Dept. of Health Care Services

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“Sheet1 County Mailing Address Contact Name Area Code and Phone Name FAX Email Address\/Optional Comments Alameda 24100 Amador Street,, Suite 600, Hayward, CA 94544 Primary: Mary Fung Secondary: Jose Argueta (510) 259-3894 (510) 259-3809 (510) 259-3880 [email protected] [email protected] Alpine 75 Diamond Valley Road Suite A Markleeville, CA 96120 Gabe Chavarin (530) 694-2235 x224 (530) 694-2252 [email protected] Amador 10877 Conductor Blvd., Suite 200 Sutter Creek, CA 95685 Tina Dal Porto (209) 223-6620 (209) 257-0242 [email protected] Butte Dept. of Employment & Social Services P.O. Box 1649 Oroville, CA 95965 Phil Avery (530) 538-7364 (530) 555-5388 [email protected] Calaveras Calaveras Health & Human Srvs. Agency 509 E. St. Charles Street San Andreas, CA 95249 Deldee Kittrell (209) 754-6628 (209)754-4536 [email protected] Colusa 251 E. Webster Street Colusa, CA 95932 Alexandra Elguez (530) 458-0262 (530) 458-0492 [email protected] Contra Costa 40 Douglas Drive Martinez, CA 94553 Primary: Dana Wargo Secondary: Angela Verarde (925) 608-4936 (925) 608-4935 (925) 228-0294 [email protected] [email protected] Del Norte Dept. Health & Human Srvs. ,880 Northcrest Drive Crescent City, CA 95531 Dorothy Waddelow (707) 464-3191 x 2601 (707) 465-1783 [email protected] El Dorado 3057 Briw Road, Suite A, Placerville, CA 95667 Athena Garcia (530) 642-7197 (530) 626-7734 [email protected] Fresno 205 W. Pontiac Way Clovis, CA 93612 Freda Montez (559) 600-5502 (559) 600-7700 [email protected] Glenn P.O. Box 611 Willows, CA 95988 Betty Hernandez Janelle Kelly (530) 934-1406 (530) 934-1538 (530) 934-6521 [email protected] [email protected] Humboldt 929 Koster St. Eureka, CA 95501 Jennifer Renzo Dayna James (707) 268-2785 (707) 268-2783 (707) 445-6096 [email protected] [email protected] Imperial 2995 S. 4th St #105, El Centro, CA 92243 Cesare Pascual (760) 337-7823 760-337-5716 [email protected] Inyo Inyo County HHS , 920 N Main St.Bishop, CA 93514 Becky Allen Jennifer Esparza (760) 872-1394 (760) 872-4950 [email protected] [email protected] Kern Dept. of Human Services, P.O. Box 511, Bakersfield, CA 93302 David Rogers- Incoming Gayla Hughes- Outgoing (661) 631-6132 (661) 868-8823 (661) 631-6049 (661) 868-8833 [email protected] [email protected] Kings 1400 W. Lacey Blvd. Bldg. 8, Hanford, CA 93230 Amalia Cabadas (559) 852-2279 [email protected] Lake 15975 Anderson Ranch Parkway , Lower Lake, CA 95457 Georgiana McKee (707) 995-4285 (707) 995-4204 [email protected] Lassen P.O. Box 1359 Susanville, CA 96130 Dawn King (530) 251-8154 (530) 251-8149 [email protected] Los Angeles 12900 Crossroads Parkway So., City of Industry, CA 91746 D’Nedra Fox (562) 908-4343 (562) 908-0593 D’[email protected] Madera 720 E Yosemite Ave. , Madera, CA 93638 Chris Aguirre (559) 675-2334 [email protected] Marin Marin County Health and Human Services ,P.O. Box 4160 San Rafael, CA 94913 Stuart Smith (415) 473-3475 (415) 473-3553 [email protected] Mariposa P.O. Box 99 ,Maripodsa, CA 95338 Primary: Alicia Finley Secondary: Launa Gann (209) 742-0832 (209) 742-0913 (209) 966-8251 [email protected] [email protected] Mendocino P.O. Box 8508,Ukiah, CA 95482 Rae Iannetta (707) 463-7942 (707) 463-7859 [email protected] Merced P.O. Box 112 ,Merced, CA 95341 Tracey Clark (209)385-3000 x 5866 (209) 354-2505 [email protected] Modoc 441 N. Main Street, Alturas, CA 96101 Nancy Evans (530) 233-6501 x 1335 [email protected] Mono P.O. Box 2969, Mammoth Lakes, CA 93546 Francie Avitia (760) 924-1789 (760) 924-5431 [email protected] Monterey 1000 S. Main St., Suite 208, Salinas, CA 93901 Primary: Yolanda Mandujano Secondary: Maria Pacheco (831) 755-4406 (831) 755-4407 (831) 755-8408 [email protected] [email