R R P M E L S S S W W T T B J J B

MD MD MD

114 Mission Ranch Blvd 1209 Esplanade 1531 Esplanade 383 Connors Ct

Chico Chico Chico Chico Chico Chico Chico Chico Paradise Chico Magalia Paradise Chico Paradise Chico Oroville Oroville Oroville Chico Chico Oroville Paradise Paradise Paradise Chico Chico Paradise Chico Paradise Paradise Oroville Chico Paradise Chico Oroville Gridley Oroville Oroville Paradise Paradise Paradise Chico Chico Paradise Chico Oroville Oroville Oroville Chico Oroville Chico Chico

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

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(530) 894-0500 (530) 896-7455 (530) 332-7557 (530) 345-5897 (530) 894-0500 (530) 342-4395 (530) 894-0500 (530) 332-5100 (530) 872-2000 (530) 332-6890 (530) 873-1676 (530) 872-2000 (530) 891-1676 (530) 877-5433 (530) 896-0386 (530) 532-1820 (530) 532-8636 (530) 534-7500 (530) 899-2126 (530) 345-0064 (530) 532-8648 (530) 872-2000 (530) 877-4911 (530) 877-4911 (530) 899-8853 (530) 891-1676 (530) 877-5433 (530) 342-4395 (530) 872-2000 (530) 877-9326 (530) 532-8584 (530) 894-0500 (530) 872-2000 (530) 894-0500 (530) 532-8648 (530) 846-9072 (530) 534-5394 (530) 533-1554 (530) 872-2000 (530) 877-0400 (530) 872-2000 (530) 332-7800 (530) 894-8800 (530) 872-2000 (530) 894-8800 (530) 534-7500 (530) 533-8500 (530) 533-8500 (530) 891-9531 (530) 534-1334 (530) 343-7441 (530) 893-2323

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y N Y Y Y Y Y

MD MD MD MD MD MD MD MD MD MD MD MD MD MD DO

114 Mission Ranch Blvd 680 Cohasset Rd 114 Mission Ranch Blvd 1531 Esplanade 5125 Skyway 888 Lakeside Vlg Commons 14662 Skyway 5125 Skyway 376 Vallombrosa Ave 5875 Clark Rd 1645 Esplanade 2721 Olive Hwy 2809 Olive Hwy 2800 Lincoln St 100 Independence Cir 1040 Mangrove Ave 2767 Olive Hwy 5125 Skyway 6480 Pentz Rd Ste D 771 Buschmann Rd 35 Jan Ct 376 Vallombrosa Ave 5875 Clark Rd 680 Cohasset Rd 5125 Skyway 6480 Pentz Rd Ste B 2767 Olive Hwy

J A B B B W W W P R R K D D A

MD MD MD MD MD MD MD MD DO MD MD

DO DO MD MD

114 Mission Ranch Blvd 5125 Skyway 114 Mission Ranch Blvd 2767 Olive Hwy 284 Spruce St 2145 5Th Ave

MD

Nathaniel Mehdi Donald Donald Thomas Stephen Stephen Richard Hossein Ardavan Paul Randall John Daniel Rae S E P A D E E M F F A

MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD

2721 Olive Hwy 5125 Skyway 153 Pearson Rd 5125 Skyway 1531 Esplanade Rd 251 Cohasset Rd 5125 Skyway 251 Cohasset Rd 2800 Lincoln St 2767 Olive Hwy 2767 Olive Hwy 1279 E 1St Ave 2767 Olive Hwy 1040 Mangrove Ave 251 Cohasset Rd Ste 170

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

10/24/2013

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte

General Practice General Practice General Practice General Practice General Practice General Practice General Practice General Practice General Practice General Practice General Practice General Practice General Practice General Practice General Practice General Practice General Practice General Practice General Practice General Practice General Practice General Vascular Surgery General Vascular Surgery General Vascular Surgery General Vascular Surgery General Vascular Surgery Geriatric Medicine Geriatric Medicine Gynecology Gynecology Gynecology Hearing Aid Supplier Hearing Aid Supplier Hearing Aid Supplier Hearing Aid Supplier Hearing Aid Supplier Hematology Hematology Hematology Hematology Hematology Hematology Hematology Hematology Hematology Hematology Hematology Hematology Hematology Hematology & Medical Oncology Hemodialysis Center Hemodialysis Center

Felthouse Greenberg Greenberg Gullahorn Light Light Ooi Parrish Parrish Parrish Peterson Roth Smith Tye Tye Tye Vu Waters Waters Waters Williams Conley Eddlemon Hunt Hunt Westphal Mundorff Mundorff Dixon Dixon Valcarenghi B & B Hearing Aid Service Chico Hearing Aid Center Havens Hearing Aid Center Miracle Ear Hearing Center Miracle Ear Hearing Center Bonis Bonis Chang Felthouse Felthouse Freeman Heckman Kellon Majer Mazj Mazj Salinas Schwartz Whitlatch Chico Dialysis Center Oroville Dialysis Clinic

Rae Steven Steven Leslie Mark Mark James Jennifer Jennifer Jennifer Stephen Thomas Dean Ross Ross Ross Trinh Jerry Jerry Jerry Randall Milton Eugene Lyle Lyle Denis Thomas Thomas Whitney Whitney Maurice

D A A J W W P L L L D L P W W W D D D D S H D B B R N N D D

MD MD MD MD MD MD

265 Cohasset Rd 2767 Olive Hwy 284 Spruce St 1531 Esplanade 1279 E 1St Ave 1560 Humboldt Rd 383 Connors Ct 114 Mission Ranch Blvd 376 Vallombrosa Ave 5875 Clark Rd

Chico Oroville Gridley Chico Chico Chico Chico Chico Chico Paradise Chico Chico Chico Chico Chico Paradise Oroville Chico Oroville Oroville Chico Oroville Chico Paradise Paradise Chico Oroville Oroville Chico Paradise Chico Paradise Chico Paradise Chico Chico Chico Chico Chico Chico Chico Paradise Oroville Oroville Oroville Paradise Paradise Oroville Paradise Chico Chico Oroville

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

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(530) 893-2323 (530) 532-8584 (530) 846-9072 (530) 332-7575 (530) 899-7300 (530) 899-7300 (530) 345-5897 (530) 894-0500 (530) 891-1676 (530) 877-5433 (530) 342-7564 (530) 894-0500 (530) 345-0064 (530) 899-8853 (530) 891-1676 (530) 877-5433 (530) 534-7500 (530) 898-1201 (530) 538-3020 (530) 532-8654 (530) 343-7441 (530) 532-8161 (530) 345-9455 (530) 872-2000 (530) 877-4983 (530) 345-9455 (530) 533-1554 (530) 532-8654 (530) 899-9616 (530) 872-2000 (530) 343-2024 (530) 872-5500 (530) 342-8132 (530) 872-1993 (530) 345-0822 (530) 345-0822 (530) 899-8000 (530) 898-8088 (530) 891-6244 (530) 893-2323 (530) 893-2323 (530) 872-2000 (530) 532-8544 (530) 533-8500 (530) 532-8180 (530) 872-2000 (530) 876-3141 (530) 532-8180 (530) 872-2000 (530) 893-2323 (530) 895-8966 (530) 532-6800

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

MD MD MD MD MD MD MD MD MD MD MD MD MD

185 E 7Th Ave 114 Mission Ranch Blvd 1040 Mangrove Ave 35 Jan Ct 376 Vallombrosa Ave 5875 Clark Rd 2800 Lincoln St 236 W East Ave 2721 Olive Hwy 2809 Olive Hwy 1040 Mangrove Ave 2809 Olive Hwy 95 Declaration Dr 5125 Skyway 6480 Pentz Rd

MD MD MD MD MD MD

95 Declaration Dr 2721 Olive Hwy 2809 Olive Hwy 145 Mission Ranch Blvd 5125 Skyway 635 W East Ave 6032 Clark Rd 1600 Mangrove Ave 6135 Center St 2050 Talbert Dr 2055 Forest Ave

William William Priscilla Rae Rae Jed Ted Dale Martin Sam Sam Edna Lee Nicole

E E S D D L A B

MD MD MD MD MD MD MD MD MD MD MD

265 Cohasset Rd 265 Cohasset Rd Ste 140 183 E 8Th Ave 251 Cohasset Rd Ste 170 265 Cohasset Rd 5125 Skyway 2767 Olive Hwy 2767 Olive Hwy 2809 Olive Hwy 5125 Skyway 5629 Canyon View Dr 2809 Olive Hwy 5125 Skyway 265 Cohasset Rd 530 Cohasset Rd 3012 Olive Hwy

Y Y Y Y Y Y Y Y Y Y Y Y Y Y

K A L

MD MD MD

10/24/2013

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte

Hemodialysis Center Hemodialysis Center Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Infusion Therapy Home Infusion Therapy Hospice Hospice Infectious Disease Infectious Disease Infectious Disease Infectious Disease Infectious Disease Infectious Disease Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine

Rai Care Centers Of Northern California I Llc South Chico Dialysis Center Addus Healthcare Inc Enloe Home Health Feather River Hha Golden Valley Home Health Home Health Care Management Inc Apria Healthcare Inc Optioncare Enterprises Inc Enloe Home Health And Hospice Paradise Hospice Al-Dwairi Al-Dwairi Courtney Courtney Courtney Starkes Abudayyeh Afrasiabi Al-Dwairi Al-Dwairi An An Archer Archer Aung Aung Bal Bashir Bashir Batin Batin Batin Behl Benaron Berry Bertoglio Bertoglio Bonis Bonis Bowen Brinckerhoff Brinckerhoff Brinckerhoff Brown Carter Carter Chiapella Chiapella Chiapella Courtney Courtney Abdullah Abdullah Brian Brian Brian Henry Islam Ardavan Abdullah Abdullah Hyung Hyung Julie Julie Kae Kae Jagdeep Muhammad Muhammad Ronald Ronald Ronald Arvind Lisa Paul Mark Mark William William Aaron Arthur Arthur Arthur Kevin James James Joseph Joseph Joseph Brian Brian M M W W A A T T S T T S S S K D S R R E E R J J J E E E A A A T T MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD M M T T T B MD MD MD MD MD MD

1030 Village Ln 2845 Forest Ave 936 Mangrove Ave 1390 E Lassen Ave 6626 Clark Rd 1940 Feather River Blvd 1398 Ridgewood Dr 3028 Esplanade 132 Mission Ranch Blvd 1390 E Lassen Ave 1295 Bille Rd 2800 Lincoln St 680 Cohasset Rd 1531 Esplanade 4263 Kathy Ln 5125 Skyway 284 Spruce St 2767 Olive Hwy 2767 Olive Hwy 2800 Lincoln St 680 Cohasset Rd 5734 Canyon View Dr 5974 Pentz Rd 1645 Esplanade 5125 Skyway 5125 Skyway 6470 Pentz Rd 2800 Lincoln St 285 Cohasset Rd 530 Cohasset Rd 5125 Skyway 6460 Pentz Rd 6480 Pentz Rd 2767 Olive Hwy 572 Rio Lindo Ave 2767 Olive Hwy 2767 Olive Hwy 5125 Skyway 265 Cohasset Rd 265 Cohasset Rd Ste 140 2721 Olive Hwy 14137 Lakeridge Cir 5125 Skyway 6470 Pentz Rd 1531 Esplanade 1560 Humboldt Rd 5125 Skyway 1209 Esplanade 1531 Esplanade 680 Cohasset Rd 1531 Esplanade 4263 Kathy Ln

Chico Chico Chico Chico Paradise Oroville Chico Chico Chico Chico Paradise Oroville Chico Chico Chico Paradise Gridley Oroville Oroville Oroville Chico Paradise Paradise Chico Paradise Paradise Paradise Oroville Chico Chico Paradise Paradise Paradise Oroville Chico Oroville Oroville Paradise Chico Chico Oroville Magalia Paradise Paradise Chico Chico Paradise Chico Chico Chico Chico Chico

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

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10/24/2013

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte

Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine

Courtney Dalal Damazo Damazo Disano Felthouse Felthouse Ferguson Fine Fine Fine Fleming Gandla Garretson Go Greenberg Greenberg Guerrero Hahn Harter Hasse Hawkins Hawkins Heckman Hoang Howard Hsu Hyer Jackson Kasravi Kasza Kasza Kellon Khanna Kohli Krone Krone Lary Lary Lary Licuanan Maddipati Mahankali Mahankali Mahankali Majer Mansell Mansell Masikat Massa Mcgee More

Brian Love David David Michael Rae Rae Jon Matthew Matthew Matthew Kenneth Kishore Charles Subil Steven Steven Ethelwoldo David Joan Marie Mihaela Matthew Terrance Ted Vunghi Nathaniel Larry Jennifer Philip Fazlollah Attila Attila Dale Deepak Anjali Louise Louise Darrel Darrel Darrel Rhea Chakravarthy Sirisha Sirisha Sirisha Martin Donald Donald Jonas Christopher Jeffrey Gary

T N E E J D D E N N N W K A C A A P D G M T

MD MD MD MD MD MD MD DO MD MD MD MD MD MD MD MD MD MD DO MD MD MD DO

5125 Skyway 2721 Olive Hwy 2800 Lincoln Blvd 520 Kentucky St 1531 Esplanade 251 Cohasset Rd Ste 170 265 Cohasset Rd 3011 Ceres Ave Ste 100 2721 Olive Hwy 2767 Olive Hwy 2809 Olive Hwy 1531 Esplanade 5974 Pentz Rd 2721 Olive Hwy 2809 Olive Hwy 2767 Olive Hwy 284 Spruce St 240 Spruce St 1531 Esplanade 2809 Olive Hwy 2721 Olive Hwy 2767 Olive Hwy 1531 Esplanade 2767 Olive Hwy 2767 Olive Hwy 2721 Olive Hwy 254 Cohasset Rd 2767 Olive Hwy 2767 Olive Hwy 2767 Olive Hwy 1209 Esplanade 1531 Esplanade 2767 Olive Hwy 2721 Olive Hwy

Paradise Oroville Oroville Gridley Chico Chico Chico Chico Oroville Oroville Oroville Chico Paradise Oroville Oroville Oroville Gridley Gridley Chico Oroville Oroville Oroville Chico Oroville Oroville Oroville Chico Oroville Oroville Oroville Chico Chico Oroville Oroville Oroville Chico Paradise Chico Chico Oroville Paradise Oroville Oroville Paradise Paradise Oroville Paradise Paradise Oroville Chico Oroville Chico

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

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(530) 872-2000 (530) 538-3171 (530) 534-7500 (530) 846-6231 (530) 332-7330 (530) 893-2323 (530) 893-2323 (530) 899-7090 (530) 533-1554 (530) 533-8500 (530) 532-8544 (530) 332-7330 (530) 877-9361 (530) 533-1554 (530) 532-8037 (530) 532-8584 (530) 846-9072 (530) 846-9080 (530) 332-7557 (530) 532-8636 (530) 538-3171 (530) 532-8648 (530) 332-7557 (530) 532-8544 (530) 532-8648 (530) 533-1554 (530) 893-9244 (530) 533-8500 (530) 533-8500 (530) 532-8648 (530) 896-7455 (530) 896-7455 (530) 533-8500 (530) 532-8609 (530) 532-8161 (530) 899-0295 (530) 872-2000 (530) 891-7300 (530) 342-0123 (530) 533-9664 (530) 877-7200 (530) 532-8584 (530) 532-8584 (530) 872-2000 (530) 877-9361 (530) 532-8180 (530) 877-0400 (530) 872-2000 (530) 533-8500 (530) 343-5828 (530) 533-1270 (530) 342-0123

Y Y N N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

MD MD MD

C J G B

MD DO DO MD MD MD

MD

MD V V L L L Y S MD MD MD MD MD MD MD MD MD MD MD E E C S MD D MD MD MD MD

2809 Olive Hwy 100 Independence Cir 5125 Skyway 1531 Esplanade 198 Cohasset Rd 2721 Olive Hwy 7068 Skyway 2767 Olive Hwy 2767 Olive Hwy 5125 Skyway 5974 Pentz Rd 2809 Olive Hwy 153 Pearson Rd 5125 Skyway 2767 Olive Hwy 185 E 7Th Ave 2780 Oro Dam Blvd E 198 Cohasset Rd

10/24/2013

10

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte

Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Licensed Clinical Social Work

Mundorff Mundorff Myers Norum Olson Olson O'Regan O'Regan Parsons Perez-Egana Reznik Rogers Rossi Sanchez-Palacios Sarbu Sarbu Schooling Schwartz Seaman Shah Shah Shannon Shannon Sibal Sibal Sibal Singh Singh Singh Singh Singh Singh Smith Starkes Stesin Tanenbaum Thorp Thorp Thorp Ung Uppal Vagic Vagic Velazco Verma Watson Watson Weeber Wilms Wong Wooding Akimoto

Thomas Thomas Richard Thomas Forrest Forrest Edward Edward John Ramon Tatyana Glenn Carl Manuel Mona Mona Christine Lee Laurence Ronak Sonal Roy Roy Jose Jose Jose Leena Leena Leena Narindar Narinder Narinder John Henry Alan Nadine Richard Richard Richard Peck Hartej Dragana Dragana Jorge Dinesh Andrew Andrew Mark Dale Michael Lenore Martin

N N W M R R A A E

MD MD

2721 Olive Hwy 2809 Olive Hwy 5125 Skyway

Oroville Oroville Paradise Chico Chico Chico Chico Chico Oroville Gridley Paradise Paradise Paradise Oroville Chico Paradise Chico Paradise Oroville Oroville Oroville Oroville Oroville Chico Oroville Chico Chico Oroville Paradise Oroville Oroville Oroville Chico Gridley Chico Chico Paradise Paradise Paradise Paradise Oroville Oroville Chico Oroville Chico Chico Oroville Chico Chico Paradise Chico Chico

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95966 95966 95969 95926 95926 95926 95926 95926 95966 95948 95969 95969 95969 95966 95973 95969 95926 95969 95966 95966 95966 95966 95966 95926 95966 95926 95926 95965 95969 95966 95966 95966 95926 95948 95926 95973 95969 95969 95969 95969 95966 95966 95926 95966 95973 95926 95966 95926 95973 95969 95926 95928

(530) 533-1554 (530) 532-8654 (530) 872-2000 (530) 332-7800 (530) 896-7455 (530) 332-7557 (530) 896-7455 (530) 332-7557 (530) 534-7500 (530) 846-5671 (530) 877-9361 (530) 872-2000 (530) 872-2000 (530) 533-3500 (530) 899-7090 (530) 872-2000 (530) 896-0386 (530) 872-2000 (530) 533-8500 (530) 532-8544 (530) 532-8636 (530) 533-1554 (530) 532-8654 (530) 892-2300 (530) 898-1201 (530) 895-8966 (530) 342-1310 (530) 534-5394 (530) 872-2000 (530) 533-6061 (530) 533-6061 (530) 532-8584 (530) 899-7120 (530) 846-9072 (530) 332-7330 (530) 899-7090 (530) 872-2000 (530) 877-7200 (530) 877-7200 (530) 872-2000 (530) 533-8500 (530) 534-7500 (530) 342-4395 (530) 533-8500 (530) 343-5864 (530) 342-0123 (530) 534-6517 (530) 894-7356 (530) 343-5864 (530) 872-2000 (530) 893-9244 (530) 345-4600

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

MD MD MD MD MD MD

1531 Esplanade Rd 1209 Esplanade 1531 Esplanade 1209 Esplanade 1531 Esplanade 2800 Lincoln St 240 Spruce St

L T J E I I K A R

MD MD

5974 Pentz Rd 5125 Skyway 5125 Skyway

MD MD MD MD MD MD MD MD

2971 Olive Hwy 3011 Ceres Ave 5125 Skyway 1645 Esplanade 5125 Skyway 2767 Olive Hwy 2767 Olive Hwy 2809 Olive Hwy 2721 Olive Hwy 2809 Olive Hwy 285 Cohasset Rd 2971 Olive Hwy 530 Cohasset Rd 1488 East Ave 2145 5Th Ave 5125 Skyway 2721 Olive Hwy 2721 Olive Hwy 2767 Olive Hwy

C C B B B

MD MD MD MD MD MD MD MD MD

P B J D E E E H S T T F

MD MD MD MD MD MD MD MD MD

670 Rio Lindo Ave 284 Spruce St 1531 Esplanade 3011 Ceres Ave 5125 Skyway 5730 Canyon View Dr 6470 Pentz Rd 5125 Skyway 2767 Olive Hwy 2800 Lincoln St 680 Cohasset Rd

MD MD

2767 Olive Hwy 130 Independence Cir 198 Cohasset Rd 2721 Olive Hwy 1425 Magnolia Ave 130 Independence Cir 5125 Skyway 254 Cohasset Rd 2571 Cal Park Dr #210

D D K J J G W

MD MD MD MD MD MD LCSW

10/24/2013

11

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte

Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy

Bailey Bassett Bassett Cheryl Cheryl Cox Davidson Droescher Droescher Eiler Ellner Frazzini Ginsberg Ginsberg Gjestson Jackson Jackson Jellison Kirkham Kirkham Kirkham Leahy Levin Lorenz Lorenz Markey-Dow Markey-Dow Mcculloch Neal Neal Nelson Noey O Gara Rollins Tullius Tullius Vicuna Wendt Aikin Bartel Berge Berge Bowman Brossard-Bird Brugnano Chavez Humble Chief Chief De Deaux Dukes Dukes Flowers

Linda James James Darlene Darlene Christopher Margaret Shelley Shelley Lori Nancy Joan Helene Helene Sally Lori Lori Lisa Jennifer Jennifer Jennifer Maureen Lawrence Suzanne Suzanne Patricia Patricia Victoria Connie Connie Cyla Brandt Barbara Dawn Victoria Victoria Ana Kathryn Karen Juliet Cheryl Cheryl Andrea Kathy Jaclin Benita Winyan Winyan Amyre Susie Susie Steven H V W W M M M A J J M M C A L L I I K M S S L A M R E D D L R C C C C J J A S S S D D

LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT

315 Wall St 3247 Esplanade Ste 165 3255 Esplanade 1440 Mayers St 22 Williamsburg Ln 48 Hanover Ln 2059 Forest Ave 2220 Baldwin Ave 5848 Skyway 6076 Pentz Rd 341 Broadway St 270 E 4Th St 341 Broadway St 341 Broadway St 1430 East Ave 1068 East Ave 468 Manzanita Ave 5 Governors Ln 1068 East Ave 1224 Mangrove Ave 1660 Humboldt Rd 249 W 8Th Ave 1660 Humboldt Rd 1215 Mangrove Ave 60 Landing Cir 5125 Skyway 5910 Clark Rd 5125 Skyway 1660 Humboldt Rd 5910 Clark Rd 852 Manzanita Ct Ste 140 140 Amber Grove Dr Ste K 1453 Huntoon St 5910 Clark Rd 1664 Montgomery St 341 Broadway St 2571 Cal Park Dr #210 5 Governors Ln 562 Manzanita Ave 1458 The Esplanade 2580 Feather River Blvd 341 Broadway St 1430 East Ave 6393 Skyway 578 Rio Lindo Ave 2035 Esplanade 2055 Amanda Way Ste 249 W 8Th Ave 22 Williamsburg Ln 1530 Humboldt Rd 5654 Little Grand Canyon Dr 6 Governors Ln

Chico Chico Chico Oroville Chico Chico Chico Oroville Paradise Paradise Chico Chico Chico Chico Chico Chico Chico Chico Chico Chico Chico Chico Chico Chico Chico Paradise Paradise Paradise Chico Paradise Chico Chico Oroville Paradise Oroville Chico Chico Chico Chico Chico Oroville Chico Chico Paradise Chico Chico Chico Chico Chico Chico Paradise Chico

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95928 95973 95973 95965 95926 95973 95928 95966 95969 95969 95928 95928 95928 95928 95926 95926 95926 95926 95926 95926 95928 95926 95928 95926 95973 95969 95969 95969 95928 95969 95926 95973 95965 95969 95965 95928 95928 95926 95926 95926 95965 95928 95926 95969 95926 95926 95928 95973 95926 95928 95969 95926

(530) 518-0419 (530) 899-3150 (530) 899-3150 (530) 345-3609 (530) 345-3609 (530) 356-8888 (530) 343-4247 (530) 521-8500 (530) 877-2519 (530) 872-1989 (530) 899-2622 (530) 895-1301 (530) 354-8697 (530) 354-8697 (530) 893-3002 (530) 891-1513 (530) 343-1590 (530) 898-9008 (530) 891-1513 (530) 891-5571 (530) 899-8062 (530) 894-0225 (530) 898-9801 (530) 343-5792 (530) 343-5792 (530) 872-2000 (530) 877-5377 (530) 872-2000 (530) 343-5230 (530) 877-1860 (530) 899-2952 (530) 487-4019 (530) 534-9590 (530) 872-7939 (530) 342-2558 (530) 342-2558 (530) 518-3076 (530) 893-1657 (530) 898-1700 (530) 345-5057 (530) 533-1100 (530) 624-2473 (530) 894-1708 (530) 877-9491 (530) 592-0500 (530) 894-1646 (530) 591-0784 (530) 591-0784 (530) 566-1458 (530) 343-5225 (530) 343-5225 (530) 898-1495

Y Y Y Y Y Y Y Y Y Y Y Y Y N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y N N Y Y Y Y Y Y Y Y Y Y

10/24/2013

12

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte

Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Medical Oncology Medical Oncology Medical Oncology Medical Oncology

Gaab Giel Giel Hansen Hignell Hoffman Hyde Hyde Jenkins Jurgenson Jurgenson Kenney Lane Martin Merritt Miller Murphy North Onstot Osborn Palmer Park Park Perske Proctor Randall-Mason Rarick Reyman Romano Sahly Salz Schultz Schultz Sheridan Soleil St John Steele Towner Caro Towner Caro Varlinsky Varlinsky Vineyard Voss Weddell Weddell Wilhite Wood Yates Bonis Bonis Felthouse Felthouse

Larry Anne Anne Russell Pennisue Terrence Dennis Dennis Sandra Gerald Gerald Michael Shelley Brian Bhakti Lori Anne Ritch Jennifer Anne Amber William William Christina Patrick Kathleen Nancy Silona Laura Gary Sharon Elisabeth Elisabeth Shannon Janine Pamela Thomas Karin Karin Ray Ray Sharon James Nancy Nancy Allyson Lee Anne William William Rae Rae

M L L S M J

MFT MFT MFT MFT MFT MFT MFT MFT

55 Independence Cir 341 Broadway St 5910 Clark Rd 766 East Ave 9255 Esquon Rd 344 Flume St 1370 Ridgewood Dr 270 E 4Th Ave 1370 Ridgewood Dr 5796 Clark Rd 95 Declaration Dr 319 Orient St 2485 Notre Dame Blvd 1370 Ridgewood Dr 249 W 8Th Ave

Chico Chico Paradise Chico Durham Chico Chico Chico Chico Paradise Chico Chico Chico Chico Chico Chico Chico Oroville Chico Chico Chico Chico Chico Chico Chico Chico Chico Chico Chico Paradise Chico Oroville Chico Chico Chico Chico Chico Chico Chico Chico Paradise Chico Chico Chico Chico Chico Oroville Chico Chico Chico Chico Chico

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95973 95928 95969 95926 95938 95928 95973 95926 95973 95969 95973 95928 95928 95973 95926 95928 95928 95965 95926 95926 95926 95973 95973 95928 95973 95928 95928 95928 95928 95969 95926 95965 95926 95928 95973 95926 95928 95973 95973 95928 95969 95973 95926 95973 95973 95926 95966 95973 95926 95926 95926 95926

(530) 342-0460 (530) 893-1795 (530) 872-7035 (530) 891-8876 (530) 891-6767 (530) 891-8928 (530) 891-0973 (530) 342-7049 (530) 891-0973 (530) 891-4251 (530) 891-4251 (530) 893-4419 (408) 348-6001 (530) 891-0973 (530) 566-1098 (530) 899-3935 (530) 899-8874 (530) 533-8120 (530) 342-3150 (530) 347-7562 (530) 899-8401 (530) 899-3150 (530) 899-3150 (530) 894-7209 (530) 898-1865 (530) 899-8015 (530) 894-5990 (530) 894-1821 (530) 514-8179 (530) 300-1778 (530) 892-1876 (530) 519-3285 (530) 342-2102 (530) 343-9446 (530) 517-0867 (530) 898-0219 (530) 570-1173 (530) 899-3150 (530) 899-3150 (530) 518-6766 (530) 518-6766 (530) 345-4359 (530) 893-8380 (530) 899-3150 (530) 899-3150 (530) 894-0946 (530) 518-0963 (530) 898-0809 (530) 899-8000 (530) 898-8088 (530) 893-2323 (530) 893-2323

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

L R R V

MFT MFT MFT MFT MFT

J F A M C

MFT

MFT MFT MFT MFT

2535 Forest Ave Ste 140 319 Orient St 1664 Montgomery St 22 Williamsburg Ln 610 Arbutus Ave 1430 Esplanade 3247 Esplanade Ste 165 3255 Esplanade 319 Orient St 21 Hanover Ln 426 Broadway St 702 Whispering Winds Ln 341 Broadway St 5 Greg Ct 6076 Pentz Rd 1430 East Ave 1847 Robinson St 572 Rio Lindo Ave 341 Broadway St 60 Landing Cir 1430 Esplanade 1253 Woodland Ave 3247 Esplanade Ste 165 3255 Esplanade 2619 Forest Ave 3691 Honey Run Rd 95 Declaration Dr 1430 East Ave 3247 Esplanade Ste 165 3255 Esplanade 1430 East Ave 1769 Daryl Porter Way 21 Hanover Ln 265 Cohasset Rd 265 Cohasset Rd Ste 140 251 Cohasset Rd Ste 170 265 Cohasset Rd

E L C C J T A K R C J H L L T

MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT

A R D D A A M W J J E M C E E D D

MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MD MD MD MD

10/24/2013

13

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte

Medical Oncology Medical Oncology Medical Oncology Medical Oncology Medical Oncology Medical Oncology Medical Oncology Medical Vendor (DME) Medical Vendor (DME) Medical Vendor (DME) Medical Vendor (DME) Medical Vendor (DME) Medical Vendor (DME) Medical Vendor (DME) Medical Vendor (DME) Medical Vendor (DME) Medical Vendor (DME) Medical Vendor (DME) Nephrology Nephrology Nephrology Nephrology Nephrology Nephrology Nephrology Nephrology Nephrology Nephrology Nephrology Nephrology Nephrology Nephrology Nephrology Nephrology Neurological Surgery Neurological Surgery Neurological Surgery Neurological Surgery Neurology Neurology Neurology Neurology Neurology Neurology Neurology Neurology Neurology Neuroradiology Neuroradiology Nuclear Medicine Nuclear Medicine Nuclear Medicine

Freeman Heckman Majer Mazj Mazj Salinas Schwartz Apria Healthcare Inc Custom Rehabilitation Network Hanger Prosthetics & Orthotics West Inc Hanger Prosthetics & Orthotics West Inc Lincare Lincare Inc Lincare Inc Medequip Inc Pacific Medical Inc Pacific Pulmonary Services Pacific Pulmonary Services Bashir Bashir Chattopadhyay Chattopadhyay Chattopadhyay Chattopadhyay Ferguson Go Sanchez-Palacios Sarbu Sarbu Shah Sibal Sibal Sibal Tanenbaum Lobosky Mimbs Silverthorn Whitlatch Brasch Brasch Brasch Forner Merliss O'Brien Rothfeld Singh Singh Kaplan Piatt Conte Haseman Myers

Jed Ted Martin Sam Sam Edna Lee

L A

MD MD MD MD MD

5125 Skyway 2767 Olive Hwy 2809 Olive Hwy 5125 Skyway 5629 Canyon View Dr 2809 Olive Hwy 5125 Skyway 3028 Esplanade 6240 Clark Rd 2275 Myers St 270 Cohasset Rd 2505 Zanella Way 1940 Feather River Blvd 633 Orange St 6 Shimmering Oak Ct 2808 North Ave 2691 Highway 32 2961 Hwy 32

Paradise Oroville Oroville Paradise Paradise Oroville Paradise Chico Paradise Oroville Chico Chico Oroville Chico Chico Chico Chico Chico Chico Chico Oroville Chico Oroville Chico Chico Oroville Oroville Chico Paradise Oroville Chico Oroville Chico Chico Chico Chico Chico Chico Oroville Paradise Paradise Chico Chico Chico Chico Chico Oroville Chico Paradise Paradise Paradise Paradise

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95969 95966 95966 95969 95969 95966 95969 95973 95969 95966 95926 95928 95965 95928 95926 95973 95973 95973 95926 95926 95966 95926 95966 95926 95973 95966 95966 95973 95969 95966 95926 95966 95926 95973 95926 95926 95926 95926 95966 95969 95969 95926 95926 95926 95973 95926 95965 95926 95969 95969 95969 95969

(530) 872-2000 (530) 532-8544 (530) 532-8180 (530) 872-2000 (530) 876-3141 (530) 532-8180 (530) 872-2000 (530) 891-5226 (530) 877-4937 (530) 533-7344 (530) 345-6864 (800) 825-4633 (877) 424-2240 (530) 895-8414 (800) 944-3422 (800) 726-9180 (530) 342-1000 (530) 342-1000 (530) 892-2300 (530) 895-8966 (530) 532-8584 (530) 892-2300 (530) 898-1201 (530) 895-8966 (530) 899-7090 (530) 532-8037 (530) 533-3500 (530) 899-7090 (530) 872-2000 (530) 532-8544 (530) 892-2300 (530) 898-1201 (530) 895-8966 (530) 899-7090 (530) 895-3333 (530) 895-3333 (530) 895-3333 (530) 895-3333 (530) 534-8311 (530) 872-2000 (530) 877-2578 (530) 894-3330 (530) 342-4395 (530) 332-3980 (530) 342-2091 (530) 809-0470 (530) 534-5394 (530) 898-0500 (530) 876-1407 (530) 872-2000 (530) 872-2000 (530) 872-2000

Y Y Y Y Y Y Y

K A

MD MD

Muhammad Muhammad Pranab Pranab Pranab Pranab Jon Subil Manuel Mona Mona Ronak Jose Jose Jose Nadine Jeffrey Jeffrey James Lyman Andrew Andrew Andrew Stephen Matthew Michael Joel Paramjit Paramjit Aaron Bradford Frederic Michael Richard

T T K K K K E C E I I

MD MD

285 Cohasset Rd 530 Cohasset Rd 2767 Olive Hwy 285 Cohasset Rd 2971 Olive Hwy 530 Cohasset Rd

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y N Y Y

DO MD MD MD MD MD

3011 Ceres Ave Ste 100 2809 Olive Hwy 2971 Olive Hwy 3011 Ceres Ave 5125 Skyway 2767 Olive Hwy 285 Cohasset Rd 2971 Olive Hwy 530 Cohasset Rd 3011 Ceres Ave 251 Cohasset Rd 251 Cohasset Rd 251 Cohasset Rd 251 Cohasset Rd 2721 Olive Hwy 5125 Skyway 6283 Clark Rd

B B B D M

MD MD MD MD MD DO

W W J J J D J W M

DO MD

MD MD MD MD MD MD

1405 Magnolia Ave 572 Rio Lindo Ave 1531 Esplanade 120 Independence Cir 1645 Esplanade 2145 5Th Ave 1702 Esplanade 5921 Clark Rd 5125 Skyway 5125 Skyway 5125 Skyway

M M A K W

MD MD MD MD

10/24/2013

14

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte

Nuclear Medicine Nurse Anesthetist Nurse Anesthetist Nurse Anesthetist Nurse Anesthetist Nurse Anesthetist Nurse Anesthetist Nurse Anesthetist Nurse Midwife Nurse Practitioner Nurse Practitioner Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Ophthalmology Ophthalmology Ophthalmology Ophthalmology Ophthalmology Ophthalmology Ophthalmology Ophthalmology Ophthalmology Ophthalmology Ophthalmology Ophthalmology Ophthalmology Ophthalmology Ophthalmology Ophthalmology Ophthalmology Ophthalmology Ophthalmology

Pounds Adams Adams Barrett Newlander Oliverio Thompson Thompson Struve Julian Julian Ainsworth Ainsworth Anderson Anderson Anderson Bazzani Bazzani Bippart Brooks Garrison Gutierrez Johansson Mazen Mellum Mellum Schwabe Simons Starkes Unterseher Unterseher Unterseher Valcarenghi Arregui Arregui Barthelow Barthelow Chang Smith Cochrane Cochrane Cochrane Gilbert Houlihan Houlihan Johansson Johansson Pearlman Phung Ransbarger Ransbarger Reeve Reeve

Thomas Jeremy Jeremy Michael Thomas Leilani Kirk Kirk Cheryl Leslie Leslie Ronald Ronald Deborah Deborah Deborah Matthew Matthew Peter Joseph Mark Rigoberto Karl Walter Scott Scott Mark Pamela Henry Raleigh Raleigh Raleigh Maurice Pablo Pablo Joel Joel Charlene Joanne Richard Rochelle Benjamin Heidi Heidi Jan Jan Joel Thu-Trang Kristiane Kristiane Robert Robert

R T T T R G L L A CRNA CRNA CRNA CRNA CRNA

5125 Skyway 2727 Olive Hwy 615 W East Ave 2767 Olive Hwy 2767 Olive Hwy 2767 Olive Hwy 19 Rosemel Ct 2767 Olive Hwy 771 Buschmann Rd 3247 Esplanade Ste 165 3255 Esplanade

Paradise Oroville Chico Oroville Oroville Oroville Oroville Oroville Paradise Chico Chico Paradise Paradise Chico Paradise Paradise Oroville Oroville Oroville Chico Chico Oroville Oroville Chico Chico Chico Chico Oroville Gridley Chico Chico Paradise Chico Chico Paradise Chico Paradise Oroville Oroville Oroville Oroville Chico Chico Paradise Oroville Paradise Chico Oroville Chico Paradise Chico Paradise

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95969 95966 95926 95966 95966 95966 95966 95966 95969 95973 95973 95969 95969 95926 95969 95969 95966 95966 95966 95926 95926 95966 95966 95926 95926 95926 95926 95966 95948 95926 95926 95969 95926 95926 95969 95926 95969 95966 95966 95966 95966 95926 95926 95969 95966 95969 95973 95966 95926 95969 95926 95969

(530) 872-2000 (530) 538-8744 (530) 895-1800 (530) 533-8500 (530) 533-8500 (530) 532-8220 (530) 589-4305 (530) 533-8500 (530) 872-7579 (530) 899-3150 (530) 889-3150 (530) 872-2000 (530) 877-8640 (530) 345-4471 (530) 872-2000 (530) 872-7579 (530) 532-8636 (530) 532-8636 (530) 532-8636 (530) 345-5278 (530) 566-0132 (530) 538-9410 (530) 532-8636 (530) 895-0423 (530) 894-8944 (530) 894-8944 (530) 342-0595 (530) 532-8636 (530) 846-9072 (530) 332-9288 (530) 332-9288 (530) 872-2000 (530) 343-2024 (530) 895-1727 (530) 872-3519 (530) 891-1900 (530) 877-2250 (530) 532-7650 (530) 533-4500 (530) 533-4500 (530) 533-4500 (530) 895-1727 (530) 895-1727 (530) 872-3519 (530) 534-1400 (530) 872-2000 (530) 899-2251 (530) 532-7650 (530) 891-1900 (530) 877-2250 (530) 899-2244 (530) 872-2000

N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

E E J J J J J E T S O H S D D G D B J J J

MD MD MD MD MD MD MD MD MD DO MD

5125 Skyway 771 Buschmann Rd 1617 Esplanade 5125 Skyway 771 Buschmann Rd 2767 Olive Hwy 2809 Olive Hwy 2809 Olive Hwy 1430 Esplanade 1025 Village Ln 2809 Olive Hwy 2809 Olive Hwy 1665 Esplanade

MD MD MD MD MD MD MD MD MD

101 W 2Nd Ave 115 W 2Nd Ave 631 W East Ave 2721 Olive Hwy 284 Spruce St 1315 Esplanade 1315 The Esplanade 5125 Skyway 635 W East Ave 605 W East Ave 6585 Clark Rd 114 Mission Ranch Blvd 7056 Skyway

M M I I D F C D N E E O O A L M M B B

MD MD

MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD

2809 Olive Hwy 2981 Olive Hwy 2981 Olive Hwy 2981 Olive Hwy 605 W East Ave 605 W East Ave 6585 Clark Rd 2809 Olive Hwy 5125 Skyway 19 Ilahee Ln 2809 Olive Hwy 114 Mission Ranch Blvd 7056 Skyway 460 W East Ave 5125 Skyway

10/24/2013

15

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte

Ophthalmology Ophthalmology Ophthalmology Ophthalmology Ophthalmology Ophthalmology Ophthalmology Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Orthopedic Sports Medicine Orthopedic Sports Medicine Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery

Reeve Shaw Stabel Stone Woods Woods Woods Carlson Carter Carter Chen Chen Chen Clarke Clarke Di Pietro Fallesen Ferretti Griffith Johnston Laskey Lim Mc Pherran Mc Pherran Mc Pherran Myers Richards Robertson Rocchi Rocchi Rocchi Rocchi Rudick Spanfelner Spanfelner Warne Warne Warne Watkins Komas Komas Benson Benson Brazil Ching Ching Cummings Cummings Cummings Defrancisci Doherty Granlund

Robert Val John Robert David David David Geoffrey Robert Robert Ann Chi Ann Chi Ann Chi David David Robert Barry Michael Anna Glenn Jerry Edward Ann Randall Randall Douglas Charles Timothy Marina Marina Marina Steven Anthony Amy Michael Steven Steven Steven Randall Nicholas Nicholas Douglas Douglas Leonard Brian Marshall Brock Brock Brock Richard William Kirk

B K E D J J J P S S

MD MD MD MD

6009 Pentz Rd 114 Mission Ranch Blvd 2109 Forest Ave 676 E 1St Ave #14 460 W East Ave 5125 Skyway 6009 Pentz Rd

Paradise Chico Chico Chico Chico Paradise Paradise Oroville Chico Paradise Chico Magalia Paradise Chico Paradise Paradise Gridley Oroville Chico Chico Chico Chico Paradise Chico Paradise Chico Chico Chico Chico Chico Paradise Oroville Paradise Chico Oroville Chico Chico Paradise Chico Chico Paradise Chico Chico Chico Oroville Oroville Chico Paradise Paradise Paradise Chico Chico

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95969 95926 95928 95926 95926 95969 95969 95965 95926 95969 95926 95954 95969 95973 95969 95969 95948 95965 95973 95973 95926 95928 95969 95928 95969 95973 95926 95928 95928 95926 95969 95965 95969 95973 95965 95928 95926 95969 95928 95928 95969 95926 95926 95926 95966 95966 95926 95969 95969 95969 95926 95926

(530) 877-6583 (530) 891-1900 (530) 892-4815 (530) 895-3884 (530) 899-2244 (530) 872-2000 (530) 877-6583 (530) 533-1975 (530) 899-2244 (530) 877-6583 (530) 891-1900 (530) 873-2020 (530) 877-2250 (530) 899-3939 (530) 872-3567 (530) 877-2250 (530) 846-2697 (530) 534-8807 (530) 899-3939 (530) 899-3939 (530) 343-5541 (530) 342-9644 (530) 872-1376 (530) 892-2020 (530) 877-2020 (530) 891-1146 (530) 345-6363 (530) 898-9200 (530) 893-1695 (530) 895-1727 (530) 872-3519 (530) 533-6604 (530) 877-2250 (530) 891-1146 (530) 533-6604 (530) 893-1695 (530) 895-1727 (530) 872-3519 (530) 342-9644 (530) 891-6375 (530) 872-2000 (530) 332-4470 (530) 332-4470 (530) 897-4500 (530) 533-5044 (530) 533-5044 (530) 332-6045 (530) 872-2000 (530) 876-0410 (530) 872-2000 (530) 897-4500 (530) 897-4500

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

OD OD OD OD OD OD

2200 5Th Ave 460 W East Ave 6009 Pentz Rd 114 Mission Ranch Blvd 14137 Lakeridge Cir #C 7056 Skyway 2565 Ceanothus Ave 6585 Clark Rd 7056 Skyway 235 Spruce St 2162 Robinson St 2565 Ceanothus Ave

E E A L S M A I L E R R R H W L L L A J V D

OD OD OD OD OD

OD OD OD OD OD OD OD OD OD

2565 Ceanothus Ave 680 Rio Lindo Ave 2109 Forest Ave 5911 Almond St 111 Raley Blvd 6283 Clark Rd 119 Yellowstone Dr 166 Cohasset Rd 111 Raley Blvd 2056 Talbert Dr 605 W East Ave 6585 Clark Rd

OD OD OD OD OD OD OD

1550 Myers St 7056 Skyway 119 Yellowstone Dr 1550 Myers St 2056 Talbert Dr 605 W East Ave 6585 Clark Rd 2109 Forest Ave 111 Raley Blvd 5125 Skyway 1405 Magnolia Ave 1531 Esplanade 1600 Esplanade 2809 Olive Hwy 2809 Olive Hwy 251 Cohasset Rd 5125 Skyway 6283 Clark Rd 5125 Skyway 1600 Esplanade 1600 Esplanade

B M M W W J T R S S S P P F

OD MD MD MD MD MD MD MD MD MD MD MD MD MD

10/24/2013

16

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte

Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Trauma Orthopedic Trauma Orthopedic Trauma Orthopedic Trauma Orthotics & Prosthetics Orthotics & Prosthetics Orthotics & Prosthetics Orthotics & Prosthetics Orthotics & Prosthetics Orthotics & Prosthetics Orthotics & Prosthetics Orthotics & Prosthetics Orthotics & Prosthetics Orthotics & Prosthetics Otolaryngology (ENT) Otolaryngology (ENT) Otolaryngology (ENT) Otolaryngology (ENT) Otolaryngology (ENT) Otolaryngology (ENT) Otolaryngology (ENT) Otolaryngology (ENT) Otolaryngology (ENT) Otolaryngology (ENT) Otolaryngology (ENT) Outpatient Psychiatric Facility Pain Management Pain Management Pain Management Pain Management Pain Management Pain Management Pain Management Pain Medicine Pediatric Allergy & Immunology Pediatric Cardiology Pediatric Cardiology

Gullahorn Harwood Harwood Hayes Hayes Jones Jones Komas Komas Landaker Marmor Nickel Vyhmeister Watson Wilhite Benson Benson Marmor Vyhmeister CIRS Cheryls Boutique Elite Biomechanical Design Elite Biomechanical Design Hanger Prosthetics & Orthotics West Inc Hanger Prosthetics & Orthotics West Inc Pacific Medical Inc Salinas Valley Prosthetics And Orthotics Spectrum Orthotics & Prosthetics Inc Tim Woodville S Orthotics & Prosthetics Hayes Hayes Hayes Heithecker Lacey Lacey Sprague Sprague Stewart Stewart Stewart Psychiatric Interventions Of California Llc Avakumov Avakumov Eldenburg Eldenburg Eldenburg Johnson Johnson Lal Mccann Wright Wright

Leslie David David George George Helmuth Helmuth Nicholas Nicholas Stephen Meir Lowell Edgar Bill Charles Douglas Douglas Meir Edgar

J M M T T G G M M D T D O P E W W T O

MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD

1531 Esplanade 1531 Esplanade 1600 Esplanade 248 Spruce St 284 Spruce St 5125 Skyway 6127 Clark Rd 111 Raley Blvd 5125 Skyway 1600 Esplanade 1531 Esplanade 2809 Olive Hwy 1531 Esplanade 1600 Esplanade 111 Raley Blvd 1405 Magnolia Ave 1531 Esplanade 1531 Esplanade 1531 Esplanade 479 E Oro Dam Blvd 1253 Mangrove Ave 1140 Mangrove Ave 2012 5Th Ave 2275 Myers St 270 Cohasset Rd 2808 North Ave 165 Rio Lindo Ave 591 E 10Th Ave 591 E 10Th Ave

Chico Chico Chico Gridley Gridley Paradise Paradise Chico Paradise Chico Chico Oroville Chico Chico Chico Chico Chico Chico Chico Oroville Chico Chico Oroville Oroville Chico Chico Chico Chico Chico Oroville Oroville Paradise Chico Chico Paradise Chico Paradise Oroville Paradise Paradise Chico Chico Chico Chico Chico Chico Chico Chico Chico Chico Paradise Paradise

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95926 95926 95926 95948 95948 95969 95969 95928 95969 95926 95926 95966 95926 95926 95928 95926 95926 95926 95926 95965 95926 95926 95965 95966 95926 95973 95926 95926 95926 95966 95966 95969 95926 95926 95969 95926 95969 95966 95969 95969 95973 95926 95928 95928 95926 95928 95926 95928 95926 95926 95969 95969

(530) 332-7575 (530) 332-4470 (530) 897-4500 (530) 846-4299 (530) 846-4299 (530) 872-2000 (530) 872-1745 (530) 891-6375 (530) 872-2000 (530) 897-4500 (530) 332-4470 (530) 533-5044 (530) 332-4470 (530) 897-4500 (530) 891-6375 (530) 332-4470 (530) 332-4470 (530) 332-4470 (530) 332-4470 (530) 534-9500 (530) 899-2727 (530) 894-6913 (530) 534-6913 (530) 533-7344 (530) 345-6864 (800) 726-9180 (530) 894-6400 (530) 892-1017 (530) 898-1951 (530) 533-7727 (530) 533-7727 (530) 872-2000 (530) 342-2411 (530) 342-2411 (530) 872-2000 (530) 342-2411 (530) 872-2000 (530) 532-8584 (530) 872-2000 (530) 877-9925 (530) 899-3150 (530) 332-7330 (530) 332-6800 (530) 230-2000 (530) 332-7300 (530) 332-6800 (530) 332-7300 (530) 332-6800 (530) 891-0325 (530) 891-4811 (530) 872-2000 (530) 877-9361

Y Y Y Y Y Y Y Y Y Y N Y Y Y Y Y Y N Y

Williston Williston Williston Donald James James Monroe Monroe Thomas Thomas Thomas

S S S H P P A A A A A

MD MD MD MD MD MD MD MD MD MD MD

2767 Olive Hwy 2780 Oro Dam Blvd E 5125 Skyway 135 Mission Ranch Blvd 135 Mission Ranch Blvd 5125 Skyway 135 Mission Ranch Blvd 5125 Skyway 2767 Olive Hwy 5125 Skyway 6161 Clark Rd 3255 Esplanade

Y Y Y Y Y Y Y Y Y Y Y

Tigran Tigran Curtis Curtis Curtis Barry Barry Munish Norman Stanley Stanley

V V E E E K K

MD MD

1531 Esplanade 888 Lakeside Vlg Commons 121 Raley Blvd 1531 Esplanade 888 Lakeside Vlg Commons

Y Y Y Y Y Y Y Y Y N N

MD MD MD

1531 Esplanade 888 Lakeside Vlg Commons 274 Cohasset Rd 669 Palmetto Ave 5125 Skyway 5974 Pentz Rd

D B B

MD

10/24/2013

17

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte

Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Physical Medicine & Rehabilitation Physical Medicine & Rehabilitation Physical Medicine & Rehabilitation Physical Medicine & Rehabilitation Physical Medicine & Rehabilitation Physical Medicine & Rehabilitation Physical Medicine & Rehabilitation