protected] Napa 2751 Napa Valley Corporate Drive, Bldg. A, Napa, CA 94559 Juana Bautista (707) 299-2159 (707) 253-6095 [email protected] Nevada 988 McCourtney Rd. ,Grass Valley, CA 95945 ,P.O. Box 1210 Nevada City, CA 95959 Candice Schleef (530) 265-1640 (530) 265-1049 [email protected] Orange 500 N. State College Blvd., Suite 100 , Orange CA 92868-1604 Primary: Maria Santana Secondary: Kristen Timmins (714) 541-7752 (714) 245-6138 (714) 245-6188 [email protected] [email protected] Placer Department of Health & Human Services P.O. Box 20400, Auburn, CA 95604 Jakki Cuffe (916) 784-6109 (916) 784-6100 [email protected] Plumas 270 County Hospital Rd., Suite 207, Quincy, CA 95971 Primary: Randy Schwartz Secondary: Karen Hayden (530) 283-6276 (530) 283-6474 (530) 283-6368 [email protected] [email protected] Riverside 4060 County Circle Drive Riverside, CA 92503 Adriana Marin (951) 358-3835 (951) 358-6929 [email protected] Sacramento Sacramento County Dept. of Human Assistance P.O. Box 487, Sacramento, CA 95812 Primary: Rhonda Sorrell Secondary: Herb Meza (916) 875-3509 (916) 874-2445 (916) 875-3591 (916) 854-9225 E-Fax [email protected] [email protected] San Benito 111 San Felipe Rd. Hollister, CA 95023 Lorena Jones (831) 630-5136 [email protected] San Bernardino 825 E. Hospitality Lane, 2nd Floor , San Bernardino, CA 92415 Primary: Brent Steinhoff Secondary: Rhonda Staple (909) 383-9644 (909) 383-9860 (909) 383-9714 [email protected] [email protected] Emails can also be sent to the central ICT inbox [email protected] San Diego County of San Diego HHSA Eligibility Operations 1255 Imperial Ave, Ste 446 San Diego, CA 92101 Jennifer Fernandez (619) 338-2833 (619) 338-2935 [email protected] San Francisco Human Services Agency P.O. Box 7988 , San Francisco, CA 94120 Becky Morris (415) 558 -2347 (415) 355-2432 [email protected] San Joaquin Human Services Agency P.O. Box 201056 , Stockton, Ca 95201-3006 Kevin Stamper (209) 468-9424 [email protected] San Luis Obispo P.O. Box 8119 , San Luis Obispo CA 93403-8199 Pati Garcia (805) 781-1893 (805) 781-1944 [email protected] Email is a perferred form of communicaiton, unless you can reach me my phone VM is a last resort San Mateo 1 Davis Drive , Belmont, CA 94002 Maribel Macias (650) 802-5195 (650) 631-5806 [email protected] Santa Barbara Dept. of Social Services 2125 S. Centerpointe Pkwy, Santa Maria, CA 93455 Lilia Ramirez (805) 346-7388 (805) 346-8366 [email protected] Santa Clara Social Services Agency , Attn: ICT Clerk, Benefits Assistance Ctr. 1867 Senter Rd, San Jose, CA 95112 Sylvia Fernandez (408) 758-4524 (408) 295-9177 [email protected] Santa Cruz P.O. Box 1320 ,Santa Cruz, CA 95061 Maria Bauer (831) 763-8582 (831) 786-7100 [email protected] Email is a preferred form of communication. Shasta P.O. Box 496005 Redding, CA 96049-6005 Veronica Lewis (530) 245-7653 (530) 225-5288 [email protected] Sierra P.O. Box 1019, Loyalton, CA 96118 Deanna Burkett (530) 993-6720 (530) 9936767 [email protected] Siskiyou 818 S Main St.,Yreka, CA 96027 Michelle Smith (530) 841-2718 (530) 841-2791 [email protected] Solano P.O. Box 12000, Vallejo, CA 94590-9000 Kelly Campbell (707) 784-3809 (707) 784-3800 [email protected] Sonoma P.O. Box 1539, Santa Rosa, CA 95401 Primary: Janelle Aman Secondary: Alycia Asai (707) 565-8774 (707) 565-8775 (707) 565-2929 [email protected] [email protected] Stanislaus P.O. Box 42, Modesto, CA 95353 Angelica Gamboa (209) 558-2718 (209) 558-2558 [email protected] Sutter P.O. Box 1535, Yuba City, CA 95992 Denise Damm (877) 652-0735 (530) 822-7212 [email protected] Tehama Dept. of Social Services ,P.O. Box 1515, Red Bluff CA 96080 Primary: Crissy Harrigan-Smith Secondary: Sarah Hoss (530) 528-4160 (530) 838-1429 (530) 527-5410 [email protected] [email protected] Trinity Health & Human Svcs. P.O. Box 1470, Weaverville, CA 96093 Primary: Gina Luke Secondary: Renee McMorrow (530) 623-8212 (530) 623-8240 (530) 623-1250 [email protected] [email protected] Tulare Professional Development Center, 4031 W Noble Ave. Visalia, CA 93277 Primary: Michelle Villarreal Secondary: Monica Garcia (559) 623-0145 (559) 623-0105 [email protected] [email protected] Tuolumne 20075 Cedar Rd. North Sonora, CA 95370 Laurie Darby (209) 533-5753 (209) 533-5714 [email protected] Ventura 855 Partridge Drive Ventura, CA 93003 Irma Reynoso (805) 477-5405 (805) 477-5387 [email protected] Yolo 25 North Cottonwood St. ,Woodland, CA 95695 Katya Lopez-Arreola (530) 661-2787 (530) 661-2658 [email protected] Yuba 5730 Packard Ave., Ste. 100 Marysville, CA 95901 Laura Hannum (530) 749-6367 (530) 749-6378 [email protected]:F59+B1:F59.yuba.ca.us mailto:[email protected]:[email protected]:[email protected]:F59+B1:F59.yuba.ca.usmailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]erced.ca.usmailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:\/\/invalid.urimailto:[email protected]:[email protected]%C2%A0mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]%C2%A0mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20Email%20is%20a%20preferred%20form%20of%20communication.mailto:[email protected]:[email protected]:[email protected]%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20%20Email%20is%20a%20perferred%20form%20of%20communicaiton,%20unless%20you%20can%20reach%20me%20my%20phone%20VM%20is%20a%20last%20resortmailto:[email protected]:[email protected] ”

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” DHCS Executive Staff Telephone List LOCATION DIRECT LINE NAME !PROGRAM 4 4 0 -7475 4 4 0 -7868 4 4 0 -7418 3 2 7 -2754 3 2 4 -5870 5 5 2 -8533 3 2 2 -9202 31 -9363 -7 1 3 7-3 7 65 -0 71 0-750 440-7745 322-3589 322-3589 5 5 2 -8290 4 4 0 -7528 3 7 3 -7719 5 5 2 -9050 5 5 2 -9185 6 5 0 -0582 319-8115 552-8559 701-8193 440-7947 324-5321 440-7557 4 4 9 -5235 445-1490 I : I 3 2 7 -3 75 4 4 9 -5234 7 0 1 -8210 5 5 2 -9316 3 1 9 -9247 5 5 2 -9619 8 9 1 -3676 4 4 0 -7385 3 2 2 -9893 324-6462 3 4 1 -6576 4 4 0 -7657 4 4 5 -6938 4 4 0 -7529 Jennifer Kent Chief Deputy Director, Policy & Program Support Chief Deputy Director, Health Care Programs & State Medicaid Director Don Braeger Chief, SUD, Program, Policy, & Fiscal Division Sarah Brooks Deputy Director, Health Care Delivery Systems Carlos Quant Chief, Financial Management Branch Toquyen Collier Acting Deputy Direct or, Enterprise Innovation Technology Services Division Jae y Coop r ssis ant Dep Dir ct , He I h Car e e Sys e s nas sia Do o ssoci te D \u00b7 ec or S E e har t-R\u00b7os ief, I t rate Syste s of Care ivis\”on Co ie F orez Carol all e uty Dire tor, L gisl iv & Go r e al A irs Jared Goldman Deputy Director & Chief Counsel, Office of Legal Services Brenda Grealish Acting Deputy Director, Mental Health & Substance Use Disorder Services Brenda Grealish Asst. Deputy Director, Mental Health & Substance Use Disorder Services Darci Haesche Chief, Human Resources Branch Lindy Harrington Deputy Director, Health Care F inancing Melody Hayes Deputy Director, CA-MMIS Division Philip Heinrich Chief, Office of HIPAA Compliance Harry Hendrix Chief, Pharmacy Benefits Division Margaret Hoffeditz Chief, Third Party Liability & Recovery Division Tanya Homman Chief, Provider Enrollment Division Alani Jackson Chief, Medi-Cal Dental Services Division Julia Logan Acting Medical Director, Office of the Medical Director Dina Kokkos-Gonzales Chief, Mental He alth Services Division Lisa Lassetter Bruce Lim Jennifer Lopez Marc Lowry Ben McGowan John Mendoza Shelly Menzel Ren ol o Chr\” ti oren vi a ha lie P rez Javier Portela Raul Ramirez Doug Robins Linette Scott Cynthia Smiley Sharon