Ahmed Ahmed Ahmed Alino Asarian Asarian Aung Benaron Brown Brown Chang Chary Corp Corp Daniyan Daniyan Daniyan Demetry Gerbich Jenkins Jenkins Logan Logan Logan Mallory Mallory Mallory Morcos Gannon Naseem Ndulue Neal Ruckle Stanley Sullivan Sullivan Tedford Tedford Valdez Valdez Wassermann Wassermann Wood Wood Wright Wright Allen Filbrandt Filbrandt Filbrandt Harwood Harwood Otani

Ejaz Ejaz Ejaz Maria John John Thinn Lisa Elisa Elisa Kwibum Rajini Craig Craig Samuel Samuel Samuel Charlotte Stephen Morgan Morgan James James James Susan Susan Susan Daniela Shahzad Chukwuemeka Eric Patricia Robert Kathleen Kathleen Patrick Patrick Lourdes Lourdes Paul Paul James James Stanley Stanley Stanley Phillip Phillip Phillip David David Robert J L H T T M M M M F F B B B B C R R R M M K J R R R R R L L L M C C S S S T D C C A

MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD

2800 Lincoln St 572 Rio Lindo Ave 680 Cohasset Rd 2809 Olive Hwy 10 Governors Ln 277 Cohasset Rd 680 Cohasset Rd 572 Rio Lindo Ave 194 Cohasset Rd 277 Cohasset Rd 520 Kentucky St 520 Kentucky St 194 Cohasset Rd 277 Cohasset Rd 5125 Skyway 5730 Canyon View Dr 6480 Pentz Rd Ste E 2809 Olive Hwy 2809 Olive Hwy 1531 Esplanade 277 Cohasset Rd 5125 Skyway 5910 Clark Rd 6480 Pentz Rd Ste E 5125 Skyway 5910 Clark Rd 6480 Pentz Rd Ste E 643 W East Ave 520 Kentucky St 135 Spruce St 2809 Olive Hwy 5125 Skyway 1427 Magnolia Ave 194 Cohasset Rd 277 Cohasset Rd 277 Cohasset Rd 643 W East Ave 2767 Olive Hwy 277 Cohasset Rd 1430 Esplanade 277 Cohasset Rd 277 Cohasset Rd 572 Rio Lindo Ave 5125 Skyway 5974 Pentz Rd

Oroville Chico Chico Oroville Chico Chico Chico Chico Chico Chico Gridley Gridley Chico Chico Paradise Paradise Paradise Oroville Oroville Chico Chico Paradise Paradise Paradise Paradise Paradise Paradise Chico Gridley Gridley Oroville Paradise Chico Chico Chico Chico Chico Oroville Chico Chico Chico Chico Chico Paradise Paradise Chico Chico Paradise Paradise Chico Chico Chico

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95966 95926 95926 95966 95926 95926 95926 95926 95926 95926 95948 95948 95926 95926 95969 95969 95969 95966 95966 95926 95926 95969 95969 95969 95969 95969 95969 95926 95948 95948 95966 95969 95926 95926 95926 95926 95926 95966 95926 95926 95926 95926 95926 95969 95969 95926 95926 95969 95969 95926 95926 95926

(530) 534-7500 (530) 342-4395 (530) 342-4395 (530) 533-4422 (530) 343-8522 (530) 332-6000 (530) 342-4395 (530) 899-1627 (530) 893-2303 (530) 332-6000 (530) 846-6231 (530) 846-6231 (530) 893-2303 (530) 332-6000 (530) 872-2000 (530) 876-3179 (530) 877-5437 (530) 533-4422 (530) 532-8161 (530) 332-7300 (530) 332-6000 (530) 872-2000 (530) 877-5437 (530) 877-5437 (530) 872-2000 (530) 877-5437 (530) 877-9378 (530) 899-2981 (530) 846-6231 (530) 846-1400 (530) 532-8654 (530) 872-2000 (530) 896-1446 (530) 893-2303 (530) 332-6000 (530) 332-6000 (530) 342-0502 (530) 533-8500 (530) 332-6000 (530) 891-0553 (530) 332-6000 (530) 332-6000 (530) 342-4860 (530) 872-2000 (530) 877-9361 (530) 342-2777 (530) 342-2777 (530) 872-2000 (530) 342-2777 (530) 332-4470 (530) 897-4500 (530) 342-2777

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y N N N Y Y Y Y Y Y

MD MD MD MD MD MD MD

340 W East Ave 340 W East Ave 5125 Skyway 6127 Clark Rd 1531 Esplanade 1600 Esplanade 340 W East Ave

10/24/2013

18

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte

Physical Medicine & Rehabilitation Physical Medicine & Rehabilitation Physical Medicine & Rehabilitation Physical Rehabilitation Hospital Physical Therapy Physical Therapy Physical Therapy Plastic Surgery Plastic Surgery Podiatry Podiatry Podiatry Podiatry Podiatry Podiatry Podiatry Podiatry Podiatry Podiatry Podiatry Podiatry Podiatry Podiatry Podiatry Psychiatric Mental Health Nurse Psychiatric Mental Health Nurse Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry

Otani Park Park Enloe Medical Center Inc Rehab Peck Trites Weast Thomas Thomas Brown Caviness Hawkley Hawkley Martin Martin Neuman Neuman Pasamonte Smith Taylor Taylor Trenner Truong Wilson Julian Julian Abbasi Abouesh Abouesh Amir Bakr Del Rosario Garewal Gupta Hidalgo Kahn Levine Mcdermott Nichols Nichols Nielsen Nielsen Pasca Ramanujam Rivas Torres Rogers Safavi Safavi Sekhon Shibata Sidhartha Trivedi

Robert Samuel Samuel

K M M

MD MD MD

5125 Skyway 340 W East Ave 6127 Clark Rd 1531 Esplanade

Paradise Chico Paradise Chico Chico Chico Chico Paradise Chico Chico Chico Gridley Paradise Paradise Paradise Paradise Paradise Chico Oroville Chico Chico Oroville Chico Chico Chico Chico Chico Chico Chico Chico Chico Chico Chico Chico Chico Chico Chico Chico Chico Chico Chico Chico Chico Chico Chico Chico Chico Chico Chico Chico Chico Chico

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95969 95926 95969 95926 95926 95926 95926 95969 95926 95928 95928 95948 95969 95969 95969 95969 95969 95928 95966 95926 95926 95966 95926 95928 95973 95973 95926 95973 95973 95926 95926 95926 95926 95926 95926 95928 95926 95928 95926 95926 95926 95929 95926 95926 95926 95926 95973 95973 95926 95926 95926 95926

(530) 872-2000 (530) 342-2777 (530) 342-2777 (530) 891-7300 (530) 345-1368 (530) 345-1368 (530) 345-1368 (530) 872-2000 (530) 891-4391 (530) 895-3668 (530) 895-3668 (530) 872-3038 (530) 872-3038 (530) 872-2000 (530) 877-6221 (530) 872-2000 (530) 877-3338 (530) 895-3668 (530) 534-0601 (530) 895-1900 (530) 894-6195 (530) 534-0601 (530) 343-1666 (530) 895-3668 (530) 899-3150 (530) 889-3150 (530) 895-8888 (530) 899-3150 (530) 899-3150 (530) 332-5250 (530) 838-4188 (530) 895-8888 (530) 342-4395 (530) 332-4250 (530) 838-4188 (530) 895-8888 (530) 838-4188 (530) 899-3370 (530) 332-6021 (530) 332-5250 (530) 838-4188 (530) 838-4188 (530) 838-4183 (530) 838-4188 (530) 838-4183 (530) 838-4188 (530) 899-3150 (530) 899-3150 (530) 895-8888 (530) 895-8888 (530) 838-4188 (530) 838-4188

Y Y Y

Janet Anamarie Jeffrey Daniel Daniel Michael Daniel Redge Redge Kennon Kennon Lance Lance Chandra Chelsea Dennis Dennis Dennis Thong Michael Leslie Leslie Saleha Ahmed Ahmed Asad Aliya Alice Jagdeep Niraj Vilma Jeffery Mark Francis Scott Scott Welby Welby Daria Abhijit Maria Paul Roknedin Roknedin Harjot Shigefumi Tanuj Mona

A L S S S N D M M J J E E M A L L L V L

RPT RPT RPT MD MD DPM DPM DPM DPM DPM DPM DPM DPM DPM

250 Cohasset Rd 250 Cohasset Rd 250 Cohasset Rd 5125 Skyway 619 W East Ave 2103 Forest Ave 2103 Forest Ave 225 Spruce St 7062 Skyway 5125 Skyway 6585 Clark Rd 5125 Skyway 6585 Clark Rd Ste 220 2103 Forest Ave 2760 Oro Dam Blvd E

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y N Y Y Y Y Y Y Y Y Y

DPM DPM DPM DPM DPM

251 Cohasset Rd 578 Rio Lindo Ave 2760 Oro Dam Blvd E 670 Rio Lindo Ave 2103 Forest Ave 3247 Esplanade Ste 165 3255 Esplanade

MD I I MD MD MD A MD MD S P L S D P D D D D A V T D MD MD MD MD MD MD DO DO MD MD MD MD MD MD MD MD MD MD MD

3 Governors Ln 3247 Esplanade Ste 165 3255 Esplanade 560 Cohasset Rd 3 Governors Ln 3 Governors Ln 680 Cohasset Rd 560 Cohasset Rd 3 Governors Ln 121 W 2Nd St 3 Governors Ln 1660 Humboldt Rd 1531 Esplanade 560 Cohasset Rd 3 Governors Ln 400 W 1St St 3 Governors Ln 3 Governors Ln 3 Governors Ln 3 Governors Ln 3247 Esplanade Ste 165 3255 Esplanade 3 Governors Ln 3 Governors Ln 3 Governors Ln 3 Governors Ln

10/24/2013

19

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte

Psychology Psychology Psychology Psychology Psychology Psychology Psychology Psychology Psychology Psychology Pulmonary Disease Pulmonary Disease Pulmonary Disease Pulmonary Disease Pulmonary Disease Pulmonary Disease Pulmonary Disease Pulmonary Disease Pulmonary Disease Pulmonary Disease Radiation Oncology Radiation Oncology Radiation Oncology Radiation Oncology Radiation Oncology Radiation Oncology Radiation Oncology Radiation Oncology Radiation Oncology Radiation Oncology Radiation Oncology Radiation Oncology Radiation Oncology Radiation Oncology Radiation Oncology Rheumatology Rheumatology Rheumatology Rheumatology Rheumatology Rural Health Clinic Rural Health Clinic Rural Health Clinic Skilled Nursing Facility Skilled Nursing Facility Skilled Nursing Facility Skilled Nursing Facility Skilled Nursing Facility Skilled Nursing Facility Skilled Nursing Facility Skilled Nursing Facility Skilled Nursing Facility

Clarke Clarke Haapanen Haapanen Megibow O Connell O Connell Patterson Streets Tobin Batin Batin Batin Garretson Hawkins Singh Smith Valcarenghi Verma Wilms Bush Dawson Dawson Dawson Dawson Jabola Ordorica Ordorica Rossi Slater Tsai Wahlen Yuh Yuh Yuh Chiapella Chiapella Chiapella Singh Singh Feather River Health Center Feather River Hospital Canyon View Clinic Feather River Hospital Family Health Center Biggs Gridley Memorial Hospital - Snf Biggs Gridley Memorial Hospital Swing Bed California Park Rehabilitation Hospital Gridley Healthcare & Wellness Centre Llc Olive Ridge Post Acute Care Oroville Hospital Snf/Dp Paradise Health Care Pine View Care Center Shadowbrook Health Care

Michael Michael Randy Randy Marvin Heather Heather Aldrich Mark Susan Ronald Ronald Ronald Charles Matthew Narindar John Gerard Dinesh Dale David Anne Anne Anne Anne Ben Edward Edward Carl Jerry Diane Steven Grace Grace Grace Joseph Joseph Joseph Harchetan Harchetan

W W M M M M M M L

PHD PHD PHD PHD PHD PHD PHD PHD PHD PHD

4 Williamsburg Ln 845 W East Ave 1430 East Ave 5910 Clark Rd 1660 Humboldt Rd 3247 Esplanade Ste 165 3255 Esplanade 341 Broadway St 1660 Humboldt Rd 48 Hanover Ln 5125 Skyway 6460 Pentz Rd 6480 Pentz Rd 2721 Olive Hwy 2767 Olive Hwy 2721 Olive Hwy 670 Rio Lindo Ave 130 Independence Cir 130 Independence Cir 130 Independence Cir 5125 Skyway 1531 Esplanade 265 Cohasset Rd 265 Cohasset Rd Ste 140 2767 Olive Hwy 5125 Skyway 5125 Skyway 5629-A Canyon View Dr 5125 Skyway

Chico Chico Chico Paradise Chico Chico Chico Chico Chico Chico Paradise Paradise Paradise Oroville Oroville Oroville Chico Chico Chico Chico Paradise Chico Chico Chico Oroville Paradise Paradise Paradise Paradise Paradise Paradise Paradise Chico Chico Oroville Chico Chico Chico Chico Paradise Paradise Paradise Paradise Gridley Gridley Chico Gridley Oroville Oroville Paradise Paradise Oroville

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95926 95926 95926 95969 95928 95973 95973 95928 95928 95973 95969 95969 95969 95966 95966 95966 95926 95973 95973 95973 95969 95926 95926 95926 95966 95969 95969 95969 95969 95969 95969 95969 95926 95926 95966 95926 95926 95926 95926 95969 95969 95969 95969 95948 95948 95928 95948 95966 95966 95969 95969 95966

(530) 345-3952 (530) 869-9400 (530) 877-2730 (530) 877-2730 (530) 343-2075 (530) 899-3150 (530) 899-3150 (530) 898-1312 (530) 891-6521 (530) 898-8446 (530) 872-2000 (530) 872-3175 (530) 872-3175 (530) 533-1554 (530) 532-8648 (530) 533-6061 (530) 899-7120 (530) 343-5864 (530) 343-5864 (530) 343-5864 (530) 872-2000 (530) 332-3917 (530) 891-8787 (530) 332-3917 (530) 533-8500 (530) 872-2000 (530) 872-2000 (530) 676-3144 (530) 872-2000 (530) 872-2000 (530) 872-2000 (530) 876-3144 (530) 332-3917 (530) 332-3917 (530) 533-8500 (530) 896-7455 (530) 332-7557 (530) 894-4081 (530) 342-1310 (530) 872-2000 (530) 872-2000 (530) 872-2000 (530) 872-2000 (530) 846-5671 (530) 846-5671 (530) 894-1010 (530) 846-6266 (530) 533-7335 (530) 532-8460 (530) 877-7676 (530) 872-3200 (530) 534-1353

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

S S S A T

MD MD MD MD MD MD

P R

MD MD MD

J A K K K K R J J J D C A E E E A A A

MD MD MD MD MD MD MD MD MD

MD MD MD MD MD MD MD MD MD MD MD

5125 Skyway 5125 Skyway 5629 Canyon View Dr 1531 Esplanade 265 Cohasset Rd Ste 140 2767 Olive Hwy 1209 Esplanade 1531 Esplanade 680 Cohasset Rd 1488 East Ave 5125 Skyway 5125 Skyway 5734 Canyon View Dr 5730 Canyon View Dr 248 Spruce St 240 Spruce St 2850 Sierra Sunrise Ter 246 Spruce St 1000 Executive Pkwy 2767 Olive Hwy 7419 Skyway 8777 Skyway 1 Gilmore Ln

10/24/2013

20

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Butte Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras

Skilled Nursing Facility Skilled Nursing Facility Skilled Nursing Facility Sleep Medicine Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Of The Hand Thoracic Surgery Thoracic Surgery Undersea Hyperbaric Medicine Urology Urology Urology Urology Acute/General Hospital Allergy & Immunology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Cardiovascular Disease Critical Care Medicine Dermatology Emergency Medicine

Twin Oaks Post Acute Rehab Windsor Chico Care Center Llc Windsor Chico Creek Care And Rehabilitation Center Llc Merliss Brown Chandy Chandy Cleek Collins Conley Dorsey-Tyler Eddlemon Fletcher Hunt Hunt Ludington Ludington Ludington Ludwig Matthews Matthews Saad Saad Schneider Schneider Schrader Schrader Shieh Shieh Simchuk Skau Skau Westphal Brazil Postiglione Puig-Palomar Johnson Fritzler Selby Selby Smith Mark Twain St Joseph S Healthcare Corporation Bensch Anderson Linton Orman Orman Samuel Singh Shrivastava Page Cruzen Gregory Sean Shannon Rodger Rodger Barry Amardeep Deepak Nancy Eric W F M S S A K K L S MD MD MD MD MD MD MD MD MD MD Matthew Tanya Mammen Mammen Norris Frederick Milton Kevin Eugene Steven Lyle Lyle Lance Lance Lance Deron Joseph Joseph Sylvia Sylvia Scott Scott Lydia Lydia Chih Chih Erik Randell Randell Denis Leonard Paulo Ari Miguel Kurt Mark Tadd Tadd Lauren E D L L G MD S S R J D J L G G E D H R D F B B L L L J M M B B D D L L J J MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD

1200 Springfield Dr 188 Cohasset Ln 587 Rio Lindo Ave 572 Rio Lindo Ave 284 Spruce St 2721 Olive Hwy 2809 Olive Hwy 1531 Esplanade 1531 Esplanade 2809 Olive Hwy 2 Governors Ln 95 Declaration Dr 2809 Olive Hwy 5125 Skyway 6480 Pentz Rd 5125 Skyway 5974 Pentz Rd 6460 Pentz Rd 251 Cohasset Rd 1026 Mangrove Ave 2 Governors Ln 5125 Skyway 6480 Pentz Rd 135 Mission Ranch Blvd 251 Cohasset Rd 196 Cohasset Rd 251 Cohasset Rd 2630 Olive Hwy Ste B 284 Spruce St 251 Cohasset Rd 2767 Olive Hwy 2809 Olive Hwy 95 Declaration Dr 1600 Esplanade 1531 Esplanade 1430 Esplanade 1040 Mangrove Ave 645 W East Ave 1166 Esplanade 5125 Skyway 572 Rio Lindo Ave 768 Mountain Ranch Rd 700 Mountain Ranch Rd 768 Mountain Ranch Rd 768 Mountain Ranch Rd 700 Mountain Ranch Rd 768 Mountain Ranch Rd 768 Mountain Ranch Rd 704 Mountain Ranch Rd 704 Mountain Ranch Rd 768 Mountain Ranch Rd 2740 M St

Chico Chico Chico Chico Gridley Oroville Oroville Chico Chico Oroville Chico Chico Oroville Paradise Paradise Paradise Paradise Paradise Chico Chico Chico Paradise Paradise Chico Chico Chico Chico Oroville Gridley Chico Oroville Oroville Chico Chico Chico Chico Chico Chico Chico Paradise Chico San Andreas San Andreas San Andreas San Andreas San Andreas San Andreas San Andreas San Andreas San Andreas San Andreas San Andreas

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95928 95926 95926 95926 95948 95966 95966 95926 95926 95966 95926 95973 95966 95969 95969 95969 95969 95969 95926 95926 95926 95969 95969 95926 95926 95926 95926 95966 95948 95926 95966 95966 95973 95926 95926 95926 95926 95926 95926 95969 95926 95249 95249 95249 95249 95249 95249 95249 95249 95249 95249 95249

(530) 342-4885 (530) 343-6084 (530) 345-1306 (530) 342-4395 (530) 846-9072 (530) 538-3171 (530) 532-8161 (530) 332-5335 (530) 332-4470 (530) 532-8161 (530) 891-4523 (530) 345-9455 (530) 532-8654 (530) 872-2000 (530) 877-4983 (530) 872-2000 (530) 877-9361 (530) 877-9301 (530) 891-1651 (530) 332-7144 (530) 891-4523 (530) 872-2000 (530) 877-4983 (530) 342-2411 (530) 342-8200 (530) 879-0300 (530) 879-0300 (530) 534-3037 (530) 846-9072 (530) 891-1651 (530) 532-8161 (530) 532-8161 (530) 345-9455 (530) 897-4500 (530) 332-7300 (530) 894-3278 (530) 345-0064 (530) 898-8405 (530) 893-0771 (530) 872-2000 (530) 893-1127 (209) 754-3521 (209) 754-4273 (209) 754-4334 (209) 754-3521 (209) 754-4334 (209) 754-3521 (209) 754-4334 (209) 754-1012 (209) 754-5374 (209) 754-3330 (916) 960-2000 Y Y Y Y Y Y Y N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

10/24/2013

21

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras

Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Federally Qualified Health Center General Practice General Practice General Practice Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Interventional Cardiology

Dempsey Freeman Heesen Lyons Martins Mullins Parsley Renwick Robinson Uslander Wengert Yaqub Andreini Poulsen Andreini Poulsen Andreini Poulsen Braunstein Davis Davis Estoesta Grimes Jacobson Jacobson Jacobson Jacobson Jacobson Kelaita Kelaita Kifune Kifune Orman Orman Renwick Shetzline Shetzline Shetzline Sweetland Thao Thompson Tran Whitehill Yaqub Mact Health Board Inc Cunnington Cunnington Uslander Bensch Dempsey Shrivastava Smart Smart Yao Toppur Ramanakumar

David Kimberly Richard Robert Maria Christian Allen Kenneth Joseph Robert James Tahir Soni Soni Soni Anne William William Benedicto Sarah Paul Paul Paul Paul Paul Dean Dean Michael Michael Rodger Rodger Kenneth Sandra Sandra Sandra James Cha Ryan Tony Charles Tahir

H D J W L L L K A L W

MD MD MD MD MD MD MD MD MD MD MD MD

768 Mountain Ranch Rd 23 N Main St 768 Mountain Ranch Rd 23 N Main St 2740 M St 23 N Main St 23 N Main St 23 N Main St 2740 M St 23 N Main St 23 N Main St 23 N Main St 1027 Highway 4 2037 Highway 4 768 Mountain Ranch Rd 23 N Main St 23 N Main St 43 S Main St 55 S Highway 26 702 Mountain Ranch Rd 1300 Kurt Dr 1919 Vista Del Lago Dr 2182 Highway 4 3505 Spangler Ln 768 Mountain Ranch Rd 265 W Saint Charles St 702 Mountain Ranch Rd 1113 Highway 49 265 W Saint Charles St 700 Mountain Ranch Rd 768 Mountain Ranch Rd 23 N Main St 2740 Highway 4 300 Church St 768 Mountain Ranch Rd 768 Mountain Ranch Rd 265 W Saint Charles St 150 Big Trees Rd 23 N Main St 768 Mountain Ranch Rd 23 N Main St 1113 Hwy 49

San Andreas Angels Camp San Andreas Angels Camp San Andreas Angels Camp Angels Camp Angels Camp San Andreas Angels Camp Angels Camp Angels Camp Arnold Arnold San Andreas Angels Camp Angels Camp Angels Camp Valley Springs San Andreas Angels Camp Valley Springs Arnold Copperopolis San Andreas San Andreas San Andreas San Andreas San Andreas San Andreas San Andreas Angels Camp Arnold Murphys San Andreas San Andreas San Andreas Murphys Angels Camp San Andreas Angels Camp San Andreas Arnold Arnold Angels Camp San Andreas San Andreas San Andreas Murphys San Andreas Valley Springs San Andreas

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95249 95222 95249 95222 95249 95222 95222 95222 95249 95222 95222 95222 95223 95223 95249 95222 95222 95222 95252 95249 95222 95252 95223 95228 95249 95249 95249 95249 95249 95249 95249 95222 95223 95247 95249 95249 95249 95247 95222 95249 95222 95249 95223 95223 95222 95249 95249 95249 95247 95249 95252 95249

(209) 754-2466 (209) 736-9130 (916) 960-2000 (209) 736-9130 (916) 960-2000 (209) 736-9130 (209) 736-9130 (209) 736-9130 (916) 960-2000 (209) 736-9130 (209) 736-9130 (209) 736-9130 (209) 795-1270 (209) 795-1270 (209) 223-0949 (209) 736-9130 (209) 736-9130 (209) 736-9130 (209) 772-8906 (209) 754-0870 (209) 736-6750 (209) 754-2968 (209) 754-2968 (209) 754-2968 (209) 736-6750 (209) 754-5195 (209) 754-0870 (209) 755-1400 (209) 755-1400 (209) 754-4334 (209) 754-3521 (209) 736-9130 (209) 795-4488 (209) 890-7758 (209) 754-3521 (916) 960-2000 (818) 846-0600 (209) 728-2021 (209) 736-9130 (209) 754-3521 (209) 736-9130 (209) 755-1400 (209) 795-3125 (209) 795-3125 (209) 736-9130 (209) 754-4273 (209) 754-2466 (209) 754-5374 (209) 890-7758 (209) 754-4967 (209) 772-8906 (209) 754-1012

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y N Y N Y Y

L L L S B B M M A A A A A M M D D S S K J J J E C S H C

MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD DO DO DO MD DO MD MD MD MD

Chester Chester Robert Gregory David Deepak Randall Randall Edmund Ajay

A A L W H K W W C K

MD MD MD MD MD MD MD MD MD

771 Highway 4 771 Hwy 4 23 N Main St 700 Mountain Ranch Rd 768 Mountain Ranch Rd 704 Mountain Ranch Rd 300 Church St 700 Mountain Ranch Rd 55 S Highway 26 704 Mountain Ranch Rd

Y Y Y Y Y N Y Y Y Y

10/24/2013

22

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Calaveras Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa

Licensed Clinical Social Work Licensed Clinical Social Work Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Medical Vendor (DME) Nurse Anesthetist Obstetrics & Gynecology Occupational Medicine Ophthalmology Ophthalmology Optometry Optometry Optometry Optometry Optometry Optometry Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthotics & Prosthetics Pediatrics Pediatrics Podiatry Psychology Psychology Psychology Pulmonary Disease Residential Treatment Center Chemical Dependency Rehab Center, Outpatient Rural Health Clinic Rural Health Clinic Rural Health Clinic Rural Health Clinic Rural Health Clinic Skilled Nursing Facility Sleep Medicine Acute/General Hospital Allergy & Immunology Allergy & Immunology Allergy & Immunology Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease

Calderwood Jacobs Brucklacher Brucklacher Limas Limas Prema Prema Prema Romeo Pacific Pulmonary Services White Motiu Dempsey Ardron Haugen Adams Gibson Iwata Mc George Merry Van Buskirk Krpan Krpan Krpan Krpan Roberta'S Morrison Taylan Schwartz Armstrong Berner Smith Shrivastava Changing Echoes Angels Camp Medical Clinic Arnold Medical Clinic Copperopolis Clinic Mark Twain Medical Center Valley Springs Family Medical Clinic Mark Twain Convalescent Hospital Shrivastava Colusa Regional Medical Center Merchant Merchant Peppercorn Amsterdam Lewis Lewis Schneider Watson Whitcomb

Anne Emily Linda Linda Jesse Jesse Nitya Nitya Nitya Joan

B M G G S S

LCSW LCSW MFT MFT MFT MFT MFT MFT MFT

97 Scott St 10 Vista Del Lago Dr 10 Vista Del Lago Dr 265 W Saint Charles St 23 W Saint Charles St 230 Ridgeview Ct 10 Vista Del Lago Dr 150 Big Trees Rd #B 23 W Saint Charles St 10B Vista Del Lago Dr 1113 Highway 49

Murphys Valley Springs Valley Springs San Andreas San Andreas Valley Springs Valley Springs Murphys San Andreas Valley Springs San Andreas San Andreas Valley Springs San Andreas Angels Camp Angels Camp Angels Camp Valley Springs Angels Camp Valley Springs Valley Springs Valley Springs Angels Camp Angels Camp Angels Camp San Andreas Valley Springs San Andreas San Andreas Angels Camp Murphys Murphys San Andreas San Andreas Angels Camp Angels Camp Arnold Copperopolis San Andreas Valley Springs San Andreas San Andreas Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95247 95252 95252 95249 95249 95252 95252 95247 95249 95252 95249 95249 95252 95249 95222 95222 95222 95252 95222 95252 95252 95252 95222 95222 95222 95249 95252 95249 95249 95222 95247 95247 95249 95249 95222 95222 95223 95228 95249 95252 95249 95249 95932 95932 95932 95932 95932 95932 95932 95932 95932 95932

(209) 728-1250 (209) 304-2924 (209) 765-9643 (209) 755-1450 (209) 601-5989 (209) 601-5989 (209) 795-0755 (209) 795-0755 (209) 795-0755 (209) 293-7187 (209) 754-4991 (209) 728-0531 (209) 754-1165 (209) 754-2466 (209) 736-6555 (209) 736-6555 (209) 736-6555 (209) 772-9798 (209) 736-0908 (209) 772-9798 (209) 772-9798 (209) 772-9798 (209) 736-8092 (209) 736-1147 (209) 736-9130 (209) 754-3521 (209) 772-2354 (209) 754-5195 (209) 754-3521 (209) 736-9034 (209) 754-4043 (209) 728-8814 (209) 754-0452 (209) 754-5374 (209) 785-3667 (209) 736-0813 (209) 795-4193 (209) 785-7000 (209) 754-4564 (209) 772-9538 (209) 754-3823 (209) 754-5374 (530) 458-5821 (530) 458-5003 (530) 458-2343 (530) 458-4601 (530) 458-5821 (530) 458-5003 (530) 458-2343 (530) 458-5821 (530) 458-5821 (530) 458-5003

Y Y Y Y Y Y Y Y Y Y

MFC

Shirley Petre David Gerard Perry Craig Duane Chris Janice Michael Richard Christopher Christopher Christopher Christopher

H P H E A W P H M J H J J J J

CRNA MD MD

768 Mountain Ranch Rd 52 Laurel St 768 Mountain Ranch Rd 595 Stanislaus Ave

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

MD OD OD OD OD OD OD DO DO DO DO

595 Stanislaus Ave 595 Stanislaus Ave 4 Jean St 595 Stanislaus Ave 4 Jean St 4 Jean St 4 Jean St 1300 Kurt Dr 23 N Main St 23 N Main St Ste A 768 Mountain Ranch Rd 579 Saint Andrews Rd

Stanley Athena Jeffrey Sharon John Wendy Deepak

G V H S L L K

MD MD DPM PHD PHD PHD MD

265 W Saint Charles St 768 Mountain Ranch Rd 575 Stanislaus Ave 432 Main St Algiers St Ent 366 Main St 75 Main St 704 Mountain Ranch Rd 7632 Pool Station Rd 222 S Main St 2182 Highway 4 3505 Spangler Ln 704 Mountain Ranch Rd 1919 Vista Del Lago Dr 900 Mountain Ranch Rd

N Y Y Y Y Y N

Deepak

MD

704 Mountain Ranch Rd 199 E Webster St

Rajan Rajan Robert Ezra William William Myron Frederick Charles

K K M A R R P S K

MD MD MD MD MD MD MD MD MD

151 E Webster St 2967 Davison Ct 199 E Webster St 199 E Webster St 151 E Webster St 2967 Davison Ct 199 E Webster St 199 E Webster St 151 E Webster St

Y Y Y Y Y Y Y Y Y

10/24/2013

23

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa

Cardiovascular Disease Cardiovascular Disease Dermatology Dermatology Dermatology Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice, Sports General Practice General Practice General Practice General Practice General Practice General Practice Hearing Aid Supplier Home Health Agency Infectious Disease Infectious Disease Infectious Disease Internal Medicine

Whitcomb Whitcomb Feramisco Feramisco Peppercorn Agness Burt Burt Carson Higgins Lum Marchesseault Maron Shin Starkes Agness Barrett Bartlett Bartlett Carson Chandler Delgado Delgado Delgado Delgado Goodman Goodman Goodman Goodman Goodman Goodman Goodman Lyapis Meraz Meraz Meraz Molina Saxman Shin Starkes Feramisco Feramisco Lyapis Molina Momi Momi Michael Daly'S Hearing Aide Ctr Colusa Regional Medical Center Hha Nijjar Nijjar Starkes Burt

Charles Charles Jamison Jamison Robert Mark Gregory Gregory Gary Gregory Gordon Michael Steve Hyonah Henry Mark James Kerri Kerri Gary Diane Julian Julian Julian Julian Michael Michael Michael Michael Michael Michael Michael Victor Antonio Antonio Antonio Jose Eric Hyonah Henry Jamison Jamison Victor Jose Jasminder Jasminder

K K D D M S W W M L S J P

MD MD MD MD MD MD MD MD MD MD MD MD MD MD

199 E Webster St 2967 Davison Ct 151 E Webster St 2967 Davison Ct 199 E Webster St 199 E Webster St 151 E Webster St 2967 Davison Ct 199 E Webster St 199 E Webster St 199 E Webster St 199 E Webster St 199 E Webster St 199 E Webster St 199 E Webster St 199 E Webster St 3710 State Highway 45 555 Fremont St 89 Putnam Way 199 E Webster St 555 Fremont St

Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Arbuckle Colusa Colusa Colusa Colusa Colusa Williams Colusa Colusa Colusa Colusa Williams Williams Williams Colusa Colusa Colusa Williams Arbuckle Colusa Colusa Colusa Colusa Colusa Colusa Arbuckle Colusa Colusa Arbuckle Colusa Colusa Colusa Colusa Colusa

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95932 95932 95932 95932 95932 95932 95932 95932 95932 95932 95932 95932 95932 95932 95932 95932 95932 95932 95912 95932 95932 95932 95932 95932 95987 95932 95932 95932 95932 95987 95932 95987 95932 95932 95932 95987 95912 95932 95932 95932 95932 95932 95932 95912 95932 95932 95912 95932 95932 95932 95932 95932

(530) 458-5821 (530) 458-3243 (530) 458-5003 (530) 458-2343 (530) 458-4601 (530) 458-5821 (530) 458-5003 (530) 458-2343 (530) 458-5821 (530) 458-5821 (530) 458-5821 (530) 458-5821 (530) 458-5821 (530) 458-5821 (530) 458-5821 (530) 458-5821 (530) 458-5501 (530) 458-8635 (530) 476-2200 (530) 458-5821 (530) 458-8635 (530) 458-5003 (530) 458-6080 (530) 458-2343 (530) 473-5255 (530) 458-5003 (530) 458-8050 (530) 458-5821 (530) 458-2343 (530) 473-5255 (530) 473-5255 (530) 473-5724 (530) 458-5821 (530) 458-8050 (530) 458-8050 (530) 473-5255 (530) 476-2200 (530) 458-5821 (530) 458-5821 (530) 458-5821 (530) 458-5003 (530) 458-2343 (530) 458-5821 (530) 476-2200 (530) 458-5003 (530) 458-2343 (800) 842-2244 (530) 458-5821 (530) 458-5003 (530) 458-2343 (530) 458-5821 (530) 458-5003

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

B S T A A M B L L L L R R R R R R R

MD MD MD DO DO MD

MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD

151 E Webster St 173 E Webster St 2967 Davison Ct 501 E St 151 E Webster St 173 E Webster St 199 E Webster St 2967 Davison Ct 501 E St 501 East St 969 E St 199 E Webster St 173 E Webster St 501 B St 501 E St 89 Putnam Way 199 E Webster St 199 E Webster St 199 E Webster St 151 E Webster St 2967 Davison Ct 199 E Webster St 89 Putnam Way 151 E Webster St 2967 Davison Ct 500 Main St 199 E Webster St

A T

MD MD MD

B D D

MD MD MD MD

A S S

MD

Jagraj Jagraj Henry Gregory

S S B W

MD MD MD MD

151 E Webster St 2967 Davison Ct 199 E Webster St 151 E Webster St

Y Y Y Y

10/24/2013

24

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Del Norte Del Norte

Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Licensed Clinical Social Work Marriage & Family Therapy Nephrology Nephrology Nephrology Nephrology Nephrology Nephrology Nephrology Nephrology Nephrology Nephrology Nuclear Medicine Nurse Anesthetist Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Optometry Pediatrics Radiation Oncology Skilled Nursing Facility Surgery Surgery Surgery Surgery Surgery Surgical Critical Care Surgical Critical Care Acute/General Hospital Allergy & Immunology

Burt Damazo Damazo Go Go Guerrero Kondle Kondle Merchant Merchant Momi Momi Nijjar Nijjar Polhemus Polhemus Poonia Poonia Starkes Whitcomb Whitcomb Whitcomb Beck Berke Go Go Kondle Kondle Momi Momi Polhemus Polhemus Poonia Poonia Kimball Ulshafer Schimmel Schimmel Starkes Baker Midha Kimball Valley West Convalescent Hospital Gladen Gladen Highman Highman Highman Gladen Gladen Sutter Coast Hospital Ramos

Gregory David David Subil Subil Ethelwoldo Venu Venu Rajan Rajan Jasminder Jasminder Jagraj Jagraj Robert Robert Roopinder Roopinder Henry Charles Charles Charles Jacqualine Debbie Subil Subil Venu Venu Jasminder Jasminder Robert Robert Roopinder Roopinder William Gayle Leon Leon Henry Bradley Sanjiv William

W E E C C P M M K K S S S S E E S S B K K K

MD MD MD MD MD MD MD MD MD MD

2967 Davison Ct 555 Fremont St 89 Putnam Way 151 E Webster St 2967 Davison Ct 151 E Webster St 151 E Webster St 2967 Davison Ct 151 E Webster St 2967 Davison Ct 151 E Webster St 2967 Davison Ct

Colusa Colusa Arbuckle Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Colusa Williams Colusa Colusa Colusa Colusa Colusa Colusa Colusa Crescent City Crescent City

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95932 95932 95912 95932 95932 95932 95932 95932 95932 95932 95932 95932 95932 95932 95932 95932 95932 95932 95932 95932 95932 95932 95932 95932 95932 95932 95932 95932 95932 95932 95932 95932 95932 95932 95932 95932 95932 95932 95932 95932 95932 95932 95987 95932 95932 95932 95932 95932 95932 95932 95531 95531

(530) 458-2343 (530) 458-8634 (530) 476-2241 (530) 458-5003 (530) 458-2343 (530) 458-4250 (530) 458-5003 (530) 458-2343 (530) 458-5003 (530) 458-2343 (530) 458-5003 (530) 458-2343 (530) 458-5003 (530) 458-2343 (530) 458-5003 (530) 458-2343 (530) 458-5003 (530) 458-2343 (530) 458-5821 (530) 458-5003 (530) 458-5821 (530) 458-3243 (916) 456-4624 (916) 456-4614 (530) 458-5003 (530) 458-2343 (530) 458-5003 (530) 458-2343 (530) 458-5003 (530) 458-2343 (530) 458-5003 (530) 458-2343 (530) 458-5003 (530) 458-2343 (530) 458-5821 (530) 458-5821 (530) 458-5003 (530) 458-2343 (530) 458-5821 (530) 458-2020 (530) 458-2300 (530) 458-5821 (530) 473-5321 (530) 458-5003 (530) 458-2343 (530) 458-5003 (530) 458-7728 (530) 458-5821 (530) 458-5003 (530) 458-2343 (707) 464-8511 (707) 465-4636

Y N N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

MD MD MD MD MD MD MD MD MD MD LCSW

151 E Webster St 2967 Davison Ct 151 E Webster St 2967 Davison Ct 151 E Webster St 2967 Davison Ct 199 E Webster St 151 E Webster St 199 E Webster St 2967 Davison Ct 642 5Th St 642 5Th St 151 E Webster St 2967 Davison Ct 151 E Webster St 2967 Davison Ct 151 E Webster St 2967 Davison Ct

J C C M M S S E E S S R L D D B R K R

MFT MD MD MD MD

MD MD MD MD MD CRNA MD MD MD OD MD MD

151 E Webster St 2967 Davison Ct 151 E Webster St 2967 Davison Ct 199 E Webster St 199 E Webster St 151 E Webster St 2967 Davison Ct 199 E Webster St 516 Jay St 717 Bridge St 199 E Webster St 1224 E St

Herbert Herbert Lawrence Lawrence Lawrence Herbert Herbert

E E M M M E E

MD MD MD MD MD MD MD

151 E Webster St 2967 Davison Ct 151 E Webster St 155 E Webster St 199 E Webster St 151 E Webster St 2967 Davison Ct 800 E Washington Blvd

Y Y Y Y Y Y Y

Madeleine

MD

550 E Washington Blvd

10/24/2013

25

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte

Chiropractic Colon & Rectal Surgery Colon & Rectal Surgery Colon & Rectal Surgery Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Geriatric Medicine Home Health Agency Home Infusion Therapy Hospice Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Licensed Clinical Social Work Licensed Clinical Social Work Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy

Cole Polidore Ritter Ritter Bensky Isenhart Maron Nicely Nicely Nicely Saunders Steinbach Bensky Betts Frugoni Frugoni Groves Groves Hunter Kamelgarn Khalsa Martinez Nicely Nicely Nicely Ohnemus Pearson Rehwaldt Rehwaldt Ruda Steinbach Terra Terra Terra Hunter Sutter Coast Home Care Apria Healthcare Inc Sutter Coast Home Care & Hospice Blundell Gurov Holland Hunter Micheletti Ramos Babbitt Spehling Blatnick Burris Cummings Lee Squires Tippman

Tracy Thomas Manfred Manfred Norman George Steve Timothy Timothy Timothy Sandra Alan Norman Jennifer Corinne Corinne Katrina Katrina Willard Stephen Gurudarshan Antoinette Timothy Timothy Timothy Julie Clint Warren Warren Stephen Alan Kathleen Kathleen Kathleen Willard

D M P P D E P C C C K B D L E E C C M M S P C C C M T J J D B M M M M

DC MD

1347 Northcrest Dr 1225 Marshall St 1225 Marshall St 780 Washington Blvd #105

Crescent City Crescent City Crescent City Crescent City Crescent City Crescent City Crescent City Klamath Smith River Crescent City Crescent City Crescent City Crescent City Klamath Klamath Smith River Crescent City Crescent City Crescent City Crescent City Klamath Klamath Klamath Smith River Crescent City Crescent City Crescent City Crescent City Crescent City Crescent City Crescent City Crescent City Klamath Smith River Crescent City Crescent City Crescent City Crescent City Crescent City Crescent City Crescent City Crescent City Crescent City Crescent City Crescent City Crescent City Crescent City Crescent City Crescent City Crescent City Crescent City Crescent City

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95531 95531 95531 95531 95531 95531 95531 95548 95567 95531 95531 95531 95531 95548 95548 95567 95531 95531 95531 95531 95548 95548 95548 95567 95531 95531 95531 95531 95531 95531 95531 95531 95548 95567 95531 95531 95531 95531 95531 95531 95531 95531 95531 95531 95531 95531 95531 95531 95531 95531 95531 95531

(707) 464-2921 (707) 465-0884 (707) 465-0884 (707) 464-8975 (707) 465-4636 (707) 464-8511 (707) 464-8888 (707) 482-2181 (707) 487-0215 (707) 464-8511 (707) 464-8511 (707) 464-8511 (707) 465-4636 (707) 482-2181 (707) 482-2181 (707) 487-0215 (707) 465-6925 (707) 465-4636 (707) 465-4636 (707) 465-4636 (707) 482-2181 (707) 482-2181 (707) 482-2181 (707) 487-0215 (707) 464-8511 (707) 465-4636 (707) 465-4636 (707) 465-6925 (707) 465-4636 (707) 464-6372 (707) 464-8511 (707) 464-2750 (707) 482-2181 (707) 487-0215 (707) 465-4636 (707) 464-8741 (707) 464-4242 (707) 464-8741 (707) 465-8666 (707) 465-8666 (707) 465-6925 (707) 465-4636 (707) 465-8666 (707) 465-4636 (707) 465-5936 (707) 954-5050 (707) 464-8451 (707) 464-5033 (541) 541-4650 (707) 465-4880 (707) 465-6560 (707) 465-4657

Y Y N N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD DO MD MD MD MD MD

550 E Washington Blvd 800 E Washington Blvd 800 E Washington Blvd 241 Salmon Ave 501 N Indian Rd 800 E Washington Blvd 800 E Washington Blvd 800 E Washington Blvd 550 E Washington Blvd 241 Salmon Ave 241 Salmon Ave 501 N Indian Rd 200 A St 550 E Washington Blvd 550 E Washington Blvd 550 E Washington Blvd 241 Salmon Ave 241 Salmon Ave 241 Salmon Ave 501 N Indian Rd 800 E Washington Blvd 550 E Washington Blvd 550 E Washington Blvd 200 A St 550 E Washington Blvd 780 E Washington Blvd 800 E Washington Blvd 1675 Northcrest Dr 241 Salmon Ave 501 N Indian Rd 550 E Washington Blvd 983-3Rd Street D 630 G St 983 3Rd St

Matthew Andrean Christian Willard Donald Madeleine Jill Susan Becky Julia Jacque Barbara Saundra Douglas

C A S M W S D L A G L J S G

MD MD DO MD MD MD LCSW

1771 Northcrest Dr 1771 Northcrest Dr 550 E Washington Blvd 550 E Washington Blvd 1771 Northcrest Dr 550 E Washington Blvd 415 Us Highway 101 S 343 G St #5

Y Y Y Y Y N Y Y Y Y Y Y Y Y

MFT MFT LMFT MFT MFT MFT

422 9Th St 875 5Th St 431 H St 415 Us Highway 101 S # 5 879 J St 550 H St

10/24/2013

26

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Del Norte Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn

Medical Vendor (DME) Neonatal-Perinatal Medicine Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Optometry Orthopedic Surgery Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Podiatry Podiatry Podiatry Psychiatry Psychiatry Psychiatry Psychology Psychology Rural Health Clinic Surgery Surgery Surgery Surgery Of The Hand Acute/General Hospital Cardiovascular Disease Cardiovascular Disease Chiropractic Chiropractic Chiropractic Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice

Apria Healthcare Inc Fulroth Hobeika Nicely Nicely Nicely Tynes Tynes Inouye Duncan Bell Bell Brockington Fulroth Nelson Sukkarieh Young Fisher Fjerstad Franz Soper Soper Soper Holmes Kimbauer Sutter Coast Health Center Polidore Ritter Ritter Duncan Glenn Medical Center Moffett Wolk Hutson-Throm Throm Zitlaw Ali Artzner Church Higgins Johnson Levine Moses Shareck Ali Garrison Garrison Garrison Levine Meraz Milosevic Moses Eugene Peter Monica Billy Gregory Michael Thomas Galen Gregory Ronald Adin Kenneth Everett Michael Douglas Douglas Jared Adin Antonio Milivoj Kenneth P E E D H H H L D H P P V J J G G MD MD DC DC DC MD MD DO MD MD MD MD MD MD DO DO DO MD MD MD MD Thomas Manfred Manfred Gregory M P P J MD Richard Elie Timothy Timothy Timothy John John Steven Gregory Norman Norman Nancy Richard Carla Modar Angela Arthur John Robert Robert Robert Robert Pauline Elli M M T M J E B E E E DPM DPM DPM MD MD MD PHD PHD M C C C W W T J J J S MD MD MD MD MD MD MD MD MD MD MD MD MD OD

630 G St 550 E Washington Blvd 780 E Washington Blvd 241 Salmon Ave 501 N Indian Rd 800 E Washington Blvd 1225 Marshall St 780 E Washington Blvd 433 9Th St 1200 Marshall St 200 A St 550 E Washington Blvd 550 E Washington Blvd 550 E Washington Blvd 780 E Washington Blvd 780 E Washington Blvd 780 E Washington Blvd 415 J St 1485 Northcrest Dr 418 9Th St 1080 Mason Mall 206 Williams Dr 455 K St 1080 Mason Mall Ste 10 1080 Mason Mall 785 E Washington Blvd 1225 Marshall St 1225 Marshall St 780 Washington Blvd #105 1200 Marshall St 1133 W Sycamore St 1133 W Sycamore St 1133 W Sycamore St 420 W Wood St 420 W Wood St 220 Walker St 1133 W Sycamore St 1133 W Sycamore St 1133 W Sycamore St 1133 W Sycamore St 1361 Cortina Dr Ste A 1133 W Sycamore St 1133 W Sycamore St 1133 W Sycamore St 1133 W Sycamore St 1133 W Sycamore St 460 W Sycamore St 1133 W Sycamore St 1133 W Sycamore St 1133 W Sycamore St 231 Main St 1133 W Sycamore St

Crescent City Crescent City Crescent City Klamath Smith River Crescent City Crescent City Crescent City Crescent City Crescent City Crescent City Crescent City Crescent City Crescent City Crescent City Crescent City Crescent City Crescent City Crescent City Crescent City Crescent City Crescent City Crescent City Crescent City Crescent City Crescent City Crescent City Crescent City Crescent City Crescent City Willows Willows Willows Willows Willows Orland Willows Willows Willows Willows Orland Willows Willows Willows Willows Willows Willows Willows Willows Willows Hamilton City Willows

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95531 95531 95531 95548 95567 95531 95531 95531 95531 95531 95531 95531 95531 95531 95531 95531 95531 95531 95531 95531 95531 95531 95531 95531 95531 95531 95531 95531 95531 95531 95988 95988 95988 95988 95988 95963 95988 95988 95988 95988 95963 95988 95988 95988 95988 95988 95988 95988 95988 95988 95951 95988

(707) 464-4242 (707) 465-6925 (707) 464-6715 (707) 482-2181 (707) 487-0215 (707) 464-8511 (707) 464-9300 (707) 464-6715 (707) 464-5215 (707) 465-1126 (707) 465-6925 (707) 465-4636 (707) 465-4636 (707) 465-6925 (707) 464-6715 (707) 464-8686 (707) 464-6715 (707) 465-6624 (707) 464-3245 (707) 464-1373 (707) 445-4705 (707) 464-7224 (707) 464-7224 (415) 464-4216 (707) 464-7662 (707) 464-8511 (707) 465-0884 (707) 465-0884 (707) 464-8975 (707) 465-1126 (530) 934-1800 (530) 934-1817 (530) 934-1800 (530) 934-9500 (530) 934-9500 (530) 865-5930 (530) 934-1811 (530) 934-1800 (530) 934-1800 (530) 934-1800 (530) 865-3400 (530) 934-1800 (530) 934-1800 (530) 934-1800 (530) 934-1811 (530) 934-1816 (530) 934-1855 (530) 934-1816 (530) 934-1800 (530) 934-4005 (530) 826-3694 (530) 934-1800 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y N Y Y N N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

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27

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn Glenn

Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice General Practice General Practice General Practice General Practice General Practice Infectious Disease Infectious Disease Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Licensed Clinical Social Work Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Neurology Obstetrics & Gynecology Ophthalmology Ophthalmology Optometry Optometry Orthopedic Surgery Pediatric Gastroenterology Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Podiatry Rheumatology Rural Health Clinic Rural Health Clinic Skilled Nursing Facility Sleep Medicine Surgery