Stevenson Michele Villados Jim Watkins Laurie Weaver Sam Willburn Norman Will iams Sandra Williams Ryan Witz Deputy Director, Administration Division Deputy Director, Audits & Investigations Division Chief, Capitated Rates Develop ment Chief, Fiscal Forecasting Division Deputy Chief Counsel, Office of Legal Services Chief, Safety Net F inancing Division Chief, Strategic Planning and Workforce Development Branch Dep ty Director, Heal h Care e e ,t Eligibi \u00b7 ief, ffice f F ii Plan ng ief, ffice f e i-Cal r cur e t ief, a aged Care Quali & o i ori g ivision ief, S D Co plia ce Di isi Chief, Managed Care Operations Divis ion Chief, Office of Health Information Technology Chief, Clinical Assurance & Administrative Support Deputy Director & Chief Medical Info Officer, Information Mgmt. Div. Chief, Benefits Division Deputy Director & Chief AU, Office of Administrative Hearings & Appeals Deputy Director, Office of Civil Rights Chief, Research & Analytic Studies Division Assistant Deputy Director, Health Care Benefits & Eligibility Chief, Primary, Rural, and Indian Health Division Deputy Director, Office of Communications Chief, Medi-Cal Eligibility Division Assistant Deputy Director, Health Care Financing MAIN LINE ASSISTANT Patti Henderson 440-7400 emrm . . . – . 440-7400 327-8608 440-7800 552-8395 440-7340 0 -78 0-74 5 2 -9 05 552- 0 0 -750 440-7700 4 4 0 -7800 440-7800 552-8270 322-4831 373-2600 552-9444 552-9500 650-0490 323-1945 4 6 4 -3888 7 5 0 -3591 322-7445 4 4 0 -7525 440-7550 322-5831 440-7525 4 4 0 -7700 552-9113 324-8544 4 0-78 6 5 0 – 1 552- 006 4 -50 4 5-1 3 449-5000 552-9181 552-9100 750-3589 552-9400 322-5603 4 4 0 -7370 445-2107 4 4 0 -7800 449-5770 4 4 0 -7660 552-9430 322-4831 I . . \ufffd .. Rebekah Miranda Ashley Leaphart Merissa Ubag Jamal Patton s le Leaph s le Fai o alin a elc R\”c ura hia B Josette Venegas Michele Taylor Michele Taylor Vacant Karen Williams Jade Grimes Leslie Keesling Tierra Holloway May Tang Claudia Madrigal Janice Nasarro Eric Williams Tin a Leonard Libby Williams Cynthia Facio-Ortiz Renee Lewis Libby Williams Josette Venegas Cathy Cusick Vacant i ee Ri g ber e es L\”a o uchi ad I n Clyb Dare e oore Renee Day Vacant Tina Accettola Laura Davidson JoAnn Lytle Stephanie Irby Vacant Lia Noguchi Aimee Ring Kim Gregg Chanel Harris Derek Soiu Karen Williams Updated: 5\/1\/2018 DIRECT LINE MAIL STOP 440-7420 440-7411 440-7411 327-8608 440-7871 552-8396 440-7263 -7 71 552-871 327-1 0 552-8280 32 -63 1 440-7747 440-7566 440-7566 552-8270 440-7527 373-2666 449-5120 552-9527 323-6528 319-8035 552-8497 750-3595 323-3582 558-1776 440-7552 449-5003 558-1776 440-7747 552-9103 552-964 70 -8 75 5-2 0 7 – 5 45 327-8579 633-0165 445-6913 750-3589 552-9626 891-3662 440-7383 445-2107 552-9644 322-1359 440-7573 552-9429 440-7527 MS 0000 MS 0000 MS 2621 MS4050 MS 1101 MS 6304 S 5 S 0 S 502 S 0 S 0006 MS 0011 MS4000 MS4000 MS 1300 MS4050 MS4727 MS4722 MS 4604 MS 4718 MS 4704 MS4900 MS 0020 MS 2702 MS 1000 MS 2000 MS 4413 MS 1200 MS 0010 MS4504 MS 1303 S 0 S 0 S 20 S 0 S 2 0 MS 4401 MS 0004 MS4500 MS 0021 MS 4601 MS 0016 MS 0009 MS 1250 MS4000 MS 8502 MS 0025 MS 4607 MS 4050 ”

” Revised 10\/27\/2017 EV Page 1 G:\\_Division Folders\\_Division Phone Lists\\TPLRD Important Phone and Fax Numbers.pdf Third Party Liability and Recovery Division Important Phone and Fax Numbers OFFICE OF COMMUNICATIONS (Media Calls) …………………………… 440-7660 TPLRD MAINLINE (Auto Attendant)…………………………………………….. 650-0490 Security Desk ……………………………………………………………………… 323-0456 TPLRD Mailroom…………………………………………………………………….. 650-6472 TPLRD Voicemail (VoIP) EFT ……………………………………………………………………………………….. 650-0547 ER ……………………………………………………………………………………….. 650-0590 HIPP…………………………………………………………………………………………. 445-8322 OP ……………………………………………………………………………………….. 650-0575 CIS ……………………………………………………………………………………….. 650-0576 QAF ……………………………………………………………………………………….. 650-0583 WDP ……………………………………………………………………………………….. 319-9574 WC ……………………………………………………………………………………….. 750-1173 TPLRD CONFERENCE ROOMS (VoIP) 3rd Floor \uf0b7 (3.003) Quiet Room . 750-0652 \uf0b7 (3.004) Quiet Room . 750-0653 \uf0b7 (3.005) Conference Room .. 323-6535 o With computer and projector \uf0b7 (3.008) Conference Room .. 323-6517 o With computer and projector \uf0b7 (3.016) Conference Room .. 750-0654 o With computer and TV monitor \uf0b7 (3.021) Quiet Room . 750-0655 4th Floor \uf0b7 (4.013) Conference Room………………………………. 750-0692 o With computer and dual TV monitors TPLRD FAX NUMBERS & LOCATIONS (Outgoing Faxes Only) Estate Recovery Operations Section (EROS) (3.006)…………………. 650-6583* *Fax forwards to 916-440-5650(ER Rightfax) Casualty Insurance Operations Section (CIOS) (3.026) ……………… 650-6584* *Fax forwards to 916-440-5650(ER Rightfax) Administration Section (AS) (3.157) ………………………………………… 650-6585* *Fax forwards to 916-440-5667(DHCS-TPLRD.General Rightfax) Revised 10\/27\/2017 EV Page 2 G:\\_Division Folders\\_Division Phone Lists\\TPLRD Important Phone and Fax Numbers.pdf Training, Quality & Support Section (TQSS) (4.143)…. .. . 650-6620* *Fax forwards to 916-440-5650(ER Rightfax) RIGHT FAX & SHARED EMAIL ADDRESS Administration Section Electronic Funds Transfer (EFT) [email protected] DHCS HCP TPLRD Recovery Inquiries [email protected] DHCS TPLRD Training [email protected] FTB Offsets [email protected] TPLRD General………………………………………………………………………. 440-5667 [email protected] Working Disabled Program (WDP) [email protected] Casualty Insurance Operations Section Casualty Insurance Section [email protected] DHCS TPL Managed Care [email protected] Medi-Cal Personal Injury Program (MCPIP) [email protected] Personal Injury (PI)………………………………………………………………….. 440-5673 [email protected] TPLPISupport [email protected] Cost Avoidance Section Buy-In Cost Avoidance Unit (BICAU) [email protected]…………………………………………………………. 440-5677 Health Insurance Premium Payment (HIPP)………………………………. 440-5676 [email protected] Other Coverage Unit (OCU) [email protected] Out of State Request Revised 10\/27\/2017 EV Page 3 G:\\_Division Folders\\_Division Phone Lists\\TPLRD Important Phone and Fax Numbers.pdf [email protected] Wide Area Telephone System (WATS) [email protected] Estate Recovery Section Estate Recovery (ER)………………………………………………………………. 440-5650 [email protected] Hardshipwaiver [email protected] Special Collections & Process Innovation Section Class Action [email protected] Special Collections Unit (SCU) [email protected] Special Needs Trust (SNT)…………………………………………………………. 440-5231 [email protected] TPLSubpoena [email protected] Trust Malpractice Unit (TMU)……………………………………………………… 440-5674 [email protected] Worker’s Compensation (WC) [email protected] General Collections Section Overpayments (OP)………………………………………………………………… 440-5670 [email protected] Quality Assurance Fee (QAF)…………………………………………………… 440-5671 [email protected] EMAIL DISTRIBUTION LISTS DHCS TPLStaffChanges [email protected] DHCS TPL Unit Chiefs and Above [email protected] DHCS EEC 172 TPLRD [email protected] DHCS TPLRD Section Chiefs and Above [email protected] ”