Roth Sakal Saxman Schmidt Tye Tye Tye Milosevic Parrish Tye Tye Tye Nijjar Nijjar Corona Damazo Damazo Goyal Nijjar Nijjar Shareck Sundaramurthy Vagic Cheryl Chief Little Martin Martin Merliss Garrison Barthelow Shaw Flynn Robertson Hayes Younes Ali Ashraf Chary Chary Jenkins Jenkins Reid Reid Younes Hawkley Sundaramurthy Glenn Family Medical Group Glenn Medical Ctr - Family Care Clinic Willows Care Center Merliss Highman

Robert Lijun Eric John Ross Ross Ross Milivoj Jennifer Ross Ross Ross Jagraj Jagraj James David David Hari Jagraj Jagraj Everett Saigeetha Dragana Darlene Winyan Loretta Brian Brian Matthew Mark Joel Val Thomas Timothy George Bassam Yusuf Irmeen Rajini Rajini Morgan Morgan Joanne Joanne Bassam Redge Saigeetha

E W T G W W W

MD MD MD MD MD MD MD MD

1211 Cortina Dr 1133 W Sycamore St 1361 Cortina Dr Ste A 519 4Th St 123 E Walker St 1361 Cortina Dr 1361 Cortina Dr Ste A 231 Main St 1361 Cortina Dr Ste A

Orland Willows Orland Orland Orland Orland Orland Hamilton City Orland Orland Orland Orland Willows Orland Orland Orland Hamilton City Willows Willows Orland Willows Willows Orland Willows Willows Orland Willows Orland Willows Willows Willows Willows Orland Willows Willows Orland Orland Willows Orland Hamilton City Willows Willows Willows Willows Orland Willows Willows Willows Willows Willows Willows Willows

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95963 95988 95963 95963 95963 95963 95963 95951 95963 95963 95963 95963 95988 95963 95963 95963 95951 95988 95988 95963 95988 95988 95963 95988 95988 95963 95988 95963 95988 95988 95988 95988 95963 95988 95988 95963 95963 95988 95963 95951 95988 95988 95988 95988 95963 95988 95988 95988 95988 95988 95988 95988

(530) 865-5544 (530) 934-1820 (530) 865-3400 (530) 865-5628 (530) 865-8505 (530) 865-3400 (530) 865-3400 (530) 826-3694 (530) 865-3400 (530) 865-8505 (530) 865-3400 (530) 865-3400 (530) 934-3385 (530) 865-4400 (530) 865-6430 (530) 865-5544 (530) 826-3694 (530) 934-1800 (530) 934-3385 (530) 865-4400 (530) 934-1800 (530) 934-1800 (530) 865-5544 (530) 934-1817 (530) 591-0784 (530) 865-5467 (530) 891-0973 (530) 891-0973 (530) 934-1817 (530) 934-1811 (530) 934-1820 (530) 934-1820 (530) 865-9233 (530) 934-3374 (530) 934-1811 (530) 865-5544 (530) 865-5400 (530) 934-4005 (530) 865-5544 (530) 826-3694 (951) 683-4675 (530) 934-4005 (530) 934-1816 (530) 934-8700 (530) 865-5544 (530) 934-1816 (530) 934-1800 (530) 934-1881 (530) 934-1816 (530) 934-2834 (530) 934-1817 (530) 934-1817

Y Y Y Y Y Y Y N Y Y Y Y Y Y Y N N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y N Y Y Y Y Y Y Y Y N Y Y

L W W W S S MD MD MD MD MD

123 E Walker St 1361 Cortina Dr 1361 Cortina Dr Ste A 460 W Sycamore St 750 E Walker St 203 Walker St

E E O S S P

MD MD MD MD MD MD MD

1211 Cortina Dr 278 Main St 1133 W Sycamore St 460 W Sycamore St 750 E Walker St 1133 W Sycamore St 1133 W Sycamore St 1211 Cortina Dr

T LCSW W K J J J S I K A W T S MD OD OD MD MD MD M MD MD R R E E S M MD MD MD MD MD DPM MD MFT MFT MFT MFT MD DO

1133 W Sycamore St 420 E Laurel St 750 E Walker St 1015 W Wood St 1165 Hoff Way #205 1133 W Sycamore St 1133 W Sycamore St 1133 W Sycamore St 1133 W Sycamore St 203 Walker St 245 N Villa Ave 1133 W Sycamore St 1211 Cortina Dr 203 Walker St 1144 W Sycamore St 1211 Cortina Dr 278 Main St 1133 W Sycamore St 1144 W Sycamore St 1133 W Sycamore St 263 N Villa Ave 1211 Cortina Dr 1133 W Sycamore St 1133 W Sycamore St 130 N Enright Ave 1133 W Sycamore St 320 N Crawford St

Matthew Lawrence

J M

MD MD

1133 W Sycamore St 1133 W Sycamore St

Y Y

10/24/2013

28

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt

Acupuncture Acupuncture Acupuncture Acupuncture Acupuncture Acupuncture Acupuncture Acupuncture Acute/General Hospital Acute/General Hospital Acute/General Hospital Acute/General Hospital Acute/General Hospital Allergy & Immunology Allergy & Immunology Allergy & Immunology Allergy & Immunology Allergy & Immunology Allergy & Immunology Allergy & Immunology Allergy & Immunology Allergy & Immunology Ambulatory Surgery Center Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology, Pain Management Anesthesiology, Pain Management

Colby Colby Colby Haloff Haloff Mcdevitt Richardson Stern General Hospital Jerold Phelps Community Hospital Mad River Community Hospital Redwood Memorial Hospital St Joseph Hospital Eureka Ramos Ramos Ramos Ramos Ramos Ramos Ramos Ramos Zibilich Humboldt Physicians Surgery And Laser Center Llc Abbassi Bondurant Brink Cheng Cheng Coutts Coutts Demara Deroo Deroo Dhaliwal Fischel Goldberg Horseman Jacob Jaworski Jaworski Jaworski Mac Evoy Mac Evoy Mac Evoy Richardson Rosnow Scholz Scholz Varav Wilcox Abbassi Demara

Chelsea Chelsea Chelsea Jeffrey Jeffrey Lynda Sheridan Peter A M M

LAC LAC LAC LAC LAC LAC LAC LAC

1036 Warren Creek Rd 123 F St 1730 Main St 123 F St 1730 Main St 739 10Th St 827 Bayside Rd 764 Cedar St 2200 Harrison Ave 733 Cedar St 3800 Janes Rd 3300 Renner Dr 2700 Dolbeer St

Arcata Eureka Fortuna Eureka Fortuna Arcata Arcata Garberville Eureka Garberville Arcata Fortuna Eureka Mckinleyville Eureka Eureka Eureka Arcata Willow Creek Arcata Arcata Eureka Eureka Arcata Eureka Eureka Eureka Eureka Eureka Arcata Fortuna Eureka Eureka Eureka Eureka Fortuna Eureka Fortuna Eureka Eureka Arcata Eureka Arcata Arcata Eureka Eureka Eureka Eureka Arcata Eureka Arcata Fortuna

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95521 95501 95540 95501 95540 95521 95521 95542 95501 95542 95521 95540 95501 95519 95501 95501 95503 95521 95573 95521 95521 95501 95503 95521 95501 95501 95501 95501 95501 95521 95540 95501 95501 95501 95501 95540 95501 95540 95501 95503 95521 95501 95521 95521 95501 95501 95501 95501 95521 95501 95521 95540

(707) 771-9707 (707) 268-8007 (707) 771-9707 (707) 268-8007 (707) 268-8007 (707) 822-2324 (707) 267-4929 (707) 923-3644 (707) 445-5111 (707) 923-3921 (707) 822-3621 (707) 725-3361 (707) 445-8121 (707) 839-3068 (707) 442-4039 (707) 442-4038 (707) 269-9549 (707) 822-1385 (530) 629-3111 (707) 828-8636 (707) 822-2481 (707) 269-3610 (707) 443-9777 (707) 633-6080 (707) 269-0644 (707) 445-8121 (707) 497-6226 (707) 445-3075 (707) 445-8121 (707) 442-4848 (707) 725-7327 (707) 445-5111 (707) 445-8121 (707) 497-6226 (707) 445-1143 (707) 725-3361 (707) 445-8121 (707) 445-8121 (805) 928-1731 (707) 269-3694 (707) 822-3621 (707) 445-1143 (707) 442-4848 (707) 442-4848 (707) 269-0644 (707) 445-8121 (707) 524-4666 (707) 442-4848 (805) 928-1731 (707) 445-3075 (707) 633-6080 (707) 725-7327

Y Y Y Y Y Y Y Y

Madeleine Madeleine Madeleine Madeleine Madeleine Madeleine Madeleine Madeleine George

S S S S S S S S J

MD MD MD MD MD MD MD MD MD

1644 Central Ave 2200 Tydd St 2426 Buhne St 2773 Harris St 3800 Janes Rd 38883 Hwy 299 770 10Th St 785 18Th St 2700 Dolbeer St 3226 Timber Fall Ct

N N N N N N N N Y

Shahram Joshua Kevin Wilson Wilson Glenn Glenn Stephanie Daniel Daniel Harmanjeet Alan D Robert Sargon James James James Bonnie Bonnie Bonnie Brian Jan Rasoul Rasoul Kalle Sandra Shahram Stephanie L L J L E E L L L B B C J P T D R R R D D D P M

MD

3800 Janes Rd 2700 Dolbeer St

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

MD MD MD MD MD MD MD MD MD MD MD MD DO MD MD MD MD MD MD

2700 Dolbeer St 2700 Dolbeer St 2752 Harrison Ave 2700 Dolbeer St 3800 Janes Rd 3300 Renner Dr 2200 Harrison Ave 2700 Dolbeer St 2700 Dolbeer St 2200 Harrison Ave 3300 Renner Dr 2700 Dolbeer St 3300 Renner Dr 2700 Dolbeer St 2705 Harris St 3800 Janes Rd 2200 Harrison Ave 3800 Janes Rd 383 Bayside Road 2725 Myrtle Ave

MD

2700 Dolbeer St 2200 Harrison Ave 2700 Dolbeer St

MD MD MD MD

3800 Janes Rd 2752 Harrison Ave 3800 Janes Rd 3300 Renner Dr

10/24/2013

29

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt

Anesthesiology, Pain Management Anesthesiology, Pain Management Anesthesiology, Pain Management Applied Behavioral Analyst Applied Behavioral Analyst Applied Behavioral Analyst Applied Behavioral Analyst Cardiac Electrophysiology Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Clinical Neurophysiology Colon & Rectal Surgery Colon & Rectal Surgery Dermatology Dermatology Dermatology Dermatology Dermatology Diagnostic Imaging Center Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine

Jaworski Jaworski Jaworski Cooper Borkenhagen Heilveil Shea Wright Ploss Arashvand Lock Michaels Ploss Duncan Henry Henry Jackson Kleefeld Murphy Wennerholm Wennerholm Winget Iverson Hassapis Stauffer Burggraf Dana Guccione Kraffert Kraffert Alliance Healthcare Services Inc Beatty Bensky Bensky Bensky Bensky Bensky Bensky Bensky Bensky Bensky Burton Carroll Chen Cordova Davis Duefrene Fleming Flower Freiman Grondahl Holladay Hooper

James James James Kristen Ira Christy Michael David Mojgan Robert Andrew David Jordan Mark Martha Gerald Larry Loretta Eric William Dale Donald John Paul Hollis Farshad Jack Craig Craig

R R R J P L P R

MD MD MD MFT

2700 Dolbeer St 2705 Harris St 3800 Janes Rd 901 O St Ste C 2822 E St

Eureka Eureka Arcata Arcata Eureka Arcata Arcata Eureka Eureka Eureka Eureka Eureka Eureka Mckinleyville Mckinleyville Eureka Arcata Arcata Eureka Mckinleyville Eureka Eureka Fortuna Fortuna Eureka Eureka Fortuna Eureka Eureka Eureka Garberville Mckinleyville Eureka Eureka Arcata Willow Creek Willow Creek Willow Creek Arcata Arcata Eureka Mckinleyville Eureka Eureka Arcata Eureka Eureka Garberville Eureka Garberville Garberville Arcata

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95501 95503 95521 95521 95501 95521 95521 95501 95501 95501 95503 95501 95501 95519 95519 95503 95521 95521 95501 95519 95503 95503 95540 95540 95503 95501 95540 95501 95501 95501 95542 95519 95501 95501 95521 95573 95573 95573 95521 95521 95501 95519 95501 95501 95521 95501 95501 95542 95501 95542 95542 95521

(805) 928-1731 (707) 269-3694 (707) 822-3621 (707) 826-0872 (707) 442-4900 (707) 826-0872 (707) 826-0872 (707) 444-8300 (707) 445-8121 (707) 268-8718 (707) 442-1182 (707) 444-8300 (707) 442-0881 (707) 839-6300 (707) 839-6300 (707) 444-0416 (707) 822-5188 (707) 822-5900 (707) 445-8964 (707) 839-4344 (707) 444-3111 (707) 443-9385 (707) 725-9301 (707) 725-9832 (707) 442-2961 (707) 441-1911 (707) 725-8770 (707) 444-1331 (707) 444-1331 (800) 530-0912 (707) 923-3921 (707) 839-3068 (707) 441-1624 (707) 442-4038 (707) 822-1385 (530) 629-3111 (707) 445-8121 (530) 629-3111 (707) 828-8636 (707) 822-2481 (707) 268-0190 (707) 839-3068 (707) 443-4593 (707) 445-8121 (707) 826-8264 (707) 269-4210 (707) 269-4210 (707) 923-3921 (707) 269-4210 (707) 923-3921 (707) 923-3921 (707) 822-3621

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y N Y Y Y Y

MFT PHD

901 O St Ste C 901 O St Ste C 2332 23Rd St 2700 Dolbeer St

J D R D C L F J

MD MD

2535 Harrison Ave 2773 Harris St 2332 23Rd St 1459 Myrtle Ave

DC DC DC DC DC

1781 Central Ave 1781 Central Ave 626 Harris St 604 H St 801 Crescent Way 1459 Myrtle Ave 1225 Central Ave 311 W Harris St 2828 Oneil Ln 3301 Renner Dr 3300 Renner Dr 3225 Timber Fall Ct 2350 Buhne St 2404 Newburg Rd 2350 Buhne St 525 2Nd St 2700 Dolbeer St

A A K J T R A

DC DC DC MD MD MD MD MD

L A A

MD MD MD

Paul Norman Norman Norman Norman Norman Norman Norman Norman Norman Allison Joseph Chia Ronald Jay Kay Carolyn Elizabeth Howard Joseph Jeffrey Andrew

R D D D D D D D D D L E L V M

MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD

733 Cedar St 1644 Central Ave 2412 Buhne St 2426 Buhne St 3800 Janes Rd 38883 Highway 38883 Highway 299 38883 Hwy 299 770 10Th St 785 18Th St 2752 Harrison Ave 1644 Central Ave 2350 Buhne St 2700 Dolbeer St 3800 Janes Rd 2700 Dolbeer St 2700 Dolbeer St 733 Cedar St 2700 Dolbeer St 733 Cedar St 733 Cedar St 3800 Janes Rd

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

MD MD

S M G H

DO MD MD MD

10/24/2013

30

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt

Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Endocrinology & Metabolism Endocrinology & Metabolism Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice

Isenhart Kelsey Lum Luu Mahan Mahan Mahan Mahan Maron Mccaffrey Melton Miller Mott Nicely Nicely Nicely Nicely Nicely Nicely Nicely Nicely Phelps Pleatman Reedy Siegfried Steinbach Taylor Taylor Wallenkampf Windham Zibilich Stokes Stokes Alston Alston Alston Alston Alston Baird Baird Bensky Bensky Bensky Bensky Bensky Bensky Bensky Bensky Bensky Betts Betts Betts

George John Gordon Tuan Marcelle Marcelle Marcelle Marcelle Steve Kate William Kenneth Robert Timothy Timothy Timothy Timothy Timothy Timothy Timothy Timothy Kelly Douglas David Glenn Alan Thomas Thomas Victor Paul George Deepak Deepak Gerald Gerald Gerald Gerald Gerald Donald Donald Norman Norman Norman Norman Norman Norman Norman Norman Norman Jennifer Jennifer Jennifer

E H S A O O O O P

MD MD MD

2700 Dolbeer St 2700 Dolbeer St 733 Cedar St 2700 Dolbeer St

Eureka Eureka Garberville Eureka Mckinleyville Eureka Fortuna Arcata Garberville Mckinleyville Garberville Arcata Mckinleyville Trinidad Arcata Eureka Eureka Eureka Arcata Fortuna Hoopa Garberville Garberville Eureka Fortuna Garberville Eureka Arcata Eureka Eureka Eureka Mckinleyville Eureka Mckinleyville Arcata Willow Creek Arcata Arcata Fortuna Ferndale Mckinleyville Eureka Eureka Arcata Willow Creek Willow Creek Willow Creek Arcata Arcata Arcata Fortuna Hoopa

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95501 95501 95542 95501 95519 95501 95540 95521 95542 95519 95542 95521 95519 95570 95521 95501 95501 95503 95521 95540 95546 95542 95542 95501 95540 95542 95501 95521 95501 95501 95501 95519 95503 95519 95521 95573 95521 95521 95540 95536 95519 95501 95501 95521 95573 95573 95573 95521 95521 95521 95540 95546

(707) 269-4210 (707) 725-9337 (707) 923-3921 (707) 445-8121 (707) 822-7220 (707) 269-3610 (707) 725-3361 (707) 822-7220 (707) 923-3921 (707) 633-6146 (707) 923-3921 (707) 822-3621 (707) 839-4347 (707) 825-5010 (707) 825-5000 (707) 441-1624 (707) 442-4038 (707) 442-2961 (707) 822-1385 (707) 725-7988 (530) 625-4300 (707) 923-3921 (707) 923-3925 (707) 269-4210 (707) 725-7328 (707) 923-3921 (707) 269-4210 (707) 826-8264 (707) 445-5111 (707) 497-6342 (707) 269-3610 (707) 839-4500 (707) 445-3443 (707) 839-3068 (707) 822-1385 (530) 629-3111 (707) 826-8642 (707) 822-2481 (707) 725-6101 (707) 786-4028 (707) 839-3068 (707) 441-1624 (707) 442-4038 (707) 822-1385 (530) 629-3111 (707) 445-8121 (530) 629-3111 (707) 828-8636 (707) 822-2481 (707) 825-5000 (707) 725-7988 (530) 625-4300

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

MD MD MD MD MD DO

1733 Central Ave 2700 Dolbeer St 3300 Renner Dr 3800 Janes Rd 733 Cedar St 1225 Central Ave 733 Cedar St 3800 Janes Rd 1735 Central Ave 109 Ma We Mor View Ln 1600 Weeot Way 2412 Buhne St 2426 Buhne St 3225 Timber Fall Ct 3800 Janes Rd 940 Main St Hwy 96 & Hwy 169 733 Cedar St 733 Cedar St 2700 Dolbeer St 3300 Renner Dr 733 Cedar St 2700 Dolbeer St 3800 Janes Rd 2200 Harrison Ave 1915 Harrison Ave #A 2700 Dolbeer St 2192 Central Ave 3200 Walford Ave 1644 Central Ave 3800 Janes Rd 38883 Hwy 299 770 10Th St 785 18Th St 3306 Renner Dr 528 Waddington Rd

D I A C C C C C C C C C T B O B H H A C J K K A A A A A I I D D D D D D D D D L L L

MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD

MD MD MD MD MD MD MD MD MD MD MD MD

1644 Central Ave 2412 Buhne St 2426 Buhne St 3800 Janes Rd 38883 Highway 38883 Highway 299 38883 Hwy 299 770 10Th St 785 18Th St 1600 Weeot Way 940 Main St Hwy 96 & Hwy 169

10/24/2013

31

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt

Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice

Brinckhaus Burns Burns Burton Carlson Carlson Carroll Chan Chen Chung Copple Davis Dickinson Endress Faber Frugoni Frugoni Frugoni Glaseroff Grossman Grover Hamilton Hooper Hoopman Hovorka Hovorka Hovorka Hovorka Hovorka Humphry Humphry Humphry Hunter Hunter Hunter Hunter Hunter Hunter Hunter Hunter Hunter Hunter Joiner Jutila Kamelgarn Kamelgarn Kamelgarn Kamelgarn Kamelgarn Kamelgarn Kamelgarn Khalsa

Ruben Judy Judy Allison William William Joseph Theresa Chia Jay Nathan Jay Diane Don Thomas Corinne Corinne Corinne Alan Margaret Rodney Lee Andrew Eloi Gail Gail Gail Gail Gail Theodore Theodore Theodore Willard Willard Willard Willard Willard Willard Willard Willard Willard Willard Wendi George Stephen Stephen Stephen Stephen Stephen Stephen Stephen Gurudarshan

E A A L P P E

MD MD MD MD MD MD MD MD

874 Main St 2200 Tydd St 785 18Th St 2752 Harrison Ave 1644 Central Ave 770 10Th St 1644 Central Ave 2700 Dolbeer St 2350 Buhne St 2280 Harrison Ave 1644 Central Ave 3800 Janes Rd 101 Westcoast Rd 733 Cedar St 3800 Janes Rd 1600 Weeot Way 940 Main St Hwy 96 & Hwy 169 1318 H St 4677 Valley East Blvd 3306 Renner Dr 733 Cedar St 3800 Janes Rd 3800 Janes Rd 1644 Central Ave 2200 Tydd St 2412 Buhne St 2426 Buhne St 770 10Th St 1644 Central Ave 2200 Tydd St 2412 Buhne St 101 Westcoast Rd 1522 3Rd St 1644 Central Ave 2412 Buhne St 2426 Buhne St 3800 Janes Rd 38883 Highway 299 509 Elm St 770 10Th St 785 18Th St 101 W Coast Rd 874 Main St

Fortuna Eureka Arcata Eureka Mckinleyville Arcata Mckinleyville Eureka Eureka Eureka Mckinleyville Arcata Redway Garberville Arcata Arcata Fortuna Hoopa Arcata Arcata Fortuna Garberville Arcata Arcata Mckinleyville Eureka Eureka Eureka Arcata Mckinleyville Eureka Eureka Redway Eureka Mckinleyville Eureka Eureka Arcata Willow Creek Garberville Arcata Arcata Redway Fortuna Mckinleyville Eureka Eureka Arcata Willow Creek Arcata Arcata Arcata

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95540 95501 95521 95501 95519 95521 95519 95501 95501 95501 95519 95521 95560 95542 95521 95521 95540 95546 95521 95521 95540 95542 95521 95521 95519 95501 95501 95501 95521 95519 95501 95501 95560 95501 95519 95501 95501 95521 95573 95542 95521 95521 95560 95540 95519 95501 95501 95521 95573 95521 95521 95521

(707) 725-3334 (707) 442-4038 (707) 822-2481 (707) 268-0190 (707) 839-3068 (707) 828-8636 (707) 839-3068 (707) 445-8121 (707) 443-4593 (707) 443-9371 (707) 839-3068 (707) 826-8264 (707) 923-2783 (707) 923-3921 (707) 822-3621 (707) 825-5000 (707) 725-7988 (530) 625-4300 (707) 822-7041 (707) 822-1122 (707) 725-6101 (707) 923-3921 (707) 822-3621 (707) 822-1385 (707) 839-3068 (707) 441-1624 (707) 441-1624 (707) 442-4038 (707) 826-8610 (707) 839-3068 (707) 269-7051 (707) 441-1624 (707) 923-2783 (707) 441-1624 (707) 839-3068 (707) 441-1624 (707) 442-4038 (707) 822-1385 (530) 629-3111 (707) 923-3925 (707) 828-8636 (707) 822-2481 (707) 923-2783 (707) 725-3334 (707) 839-3068 (707) 441-1624 (707) 442-4038 (707) 822-1385 (530) 629-3111 (707) 828-8636 (707) 822-2481 (707) 825-5000

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

MD MD

R M

MD MD MD

M M E E E M L B M H J S S S S S R R R M M M M M M M M M M S A M M M M M M M S

MD MD MD MD MD MD MD DO MD MD DO MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD

MD MD MD MD MD MD MD MD

1644 Central Ave 2412 Buhne St 2426 Buhne St 3800 Janes Rd 38883 Highway 299 770 10Th St 785 18Th St 1600 Weeot Way

10/24/2013

32

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt

Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice

Khalsa Khalsa Kinsley Kinsley Leer Leer Lindsay Lyapis Mahan Mahan Mahan Mahan March March March Marshall Martinez Martinez Martinez Mccaffrey Milton Mott Nash Nicely Nicely Nicely Nicely Nicely Nicely Nicely Nicely Obrien Obrien Ohnemus Ohnemus Ohnemus Ohnemus Ohnemus Ohnemus Ohnemus Olsgard Olsgard Pearson Pearson Phelps Phelps Pleatman Ring Scher Smukler Steinbach Steinberg

Gurudarshan Gurudarshan Kelly Kelly Leo Leo Ann Victor Marcelle Marcelle Marcelle Marcelle Karen Karen Karen Eva Antoinette Antoinette Antoinette Kate Robert Robert Peter Timothy Timothy Timothy Timothy Timothy Timothy Timothy Timothy David David Julie Julie Julie Julie Julie Julie Julie Edward Edward Clint Clint Kelly Mark Douglas Wendy Sarah Martin Alan Miriam

S S A A R R D

MD MD MD MD MD MD

940 Main St Hwy 96 & Hwy 169 2426 Buhne St 4715 Valley East Blvd 2675 Harris St 3225 Timber Fall Ct 1318 H St

Fortuna Hoopa Eureka Arcata Eureka Eureka Arcata Garberville Mckinleyville Eureka Fortuna Arcata Mckinleyville Eureka Eureka Eureka Arcata Fortuna Hoopa Mckinleyville Orleans Mckinleyville Petrolia Trinidad Arcata Eureka Eureka Eureka Arcata Fortuna Hoopa Eureka Eureka Mckinleyville Eureka Eureka Arcata Willow Creek Arcata Arcata Eureka Eureka Mckinleyville Eureka Garberville Garberville Garberville Eureka Arcata Eureka Garberville Eureka

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95540 95546 95501 95521 95503 95503 95521 95542 95519 95501 95540 95521 95519 95501 95501 95501 95521 95540 95546 95519 95556 95519 95558 95570 95521 95501 95501 95503 95521 95540 95546 95501 95503 95519 95501 95501 95521 95573 95521 95521 95503 95503 95519 95501 95542 95542 95542 95501 95521 95503 95542 95501

(707) 725-7988 (530) 625-4300 (707) 442-4038 (707) 822-3376 (707) 443-8335 (707) 442-2961 (707) 822-7041 (707) 923-3921 (707) 822-7220 (707) 269-3610 (707) 725-3361 (707) 822-7220 (707) 839-3068 (707) 441-1624 (707) 441-1624 (707) 445-5900 (707) 825-5010 (707) 725-7988 (530) 625-4300 (707) 633-6146 (530) 627-3452 (707) 839-4347 (707) 629-9490 (707) 825-5010 (707) 825-5000 (707) 441-1624 (707) 442-4038 (707) 442-2961 (707) 822-1385 (707) 725-7988 (530) 625-4300 (707) 445-5111 (707) 443-8335 (707) 839-3068 (707) 441-1624 (707) 442-4038 (707) 822-1385 (530) 629-3111 (707) 826-8623 (707) 822-2481 (707) 443-8335 (707) 442-2961 (707) 839-3068 (707) 442-4038 (707) 923-3921 (707) 923-3925 (707) 923-3925 (707) 443-4666 (707) 826-8610 (707) 444-3885 (707) 923-3921 (707) 441-1624

Y Y Y Y N N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y N N Y Y Y Y Y Y Y Y Y Y

MD O O O O L L L T P P P MD MD MD MD MD MD MD MD MD MD MD DO E A A C C C C C C C C R R M M M M M M M C C T T C H T S A S B D MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD

733 Cedar St 1733 Central Ave 2700 Dolbeer St 3300 Renner Dr 3800 Janes Rd 1644 Central Ave 2200 Tydd St 2412 Buhne St 3020 H St 1600 Weeot Way 940 Main St Hwy 96 & Hwy 169 1225 Central Ave 39051 Hwy 96 1735 Central Ave 122 Evergreen Way 109 Ma We Mor View Ln 1600 Weeot Way 2412 Buhne St 2426 Buhne St 3225 Timber Fall Ct 3800 Janes Rd 940 Main St Hwy 96 & Hwy 169 2200 Harrison Ave 2675 Harris St 1644 Central Ave 2200 Tydd St 2426 Buhne St 3800 Janes Rd 38883 Highway 299 770 10Th St 785 18Th St 2675 Harris St 3225 Timber Fall Ct 1644 Central Ave 2200 Tydd St 733 Cedar St 509 Elm St 733 Cedar St 1522 3Rd St 770 10Th St 3116 Harrison Ave 733 Cedar St 2200 Tydd St

10/24/2013

33

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt

Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Gastroenterology Gastroenterology Gastroenterology Gastroenterology General Practice General Practice General Practice General Practice General Practice General Practice General Vascular Surgery General Vascular Surgery General Vascular Surgery General Vascular Surgery General Vascular Surgery Geriatric Medicine Geriatric Medicine Geriatric Medicine Geriatric Medicine Geriatric Medicine Geriatric Medicine Geriatric Medicine Geriatric Medicine Geriatric Medicine Geriatric Medicine Geriatric Medicine Geriatric Medicine Gynecology Hematology Hematology & Medical Oncology Hemodialysis Center Hemodialysis Center Home Health Agency

Steinberg Terra Terra Terra Vanarsdale Vanarsdale Villasenor Villasenor Vu Vu Weiss Weiss Weiss Wiedemann Wiedemann Winget Winget Winget Zibilich Kajdos Meshulam Stokes Stokes Barker Endress Jones Lyapis Olkin Ring Hassapis Husband Palmer Vanspeybroeck Vanspeybroeck Hunter Hunter Hunter Hunter Hunter Hunter Hunter Hunter Hunter Hunter Leer Leer Ervin Schwartz Suryadevara Bma Eureka Fresenius Medical Care Mckinleyville Mad River Comm Hospital Home Care Service

Miriam Kathleen Kathleen Kathleen Jessica Jessica David David Kelvin Tara Ellen Ellen Ellen Jefferson Jefferson Lei Lei Lei George Adriena Sheldon Kusum Kusum Bruce Don Clifford Victor Philip Wendy John George Michael John John Willard Willard Willard Willard Willard Willard Willard Willard Willard Willard Leo Leo Kim Lee Uma

D M M M L L C C K A A A A M M H H H J MD MD MD MD MD C M R MD MD MD MD L S T G A A A M M M M M M M M M M R R S A MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD DO MD MD MD MD MD MD

2412 Buhne St 1600 Weeot Way 940 Main St Hwy 96 & Hwy 169 2700 Dolbeer St 3300 Renner Dr 1522 3Rd St 2412 Buhne St 785 18Th St 1644 Central Ave 2200 Tydd St 2412 Buhne St 770 10Th St 3798 Janes Rd 3800 Janes Rd 2700 Dolbeer St 2752 Harrison Ave 874 Main St 2700 Dolbeer St 2280 Harrison Ave 2280 Harrison Ave 2504 Harrison Ave 3200 Walford Ave 3798 Janes Rd 733 Cedar St 3302 Renner Dr 733 Cedar St 3302 Renner Dr 1522 3Rd St 3301 Renner Dr 2700 Dolbeer St 2321 Harrison Ave 2312 Harrison Ave 2321 Harrison Ave 101 Westcoast Rd 1522 3Rd St 1644 Central Ave 2412 Buhne St 2426 Buhne St 3800 Janes Rd 38883 Highway 299 509 Elm St 770 10Th St 785 18Th St 2675 Harris St 3225 Timber Fall Ct 1930 Myrtle Ave 2280 Harrison Ave 2280 Harrison Ave 2765 Timber Ridge Ln 1550 Heartwood Dr 4605 Valley West Blvd

Eureka Arcata Fortuna Hoopa Eureka Fortuna Eureka Eureka Arcata Mckinleyville Eureka Eureka Arcata Arcata Arcata Eureka Eureka Fortuna Eureka Eureka Eureka Eureka Eureka Arcata Garberville Fortuna Garberville Fortuna Eureka Fortuna Eureka Eureka Eureka Eureka Redway Eureka Mckinleyville Eureka Eureka Arcata Willow Creek Garberville Arcata Arcata Eureka Eureka Eureka Eureka Eureka Eureka Mckinleyville Arcata

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95501 95521 95540 95546 95501 95540 95501 95501 95521 95519 95501 95501 95521 95521 95521 95501 95501 95540 95501 95501 95501 95501 95503 95521 95542 95540 95542 95540 95501 95540 95501 95501 95501 95501 95560 95501 95519 95501 95501 95521 95573 95542 95521 95521 95503 95503 95501 95501 95501 95503 95519 95521

(707) 441-1253 (707) 825-5000 (707) 725-7988 (530) 625-4300 (707) 296-3610 (707) 725-3361 (707) 441-1624 (707) 441-1624 (707) 822-2481 (707) 839-3068 (707) 441-1624 (707) 441-1624 (707) 826-8610 (707) 825-7765 (707) 825-4930 (707) 269-0644 (707) 268-0190 (707) 725-3334 (707) 269-3610 (707) 443-6539 (707) 443-9371 (707) 601-1632 (707) 443-4869 (707) 822-0293 (707) 923-3921 (707) 725-3318 (707) 923-3921 (707) 725-3318 (707) 443-4666 (707) 725-9301 (707) 668-5743 (707) 442-4175 (707) 443-2248 (707) 443-2248 (707) 923-2783 (707) 441-1624 (707) 839-3068 (707) 441-1624 (707) 442-4038 (707) 822-1385 (530) 629-3111 (707) 923-3925 (707) 828-8636 (707) 822-2481 (707) 443-8335 (707) 442-2961 (707) 443-3557 (707) 443-6539 (707) 443-9371 (707) 445-2033 (770) 839-4465 (707) 826-8420

Y Y Y Y Y Y N N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y N N N Y Y

10/24/2013

34

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt

Home Health Agency Home Infusion Therapy Home Infusion Therapy Hospice Hospice & Palliative Medicine Hospice & Palliative Medicine Hospice & Palliative Medicine Infectious Disease Infectious Disease Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine

St Joseph Home Care Humboldt County Apria Healthcare Inc Humboldt Home Infusion Program Hospice Of Humboldt,Inc Fratkin Fratkin Fratkin Selcer Selcer Abels Abels Arashvand Buntin Burton Carroll Cataldo Cataldo Chan Chung Dana Faber Faber Faber Fratkin Fratkin Fratkin Gans Gans Garcia Garcia Heidmann Heidmann Heidmann Heidmann Holladay Hughes Hunter Hunter Hunter Hunter Hunter Hunter Hunter Hunter Hunter Hunter Irvine Irvine Kessler Kuhfahl Lee Lee Michael Michael Michael Uzi Uzi Gloria Gloria Mojgan Gerald Allison Joseph Stuart Stuart Theresa Jay Farshad Thomas Thomas Thomas Michael Michael Michael David David Gary Gary Jennifer Jennifer Jennifer Jennifer Jeffrey Everard Willard Willard Willard Willard Willard Willard Willard Willard Willard Willard John John Bruce Petra Christopher Christopher E E M M M D D D S S G G A A A A G H M M M M M M M M M M W W E S L E D D MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD D D D M M B B MD MD MD MD MD MD MD

721 E St 1735 2Nd St 2612 Harrison Ave 2010 Myrtle Ave 2504 Harrison Ave 2700 Dolbeer St 3300 Renner Dr 2200 Tydd St 2280 Harrison Ave 2280 Harrison Ave 2752 Harrison Ave 2700 Dolbeer St 2752 Harrison Ave 2752 Harrison Ave 1644 Central Ave 2350 Buhne St 2773 Harris St 2700 Dolbeer St 2280 Harrison Ave 2350 Buhne St 3800 Janes Rd 850 Hiway 96 850 State Hwy 96 2504 Harrison Ave 2700 Dolbeer St 3300 Renner Dr 3798 Janes Rd 3800 Janes Rd 3798 Janes Rd 3800 Janes Rd 2200 Tydd St 2280 Harrison Ave 2700 Dolbeer St 2752 Harrison Ave 733 Cedar St 2280 Harrison Ave 101 Westcoast Rd 1522 3Rd St 1644 Central Ave 2412 Buhne St 2426 Buhne St 3800 Janes Rd 38883 Highway 299 509 Elm St 770 10Th St 785 18Th St 2280 Harrison Ave 2330 Buhne St 2280 Harrison Ave 2280 Harrison Ave 3798 Janes Rd 3800 Janes Rd

Eureka Eureka Eureka Eureka Eureka Eureka Fortuna Eureka Eureka Eureka Eureka Eureka Eureka Eureka Mckinleyville Eureka Eureka Eureka Eureka Eureka Arcata Willow Creek Willow Creek Eureka Eureka Fortuna Arcata Arcata Arcata Arcata Eureka Eureka Eureka Eureka Garberville Eureka Redway Eureka Mckinleyville Eureka Eureka Arcata Willow Creek Garberville Arcata Arcata Eureka Eureka Eureka Eureka Arcata Arcata

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95501 95501 95501 95501 95501 95501 95540 95501 95501 95501 95501 95501 95501 95501 95519 95501 95503 95501 95501 95501 95521 95573 95573 95501 95501 95540 95521 95521 95521 95521 95501 95501 95501 95501 95542 95501 95560 95501 95519 95501 95501 95521 95573 95542 95521 95521 95501 95501 95501 95501 95521 95521

(707) 443-9332 (707) 444-8022 (707) 269-4244 (707) 445-8443 (707) 267-2060 (707) 269-4210 (707) 445-8964 (707) 441-1624 (707) 443-9371 (707) 443-9371 (707) 268-0190 (707) 445-8121 (707) 268-0190 (707) 268-0190 (707) 839-3068 (707) 267-2070 (707) 442-1182 (707) 445-8121 (707) 443-9371 (707) 441-1911 (707) 822-7220 (530) 629-3116 (707) 822-7220 (707) 267-2060 (707) 269-4210 (707) 445-8964 (707) 822-0395 (707) 822-3621 (707) 822-4894 (707) 822-7220 (707) 441-1624 (707) 443-9371 (707) 269-4253 (707) 268-0190 (707) 923-3921 (707) 443-9371 (707) 923-2783 (707) 441-1624 (707) 839-3068 (707) 441-1624 (707) 442-4038 (707) 822-1385 (530) 629-3111 (707) 923-3925 (707) 828-8636 (707) 822-2481 (707) 443-9371 (707) 442-3704 (707) 443-9371 (707) 443-9371 (707) 822-0384 (707) 822-3621 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

10/24/2013

35

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt

Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Interventional Cardiology Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work

Leer Leer Maitra Matthew Matthew Matthew Meshulam Michaels Miller Newkirk Parkinson Ploss Ramos Ramos Ramos Ramos Ramos Ramos Ramos Ramos Rangel Rubio Schunk Schwartz Selcer Selcer Senffner Siddiqi Stokes Stokes Suryadevara Wahidullah Wahidullah Wallenkampf Wolf Wong Zazueta Zazueta Michaels Briar Bonpane Briar Bonpane Carroll Coal Coleman Crowley-Hardi Drabkin Enright Fowler Fowler Fowler Frizzell Frizzell

Leo Leo Shyamal Allen Allen Allen Sheldon Andrew Matthew Mary Robert David Madeleine Madeleine Madeleine Madeleine Madeleine Madeleine Madeleine Madeleine Rosa Cynthia Stefan Lee Uzi Uzi Lawrence Mohammed Kusum Kusum Uma Wahidullah Wahidullah Victor Richard Heidi Frank Frank Andrew Jenoa Jenoa Bonnie Carol Virginia Cynthia Elizabeth Stefanie Jean Jerry Jerry Jill Jill

R R K S S S

MD MD MD MD MD MD MD

2675 Harris St 3225 Timber Fall Ct 2280 Harrison Ave 2200 Tydd St 2280 Harrison Ave 2505 Lucas St 2280 Harrison Ave 2773 Harris St 2280 Harrison Ave 2752 Harrison Ave

Eureka Eureka Eureka Eureka Eureka Eureka Eureka Eureka Eureka Eureka Arcata Eureka Mckinleyville Eureka Eureka Eureka Arcata Willow Creek Arcata Arcata Fortuna Eureka Arcata Eureka Eureka Eureka Arcata Arcata Eureka Eureka Eureka Eureka Arcata Eureka Eureka Eureka Eureka Eureka Eureka Petrolia Arcata Mckinleyville Eureka Rio Dell Eureka Mckinleyville Arcata Mckinleyville Mckinleyville Mckinleyville Mckinleyville Arcata

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95503 95503 95501 95501 95501 95501 95501 95503 95501 95501 95521 95501 95519 95501 95501 95503 95521 95573 95521 95521 95540 95501 95521 95501 95501 95501 95521 95521 95501 95503 95501 95501 95521 95501 95501 95501 95501 95501 95503 95558 95521 95519 95501 95562 95503 95519 95521 95519 95519 95519 95519 95521

(707) 443-8335 (707) 442-2961 (707) 443-9371 (707) 441-1624 (707) 443-9371 (707) 444-2534 (707) 443-9371 (707) 442-1182 (707) 443-9371 (707) 268-0190 (707) 822-7220 (707) 444-8300 (707) 839-3068 (707) 442-4039 (707) 442-4038 (707) 269-9549 (707) 822-1385 (530) 629-3111 (707) 828-8636 (707) 822-2481 (707) 725-4477 (707) 443-9371 (707) 822-3621 (707) 443-6539 (707) 441-1624 (707) 443-9371 (707) 822-2432 (707) 822-7220 (707) 601-1632 (707) 443-4869 (707) 443-9371 (707) 268-0190 (707) 822-7220 (707) 445-5111 (707) 443-9371 (707) 443-9371 (707) 445-8121 (707) 268-0190 (707) 442-1182 (707) 599-0310 (707) 599-0310 (707) 839-1244 (707) 442-7806 (707) 407-5909 (707) 269-0844 (707) 267-4023 (707) 825-1210 (707) 839-0123 (707) 839-3068 (707) 839-0123 (707) 362-1709 (707) 362-1709

N N Y Y Y Y Y Y Y Y Y Y N N N N N N N N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

D J K K R S S S S S S S S L F E A M M A F

MD MD

MD

3800 Janes Rd 2332 23Rd St

MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD

1644 Central Ave 2200 Tydd St 2426 Buhne St 2773 Harris St 3800 Janes Rd 38883 Hwy 299 770 10Th St 785 18Th St 3304 Renner Dr 2280 Harrison Ave 3800 Janes Rd 2280 Harrison Ave 2200 Tydd St 2280 Harrison Ave 3798 Janes Rd 3800 Janes Rd 2504 Harrison Ave 3200 Walford Ave 2280 Harrison Ave 2752 Harrison Ave Ste A 3800 Janes Rd 2200 Harrison Ave 2280 Harrison Ave 2280 Harrison Ave 2700 Dolbeer St 2752 Harrison Ave 2773 Harris St 203 Old Coast Wagon Rd 801 Crescent Way

A J H A A D S S

MD MD MD MD MD MD

LCSW L L L G H R LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW A A LCSW LCSW

1225 Central Ave 2830 G St 1763 Monument Rd 2910 Harris St 1225 Central Ave 791 8Th St 5300 Patrick Creek Dr 1644 Central Ave 5300 Patrick Creek Dr 3940 Dows Prairie Rd 632 9Th St Ste A4

10/24/2013

36

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt

Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy

Hassrick Henehan Hibschman Holmes Holmes Lowe Monroe Moore Duff Neander Norling Porteous Quinlan Romano Rose Noble Schaff Thomas Vodden Anderson Anderson Anderson Beach Beechel Bernard Bernard Borge-Riis Carr Carr Chandler-Klein Cooper Borkenhagen Dean Demers Factor Factor Farber Finamore Ford Ford Fox Fox Fox Fox Fox Good Harting Hogue Honorof Hornett Moss Hrabko Jones Jones Jones Juell

Virginia Deborah Paul Laura Laura Caryn Laurie Eric Susan Virginia Rebecca Brooke Elise Pasquale Kathi Sandra Patti Therese Barbara Jane Stefanie Julie Christopher Christine Christine Nancy Patrick Patrick Cathy Kristen Linda Erika Sandra Sandra Loren Jennifer Jane Jane Dorothy Marilyn Marilyn Marilyn Marilyn Jane Sonja James Faye Lynne Douglas April Barry Patricia Hazel A P E G A M L B J A C C J L L L L J E J A A D H N S E A S M M L M M M J A T E C S H F A

LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW MFT MFT LMFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT

517 3Rd St 38883 Hwy 299 920 Samoa Blvd 1136 Main St Ste 3172 Walford Ave 3015 Hubbard Ln 350 E St 2355 Central Ave Ste 124 801 Crescent Way 2255 Myrtle Ave 3135 Boeing Ave 2625 Wilson St 930 3Rd St 38883 Hwy 299 929 H St 920 Samoa Blvd 987 Grassy Creek Rd 940 Main St 1740 Main St 1100 Main St 2830 G St 2255 Myrtle Ave 739 10Th St 854 10Th St 2770 Annie Ln 305 O St 381 Bayside Rd 2910 Harris St 901 O St Ste C 2002 Russ St 801 Crescent Way 1611 Peninsula Dr 952 Kingdom Rd 3172 Walford Ave 3172 Walford Ave 381 Bayside Rd 607 F St 801 Crescent Way 1 Orchard Ln 2 Orchard Ave 55 Willow Way 801 Crescent Way 2830 G St 905 6Th St 2830 G St Ste D4 1017 10Th St 2 Orchard Ave 665 F St 1017 10Th St 3101 Concorde Dr 3172 Walford Ave 930 3Rd St

Eureka Willow Creek Arcata Fortuna Eureka Eureka Eureka Mckinleyville Arcata Eureka Mckinleyville Eureka Eureka Willow Creek Arcata Arcata Mckinleyville Fortuna Fortuna Fortuna Eureka Eureka Arcata Arcata Mckinleyville Eureka Arcata Eureka Arcata Eureka Arcata Arcata Westhaven Eureka Eureka Arcata Arcata Arcata Hoopa Hoopa Willow Creek Arcata Eureka Arcata Eureka Arcata Hoopa Arcata Arcata Mckinleyville Eureka Eureka

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95501 95573 95521 95540 95503 95501 95501 95519 95521 95501 95519 95503 95501 95573 95521 95521 95519 95540 95540 95540 95501 95501 95521 95521 95519 95501 95521 95503 95521 95501 95521 95521 95570 95503 95503 95521 95521 95521 95546 95546 95573 95521 95501 95521 95501 95521 95546 95521 95521 95519 95503 95501

(707) 444-8797 (530) 629-3111 (707) 443-3384 (707) 407-8038 (707) 407-8038 (707) 442-4738 (707) 832-8515 (707) 407-6891 (707) 822-3998 (707) 444-3365 (707) 633-6145 (707) 443-5601 (707) 441-8630 (530) 629-3111 (707) 845-3563 (707) 822-0370 (707) 840-0815 (707) 725-6864 (707) 725-1122 (707) 599-2972 (707) 269-0177 (707) 443-5768 (707) 822-5425 (707) 822-5425 (707) 839-7920 (707) 441-8626 (707) 826-7204 (707) 443-8302 (707) 826-0872 (707) 443-4105 (707) 496-4629 (707) 616-7428 (707) 616-7428 (707) 442-2752 (707) 442-0172 (707) 822-2102 (707) 822-2102 (707) 822-9401 (530) 625-4236 (530) 625-4236 (707) 499-4157 (707) 499-4157 (707) 441-3883 (707) 826-0926 (707) 441-8400 (707) 822-7600 (530) 625-4236 (707) 822-4645 (707) 826-0879 (707) 840-0185 (707) 445-4183 (707) 443-8641

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

10/24/2013

37

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt

Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Medical Oncology Medical Oncology Medical Oncology Medical Vendor (DME) Medical Vendor (DME) Medical Vendor (DME) Medical Vendor (DME) Medical Vendor (DME) Nephrology

Kostriken Krzesni Laguna Landrum Landrum Lee Mason Meriwether Merrill Moor Moser Mosgofian Narum Nedelcoff Nedelcoff Nesset Nesset Noble Olson Pace Paliaga Pascoe Pascoe Pascoe Pinto Reddick Reed Reed Russell-Curry Salant Shannon Shea Siemens Silvey St Clare Stotler Stuart-Maver Trevoledes Valentine Wenger Wills Wolff Ziskin Dacquisto Hughes Schwartz Apria Healthcare Inc Broadway Medical Service And Supply Inc Broadway Medical Service And Supply Inc Hanger Prosthetics & Orthotics West Inc Pacific Pulmonary Services Gans

Dorothy Joseph Alicia Dena Paul Michelle Faith Lesley Jennifer Kimberly Jana Peter Gail Paula Paula Mary Mary Jean Eric Jenifer Claudia Gail Gail Gail Gina Laura Mary Mary Patricia Jessica Alice Christy Cindy Bruce Adriane Charles Shannon Patrice Catherine Carmela Gail Len Victoria Robert Everard Lee

L S

MFT MFT MFT

2934 H St 3960 Walnut Dr 801 Crescent Way 3124 Charles Pl

Eureka Eureka Arcata Fortuna Fortuna Eureka Eureka Arcata Arcata Eureka Mckinleyville Arcata Eureka Eureka Arcata Eureka Arcata Arcata Arcata Eureka Eureka Eureka Eureka Eureka Mckinleyville Eureka Eureka Eureka Eureka Eureka Arcata Arcata Mckinleyville Eureka Fortuna Eureka Arcata Santa Rosa Eureka Eureka Eureka Arcata Eureka Eureka Eureka Eureka Eureka Eureka Fortuna Eureka Eureka Arcata

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95501 95503 95521 95540 95540 95501 95501 95521 95521 95501 95519 95521 95501 95501 95521 95503 95521 95521 95521 95503 95503 95503 95501 95503 95519 95501 95501 95501 95501 95501 95521 95521 95519 95501 95540 95503 95521 95404 95501 95503 95503 95521 95501 95501 95501 95501 95501 95501 95540 95503 95501 95521

(707) 822-5767 (707) 444-1464 (707) 845-7101 (415) 595-4090 (415) 845-7714 (707) 268-5654 (707) 599-5962 (707) 822-3899 (707) 825-8123 (707) 441-1484 (707) 498-1506 (707) 826-0921 (707) 441-8626 (707) 443-7358 (707) 443-7358 (707) 443-8951 (707) 443-8951 (707) 825-1772 (707) 822-8192 (707) 443-1069 (707) 444-8286 (707) 362-6951 (707) 442-7668 (707) 443-8951 (805) 546-0662 (707) 442-2459 (707) 444-0405 (707) 441-9896 (707) 442-7016 (707) 445-1285 (707) 822-1716 (707) 826-0872 (707) 839-4039 (707) 443-4593 (707) 725-6939 (707) 443-8642 (707) 840-4668 (707) 441-1422 (707) 445-1903 (707) 443-5601 (707) 441-4954 (707) 826-7338 (707) 442-2200 (707) 443-9371 (707) 443-9371 (707) 443-6539 (707) 444-8022 (707) 442-3719 (707) 725-6944 (707) 444-0116 (707) 442-1130 (707) 822-0395