” Page 1 of 2 Safety Net Financing Division 1501 Capitol Avenue, P.O. Box 997436, Suite 71.3024, Sacramento, CA 95899-7436 Updated as of 7\/1\/18 John Mendoza, Division Chief (CEA B) 345-7932 Sugihara, Diana (HPS I) 345-7671 Cusick, Cathy (Division OT) 345-7874 Katie Stepanick, Chief (SSM III) 345-7937 MS 4504 ~ Main: (916) 552.9113 ~ Fax: (916) 552.9109 Belinda Rowan, Chief (SSM III) 345-7939 Jillian Mongetta, Chief (SSM II) 345-7947 MS 4504 ~ Main: (916) 552.9113 ~ Fax: (916) 552.9109 Erby, Serene (RA II) 345-7668 Shiela Mendiola, Chief (SSM II) 345-7933 Ong, Ernest (RPS II) 345-7672 Bower, Andrew (RPS II) 345-7673 Luong, Kelly (RPS I) 345-7667 Christie Schmalz, Chief (SSM I) 345-7880 Lee, Clinton (RPS II) 345-7674 Murray, Don (AGPA) 345-7202 Marley, George (RPS I) 345-7670 Giannini, Gina (AGPA) 345-7878 Fox, Stacy (AGPA) 345-7879 Vacant (AGPA) Crystal Janes, Chief (SSM I) 345-7681 Artica, Terry (AGPA) 345-7678 Phan, Kevin (RA II) 345-7679 Ken Lopez*, Chief (SSM I) 345-7852 Alires, Christina (OT) 345-7675 Newman, Beverley (AGPA) 345-7856 Keeling, Natalie (RA II) 345-7680 Nijjar, Kulbir (Kobe) (RA II) 345-7853 Werner, Brendan (RA II) 345-7677 Moreno, Patrick (AAA) 345-7857 Truong, Emile (SSA) 345-7676 Nita Saephan, Chief (SSM I) 345-7694 Angela Smith, Chief (SSM II) 345-7938 Kennedy, Breanne (AGPA) 345-7696 Heth-Tran, Brittney (RPS II) 345-7882 Sall, Matthew (AGPA) 345-7697 Gosaie, Lalita (HPA IV) 345-7881 Hornes, Antwan (AGPA) 345-7693 Huetter, Olivia (HPA IV) 345-7884 Lee, Tae Hyun (Student Assistant) 345-7692 Akpokli, Folly Bhathal, Jaspreet (Student Assistant) 345-7695 Shamal Williams, Chief (SSM I) 345-7864 Maria Jaya, Chief (SSM II) 345-7935 Vacant (RPS I) del Gallego, Karen (RPS II) 345-7905 Vacant (AGPA) Tysoe, Inna (HPS I) 345-7904 Schoch, Hayden (SSA) 345-7869 Sebastien, Brie-Anne (HPS I) 345-7891 Leung, Michelle (RA II) 345-7868 Anderson, Loni (HPS I) 345-7896 Shah, Abbas (SSA) 345-7871 Jim Mason, Chief (SSM I) 345-7897 Panayiotis \”Taki\” Fotopoulos, Chief (SSM I) 345-7685 Rodriguez, Genaro (RA II) 345-7903 Saechao, David (AGPA) 345-7684 Narayan, Edwin (AGPA) 345-7899 Gonzalez, Ian (AGPA) 345-7683 Lin, Joanna (RA II) 345-7901 Grewal, Jasmine (SSA) 345-7682 Griffin, Nzinga (AGPA) 345-7898 Vacant (AGPA) MS 4519 ~ Main: (916) 552.9113 ~ Fax: (916) 552.9109 Safety Net Financing Division Main Line (916) 552.9113 Provider Payments and Policy Branch Hospital Financing Branch MS 4504 ~ Main: (916) 552.9113 ~ Fax: (916) 552.9109 MS 4518 ~ Main: (916) 552.9113 ~ Fax: (916) 552.9109 Disproportionate Share Hospital (DSH) Financing MS 4504 ~ Main: (916) 552.9113 ~ Fax: (916) 552.9109 Safety Net Financing Division (SNFD)Safety Net Financing Division (SNFD) Central Security 445.3610Building 171 Security 445.3154 [email protected] MS 4504 ~ Main: (916) 552.9113 ~ Fax: (916) 552.9109 & Non-Contract Hospital Recoupment Section MS 4518 ~ Main: (916) 552.9113 ~ Fax: (916) 552.9109 Disproportionate Share Hospital (DSH) MS 4518 ~ Main: (916) 552.9113 ~ Fax: (916) 552.9109 MS 4519 ~ Main: (916) 552.9113 ~ Fax: (916) 552.9109 Realignment Unit (RU) Hospital Uninsured Demonstration Section (HUDS) 1115 Waiver Unit MS 4519 ~ Main: (916) 552.9113 ~ Fax: (916) 552.9109 MS 4519 ~ Main: (916) 552.9113 ~ Fax: (916) 552.9109 Hospital Quality Assurance Fee Unit (HQAF) MS 4504 ~ Main: (916) 552.9113 ~ Fax: (916) 552.9109 Medi-Cal Supplemental Payments Unit (MSP) Medi-Cal Supplemental Payment Section MS 4504~ Main: (916) 552.9113 ~ Fax: (916) 552.9109 Diagnosis Related & Fee Payments Section Diagnosis Related Group (DRG) Unit Supplemental Reimbursements Unit (SRU) MS 4504 ~ Main: (916) 552.9113 ~ Fax: (916) 552.9109 Page 2 of 2 Safety Net Financing Division 1501 Capitol Avenue, P.O. Box 997436, Suite 71.3024, Sacramento, CA 95899-7436 Updated as of 7\/1\/18 Betty Lai, Chief (SSM III) 345-7940 Heather Everhart, Chief (SSM I) 345-7860 Sackett, Jason (OT) 345-7861 Hawkins, Dimi (AGPA) 345-7867 Jose Garcia, Chief (SSM II) 345-7936 Fan, Wen-Hsin (AGPA) 345-7862 Case, Joel (SSA) 345-7865 Recce, Autumn (AGPA) 345-7866 Herman \”Rick\” Record, Chief (SSM I) 345-7688 Schreiber, David (Student Assistant) 345-7863 Magee, Stephanie (AGPA) 345-7686 Terlesky, Dmitry (AGPA) 345-7855 Ward, Cheryl (RA II) 345-7687 Directory Key Division Section Chief & Above Tony Teresi, Chief (SSM I) 345-7887 Branch Supervisor Position