N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y N Y Y Y Y Y Y

M R MFT MFT B MFT MFT A A M T D A A P P E A MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT M M M M T C C A MFT MFT MFT MFT MFT MFT MFT MFT MFT E L MFT MFT MFT E MFT MFT R L A A H A MFT MFT MFT MFT MFT L W H A MFT MD MD MD MFT

3124 Charles Pl 930 3Rd St 837 3Rd St 588 H St 77 Sunnybrae Ctr 3009 Hubbard Ln Ste C 3135 Boeing Ave 905 6Th St 930 3Rd St 1802 California St 630 9Th St 618 Harris St 795 Dorothy Ct 920 Samoa Blvd 381 Bayside Rd 2625 Wilson St 2625 Wilson St 2822 Harris St 305 O St 618 Harris St 1660 Central Ave 2830 G St 2830 G St 2830 G St Ste C4 425 Snug Aly 350 E St 455 I St Ste 203 901 O St Ste C 1660 Central Ave 2350 Buhne St 1100 Main St 3122 F St 801 Crescent Way 405 Chinn St Ste 101 837 3Rd St 2625 Wilson St 2625 Wilson St 1061 G St 539 G St 2280 Harrison Ave 2280 Harrison Ave 2280 Harrison Ave 1735 2Nd St 1034 Broadway 899 Main St 2773 Harris St 2672 Myrtle Ave

David

MD

3798 Janes Rd

10/24/2013

38

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt

Nephrology Nephrology Nephrology Nephrology Nephrology Neurological Surgery Neurology Neurology Neurology Neuromuscular Medicine Nurse Anesthetist Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Ophthalmology Ophthalmology Ophthalmology Ophthalmology Ophthalmology Ophthalmology Ophthalmology Ophthalmology Ophthalmology Ophthalmology Ophthalmology Ophthalmology Ophthalmology Ophthalmology Optometry Optometry

Gans Matthew Matthew Matthew Wolf Pare Gambin Iverson Mckenzie Mccaffrey Valdez Ajmani Andersen Andersen Anderson Anderson Anderson Kemper Koch Koch Lieberman Meshri Nicely Nicely Nicely Nicely Nicely Nicely Nicely Nicely Puttler Puttler Stokes Stokes Weiderman Weiderman Cochrane Cochrane Cochrane Davis Gibb Gibb Gibb Jansson Mastroni Mastroni Mastroni Mastroni Mizoguchi Mizoguchi Appy Azevedo

David Allen Allen Allen Richard Laura John Donald Melissa Kate Christopher Shashi Cherrie Cherrie James James Jennifer Eddie William William Eric Gita Timothy Timothy Timothy Timothy Timothy Timothy Timothy Timothy Oliver Oliver Deepak Deepak William William Andrew Andrew Andrew David Gregory Gregory Gregory Erik John John John John Michael Michael Marcus Linda

S S S S J S P J A

MD MD MD MD MD MD MD MD DO DO

3800 Janes Rd 2200 Tydd St 2280 Harrison Ave 2505 Lucas St 2280 Harrison Ave 2752 Harrison Ave Ste A 2828 Oneil Ln 2828 Oneil Ln 2828 Oneil Ln 1225 Central Ave 3300 Renner Dr 2773 Harris St 2773 Harris St 3200 Walford Ave 3309 Renner Dr 733 Cedar St 3309 Renner Dr 3307 Renner Dr 2773 Harris St 3200 Walford Ave 2773 Harris St 3200 Walford Ave 109 Ma We Mor View Ln 1600 Weeot Way 2412 Buhne St 2426 Buhne St 3225 Timber Fall Ct 3800 Janes Rd 940 Main St Hwy 96 & Hwy 169 3798 Janes Rd 785 18Th St 2192 Central Ave 3200 Walford Ave 2773 Harris St 3200 Walford Ave 2200 Tydd St 2840 Oneil Ln 3798 Janes Rd 2434 Harrison Ave 2200 Harrison Ave 2840 Oneil Ln 3798 Janes Rd 3798 Janes Rd 2200 Tydd St 2426 Buhne St 2840 Oneil Ln 3798 Janes Rd 2434 Harrison Ave 3302 Renner Dr 851 Bayside Rd 851 Bayside Rd

Arcata Eureka Eureka Eureka Eureka Eureka Eureka Eureka Eureka Mckinleyville Fortuna Eureka Eureka Eureka Fortuna Garberville Fortuna Fortuna Eureka Eureka Eureka Eureka Trinidad Arcata Eureka Eureka Eureka Arcata Fortuna Hoopa Arcata Arcata Mckinleyville Eureka Eureka Eureka Eureka Eureka Arcata Eureka Eureka Eureka Arcata Arcata Eureka Eureka Eureka Arcata Eureka Fortuna Arcata Arcata

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95521 95501 95501 95501 95501 95501 95503 95503 95503 95519 95540 95503 95503 95503 95540 95542 95540 95540 95503 95503 95503 95503 95570 95521 95501 95501 95503 95521 95540 95546 95521 95521 95519 95503 95503 95503 95501 95503 95521 95501 95501 95503 95521 95521 95501 95501 95503 95521 95501 95540 95521 95521

(707) 822-3621 (707) 441-1624 (707) 443-9371 (707) 444-2534 (707) 443-9371 (707) 268-0190 (707) 443-9385 (707) 443-9385 (707) 443-9385 (707) 633-6146 (707) 725-3361 (707) 444-9664 (707) 444-9664 (707) 444-9664 (707) 725-6108 (707) 923-3925 (707) 725-6108 (707) 725-5185 (707) 444-9664 (707) 445-3443 (707) 444-9664 (707) 445-3443 (707) 825-5010 (707) 825-5000 (707) 441-1624 (707) 442-4038 (707) 442-2961 (707) 822-1385 (707) 725-7988 (530) 625-4300 (707) 822-1131 (707) 822-2481 (707) 839-4500 (707) 445-3443 (707) 444-9664 (707) 445-3443 (707) 441-1624 (707) 443-9777 (707) 822-7222 (707) 443-5685 (707) 445-5111 (707) 443-9777 (707) 822-7222 (707) 822-7222 (707) 441-1624 (707) 442-4038 (707) 443-9777 (707) 822-7222 (707) 443-3013 (707) 725-5129 (707) 822-7641 (707) 822-7641

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

CRNA MD

A A M M L P J J L

MD MD MD MD MD MD MD MD MD DO

C C C C C C C C L L K K C C J J J L N N N J S S S S B B H W

MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD OD OD

10/24/2013

39

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt

Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Orthopedic Hand Surgery Orthopedic Sports Medicine Orthopedic Sports Medicine Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthotics & Prosthetics Otolaryngology (ENT) Pain Management Pain Management Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics

Azevedo Baker Baker Calvert Calvert Cole Domanchuk French Gellner Gellner Lanning Macfarlane Ruprecht Ryan Turkis Jones Jones Koch Jones Koch Lau Lyell Stockton Stockton Stockton Hanger Prosthetics & Orthotics West Inc Biteman Dhaliwal Varav Bell Bell Bell Bell Bell Bell Bell Bell Bell Brockington Brockington Brockington Brockington Brockington Brockington Brockington Buxbaum Cody Cody Cody Cody Dalton Dalton

Loren Roy Roy Brian Brian Aaron Paul Alan Zuzana Zuzana Douglas Lori Phillip Daniel Martin Ronald Ronald Raymond Ronald Raymond Mark Robert Asa Asa Asa

M L L D D D M E R R H A K J E B B A B A M C E E E

OD OD OD OD OD OD OD OD OD OD OD OD OD OD OD MD MD MD MD MD MD MD MD MD MD

851 Bayside Rd 255 Briceland Rd 255 Briceland Thorn Rd 2773 Harris St 3429 Renner Dr 851 Bayside Rd 616 H St 630 9Th St 2369 Harrison Ave 2820 Harris St 2437 Buhne St 1933 Central Ave 1933 Central Ave 2437 Buhne St 2773 Harris St 3304 Renner Dr 3304 Renner Dr 2826 Harris St 3304 Renner Dr 2826 Harris St 2826 Harris St 3798 Janes Rd 2200 Tydd St 2426 Buhne St 2826 Harris St 2773 Harris St

Arcata Redway Redway Eureka Fortuna Arcata Eureka Fortuna Eureka Eureka Eureka Mckinleyville Mckinleyville Eureka Eureka Fortuna Fortuna Eureka Fortuna Eureka Eureka Arcata Eureka Eureka Eureka Eureka Arcata Eureka Arcata Redway Mckinleyville Eureka Eureka Eureka Arcata Willow Creek Arcata Arcata Mckinleyville Eureka Eureka Arcata Willow Creek Arcata Arcata Fortuna Redway Mckinleyville Eureka Arcata Mckinleyville Eureka

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95521 95560 95560 95503 95540 95521 95501 95540 95501 95503 95501 95519 95519 95501 95503 95540 95540 95503 95540 95503 95503 95521 95501 95501 95503 95503 95521 95501 95521 95560 95519 95501 95501 95501 95521 95573 95521 95521 95519 95501 95501 95521 95573 95521 95521 95540 95560 95519 95503 95521 95519 95503

(707) 822-7641 (707) 923-7826 (707) 923-7826 (707) 445-4126 (707) 725-5255 (707) 822-7641 (707) 443-1619 (707) 725-5144 (707) 442-1472 (707) 442-1472 (707) 443-4581 (707) 839-2828 (707) 839-2828 (707) 443-4581 (707) 445-4126 (707) 725-9383 (707) 725-9383 (707) 443-8066 (707) 725-9383 (707) 443-8066 (707) 443-8066 (707) 826-7080 (707) 441-1624 (707) 442-4038 (707) 443-8066 (707) 444-0116 (707) 464-1989 (707) 497-6226 (805) 928-1731 (707) 923-2783 (707) 839-3068 (707) 441-1624 (707) 441-1624 (707) 442-4038 (707) 822-1385 (530) 629-3111 (707) 826-8610 (707) 822-2481 (707) 839-3068 (707) 441-1624 (707) 442-4038 (707) 822-1385 (530) 629-3111 (707) 826-8610 (707) 822-2481 (707) 725-9355 (707) 923-2783 (707) 839-3377 (707) 445-8416 (707) 822-3621 (707) 839-3377 (707) 445-8416

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

John Harmanjeet Kalle Norman Norman Norman Norman Norman Norman Norman Norman Norman Nancy Nancy Nancy Nancy Nancy Nancy Nancy Evan Christopher Christopher Christopher Christopher Emily Emily

E C

MD MD MD

3770 Janes Rd 2700 Dolbeer St 3800 Janes Rd 101 Westcoast Rd 1644 Central Ave 2200 Tydd St 2412 Buhne St 2426 Buhne St 3800 Janes Rd 38883 Hwy 299 770 10Th St 785 18Th St 1644 Central Ave 2412 Buhne St 2426 Buhne St 3800 Janes Rd 38883 Hwy 299 770 10Th St 785 18Th St 3305 Renner Dr 101 W Coast Rd 2192 Central Ave 2800 Harris St 3800 Janes Rd 2192 Central Ave 2800 Harris St

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

J J J J J J J J J S S S S S S S R L L L L L L

MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD

10/24/2013

40

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt

Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Podiatry Podiatry Podiatry Podiatry Podiatry Podiatry Preventive Medicine Preventive Medicine Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychology Psychology Psychology Psychology Psychology Psychology Psychology Psychology Psychology Psychology Psychology Psychology Psychology

Ellis Ellis Freisleben-Cook Gurung Gurung Hovorka Hovorka Hovorka Hovorka Hovorka Humphry Humphry Humphry Killfoil Poyen Poyen Ribordy Ribordy Ribordy Richardson Rosenberg Scher Wirthlin Wirthlin Wirthlin Alway Alway Andrews Fisher Franz Kelley Vanarsdale Vanarsdale Lesch Soper Tanenhaus Tessler Villasenor Villasenor Blankman Blankman Drucker Drucker Frances Frances Greer Heilveil Lute Price Ramirez Rodes Taylor

Mark Mark Lois Kamal Kamal Gail Gail Gail Gail Gail Theodore Theodore Theodore James Sarah Sarah Jeffrey Jeffrey Jeffrey Brian Erika Sarah Laurie Laurie Laurie Philip Tiffany William Arthur Robert Neil Jessica Jessica Harry Robert Herbert Irving David David Steven Steven Gerald Gerald Susan Susan Andrew Ira Robynne Karen Michael George Jennifer

G G A

MD MD MD MD MD

2192 Central Ave 2800 Harris St 2200 Tydd St 1644 Central Ave 2200 Tydd St 1644 Central Ave 2200 Tydd St 2412 Buhne St 2426 Buhne St 770 10Th St 1644 Central Ave 2200 Tydd St 2412 Buhne St 3305 Renner Dr 2192 Central Ave 2800 Harris St 101 W Coast Rd 2192 Central Ave 2800 Harris St 2725 Myrtle Ave

Mckinleyville Eureka Eureka Mckinleyville Eureka Mckinleyville Eureka Eureka Eureka Arcata Mckinleyville Eureka Eureka Fortuna Mckinleyville Eureka Redway Mckinleyville Eureka Eureka Fortuna Arcata Mckinleyville Mckinleyville Eureka Eureka Eureka Eureka Eureka Arcata Fortuna Eureka Fortuna Eureka Eureka Eureka Arcata Eureka Eureka Eureka Arcata Hoopa Eureka Eureka Eureka Eureka Eureka Eureka Eureka Eureka Eureka Arcata

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95519 95503 95501 95519 95501 95519 95501 95501 95501 95521 95519 95501 95501 95540 95519 95503 95560 95519 95503 95501 95540 95521 95519 95519 95503 95503 95503 95503 95503 95521 95540 95501 95540 95501 95501 95501 95521 95501 95501 95501 95521 95546 95501 95503 95501 95501 95501 95503 95503 95501 95501 95521

(707) 839-3377 (707) 445-8416 (707) 441-1624 (707) 839-3068 (707) 441-1624 (707) 839-3068 (707) 441-1624 (707) 441-1624 (707) 442-4038 (707) 826-8610 (707) 839-3068 (707) 269-7051 (707) 441-1624 (707) 725-9355 (707) 839-3377 (707) 445-8416 (707) 923-2783 (707) 839-3377 (707) 445-8416 (707) 269-0644 (707) 725-9355 (707) 826-8610 (707) 839-2677 (707) 839-3377 (707) 445-8416 (707) 441-1112 (707) 441-1112 (707) 441-1112 (707) 445-5493 (707) 822-2880 (707) 725-5223 (707) 296-3610 (707) 725-3361 (707) 442-1111 (707) 445-4705 (707) 445-2074 (707) 826-2830 (707) 441-1624 (707) 441-1624 (707) 443-7358 (707) 826-1207 (530) 625-4236 (707) 445-8331 (707) 825-8910 (707) 825-8910 (707) 443-2580 (707) 442-4900 (707) 268-8929 (707) 269-0812 (707) 442-5610 (707) 441-9896 (707) 826-9601

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y N N Y Y Y Y Y Y Y Y Y Y Y Y Y

S S S S S R R R J B B T T T P

MD MD MD MD MD MD MD MD MD MD MD MD MD MD

MD A S S S P H C J B R L L B E M M C C M M M M J J S P PHD M M PHD PHD PHD F PHD MD MD MD MD DPM DPM DPM DPM DPM DPM MD MD MD MD MD MD MD MD PHD PHD PHD PHD PHD PHD PHD

3305 Renner Dr 770 10Th St 1644 Central Ave 2192 Central Ave 2800 Harris St 3258 Timber Fall Ct 3258 Timber Fall Ct 3258 Timber Fall Ct 817 Harris St 1731 G St 1730 Main St 2700 Dolbeer St 3300 Renner Dr 2934 H St 517 3Rd St 427 F St 381 Bayside Rd 1522 3Rd St 2412 Buhne St 1802 California St 21 11Th St 2 Orchard Ave 350 E St 3172 Walford Ave 350 E St 350 E St 2822 E St 2910 Harris St 2910 Harris St 417 2Nd St 2830 G St 1062 G St

10/24/2013

41

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Humboldt Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake

Psychology Psychology Psychology Psychology Public Health & General Prevention Residential Treatment Center Rheumatology Rheumatology Rheumatology Rheumatology Rural Health Clinic Rural Health Clinic Rural Health Clinic Rural Health Clinic Skilled Nursing Facility Sleep Medicine Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Thoracic Surgery Thoracic Surgery Thoracic Surgery Urology Urology Urology Acute/General Hospital Acute/General Hospital Addiction Medicine Ambulatory Surgery Center Anesthesiology Anesthesiology Anesthesiology Anesthesiology Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Child & Adolescent Psychiatry

Thompson Wieand Wieand Wright Chase Singing Trees Recovery Center Chung Rubio Vanspeybroeck Wong Humboldt Family Medical Care Mad River Express Healthcare Clinic Southern Humboldt Community Clinic Willow Creek Six Rivers Medical Clinic Jerold Phelps Community Hospital - Snf Gambin Barker Cobb Cobb Diamond Hassapis Husband Kennedy Loncar Mahoney Mahoney Palmer Rydz Stauffer Vanspeybroeck Vanspeybroeck Cobb Cobb Loncar Albertini Dorman Zagone St Helena Hospital Clearlake Sutter Lakeside Hospital Shifflett Specialty Care And Surgery Center Johnson Johnson Johnson Johnson Lies Lies Lies Oh Park Schneider Timme

Elizabeth Lou Lou Michael Emmett

M A A P

PHD PHD PHD PHD

801 Crescent Way 1 Harpst St 1034 H St 901 O St Ste C 1200 Airport Rd 2061 Highway South

Arcata Arcata Arcata Arcata Hoopa Garberville Eureka Eureka Eureka Eureka Mckinleyville Arcata Garberville Willow Creek Garberville Eureka Arcata Eureka Eureka Eureka Fortuna Eureka Fortuna Eureka Eureka Eureka Eureka Eureka Fortuna Eureka Eureka Eureka Eureka Eureka Eureka Eureka Eureka Clearlake Lakeport Lakeport Kelseyville Lakeport Lakeport Lakeport Lakeport Clearlake Clearlake Hidden Vl Lk Clearlake Clearlake Lakeport Lakeport

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95521 95521 95521 95521 95546 95542 95501 95501 95501 95501 95519 95521 95542 95573 95542 95503 95521 95501 95503 95501 95540 95501 95540 95501 95501 95501 95501 95501 95540 95501 95501 95501 95503 95501 95501 95501 95501 95422 95453 95453 95451 95453 95453 95453 95453 95422 95422 95467 95422 95422 95453 95453

(707) 822-1600 (707) 826-5263 (707) 826-5263 (707) 826-0872 (530) 625-4261 (707) 247-3495 (707) 443-9371 (707) 443-9371 (707) 443-9371 (707) 443-9371 (707) 839-4852 (707) 822-3621 (707) 923-3925 (530) 629-3777 (707) 923-3921 (707) 443-9385 (707) 822-0293 (707) 476-0690 (707) 476-0688 (707) 476-8331 (707) 725-9301 (707) 668-5743 (707) 725-9832 (707) 442-8500 (707) 476-0690 (707) 269-0644 (707) 442-4175 (707) 443-2248 (707) 725-9832 (707) 443-2248 (707) 443-2248 (707) 476-0690 (707) 476-0688 (707) 442-8500 (707) 445-3257 (707) 445-3257 (707) 445-3257 (707) 994-6486 (707) 262-5181 (707) 262-5000 (707) 279-8733 (707) 262-5000 (707) 263-7428 (707) 262-5000 (707) 263-7428 (707) 963-4997 (707) 963-4997 (707) 963-4997 (707) 995-3764 (707) 995-3764 (707) 262-5030 (707) 263-7725

Y Y Y Y Y

Jay Cynthia Nancy Heidi F W H

MD MD MD MD

2280 Harrison Ave 2280 Harrison Ave 2280 Harrison Ave 2280 Harrison Ave 1733 Central Ave 3800 Janes Rd 733 Cedar St 850 State Hwy 96 733 Cedar St

Y Y Y Y

John Bruce Luther Luther Daniel John George Cassandra Thomas Mary Mary Michael Thomas Paul John John Luther Luther Thomas John Brian Robin

P C F F S T G A E E E A J R A A F F E J W L

MD MD MD MD MD MD MD MD MD MD MD

2828 Oneil Ln 3798 Janes Rd 2504 Harrison Ave 2773 Harris St 2321 Harrison Ave 3301 Renner Dr 2700 Dolbeer St 3307 Renner Dr 2321 Harrison Ave 2504 Harrison Ave 2725 Myrtle Ave 2321 Harrison Ave

Y Y Y Y Y Y Y Y N Y Y Y Y Y Y Y Y Y N Y Y Y

MD MD MD MD MD MD MD MD

2321 Harrison Ave 3300 Renner Dr 2312 Harrison Ave 2321 Harrison Ave 2504 Harrison Ave 2773 Harris St 2321 Harrison Ave 2576 Renfrew St 2576 Renfrew St

MD

2576 Renfrew St 15630 18Th Ave 5176 Hill E Rd

Steven

MD

5176 Hill Rd E 5685 Main St

Frederick Frederick Helen Helen James James James Whie Jeong Myron Rebecca

L L V V E E E

MD MD MD MD MD MD MD MD

5176 Hill Rd E 5196 Hill Rd E 5176 Hill Rd E 5196 Hill Rd E 15322 Lakeshore Dr 15666 18Th Ave 18990 Coyote Valley Rd 15250 Lakeshore Dr 15250 Lakeshore Dr 5176 Hill E Rd 5335 Lakeshore Blvd

Y Y Y Y Y Y Y Y Y Y Y

S P S

MD MD DO

10/24/2013

42

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake

Chiropractic Chiropractic Critical Care Medicine Critical Care Medicine Dermatology Diagnostic Imaging Center Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Federally Qualified Health Center General Practice General Practice General Practice General Practice General Vascular Surgery General Vascular Surgery Head & Neck Plastic Surgery Head & Neck Plastic Surgery

Jameson Quartarolo Hodgkin Hodgkin Kahn Rcoa Adventist Health Bowker Deas Deas Deas Fedun Foster Hackshaw Hamilton Hamilton Hewitt Hubbell Landeck Leinen Maron Meyers Patino Shin Singh Wilson Andrus Bertolli Carlson De Firmian Farley Freeman Freeman Kubota Maes Pierce Shin Soori Stanley Stevenson Veletto Weeks Wilson Wirth Lake County Tribal Health Center Bouwmeester Bradley Shifflett Soori Milne Milne Ermshar Ermshar

David Peter John John James

A J E E R

DC DC MD MD MD

930 11Th St 188 D St 15140 Lakeshore Dr 18Th Ave & Hwy 53 5144 Hill Rd E Avenue 18 At Hwy 53

Lakeport Lakeport Clearlake Clearlake Lakeport Clearlake Lakeport Lakeport Lakeport Upper Lake Lakeport Lakeport Lakeport Clearlake Lakeport Lakeport Lakeport Lakeport Lakeport Lakeport Lakeport Lakeport Lakeport Lakeport Lakeport Kelseyville Lakeport Lakeport Lakeport Lakeport Clearlake Clearlake Lakeport Lakeport Lakeport Lakeport Lakeport Lakeport Lakeport Lakeport Clearlake Lakeport Lakeport Lakeport Lakeport Lakeport Lakeport Lakeport Lakeport Santa Rosa Clearlake Hidden Valley Lake

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95453 95453 95422 95422 95453 95422 95453 95453 95453 95485 95453 95453 95453 95422 95453 95453 95453 95453 95453 95453 95453 95453 95453 95453 95453 95451 95453 95453 95453 95453 95422 95422 95453 95453 95453 95453 95453 95453 95453 95453 95422 95453 95453 95453 95453 95453 95453 95453 95453 95453 95422 95467

(707) 263-3124 (707) 263-7312 (707) 282-3528 (707) 994-6486 (707) 263-8955 (707) 994-6486 (707) 262-5000 (707) 262-5000 (707) 262-5000 (707) 275-9066 (707) 262-5000 (707) 262-5000 (707) 262-5000 (707) 994-6486 (707) 262-5000 (707) 262-5000 (707) 262-5000 (707) 262-5000 (707) 262-5000 (707) 262-5000 (707) 262-5088 (707) 262-5000 (707) 262-5000 (707) 262-5000 (707) 262-5000 (707) 279-1888 (707) 263-7725 (707) 262-5088 (707) 263-7725 (707) 263-1555 (707) 995-1362 (707) 994-6486 (707) 263-7725 (707) 262-1840 (707) 262-5000 (707) 262-5000 (707) 263-6886 (707) 263-1555 (707) 263-7725 (707) 263-6885 (707) 994-7377 (707) 262-5000 (707) 263-7725 (707) 263-8382 (707) 468-1010 (707) 263-5679 (707) 262-5000 (707) 263-6886 (707) 263-9683 (707) 263-6885 (707) 995-8011 (707) 963-8860

Y Y Y Y Y

Debra Bruce Bruce Bruce Edward William Christian Robert Robert John Jared Scott Jeffery Steve Harry Gabriel Hyonah Dilbag David Kirk Thomas William Barbara Paul Mark Mark Marshall Gary Jeffrey Hyonah Nilanthi Peter Traci Tony John David Steven

D D D D M F M C C W K T J P F H

MD MD MD MD MD MD MD MD MD MD MD MD

5176 Hill Rd E 5176 Hill Rd E 5196 Hill Rd E 750 Old Lucerne Rd 5176 Hill Rd E 5176 Hill Rd E 5176 Hill Rd E 18Th Avenue Hwy 53 5176 Hill Rd E 5176 Hill Rd E 5176 Hill Rd E 5176 Hill Rd E 5176 Hill Rd E

Y Y Y Y Y Y Y Y Y Y Y Y Y Y N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y N Y Y Y Y Y Y

MD MD MD MD MD

5176 Hill Rd E 5176 Hill Rd E 5176 Hill Rd E 5176 Hill Rd E 5176 Hill Rd E 5176 Hill Rd E 4135 Main St 5335 Lakeshore Blvd 5176 Hill Rd E 5335 Lakeshore Blvd 166 D St 15322 Lakeshore Dr 15630 18Th Ave #53 5335 Lakeshore Blvd 5108 Hill Rd E 5176 Hill Rd E 5176 Hill Rd E 5196 Hill Rd E Ste 300 166 D St 5335 Lakeshore Blvd 5196 Hill Rd E Ste 300

P G A P L S J J K L M

MD MD MD MD MD MD MD MD MD MD MD MD MD

G L D A P C

MD DO

MD MD MD

15120 Lakeshore Dr 5176 Hill Rd E 5335 Lakeshore Blvd 925 Bevins Ct

Daniel Stephen Steven Nilanthi Lawrence Lawrence Carl Carl

C P C

MD MD MD MD

5335 Lakeshore Blvd 5375 Lakeshore Blvd 5176 Hill Rd E 5196 Hill Rd E Ste 300 5128 Hill Rd E 5196 Hill Road East 15230 Lakeshore Dr 18990 Coyote Valley Rd

Y Y Y N Y Y Y Y

W W B B

MD MD MD MD

10/24/2013

43

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake

Hearing Aid Supplier Hemodialysis Center Hemodialysis Center HIV/AIDS Specialist Home Health Agency Home Health Agency Home Infusion Therapy Home Infusion Therapy Hospice Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Interventional Cardiology Interventional Cardiology Interventional Cardiology Interventional Cardiology Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Medical Oncology Medical Vendor (DME) Nurse Midwife

The Incredible Ear Clearlake Dialysis Center Lakeport Dialysis Center Kubota Adventist Health Home Care Of Lake County Sutter Visiting Nurse Association And Hospice Apria Healthcare Inc Hospice Services Of Lake County Allende Carnevale Hanna Harrington Hodgkin Hodgkin Kim Lies Lies Lies Oh Park Shapiro Veletto Wilson Lies Lies Lies Oh Gingerich Gutfeld Mabanglo Mcmullen Miller Sherrell Baughan Young Baumgardner Debaun Dyne Dyne Dyne Jones Jones Jordan Jordan Lind Roberts Roberts Sheaffer Smythe Wolz Turrill Apria Healthcare Inc Alba Cayo K CNM Jorge Michael Iyad Michael John John Eric James James James Whie Jeong Marc Tony David James James James Whie Michael Kevin Michael Angelo Heather Michelle Tim Kim Robert Laura Gail Gail Gail Patricia Patricia Antoinette Antoinette Jane Shirin Shirin Amy Jacquline Birgit Mark J G M P P P A A M M D L G J A C M W LCSW LCSW MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MFT MD S R D P E E E MD MD MD MD MD LCSW LCSW LCSW J E E E E E E MD MD MD MD MD MD MD MD MD MD A A MD DO Marshall K MD

15090 Olympic Dr 14400 Olympic Dr 804 11Th St 5335 Lakeshore Blvd 9245 Hwy 53 843 Parallel Dr 14860 Olympic Dr 1717 S Main St 5335 Lakeshore Blvd 5335 Lakeshore Blvd 5150 Hill Rd E 15230 Lakeshore Dr 15140 Lakeshore Dr 18Th Ave & Hwy 53 4456 Manzanita Ave 15322 Lakeshore Dr 15666 18Th Ave 18990 Coyote Valley Rd 15250 Lakeshore Dr 15250 Lakeshore Dr 3400 Emerson St 5196 Hill Rd E Ste 300 5176 Hill Rd E 15322 Lakeshore Dr 15666 18Th Ave 18990 Coyote Valley Rd 15250 Lakeshore Dr 17905 Bunker Rd 5335 Lakeshore Blvd 5335 Lakeshore Blvd 17568 Spruce Rd Ext 21159 Calistoga Rd 9667 Highway 29 12454 Plaza 75 4Th St 9667 Highway 29 149 N Main St 2361 Eastlake Dr 5176 Hill Rd E 1495 Orchid Way 9667 Highway 29 5350 Main St 55 1St St 375 S Main St 55 1St St 9667 S Hwy 29 Ste 202 375 S Main St 55 1St St 13560 Casale Dr #1 5150 Hill Rd E 14860 Olympic Dr 5335 Lakeshore Blvd

Clearlake Clearlake Lakeport Lakeport Lower Lake Lakeport Clearlake Lakeport Lakeport Lakeport Lakeport Clearlake Clearlake Clearlake Clearlake Clearlake Clearlake Hidden Vl Lk Clearlake Clearlake Clearlake Lakeport Lakeport Clearlake Clearlake Hidden Vl Lk Clearlake Hidden Valley Lake Lakeport Lakeport Hidden Valley Lake Middletown Lower Lake Clearlake Oks Lakeport Lower Lake Lakeport Kelseyville Lakeport Lakeport Lower Lake Kelseyville Lakeport Lakeport Lakeport Lower Lake Lakeport Lakeport Loch Lomond Lakeport Clearlake Lakeport

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95422 95422 95453 95453 95457 95453 95422 95453 95453 95453 95453 95422 95422 95422 95422 95422 95422 95467 95422 95422 95422 95453 95453 95422 95422 95467 95422 95467 95453 95453 95467 95461 95457 95423 95453 95457 95453 95451 95453 95453 95457 95451 95453 95453 95453 95457 95453 95453 95461 95453 95422 95453

(707) 994-0186 (707) 994-9785 (707) 263-7132 (707) 263-7725 (707) 994-0737 (707) 263-7400 (707) 994-1236 (707) 263-6222 (707) 468-1010 (707) 263-7725 (707) 263-4360 (707) 995-4500 (707) 282-3528 (707) 994-6486 (707) 994-9191 (707) 963-4997 (707) 963-4997 (707) 963-4997 (707) 995-3764 (707) 995-3764 (707) 994-7241 (707) 263-6885 (707) 262-5000 (707) 963-4997 (707) 963-4997 (707) 963-4997 (707) 995-3764 (707) 954-1277 (707) 263-7725 (707) 263-7725 (707) 701-3331 (707) 987-4987 (707) 994-6726 (707) 350-3590 (707) 462-1333 (707) 994-2225 (707) 245-8324 (707) 279-4690 (707) 262-5171 (707) 263-8888 (707) 994-2774 (707) 279-0563 (707) 263-6496 (707) 263-6496 (707) 523-9315 (707) 523-9315 (707) 987-0433 (707) 349-2586 (707) 533-7981 (707) 262-3060 (707) 994-1236 (707) 468-1010 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

10/24/2013

44

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake Lake

Nurse Practitioner Nurse Practitioner Nurse Practitioner Nurse Practitioner Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Ophthalmology Ophthalmology Optometry Optometry Optometry Optometry Orthopedic Surgery Otolaryngology (ENT) Otolaryngology (ENT) Pain Management Pain Management Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Podiatry Podiatry Podiatry Podiatry Podiatry Podiatry Psychiatry Psychiatry Psychology Psychology Psychology Psychology Psychology Psychology Pulmonary Disease Pulmonary Disease Pulmonary Disease Pulmonary Disease Rural Health Clinic Rural Health Clinic Rural Health Clinic Rural Health Clinic Rural Health Clinic Rural Health Clinic Rural Health Clinic Skilled Nursing Facility Skilled Nursing Facility Surgery

Bryner Farmer Spillner Thomson Christy Davies Dhanda Wilson Sampson Sampson Bonner Browning Buehnerkemper Lasher Scheidemann Ermshar Ermshar Johnson Johnson Allende Quilala Quilala Timme Whelan Hagan Millar Millar Millar Stateva Wargula Anderson Segal Andre Dubow Moyer Moyer Winslow Winslow Hodgkin Hodgkin Kosolcharoen Kosolcharoen Adventist Health East Lake Medical Clinic Adventist Health Mountain Lake Family Health Clinic Clearlake Family Health Center Kelseyville Family Health Center Middletown Family Health Center Middletown Medical Clinic Sutter Lakeside Family Medicine Clinic Evergreen Lakeport Healthcare Rocky Point Care Center Bradley

Teresa Donna Suzanne Shanna Adwoa Jonathan Paula David Alan Alan Robert David Mark Donald Wayne Carl Carl Helen Helen Jorge Marlene Marlene Rebecca Kirsten James Charles Charles Charles Adelina Alanna Bruce Olga Katherine Diane Dorothy Dorothy John John John John Bunchong Bunchong

NP NP

5335 Lakeshore Blvd 5335 Lakeshore Blvd 5335 Lakeshore Blvd 5335 Lakeshore Blvd 5335 Lakeshore Blvd 5106 Hill Rd E 5685 Main St 5176 Hill Rd E 5196 Hill Rd E 987 Parallel Dr # 101 14595 Olympic Dr 225 S Main St 120 S Main St 225 S Main St

Lakeport Lakeport Lakeport Lakeport Lakeport Lakeport Kelseyville Lakeport Lakeport Lakeport Clearlake Lakeport Lakeport Lakeport Lakeport Clearlake Hidden Valley Lake Lakeport Lakeport Lakeport Lakeport Lakeport Lakeport Lakeport Lakeport Clearlake Clearlake Lakeport Lakeport Lakeport Clearlake Lakeport Lakeport Lower Lake Cobb Lower Lake Lakeport Lower Lake Clearlake Clearlake Lakeport Lakeport Clearlake Clearlake Clearlake Kelseyville Middletown Middletown Lakeport Lakeport Lakeport Lakeport

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95453 95453 95453 95453 95453 95453 95451 95453 95453 95453 95422 95453 95453 95453 95453 95422 95467 95453 95453 95453 95453 95453 95453 95453 95453 95422 95422 95453 95453 95453 95422 95453 95453 95457 95426 95457 95453 95457 95422 95422 95453 95453 95422 95422 95422 95451 95461 95461 95453 95453 95453 95453

(707) 263-7725 (707) 263-7725 (707) 263-7725 (707) 263-7725 (707) 263-7725 (707) 263-9036 (707) 279-8733 (707) 262-5000 (707) 263-3500 (707) 263-3500 (707) 994-1488 (707) 263-0101 (707) 263-4294 (707) 263-0101 (707) 263-3602 (707) 995-8011 (707) 963-8860 (707) 262-5000 (707) 263-7428 (707) 468-1010 (707) 263-1630 (707) 468-1010 (707) 263-7725 (707) 463-7459 (707) 263-9595 (707) 995-4500 (707) 963-5006 (707) 263-8322 (707) 263-9595 (707) 263-9595 (707) 968-2870 (866) 247-4292 (707) 263-6360 (707) 998-9665 (707) 928-9886 (707) 995-0330 (707) 263-6539 (707) 263-6539 (707) 282-3528 (707) 994-6486 (707) 263-6866 (707) 263-6866 (707) 998-2250 (707) 994-6486 (707) 995-4500 (707) 279-8813 (707) 987-3311 (707) 987-3311 (707) 262-5088 (707) 263-6382 (707) 263-6101 (707) 263-5679

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

E A A W R P D D G L L R H B B V V A Q Q S Q M L L L B L N

NP NP MD MD MD MD MD MD OD OD OD

MD MD MD MD MD MD MD MD DO MD DPM DPM DPM DPM DPM DPM MD MD

755 11Th St 15230 Lakeshore Dr 18990 Coyote Valley Rd 5176 Hill Rd E 5196 Hill Rd E 5335 Lakeshore Blvd 5176 Hill Rd E 5335 Lakeshore Blvd 5335 Lakeshore Blvd 487 S Main St 175 Park St 15230 Lakeshore Dr 3400 Emerson St 925 Bevins Ct 175 Park St 175 Park St 15230 Lakeshore Dr 380 N Main St 75 4Th St 9667 Highway 29 11435 Gifford Springs Rd 9667 Highway 29

C L L L R R E E

PHD PHD

PHD PHD MD MD MD MD

302 Armstrong St 9657 Highway 29 15140 Lakeshore Dr 18Th Ave & Hwy 53 5128 Hill Rd E 5196 Hill Rd E 13050 High Valley Rd 3400 Emerson St 15230 Lakeshore Dr 4241 Church St 21337 Bush St 21337 Bush St 5176 Hill E Rd 1291 Craig Ave 625 16Th St

Stephen

MD

5375 Lakeshore Blvd

10/24/2013

45

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Lake Lake Lake Lake Lake Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen

Surgery Surgery Surgery Surgery Urology Acute/General Hospital Air Ambulance Allergy & Immunology Ambulatory Surgery Center Chiropractic Colon & Rectal Surgery Dermatology Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice, Sports General Practice General Practice Ground Ambulance Ground Ambulance Hearing Aid Supplier Hearing Aid Supplier Internal Medicine Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Marriage & Family Therapy Medical Vendor (DME) Medical Vendor (DME) Obstetrics & Gynecology Obstetrics & Gynecology Optometry Optometry Optometry Orthopedic Surgery

Donald Meyers Milne Milne Brasch Banner Lassen Medical Center Mountain Lifeflight Uppal Lassen Surgery Center Branvold Syverson Gross Beatty Dahle Higgins Lum Phelps Porter Steinbach Taylor Carlton Dahle Davainis Dozier Hamilton Holmes Meadows Phelps Porter Steinbach Valceschini Wilcox Valceschini Beckwith Korver Lassen Ambulance Lassen Ambulance Miracle Ear Hearing Center Miracle Ear Hearing Center Azarkh Cox Dieter Olsen Johnson Lincare Inc Pacific Pulmonary Services Braatz Uppal Boomer Hlusak Marason Barakat

Keith Harry Lawrence Lawrence John

P F W W F

MD MD MD MD MD

5196 Hill Rd E 5176 Hill Rd E 5128 Hill Rd E 5196 Hill Road East 15230 Lakeshore Dr 1800 Spring Ridge Dr Susanville Airport

Lakeport Lakeport Lakeport Santa Rosa Clearlake Susanville Susanville Susanville Susanville Susanville Susanville Susanville Susanville Bieber Susanville Susanville Susanville Susanville Susanville Susanville Susanville Bieber Susanville Susanville Susanville Susanville Susanville Susanville Susanville Susanville Susanville Susanville Susanville Susanville Susanville Susanville Janesville Susanville Susanville Susanville Susanville Susanville Susanville Susanville Susanville Susanville Susanville Susanville Susanville Susanville Susanville Susanville

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95453 95453 95453 95453 95422 96130 96130 96130 96130 96130 96130 96130 96130 96009 96130 96130 96130 96130 96130 96130 96130 96009 96130 96130 96130 96130 96130 96130 96130 96130 96130 96130 96130 96130 96130 96130 96114 96130 96130 96130 96130 96130 96130 96130 96130 96130 96130 96130 96130 96130 96130 96130

(707) 263-4108 (707) 262-5088 (707) 263-9683 (707) 263-6885 (707) 995-4500 (530) 252-2000 (530) 251-2849 (530) 257-7773 (530) 257-7773 (530) 257-7751 (530) 252-4116 (530) 257-7335 (530) 257-5325 (530) 294-5241 (530) 257-5325 (530) 257-5325 (530) 257-5325 (530) 257-5325 (530) 257-5325 (530) 257-5325 (530) 251-5000 (530) 294-5241 (530) 257-5325 (530) 257-5325 (530) 257-5325 (530) 251-5000 (530) 257-7251 (530) 257-5325 (530) 257-5325 (530) 257-5325 (530) 257-5730 (530) 257-5730 (530) 257-5730 (530) 257-7030 (530) 257-4186 (530) 257-0249 (530) 253-3200 (800) 488-9906 (800) 488-9906 (530) 252-2000 (530) 257-8420 (530) 249-6410 (530) 252-6595 (530) 251-5889 (530) 257-7513 (530) 257-3321 (530) 251-5000 (530) 257-7773 (530) 257-4424 (530) 257-2225 (530) 257-3636 (530) 257-9060

Y N Y Y Y

Surinder

MD

103 Fair Dr 103 Fair Dr

Ronald Dale Keith Paul Daniel Gregory Gordon Kelly William Alan Gregory Samuel Daniel Paul John Lee Paul Hal Kelly William Alan Gregory Peter Gregory David Kenneth

D L M R B L S C H B M R B C C M W L C H B M R M R G

DC MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD

1723 1St St 1825 Main St 1810 1St St 560 Hospital Ln 554 Medical Center Dr 560 Hospital Ln 560 Hospital Ln 560 Hospital Ln 560 Hospital Ln 560 Hospital Ln 560 Hospital Ln 1850 Spring Ridge Dr 554 Medical Center Dr 560 Hospital Ln 560 Hospital Ln 560 Hospital Ln 1850 Spring Ridge Dr 705 West St 560 Hospital Ln 560 Hospital Ln 560 Hospital Ln 1680 Bunyan Rd 1680 Bunyan Rd 1680 Bunyan Rd 575 Hospital Ln 575 Hospital Ln 700 Ash St Main St Janesville Fir 2910 Riverside Dr 55 S Lassen St

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y N Y N Y Y

Michael Christopher Karen Gary Carolyn R L L E LCSW MFT LCSW

1850 Spring Ridge Dr 170 Russell Ave 1816 1St St 1816 1St St 1680 Bunyan Rd 1545 Bunyan Rd 805 Main St

Y Y Y Y Y

Steven Indra Gregory Martin Richard George

MD MD

1850 Spring Ridge Dr 103 Fair Dr 607 Cottage St 914 Main St 600 Ash St 555 Ash St

Y Y Y Y Y Y

A G G H

OD OD OD MD

10/24/2013

46

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Lassen Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino

Pain Management Pain Medicine Pediatrics Pediatrics Podiatry Podiatry Psychology Skilled Nursing Facility Skilled Nursing Facility Surgery Surgery Acupuncture Acupuncture Acupuncture Acupuncture Acupuncture Acupuncture Acute/General Hospital Acute/General Hospital Acute/General Hospital Adolescent Medicine Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology, Pain Management Applied Behavioral Analyst Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Child & Adolescent Psychiatry Child & Adolescent Psychiatry Child & Adolescent Psychiatry Child & Adolescent Psychiatry Child & Adolescent Psychiatry Child & Adolescent Psychiatry Child Neurology Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Clinical Neurophysiology Critical Care Medicine Dermatology Dermatology Dermatology

Soloniuk Soloniuk Carlton Uppal Nielsen Nielsen Jones Banner Lassen Community Hospital Country Villa Riverview Rehabilitation And Healthcare Center Schwartz Syverson Eich Lake Press Press Shafir Volk Frank R Howard Memorial Hospital Mendocino Coast District Hospital Ukiah Valley Medical Center Kraut Harry B Matossian Md Endoscopy Center Observatory Surgery Center Pavilion Surgical Services Llc Debooy Guth Johnson Kermen Marks Debooy Heilveil Coleman Dunlap Hopkins Hidalgo Ramanujam Shibata Shibata Timme Timme Bhattacharyya Anderson Andrews Diaz Diaz Lindstedt Miller Bhattacharyya Steele Degroot Degroot Hong

Leonard Leonard Christina Surinder Richard Richard Frederic

J J M K H H H

MD MD MD MD DPM DPM PHD

103 Fair Dr 103 Fair Dr 1680 Bunyan Rd 103 Fair Dr 554 Medical Center Dr 701 Nevada St 554 Medical Center Dr 1800 Spring Ridge Dr 2005 River St

Susanville Susanville Susanville Susanville Bieber Susanville Bieber Susanville Susanville Susanville Susanville Ukiah Willits Laytonville Redwood Valley Fort Bragg Fort Bragg Willits Fort Bragg Ukiah Fort Bragg Ukiah Ukiah Ukiah Ukiah Ukiah Ukiah Fort Bragg Ukiah Ukiah Ukiah Gualala Willits Ukiah Fort Bragg Fort Bragg Fort Bragg Fort Bragg Ukiah Willits Ukiah Ukiah Ukiah Ukiah Willits Ukiah Ukiah Ukiah Ukiah Ukiah Ukiah Ukiah

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

96130 96130 96130 96130 96009 96130 96009 96130 96130 96130 96130 95482 95490 95454 95470 95437 95437 95490 95437 95482 95437 95482 95482 95482 95482 95482 95482 95437 95482 95482 95482 95445 95490 95482 95437 95437 95437 95437 95482 95490 95482 95482 95482 95482 95490 95482 95482 95482 95482 95482 95482 95482

(530) 247-3733 (530) 247-3733 (530) 257-5730 (530) 257-7773 (530) 294-5241 (530) 257-4137 (530) 294-5241 (530) 252-2000 (530) 257-5341 (530) 257-8346 (530) 252-4116 (707) 485-1785 (707) 459-2488 (707) 984-6131 (707) 485-5115 (707) 964-1111 (707) 964-1111 (707) 459-6801 (707) 961-1234 (707) 462-3111 (707) 964-5696 (707) 462-3190 (707) 462-2299 (707) 462-4905 (707) 462-3111 (707) 462-4923 (707) 462-2299 (707) 961-4736 (707) 462-3111 (707) 462-3111 (707) 467-9603 (707) 573-6166 (707) 459-6855 (707) 463-2400 (707) 961-4100 (707) 961-4100 (916) 285-8977 (916) 285-8977 (707) 468-1010 (707) 456-9600 (707) 462-4967 (707) 462-2943 (707) 462-3113 (707) 462-7093 (707) 459-1490 (707) 463-1887 (707) 462-2230 (707) 462-4967 (707) 462-1516 (707) 462-2960 (707) 463-7488 (707) 462-3996

Y Y Y Y Y Y Y

Arthur Dale Ellen Ross Marlin Marlin Andrea Michael

A L A E B B L J

MD MD LAC LAC LAC LAC LAC LAC

1345 Bunyan Rd 1825 Main St 275 W Gobbi St 236 Humboldt St 50 Branscomb Rd 6991 N State St 510 Cypress St Ste C-200 510 Cypress St Ste C-200 1 Madrone St 700 River Dr 275 Hospital Dr

Y Y Y Y Y Y Y Y

Jeffrey

MD

510 Cypress St 234-A Hospital Dr 271 Observatory Ave 245 Hospital Dr

David Ronald Frederick John Norma David Ira Patrick Thomas Donald Vilma Abhijit Shigefumi Shigefumi Rebecca Rebecca Alok Eric Clifford James James Marcia Christine Alok James Henry Henry Judith

P E L A O P P S E G L V

MD MD MD DO MD MD

275 Hospital Dr 1285 Vista Verde Rd 271 Observatory Ave 700 River Dr 275 Ukiah Dr 275 Hospital Dr 327 N State St

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

MD MD MD MD MD MD MD

46900 Ocean Dr 84 Madrone St 240 Hospital Dr 515 Cypress St 515 Cypress St 515 Cypress St 700 River Dr 333 Laws Ave 45 Hazel St 844 S Dora St

S S K L L A A V J K M E E

DO DO

DC DC DC DC DC DC

1081 S Dora St #B 311 Luce Ave 486 N State St 75 S Main St 528 S School St 101 W Church St Ste 3 844 S Dora St

MD MD MD MD

620 S Dora St 1165 S Dora St 260 Hospital Dr 555 S Dora St

10/24/2013

47

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino

Dermatology Dermatology Dermatology Dermatology Dermatopathology Diagnostic Imaging Center Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Endocrinology & Metabolism Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Federally Qualified Health Center Gastroenterology Gastroenterology General Dentistry General Practice General Practice

Mcclintock Park Sugarman Sugarman Mcclintock Rcoa Adventist Health Dawson Dawson Glyer Glyer Housel Kraut Longchamp Wallace Newell Almond Aranaydo Bertolli Bertolli Bertolli Bertolli Brown Cottle Cottle Daniel De Firmian De Firmian Gallo Glyer Glyer Gosland Gray Kubota Longchamp Matheson Matheson Paltin Paltin Power Sheppard Stevenson Stevenson Wirth Wirth Wirth Wirth Consolidated Tribal Health Project Hanson Matossian Peltz Arner Arner

R Ligaya Jeffrey Jeffrey R

P F L L P DO MD MD

333 Laws Ave 555 S Dora St 260 Hospital Dr 555 S Dora St 333 Laws Ave 275 Hospital Dr

Ukiah Ukiah Ukiah Ukiah Ukiah Ukiah Willits Willits Willits Willits Fort Bragg Fort Bragg Willits Fort Bragg Fort Bragg Redwood Valley Redwood Valley Ukiah Willits Gualala Gualala Fort Bragg Fort Bragg Fort Bragg Redwood Valley Ukiah Willits Fort Bragg Willits Willits Point Arena Fort Bragg Willits Willits Willits Willits Laytonville Redwood Valley Redwood Valley Ukiah Ukiah Willits Ukiah Ukiah Willits Ukiah Redwood Valley Ukiah Ukiah Redwood Valley Willits Willits