Williams, Iveda (MST) 345-7964 Section Munir, Rida (AGPA) 345-7883 Unit Higgins, Levi (SSA) 345-7890 ** Speaks Spanish Vacant (SSA) 345-7885 Rooms If PH Phone in room Yanes, Francisco (RA II) 345-7886 Room 71.3003 Manzan ta (Common) 71.3003 no phone Armstrong, Stacey (AGPA) 345-7889 Room 71.3004 (near PED) 71.3004 650-6846 Nguyen, Thai Van (Student Assistant) 345-7225 Room 71.3095 (near UMD) 71.3095 650-6866 Room 71.2011 71 2011 no phone Room 71.4003 71.4003 650-6847 Susan Keller, Chief (SSM I) 345-7877 Room 71.5147 71.5147 no phone Sharma, Neha (AGPA) 345-7875 Room 71.5095 71.5095 no phone Hoerner, Shelby (SSA) 345-7187 Room 71.3033 71.3033 322-9282 Mallonee, Corinne (AGPA) 345-7870 Break Room 71.3060 N\/A Sanchez, Richard (AGPA) 345-7873 Break Room 71.3022 N\/A East End Security (Emergencies Only) 445-3610 Emergency Info Hotline 866-273-1344 Shelly Taunk, Chief (SSM II) 345-7934 IT Service Desk 440-7000 Security Desk 445-3154 Sara Schmid, Chief (SSM I) 345-7691 Banks, Candace (AGPA) 345-7690 Conference Line 1 Najarzadeh, Soudabeh (AISA) 345-7859 Leader Participant Vacant (SSA) 345-7858 Conference Line 2 Khan, Jennifer (Student Assistant) 345-7854 Leader Participant Pressler, Bruce (SSA) 345-7689 Conference Line 3 Leader Participant Arthur Rangel, Chief (SSM I) 345-7895 Geisen, Katie (AGPA) 345-7894 Index Code for SNFD 1700 On, Samantha (AGPA) 345-7893 PCA Code for SNFD 21610 Nguyen, Courtney (SSA) 345-7902 Billing Code for SNFD 85309 MS 4504~ Main: (916) 552.9113 ~ Fax: (916) 552.9109 School Based Medi-Cal Admin Activities Unit (SMAA) Subacute Contracting Unit (SCU) MS 4603 ~ Main: (916) 552.9113 ~ Fax: (916) 552-9109 MS 4603 ~ Main: (916) 552.9113 ~ Fax: (916) 552-9109 MS 4504 ~ Main: (916) 552.9113 ~ Fax: (916) 552.9109 County-Based Claiming & Inmate Services Section Targeted Case Management (TCM) Inmate Medi-Cal Claiming Unit MS 4603 ~ Main: (916) 552.9113 ~ Fax: (916) 552.9109 MS 4603 ~ Main: (916) 552.9113 ~ Fax: (916) 552-9109 County-Based Medi-Cal Admin Activities Unit (CMAA) LEA Program Unit Safety Net Financing Division Main Line (916) 552.9113 Building 171 Security 445.3154 [email protected] Central Security 445.3610 Safety Net Financing Division (SNFD) MS 4504 ~ Main: (916) 552.9113 ~ Fax: (916) 552.9109 Safety Net Financing Division (SNFD) MS 4504 ~ Main: (916) 552.9113 ~ Fax: (916) 552.9109 Medi-Cal Claims and Services Branch MS 4603 ~ Main: (916) 552.9113 ~ Fax: (916) 552-9109 School-Based Claiming & Subacute Services Section MS 4603 ~ Main: (916) 552.9113 ~ Fax: (916) 552-9109 MS 4603 ~ Main: (916) 552.9113 ~ Fax: (916) 324.0738 ”

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” Physical Address Department of Health Care Services Pharmacy Benefits Division, MS 4604 1501 Capitol Avenue, Suite 71.6089 Sacramento, CA 95814 PHARMACY BENEFITS DIVISION Harry Hendrix, Jr. Chief TELEPHONE DIRECTORY Main Line (916) 552-9500 Mailing Address Department of Health Care Services Pharmacy Benefits Division, MS 4604 P. O. Box 997413 Sacramento, CA 95899-7413 July 2, 2018 DRUG REBATE BRANCH Cubicle\/Office# Shun, Robert Chief 345-7583 Stanger, Devyn OT-T 345-8557 DRUG REBATE UNIT A Savage, Greg Chief 345-8562 Kwong, Allen Analyst 345-8571 Malone, Lorreen RA II 345-8564 Vacant Analyst Tran, Hanh RA II 345-8565 DRUG REBATE UNIT B Le, Linh N. Chief 345-8563 Chi, Phoc RA II 345-8572 Freer, Jeff Analyst 345-8568 Hauptman, Kim Analyst 345-8577 Otwell, Michael Analyst 345-8574 Swinney, Nichelle Analyst 345-8570 DRUG REBATE UNIT C Ling, Erh-Hsin Chief 345-8657 Garcia, Rowena Analyst 345-8561 Hauptman, Eric RPS I 345-8560 Jones, Daniel RA II 345-8573 Lauder, Steven Analyst 345-8566 Ly, Lisa Analyst 345-8558 Singleton, Therlanda Analyst 345-8567 FAX INFORMATION Pharmacy Benefits Division 552-9563 Drug Rebate Branch 552-9215 