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95482 95482 95482 95482 95482 95482 95490 95490 95490 95490 95437 95437 95490 95437 95437 95470 95470 95482 95490 95445 95445 95437 95437 95437 95470 95482 95490 95437 95490 95490 95468 95437 95490 95490 95490 95490 95454 95470 95470 95482 95482 95490 95482 95482 95490 95482 95470 95482 95482 95470 95490 95490

(707) 468-1010 (707) 462-3996 (707) 463-7459 (707) 545-4537 (707) 468-1010 (707) 462-3111 (707) 459-3070 (707) 456-9600 (707) 459-6861 (707) 456-9600 (707) 964-1251 (707) 964-5696 (707) 459-6861 (707) 964-4048 (707) 961-1234 (707) 485-5115 (707) 485-5115 (707) 468-1010 (707) 456-9600 (707) 884-4005 (707) 884-4005 (707) 964-9168 (707) 961-4740 (707) 961-4631 (707) 485-5115 (707) 468-1010 (707) 456-9600 (707) 961-1234 (707) 459-6861 (707) 456-9600 (707) 882-2877 (707) 964-1251 (707) 456-9600 (707) 459-6861 (707) 459-6861 (707) 459-6861 (707) 984-6131 (707) 485-5115 (707) 485-5115 (707) 462-7900 (707) 468-1010 (707) 456-9600 (707) 463-1900 (707) 467-2269 (707) 456-9600 (707) 462-3300 (707) 485-5115 (707) 462-1823 (707) 462-0681 (707) 485-5115 (707) 459-6861 (707) 456-9600

Y Y Y Y Y

Tedd Tedd John John Frank Jeffrey Carla John David David Linda Thomas Thomas Thomas Thomas Sanford John John Lambert Barbara Barbara John John John Melissa Wade Marshall Carla Angus Donald Sharon Sharon Jack Barry Traci Traci Steven Steven Steven Steven

E E R R B M P T C E S A A A A J E E N L L L R R S J K P D M R R B R L L C C C C

MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD

1196 S Main St 45 Hazel St 1245 S Main St 45 Hazel St 205 South St 510 Cypress St 1245 S Main St 510 Cypress St 700 River Dr 6991 N State St 6991 N State St 333 Laws Ave 45 Hazel St 46900 Ocean Dr 46900 Ocean View Dr 815 Sequoia Cir 700 River Dr 721 River Dr

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD DO DO MD MD MD MD

6991 N State St 333 Laws Ave 45 Hazel St 700 River Dr 1245 S Main St 45 Hazel St 24 Maimelaiwa Dr 205 South St 45 Hazel St 1245 S Main St 1245 S Main St 1245 S Main St 50 Branscomb Rd 6991 N State St 6991 N State St 275 Hospital Dr 333 Laws Ave 45 Hazel St 115 Hospital Dr 333 Laws Ave 45 Hazel St 721 S Dora St 6991 N State St

Brian Harry Richard Margaret Margaret

L B E L L

MD MD DDS MD MD

415 Hospital Dr 234 Hospital Dr 6991 N State St 1245 S Main St 45 Hazel St

Y Y N N N

10/24/2013

48

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino

General Practice Geriatric Medicine Geriatric Medicine Geriatric Medicine Hemodialysis Center Hemodialysis Center Hemodialysis Center Hemodialysis Center HIV/AIDS Specialist HIV/AIDS Specialist Home Health Agency Home Health Agency Home Infusion Therapy Home Infusion Therapy Hospice Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Interventional Cardiology Interventional Cardiology Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work

Ballaine Hobson Hobson Wallace Bma Ukiah Dialysis Clinic Inc Dialysis Clinic Inc Pear Tree Dialysis Goldyn Kubota Adventist Health Homecare And Hospice Of Mendocino County Mendocino Coast Dist Hosp Home Health Services Apria Healthcare Inc Apria Healthcare Inc Phoenix Hospice Allende Andich Barash Barash Berenson Berenson Carnevale Carnevale Cheitlin Coleman Daniel Dumas Iii Dunlap Goldyn Hanna Hobson Hobson Hopkins Lemke Newell Rogers Rogers Shepard Shepard Steele Teran Teran Teran Trotter Wallace Wedderburn Williams Coleman Hopkins Dipman Fernandez Gutfeld

Douglas Mana Mana John

G MD MD T MD

45 Hazel St 30 Mill St 46900 Ocean Dr 510 Cypress St 425 S Orchard Ave 512 Cypress St 275 S Orchard Ave 126 N Orchard Ave

Willits Point Arena Gualala Fort Bragg Ukiah Fort Bragg Ukiah Ukiah Fort Bragg Willits Willits Fort Bragg Ukiah Fort Bragg Willits Ukiah Willits Willits Willits Mendocino Fort Bragg Ukiah Willits Ukiah Gualala Redwood Valley Mendocino Willits Fort Bragg Ukiah Point Arena Gualala Ukiah Ukiah Fort Bragg Ukiah Willits Ukiah Ukiah Ukiah Ukiah Ukiah Willits Ukiah Fort Bragg Ukiah Willits Gualala Ukiah Willits Ukiah Ukiah

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95490 95468 95445 95437 95482 95437 95482 95482 95437 95490 95490 95437 95482 95437 95490 95482 95490 95490 95490 95460 95437 95482 95490 95482 95445 95470 95460 95490 95437 95482 95468 95445 95482 95482 95437 95482 95490 95482 95482 95482 95482 95482 95490 95482 95437 95482 95490 95445 95482 95490 95482 95482

(707) 456-9600 (707) 882-1704 (707) 884-4005 (707) 964-4048 (707) 467-3822 (707) 964-1610 (707) 462-2024 (707) 467-9000 (707) 964-1251 (707) 456-9600 (707) 459-1818 (707) 961-1234 (707) 468-9242 (707) 961-1770 (707) 459-1818 (707) 468-1010 (707) 459-6115 (707) 459-6801 (707) 456-9600 (707) 937-1055 (707) 961-1234 (707) 468-1010 (707) 456-9600 (707) 462-7900 (707) 573-6166 (707) 485-5115 (707) 937-4202 (707) 459-6855 (707) 964-1251 (707) 463-7490 (707) 882-1704 (707) 884-4005 (707) 463-2400 (707) 468-8944 (707) 961-1234 (707) 468-1010 (707) 468-1010 (707) 462-5025 (707) 462-5025 (707) 462-1516 (707) 463-8000 (707) 468-1010 (707) 456-9600 (707) 462-3111 (707) 964-4048 (707) 463-8000 (707) 459-5585 (707) 573-6166 (707) 463-2400 (707) 459-3816 (707) 472-4596 (707) 472-4596

N Y Y Y

Lawrence Marshall

M K

MD MD

205 South St 45 Hazel St 100 San Hedrin Cir 700 River Dr 221 E Gobbi St 579 S Franklin St 100 San Hedrin Cir

Y Y

Jorge Bruce Ace Ace Jeffrey Jeffrey Michael Michael Roger Patrick Lambert Frederick Thomas Lawrence Iyad Mana Mana Donald Bernard David Glenn Glenn David David James Guy Guy Guy Marvin John Laura John Patrick Donald Richard Samuel Kevin

A R A A A A A A A S N J E M

MD MD MD MD MD MD DO DO MD MD MD MD MD MD

333 Laws Ave 88 Madrone St 1 Madrone St 45 Hazel St 45081 Little Lake St 700 River Dr 333 Laws Ave 45 Hazel St 275 Hospital Dr 46900 Ocean Dr 6991 N State St 940 Ukiah St 84 Madrone St 205 South St 260 Hospital Dr

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

MD MD G E C T T L L M R R R G T L P S G P W L MD MD MD MD MD MD MD MD MD MD MD MD MD MD DO MD MD LCSW LCSW LCSW

30 Mill St 46900 Ocean Dr 240 Hospital Dr 242 Hospital Dr 700 River Dr 333 Laws Ave 45 Hazel St 1379 S Dora St 230 Hospital Dr 620 S Dora St 260 Hospital Dr 333 Laws Ave 45 Hazel St 275 Hospital Dr 510 Cypress St 1165 S Dora St 1712 S Main St 46900 Ocean Dr 240 Hospital Dr 716 S Main St 333 Laws Ave 333 Laws Ave

10/24/2013

49

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino

Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Medical Vendor (DME) Medical Vendor (DME) Medical Vendor (DME) Neurology Neurology Nurse Midwife Nurse Midwife Nurse Practitioner Nurse Practitioner Nurse Practitioner Nurse Practitioner Nurse Practitioner Nurse Practitioner Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology

Gutfeld Kennedy Mabanglo Mabanglo Wantland Azzaro Baumgardner Brown Burkett Clarke Darcey Darcey De Soto Donnelly Faber Fisher Fraser Fraser Gallagher Harriman Harriman Hartnett Jacobson Jaynes Kammer Lightfoot Marston Mccarthy Miller Nadel Plakos Rosen Siler Thompson Unroe Apria Healthcare Inc Apria Healthcare Inc Pacific Pulmonary Services Bhattacharyya Holasek Alba Alba Bryner Bryner Farmer Farmer Spillner Spillner Abramson Christy Christy Crabtree

Kevin Terrance Michael Angelo Michael Angelo Cheryl Carol Robert Pamela Jenifer Melinda Thomas Thomas Karen Marylou Fanshen Myrnie Lael Lael Ann Frances Frances Patricia Paul Deborah Bradley Leighton Tina Maria Dennis Paul Paul Jo Ann Steven Charlene Dennis

L H G G R A W A

LCSW LCSW LCSW LCSW

406 W Standley St 518 S School St 333 Laws Ave 45 Hazel St 333 Laws Ave

Ukiah Ukiah Ukiah Willits Ukiah Ukiah Ukiah Willits Gualala Willits Willits Ukiah Willits Ukiah Mendocino Healdsburg Willits Ukiah Fort Bragg Ukiah Ukiah Ukiah Ukiah Ukiah Ukiah Ukiah Ukiah Ukiah Ukiah Ukiah Gualala Ukiah Mendocino Ukiah Fort Bragg Ukiah Fort Bragg Ukiah Ukiah Ukiah Ukiah Willits Ukiah Willits Ukiah Willits Ukiah Willits Fort Bragg Ukiah Willits Ukiah

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95482 95482 95482 95490 95482 95482 95482 95490 95445 95490 95490 95482 95490 95482 95460 95488 95490 95482 95437 95482 95482 95482 95482 95482 95482 95482 95482 95484 95482 95482 95445 95482 95460 95482 95437 95482 95437 95482 95482 95482 95482 95490 95482 95490 95482 95490 95482 95490 95437 95482 95490 95482

(707) 462-0599 (707) 467-1362 (707) 472-4596 (707) 456-9600 (707) 468-1010 (707) 462-1456 (707) 462-1333 (707) 456-1262 (707) 328-3544 (707) 459-3780 (707) 489-0319 (707) 489-0319 (707) 459-6018 (707) 535-9879 (707) 937-2791 (707) 431-8438 (707) 468-1100 (707) 468-1100 (707) 964-1880 (707) 462-3900 (707) 462-3900 (707) 367-4937 (707) 623-7967 (707) 467-0121 (707) 462-2133 (707) 367-3105 (707) 462-3021 (707) 669-0796 (707) 462-3228 (707) 463-1113 (707) 326-7236 (707) 462-7749 (707) 937-1316 (707) 463-1464 (707) 964-1528 (707) 468-9242 (707) 961-1770 (707) 462-4201 (707) 462-4967 (707) 472-4596 (707) 468-1010 (707) 468-1010 (707) 468-1010 (707) 456-9600 (707) 468-1010 (707) 456-9600 (707) 468-1010 (707) 456-9600 (707) 964-0259 (707) 467-2269 (707) 456-9600 (707) 468-1010

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

MFT MFT MFT MFT

359 N Oak St 205 W Clay St 38 D South Main St 38550 S Highway 1 104 W Mendocino Ave 152 S Main St 514 S School St 110 S Main St 401 W Mill St 10520 Howard St 457 Hudson St 152 S Main St 514 S School St 1102 S Main St 205 W Clay St 216 W Perkins St 514 S School St

B R R L

MFT MFC MFC MFT MFT

J J

MFT MFT MFT MFT MFT

C C

MFT MFT

F L J C M

MFT LMFT MFT MFT

275 W Gobbi St 518 S School St 206 Mason St Ste 359 N Oak St 401 W Mill St

MFC J C MFT MFT MFT J L D M MFT MFT MFT MFT

214 S School St 206 N Pine St 514 S School St 38550 S Highway 1 390 W Stephenson St 45121 Ukiah St 216 W Perkins St 307 E Bush St 221 E Gobbi St 579 S Franklin St 3541 N State St

Alok Silvina Cayo Cayo Teresa Teresa Donna Donna Suzanne Suzanne Keevan Adwoa Adwoa Karen

K S K K L L MD CNM CNM NP NP NP NP E E NP NP MD A A E MD MD MD

844 S Dora St 333 Laws Ave 333 Laws Ave 45 Hazel St 333 Laws Ave 45 Hazel St 333 Laws Ave 45 Hazel St 333 Laws Ave 45 Hazel St 850 Sequoia Cir 333 Laws Ave 45 Hazel St 333 Laws Ave

Y Y Y Y Y Y Y Y Y Y Y Y Y Y

10/24/2013

50

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino

Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Occupational Medicine Ophthalmology Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Orthopedic Hand Surgery Orthopedic Hand Surgery Orthopedic Sports Medicine Orthopedic Sports Medicine Orthopedic Sports Medicine Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthotics & Prosthetics Otolaryngology (ENT) Pediatric Cardiology Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics

Crabtree Gutnick Hartley Hartley Wright Brown Woesner Brown Gilbreath Harvey Kline Lasher Park Spencer Vargas Wolfman Bellah Bellah Bellah Bellah Gunther Baltins Bellah Bellah Bowen Bowen Gunther Hoek Hoek Hoek Kilkenny Lagomarsino Schmidt Innovative Prosthetics & Orthotics Coursey Stanger Allende Flaherty Gallo Kraut Mahon Mahon Marks Quilala Soloniuk Stanger Timme Timme Weisshar Weisshar Whelan Worn

Karen Eric Laurence Laurence Brent Sanford Randall S Marilyn Lisa Lynette Donald David Raymond Joe Elias Jack Jack Jack Jack Stephen Aldis Jack Jack William William Stephen Kenneth Kenneth Kenneth Thomas Paul Eric

E I W W D J E M K H M R L D A

MD MD MD MD MD MD MD OD OD OD OD

45 Hazel St 850 Sequoia Cir 333 Laws Ave 45 Hazel St 205 South St 815 Sequoia Cir 248 Hospital Dr 716 S Dora St 102 Scott St 205 E Pine St 205 E Pine St 102 Scott St

Willits Fort Bragg Ukiah Willits Fort Bragg Fort Bragg Ukiah Ukiah Ukiah Fort Bragg Fort Bragg Ukiah Ukiah Ukiah Ukiah Fort Bragg Fort Bragg Fort Bragg Fort Bragg Fort Bragg Willits Ukiah Fort Bragg Fort Bragg Willits Willits Willits Ukiah Ukiah Willits Ukiah Fort Bragg Ukiah Ukiah Ukiah Ukiah Ukiah Redwood Valley Fort Bragg Fort Bragg Fort Bragg Fort Bragg Ukiah Willits Fort Bragg Ukiah Ukiah Willits Ukiah Willits Ukiah Fort Bragg

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95490 95437 95482 95490 95437 95437 95482 95482 95482 95437 95437 95482 95482 95482 95482 95437 95437 95437 95437 95437 95490 95482 95437 95437 95490 95490 95490 95482 95482 95490 95482 95437 95482 95482 95482 95482 95482 95470 95437 95437 95437 95437 95482 95490 95437 95482 95482 95490 95482 95490 95482 95437

(707) 456-9600 (707) 964-0259 (707) 468-1010 (707) 456-9600 (707) 964-1251 (707) 964-9168 (707) 463-1659 (707) 462-5361 (707) 462-7040 (707) 961-1037 (707) 961-1037 (707) 462-7040 (707) 462-7040 (707) 462-2602 (707) 462-8363 (707) 964-0919 (707) 961-4631 (707) 961-4631 (707) 961-4631 (707) 961-4631 (707) 459-6855 (707) 468-0471 (707) 961-4631 (707) 961-4631 (707) 456-9600 (707) 459-6855 (707) 459-6855 (707) 462-1944 (707) 468-1010 (707) 456-9600 (707) 468-0471 (707) 961-4551 (707) 544-3584 (707) 468-5154 (707) 462-8855 (707) 463-7459 (707) 468-1010 (707) 485-5115 (707) 961-1234 (707) 964-5696 (707) 964-5696 (707) 961-1234 (707) 462-3111 (707) 456-9600 (707) 964-5696 (707) 463-7459 (707) 468-1010 (707) 456-9600 (707) 468-1010 (707) 456-9600 (707) 463-7459 (707) 964-5696

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

OD OD OD OD

102 Scott St 704 N State St 789 S Dora St 139 E Laurel St 700 River Dr 721 River Dr 700 River Dr 721 River Dr 84 Madrone St 1165 S Dora St 700 River Dr 721 River Dr 45 Hazel St 84 Madrone St 84 Madrone St 308 Jefferson Ln 333 Laws Ave 45 Hazel St 1165 S Dora St 515 Cypress St 1367 S Dora St 168 Washington Ave

L L L L B

MD MD MD MD MD MD

L L W W B J J J E M S

MD MD MD MD MD MD MD MD MD MD MD

Donald Paul Jorge James John Jeffrey William William Norma Marlene Vicki Paul Rebecca Rebecca Allan Allan Kirsten Vivian

MD MD

1165 S Dora St 260 Hospital Dr 333 Laws Ave 6991 N State St 700 River Dr 510 Cypress St 510 Cypress St 700 River Dr 275 Ukiah Dr 45 Hazel St 510 Cypress St 260 Hospital Dr 333 Laws Ave 45 Hazel St 333 Laws Ave 45 Hazel St 260 Hospital Dr 510 Cypress St

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

A G L M M M O Q L

MD MD MD MD MD MD MD MD MD MD

S S R R Q E

DO DO MD MD MD MD

10/24/2013

51

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino

Podiatry Podiatry Podiatry Podiatry Podiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychology Psychology Psychology Psychology Psychology Psychology Pulmonary Disease Radiation Oncology Radiation Oncology Rural Health Clinic Skilled Nursing Facility Skilled Nursing Facility Skilled Nursing Facility Skilled Nursing Facility Sleep Medicine Sleep Medicine Sleep Medicine Surgery

Karaoglan Kreger Lister Taxier Yamada Bakr Bakr Brown Garratt Garratt Hidalgo Holasek Khalique Levine Levine Litsch Litsch Ramanujam Ranade Ranade Sekhon Sekhon Shibata Shibata Sidhartha Sidhartha Singh Singh Theo Theo Trivedi Trivedi Vance Wolman Burt Burt Burt Goertzen Heilveil Nerney Steele David Joseph Nort Coast Family Health Center Frank R Howard Memorial Hospital-Swing Bed Mendocino Coast District Hospital Redwood Cove Healthcare Center Ukiah Healthcare Center Litsch Litsch Steele Dawson

Deha Jonathan Douglas Wesley Wesley Aliya Aliya Michael John John Vilma Silvina Mohsin Mark Mark Simone Simone Abhijit Rajdeep Rajdeep Harjot Harjot Shigefumi Shigefumi Tanuj Tanuj Simrita Simrita Catherine Catherine Mona Mona Stephen Carol Myra Myra Myra Vanesa Ira Jefferson James Frederick Jay

K B S N N A A E P P L S R D D A A V V V

DPM DPM DPM DPM DPM MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD

45 Hazel St 172 Washington Ave 205 South St 6991 N State St 6991 N State St 515 Cypress St 700 River Dr 347 Cypress St 31300 Comptche Ukiah Rd 480 Main St 515 Cypress St 333 Laws Ave 515 Cypress St 515 Cypress St 700 River Dr 515 Cypress St 700 River Dr 515 Cypress St 515 Cypress St 700 River Dr 515 Cypress St 700 River Dr 515 Cypress St 700 River Dr 515 Cypress St 700 River Dr 515 Cypress St 700 River Dr 515 Cypress St 700 River Dr 515 Cypress St 700 River Dr 333 Laws Ave 10483 Lansing St 118 S Franklin St 16861 Ocean Dr 45100 Main St 250 N Main St 327 N State St

Willits Ukiah Fort Bragg Redwood Valley Redwood Valley Fort Bragg Fort Bragg Fort Bragg Comptche Mendocino Fort Bragg Ukiah Fort Bragg Fort Bragg Fort Bragg Fort Bragg Fort Bragg Fort Bragg Fort Bragg Fort Bragg Fort Bragg Fort Bragg Fort Bragg Fort Bragg Fort Bragg Fort Bragg Fort Bragg Fort Bragg Fort Bragg Fort Bragg Fort Bragg Fort Bragg Ukiah Mendocino Fort Bragg Fort Bragg Mendocino Fort Bragg Ukiah Gualala Ukiah Ukiah Ukiah Fort Bragg Willits Fort Bragg Ukiah Ukiah Fort Bragg Fort Bragg Ukiah Willits

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95490 95482 95437 95470 95470 95437 95437 95437 95427 95460 95437 95482 95437 95437 95437 95437 95437 95437 95437 95437 95437 95437 95437 95437 95437 95437 95437 95437 95437 95437 95437 95437 95482 95460 95437 95437 95460 95437 95482 95445 95482 95482 95482 95437 95490 95437 95482 95482 95437 95437 95482 95490

(707) 456-9600 (707) 462-4136 (707) 964-1251 (707) 485-5115 (707) 485-5115 (916) 285-8977 (916) 285-8977 (707) 964-1820 (707) 937-4084 (707) 937-4084 (707) 961-4100 (707) 472-4596 (916) 285-8977 (916) 285-8977 (916) 285-8977 (916) 285-8977 (916) 285-8977 (707) 961-4100 (916) 285-8977 (916) 285-8977 (916) 285-8977 (916) 285-8977 (916) 285-8977 (916) 285-8977 (916) 285-8977 (916) 285-8977 (916) 285-8977 (916) 285-8977 (916) 285-8977 (916) 285-8977 (916) 285-8977 (916) 285-8977 (707) 468-1010 (707) 951-2468 (707) 964-9177 (707) 964-9177 (707) 972-6497 (707) 357-3460 (707) 467-9603 (707) 338-5238 (707) 462-1516 (707) 463-3636 (707) 463-3636 (707) 961-4631 (707) 459-6801 (707) 961-1234 (707) 462-1436 (707) 462-8864 (916) 285-8977 (916) 285-8977 (707) 462-1516 (707) 459-3070

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

J J

MD MD MD MD

G S

MD MD PHD PHD PHD PHD

P E M C S PHD MD MD MD

38550 S Highway 1 620 S Dora St 1165 S Dora St 1165 S Dora St Bldg H 721 River Dr 1 Madrone St 700 River Dr 1162 S Dora St 1349 S Dora St

Simone Simone James Tedd

A A M E

MD MD MD MD

515 Cypress St 700 River Dr 620 S Dora St 1196 S Main St

Y Y Y Y

10/24/2013

52

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Mendocino Modoc Modoc Modoc Modoc Modoc Modoc Modoc Modoc Modoc Modoc Modoc Modoc Modoc Modoc Modoc Modoc Modoc Modoc Modoc Modoc Modoc Modoc Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada

Surgery Surgery Surgery Surgery Thoracic Surgery Urology Urology Acute/General Hospital Acute/General Hospital Emergency Medicine Emergency Medicine Emergency Medicine Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Infectious Disease Internal Medicine Optometry Rural Health Clinic Rural Health Clinic Skilled Nursing Facility Acupuncture Acupuncture Acupuncture Acupuncture Acute/General Hospital Acute/General Hospital Allergy & Immunology Allergy & Immunology Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Audiology

Dawson Falk Guthrie James Falk Blackwelder Blackwelder Modoc Medical Center Surprise Valley Community Hospital Kernberg Richert Richert Bak Colas Edmonds Farson Farson Milton Musselman Phan Richert Richert Weinhold Haffner Haffner Krauel Modoc Medical Center - Rhc Surprise Valley Med Clinic Rural Health Surprise Valley Community Hospital Dp/Snf Cristdahl Ferran Gilbert Rudnicki Sierra Nevada Memorial Miners Hospital Tahoe Forest Hospital District Chang Peppercorn Grass Valley Surgery Center Sierra Ambulatory Surgery Center Llc Sierra Endoscopy Center Inc Truckee Surgery Center Llc Alpert Chan Luisetti Porter Reeves Silver Specht Specht Thomas Wilbur Bonney

Tedd Larry Richard Linda Larry Robert Robert

E C S K C E E

MD MD MD MD MD MD MD

45 Hazel St 244 Hospital Dr 230 Hospital Dr 515 Cypress St 244 Hospital Dr 246 Hospital Dr 260 Hospital Dr 228 W Mcdowell Ave 741 N Main St

Willits Ukiah Ukiah Fort Bragg Ukiah Ukiah Ukiah Alturas Cedarville Alturas Alturas Alturas Tulelake Cedarville Canby Alturas Alturas Canby Canby Alturas Alturas Alturas Tulelake Cedarville Cedarville Alturas Alturas Cedarville Cedarville Nevada City Soda Springs Grass Valley Truckee Grass Valley Truckee Grass Valley Penn Valley Grass Valley Grass Valley Grass Valley Truckee Truckee Grass Valley Grass Valley Grass Valley Grass Valley Truckee Truckee Truckee Truckee Grass Valley Grass Valley

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95490 95482 95482 95437 95482 95482 95482 96101 96104 96101 96101 96101 96134 96104 96015 96101 96101 96015 96015 96101 96101 96101 96134 96104 96104 96101 96101 96104 96104 95959 95728 95945 96161 95945 96161 95945 95946 95945 95945 95945 96161 96161 95945 95945 95945 95945 96161 96161 96161 96161 95945 95945

(707) 456-9600 (707) 468-5000 (707) 462-8825 (707) 964-6910 (707) 468-5000 (707) 462-1928 (707) 462-1928 (530) 233-5131 (530) 279-6111 (530) 233-7050 (530) 533-7036 (530) 233-7052 (530) 667-2285 (530) 279-6111 (530) 233-4641 (530) 233-5131 (530) 233-7050 (530) 233-4641 (530) 233-4641 (530) 233-7052 (530) 533-7036 (530) 233-7052 (530) 667-2285 (530) 279-6115 (530) 279-6115 (530) 233-2020 (530) 233-5131 (530) 279-6115 (530) 279-6111 (530) 470-8707 (530) 426-2211 (530) 477-5750 (530) 412-1213 (530) 274-6000 (530) 587-6011 (530) 477-9100 (530) 432-2624 (530) 271-2282 (530) 272-3428 (530) 272-0527 (530) 550-2940 (530) 587-6011 (530) 274-6000 (530) 271-2282 (530) 272-3428 (530) 274-6119 (530) 587-6011 (530) 582-3227 (530) 550-2940 (818) 344-6988 (530) 274-6119 (530) 477-1844

Y Y Y Y Y Y Y

Martin Edward Edward Kathy Chuck Matthew Matthew Matthew Robert Richard Thaibinh Edward Edward Ana Gary Gary Thomas

E P P K R S C C E P T P P J B B F

MD MD MD MD DO MD MD MD MD DO MD MD MD MD MD MD OD

229 W Mcdowell Ave 228 W Mcdowell Ave 229 W Mcdowell Ave 498 Main St 745 N Main St 670 County Road 83 228 W Mcdowell Ave 229 W Mcdowell Ave 670 County Road 83 670 County Road 83 228 W Mcdowell Ave 228 W Mcdowell Ave 229 W Mcdowell Ave 498 Main St 745 N Main St 745 N Main St 1201 Thomason Ln 228 W Mcdowell Ave 741 Main St 741 N Main St

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

Ilene Raina Gregory Tracy

L A D L

LAC LAC LAC LAC

101 Providence Mine Rd 13450 Donner Pass Rd 470 S Auburn St 12098 Sierra Dr E 155 Glasson Way 10121 Pine Ave

Y Y Y Y

Terrance Robert

T M

MD MD

150 Catherine Ln 11382 Pleasant Valley Rd 408 Sierra College Blvd 400 Sierra College Dr 300 Sierra Clg Dr 105 10770 Donner Pass Rd

Y Y

Ricki Samuel Thomas Gregory Cody Larry Thomas Thomas Bradley Steven Kimberly

MD MD

10121 Pine Ave 155 Glasson Way 408 Sierra College Dr 400 Sierra College Dr 155 Glasson Way 10121 Pine Ave 10121 Pine Ave 10770 Donner Pass Rd 10121 Pine Ave 155 Glasson Way 1097 E Main St

Y Y Y Y Y Y Y Y Y Y Y

MD MD MD

M C C J R

MD MD MD MD MD MA

10/24/2013

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California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada

Cardiac Electrophysiology Cardiac Electrophysiology Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Chemical Dependency Rehab Center, Outpatient Chemical Dependency Rehab Center, Outpatient Outpatient Psychiatric Facility Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Critical Care Medicine Dermatology Dermatology Dermatology Diagnostic Imaging Center Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice, Sports Federally Qualified Health Center

Capos O'Neill Broder Callaham Callaham Capos Kozina Lombard Low Mallery Scholnick Community Recovery Resources-Truckee Community Recovery Resources Archer Brady Fernandez Palmer Patt Polucha Randall Roberts Tirdel Ely Kamenetsky Peppercorn Northern California Pet Imaging Center Bouchier Campbell Chez Clemons Curtis Hicks Hodgson Barnes Barnes Bouchier Chen Cleveland Kellermann Koch Koch Lang Loesch Lucas Ross Martin Mulligan Nichol Paul Vanhouten Watson Winans Chapa-De Indian Health Program Inc

Nicholas Padraig George Peter Peter Nicholas Joseph John Reginald John Joshua

J G

MD MD MD

175 Joerschke Dr 150 Catherine Ln 11386 Pleasant Valley Rd 108 Catherine Ln 11386 Pleasant Valley Rd 175 Joerschke Dr 150 Catherine Ln 10978 Donner Pass Rd 150 Catherine Ln 150 Catherine Ln 10978 Donner Pass Rd 10015 Palisades Dr 180 Sierra College Dr

Grass Valley Grass Valley Penn Valley Grass Valley Penn Valley Grass Valley Grass Valley Truckee Grass Valley Grass Valley Truckee Truckee Grass Valley Nevada City Grass Valley Grass Valley Grass Valley Grass Valley Truckee Grass Valley Nevada City Truckee Grass Valley Truckee Penn Valley Grass Valley Grass Valley Grass Valley Truckee Truckee Grass Valley Grass Valley Grass Valley Grass Valley Nevada City Grass Valley Grass Valley Grass Valley Grass Valley Truckee Truckee Grass Valley Nevada City Grass Valley Grass Valley Grass Valley Grass Valley Truckee Nevada City Grass Valley Truckee Grass Valley

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95945 95945 95946 95945 95946 95945 95945 96161 95945 95945 96161 96161 95945 95959 95949 95945 95945 95945 96161 95945 95959 96161 95945 96161 95946 95945 95945 95945 96161 96161 95945 95945 95945 95945 95959 95945 95945 95945 95945 96161 96161 95945 95959 95945 95945 95945 95945 96161 95959 95945 96161 95945

(530) 272-2777 (530) 477-8358 (530) 205-9850 (530) 477-2324 (530) 205-9850 (530) 272-2777 (530) 477-8358 (530) 582-1212 (530) 477-8358 (530) 477-8358 (530) 582-1212 (530) 587-8194 (408) 460-9984 (530) 265-3095 (530) 272-2612 (530) 274-7764 (530) 273-0274 (530) 477-6252 (530) 852-1228 (530) 273-7988 (530) 470-8500 (530) 582-6400 (530) 477-7546 (530) 550-0440 (530) 432-2624 (916) 737-3211 (530) 477-4480 (530) 274-6085 (530) 582-2070 (510) 350-2664 (530) 272-9780 (530) 274-5020 (530) 274-6001 (530) 272-7700 (530) 478-1064 (530) 477-4480 (530) 477-9100 (530) 273-9541 (530) 273-4984 (530) 582-1212 (530) 582-1212 (530) 273-4984 (530) 798-5003 (530) 273-4984 (530) 273-9340 (530) 477-1727 (530) 477-8545 (530) 581-8864 (530) 292-3478 (530) 273-9340 (530) 582-7488 (530) 477-8545

Y Y Y Y Y Y Y Y Y Y Y

R R J A T I A D

MD MD MD MD MD MD MD MD

John Kathleen William Wayne Jay Mary Russell Craig Gregory Parry Dianne Robert

DC DC

707 Zion St 10110 Alta Sierra Dr 128 W Berryhill Dr 113 Presley Way 123 Margaret Ln 13450 Donner Pass Rd 227 Colfax Ave 582 Searls Ave 10956 Donner Pass Rd 565 Brunswick Rd 10870 Brockway Rd 11382 Pleasant Valley Rd 155 Glasson Way

Y Y Y Y Y Y Y Y Y Y Y Y

J P R A J S B H C M

DC DC DC DC DC DC MD MD MD MD

Todd Stuart Dennis Charles Michael Roger Danner Robert Robert Todd Anne Aaron Alan Johanna Johanna Frank Winifred Heather Galen Michael James Gregg Peter Leann Nina

A B L T C G T O O A A J S S S J M E A P W M D E S

MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD

409 Joerschke Dr 155 Glasson Way 11105 Donner Pass Rd 10121 Pine Ave 140 Litton Dr 2090 Nevada City Hwy 155 Glasson Way 345 Crown Point Cir 590 Searls Ave 409 Joerschke Dr 150 Catherine Ln 440 Henderson St 1345 Whispering Pines Ln 10956 Donner Pass Rd 10978 Donner Pass Rd 1345 Whispering Pines Ln 590 Searls Ave 1345 Whispering Pines Ln 1345 Whispering Pines Ln 1350 E Main St 1350 E Main St 10956 Donner Pass Rd 15301 Tyler Foote Rd 1345 Whispering Pines Ln 10710 Donner Pass Rd 1350 E Main St

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

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California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada

Gastroenterology Gastroenterology Gastroenterology Gastroenterology Gastroenterology Gastroenterology Gastroenterology General Practice General Practice General Vascular Surgery Hearing Aid Supplier Hearing Aid Supplier Hematology Hematology Hematology & Medical Oncology Hemodialysis Center Home Health Agency Home Health Agency Hospice Hospice Hospice & Palliative Medicine Infectious Disease Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine

Chang Foliente Godil Newman Schaffer Schaffer Wadatz Martin Vanhouten Kitts Beltone/New Era Hearing Aid Center Twin Cities Hearing Aid Center Inc Heifetz Kaime Koppel Grass Valley Dialysis Sierra Nevada Home Care Tahoe Forest Home Health Services Hospice Of The Foothills Tahoe Forest Hospice Miller Lowe Andya Behl Broder Burkholder Campbell Capos Chen Gebremedhin Gill Gill Godil Heifetz Kaime Khaira Koppel Lernhardt Lombard Low Lowe Marino Miller Miller Pierce Ritchie Schaffer Schaffer Scholnick Sharma Tirdel Wobus

Andrew Roy Aslam Frederic Gerald Gerald Dale Galen Peter David

C L

MD MD MD

300 Sierra Clg Dr 105 300 Sierra Clg Dr 105 300 Sierra Clg Dr 105 10833 Donner Pass Rd 10051 Lake Ave 10051 Pine Ave 300 Sierra Clg Dr 105 1345 Whispering Pines Ln 15301 Tyler Foote Rd 10956 Donner Pass Rd 154 Hughes Rd 113 Presley Way

Grass Valley Grass Valley Grass Valley Truckee Truckee Truckee Grass Valley Grass Valley Nevada City Truckee Grass Valley Grass Valley Truckee Truckee Truckee Grass Valley Grass Valley Truckee Grass Valley Truckee Nevada City Grass Valley Grass Valley Grass Valley Penn Valley Truckee Grass Valley Grass Valley Grass Valley Grass Valley Grass Valley Grass Valley Grass Valley Truckee Truckee Grass Valley Truckee Penn Valley Truckee Grass Valley Grass Valley Grass Valley Grass Valley Nevada City Grass Valley Truckee Truckee Truckee Truckee Grass Valley Truckee Penn Valley

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95945 95945 95945 96161 96161 96161 95945 95945 95959 96161 95945 95945 96161 96161 96161 95949 95949 96161 95945 96161 95959 95945 95945 95945 95946 96161 95945 95945 95945 95945 95945 95945 95945 96161 96161 95945 96161 95946 96161 95945 95945 95945 95949 95959 95945 96161 96161 96161 96161 95945 96161 95946

(530) 273-3377 (530) 273-3377 (530) 273-3377 (530) 582-8535 (530) 587-7698 (530) 587-7698 (530) 273-3377 (530) 273-9340 (530) 292-3478 (530) 550-8189 (530) 274-3940 (530) 272-8952 (530) 582-6450 (530) 582-6450 (530) 582-6450 (530) 477-0178 (530) 274-6350 (530) 582-3244 (530) 272-5739 (530) 582-6641 (530) 478-1536 (530) 273-2221 (530) 273-2221 (530) 274-6761 (530) 205-9850 (530) 582-1212 (530) 274-6085 (530) 272-2777 (530) 477-9100 (530) 274-6215 (530) 274-6215 (530) 273-8452 (530) 273-3377 (530) 582-6450 (530) 582-6450 (530) 274-6215 (530) 582-6450 (530) 432-1300 (530) 582-1212 (530) 477-8358 (530) 273-2221 (530) 274-6215 (530) 268-8778 (530) 478-1536 (530) 273-9992 (530) 550-1325 (530) 587-7698 (530) 587-7698 (530) 582-1212 (530) 274-6215 (530) 582-6400 (530) 432-4937

Y Y Y Y Y Y Y Y Y Y

B N N E A D G

MD MD MD MD MD MD MD

Laurence Elaine Ahrin

J M B

MD MD MD

10121 Pine Ave 10121 Pine Ave 10121 Pine Ave 776 Freeman Ln A & B 1020 Mccourtney Rd 10985 Spring Ln 11270 Rough And Ready Hwy 10985 Spring Lane

Y Y Y

William Robert Michael Arvind George Lisanne Stuart Nicholas Anne Girmay Kuldip Kuldip Aslam Laurence Elaine Divis Ahrin Elisabeth John Reginald Robert Rick Walter William Jonathan Haven Gerald Gerald Joshua Bhuwan Gregory Elizabeth

B N D K

MD MD MD MD MD

103 Providence Mine Rd 101 Margaret Ln 101 Margaret Ln 155 Glasson Way 11386 Pleasant Valley Rd 10978 Donner Pass Rd 155 Glasson Way 175 Joerschke Dr 150 Catherine Ln 155 Glasson Way 155 Glasson Way 280 Sierra College Dr 300 Sierra Clg Dr 105 10121 Pine Ave 10121 Pine Ave 155 Glasson Way 10121 Pine Ave 11286 Pleasant Valley Rd 10978 Donner Pass Rd 150 Catherine Ln 101 Margaret Ln 155 Glasson Way 10042 Wolf Rd 103 Providence Mine Rd 470 S Auburn St 10051 Pine Ave 10051 Lake Ave 10051 Pine Ave 10978 Donner Pass Rd 155 Glasson Way 10956 Donner Pass Rd 11244 Pleasant Valley Rd

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

R B J A Y S S

MD MD MD MD MD MD MD MD

J M K B B T I N J S B L M N N D

MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD

B A

MD MD

10/24/2013

55

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada

Internal Medicine Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy

Zadeh Hare Johnson Johnson Roth Sale Sale Sale Sale Schlanger Smith Snider Lipa Stewart Stukin Weiss Werner Adams Allen Anderman Arvidson Bascom Brioza Brodie Brunet Brunet Burnside Coffman Conway Douden Ellis Galbraith Galbraith Gallup Gelfan Goddard Gregory Hurt Coppola Lang Nance Pieper Ramsey Robbins Sheffield Stewart Stewart Susman Tenney Terrill Tocchi Tocchi Underwood Wapstra Scott

Alidad Kathleen Michael Michael Chelsea Jennifer Jennifer Jennifer Jennifer Eric Susan Joanna Sharon Alyse Lynette Laura Gene Deanna Dalia Todd Nancy Debra Terry James James Caroline Barbara Wendy Sherry Kathy Susan Susan Emily Corinne Joan Susan Jacqueline Julie Susan Kathy Joan Richard Kathleen John John Janice Barbara Wilma Charline Charline Deborah Shana

M A P P L M M M M M LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW LCSW E A LCSW LCSW LCSW M B R D MFT MFT D A L D D MFT MFT MFT MFT MFT MFT L N L J E E A J MFT MFT MFT MFT MFT MFT MFT MFT MFT W N L A K M M MFT MFT MFT MFT MFT MFT H H F H I MFT MFT MFT MFT MFT MFT MFT G L MFT MFT MFT LCSW MFT

155 Glasson Way 10700 Willow Valley Rd 120 N Auburn St Ste 115 15301 Tyler Foote Rd 10356 Donner Pass Rd 10524 Spenceville Rd 15301 Tyler Foote Rd 226 Mill St 307 S Auburn St 419 Spring St 15149 Sunny Hl 226 Mill St 10401 Alta St 15301 Tyler Foote Rd 123 Nevada St 565 Brunswick Rd 351 E Main St 308 Main St 565 Brunswick Rd 10091 Streeter Rd 565 Brunswick Rd 10363 High St 10524 Spenceville Rd 401 Coyote St 411 Coyote St 10049 Wild Turkey Ln 908 Taylorville Rd 230 Main St 351 E Main St 2059 Nevada City Hwy 11930 Heritage Oak Pl 351 E Main St 565 Brunswick Rd 469 Pine St 14165 Talking Pines Rd 308 Main St 10098 Jibboom St Ste 101 405 W Main St 226 Colfax Ave 10091 Streeter Rd 419 Spring St 10956 Donner Pass Rd 202 Providence Mine Rd 11930 Heritage Oak Pl 351 E Main St 10098 Jibboom St 10098 Jibboom St 103 Providence Mine Rd 10524 Spenceville Rd 17315 Penn Valley Dr 351 E Main St 10356 Donner Pass Rd

Grass Valley Nevada City Grass Valley Nevada City Truckee Penn Valley Nevada City Grass Valley Grass Valley Nevada City Grass Valley Grass Valley Grass Valley Nevada City Nevada City Grass Valley Grass Valley Nevada City Grass Valley Auburn Grass Valley Truckee Penn Valley Nevada City Nevada City Penn Valley Grass Valley Nevada City Grass Valley Grass Valley Grass Valley Grass Valley Grass Valley Grass Valley Grass Valley Nevada City Truckee Grass Valley Grass Valley Auburn Nevada City Truckee Nevada City Grass Valley Grass Valley Truckee Truckee Nevada City Penn Valley Penn Valley Grass Valley Truckee

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95945 95959 95945 95959 96161 95946 95959 95945 95945 95959 95949 95945 95945 95959 95959 95945 95945 95959 95945 95602 95945 96161 95946 95959 95959 95946 95949 95959 95945 95945 95945 95945 95945 95945 95945 95959 96161 95945 95945 95602 95959 96161 95959 95945 95945 96161 96161 95959 95946 95946 95945 96161

(530) 274-6215 (530) 265-9001 (530) 272-7856 (530) 292-3478 (530) 913-0307 (530) 432-2465 (530) 292-3478 (530) 273-0102 (530) 272-7837 (530) 265-3215 (510) 794-0304 (530) 308-4521 (530) 273-7866 (530) 292-3478 (530) 798-1076 (530) 274-1430 (530) 559-0037 (530) 265-4600 (530) 692-0680 (530) 268-1355 (530) 274-7911 (530) 582-4977 (530) 277-0316 (530) 575-1176 (530) 264-7114 (530) 432-6336 (530) 477-7050 (530) 917-5097 (530) 305-1843 (530) 477-7016 (530) 885-2226 (530) 272-7448 (530) 559-0101 (530) 265-7373 (530) 272-3088 (530) 272-0923 (530) 448-6985 (530) 272-5521 (530) 265-8559 (530) 268-3558 (530) 265-3557 (530) 581-0884 (530) 265-2202 (530) 885-2226 (530) 272-7448 (530) 913-2831 (530) 913-8216 (530) 265-3068 (530) 432-2984 (530) 432-2984 (530) 477-5322 (530) 412-3650

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

10/24/2013

56

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada

Marriage & Family Therapy Medical Oncology Medical Oncology Medical Vendor (DME) Medical Vendor (DME) Neurology Neurology Neurology Neurology Neuro-Psychology Neuroradiology Neuroradiology Nuclear Medicine Nurse Practitioner Nurse Practitioner Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Occupational Medicine Ophthalmology Ophthalmology Ophthalmology Ophthalmology Ophthalmology Ophthalmology Ophthalmology Ophthalmology Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Orthopedic Spine Surgery Orthopedic Sports Medicine Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery

Whitlock Heifetz Kaime Kinex Medical Company Northern Home Medical Blaha Breslau Greenawald Greenawald Mc Clay Breslau Knutzon Palmer Hermann Petersen Coll Dahle Goddard Leon Leon Retherford Richards Taylor Thompson Deitchman Ayazifar Camp Hagele Haugen Mercer Pearlman Reed Zealear Beilstein Borsky Chan Christensen Christensen Holcomb Kirschbaum Markis-Meyer Moon Shoop Woodburn Luna Fischer Ahluwalia Bellew Boody Dodd Fischer Foley

Sandra Laurence Elaine

L J M

MFT MD MD

206 Sacramento St Ste 211 10121 Pine Ave 10121 Pine Ave 10560 Combie Rd 930 Idaho Maryland Rd

Nevada City Truckee Truckee Auburn Grass Valley Grass Valley Grass Valley Grass Valley Grass Valley Nevada City Grass Valley Grass Valley Grass Valley Nevada City Grass Valley Truckee Grass Valley Grass Valley Grass Valley Grass Valley Grass Valley Truckee Truckee Truckee Grass Valley Grass Valley Truckee Grass Valley Grass Valley Grass Valley Grass Valley Grass Valley Grass Valley Penn Valley Grass Valley Grass Valley Auburn Grass Valley Grass Valley Grass Valley Grass Valley Grass Valley Grass Valley Grass Valley Grass Valley Truckee Grass Valley Grass Valley Grass Valley Truckee Truckee Truckee

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95959 96161 96161 95602 95945 95945 95945 95945 95945 95959 95945 95945 95945 95959 95945 96161 95945 95945 95945 95945 95945 96161 96161 96161 95945 95945 96161 95945 95945 95945 95945 95945 95945 95946 95945 95945 95602 95945 95945 95945 95945 95945 95945 95945 95945 96161 95945 95945 95945 96161 96161 96161

(530) 559-2644 (530) 582-6450 (530) 582-6450 (800) 845-6364 (800) 284-7002 (530) 272-2858 (530) 274-6107 (530) 477-1197 (530) 477-0893 (530) 401-7705 (530) 274-6107 (530) 274-6107 (530) 274-6107 (530) 292-3478 (530) 477-8358 (530) 587-1041 (530) 272-9058 (530) 272-9615 (530) 273-8486 (530) 274-3004 (530) 273-8486 (530) 587-7919 (530) 587-1041 (530) 587-1041 (530) 272-9770 (530) 272-3411 (530) 582-3667 (530) 272-3411 (530) 272-3411 (530) 272-3411 (530) 273-8062 (530) 273-8062 (530) 272-3411 (530) 432-2020 (530) 272-2238 (530) 273-3190 (530) 268-2020 (530) 273-4451 (530) 273-6000 (530) 273-3190 (530) 273-6000 (530) 273-3190 (530) 273-6000 (530) 272-3411 (530) 274-6696 (530) 587-7461 (530) 274-6696 (530) 272-1931 (530) 274-6696 (530) 587-7461 (530) 587-7461 (530) 587-7461

Y Y Y

William Jonathan Susan Susan Jane Jonathan Randy David Laura Robin Shawni Michael Richard Leonard Leonard Brian John Peter Steven Jack Mitra Jeffrey John Brian Keith Joel John Matthew Donald Tomas Gerald Layne Layne Diana Stephanie Tanya Lisa Casey Kevin Mario James Raj William Antony Jeffrey James John

MD MD MD MD PHD MD

152 Catherine Ln 155 Glasson Way 360 Sierra College Dr 380 Sierra College Dr 590 Searls Ave 155 Glasson Way 155 Glasson Way 155 Glasson Way 15301 Tyler Foote Rd 150 Catherine Lane 10175 Levone Ave

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

K A L

MD DO NP NP

L G M R R S C J A K MD MD MD MD MD MD MD MD MD MD T E O B A B S J MD MD MD MD OD OD D R R L J D E R D E G S D R S G V OD OD OD OD OD OD OD OD OD MD MD MD MD MD MD MD MD MD MD

105 Margaret Ln 105 Margaret Ln 280 Sierra College Dr 300 Sierra College Dr 280 Sierra College Dr 10956 Donner Pass Rd 10175 Levone Ave 10175 Levone Ave 140 Litton Dr 400 Sierra College Dr 10956 Donner Pass Rd 400 Sierra College Dr 400 Sierra College Dr 400 Sierra College Dr 159 Catherine Ln 159 Catherine Ln 400 Sierra College Dr 11250 Pleasant Valley Rd 154 Hughes Rd 360 Sierra College Dr 10508 Combie Rd 290 Sierra College Dr 670 Sutton Way 360 Sierra College Dr 670 Sutton Way 360 Sierra College Dr 670 Sutton Way 400 Sierra College Dr 155 Glasson Way 10051 Lake Ave 155 Glasson Way 109 Margaret Ln 155 Glasson Way 10051 Lake Ave 10051 Lake Ave 10051 Lake Ave

10/24/2013

57

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada

Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthotics & Prosthetics Otolaryngology (ENT) Otolaryngology (ENT) Pediatric Allergy & Immunology Pediatric Emergency Medicine Pediatric Hematology & Oncology Pediatric Pulmonology Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Physical Medicine & Rehabilitation Physical Medicine & Rehabilitation Plastic Surgery Podiatry Podiatry Podiatry Podiatry Podiatry Psychiatry Psychiatry Psychiatry Psychology Psychology Psychology Psychology Psychology Psychology Psychology Psychology Psychology Psychology Psychology Psychology Pulmonary Disease Radiation Oncology Radiation Oncology

Gotham Luna Minor Osgood Pinney Sierra Prosthetics Orthotics Chase Lattyak Chang Clemons Woerner Hardy Arth Brown Chang Clemons Curtis Curtis Curtis Lambert Lambert Reeder Reeder Uglum Wagner Woerner Jensen Richnak Lattyak Dyer Halat Latter Runte Runte Galvez Buccollini Abanto Rai Sternberg Askins Askins Bacheler Godon Haws-Mcalister Hoey Hoey Jones Mc Clay Mcgunnigle Olin Stratigakes Tirdel Chang Evans

David Mario Frank Patrick Stephen E W J J

DO MD MD MD MD

109 Margaret Ln 155 Glasson Way 152 Catherine Ln 10051 Lake Ave 155 Glasson Way 138 Joerschke Dr

Grass Valley Grass Valley Grass Valley Truckee Grass Valley Grass Valley Truckee Grass Valley Grass Valley Truckee Grass Valley Truckee Truckee Truckee Grass Valley Truckee Grass Valley Grass Valley Grass Valley Grass Valley Grass Valley Grass Valley Grass Valley Truckee Grass Valley Grass Valley Grass Valley Grass Valley Grass Valley Grass Valley Truckee Grass Valley Grass Valley Auburn Grass Valley Grass Valley Nevada City Grass Valley Grass Valley Grass Valley Truckee Nevada City Grass Valley Grass Valley Grass Valley Nevada City Truckee Nevada City Nevada City Truckee Grass Valley Grass Valley

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95945 95945 95945 96161 95945 95945 96161 95945 95945 96161 95945 96161 96161 96161 95945 96161 95945 95945 95945 95945 95945 95945 95945 96161 95945 95945 95945 95945 95945 95945 96161 95945 95945 95602 95945 95945 95959 95945 95945 95945 96161 95959 95945 95945 95945 95959 96161 95959 95959 96161 95945 95945

(530) 477-7130 (530) 274-6696 (530) 273-1111 (530) 587-7461 (530) 274-6696 (530) 477-1004 (530) 582-8300 (530) 273-3400 (530) 477-9100 (510) 350-2664 (530) 273-9344 (530) 587-3523 (530) 587-3523 (530) 587-3523 (530) 477-9100 (510) 350-2664 (530) 272-9780 (530) 273-4984 (530) 272-9780 (530) 273-4984 (530) 272-9780 (530) 273-4984 (530) 272-9780 (530) 587-3523 (530) 273-4984 (530) 273-9344 (530) 477-0893 (530) 477-0893 (530) 273-3400 (530) 477-7200 (530) 587-7461 (530) 477-7200 (530) 477-7200 (530) 268-7262 (530) 273-4984 (530) 573-4984 (530) 265-8264 (530) 273-4984 (530) 272-6231 (530) 798-7979 (530) 587-2557 (530) 265-3487 (530) 273-2441 (530) 273-2441 (530) 268-1146 (530) 401-7705 (530) 550-1040 (530) 888-8037 (530) 470-0444 (530) 582-6400 (530) 274-6272 (530) 274-6600

Y Y Y Y Y

Robert Bruce Terrance Charles Sarah Karen Christopher Deborah Terrance Charles Michael Michael Michael Joseph Joseph John John Else Douglas Sarah Michael Joel Bruce Duane Kathleen Stephen Kennan Kennan Juan Ranvinder Charles Michael Michael Janet Rolf Jennie Robert Robert Glyn Jane William Denise James Gregory Garrick Richard

A V T T J A

MD MD MD MD MD MD MD

10956 Donner Pass Rd 300 Sierra College Dr 150 Catherine Ln 10121 Pine Ave 1345 Whispering Pines Ln 10956 Donner Pass Rd 10956 Donner Pass Rd 10956 Donner Pass Rd 150 Catherine Ln 10121 Pine Ave 140 Litton Dr 1345 Whispering Pines Ln 140 Litton Dr 1345 Whispering Pines Ln 140 Litton Dr 1345 Whispering Pines Ln 140 Litton Dr 10956 Donner Pass Rd 1345 Whispering Pines Ln 1345 Whispering Pines Ln 380 Sierra College Dr 380 Sierra College Dr 300 Sierra College Dr 123 Margaret Ln 10051 Lake Ave

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

A T T C E E D D W W

MD MD MD MD MD MD MD MD MD MD MD

E J L D V U

MD MD DO MD MD DPM

E T T A K P V V R M L E E B

DPM DPM DPM MD MD MD PHD PHD PHD PHD PHD PHD PHD PHD PHD

123 Margaret Ln 123 Margaret Ln 23370 La Costa Ct 1345 Whispering Pines Ln 1345 Whispering Pines Ln 411 Coyote St 1345 Whispering Pines Ln 565 Brunswick Rd 406 E Main St Ste J 10097 Riverside Dr 356 Providence Mine Rd 10565 Brunswick Rd 565 Brunswick Rd 11481 Colfax Hwy 590 Searls Ave 10356 Donner Pass Rd 590 Searls Ave 825 Zion St 10956 Donner Pass Rd 155 Glasson Way 155 Glasson Way

PHD PHD

A B C F

PHD MD MD MD

10/24/2013

58

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Nevada Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas

Radiation Oncology Radiation Oncology Residential Treatment Center Skilled Nursing Facility Skilled Nursing Facility Skilled Nursing Facility Skilled Nursing Facility Skilled Nursing Facility Sleep Medicine Surgery Surgery Surgery Urology Urology Acute/General Hospital Acute/General Hospital Acute/General Hospital Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Chiropractic Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Family Practice Family Practice Family Practice Family Practice

Kraus Palmer Community Recovery Resources Crystal Ridge Care Center Sierra Nevada Memorial Hospital - Snf Spring Hill Manor Rehabilitation And Convalescent Hospital Tahoe Forest Hospital Dp Snf Wolf Creek Care Center Tirdel Cooper Kitts Watson Harris Wong Eastern Plumas Health Care Plumas District Hospital Seneca District Hospital Dhond Dhond Dhond Grosse Bell Bertman Boettger Bolton Bonsteel Caldron Dahle Dahle Dahle Davis Goldin Hanna Higgins Kaplove Laroy Lown Lum Mael Marchesseault Maron Marron Merges Satterfield Satterfield Shareck Starr Swanson Barnes Bonsteel Carlton Cox

David Daphne

J MD

155 Glasson Way 10121 Pine Ave 159 Brentwood Dr 396 Dorsey Dr 155 Glasson Way 355 Joerschke Dr 1021 Pine St 107 Catherine Ln

Grass Valley Truckee Grass Valley Grass Valley Grass Valley Grass Valley Truckee Grass Valley Truckee Truckee Truckee Grass Valley Grass Valley Grass Valley Portola Quincy Chester Quincy Greenville Portola Graeagle Portola Portola Portola Chester Portola Greenville Chester Greenville Chester Portola Portola Quincy Portola Portola Portola Portola Portola Quincy Quincy Portola Portola Portola Quincy Portola Portola Quincy Portola Quincy Portola Westwood Greenville

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95945 96161 95945 95945 95945 95945 96160 95945 96161 96161 96161 95945 95945 95945 96122 95971 96020 95971 95947 96122 96103 96122 96122 96122 96020 96122 95947 96020 95947 96020 96122 96122 95971 96122 96122 96122 96122 96122 95971 95971 96122 96122 96122 95971 96122 96122 95971 96122 95971 96122 96137 95947

(530) 274-6000 (530) 582-6450 (408) 460-9984 (530) 272-2273 (530) 274-6000 (530) 273-7247 (530) 582-3251 (530) 273-4447 (530) 582-6400 (530) 587-7698 (530) 550-8189 (530) 273-9340 (530) 274-9623 (530) 274-9623 (530) 832-4277 (530) 283-2121 (530) 258-2151 (530) 283-5640 (530) 284-6116 (530) 832-4277 (530) 262-4791 (530) 993-4184 (530) 832-4277 (530) 832-4277 (530) 258-2151 (530) 832-4277 (530) 284-6116 (530) 258-2151 (530) 284-6116 (530) 258-3750 (530) 832-4277 (530) 993-4184 (530) 283-7100 (530) 832-4277 (530) 832-4277 (530) 832-4277 (530) 832-4277 (530) 832-4277 (530) 283-2121 (530) 283-2121 (530) 832-4277 (530) 832-4277 (530) 832-4277 (530) 283-5640 (530) 832-4277 (530) 832-4277 (530) 283-2121 (530) 832-4277 (530) 283-5640 (530) 832-4277 (530) 257-3152 (530) 284-7990

Y Y

Gregory Ellen David Leann Duncan Alan

B M G E D K

MD MD MD MD MD

10956 Donner Pass Rd 10051 Lake Ave 10956 Donner Pass Rd 1345 Whispering Pines Ln 107 Margaret Ln 107 Margaret Ln 500 1St Ave 1065 Bucks Lake Rd 130 Brentwood Dr

Y Y Y Y Y Y

Milind Milind Milind Stephen Angela Jack Mark Dan Alan Randall Daniel Daniel Daniel Jeffrey Mark Jill Gregory Charles James David Gordon Azra Michael Steve Susan Daniel Mark Mark Everett Kevin Paul Erin Alan Samuel Roger

R R R P F M L W

MD MD MD DC MD MD MD DO MD

1065 Bucks Lake Rd 176 Hot Springs Rd 500 1St Ave 8989 Hwy 89 Ste 5 500 1St Ave 500 1St Ave 500 1St Ave 199 Reynolds Rd 500 1St Ave 176 Hot Springs Rd 130 Brentwood Dr 176 Hot Springs Rd 199 Reynolds Rd 500 1St Ave 500 1St Ave 1065 Bucks Lake Rd 500 1St Ave 500 1St Ave 500 1St Ave 500 1St Ave 500 1St Ave 1065 Bucks Lake Rd 1065 Bucks Lake Rd 500 1St Ave 500 1St Ave 500 First Ave 1060 Valley View Dr 500 1St Ave 500 1St Ave 1065 Bucks Lake Rd 500 1St Ave 1060 Valley View Dr 500 1St Ave 209 Birch St 410 Main St

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

A B B B M A A L L B

MD MD MD MD MD MD MD MD MD MD MD

MD MD

J P M F W W P W S M

MD MD MD MD MD MD MD MD MD MD MD

R V

MD MD

10/24/2013

59

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas

Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Federally Qualified Health Center General Practice General Practice General Practice General Vascular Surgery Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy

Dahle Dahle Dahle Davainis Dozier Hamilton Hurlburt Kepple Kepple Koch Kopes-Kerr Laroy Lown Mael Mc Intyre Merges Morgan Morgan Morgan Natali Nichol Price Satterfield Satterfield Saxman Starr Walls Ward Ware Greenville Rancheria Tribal Hlth Program Bertman Bolton Walls Kitts Caldron Collins Damazo Dewey Dhond Dhond Dhond Grier Hanna Phen Phen Phen Price Shareck Gunter Gunter Rarick Toland

Daniel Daniel Daniel Paul John Lee Rachel Jeffrey Jeffrey Johanna Colin James David Azra Sharon Daniel Ross Ross Ross Vincent James Lawrence Mark Mark Eric Kevin David Christopher Dana

B B B C C M K G G S P B

MD MD MD MD MD MD DO MD MD MD

130 Brentwood Dr 176 Hot Springs Rd 199 Reynolds Rd 209 Birch St 209 Birch St 500 1St Ave 1060 Valley View Dr 1060 Valley View Dr 1065 Bucks Lake Rd 500 1St Ave 500 1St Ave

Chester Greenville Chester Westwood Westwood Portola Quincy Quincy Quincy Portola Portola Portola Portola Quincy Quincy Portola Quincy Quincy Portola Chester Quincy Quincy Quincy Portola Quincy Quincy Chester Chester Chester Greenville Portola Chester Chester Portola Greenville Portola Canyon Dam Portola Quincy Greenville Portola Portola Quincy Greenville Portola Portola Quincy Portola Quincy Quincy Chester Portola

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

96020 95947 96020 96137 96137 96122 95971 95971 95971 96122 96122 96122 96122 95971 95971 96122 95971 95971 96122 96020 95971 95971 95971 96122 95971 95971 96020 96020 96020 95947 96122 96020 96020 96122 95947 96122 95923 96122 95971 95947 96122 96122 95971 95947 96122 96122 95971 96122 95971 95971 96020 96122

(530) 258-2151 (530) 284-6116 (530) 258-3750 (530) 257-3152 (530) 256-3152 (530) 832-4277 (530) 283-5640 (530) 283-5640 (530) 283-2121 (530) 832-4277 (530) 832-4277 (530) 832-4277 (530) 832-4277 (530) 283-2121 (530) 283-7305 (530) 832-4277 (530) 283-5640 (530) 283-2121 (530) 832-4277 (530) 258-3171 (530) 283-7161 (530) 283-0650 (530) 283-5640 (530) 832-4277 (530) 283-5640 (530) 283-2121 (530) 258-3191 (530) 258-1926 (530) 258-4116 (530) 284-7990 (530) 832-4277 (530) 258-2151 (530) 258-3191 (530) 832-6600 (530) 284-6116 (530) 832-4277 (530) 342-4395 (530) 832-4211 (530) 283-5640 (530) 284-6116 (530) 832-4277 (530) 832-4277 (530) 283-7100 (530) 284-6116 (530) 832-6600 (530) 832-6500 (530) 283-0650 (530) 832-4277 (530) 283-2003 (530) 283-6307 (530) 258-2638 (530) 832-4306

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

MD MD MD

500 1St Ave 500 1St Ave 1065 Bucks Lake Rd 1045 Bucks Lake Rd 500 First Ave 1060 Valley View Dr 1065 Bucks Lake Rd 500 1St Ave 199 Reynolds Rd 1065 Bucks Lake Rd 1045 Bucks Lake Rd 1060 Valley View Dr 500 1St Ave 1060 Valley View Dr 1065 Bucks Lake Rd 199 Reynolds Rd 199 Reynolds Rd 199 Reynolds Rd 410 Main St

E F E E E G W A W W T W W W S

MD MD MD MD MD MD MD MD MD MD MD MD DO DO MD

Jack Dan David David Randall Robert David Richard Milind Milind Milind Barnett Jill Lovsho Lovsho Lovsho Lawrence Everett Michael Michael Nancy Kathleen

M W W G A D E R R R R J A

MD DO DO MD MD

500 1St Ave 199 Reynolds Rd 199 Reynolds Rd 480 1St Ave 176 Hot Springs Rd 500 1St Ave

Y Y Y Y Y Y N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

MD MD MD MD MD MD MD MD MD MD

680 Cohasset Rd 480 1St Ave 1065 Bucks Lake Rd 176 Hot Springs Rd 500 1St Ave 500 1St Ave 1065 Bucks Lake Rd 176 Hot Springs Rd 480 1St Ave 500 1St Ave 1045 Bucks Lake Rd 500 1St Ave 231 Main St 270 County Hospital Rd 375 Riverside 217 Commercial St

A P E E K K

MD MD MFT MFT MFT MFT

10/24/2013

60

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Plumas Shasta Shasta Shasta Shasta

Medical Vendor (DME) Neurology Nurse Anesthetist Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Optometry Orthopedic Sports Medicine Orthopedic Sports Medicine Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Pediatrics Physical Medicine & Rehabilitation Podiatry Podiatry Podiatry Psychiatry Rural Health Clinic Rural Health Clinic Rural Health Clinic Rural Health Clinic Skilled Nursing Facility Skilled Nursing Facility Skilled Nursing Facility Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Thoracic Surgery Acupuncture Acupuncture Acupuncture Acute/General Hospital

Plumas Medical Services Collins Hood Coll Coll Fulmer Fulmer Fulmer Nasise Taylor Taylor Thompson Feil Fischer Fischer Ball Ball Ball Barakat Bugna Bugna Fischer Fischer Foley Lange Schillen Fort Sabet Halat Knopp Nielsen Sabet Feather River Physicians Graeagle Feather River Physicians Portola Plumas Rural Health Center Seneca Healthcare District-Lake Almanor Clinic Country Villa Quincy Healthcare Center Eastern Plumas Health Care Dp - Snf Seneca Hospital Snf Dp Bachir Jensen Jensen Jensen Jensen Jensen Jensen Kitts Bachir Hlebica Ragan Shepard Mayers Memorial Hospital District Ghassan Steen Steen Steen Steen Steen Steen David Ghassan Joseph Linda Erica L S W W W W W W G S W MD MD MD MD MD MD MD MD MD LAC LAC LAC Robert James Shawni Shawni Robert Robert Robert Norman Peter Peter Steven Fredrick James James Donald Donald Donald George Eric Eric James James John John Jack Grady Farzad Kathleen John Richard Farzad W H H DPM DPM MD D F L L I I I C J J A M G G R R R H E E G G V C D R H MD MD MD MD MD MD MD MD MD MD MD MD MD MD OD MD MD MD MD MD MD CRNA

4352 Main St 500 1St Ave 1065 Bucks Lake Rd 176 Hot Springs Rd 500 1St Ave 176 Hot Springs Rd 480 1St Ave 500 1St Ave 1065 Bucks Lake Rd 176 Hot Springs Rd 500 1St Ave 176 Hot Springs Rd 262 Main St 176 Hot Springs Rd 500 1St Ave 176 Hot Springs Rd 480 1St Ave 500 1St Ave 199 Reynolds Rd 480 1St Ave 500 1St Ave 176 Hot Springs Rd 500 1St Ave 1045 Bucks Lake Rd 199 Reynolds Rd 199 Reynolds Rd 500 1St Ave 199 Reynolds Rd 176 Hot Springs Rd 199 Reynolds Rd 500 1St Ave 199 Reynolds Rd 7597 Highway 89 480 1St Ave 1060 Valley View Dr 199 Reynolds Rd 50 E Central Ave 500 1St Ave 130 Brentwood Dr 1065 Bucks Lake Rd 1045 Bucks Lake Rd 1060 Valley View Dr 1065 Bucks Lake Rd 130 Brentwood Dr 199 Reynolds Rd 500 1St Ave 480 1St Ave 1065 Bucks Lake Rd 2515 Park Marina Dr 2005 Court St 1447 Market St 43563 State Highway 299 E

Taylorsville Portola Quincy Greenville Portola Greenville Portola Portola Quincy Greenville Portola Greenville Chester Greenville Portola Greenville Portola Portola Chester Portola Portola Greenville Portola Quincy Chester Chester Portola Chester Greenville Chester Portola Chester Graeagle Portola Quincy Chester Quincy Portola Chester Quincy Quincy Quincy Quincy Chester Chester Portola Portola Quincy Redding Redding Redding Fall River Mills

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95983 96122 95971 95947 96122 95947 96122 96122 95971 95947 96122 95947 96020 95947 96122 95947 96122 96122 96020 96122 96122 95947 96122 95971 96020 96020 96122 96020 95947 96020 96122 96020 96103 96122 95971 96020 95971 96122 96020 95971 95971 95971 95971 96020 96020 96122 96122 95971 96001 96001 96001 96028

(530) 284-1744 (530) 832-4277 (530) 283-2121 (530) 284-6116 (530) 832-4277 (530) 284-6116 (530) 832-6600 (530) 832-4277 (530) 245-0777 (530) 284-6116 (530) 832-4277 (530) 284-6116 (530) 258-3101 (530) 284-6116 (530) 832-4277 (530) 284-6116 (530) 832-6600 (530) 832-4277 (530) 258-3648 (530) 832-6600 (530) 832-4277 (530) 284-6116 (530) 832-4277 (530) 283-7185 (530) 258-3648 (530) 258-2160 (530) 832-4277 (530) 258-2160 (530) 284-6116 (530) 258-3191 (530) 832-4277 (530) 258-2160 (530) 832-4277 (530) 832-6600 (530) 283-5640 (530) 258-1986 (530) 283-2110 (530) 832-4277 (530) 258-2151 (530) 283-2121 (530) 283-1506 (530) 283-5640 (530) 283-2121 (530) 258-3459 (530) 258-3648 (530) 832-4277 (530) 832-6600 (530) 283-2121 (530) 243-9464 (530) 244-3194 (530) 510-2725 (530) 336-5511 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

10/24/2013

61

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta

Acute/General Hospital Acute/General Hospital Acute/General Hospital Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology, Pain Management Anesthesiology, Pain Management Anesthesiology, Pain Management Anesthesiology, Pain Management Anesthesiology, Pain Management Anesthesiology, Pain Management Anesthesiology, Pain Management Anesthesiology, Pain Management Anesthesiology, Pain Management

Mercy Medical Center Redding Patients Hospital Of Redding Shasta Regional Medical Center Apogee Surgery Center Court Street Surgery Center Mercy Surgery Center Redding Endoscopy Center Redding Surgery Center Riverside Surgery Center Surgery Center Of Northern California Alvarado Bailey Copeland Cramer Crockett Davuluri Dhruva Dyson Echols Gasman Gleason Gleason Hansen Hansen Heminway Kakarlapudi Kakarlapudi Koutnik Mandel Menefee Nichols Patel Patel Rodriguez Stewart Sydow Thomas Tripuraneni Tripuraneni Wang Waxer Workman Workman Bailey Gleason Gleason Hansen Hansen Nichols Patel Patel Tripuraneni Mario Larry John Thomas Dennis Pavan Shishir John Shawn Michael Randy Randy Robert Robert Gordon Rameshkumar Rameshkumar Carl Douglas Alan Stephen Rajnish Rajnish Peter John David Thomas Ravikumar Ravikumar Hojin Daniel Theodore Theodore Larry Randy Randy Robert Robert Stephen Rajnish Rajnish Ravikumar A E E W H H M M W A A J K D W A A R C R C G W A J G K A W S A H H M M L DO MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD

2175 Rosaline Ave 2900 Eureka Way 1100 Butte St 1238 West St 2184 Court St 2175 Rosaline Ave 1825 Sonoma St 2439 Sonoma St 2801 Park Marina Dr 950 Butte St 2175 Rosaline Ave 1100 Butte St 2175 Rosaline Ave 2175 Rosaline Ave 2175 Rosaline Ave 1100 Butte St 1335 Buenaventura Blvd 1100 Butte St 2175 Rosaline Ave 2175 Rosaline Ave 1100 Butte St 1548 East St 1335 Buenaventura Blvd 1710 Churn Creek Rd 2175 Rosaline Ave 1100 Butte St 1548 East St 2175 Rosaline Ave 2175 Rosaline Ave 2175 Rosaline Ave 1100 Butte St 1100 Butte St 1548 East St 2175 Rosaline Ave 2175 Rosaline Ave 1100 Butte St 2175 Rosaline Ave 1100 Butte St 1548 East St 2175 Rosaline Ave 1710 Churn Creek Rd 1238 West St 2175 Rosaline Ave 1100 Butte St 1100 Butte St 1548 East St 1335 Buenaventura Blvd 1710 Churn Creek Rd 1100 Butte St 1100 Butte St 1548 East St 1100 Butte St

Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

96001 96001 96001 96001 96001 96001 96001 96001 96001 96001 96001 96001 96001 96001 96001 96001 96001 96001 96001 96001 96001 96001 96001 96002 96001 96001 96001 96001 96001 96001 96001 96001 96001 96001 96001 96001 96001 96001 96001 96001 96002 96001 96001 96001 96001 96001 96001 96002 96001 96001 96001 96001

(530) 225-6300 (530) 225-8715 (530) 244-8303 (530) 241-5499 (530) 246-4444 (530) 225-7400 (530) 246-7000 (530) 241-1303 (530) 244-9734 (530) 223-2500 (530) 225-6000 (530) 241-0410 (530) 225-6000 (530) 225-6000 (530) 225-6000 (530) 244-5400 (530) 247-7246 (530) 241-0410 (530) 225-6000 (530) 225-6000 (530) 241-0410 (530) 241-0410 (530) 247-7246 (530) 222-6166 (530) 225-6000 (530) 241-0410 (530) 241-0410 (530) 225-6000 (530) 225-6000 (530) 243-0440 (530) 241-0410 (530) 241-0410 (530) 241-0410 (209) 473-6555 (209) 473-6555 (530) 241-0410 (209) 473-6555 (530) 241-0410 (530) 241-0410 (530) 225-6000 (530) 222-6166 (530) 241-5449 (209) 473-6555 (530) 241-0410 (530) 241-0410 (530) 241-0410 (530) 247-7246 (530) 222-6166 (530) 241-0410 (530) 241-0410 (530) 241-0410 (530) 241-0410 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

10/24/2013

62

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta

Anesthesiology, Pain Management Anesthesiology, Pain Management Anesthesiology, Pain Management Anesthesiology, Pain Management Audiology Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Chemical Dependency Rehab Center, Outpatient Chemical Dependency Rehab Center, Outpatient Outpatient Psychiatric Facility Child & Adolescent Psychiatry Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Clinical Neurophysiology Colon & Rectal Surgery

Tripuraneni Waxer Workman Workman Batini Chandramouli Ditchey Fletscher Khan Mendelsohn Mendelsohn Mendelsohn Okonski Russ Russ Stemple Tioran Zucker Shasta Recovery Center Thomas J Andrews Md Inc Andrews Carrino Cosh Crume Greve Hanley Henninger Hutchings James Jensen Jensen Kalmbach Kratofil Lacunza Livolsi Lollar Lollar Meredith Meyer Montgomery Moore Mueller Peck Peterson Reiner Richardson Salas Smith Smith Wilburn Birk Stone

Ravikumar Daniel Theodore Theodore Angela Bukkambudhi Roy Walter Mohamed Steven Steven Steven Gisela Thomas Thomas Dale Teresa Robert R A P C A E E M V V L H

MD MD MD MD MA

1548 East St 1710 Churn Creek Rd 1238 West St 2175 Rosaline Ave 2160 Court St 1555 East St

Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Cottonwood Redding Redding Redding Redding Anderson Redding Redding Redding Redding Redding Redding Redding Redding Redding Anderson Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Palo Cedro Round Mtn Redding Redding Redding

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

96001 96002 96001 96001 96001 96001 96001 96001 96001 96001 96001 96001 96001 96022 96001 96002 96001 96001 96007 96002 96002 96002 96001 96001 96002 96002 96001 96002 96007 96001 96001 96002 96002 96003 96002 96001 96003 96001 96001 96001 96002 96002 96002 96003 96001 96002 96001 96073 96084 96002 96001 96001

(530) 241-0410 (530) 222-6166 (530) 241-5449 (209) 473-6555 (530) 241-6656 (530) 244-4471 (530) 244-7192 (530) 241-9966 (530) 241-1144 (530) 244-2882 (530) 241-0473 (530) 244-2882 (530) 247-0404 (530) 347-4867 (530) 241-9966 (530) 605-1505 (530) 241-4250 (530) 225-6000 (530) 365-1160 (530) 221-6303 (530) 221-7474 (530) 243-2300 (530) 244-1185 (530) 244-4772 (530) 243-0381 (530) 223-0790 (530) 244-9000 (530) 221-4991 (530) 365-1406 (530) 241-2798 (530) 241-2798 (530) 722-9010 (530) 223-0898 (530) 222-6510 (530) 221-0253 (530) 246-2467 (530) 722-9012 (530) 243-9464 (530) 243-9463 (530) 247-4228 (530) 221-4200 (530) 223-0583 (530) 222-0350 (530) 224-1752 (530) 245-0402 (530) 222-3727 (530) 227-3984 (530) 547-3787 (530) 337-6243 (530) 241-0712 (530) 241-8890 (530) 244-2882

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

MD MD MD MD MD MD MD MD MD MD DO MD

2638 Edith Ave 2510 Airpark Dr 2102 Civic Center Dr 2510 Airpark Dr 2626 Edith Ave 2656 Edith Ave 2626 Edith Ave 20633 Gas Point Rd 2510 Airpark Dr 1647 Hartnell Ave 2701 Eureka Way 2175 Rosaline Ave 2115 Howard St 2885 Churn Creek Rd

Thomas Samuel Christina Brian Robert Michael Ronald Donovan Lee Jens Kimberley Frederick Frank Cynthia Philip Lance Lance Bryan Adam Dakota Michael Steven John David Lydia Gary Maria Jamie Robert Jed Harvinder James

J J

MD DC DC

2891 Churn Creek Rd 153 Hartnell Ave 2007 Pine St 1756 Continental St 660 Azalea Ave 2021 Victor Ave 405 South St 3749 Churn Creek Rd 2803 Childress Dr 1115 Eureka Way 1115 Eureka Way 2779 Bechelli Ln 1553 Hartnell Ave 979 Mission De Oro Dr 926 E Cypress Ave 1255 Liberty St 1465 Victor Ave 2515 Park Marina Dr 2515 Park Marina Dr 2335 Athens Ave 1825 Hartnell Ave 3051 Victor Ave 2185 Churn Creek Rd 1143 Hilltop Dr 2851 Park Marina Dr 2620 Larkspur Ln 405 South St 9461 Deschutes Rd 29632 Hwy 1556 Hartnell Ave 2336 Court St 2656 Edith Ave

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

D L D D K S O R N J D F L L W L

DC DC DC DC DC DC DC DC DC DC DC DC DC DC DC DC DC

J E W A

DC DC DC DC DC

L E J J T S M

DC DC DC DC DC MD MD

10/24/2013

63

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta

Critical Care Medicine Critical Care Medicine Critical Care Medicine Critical Care Medicine Critical Care Medicine Dermatology Dermatology Dermatology Dermatology Dermatology Dermatology Dermatology Diagnostic Imaging Center Diagnostic Imaging Center Diagnostic Imaging Center Diagnostic Imaging Center Diagnostic Imaging Center Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Endocrinology & Metabolism Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice

Lupercio Lupercio Reodica Sambasivan Sambasivan Chang Chang Gerlic Kraffert Shiu Stratte Van Dyke Cardiovascular Imaging Services Inc Corning X Ray Medical Doctors Imaging Inc A Med Grp Medical Doctors Imaging Inc A Med Grp Open System Mri Iii Ltd Bedi Bedi Bedi Calvo Calvo Edelstein Hamilton Hamilton Harman Knapp Lawson Poppe Saunders Sheikho Shin Shook Wargo Wells Zittel Akman Bedi Bedi Bedi Billington Bonnett Bosworth Bosworth Budhram Civalier David Davis Davis Dillon Dillon Dintiman

Rafael Rafael Ronald Antonio Sriram Sriram Tinyee Tinyee Richard Craig Jane Elizabeth Byron T T H A W G J S

MD MD

180 Northpoint Dr 2701 Old Eureka Way 1145 Whiskeytown Ct 180 Northpoint Dr 2701 Old Eureka Way

Redding Redding Redding Redding Redding Cottonwood Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Anderson Shasta Lake Redding Redding Redding Redding Redding Anderson Redding

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

96003 96001 96001 96003 96001 96022 96002 96001 96001 96001 96001 96001 96001 96001 96001 96001 96002 96001 96002 96002 96001 96001 96001 96001 96001 96001 96001 96001 96002 96001 96001 96001 96001 96002 96001 96001 96001 96001 96002 96002 96001 96001 96001 96007 96019 96001 96002 96001 96002 96001 96007 96003

(530) 232-3000 (530) 232-3000 (530) 246-4180 (530) 232-3000 (530) 232-3000 (530) 347-3418 (530) 221-3376 (530) 244-4222 (530) 241-1111 (530) 241-9199 (530) 243-6085 (530) 247-7546 (530) 247-1880 (530) 824-9433 (530) 243-1249 (530) 243-2177 (530) 222-0674 (530) 244-5400 (530) 222-3287 (530) 722-1111 (530) 225-6000 (530) 247-4211 (530) 244-5400 (530) 241-0473 (530) 225-6000 (530) 225-6000 (530) 241-2151 (530) 225-6000 (530) 222-6886 (530) 225-6000 (866) 883-5374 (530) 244-5400 (530) 225-6000 (530) 222-6166 (530) 225-6000 (530) 241-2151 (530) 243-3231 (530) 244-5400 (530) 222-3287 (530) 722-1111 (530) 243-3988 (530) 244-4034 (530) 246-5710 (530) 378-0486 (530) 275-5421 (530) 244-4034 (530) 222-9643 (530) 224-2700 (530) 224-2707 (530) 229-7891 (530) 378-0486 (530) 221-1565

Y Y Y Y Y Y Y Y Y Y Y N

MD MD

20833 Long Branch Dr 2570 Goodwater Ave 1388 Court St

MD MD MD MD

2107 Airpark Dr 3305 Placer St 2626 Edith Ave 1158 N Court St 2701 Old Eureka Way 1220 Almond Ave 2020 Court St 2650 Edith Ave 850 Industrial St

Sagar Sagar Sagar Linette Linette Henry Julie Robert Patricia Andrew Robert Matthew Sandra Hassan Hyonah Glen Edward Jesse Scott Mitchell Sagar Sagar Sagar Barry Jessica Jeffrey Jeffrey Harold David Frederick Paul Paul Cynthia Cynthia Lisa B E A A S W M R R R R L D R A R S H S J L F M K S C C

MD MD MD MD MD MD MD MD MD

1100 Butte St 3330 Churn Creek Rd 691 Maraglia St 2175 Rosaline Ave 3689 Eureka Way 1100 Butte St 1950 Rosaline Ave 2175 Rosaline Ave 2175 Rosaline Ave 2770 Eureka Way

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

MD MD MD MD MD MD MD MD DO MD MD MD MD MD DO MD MD MD MD MD DO DO

2175 Rosaline Ave 3270 Churn Creek Rd 2175 Rosaline Ave 1100 Butte St 1100 Butte St 2175 Rosaline Ave 1710 Churn Creek Rd 2175 Rosaline Ave 2770 Eureka Way 1555 East St 1100 Butte St 3330 Churn Creek Rd 691 Maraglia St 1115 Whiskeytown Ct 2510 Airpark Dr 1035 Placer St 2801 Silver St 5145 Shasta Dam Blvd 2510 Airpark Dr 3330 Churn Creek Rd 1441 Liberty St 3184 Churn Creek Rd 1355 East St 2801 Silver St

DO

1093 Hilltop Dr

10/24/2013

64

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta

Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice

Edelstein Edwards Evans Farley Featherstone Featherstone Featherstone Finch Friesen Fuentes Fuentes Godzich Goodall Goodall Gorchoff Grover Hamilton Harden Harden Harris Heard Herold Holscher Holscher Jorde Jorde Kikuchi Kimple Kimple Kingsley Kingsley Kingsley Kristoffersen Kurosaka Lair Lode Lode Lui Maples Maples Martinez Martinez Mc Mullin Mcclure Mehton Mehton Merlo Milton Murphy Musselman Namihas Nepomuceno

Henry William Clinton Michael Bryan Bryan Bryan Jack Jill Julian Julian Micaela Shawn Shawn David Rhett Lee William William Darrell Laurence Heidi Donna Donna Michael Michael Norman John John Jolene Michael Michael Sahaile Momoo Brian George George Albert Richard Richard Richard Richard Douglas Jill Nirmal Nirmal Raymond Robert Ann Richard Steven Carlota G M M A A B A S S A E M P C C M E L J J J W R R R C E E B D M S S V S A A A D D D M M A C C

MD MD DO DO DO DO DO MD MD MD MD MD MD MD MD DO MD MD MD MD MD

1100 Butte St 1035 Placer St 1093 Hilltop Dr 2401 Hartnell Ave 1441 Liberty St 1647 Hartnell Ave 3184 Churn Creek Rd 1970 Hartnell Ave 1035 Placer St 2830 East St 3330 Churn Creek Rd 43563 State Highway 299 E 1035 Placer St 2801 Silver St 1035 Placer St 1035 Placer St 3270 Churn Creek Rd 2510 Airpark Dr 2510 Airpark Dr #201-104 2632 Edith Ave 1035 Placer St 2143 Airpark Dr

Redding Redding Redding Redding Redding Redding Redding Redding Redding Anderson Redding Fall River Mills Redding Anderson Redding Redding Redding Redding Redding Redding Redding Redding Cottonwood Cottonwood Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Cottonwood Redding Shasta Lake Redding Redding Redding Redding Redding Redding Redding Anderson Anderson Redding Redding Redding Redding Redding Redding

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

96001 96001 96003 96002 96001 96002 96002 96002 96001 96007 96002 96028 96001 96007 96001 96001 96002 96001 96001 96001 96001 96001 96022 96022 96003 96001 96002 96001 96001 96001 96001 96001 96001 96001 96022 96001 96019 96002 96001 96001 96001 96001 96001 96001 96007 96007 96002 96002 96001 96001 96001 96001

(530) 244-5400 (530) 246-5710 (530) 246-4629 (530) 229-9300 (530) 224-2700 (530) 241-5808 (530) 224-2707 (530) 223-7444 (530) 246-5710 (530) 365-2545 (530) 222-3287 (530) 336-6535 (530) 246-5710 (530) 378-0486 (530) 246-5710 (530) 246-5710 (530) 222-6886 (530) 244-4034 (530) 244-4034 (530) 242-1227 (530) 246-5710 (530) 241-7477 (530) 347-4867 (530) 347-3418 (530) 221-1565 (530) 246-4629 (530) 646-4242 (530) 244-4034 (530) 244-4034 (530) 246-5710 (530) 246-5710 (530) 245-4801 (530) 246-5710 (530) 246-5710 (530) 347-3418 (530) 246-5710 (530) 246-5896 (530) 646-4242 (530) 244-4034 (530) 244-4034 (530) 244-9078 (530) 242-3500 (530) 244-4034 (530) 246-5710 (530) 365-2545 (530) 365-2545 (530) 222-2113 (530) 222-6166 (530) 246-5710 (530) 722-1111 (530) 246-5738 (530) 224-2700

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

MD MD MD MD MD MD MD DO DO DO DO

20633 Gas Point Rd 20833 Long Branch Dr 1093 Hilltop Dr 2123 Eureka Way 1710 Churn Creek Rd 2510 Airpark Dr 2510 Airpark Dr #201-104 1035 Placer St 1035 Placer St 1950 Rosaline Ave 1035 Placer St 1035 Placer St

DO MD MD MD MD MD MD MD MD

20833 Long Branch Dr 1035 Placer St 4215 Front St 1710 Churn Creek Rd 2510 Airpark Dr 2510 Airpark Dr #201-104 1555 East St 2510 Airpark Dr 2510 Airpark Dr 1035 Placer St

MD MD MD MD

2830 E St 2830 East St 191 Hartnell Ave 1710 Churn Creek Rd 1035 Placer St

DO MD MD

691 Maraglia St 1035 Placer St 1441 Liberty St

10/24/2013

65

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta

Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice

Nepomuceno Nepomuceno Nepomuceno Nepomuceno Nepomuceno Nepomuceno Nix Nix Nix Orloff Phillips Phillips Poppe Porter Porter Pyle Reddy Reddy Reinhardt Roitman Roitman Rutherford Sand Seely Shahatit Shettell Shettell Shettell Shettell Shin Short Short Spears Spiller Stanfield Staszel Swanson Tasista Tompkins Van Horn Van Horn Van Horn Van Mol Vaughan Villalobos Washburn Watson Watson Weagant Weagant Weiner Weiner

Carlota Carlota John John John John Tawana Tawana Tawana Feoktist Rodney Rodney Matthew Elaine Elaine Larry Usha Usha Clayton Jay Jay Rian Ronald Keith Bashar Benjamin Benjamin Benjamin Benjamin Hyonah David David Gregory Bettina Robert Michael Shane Melissa Richard Jill Jill Jill Andre' Gregory Joe Elisa Thomas Thomas Lance Lance Daniel Daniel

C C E E E E N N N N T T M M M R R R

MD MD MD MD MD MD

3184 Churn Creek Rd 691 Maraglia St 1100 Butte St 1441 Liberty St 3184 Churn Creek Rd 691 Maraglia St 1035 Placer St 16300 Cloverdale Rd 2801 Silver St

Redding Redding Redding Redding Redding Redding Redding Anderson Anderson Redding Redding Redding Redding Redding Shasta Lake Redding Redding Redding Redding Redding Redding Redding Redding Redding Cottonwood Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Anderson Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Burney Burney Burney Fall River Mills Redding Redding

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

96002 96002 96001 96001 96002 96002 96001 96007 96007 96001 96003 96001 96002 96001 96019 96001 96001 96002 96001 96003 96001 96001 96001 96001 96022 96001 96003 96001 96001 96001 96001 96001 96001 96001 96002 96007 96003 96001 96001 96003 96001 96001 96003 96001 96001 96002 96013 96013 96013 96028 96001 96002

(530) 226-1740 (530) 722-1111 (530) 244-5434 (530) 244-1003 (530) 226-1753 (530) 722-1111 (530) 246-5710 (530) 357-2860 (530) 378-0486 (530) 243-1552 (530) 221-1565 (530) 246-4629 (530) 222-6886 (530) 246-5710 (530) 276-9168 (530) 244-9003 (530) 244-5434 (530) 222-6886 (530) 722-1111 (530) 221-1565 (530) 246-4629 (530) 246-5710 (530) 246-5710 (530) 356-5507 (530) 347-3418 (530) 246-5883 (530) 221-1565 (530) 246-4629 (530) 605-4680 (530) 244-5400 (530) 244-4034 (530) 244-4034 (530) 244-4034 (530) 246-5710 (530) 646-4242 (530) 365-4412 (530) 221-1565 (530) 246-5710 (530) 244-5434 (530) 221-1565 (530) 246-4629 (530) 241-7477 (530) 222-3225 (530) 246-5710 (530) 246-5710 (530) 226-1753 (530) 335-5457 (530) 335-5457 (530) 335-5457 (530) 336-6535 (530) 224-2700 (530) 224-2707

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

MD MD MD MD MD MD MD MD MD DO

2787 Eureka Way 1093 Hilltop Dr 2123 Eureka Way 3270 Churn Creek Rd 1035 Placer St 4215 Front St 2701 Old Eureka Way 1100 Butte St 3270 Churn Creek Rd 691 Maraglia St 1093 Hilltop Dr 2123 Eureka Way 1035 Placer St 1035 Placer St 2175 Rosaline Ave 20833 Long Branch Dr 1035 Placer St 1093 Hilltop Dr 2123 Eureka Way 2632 Edith Ave 1100 Butte St 2510 Airpark Dr 2510 Airpark Dr #201-104 2510 Airpark Dr 1035 Placer St 1710 Churn Creek Rd 3082 Mcmurray Dr 1093 Hilltop Dr 1035 Placer St 1100 Butte St 1093 Hilltop Dr 2123 Eureka Way 2515 Park Marina Dr 3580 Santa Rosa Way 1035 Placer St 1035 Placer St 3184 Churn Creek Rd 20641 Commerce Way 37491 Enterprise Dr 20641 Commerce Way 43563 State Highway 299 E 1441 Liberty St 3184 Churn Creek Rd

S S W W A M

DO DO MD MD MD MD MD MD MD MD MD

A A R U J

MD MD DO MD MD DO

M D B E E E

MD DO MD DO DO DO MD

G L E D D W W M M

MD MD DO MD MD MD MD DO DO

10/24/2013

66

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta

Family Practice Family Practice Family Practice, Sports Federally Qualified Health Center Federally Qualified Health Center Gastroenterology Gastroenterology Gastroenterology Gastroenterology General Practice General Practice General Practice General Practice General Practice General Practice General Practice General Vascular Surgery General Vascular Surgery General Vascular Surgery Hearing Aid Supplier Hearing Aid Supplier Hearing Aid Supplier Hearing Aid Supplier Hematology Hematology Hematology & Medical Oncology Hematology & Medical Oncology Hematology & Medical Oncology Hematology & Medical Oncology Hematology & Medical Oncology Hemodialysis Center Hemodialysis Center Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Infusion Therapy Home Infusion Therapy Home Infusion Therapy Hospice Hospice Infectious Disease Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine

Weinhold Weinhold Chang Pit River Health Service Inc Redding Rancheria Indian Health Clinic Dhanuka Dhanuka Namihas Spinka Abdolmohammadi Baker Ballard Carter Edwards Stemple Wolfer Gonzalez Hatter Pottmeyer Beltone Hearing Aid Center Michael Daly'S Hearing Aide Ctr Miracle Ear Hearing Center Up State Hearing Instruments Freeman Verma Carter Carter Figueroa Figueroa Penn Dialysis Clinic Inc Redding Dialysis Center Addus Healthcare Inc Home Healthcare Management Inc-Redding Interim Healthcare Maxim Healthcare Services Inc Medical Home Care Professionals Inc Mercy Home Care Apria Healthcare Inc Critical Care Systems Inc Owens Healthcare Specialty Pharmacy Inc Interim Healthcare Hospice Mercy Hospice Menezes Adams Adams Alcala Aung Balcazar Benaron Britto Carter

Ana Ana Tony

J J L

MD MD MD

37491 Enterprise Dr 43653 Hwy 299 E 1255 Liberty St 36977 Park Ave 1441 Liberty St

Burney Fl River Mls Redding Burney Redding Redding Redding Redding Redding Redding Redding Redding Cottonwood Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Burney Burney Redding Redding Cottonwood Redding Redding Redding

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

96013 96028 96001 96013 96001 96001 96002 96001 96001 96001 96002 96001 96022 96001 96002 96001 96001 96001 96001 96002 96001 96001 96001 96001 96001 96001 96002 96002 96001 96002 96003 96001 96002 96002 96002 96002 96002 96001 96002 96001 96001 96002 96001 96001 96013 96013 96001 96001 96022 96002 96001 96001

(530) 335-5457 (530) 336-6535 (530) 246-2467 (530) 335-5090 (530) 226-1753 (530) 243-8667 (530) 722-1111 (530) 244-3622 (530) 244-0654 (530) 245-5900 (530) 226-0310 (530) 244-9750 (626) 204-1410 (530) 246-5710 (530) 605-1505 (530) 241-1455 (530) 246-1240 (530) 244-2882 (530) 243-2626 (530) 221-4624 (530) 246-1099 (530) 241-2200 (530) 243-7307 (530) 242-8822 (530) 244-7400 (530) 244-2223 (530) 244-2223 (530) 244-2223 (530) 245-5900 (530) 244-2223 (530) 246-1140 (530) 246-7474 (530) 247-0858 (530) 226-0120 (530) 221-1212 (530) 221-3713 (530) 226-5577 (530) 245-4040 (530) 221-0202 (530) 241-4727 (530) 225-8898 (530) 221-1212 (530) 245-4070 (530) 225-6000 (530) 335-2954 (530) 335-5457 (530) 243-1134 (530) 225-8775 (530) 347-4867 (530) 222-4791 (530) 241-9450 (530) 244-2223

Y Y Y

Piyush Piyush Bret Paul Alireza William Diana Kelly William Dale Carl James Douglas Edward

K K N J

MD MD MD MD MD

2510 Airpark Dr 691 Maraglia St 2005 Court St 1839 Sonoma St 963 Butte St 1710 Churn Creek Rd 1115 Whiskeytown Ct 20833 Long Branch Dr 1035 Placer St 1647 Hartnell Ave 1555 East St 1555 East St 2656 Edith Ave 2240 Court St 1770 Churn Creek Rd 2305 Court St 1890 Park Marina Dr 1640 Tehama St

Y Y Y Y Y Y Y Y Y Y Y Y Y Y

M M D M R

MD MD MD MD MD MD

N G W

MD MD MD

Jed Ajay Chalmer Chalmer Michael Michael Juliet

L K G G L L M

MD MD MD MD MD MD MD

2510 Airpark Dr 1555 East St 2175 Rosaline Ave 310 Hartnell Ave 310 Hartnell Ave 963 Butte St 310 Hartnell Ave 180 Northpoint Dr 1876 Park Marina Dr 2871 Churn Creek Rd 1647 Hartnell Avenue 970 Executive Way 2757 Churn Creek Road C-D 2115 Churn Creek Rd 1544 Market St 6680 Lockheed Dr 1950 Rosaline Ave 2025 Court St 970 Executive Way 1544 Market St

Y Y Y Y Y Y Y

Sutton Robert Robert Daniel Than Mirtha Lisa Regis Chalmer

N M M H T L D J G

MD MD MD MD MD MD MD MD MD

2175 Rosaline Ave 37394 Cascade Ave 37491 Enterprise Dr 1441 Liberty St 2421 Old Eureka Way 20633 Gas Point Rd 1900 Churn Creek Rd 1555 East St 2175 Rosaline Ave

Y Y Y Y Y Y Y Y Y

10/24/2013

67

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta

Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Interventional Cardiology Laboratory Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Long Term Care Hospital Marriage & Family Therapy

Carter Casey Chandramouli Choudhry Collins Daniell Devlaming Dhanuka Dhanuka Dhanuka Dhanuka Dhanuka Ditchey Hayatdavoudi Jamm Khan Maddali Maddali Mann Mantri Menezes Muzaffar Mohsin Okonski Patel Peltz Pepple Pierce Pierce Pierce Pierce Rainsford Rainsford Reeder Russ Russ Tioran Zucker Ditchey Laboratory Corporation Of America Adams Baudizzon Bertolucci Carpenter Frye Linville Linville Linville Roberts Seargeant Thompson Northern California Rehabilitation Hospital Brynjolfsson

Chalmer Stephen Bukkambudhi Sara Carolyn Harry William Piyush Piyush Promila Promila Promila Roy Saman Lily Imran Krishna Krishna James Dinesh Sutton Qazi Gisela Kaushik Matthew Richard Mark Mark Mark Mark Kevin Kevin William Thomas Thomas Teresa Robert Roy

G J V

MD MD

310 Hartnell Ave 1555 East St 1555 East St

Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Cottonwood Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Round Mtn Redding Redding Redding Redding Redding Redding

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

96002 96001 96001 96001 96001 96001 96001 96001 96002 96001 96001 96002 96001 96001 96001 96001 96001 96002 96001 96001 96001 96001 96001 96001 96001 96002 96001 96003 96001 96001 96001 96001 96001 96022 96001 96001 96001 96001 96001 96002 96001 96002 96001 96001 96001 96084 96001 96001 96002 96001 96001 96001

(530) 244-2223 (530) 243-3231 (530) 244-4471 (530) 246-5710 (530) 244-2223 (530) 241-7050 (530) 244-1692 (530) 243-8667 (530) 722-1111 (530) 247-1425 (530) 247-1425 (530) 722-1111 (530) 244-7192 (530) 244-5434 (530) 246-5710 (530) 246-5710 (530) 244-5434 (530) 226-9551 (530) 241-5400 (530) 241-9450 (530) 225-6000 (530) 244-5434 (530) 247-0404 (530) 242-4683 (530) 241-0473 (530) 222-0527 (530) 941-1926 (530) 221-1565 (530) 246-4629 (530) 242-8822 (530) 244-6715 (530) 246-9000 (530) 241-8822 (530) 347-4867 (530) 241-9966 (530) 241-4250 (530) 225-6000 (530) 244-7192 (530) 225-8076 (530) 222-8687 (530) 241-9276 (530) 949-0420 (530) 410-8135 (530) 243-5496 (530) 243-9057 (530) 337-6243 (530) 243-9057 (530) 227-2530 (530) 221-4777 (530) 243-0820 (530) 246-9000 (530) 243-6247

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

MD

1035 Placer St 2175 Rosaline Ave

W H K K

MD

2626 Edith Ave 1355 East St

MD MD MD MD MD

2510 Airpark Dr 691 Maraglia St 1950 Rosaline Ave 2145 Court St 691 Maraglia St 2638 Edith Ave 1100 Butte St 1035 Placer St 1035 Placer St

MD MD

E A

MD

MD MD R S N M C V J T E E E E J J H MD MD MD MD MD MD DO MD MD MD MD MD MD MD MD MD MD A P V DO MD MD

1100 Butte St 3445 Billings Dr 2134 Eureka Way 1555 East St 2175 Rosaline Ave 1100 Butte St 2626 Edith Ave 1555 East St 2510 Airpark Dr 3330 Churn Creek Rd 1000 Hallmark Dr 1093 Hilltop Dr 2123 Eureka Way 2510 Airpark Dr 1555 East St 2801 Eureka Way 2510 Airpark Dr 20633 Gas Point Rd 2510 Airpark Dr 2701 Eureka Way 2175 Rosaline Ave 2638 Edith Ave 1725 Gold St

Melinda Jamie Rayna Jo Robert George George Janet Carole Patricia Marcella

L L S A

LCSW LCSW

448 Redcliff Dr 1933 Market St 429 Redcliff Dr

Y Y Y Y Y Y Y Y Y Y Y

LCSW LCSW

1005 Yuba St 2532 Old Eureka Way 1116 Pine St 29632 State Hwy 299 E 1116 Pine St 1116 Pine St 448 Redcliff Dr 1005 Yuba St 2801 Eureka Way

R R B E A

LCSW LCSW LCSW LCSW LCSW LCSW

Ann

MFT

1211 Magnolia Ave

10/24/2013

68

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta

Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Medical Oncology Medical Oncology Medical Oncology Medical Oncology Medical Oncology Medical Oncology Medical Oncology Medical Oncology Medical Vendor (DME) Medical Vendor (DME) Medical Vendor (DME) Medical Vendor (DME) Medical Vendor (DME) Medical Vendor (DME) Medical Vendor (DME) Medical Vendor (DME) Medical Vendor (DME) Medical Vendor (DME) Nephrology Nephrology Neurological Surgery Neurology Neurology Neurology

Casper Clark Curran Dennis Dennis Dorroh Foster Furnish Huitric Jellison La Fein Lafferty Lindauer Mason Mc Kinnon Mc Kinnon Mills Naujocks-Mix Ostendorf Rhodes Rountree Scheide Scott Scott Singer-Telles Tarkington Tarkington Weathersbee Collins Dhanuka Dhanuka Dhanuka Freeman Penn Verma Zidehsarai Apria Healthcare Inc Custom Rehabilitation Network Hanger Prosthetics & Orthotics West Inc Lincare Norcal Respiratory Inc Owens Healthcare 10 Owens Healthcare Specialty Pharmacy Inc Pacific Medical Inc Pacific Pulmonary Services Ss Medical Sambasivan Sambasivan Ulloth Birk Karem Rabiee

David Helen Patrick Judith Judith Lynn Blanchard Carolyn Albert Lisa Scott Linda Hillary Danyela Louisa Robert Anthony Marina Donald Geoffrey Lyn Deborah Wendy Wendy Alexa Judy Judy Stephen Carolyn Promila Promila Promila Jed Juliet Ajay Behrooz

L L J A A E L F A M N J

MFT MFT MFT MFT MFT MFT MFT MFT MFT

1352 Oregon St 2485 Old Eureka Way 1755 East St 191 Hartnell Ave 748 N Market St 29632 State Hwy 299 E 191 Hartnell Ave 1725 Oregon St 2891 Churn Creek Rd 1726 Tehama St

Redding Redding Redding Redding Redding Round Mtn Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Shasta Lake Redding Redding Redding Redding Redding Redding

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

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(530) 244-4155 (530) 241-5617 (530) 229-0947 (530) 549-3566 (530) 549-3566 (530) 337-6243 (530) 515-8085 (530) 243-0822 (530) 226-1634 (530) 605-3664 (530) 623-2695 (530) 242-9234 (530) 241-5999 (530) 217-9464 (530) 229-7744 (530) 229-7744 (530) 925-2188 (530) 223-4500 (530) 241-5999 (530) 925-4480 (530) 949-3882 (530) 222-9225 (530) 524-9480 (530) 242-1941 (530) 246-8317 (530) 722-1022 (530) 222-3993 (530) 722-5212 (530) 244-2223 (530) 247-1425 (530) 247-1425 (530) 722-1111 (530) 242-8822 (530) 244-2223 (530) 244-7400 (530) 244-0720 (530) 221-0202 (530) 223-7422 (530) 243-7622 (800) 832-2080 (530) 246-1200 (530) 225-8895 (530) 225-8898 (530) 229-0351 (530) 224-9334 (530) 243-4155 (530) 232-3000 (530) 232-3000 (530) 241-9800 (530) 241-8890 (530) 244-1332 (530) 242-0186

Y N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

MFT MFT MFT

1352 Oregon St 1465 Riverside Dr 1614 Continental St 1005 Yuba St 3570 Santa Rosa Ave 3570 Santa Rosa Ave 1175 Hartnell Ave 983 Mission De Oro Ste B 1614 Continental St 1755 East St 448 Redcliff Dr Ste 214

R T V A A E B A P J J

MFT MFT MFT MFT MFT MFT

LMFT MFT MFT MFT

448 Redcliff Dr #233 1300 West St 2750 Eureka Way 448 Redcliff Dr 2995 Churn Creek Rd 748 N Market St 1648 East St 2175 Rosaline Ave

E E L

MFT MFT MFT

MD MD MD L M K MD MD MD MD

1950 Rosaline Ave 2145 Court St 691 Maraglia St 2510 Airpark Dr 310 Hartnell Ave 1555 East St 2005 Court St 6680 Lockheed Dr 2539 Larkspur Ln 1477 Lincoln St 1620 E Cypress Ave 3075 Crossroads Dr 2950 Railroad Ave 2025 Court St 1760 Gold St 3078 Crossroads Dr 4103 Pembroke Ln

Sriram Sriram Joel Harvinder Richard Hamid E S D MD MD MD

180 Northpoint Dr 2701 Old Eureka Way 2216 Buenaventura Blvd 2336 Court St 1844 South St 2371 Eureka Way

Y Y Y Y Y Y

10/24/2013

69

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta

Neuroradiology Neuroradiology Neuroradiology Neuroradiology Neuroradiology Nuclear Medicine Nuclear Medicine Nuclear Medicine Nurse Practitioner Nurse Practitioner Nurse Practitioner Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Ophthalmology Ophthalmology Ophthalmology Ophthalmology Ophthalmology Ophthalmology Ophthalmology Ophthalmology Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Orthopedic Surgery

Dorros Hecht Hesselink Mafee Statkus Robbins Vasquez Wyatt Anjola Melburg Nugent Keurentjes Livolsi Nasise Orlino-Oliva Perry Rodgers Serr Skipitis Skipitis Van Kirk Williams Bowen Bowen Brannon Fox Lannin Lin Lin Sumsion Asato Bernet Bickford Brown Cooper Ekelund Feucht Gallagher Goedert Gussenhoven Lannin Laya Link Martin Martin Newcomb Newcomb Patterson Rhodes Ward Young Carn

Stephen Stephen John Mahmood Nicholas Peter Tony Rhonda Laura Gretchen Cynthia Amy Frank Norman Editha Thomas Margaret Cheryl Gregory Gregory Samuel Rene Thomas Thomas Daniel Robert W Christopher Christopher Michael Theresa Daniel Jody William Jeffrey Nancy Allisyn Gary Steven Julie Janani Joseph Laureen Mitchell Richard Curtis Janet Henry Donald Thomas Michael Ronald

M T R F J S E A

MD MD MD MD MD MD MD MD NP

2380 Bechelli Ln 2380 Bechelli Ln 2380 Bechelli Ln 2380 Bechelli Ln 2020 Court St 1950 Court St 1950 Court St 2020 Court St 20833 Long Branch Dr 3184 Churn Creek Rd 2891 Churn Creek Rd 2626 Edith Ave 1035 Placer St 1555 East St 2135 Airpark Dr 2626 Edith Ave 3749 Churn Creek Rd Ste D 1842 Buenaventura Blvd 2175 Rosaline Ave 2626 Edith Ave 2139 Airpark Dr 2626 Edith Ave 1035 Placer St 2005 Court St 3003 Victor Ave

Redding Redding Redding Redding Redding Redding Redding Redding Cottonwood Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Anderson Redding Fall River Mills Redding Redding Palo Cedro Redding Redding Redding Redding Redding Redding Redding Shasta Lake Redding Redding Burney Redding Redding Redding Redding

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

96002 96002 96002 96002 96001 96001 96001 96001 96022 96002 96002 96001 96001 96001 96001 96001 96002 96001 96001 96001 96001 96001 96001 96001 96002 96001 96001 96002 96001 96001 96002 96007 96001 96028 96002 96002 96073 96002 96001 96002 96001 96002 96002 96002 96019 96001 96001 96013 96002 96001 96002 96001

(530) 226-1800 (530) 226-1800 (530) 226-1800 (530) 226-1800 (530) 243-1236 (530) 225-8008 (530) 225-8008 (530) 243-7488 (530) 527-0414 (530) 224-2700 (530) 221-7474 (530) 244-2130 (530) 241-0473 (530) 245-0777 (530) 241-5272 (530) 244-2130 (530) 243-0303 (530) 225-8500 (530) 225-6000 (530) 244-2130 (530) 247-0272 (530) 244-2130 (530) 246-5710 (530) 246-4733 (530) 221-5500 (530) 241-6550 (530) 243-4782 (530) 223-2500 (530) 223-2500 (530) 244-2273 (530) 243-3550 (530) 365-6471 (530) 241-6550 (530) 336-5220 (530) 222-2020 (530) 223-4300 (530) 547-2020 (530) 222-3166 (530) 241-9650 (530) 222-7290 (530) 241-0778 (530) 223-2325 (530) 222-2020 (530) 222-3166 (530) 275-0866 (530) 241-9650 (530) 241-9650 (530) 335-2233 (530) 222-2500 (530) 244-4234 (530) 222-1233 (530) 245-0325

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

J L E P C C J L A A A D E A A R C C

NP RN DO MD MD MD MD MD MD MD MD MD MD DO DO

MD DO MD MD

2216 Buenaventura Blvd 1950 Court St 3190 Churn Creek Rd 900 Butte St 2801 Park Marina Dr 3080 Victor Ave

A T E R V B C S

MD

OD OD OD OD OD

2890 Ventura St 2216 Buenaventura Blvd 43124 State Highway 299 E 3241 Churn Creek Rd 2620 Larkspur Ln #L 9372 Deschutes Rd

OD L L K W K L A V S D B E R M OD OD OD OD OD OD OD OD OD OD OD OD OD

3051 Victor Ave 1225 Eureka Way 3416 Bechelli Ln 1950 Court St 1751 Hartnell Ave 3241 Churn Creek Rd 3080 Victor Ave 4624 Shasta Dam Blvd 1225 Eureka Way 1225 Eureka Way 37333 State Highway 299 E 3753 Churn Creek Rd 2132 Eureka Way 841 Hartnell Ave 1755 East St

10/24/2013

70

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta

Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthotics & Prosthetics Orthotics & Prosthetics Orthotics & Prosthetics Otolaryngology (ENT) Otolaryngology (ENT) Otolaryngology (ENT) Otolaryngology (ENT) Otolaryngology (ENT) Otolaryngology (ENT) Otolaryngology (ENT) Pain Management Pain Management Pain Medicine Pain Medicine Pain Medicine Pain Medicine Pain Medicine Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics

Chase Cross Ferraro Ferraro Hankin Heyerman Jones Jones Lange Lange Lange Mikulecky Nichols Osborne Pemberton Schillen Schillen Schwartz Schwartz Verhoog Verhoog Verhoog Hanger Prosthetics & Orthotics West Inc Pacific Medical Inc Ray Tegerstrands Orthopedic Appliance Babb Bergstrom Buxa Domb Frantz Frantz Kaplan Soloniuk Soloniuk Dhruva Iranpur Iranpur Soloniuk Soloniuk Austin Austin Benaron Braemer Carter Grandaw Hu Lagoc Saini Saini Sand Sand Vovakes

Robert Richard Stephen Stephen David William David David John John John Michael Jack Aaron Aaron Jack Jack Paul Paul Norman Norman Norman

R N P P W B B B C C C S C G J D D E E M M M

MD MD MD MD MD MD MD MD MD MD MD MD MD DO MD MD MD MD MD

2888 Eureka Way 2160 Court St 1238 West St 1255 Liberty St 2160 Court St 2160 Court St 1238 West St 1255 Liberty St 1238 West St 1255 Liberty St 43563 State Highway 299 E 2662 Edith Ave 1230 East St 2662 Edith Ave 2662 Edith Ave 1238 West St 1255 Liberty St 1238 West St 1255 Liberty St 1230 East St 1441 Liberty St 3184 Churn Creek Rd 1477 Lincoln St 1760 Gold St 2445 Athens Ave

Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Fall River Mills Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Cottonwood Redding Redding Redding Redding Cottonwood Redding Redding Redding

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

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(530) 243-0893 (530) 244-2663 (530) 246-2467 (530) 246-2467 (530) 244-2663 (530) 244-2663 (530) 246-2467 (530) 246-2467 (530) 246-2467 (530) 246-2467 (530) 336-5511 (530) 242-1266 (530) 246-2430 (530) 242-1266 (530) 262-1266 (530) 246-2467 (530) 246-2467 (530) 246-2467 (530) 246-2467 (530) 241-6601 (530) 224-2700 (530) 227-2400 (530) 243-7622 (530) 229-0351 (530) 241-4040 (530) 243-7600 (530) 243-3687 (530) 243-3687 (530) 242-5600 (530) 222-5115 (530) 222-5115 (530) 241-8799 (530) 247-3733 (530) 247-3733 (530) 247-7246 (530) 247-7246 (530) 241-0410 (530) 247-3733 (530) 247-3733 (530) 246-5702 (530) 222-4791 (530) 222-4791 (530) 246-7337 (626) 204-1410 (530) 243-9478 (530) 244-0564 (530) 244-6534 (530) 246-5702 (530) 347-3418 (530) 246-5710 (530) 246-5710 (530) 246-5710

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

Michael Richard Gary George Timothy Timothy Jory Leonard Leonard Shishir Pervez Pervez Leonard Leonard Christine Christine Lisa Lloyd Kelly Peter Hsiao-Ping Raileen Deepika Deepika Patricia Patricia Michael

J T A H D D N J J A T T J J E E D G D P

MD MD MD MD MD MD

2888 Eureka Way 3305 Placer St 3305 Placer St 2125 Court St 2138 Court St 2138 Court St #A 2415 Sonoma St

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

MD MD MD MD MD MD MD MD MD MD MD MD MD MD

2111 Airpark Dr 2620 Edith Ave 1335 Buenaventura Blvd 1335 Buenaventura Blvd 1548 East St 2111 Airpark Dr 2620 Edith Ave 1035 Placer St 1900 Churn Creek Rd 1900 Churn Creek Rd 1135 West St 20833 Long Branch Dr 1892 Buenaventura Blvd 1832 Buenaventura Blvd 1832 Buenaventura Blvd 1035 Placer St 20833 Long Branch Dr 1035 Placer St 2630 Breslauer Way 1035 Placer St

MD MD MD

O O J

MD MD MD

10/24/2013

71

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta

Pediatrics Physical Medicine & Rehabilitation Physical Medicine & Rehabilitation Plastic Surgery Podiatry Podiatry Podiatry Podiatry Podiatry Psychiatric Mental Health Nurse Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychiatry Psychology Psychology Psychology Psychology Psychology Psychology Psychology Psychology Psychology Psychology Psychology Psychology Psychology Psychology Psychology Psychology Psychology Pulmonary Disease Pulmonary Disease Pulmonary Disease Pulmonary Disease Pulmonary Disease Pulmonary Disease Radiation Oncology Radiation Oncology Radiation Oncology Radiation Oncology Radiation Oncology Radiation Oncology Rheumatology Rheumatology Skilled Nursing Facility Skilled Nursing Facility Skilled Nursing Facility

Vovakes Sabet Sabet Wong Basinger Fleming Martin Otoole Shumate Nugent Addonizio Andrews Khan Levine Pai Sabet Sabet Sidhartha Cormier Craig Drake Graham Helbick Kemp Kuiper Miller Mongold Mosier Murrison Nielsen Rubanowitz Stocks Von Moltke White Wooley Cleary Hayatdavoudi Lupercio Lupercio Reodica Trevor Allen Allen Bobba Bobba Pereira Matsumoto Pereira Matsumoto Peters Reeder Copper Ridge Care Center Golden Livingcenter Redding Kindred Transitional Care And Rehabilitation - Canyonwood

Michael Farzad Farzad Curtis Robert Lois Michele Michael Gordon Cynthia Ornella Thomas Imran Mark Aravind Farzad Farzad Tanuj Sidney Douglas Patricia Clifford Therese Anita John Kristin Michael Christine Kitt Melinda Daniel Sheela Bettina Gregory Marilyn Michael Saman Rafael Rafael Ronald Antonio Everett Matthew Matthew Vidya Vidya Sharon Sharon Timothy William

J H H S G R D L J L

MD MD MD MD DPM DPM DPM DPM DPM RN

2630 Breslauer Way 1238 West St 1255 Liberty St 1950 Rosaline Ave 923 Dana Dr 441 Lake Blvd 1035 Placer St 2701 Old Eureka Way 405 South St 2891 Churn Creek Rd 2891 Churn Creek Rd

Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

96001 96001 96001 96001 96003 96003 96001 96001 96001 96002 96002 96002 96001 96001 96001 96001 96001 96001 96002 96001 96001 96001 96001 96003 96001 96001 96049 96001 96002 96002 96001 96001 96003 96001 96001 96001 96001 96003 96001 96001 96001 96002 96001 96002 96001 96002 96001 96001 96001 96002 96001 96003

(530) 246-5710 (503) 246-5632 (530) 246-2467 (530) 215-1118 (530) 221-1666 (530) 246-0523 (530) 246-5768 (530) 244-7070 (530) 246-4800 (530) 221-7474 (530) 221-7474 (530) 221-7474 (530) 246-5710 (707) 554-1146 (530) 243-3871 (503) 246-5632 (530) 246-2467 (707) 554-1146 (530) 222-9400 (530) 246-7062 (530) 941-9524 (530) 245-0502 (530) 243-2439 (530) 221-8253 (530) 339-0920 (530) 243-2301 (530) 245-9928 (530) 242-6079 (530) 224-9341 (530) 356-5592 (530) 243-8403 (530) 247-6989 (530) 949-4148 (530) 243-2439 (530) 244-9977 (530) 243-2121 (530) 244-5434 (530) 232-3000 (530) 232-3000 (530) 246-4180 (530) 246-4180 (530) 244-2223 (530) 245-5900 (530) 244-2223 (530) 245-5900 (530) 244-2223 (530) 245-5900 (530) 241-8822 (530) 241-8822 (530) 222-2273 (530) 241-6756 (530) 243-6317

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

J A D K H H

MD

2891 Churn Creek Rd 1035 Placer St

MD MD MD MD MD

1145 Whiskeytown Ct 1001 Yuba St 1238 West St 1255 Liberty St 1145 Whiskeytown Ct 1666 E Cypress Ave 1246 East St 1320 Yuba St 1211 Magnolia Ave 1246 East St 983 Mission De Oro Dr 1936 Shasta St Ste 1352 Olive Ave 1300 W St 1350 Placer St 2757 Bechelli Ln 405 Redcliff Dr 1211 Magnolia Ave 1844 South St 979 Mission De Oro Dr 1246 East St 2469 Old Eureka Way 2175 Rosaline Ave 1100 Butte St 180 Northpoint Dr 2701 Old Eureka Way 1145 Whiskeytown Ct

R W E R M

PHD PHD PHD PHD PHD PHD

M K R E

PHD PHD PHD PHD PHD

L E

PHD PHD PHD PHD

L J G

PHD PHD MD MD MD MD

S D W W S S E E D H MD MD MD MD MD MD MD MD MD

1145 Whiskeytown Ct 310 Hartnell Ave 963 Butte St 310 Hartnell Ave 963 Butte St 310 Hartnell Ave 963 Butte St 2510 Airpark Dr 2510 Airpark Dr 201 Hartnell Ave 1836 Gold St 2120 Benton Dr

10/24/2013

72

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Shasta Sierra Sierra Sierra Sierra Sierra Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou

Skilled Nursing Facility Skilled Nursing Facility Skilled Nursing Facility Sleep Medicine Speech Therapy Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Thoracic Surgery Thoracic Surgery Thoracic Surgery Family Practice Family Practice Psychology Psychology Rural Health Clinic Acute/General Hospital Acute/General Hospital Anesthesiology Anesthesiology Anesthesiology Anesthesiology, Pain Management Anesthesiology, Pain Management Cardiovascular Disease Critical Care Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Endocrinology & Metabolism Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice

Northern California Rehabilitation Hospital Oak River Rehab Windsor Redding Care Center Llc Reodica Blankenship Ghelfi Gonzalez Hatter Malik Philben Philben Pottmeyer Schepps Stone Mcconnell Mcconnell Pottmeyer Kellermann Lang Askins Karr Eastern Plumas Health Care-Loyalton Medical Clinic Fairchild Medical Center Mercy Medical Center Mt Shasta Green Pereira Yanez-Segura Pereira Yanez-Segura Smith Reodica Dahle Lucero Ludwig Saunders Saunders Shipman Wilson Eastman Bak Broeckel Broeckel Cohn Dahle De Rouchey De Rouchey Della Lana Drew Drew Drew Drew Higer Ivor Gabriel Victor Gabriel Victor Curtis Ronald Antonio Daniel David Aric Jack Jack Grover David Richard Kathy Judy Judy Alan Daniel Louis Louis David Danny Danny Danny Danny Deborah B E E F E E E E A R M R M N S B M B W W G P C K P P MD MD MD MD MD MD MD MD MD MD MD DO MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD Ronald Antonio Sally Lawrence James Douglas Riaz Vicki Vicki Edward Donald James Douglas Douglas Edward Alan Frank Michael Rodney S A R N G A J J W E M H H W S J V G SLP MD MD MD MD MD MD MD MD MD MD MD MD MD MD PHD PHD

2801 Eureka Way 3300 Franklin St 2490 Court St 1145 Whiskeytown Ct 2208 Park Marina Dr 2656 Edith Ave Ste B 1555 East St 2656 Edith Ave 1555 East St 310 Hartnell Ave 963 Butte St 2240 Court St 2656 Edith Ave 2656 Edith Ave 1100 Butte St 1555 East St 2240 Court St 209 Nevada St 209 Nevada St 209 Nevada St 29 Hummingbird Ln 725 3Rd St 444 Bruce St 914 Pine St 444 Bruce St 444 Bruce St 914 Pine St 444 Bruce St 914 Pine St 110 W Castle St 475 Bruce Street 610 W 3Rd St 914 Pine St 914 Pine St 912 Pine St 914 Pine St 914 Pine St 11219 N State Highway 3 822 Pine St 610 W 3Rd St 475 Bruce St 700 S Main St 101 Old Mccloud Rd 610 W 3Rd St 444 Bruce St 475 Bruce St 1501 S Oregon St 110 W Castle St 116 W Minnesota Ave 4309 Stagecoach Rd 914 Pine St 725 Pine St

Redding Anderson Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Redding Downieville Downieville Downieville Downieville Loyalton Yreka Mount Shasta Yreka Yreka Mount Shasta Yreka Mount Shasta Mount Shasta Yreka Dorris Mount Shasta Mount Shasta Mount Shasta Mount Shasta Mount Shasta Fort Jones Mount Shasta Dorris Yreka Yreka Mount Shasta Dorris Yreka Yreka Yreka Mount Shasta Mccloud Dunsmuir Mount Shasta Mount Shasta

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

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(530) 246-9000 (530) 365-0025 (530) 246-0600 (530) 246-4180 (530) 244-0263 (530) 244-2882 (530) 246-1240 (530) 244-2882 (530) 246-7400 (530) 244-2223 (530) 244-3921 (530) 243-2626 (530) 244-2882 (530) 244-2882 (530) 244-8349 (530) 242-6122 (530) 243-2626 (530) 289-3289 (530) 289-3298 (530) 289-3298 (415) 931-1934 (530) 832-6500 (530) 842-4121 (530) 926-6111 (530) 842-4121 (530) 842-4121 (916) 926-6111 (530) 842-4121 (916) 926-6111 (530) 926-4067 (530) 246-4180 (530) 397-8411 (530) 926-6111 (530) 926-6111 (530) 926-5105 (530) 926-6111 (530) 926-6111 (530) 468-5766 (530) 926-5261 (530) 397-8411 (530) 842-4337 (530) 842-0817 (530) 926-5100 (530) 397-8411 (530) 841-6316 (530) 842-3507 (530) 842-2062 (530) 926-9897 (530) 964-2389 (530) 235-2205 (530) 938-1699 (530) 926-4556 Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

10/24/2013

73

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou

Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Federally Qualified Health Center Federally Qualified Health Center General Practice Hearing Aid Supplier Hearing Aid Supplier Hearing Aid Supplier Hematology & Medical Oncology Hospice Hospice Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Medical Oncology Medical Vendor (DME) Medical Vendor (DME) Nurse Anesthetist

Holst Kolpacoff Lagro Lucero Miller Miller Milton Milton Parker Solus Staszel Staszel Sternberg Swenson Williams Wilson Happy Camp Health Services Karuk Tribal Health Karuk Tribal Health Clinic Dunn Black Beltone Hearing Aid Center Beltone Hearing Aid Center Miracle Ear Hearing Center Figueroa Madrone Hospice Mercy Hospice Mt Shasta Adams Adams Collins Gittens Malee Richman Riger Wilson Drucker Lent Mann-Wilder Rainville Bulcroft Bulcroft Cullison Foster Klimaszewski May May Mills Rhodes Tarkington Weinberg Collins Pacific Pulmonary Services Pacific Pulmonary Services Philp

David Stephen Ronald David Jill Phillip Robert Robert James Donald Michael Michael Harvey Richard Winston David

G E K M C M E E H E

MD MD MD MD MD

824 Pine St 101 E Oberlin Rd 824 Pine St 914 Pine St 16337 Everhart Dr 16337 Everhart Dr

Mount Shasta Yreka Mount Shasta Mount Shasta Weed Weed Yreka Happy Camp Mount Shasta Yreka Mount Shasta Mount Shasta Weed Yreka Weed Fort Jones Happy Camp Yreka Yreka Mount Shasta Yreka Yreka Mount Shasta Yreka Mount Shasta Mccloud Dunsmuir Mount Shasta Yreka Mount Shasta Yreka Yreka Fort Jones Mount Shasta Happy Camp Yreka Mount Shasta Yreka Mount Shasta Yreka Mount Shasta Mount Shasta Yreka Etna Mount Shasta Mount Shasta Yreka Yreka Mount Shasta Yreka Yreka Mount Shasta

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

96067 96097 96067 96067 96094 96094 96097 96039 96067 96097 96067 96067 96094 96097 96094 96032 96039 96097 96097 96067 96097 96097 96067 96097 96067 96057 96025 96067 96097 96067 96097 96097 96032 96067 96039 96097 96067 96097 96067 96097 96067 96067 96097 96027 96067 96067 96097 96097 96067 96097 96097 96067

(530) 926-4528 (530) 842-4445 (530) 926-4528 (530) 926-6111 (530) 938-2297 (530) 938-2297 (530) 842-9200 (530) 493-5257 (530) 926-5261 (530) 842-0606 (530) 926-5261 (530) 926-4528 (530) 938-3491 (530) 842-2062 (530) 938-3491 (530) 468-5766 (530) 493-5257 (530) 842-9200 (530) 842-9054 (800) 227-3229 (800) 227-3229 (530) 842-2411 (530) 926-7234 (530) 842-3160 (530) 926-6111 (530) 964-2389 (530) 235-4138 (530) 926-7234 (530) 841-6316 (530) 926-5105 (530) 842-3101 (530) 842-9800 (530) 468-5766 (530) 926-2542 (530) 493-5151 (530) 842-9668 (530) 261-0840 (530) 598-0107 (530) 598-0107 (530) 842-9668 (530) 515-8085 (530) 926-0432 (530) 467-3353 (530) 467-3353 (530) 925-2188 (530) 925-4480 (530) 841-1030 (530) 842-5571 (530) 926-7234 (530) 841-2632 (530) 841-2632 (916) 926-6111

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

MD MD MD MD DO DO

1519 S Oregon St 64236 2Nd Ave 822 Pine St 534 N Main St 822 Pine St 824 Pine St 50 Alamo Ave 1501 S Oregon St 50 Alamo Ave 11219 N State Highway 3 62436 Second Ave 1519 S Oregon St

J E S P

MD MD MD MD

Rachel

MD

475 Bruce St 110 Chestnut St 2524 Westside Rd 1217 S Main St

Michael

MD

902 Pine St 255 Collier Cir 914 Pine St

Robert Robert Carolyn Coretta Sean Rebecca Bruce David Stanton Charles Evelyn Janet Steven Steven Kathryn Blanchard Anna Donna Donna Anthony Geoffrey Judy Ingelore Carolyn

M M

MD MD

116 W Minnesota Ave 4309 Stagecoach Rd 902 Pine St

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

J D L N P M S S L J J

MD MD MD MD MD LCSW LCSW LCSW LCSW MFT MFT MFT

444 Bruce St 912 Pine St 907 4Th St 475 Bruce St 11219 N State Highway 3 101 E Alma St 64236 2Nd Ave 304 Yama St 705 Pine St 117 N Oregon St 1180 S Mount Shasta Blvd 304 Yama St 110 W Castle St 425 Oakway Rd 213 W Miner St # A 311 Collier Way

MFT MFT

J J A B E D MFT MFT MFT

108 Siskiyou Ave 618 N Mount Shasta Blvd 490 S Broadway St 331 Oakwood Ln 902 Pine St 1460 Mill Rd 2101 Fairlane Rd

Karen

CRNA

914 Pine St

10/24/2013

74

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Siskiyou Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter

Nurse Anesthetist Nurse Anesthetist Nurse Anesthetist Nurse Practitioner Nurse Practitioner Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Optometry Optometry Orthopedic Spine Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthotics & Prosthetics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Podiatry Psychology Pulmonary Disease Pulmonary Disease Radiation Oncology Radiation Oncology Radiation Oncology Radiation Oncology Skilled Nursing Facility Sleep Medicine Surgery Surgery Surgery Surgery Surgery Surgical Critical Care Acupuncture Acupuncture Acupuncture Allergy & Immunology Ambulatory Surgery Center Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology

Soriano Thomas Young Alvarado Rugg Andrews Andrews Duncan Wilson Horn Seidlitz Osullivan Bullock Eastman Eastman Osullivan Ray Tegerstrands Orthopedic Appliance Callas Callas Gittens Haling Haling Haling Haling Swenson Christenson Kemp Reodica Trevor Allen Bobba Bobba Pereira Matsumoto Mercy Care Center Snf Reodica Bryner Harch Harch Herfindahl Philben Herfindahl Baume Walz Yang Peppercorn The Endoscopy Center Alghannam Alghannam Alghannam Barrios Berryman Berryman

Nathaniel Lynn Frances Fabian Elizabeth Leslie Leslie Christal David Russell Timothy Glen Daniel Wilfred Wilfred Glen

M H C

CRNA CRNA CRNA NP NP

914 Pine St 444 Bruce St 444 Bruce St 1519 S Oregon St 64236 2Nd Ave 116 W Minnesota Ave 824 Pine St 700 S Main St 11219 N State Highway 3 303 Bruce St 4305 Stagecoach Rd 635 Lassen Ln 475 Bruce St 444 Bruce St 475 Bruce St 635 Lassen Ln 206 Roelofs Ct

Mount Shasta Yreka Yreka Yreka Happy Camp Mccloud Mount Shasta Yreka Fort Jones Yreka Dunsmuir Mount Shasta Yreka Yreka Yreka Mount Shasta Mount Shasta Weed Mount Shasta Yreka Yreka Yreka Weed Mount Shasta Yreka Happy Camp Mount Shasta Yreka Yreka Mount Shasta Mount Shasta Mount Shasta Mount Shasta Mount Shasta Yreka Yreka Mount Shasta Mount Shasta Mount Shasta Mount Shasta Mount Shasta Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

96067 96097 96097 96097 96039 96057 96067 96097 96032 96097 96025 96067 96097 96097 96097 96067 96067 96094 96067 96097 96097 96097 96094 96067 96097 96039 96067 96097 96097 96067 96067 96067 96067 96067 96097 96097 96067 96067 96067 96067 96067 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991

(916) 926-6111 (877) 693-2787 (877) 693-2787 (530) 842-9200 (530) 493-5257 (530) 964-2389 (530) 926-4528 (530) 842-4337 (530) 468-5766 (530) 841-2636 (530) 235-2190 (866) 668-3597 (530) 842-4337 (530) 841-6316 (530) 842-1267 (866) 668-3597 (800) 916-7862 (530) 938-3491 (530) 926-5105 (530) 841-6316 (530) 841-6316 (530) 842-3507 (530) 938-3491 (530) 926-4528 (530) 842-2062 (530) 493-5257 (530) 925-1796 (530) 246-4180 (530) 246-4180 (530) 926-7234 (530) 926-7234 (530) 926-7234 (530) 926-7234 (530) 926-6111 (530) 246-4180 (530) 842-1293 (530) 859-2454 (530) 859-2454 (530) 926-3161 (530) 926-7234 (530) 926-3161 (530) 673-9140 (530) 671-1633 (530) 301-4055 (530) 671-4182 (530) 671-3636 (530) 751-4900 (530) 751-4800 (530) 751-4000 (530) 751-4000 (530) 751-4800 (530) 751-4000

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

J J J P H H S W W W S

MD MD MD MD OD OD MD MD MD MD MD

Evelyn Evelyn Coretta Jack Jack Jack Jack Vina Carl Anita Ronald Antonio Everett Matthew Vidya Vidya Sharon

R R J L L L L K E

MD MD MD MD MD MD MD MD DPM PHD

50 Alamo Ave 912 Pine St 444 Bruce St 444 Bruce St 475 Bruce St 50 Alamo Ave 824 Pine St 1501 S Oregon St 38 Park Way 1208 N Old Stage Rd 475 Bruce Street

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

S D W S S E MD MD MD MD MD

475 Bruce Street 902 Pine St 902 Pine St 914 Pine St 902 Pine St 914 Pine St

Ronald Antonio Urs John John Gary Vicki Gary Adrian John Sujie Robert

S M M M A J A P F MD MD MD MD MD MD LAC LAC LAC M MD

475 Bruce Street 814 N Main St 2007 Davis Place Rd 303 Maple St 908 Pine St 902 Pine St 908 Pine St 435 Center St 481 Ainsley Ave 607 Spring Creek Ct 350 Del Norte Ave 870 Shasta St

Y Y Y Y Y Y Y Y Y Y Y

Muhammad Muhammad Muhammad Oscar Bill Bill U G G

MD MD MD MD MD MD

1531 Plumas Ct 370 Del Norte Ave 970 Plumas St 970 Plumas St 370 Del Norte Ave 970 Plumas St

Y Y Y Y Y Y

10/24/2013

75

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter

Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Cardiac Electrophysiology Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Disease Cardiovascular Surgery Cardiovascular Surgery Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Dermatology Dermatopathology Emergency Medicine Emergency Medicine Endocrinology & Metabolism Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice

Bhende Bhende Bravos Calabrese Chow Chow Coleman Coleman Delpero Leung Leung Leung Lin Lipson Mathieson Mathieson Ruccione Serafin Serafin Shin Waring Zellmer Capos Achtel Bajwa Brar Brar Bui Bui Capos Iskikian Iskikian Iskikian Iskikian Fullmer Fullmer Funk Mc Morrow Mcclaskey Price Reading Peppercorn Edelstein Harter Snyder Mahmoudi Afato Azad Banda Brouette Chek Chin

Kishore Kishore Peter James Steve Steve Lewis Lewis Richard Wai Wai Wai Sheng-Kai Michael Brett Brett Joseph Robert Robert Hyo Randall Robert Nicholas Robert Narinder Rupinder Rupinder Minh Minh Nicholas John John John John Mark Mark Jason Laura Michael Charles Logan Robert Leon Joan Marie Donald Jahangir Faafouina Gagandeep Cesar Richard Kimdary Benson

S S D A P P S S D K K K

MD MD MD MD MD MD MD MD MD MD MD MD MD

370 Del Norte Ave 970 Plumas St 460 Plumas Blvd 370 Del Norte Ave 370 Del Norte Ave 970 Plumas St 370 Del Norte Ave 970 Plumas St 460 Plumas Blvd 1799 Wildflower Cir 370 Del Norte Ave 970 Plumas St 970 Plumas St 460 Plumas Blvd 370 Del Norte Ave 970 Plumas St 970 Plumas St 370 Del Norte Ave 970 Plumas St

Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95991 95991 95991 95991 95991 95991 95991 95991 95991 95993 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95993 95991 95991 95993 95993 95993 95991 95991 95993

(209) 956-7725 (209) 956-7725 (530) 741-1300 (530) 751-4800 (530) 751-4800 (530) 751-4000 (530) 751-4800 (530) 751-4800 (530) 741-1300 (530) 751-1827 (530) 751-4800 (530) 751-4000 (530) 751-4000 (530) 749-5500 (530) 751-4800 (530) 751-4000 (209) 469-0116 (530) 751-4800 (530) 751-4000 (530) 751-4000 (530) 749-3500 (530) 749-5501 (530) 673-6140 (530) 749-3346 (530) 634-9988 (530) 749-3346 (530) 634-9988 (530) 749-3346 (530) 674-2851 (530) 673-6140 (530) 749-3346 (530) 751-8777 (530) 749-3346 (530) 751-8777 (530) 673-2225 (530) 755-3200 (530) 300-1000 (530) 755-4034 (530) 673-5117 (530) 755-3200 (530) 673-9140 (530) 671-4182 (858) 450-3127 (530) 755-3218 (530) 751-4900 (530) 674-7655 (530) 674-7000 (530) 822-7240 (530) 673-0200 (530) 751-7781 (530) 671-2020 (530) 755-0882

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

E L L S M M S W J J A S S S V V J A A A A D D

MD MD MD MD

MD MD MD MD

970 Plumas St 460 Plumas Blvd 460 Plumas Blvd 1044 Live Oak Blvd 440 Plumas Blvd

MD MD MD MD MD MD MD MD MD MD DC DC DC

481 Plumas Blvd 440 Plumas Blvd 481 Plumas Blvd 440 Plumas Blvd 481 Plumas Blvd 1044 Live Oak Blvd 440 Plumas Blvd 481 Plumas Blvd 440 Plumas Blvd 481 Plumas Blvd 430 N Palora Ave 471 Ainsley Ave 899 Gray Ave 415 Alturas St 677 N Palora Ave 471 Ainsley Ave 435 Center St 350 Del Norte Ave 1007 Live Oak Blvd 1429 Colusa Hwy 1531 Plumas Ct 1290 Lincoln Rd 1429 Colusa Hwy 1445 Veterans Memorial Cir Ste B 990 Klamath Ln Ste 17 1215 Plumas St

K T N C M M G L

DC DC DC DC MD MD MD MD MD

S K A J

MD MD MD

MD MD

1233 Plumas St 1558 Poole Blvd

10/24/2013

76

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter

Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice, Sports Federally Qualified Health Center Gastroenterology Gastroenterology Gastroenterology General Practice General Practice General Practice General Vascular Surgery Hearing Aid Supplier Hematology Hemodialysis Center Home Health Agency Home Health Agency Home Infusion Therapy Home Infusion Therapy Hospice Infectious Disease Infectious Disease Infectious Disease Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine

Forsythe Johl Krasinski Kryski Lang Miller Rickertsen Setters Wy Wy Forsythe Feather River Tribal Health Inc Chow Doma Marsh Beiler Forsythe Momi Fahey Twin Cities Hearing Aid Center Inc Jodhani Yuba City Dialysis Center Fremont Rideout Home Health Sutter North Home Health Apria Healthcare Inc Fremont Rideout Hospice Nijjar Nijjar Nijjar Ammar Ammar Bajwa Bal Bal Brar Brar Capos Chhibar Chhibar Chow Damazo Damazo Damazo Doma Fraser Fraser Fujii Go Goyal Goyal Goyal Gupta

Kenneth Harpreet Wieslawa Charles Lynn J David Dwain James Tomas Tomas Kenneth

MD MD MD

1000 Sutter St 480 Plumas Blvd 1000 Sutter St 1445 Veterans Memorial Cir Ste B 1558 Poole Blvd 1233 Plumas St

Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Live Oak Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95991 95991 95991 95993 95993 95991 95991 95991 95993 95953 95991 95991 95991 95991 95991 95993 95991 95991 95991 95991 95991 95991 95991 95991 95993 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991

(530) 673-9420 (530) 749-3601 (530) 673-9420 (530) 822-7240 (530) 755-0882 (530) 671-2020 (530) 671-2020 (530) 673-1935 (530) 822-7240 (530) 695-0700 (530) 673-9420 (530) 751-8454 (530) 671-3636 (530) 671-3671 (530) 671-3636 (530) 755-3218 (530) 673-9420 (530) 822-5575 (530) 751-1230 (530) 671-2472 (530) 671-5175 (530) 671-3652 (530) 673-7100 (530) 749-3450 (530) 673-5513 (530) 749-4368 (530) 673-9420 (530) 674-9737 (530) 673-9420 (530) 673-9420 (530) 674-9200 (530) 634-9988 (530) 674-2434 (530) 673-9420 (530) 749-3346 (530) 634-9988 (530) 673-6140 (530) 673-9420 (530) 673-9420 (530) 671-3636 (530) 673-9420 (530) 674-9200 (530) 671-8820 (530) 671-3671 (530) 751-0339 (530) 751-0339 (530) 743-5125 (530) 822-5575 (530) 751-9355 (530) 673-9420 (530) 674-9200 (530) 673-9420

Y Y Y Y Y Y Y Y Y Y Y

MD MD

W A W W D MD MD MD MD

1233 Plumas St 477 Ainsley Ave 1445 Veterans Memorial Cir Ste B 9980 Live Oak Blvd 1000 Sutter St 555 W Onstott Rd

Ken Siva Jon Delbert Kenneth Jasminder Michael

W P K L D S J

MD MD DO MD MD

870 Shasta St 870 Shasta St 870 Shasta St 1429 Colusa Hwy 1000 Sutter St 1525 Plumas Ct

Y Y Y Y Y Y Y

MD

481 Plumas Blvd 750 Colusa Ave

Madhu

MD

481 Plumas Blvd 1525 Plumas Ct 939 Live Oak Blvd 400 Plumas Blvd 990 Klamath Ln 939 Live Oak Blvd

Jagraj Jagraj Jagraj Mustafa Mustafa Narinder Jagdeep Jagdeep Rupinder Rupinder Nicholas Ruchika Ruchika Ken David David David Siva Cosmo Cosmo Douglas Subil Hari Kiran Kiran Shalini

S S S

MD MD MD MD MD

1000 Sutter St 1531 Plumas Ct 935-A Market St 1000 Sutter St 334 Samuel Dr 481 Plumas Blvd 481 Plumas Blvd 935 Market St 440 Plumas Blvd 481 Plumas Blvd 1044 Live Oak Blvd 1000 Sutter St 935 Market St 870 Shasta St 1000 Sutter St 334 Samuel Dr 931 Market St 870 Shasta St 2115 E Onstott Rd Ste 640 Plumas St 1164 Live Oak Blvd 1525 Plumas Ct 466 Del Norte Ave 1000 Sutter St 334 Samuel Dr 935 Market St

Y Y Y Y Y Y Y Y Y Y Y Y Y Y N N N Y Y Y Y Y Y Y Y Y

S S S S S J S S W E E E P L L T C O

MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD DO MD MD MD MD MD

10/24/2013

77

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter

Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Medical Oncology Medical Vendor (DME) Medical Vendor (DME) Medical Vendor (DME) Medical Vendor (DME) Medical Vendor (DME) Neonatal-Perinatal Medicine Nephrology Nephrology Nephrology Nephrology Nephrology Nephrology Nephrology

Harter Jodhani Kakishiba Kang Kang Kondle Kondle Kremer Mahmoudi Malhi Momi Mugo Nijjar Nijjar Nijjar Polhemus Polhemus Poonia Randhawa Sharif Tran Valrey Vangala Banuelos Evans Jones Lazansky Nunes Stewart Alcantar Anderman Gill Hundal Mikonis Hawkins Moore Oeser Sahly Thauberger Tocchi Jodhani Apria Healthcare Inc Hanger Prosthetics & Orthotics West Inc Lincare Inc Pacific Pulmonary Services Sierra Health Care Center Wy Fraser Fraser Go Kondle Kondle Momi Polhemus

Joan Marie Madhu Karen Jasbir Jasbir Venu Venu John Jahangir Balwinder Jasminder Mutuhi Jagraj Jagraj Jagraj Robert Robert Roopinder Harpreet Mushfeka Dung Karl Hemalatha Emerita Susan James Jean Sharon Jessica Dalia Jasvinder Reshmi Linda Katherine Cynthia Gary Gerald Charline Madhu

MD MD

1429 Colusa Hwy 481 Plumas Blvd 810 Richland Rd 1164 Live Oak Blvd 481 Plumas Blvd 1525 Plumas Ct 550 B St 334 Samuel Dr

Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Live Oak Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95993 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95993 95993 95993 95991 95991 95991 95991 95993 95993 95991 95993 95991 95991 95991 95991 95991 95991 95993 95991 95993 95991 95991 95953 95991 95991 95991 95991 95991 95991 95991

(530) 755-3218 (530) 671-5175 (530) 755-0464 (530) 743-5125 (530) 674-2434 (530) 822-5575 (530) 769-3650 (530) 674-9200 (530) 674-7655 (530) 674-2800 (530) 822-5575 (530) 751-8777 (530) 673-9420 (530) 674-9737 (530) 673-9420 (530) 743-5125 (530) 822-5575 (530) 822-5575 (530) 743-5428 (530) 751-4900 (530) 671-3201 (530) 674-9200 (530) 822-7240 (530) 415-1874 (530) 671-5857 (530) 673-4129 (530) 755-1766 (530) 673-9248 (530) 755-0737 (530) 692-0680 (530) 821-0236 (916) 320-2318 (530) 300-4059 (530) 751-7560 (530) 301-2997 (530) 300-1778 (530) 615-4570 (530) 432-2984 (530) 671-5175 (530) 673-5513 (530) 671-2324 (530) 755-0200 (530) 671-5601 (530) 751-7030 (530) 695-0700 (530) 751-0339 (530) 751-0339 (530) 822-5575 (530) 822-5575 (530) 769-3650 (530) 822-5575 (530) 743-5125

Y Y Y Y Y Y Y N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

K S S M M A

MD MD MD MD MD

MD S S S S S S E E S MD MD MD MD MD MD MD MD MD M F MD MD MD LCSW B L M A M LCSW LCSW LCSW LCSW MFT MFT K D MFT MFC MFT MFT F J R MFT MFT MFT MFT MD MD

1290 Lincoln Rd 901 Plumas St 1525 Plumas Ct 481 Plumas Blvd 1000 Sutter St 1531 Plumas Ct 935-A Market St 1164 Live Oak Blvd 1525 Plumas Ct 1525 Plumas Ct 1162 Live Oak Blvd 1531 Plumas Ct 481 Plumas Blvd 334 Samuel Dr 1445 Veterans Memorial Cir Ste B 1650 Sierra Ave 1445 Butte House Rd 1141 Gray Ave 438 Colusa Ave 1133 Gray Ave 438 Colusa Ave 1624 Starr Dr 1110 Civic Cntr Bl 202D 844 Richland Rd 1512 Starr Dr 940 Mccall Ave 822 Richland Rd 1133 Gray Ave 1133 Gray Ave 1018 Live Oak Blvd 481 Plumas Blvd 990 Klamath Ln 1215 Plumas St 990 Klamath Ln 565 Reeves Ave 939 Live Oak Blvd

Cherry Ann Cosmo Cosmo Subil Venu Venu Jasminder Robert

W L L C M M S E

MD MD MD MD MD MD

9980 Live Oak Blvd 2115 E Onstott Rd Ste 640 Plumas St 1525 Plumas Ct 1525 Plumas Ct 550 B St 1525 Plumas Ct

Y Y Y Y Y Y Y Y

MD

1164 Live Oak Blvd

10/24/2013

78

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter

Nephrology Nephrology Neurology Nuclear Medicine Nurse Midwife Nurse Practitioner Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Occupational Medicine Occupational Medicine Ophthalmology Ophthalmology Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry Orthopedic Surgery Orthotics & Prosthetics Orthotics & Prosthetics Orthotics & Prosthetics Otolaryngology (ENT) Pain Management Pain Management Pain Management Pain Management Pain Management Pain Management Pain Medicine Pain Medicine Pain Medicine Pain Medicine Pain Medicine Pediatric Cardiology Pediatric Urology Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics

Polhemus Poonia Mahmoudi Wankmuller Kreider Lebrun Chan Larson Sohal Sohal Stemmer Tolley Dhesi Dhesi Delpero Kalayta Bradley Ngo Ngo Sanders Schwellenbach Takher Takher Takher Takher Taxera Tolman Tran Wong Harrington CIRS Elite Biomechanical Design Hanger Prosthetics & Orthotics West Inc Nam Alghannam Alghannam Alghannam Bravos Delpero Waring Alghannam Alghannam Alghannam Dhesi Dhesi Achtel Rodriguez Abordo Achtel Ammar Ammar Aung

Robert Roopinder Jahangir Robert Angela Betty Hugo Penny Jeetinder Jeetinder Maryellen Douglas Rajpreet Rajpreet Robert Ronald David Kathleen Kathleen Thomas Donald Ramandeep Ramandeep Sukhdeep Sukhdeep Gary Justin Loan Anneliese Donald

E S

MD MD MD

1525 Plumas Ct 1525 Plumas Ct 1290 Lincoln Rd 945 Shasta St 1003 Plumas St 9970 Live Oak Blvd 1215 Plumas St 969 Plumas St 430 N Palora Ave 470 Del Norte Ave

Yuba City Yuba City Yuba City Yuba City Yuba City Live Oak Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Live Oak Yuba City Yuba City Yuba City Yuba City

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95991 95991 95991 95991 95991 95953 95991 95991 95991 95991 95991 95991 95991 95991 95993 95991 95991 95993 95991 95991 95991 95991 95991 95991 95991 95993 95993 95993 95993 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95991 95953 95991 95991 95991 95991

(530) 822-5575 (530) 822-5575 (530) 674-7655 (530) 671-8564 (530) 751-2273 (530) 695-0700 (530) 671-6148 (530) 749-3585 (530) 821-4800 (530) 751-7350 (530) 751-3880 (530) 671-2229 (530) 751-4900 (530) 674-2434 (530) 671-7100 (530) 674-8170 (530) 673-8440 (530) 674-5273 (530) 755-0222 (530) 671-2822 (530) 674-8170 (530) 671-1740 (530) 751-1325 (530) 671-1740 (530) 751-1325 (530) 674-5273 (530) 674-5273 (530) 755-9886 (530) 671-7100 (530) 755-2663 (530) 822-9400 (530) 673-6913 (530) 671-2324 (530) 749-3399 (530) 751-4900 (530) 751-4800 (530) 751-4000 (530) 741-1300 (530) 741-1300 (530) 749-3500 (530) 751-4900 (530) 751-4800 (530) 751-4000 (530) 751-4900 (530) 674-2434 (530) 749-3346 (530) 741-1300 (530) 695-0700 (530) 749-3346 (530) 673-9420 (530) 674-9200 (530) 671-8820

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

T M L Y L S S

MD CNM NP MD MD

DO G S S A A A L L W D K K S S R M K L C MD MD MD MD MD MD OD OD OD OD OD OD OD OD OD OD OD OD

969 Plumas St 1007 Live Oak Blvd 1531 Plumas Ct 481 Plumas Blvd 950 Tharp Rd 901 Maple Ave 747 Plumas St 1245 Tharp Rd 710B W Onstott Rd 1215 Plumas St 901 Maple Ave 1050 Live Oak Blvd 1145 Colusa Ave 1050 Live Oak Blvd 1145 Colusa Ave 1245 Tharp Rd 1245 Tharp Rd 1282 Stabler Ln 950 Tharp Rd 367 Del Norte Ave 1134 Plumas St 1100 Garden Hwy Ste 900 1215 Plumas St

Howard Muhammad Muhammad Muhammad Peter Richard Randall Muhammad Muhammad Muhammad Rajpreet Rajpreet Robert Esequiel Maria Lourdes Robert Mustafa Mustafa Thinn

MD MD MD MD

460 Plumas Blvd 1531 Plumas Ct 370 Del Norte Ave 970 Plumas St 460 Plumas Blvd 460 Plumas Blvd 460 Plumas Blvd 1531 Plumas Ct 370 Del Norte Ave 970 Plumas St 1531 Plumas Ct 481 Plumas Blvd 440 Plumas Blvd 460 Plumas Blvd

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

D D W

MD MD MD MD MD MD

S S A

MD MD

T A

MD

9980 Live Oak Blvd 440 Plumas Blvd

MD MD T MD

1000 Sutter St 334 Samuel Dr 931 Market St

10/24/2013

79

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Sutter Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama

Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Physical Medicine & Rehabilitation Physical Medicine & Rehabilitation Plastic Surgery Podiatry Podiatry Podiatry Podiatry Radiation Oncology Radiation Oncology Radiation Oncology Skilled Nursing Facility Skilled Nursing Facility Sleep Medicine Surgery Urology Acupuncture Acute/General Hospital Ambulatory Surgery Center Anesthesiology Anesthesiology Anesthesiology Cardiovascular Disease Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Critical Care Medicine Dermatology Dermatology Dermatology Diagnostic Imaging Center Diagnostic Imaging Center

Boparai Chang Dalal Ghuman Ghuman Johl Kakishiba Kryski Kumar Kumar Midha Mullick Mullick Naseem Shieh Weisshar Wy Dhesi Dhesi Skiles Gorlick Gorlick Lim Smith Jung Jung Ordorica River Valley Care Center The Fountains Randhawa Fahey Rodriguez Votaw St Elizabeth Community Hospital Red Bluff Surgery Center Barrow Barrow Barrow Wolk Arons Carbonell Carbonell Cox Hutchings Lane Oilar Reodica Anderson Anderson Chang Corning X Ray Court Street Imaging

Nanak Kwibum Karl Tejinder Tejinder Sumit Karen Charles Arun Arun Sanjiv Alpna Alpna Shahzad Naomi Allan Cherry Ann Rajpreet Rajpreet Margaret Bruce Bruce Jackson Frank Victor Victor Edward

MD MD

931 Market St 931 Market St 334 Samuel Dr 1215 Plumas St 481 Plumas Blvd 887 Plumas St 810 Richland Rd 1445 Veterans Memorial Cir Ste B 334 Samuel Dr 931 Market St 1215 Plumas St 466 Del Norte Ave 931 Market St 931 Market St 1215 Plumas St 9980 Live Oak Blvd 9980 Live Oak Blvd 1531 Plumas Ct 481 Plumas Blvd 920 Chestnut St 1000 Sutter St 935 Market St

Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Live Oak Live Oak Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Yuba City Live Oak Yuba City Yuba City Yuba City Yuba City Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Cottonwood Red Bluff Red Bluff Red Bluff Red Bluff Corning Red Bluff

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95991 95991 95991 95991 95991 95991 95991 95993 95991 95991 95991 95991 95991 95991 95991 95953 95953 95991 95991 95991 95991 95991 95991 95993 95991 95991 95991 95953 95991 95991 95991 95991 96080 96080 96080 96080 96080 96080 96080 96080 96080 96080 96080 96080 96080 96022 96080 96080 96080 96080 96021 96080

(530) 671-8820 (530) 671-8820 (530) 674-9200 (530) 674-2100 (530) 674-1400 (530) 674-5396 (530) 755-0464 (530) 822-7240 (530) 674-9200 (530) 671-8820 (530) 674-2100 (530) 673-9420 (530) 671-8820 (530) 671-8820 (530) 671-6148 (530) 695-0700 (530) 695-0700 (530) 751-4900 (530) 674-2434 (530) 751-1071 (530) 673-9420 (530) 673-9420 (530) 674-9737 (530) 822-7240 (530) 755-3070 (530) 751-4000 (530) 755-3070 (530) 695-8020 (530) 790-3000 (530) 743-5428 (530) 751-1230 (530) 741-1300 (530) 528-2038 (530) 529-8000 (559) 673-4000 (530) 225-6300 (530) 227-9470 (530) 227-9470 (530) 690-2778 (530) 527-0121 (530) 528-0808 (530) 528-0808 (530) 527-1774 (530) 527-0121 (530) 527-3844 (530) 347-9500 (530) 246-4180 (530) 527-0414 (530) 527-0414 (530) 527-0414 (530) 824-9433 (530) 241-8633

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

N P P

MD MD MD MD

K G

MD MD MD MD

MD MD MD MD

H R W S S S D D M P H H J

MD MD MD MD MD MD

DPM DPM MD MD MD

1531 Plumas Ct 1445 Circle Dr 1215 Plumas St 970 Plumas St 1215 Plumas St 9000 Larkin Rd 1260 Williams Way

Harpreet Michael Esequiel Janette J

MD MD

1162 Live Oak Blvd 481 Plumas Blvd 460 Plumas Blvd

Y Y Y Y

LAC

658 Washington St 2550 Sister Mary Columba Dr 345 Hickory St

Jonathan Jonathan Jonathan Peter Scott Antonio Antonio David Donovan Lesa Darrin Ronald Antonio Nancy Nancy Tinyee

F F F J S MD DC DC DC E K M D S J J T MD MD MD DC DC DC DC

2550 Sister Mary Columba Dr 345 Hickory St 345 Hickory St Ste 4 2540 Sister Mary Columba Dr 2050 Main St 605 Oak St 645 Antelope Blvd 856 Johnson St 2050 Main St 332 Pine St 3435 Main St 2550 Sister Mary Columba Drive 2450 Sister Mary Columba Dr 2580 Sister Mary Columba Dr 2450 Sister Mary Columba Dr 155 Solano St 645 Antelope Blvd

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

10/24/2013

80

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama

Emergency Medicine Emergency Medicine Emergency Medicine Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Federally Qualified Health Center General Practice General Practice General Practice General Practice General Practice General Practice General Practice General Practice Hearing Aid Supplier Hearing Aid Supplier Hemodialysis Center Home Health Agency Home Health Agency Home Health Agency Infectious Disease Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy

Calvo Greenberg Lawson Cox Cusick Cusick Cusick Fish Fish Ikeda Lair Mcclure Mcdaniel Moehring Nicora-Garrett Ooi Ota Shahatit Shoop Villapena-Cid Greenville Rancheria Carter Carter Greenberg Jones Nicora-Garrett Ooi Waits Waits Beltone Hearing Aid Center Michael Daly'S Hearing Aide Ctr Red Bluff Dialysis Center Accentcare Home Health Inc Addus Healthcare Inc St Elizabeth Community Hospital Hha Nijjar Cheung Crose Dahnke Datu Iqbal Jones Nijjar Waits Wickenheiser Adams Massie Persell Callahan Chamblin Lindauer Stewart

Linette Greg Robert Roger William William William Larry Larry Naoko Brian Jill Dan Kurt Maria James Victoria Bashar Lee Geraldine

C A F V M M M W W

MD MD MD MD DO DO DO DO DO DO DO

2550 Sister Mary Columba Dr 2550 Sister Mary Columba Dr 2550 Sister Mary Columba Dr 1425 Montgomery Rd 2540 Sister Mary Columba Dr 702 Solano St 740 Solano 2450 Sister Mary Columba Dr 2580 Sister Mary Columba Dr 155 Solano St 2540 Sister Mary Columba Dr 2450 Sister Mary Columba Dr

Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Corning Corning Red Bluff Red Bluff Corning Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Corning Corning Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Corning Red Bluff Corning Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Corning Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Corning Red Bluff Red Bluff Red Bluff Red Bluff Corning Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

96080 96080 96080 96080 96080 96021 96021 96080 96080 96021 96080 96080 96080 96080 96080 96021 96021 96080 96080 96080 96080 96080 96080 96080 96021 96080 96021 96080 96080 96080 96080 96080 96021 96080 96080 96080 96080 96080 96080 96080 96080 96021 96080 96080 96080 96080 96021 96080 96080 96080 96080 96080

(530) 529-1306 (530) 529-8000 (530) 529-1306 (530) 528-8600 (530) 690-2778 (530) 690-2778 (530) 690-2728 (530) 527-0414 (530) 527-0414 (530) 824-4663 (530) 690-2778 (530) 527-0414 (530) 527-0414 (530) 527-0414 (530) 527-0414 (530) 824-3283 (530) 824-4663 (530) 527-0414 (530) 527-0414 (530) 527-0414 (530) 528-8600 (530) 527-0414 (530) 527-0414 (530) 529-8000 (530) 824-4663 (530) 527-0414 (530) 824-3283 (530) 528-8600 (530) 528-8697 (800) 227-3229 (530) 529-1099 (530) 527-0052 (800) 877-9069 (530) 527-7227 (530) 529-7187 (530) 528-7650 (530) 527-0414 (530) 527-0414 (530) 527-0414 (530) 527-8688 (530) 527-0414 (530) 824-4663 (530) 528-7650 (530) 528-8600 (530) 527-0414 (530) 222-8687 (530) 824-4663 (530) 529-1912 (530) 529-3125 (530) 527-8523 (530) 527-6702 (530) 528-0301

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

A E A D P L M E D DO MD MD MD DO MD

2450 Sister Mary Columba Dr 2450 Sister Mary Columba Dr 2450 Sister Mary Columba Dr 320 Solano St 155 Solano St 2450 Sister Mary Columba Dr 2450 Sister Mary Columba Dr 2450 Sister Mary Columba Dr 1425 Montgomery Rd

Kelly Kelly Greg Dwaine Maria James Kevin Kevin

D D A L D P

MD MD MD MD MD

2440 Sister Mary Columbia Dr 2450 Sister Mary Columba Dr 2550 Sister Mary Columba Dr 155 Solano St 2450 Sister Mary Columba Dr 320 Solano St

Y Y Y Y Y Y Y Y

DO DO

1425 Montgomery Rd 2430 Sister Mary Columba Dr 2526 Sister Mary Columba Dr 1422 S Wyndhaven Dr 2455 Sister Mary Columba Dr 618 4Th St 2150 Main St 1425 Vista Way

Jagraj Lisa Joshua David Stephen Muhammad Dwaine Jagraj Kerry Richard Melinda Connie Dena Constance Steven Hillary Donna

S A

MD MD DO

645 Antelope Blvd 2450 Sister Mary Columba Dr 2450 Sister Mary Columba Dr 2450 Sister Mary Columba Dr 85 Sale Ln 2450 Sister Mary Columba Dr

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

G P R L S S A L M R C R

MD MD

MD MD DO MD LCSW LCSW

155 Solano St 645 Antelope Blvd 1425 Montgomery Rd 2450 Sister Mary Columba Dr 243 Washington St 155 Solano St 629 Jackson St

MFT MFT MFT MFT

629 Jackson St 1760 Airport Blvd 1347 Grant St 437 Washington St

10/24/2013

81

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Tehama Trinity Trinity Trinity Trinity Trinity

Marriage & Family Therapy Marriage & Family Therapy Medical Vendor (DME) Nurse Anesthetist Nurse Anesthetist Nurse Practitioner Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Ophthalmology Ophthalmology Ophthalmology Ophthalmology Ophthalmology Optometry Optometry Optometry Optometry Optometry Optometry Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Otolaryngology (ENT) Otolaryngology (ENT) Otolaryngology (ENT) Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Podiatry Psychiatry Psychology Pulmonary Disease Pulmonary Disease Radiation Oncology Skilled Nursing Facility Skilled Nursing Facility Sleep Medicine Surgery Acute/General Hospital Cardiovascular Disease Family Practice Family Practice Family Practice

Tarkington Thompson Lincare Inc Dalitz Gray Franklin Nasise Shea Stewart Waits Waits Alexander Barthelow Haugen King Ransbarger Barriga Chen Cullum Farrar Robertson Rudick Chase Coon Smith Smith Frantz Frantz Frantz Carter Carter Frantz Jong Manlapaz-Villavicencio Ndagano Quintal Tan Swaim Young Busey Reodica Trevor Thomas Brentwood Skilled Nursing And Rehab Center Red Bluff Health Care Center Reodica Stephens Trinity Hospital Stemple Krouse Meredith Quion

Judy Rodney

E L

MFT MFT

590 Antelope Blvd Ste 30B 756 Rio St 344 S Main St

Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Corning Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Cottonwood Corning Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Red Bluff Weaverville Weaverville Weaverville Weaverville Mad River

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

96080 96080 96080 96080 96080 96080 96080 96080 96021 96080 96080 96080 96080 96080 96080 96080 96080 96080 96080 96022 96021 96080 96080 96080 96080 96080 96080 96080 96080 96080 96080 96080 96080 96080 96080 96080 96080 96080 96080 96080 96080 96080 96080 96080 96080 96080 96080 96093 96093 96093 96093 95526

(530) 529-9454 (530) 527-7605 (530) 529-4141 (530) 529-8000 (530) 527-6693 (530) 527-0414 (530) 529-0991 (530) 529-2966 (530) 824-5401 (530) 528-8600 (530) 528-8697 (530) 529-1750 (530) 529-1750 (530) 529-1750 (530) 527-6123 (530) 529-1750 (530) 527-9242 (530) 529-1750 (530) 527-8777 (530) 347-7347 (530) 824-2166 (530) 529-1750 (530) 527-0148 (530) 528-8899 (530) 528-6100 (530) 528-6100 (530) 528-8600 (530) 528-1220 (530) 528-1220 (530) 527-0414 (530) 527-0414 (530) 527-0414 (530) 527-0414 (530) 527-0414 (530) 527-0414 (530) 528-4423 (530) 527-0414 (530) 527-7584 (530) 527-8491 (530) 529-5868 (530) 246-4180 (530) 246-4180 (530) 528-8295 (530) 527-2046 (530) 527-6232 (530) 246-4180 (530) 529-4727 (530) 623-5541 (530) 623-6777 (530) 623-3735 (530) 623-1157 (707) 574-6616

Y Y

Douglas Randy Margaret Norman Theodore Debra Kevin Kevin Julian Joel Brian Daniel Kristiane Aurora Ann Chi Stacy Michael Timothy Anthony Robert Thomas Bradley Bradley Timothy Timothy Timothy Kelly Kelly Kimberli Kimmy Lea Annette Patrick Maria Nelisa John James Joseph Ronald Antonio Everett John

M R M C W L CRNA NP MD MD DO DO DO P I O M M V MD MD OD OD C K W J R M D D D D D D D R M E M L N F R S S D MD OD OD OD OD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD DPM MD PHD MD

2550 Sister Mary Columba Dr 485 Antelope Blvd 2450 Sister Mary Columba Dr 2526 Sister Mary Columba Dr 2490 Sister Mary Columba Dr 145 Solano St 1425 Montgomery Rd 2430 Sister Mary Columba Dr 1056 Washington St 1056 Washington St 1056 Washington St 411 Cedar St 1056 Washington St 715 Jackson St 1056 Washington St 444 Union St 3650 Main St 400 Solano St 1056 Washington St 2480 Sister Mary Columba Dr 2540 Sister Mary Columba Dr 2528 Sister Mary Columba Dr 2580 Sister Mary Columba Dr 1425 Montgomery Rd 2450 Sister Mary Columba Dr 331 Elm St 2440 Sister Mary Columbia Dr 2450 Sister Mary Columba Dr 2450 Sister Mary Columba Dr 2450 Sister Mary Columba Dr 2450 Sister Mary Columba Dr 2450 Sister Mary Columba Dr 2450 Sister Mary Columba Dr 2450 Sister Mary Columba Dr 2530 Sister Mary Columba Dr 1860 Walnut St 12945 Peach Tree Ln 2550 Sister Mary Columba Drive 2550 Sister Mary Columba Drive 2516 Sister Mary Columba Dr 1795 Walnut St 555 Luther Rd

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

Ronald Antonio Kay

S MD

2550 Sister Mary Columba Drive 2440 Sister Mary Columba Dr 60 Easter Ave

Y Y

Dale Donald Randall Michael

R E J R

MD MD MD MD

500 Trinity Lakes Blvd 560 Main St 106 Garden Gulch 321 Van Duzen Rd

Y Y Y Y

10/24/2013

82

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Trinity Trinity Trinity Trinity Trinity Trinity Trinity Trinity Tuolomne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne

General Practice General Practice Home Health Agency Licensed Clinical Social Work Marriage & Family Therapy Marriage & Family Therapy Rural Health Clinic Skilled Nursing Facility Acute/General Hospital Ambulatory Surgery Center Child & Adolescent Psychiatry Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Chiropractic Dermatology Dermatology Dermatology Dermatology Diagnostic Imaging Center Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine

Dolci Stemple Trinity Home Health Services Hiney La Fein Wilkerson Trinity Community Health Clinic Trinity Hospital Snf Sonora Community Hospital Sonora Eye Surgery Center Roxas Arnold Bosch Lazar Lund Shuey Yang Cooper Cooper Cooper Wright Rcoa Adventist Health Barba Barton Beatty Depaulo Derlet Freeman Freeman Freeman Grajales-Zweigle Hood Kossuth Levine Lyons Lyons Lyons Lyons Mullins Mullins Parsley Renwick Renwick Renwick Renwick Renwick Sheikho Smith Uslander Uslander Uslander Wengert

Edward Dale

L R

MD MD

310 Easter Ave 500 Trinity Lakes Blvd 60 Easter Ave

Weaverville Weaverville Weaverville Trinity Ctr Weaverville Weaverville Weaverville Weaverville Sonora Sonora Tuolumne Sonora Sonora Twain Harte Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Tuolumne Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Tuolumne Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

96093 96093 96093 96091 96093 96093 96093 96093 95370 95370 95379 95370 95370 95383 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95379 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95379 95370 95370 95370 95370 95370 95370 95370 95370

(530) 623-4471 (530) 623-6777 (530) 623-5541 (530) 266-3742 (530) 623-2695 (530) 623-2892 (530) 623-5541 (530) 623-5541 (209) 536-5000 (209) 532-8191 (209) 928-5400 (209) 536-2700 (209) 533-4330 (209) 586-4441 (209) 536-9182 (209) 532-3700 (209) 532-3700 (209) 536-5110 (209) 536-5110 (209) 536-0505 (209) 532-3821 (209) 536-5010 (209) 533-7100 (209) 536-5130 (209) 533-7100 (209) 533-7120 (209) 928-5400 (209) 536-3460 (209) 532-3167 (209) 536-5130 (209) 533-7100 (209) 533-7100 (209) 533-7100 (209) 533-7100 (209) 536-3460 (209) 532-3167 (209) 536-5130 (209) 536-5130 (209) 532-3167 (209) 536-5110 (209) 532-3167 (209) 588-8685 (209) 532-3167 (209) 928-5400 (209) 536-5130 (209) 532-0026 (209) 533-7100 (209) 533-7100 (209) 532-3167 (209) 532-4287 (209) 536-5130 (209) 532-3167

Y Y

Dana Scott Cheryl

J N

LCSW MFT MFT

399 Airport Rd 903 Main St 1520 Hwy 299 60 Easter Ave 60 Easter Ave 1000 Greenley Rd 940 Sylva Ln

Y Y Y

Randolph Michael Kathy Michael Tamara Richard Tern Zachary Zachary Zachary Gary

B L J S F W

MD

18880 Cherry Valley Blvd 1005 Mono Way

Y Y Y Y Y Y Y Y Y Y Y

DC DC DC DC DC

19515 Village Dr 22940 Joaquin Gully Rd 6 S Forest Rd 13955 Mono Way Ste A 13955 Mono Way Ste A 193 Fairview Ln 193 S. Fairview Lane 19933 Greenley Rd 664 Pauline Ct 1000 Greenley Rd

A A A L

MD MD MD MD

Rigoberto Paul Paul Paul Robert Kimberly Kimberly Kimberly Mercedes Ron Sara Adin Robert Robert Robert Robert Christian Christian Allen Kenneth Kenneth Kenneth Kenneth Kenneth Hassan David Robert Robert Robert James L L L W L L H W W W W L L L K K K K K S C R S W D D D

MD MD MD MD MD MD MD MD MD MD DO MD MD MD MD MD MD MD MD MD MD MD MD MD MD

101 Hospital Rd 193 Fairview Ln 101 Hospital Rd 101 Hospital Rd 18880 Cherry Valley Blvd 1000 Greenley Rd 14540 Mono Way 193 S Fairview Ln 101 Hospital Rd 101 Hospital Rd 101 Hospital Rd 101 Hospital Rd 100 Greenley Rd 14540 Mono Way 193 Fairview Ln 193 S Fairview Ln 14540 Mono Way 193 Fairview Ln 14540 Mono Way 1000 Greenley Rd 14540 Mono Way 18880 Cherry Valley Blvd 193 S Fairview Ln 19969 Greenley Rd 101 Hospital Rd 101 Hospital Rd

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

MD MD MD MD

14540 Mono Way 183 Fairview Ln 193 S Fairview Ln 14540 Mono Way

10/24/2013

83

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne

Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Federally Qualified Health Center General Practice General Practice

Wengert Wengert Yaqub Yaqub Barba Birla Birla Birla Birla Braunstein Braunstein Braunstein Braunstein Clinite Clinite Clinite Davis Davis Depaulo Dillen Dillen Endress Ewing Gordon Gordon Jaggy Levine Mckay Orona Renwick Renwick Renwick Renwick Renwick Richey Richey Richey Runte Runte Runte Runte Runte Sostock Stolp Tran Tran Truelove Yaqub Yaqub Sonora Indian Health Clinic Deilmann Endress

James James Tahir Tahir Rigoberto Rajnish Rajnish Rajnish Rajnish Anne Anne Anne Anne Edward Edward Edward William William Paul Amanda Amanda Don Hope Nayvin Nayvin Jakob Adin Marsha Rene Kenneth Kenneth Kenneth Kenneth Kenneth Sara Sara Sara Eric Eric Eric Eric Eric Lori Stuart Tony Tony Katharina Tahir Tahir

W W

MD MD MD MD MD MD MD MD MD

193 Fairview Ln 193 S Fairview Ln 14540 Mono Way 193 S Fairview Ln 101 Hospital Rd 14540 Mono Way 193 Fairview Ln 193 S Fairview Ln 19747 Greenley Rd 1000 Greenley Rd 14540 Mono Way 193 Fairview Ln 193 S Fairview Ln 12811 Covey Cir 680 Guzzi Ln 900 Greenley Rd 14540 Mono Way 193 Fairview Ln 101 Hospital Rd 18880 Cherry Valley Blvd 19969 Greenley Rd 3191 El Prado Rd 18144 Seco St 18880 Cherry Valley Blvd 19969 Greenley Rd 22603 Parrotts Ferry Rd 101 Hospital Rd 18711 Tiffeni Dr 101 Hospital Rd 1000 Greenley Rd 14540 Mono Way 18880 Cherry Valley Blvd 193 S Fairview Ln 19969 Greenley Rd 193 Fairview Ln 193 S Fairview Lane 193 S Fairview Ln 101 Hospital Rd 137 S Shepherd St 18880 Cherry Valley Blvd 19590 Mi Wu St 19969 Greenley Rd 820 Delnero Dr 20111 Cedar Rd N 14540 Mono Way 193 Fairview Ln 101 Hospital Rd 14540 Mono Way 193 S Fairview Ln 13975 Mono Way

Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Tuolumne Sonora La Grange Jamestown Tuolumne Sonora Columbia Sonora Twain Harte Sonora Sonora Sonora Tuolumne Sonora Sonora Sonora Sonora Sonora Sonora Sonora Tuolumne Tuolumne Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora La Grange

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95379 95370 95329 95327 95379 95370 95310 95370 95383 95370 95370 95370 95379 95370 95370 95370 95370 95370 95370 95370 95379 95379 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95329

(209) 536-5130 (209) 536-5130 (209) 532-3167 (209) 536-5130 (209) 533-7100 (209) 532-3167 (209) 536-5110 (209) 536-5130 (209) 533-3320 (209) 536-5000 (209) 532-3167 (209) 536-5130 (209) 536-5130 (209) 536-5196 (209) 532-2792 (209) 536-3240 (209) 532-3167 (209) 536-5130 (209) 533-7120 (209) 928-5400 (209) 532-0026 (209) 852-2764 (209) 984-4820 (209) 928-5400 (209) 532-0028 (209) 588-8900 (209) 533-7100 (209) 586-2000 (209) 533-7100 (209) 588-8685 (209) 532-3167 (209) 928-5400 (209) 536-5130 (209) 532-0026 (209) 536-5100 (209) 536-5100 (209) 536-5130 (209) 533-7255 (209) 533-3262 (209) 928-5400 (209) 928-4277 (209) 532-0028 (209) 532-7246 (209) 533-7400 (209) 532-3167 (209) 536-5130 (209) 533-7255 (209) 532-3167 (209) 536-5130 (209) 533-9600 (209) 533-0333 (209) 852-2764

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y N N Y Y Y

S S S S W W W B B S Z Z M H

MD MD MD MD DO DO DO MD MD MD DO DO MD MD MD MD MD

H J A K K K K K J J J M M M M M B T H H M

MD DO MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD

Martin Don M

MD MD

690 Guzzi Ln 3191 El Prado Rd

Y Y

10/24/2013

84

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne

General Practice General Practice General Practice General Practice General Practice General Practice General Practice Hearing Aid Supplier Hearing Aid Supplier Hematology Hematology Hematology Hematology Hematology Hematology & Medical Oncology Hematology & Medical Oncology Hemodialysis Center Home Health Agency Home Health Agency Home Infusion Therapy Hospice Hospice & Palliative Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Licensed Clinical Social Work Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy

Munger Richey Richey Richey Uslander Uslander Uslander Alternative Hearing Aid Centers Rockwell Sierra Hearing Aids Banisadre Banisadre Banisadre Mojab Mojab Mojab Mojab Satellite Dialysis Centers Sonora Community Personal Care Sonora Regional Home Health Sonora Community Hospital Home Infusion Hospice Of The Sierra Sostock Allen Anderson Barba Deilmann Derlet Lo Eleanor Lo Eleanor Mojab Mojab Mosson Mosson Mosson Phillips Ramakrishnan Reina Reina Spitze Spitze Tan Wong Bachtelle Hayes Keller Pechota Pechota Andrews Cancro Forster Gee Herrin

Richard Sara Sara Sara Robert Robert Robert

A J J J L L L

MD MD MD MD MD MD MD

650 Pauline Ct 193 Fairview Ln 193 S Fairview Lane 193 S Fairview Ln 14540 Mono Way 183 Fairview Ln 193 S Fairview Ln 722 Mono Way 15745 Bev Barron Rd

Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Tuolumne Sonora Tuolumne Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Columbia Sonora Sonora Sonora Sonora Sonora Soulsbyville Sonora Sonora Sonora

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95379 95370 95379 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95310 95370 95370 95370 95370 95370 95372 95370 95370 95370

(209) 532-5154 (209) 536-5100 (209) 536-5100 (209) 536-5130 (209) 532-3167 (209) 532-4287 (209) 536-5130 (209) 532-9337 (209) 532-5208 (209) 536-9000 (209) 536-5080 (209) 536-5155 (209) 536-9000 (209) 536-5080 (209) 536-9000 (209) 536-5080 (209) 532-3072 (209) 536-3820 (209) 536-5700 (209) 532-0211 (209) 536-5685 (209) 532-7246 (209) 532-7965 (209) 533-0333 (209) 533-7100 (209) 533-0333 (209) 928-5400 (209) 533-3262 (209) 928-5400 (209) 536-9000 (209) 536-5080 (209) 536-5000 (209) 532-8104 (209) 536-3738 (209) 532-1919 (209) 533-7100 (209) 536-5000 (209) 533-9600 (209) 532-8104 (209) 536-3240 (209) 533-7120 (209) 533-1216 (209) 532-5424 (209) 338-7829 (209) 532-8517 (209) 588-0298 (209) 588-0298 (209) 559-4333 (209) 533-8230 (209) 559-5739 (209) 768-3059 (209) 743-9292

Y Y Y Y Y Y Y

Mussa Mussa Mussa Abdol Abdol Abdol Abdol A A A A

MD MD MD

680 Guzzi Ln 900 Greenley Rd 900 Greenley Road 680 Guzzi Ln 900 Greenley Rd 680 Guzzi Ln 900 Greenley Rd 136 E Columbia Way 177 Fairview Ln 20100 Cedar Rd N 1000 Greenley Rd 20100 Cedar N Rd

Y Y Y Y Y Y Y

Lori David Danny Rigoberto Martin Robert Fung Fung Abdol Abdol James James James Daniel Sampath Robert Robert Terril Terril Christina Johnson Karen Andrea Earlene Joann Joann Patricia Elena Claudia Mark Kelley

B E M

MD MD MD MD MD

820 Delnero Dr 690 Guzzi Ln 690 Guzzi Ln 101 Hospital Rd 690 Guzzi Ln 18880 Cherry Valley Blvd 137 S Sheperd St 18880 Cherry Valley Blvd 680 Guzzi Ln 900 Greenley Rd

Y N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

W Y Y A A D D D B K I I C C A K M D A

MD MD MD

MD MD MD MD MD MD MD MD MD MD MD LCSW LCSW LCSW LCSW LCSW

1000 Greenley Rd 193 Fairview Ln 900 Greenley Rd 690 Guzzi Ln 101 Hospital Rd 1000 Greenley Rd 13975 Mono Way 193 Fairview Ln 900 Greenley Rd 101 Hospital Rd 14568 Mono Way 11955 Yankee Hill Rd 101 S Forest Rd 101 S Forest Rd 115 Bradford St 171 N Washington St 101 Forest Rd 945 Morningstar Dr 134 N Washington St Apt 3 230 S Shepherd St #H 6 S Washington St

A S R A J

MFT MFT LMFT MFT MFT

10/24/2013

85

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne

Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Marriage & Family Therapy Medical Oncology Medical Oncology Medical Oncology Medical Oncology Medical Oncology Nephrology Neurology Nurse Anesthetist Nurse Practitioner Nurse Practitioner Nurse Practitioner Nurse Practitioner Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Obstetrics & Gynecology Occupational Medicine Ophthalmology Ophthalmology Optometry Optometry Optometry Optometry Optometry Optometry Orthopedic Sports Medicine Orthopedic Sports Medicine Orthopedic Sports Medicine Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery

Hicks Kerns Kerns Nath Owens Peterson Reed Soares Tamerlane Thomsen Banisadre Banisadre Banisadre Mojab Mojab Tan Lee Bhan Radford Rodriguez Serva Valente-Moore Wiley Brunel Brunel Brunel Brunel Brunel Hooper Ardron Haugen Adams Child Fleming Shumway Stuart Vanover Demers Demers Demers Boyd Boyd Demers Demers Demers Krpan Krpan Krpan Mcdonald Mcdonald Nygaard Nygaard Nygaard

Larry Keith Keith Tiffany Cherie Cheryl Walter Stacey Ronda Carolyn Mussa Mussa Mussa Abdol Abdol Christina Choo Vinod Ann Jacey Gina Carol Lawrence Lawrence Lawrence Lawrence Lawrence Timothy Gerard Perry Craig Victor Douglas Peter Wallace Richard Ariana Ariana Ariana James James Ariana Ariana Ariana Christopher Christopher Christopher Thomas Thomas Airell Airell Airell

V E E D D L W L L J

MFT MFT MFT

39 N Washington St 1860 Pine St 39 N Washington St 134 N Washington St Ste 101 S Forest Rd 230 S Shepherd St Ste D

Sonora Tuolumne Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Jamestown Sonora Jamestown Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Jamestown Sonora Sonora Sonora Sonora Sonora

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95370 95379 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95327 95370 95327 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95327 95370 95370 95370 95370 95370

(209) 532-3086 (209) 928-4277 (209) 586-2249 (209) 567-3111 (209) 770-5047 (209) 559-2432 (209) 532-3569 (209) 588-8993 (209) 588-8935 (209) 536-9835 (209) 536-9000 (209) 536-5080 (209) 536-5155 (209) 536-9000 (209) 536-5080 (209) 533-7120 (209) 533-3955 (209) 532-8191 (209) 984-4820 (209) 533-0333 (209) 984-4820 (209) 533-9600 (209) 636-5196 (209) 536-5110 (209) 536-5100 (209) 536-5110 (209) 532-5121 (209) 532-3370 (209) 532-2020 (209) 532-8191 (209) 532-8191 (209) 532-7192 (209) 532-4123 (209) 533-2550 (209) 532-5421 (209) 532-4123 (209) 536-5110 (209) 532-0126 (209) 532-0126 (209) 536-5110 (209) 532-0126 (209) 536-5110 (209) 532-0126 (209) 532-0126 (209) 532-5000 (209) 536-5110 (209) 984-5291 (209) 536-5110 (209) 532-0126 (209) 536-5110 (209) 536-5110 (209) 536-5780

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y N N N Y Y N N N Y Y Y N N Y Y Y

MFT MFT

39 N Washington St 53 Bradford St 101 S Forest Rd 945 Morning Star Dr

MD MD MD A A A S C MD MD CRNA NP J M A E E E E E D E A W F O A MD OD OD OD OD OD D M M M I I M M M J J J J J L L L OD DO DO DO MD MD DO DO DO DO DO DO MD MD MD MD MD NP NP NP MD MD MD MD MD MD

680 Guzzi Ln 900 Greenley Rd 900 Greenley Road 680 Guzzi Ln 900 Greenley Rd 101 Hospital Rd 680 Guzzi Ln 940 Sylva Ln 18144 Seco St 690 Guzzi Ln 18144 Seco St 13975 Mono Way 12811 Covey Cir 193 Fairview Ln 193 S Fairview Ln 193 S. Fairview Lane 900 Greenley Rd 13951 Mono Way 940 Sylva Ln 940 Sylva Ln 940 Sylva Ln 14550 Mono Way 940 Sylva Ln 13923 Mono Way 48 S Stewart St 940 Sylva Ln 193 S. Fairview Lane 680 Guzzi Ln 940 Sylva Ln 193 Fairview Ln 680 Guzzi Ln 193 S. Fairview Lane 680 Guzzi Ln 940 Sylva Ln 1000 Greenley Rd 193 S. Fairview Lane 5100 Obyrnes Ferry Rd 193 S Fairview Ln 680 Guzzi Ln 193 Fairview Lane 193 Fairview Ln 680 Guzzi Ln

10/24/2013

86

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne

Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery Otolaryngology (ENT) Otolaryngology (ENT) Otolaryngology (ENT) Otolaryngology (ENT) Otolaryngology (ENT) Pediatric Hematology & Oncology Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Physical Medicine & Rehabilitation Physical Medicine & Rehabilitation Podiatry Podiatry Podiatry Psychiatry Residential Treatment Center Chemical Dependency Rehab Center, Outpatient Rural Health Clinic Skilled Nursing Facility Skilled Nursing Facility Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Surgery Of The Hand Surgery Of The Hand Surgery Of The Hand Surgery Of The Hand

Peterson Peterson Whitney Dubose Dubose Dubose Reese Reese Johnson Birtwhistle Cabanag Conte Conte Derlet Derlet Freedman Freedman George Johnson Teel Bammann Bammann Jensen Jensen Self Peters Maynords Chemical Dependency Recovery Centers Forest Road Health & Wellness Center Avalon Care Center Sonora Llc Sonora Community Sierra Hospital - Snf Brunel Brunel Brunel Brunel Brunel Grajales-Zweigle Hopkins Mier Mier Mier Mier Moreno Moreno Naude Naude Naude Smith Smith Mcdonald Mcdonald Peterson Peterson

Steven Steven Frank Daniel Daniel Daniel James James Lisa William Orestes Felix Felix Mikla Mikla Eric Eric Kelley Lisa Devanie Barbara Barbara Steve Steve Todd Alan

H H E T T T L L M H E A A N N R R W M S L L C C C E

MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD

193 Fairview Ln 691 Pauline Ct 21842 Lyons Bald Mountain Rd 193 Fairview Ln 193 S Fairview Ln 795 Morning Star Dr 193 S Fairview Ln 795 Morning Star Dr 193 Fairview Ln 12791 Cabezut Rd 18880 Cherry Valley Blvd 193 Fairview Lane 193 Fairview Ln 13975 Mono Way 18880 Cherry Valley Blvd 193 Fairview Ln 680 Guzzi Ln

Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Tuolumne Sonora Sonora Sonora Tuolumne Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Tuolumne Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95379 95370 95370 95370 95379 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95379 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370 95370

(209) 536-5110 (209) 532-6961 (209) 532-0126 (209) 536-5110 (209) 536-5110 (209) 533-2545 (209) 536-5110 (209) 536-3680 (209) 536-5100 (209) 532-5524 (209) 928-5400 (209) 536-5120 (209) 536-5110 (209) 533-9600 (209) 928-5400 (209) 536-5110 (209) 532-5244 (209) 532-5524 (209) 536-5100 (209) 536-5120 (209) 532-3161 (209) 536-3780 (209) 536-5110 (209) 533-2468 (209) 533-3996 (209) 533-6245 (800) 228-8208 (209) 533-7100 (209) 533-2500 (209) 532-3161 (209) 636-5196 (209) 536-5110 (209) 536-5100 (209) 536-5110 (209) 532-5121 (209) 533-7100 (209) 532-5528 (209) 536-5110 (209) 536-5110 (209) 536-5750 (209) 532-8155 (209) 532-4888 (209) 536-5110 (209) 588-8777 (209) 536-5110 (209) 536-5110 (209) 536-5196 (209) 536-1785 (209) 536-5110 (209) 532-0126 (209) 536-5110 (209) 532-6961

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

MD MD MD MD MD DPM DPM DPM MD

12791 Cabezut Rd 193 Fairview Ln 193 Fairview Ln 1000 Greenley Rd 19747 Greenley Rd 193 S Fairview Ln 780 Delnero Dr 13975 Mono Way 105 Hospital Rd 19325 Cherokee Rd 193 Fairview Ln 19929 Greenley Rd 179 S Fairview Lane

Lawrence Lawrence Lawrence Lawrence Lawrence Mercedes Stephen Lawrence Lawrence Lawrence Lawrence Timothy Timothy Gideon Gideon Gideon Eden Eden Thomas Thomas Steven Steven

E E E E E

MD MD MD MD MD MD

12811 Covey Cir 193 Fairview Ln 193 S Fairview Ln 193 S. Fairview Lane 900 Greenley Rd 101 Hospital Rd 680 Guzzi Ln 193 Fairview Ln 193 S Fairview Ln 680 Guzzi Ln 900 Greenley Rd 105 S Forest Rd 193 Fairview Ln 137 S Shepherd St 193 Fairview Ln 193 S. Fairview Lane 12811 Covey Cir 680 Guzzi Ln

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y N N Y Y

J R R R R R R P P P L L J J H H

MD MD MD MD MD MD MD MD MD MD

MD MD MD MD

193 S Fairview Ln 680 Guzzi Ln 193 Fairview Ln 691 Pauline Ct

10/24/2013

87

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Tuolumne Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba

Urology Urology Urology Urology Urology Urology Urology Urology Urology Acupuncture Acute/General Hospital Ambulatory Surgery Center Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Anesthesiology Cardiovascular Surgery Cardiovascular Surgery Chiropractic Chiropractic Chiropractic Critical Care Medicine Critical Care Medicine Dermatology Dermatology Dermatology Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Emergency Medicine Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice Family Practice, Sports General Practice

Ankrom Ankrom Ankrom Ankrom Ankrom Freedman Freedman Moreno Moreno Walz Rideout Memorial Hospital Twin Cities Surgicenter Inc Alghannam Alghannam Barrios Berryman Calabrese Chow Leung Mathieson Serafin Calhoun Calhoun Ellyson Oliver Omega Naseem Naseem Handler Handler Tanabe Bellinghausen Bowker Fraters Greenberg Hicks Muller Ungar Camasura Cassady Chin Davis Forsythe Genato Kopes-Kerr Kopes-Kerr Kryski May Pena Pridmore Phung Forsythe Camasura

Douglas Douglas Douglas Douglas Douglas Eric Eric Timothy Timothy John

W W W W W R R R R F

MD MD MD MD MD

12811 Covey Cir 12822 Covery Cir 193 Fairview Ln 193 S Fairview Ln 680 Guzzi Ln 193 Fairview Ln 680 Guzzi Ln

Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Sonora Oregon House Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville W Sacramento Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95370 95370 95370 95370 95370 95370 95370 95370 95370 95962 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95961 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901

(209) 536-5196 (209) 536-5193 (209) 536-5100 (209) 536-5110 (209) 533-3321 (209) 536-5110 (209) 532-5244 (209) 532-4888 (209) 536-5110 (530) 300-0782 (530) 749-4300 (530) 741-3937 (530) 742-7311 (530) 749-4300 (530) 749-4300 (530) 749-4300 (530) 749-4300 (530) 749-4300 (530) 749-4300 (530) 749-4300 (530) 749-4300 (530) 743-5125 (530) 743-5125 (530) 743-2093 (530) 743-2093 (916) 372-8657 (530) 741-6245 (530) 749-4556 (530) 749-3242 (530) 749-4556 (530) 743-0360 (530) 749-4300 (530) 749-4300 (530) 749-4300 (530) 749-4300 (530) 743-6888 (530) 749-4300 (530) 749-4300 (530) 755-0856 (530) 741-6245 (530) 741-6245 (530) 743-6888 (530) 741-6245 (530) 743-7413 (530) 741-3248 (530) 743-7413 (530) 749-3242 (530) 749-3242 (530) 743-7413 (530) 741-6245 (530) 741-6245 (530) 755-0856

Y Y Y Y Y Y Y Y Y Y

MD MD LAC

105 S Forest Rd 193 Fairview Ln 8676 Marysville Rd 726 4Th St 812 4Th St

Muhammad Muhammad Oscar Bill James Steve Wai Brett Robert Royce Royce David Dan Armando Sohail Sohail Glenn Glenn Jenine Reagan Debra Michael Greg Roger Theodore James Octavio Joseph Benson William Kenneth Edgar Colin Colin Charles Anika Mary Huy Kenneth Octavio B D C P P G N R Q D D A A L B D G A G J R D W U G A P K L M F F S M T

MD MD MD MD MD MD MD MD

1617 Ramirez St 726 4Th St 726 4Th St 726 4Th St 726 4Th St 726 4Th St 726 4Th St 726 4Th St 726 4Th St

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

MD MD DC DC DC MD MD MD MD MD MD MD DO MD MD MD MD MD DO MD MD MD MD

401 I St 401 I St Ste B 605 E St 605 E St 830 Jefferson Blvd #20 5730 Packard Ave 710 4Th St 5730 Packard Ave 710 4Th St 414 G St 726 4Th St 726 4Th St 726 4Th St 726 4Th St 1908 N Beale Rd 726 4Th St 726 4Th St 118 C Street 5730 Packard Ave 5730 Packard Ave 1908 N Beale Rd 5730 Packard Ave 724 5Th St 5730 Packard Ave 724 5Th St

MD MD MD MD MD MD

5730 Packard Ave 5730 Packard Ave 724 5Th St 5730 Packard Ave 5730 Packard Ave 118 C Street

10/24/2013

88

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba

General Practice General Practice General Practice Hemodialysis Center Home Health Agency Home Infusion Therapy Hospice Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Internal Medicine Licensed Clinical Social Work Licensed Clinical Social Work Neonatal-Perinatal Medicine Neonatal-Perinatal Medicine Neurology Nurse Practitioner Nurse Practitioner Nurse Practitioner Nurse Practitioner Nurse Practitioner Obstetrics & Gynecology Ophthalmology Ophthalmology Ophthalmology Ophthalmology Ophthalmology Optometry Optometry Optometry Optometry Optometry Orthopedic Spine Surgery Orthopedic Surgery Pain Management Pain Management Pain Medicine Pain Medicine Pediatrics Pediatrics Pediatrics Pediatrics

De Aquino Forsythe Greenberg Marysville Dialysis Center Fremont - Rideout Home Health Fremont - Rideout Home Infusion Sutter North Hospice Damazo De Aquino Goyal Goyal Gross Gupta Kang Nakashima Naseem Naseem Pena Pridmore Valrey Vanderberg Vangala Davenport Davenport Wy Wy Han Craft Giolitti Hughart Judson Richards Larson Barthelow Haugen Jacob Ransbarger Shaw Chen Fellner Richards Rudick Shupe Aslie Aslie Alghannam Alghannam Alghannam Alghannam Abordo Abordo Fort Gerbich

Karen Grace Kenneth Greg

V D A

MD MD MD

4941 Olivehurst Ave 5730 Packard Ave 726 4Th St 1015 8Th St 319 G St 319 G St 826 4Th St

Olivehurst Marysville Marysville Marysville Marysville Marysville Marysville Olivehurst Olivehurst Marysville Olivehurst Marysville Marysville Marysville Marysville Marysville Marysville Marysville Olivehurst Olivehurst Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95961 95901 95901 95901 95901 95901 95901 95961 95961 95901 95961 95901 95901 95901 95901 95901 95901 95901 95961 95961 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901 95901

(530) 743-4611 (530) 741-6245 (530) 749-4300 (530) 741-9801 (530) 749-4386 (530) 749-4386 (530) 749-3460 (530) 743-4611 (530) 743-4611 (530) 673-9420 (530) 743-4611 (530) 749-3242 (530) 741-2393 (530) 674-2100 (530) 741-3688 (530) 741-6245 (530) 749-4556 (530) 743-7413 (530) 743-4611 (530) 743-4611 (530) 741-6245 (530) 671-3427 (916) 316-5041 (530) 741-6245 (530) 749-4556 (530) 749-8801 (530) 741-6245 (530) 743-7413 (530) 743-7413 (530) 743-7413 (530) 743-7413 (530) 741-6245 (530) 743-1873 (530) 743-1874 (530) 743-1873 (530) 743-1874 (530) 743-1874 (530) 743-1873 (530) 743-1873 (530) 742-1679 (530) 743-1873 (530) 743-1873 (530) 743-8811 (530) 743-8811 (530) 742-7311 (530) 749-4300 (530) 742-7311 (530) 749-4300 (530) 741-6245 (530) 749-4556 (530) 743-7413 (530) 751-1790

N Y Y

David Karen Grace Hari Kiran Jerry Shalini Jasbir William Sohail Sohail Mary Karl Dwayne Hemalatha Stacy Stacy Cherry Ann Cherry Ann Wenchiang Kenneth Dino Danny Janice Shirley Penny Joel Brian Gabriel Kristiane Val Ann Chi Dennis Charles Anthony Adam Ardavan Ardavan Muhammad Muhammad Muhammad Muhammad Maria Lourdes Maria Lourdes Grady Stephen

E V O

MD MD MD MD

4941 Olivehurst Ave 4941 Olivehurst Ave 414 G St 4941 Olivehurst Ave 5730 Packard Ave 414 G St 330 H St 414 G St 5730 Packard Ave 710 4Th St 724 5Th St 4941 Olivehurst Ave 4941 Olivehurst Ave 5730 Packard Ave 103 D St 500 Olive St # 5 5730 Packard Ave 710 4Th St 414 G St 5730 Packard Ave 724 5Th St 724 5Th St 724 5Th St 724 5Th St 5730 Packard Ave 320 H St 320 H St 320 H St

N N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

DO MD

S F

MD MD MD MD

R F P

MD MD MD MD

L L W W

LCSW LCSW MD MD MD

L J R C N L I O

NP NP NP NP NP MD

M K

MD MD OD

320 H St 320 H St 320 H St 320 H St 429 D St 320 H St 320 H St

R H J T M M

OD OD OD

MD MD MD MD MD MD

414 G St 414 G St 1617 Ramirez St 726 4Th St 1617 Ramirez St 726 4Th St 5730 Packard Ave 710 4Th St 724 5Th St 330 H St Ste A

T T R J

MD MD MD MD

10/24/2013

89

California Region 1 Pathway X- PPO Pathway PPO ON OFF PPO Individual Exchange PPO Network

Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba Yuba

Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Pediatrics Podiatry Podiatry Podiatry Pulmonary Disease Pulmonary Disease Radiation Oncology Radiation Oncology Residential Treatment Center Chemical Dependency Rehab Center, Outpatient Surgery Thoracic Surgery Thoracic Surgery

Kryski Midha Ndulue Tam Wy Wy Andrews Berman Gorlick Naseem Naseem Jung Jung Pathways Fairshter Calhoun Calhoun

Charles Sanjiv Chukwuemeka Perlita Cherry Ann Cherry Ann Michael Joel Bruce Sohail Sohail Victor Victor

G K

MD MD MD

5730 Packard Ave 330 H St 620 E St 4941 Olivehurst Ave 5730 Packard Ave 710 4Th St 5730 Packard Ave 812 4Th St 4941 Olivehurst Ave

Marysville Marysville Marysville Olivehurst Marysville Marysville Marysville Marysville Olivehurst Marysville Marysville Marysville Marysville Marysville Marysville Marysville Marysville

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA

95901 95901 95901 95961 95901 95901 95901 95901 95961 95901 95901 95901 95901 95901 95901 95901 95901

(530) 749-3242 (530) 674-2100 (530) 741-2600 (530) 743-4611 (530) 741-6245 (530) 749-4556 (530) 741-6245 (530) 742-0365 (530) 743-4611 (530) 741-6245 (530) 749-4556 (530) 749-4400 (530) 749-4300 (530) 742-6670 (530) 743-6531 (530) 743-5125 (530) 743-5125

Y Y Y Y Y Y Y Y Y Y Y Y Y

K W W C F D

MD MD MD DPM DPM

MD MD H H MD MD

5730 Packard Ave 710 4Th St 618 5Th St 726 4Th St 2 9Th St

Michael Royce Royce

J F F

MD MD MD

320 H St 401 I St 401 I St Ste B

Y Y Y

10/24/2013

90

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