Vision Services Branch 440-5640 OTHER NUMBERS (MAIN NUMBERS) IT Help Desk 440-7000 Office of Communication 440-7660 Emergency 9-911 SECURITY DESK Bldg 171 445-3154 DIVISION OFFICE Cubicle\/Office# Hendrix, Harry Div Chief 345-8635 Holloway, Tierra OT (T) 552-9527 PHARMACY DATA BRANCH Minor, Donnie Chief 345-8638 Carney, Jennifer RPS II 345-8584 Igwe, John RPS II 345-8588 Kao, Jeanette PC II 345-8586 Morita, Alan PC II 345-8593 PHARMACY DRUG CONTRACTING BRANCH Amaral, Chris Chief 345-7513 Vacant PC II 345-8642 McCrary, Cassie PC II 345-8641 Rodgers, Kirk Analyst 345-8583 Umeda, Sarah PC II 345-8587 Yamamura, Rodney PC II 345-8643 ENTERAL AND MEDICAL SUPPLY BENEFITS BRANCH Watson, Pansy Chief 345-8651 Bradley, Lori PC II 345-8553 Fu, Vickie PC II 345-8556 Henry, Kathleen Analyst 345-8554 Junio, Lauren Analyst 345-8349 PHARMACY OPERATIONS BRANCH Thompson, Ivana Chief 345-8642 Chan, Pauline PC II 345-8591 Nguyen, Paul PC II 345-8592 Thompson, Sheila Analyst 345-8582 Uzoh, Dorothy PC II 345-8590 Vacant PC II PHARMACY POLICY BRANCH Wofford, Mike Chief 345-8639 Ahantab, Samira PC II Balestreri, Trudi Contractor 345-8578 Bratlien, Orlanda Analyst 345-8596 Gasper, James PC II 345-8634 Le, Anh PC II 345-8576 Miller, Teresa PC II 345-8647 Pontrelli, Paul PC II 345-8637 Sajjan, Mack PC II 345-8636 VISION SERVICES BRANCH Shiu, Donny Chief 345-8649 Gee, Lesanh CO I 345-8559 ”

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” Division Christina Moreno, Chief . .701-8190 Nicole Griffith, Asst. Chief . .750-1872 Greg Shigetoshi, Prog. Mg . 701-8187 Ruben Romero, SSMII 701-8188 Amber Neves, Assistant 701-8175 CLINICAL POLICY Lillian De Los Santos …………………… . 552-8447 Georgina Silver. ………………………………….. 650-0593 Lamont Weaver…………………………. 750-2725 PROVIDER INTEGRITY & COMPLIANCE Clarence Wooten ………………………. ………………………………… 701-8189 Jennifer Sanga …………………………… ………………………………… 750-2726 Kayla Prusia ………………………………. ………………………………… 701-8179 Sheri Ervin ………………………………… ………………………………… 750-1871 Azita Jackson . 701-8177 David Campos . .. 701-8178 OFP Workstation . . . ……………………………… 000-0000 Vacant………………………………………. ……………………………….. 341-7339 Provider Liaison . .. 701-8176 SPECIAL PROJECTS Haley Graham . .750-2727 Nadia Paniagua.. . .750-1857 Nigretta Bradley .. . .. ….552-9323 Susannah Cohen .. .. …750-3594 DHCS-OFFICE OF FAMILY PLANNING 1501 CAPITOL AVENUE, MS 8400 PO BOX 997413 SACRAMENTO, CA 95899-7413 650-0414 RESEARCH, EVALUATION, & DATA Alicia Pearsall……………………………………. …………………………… 701-8183 Angelica Perez …………………………………… …………………………… 701-8186 Maricel Miguelino………………………………. …………………………… 701-8182 Mike Yuan………………………………………….. ……………………………. 701-8185 Stefanie Foos …………………………………….. …………………………… 701-8184 FREQUENTLY USED NUMBERS 1700 K Street Lobby\/Security …………………………………………………………………. 323-0456 IT Help Desk……………………………………………………………………………….. 440-7000 OFP Fax Machine …………………………………………………………………………… 650-0468 Provider Services Right Fax Line……………………………………………………. 440-5634 NETWORK PRINTERS\/COPIERS\/SCANNER OFP-THOR:………………………………. HP LaserJet M651 color printer OFP-WAR MACHINE:…………………. Sharp MX 4144 color copier\/printer\/scanner CAPTAIN AMERICA:…………………… HP LaserJet 5550DN ………………..color printer OFP-HAWKEYE:………………………… HP LaserJet M605…………………..color printer OFP-BLACK WIDOW:…………………. HP LaserJet 4350DTN ………………b\/w printer OFP- HULK: ……………………………… HP LaserJet M605……………………b\/w printer OFP-IRON MAN HP LaserJet M605 b\/w printer Note: War Machine should only be used as needed for color. A black & white printer should be set as your primary printer. ”

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” DEPARTMENT of HEALTH CARE SERVICES OFFICE of LEGAL SERVICES 1 06\/18\/2018 V:\\1. DHCS Office of Legal Services\\OLS Administrative Support\\OLS Phone List 1501 Capitol Avenue, Ste. 5001 MS 0010, P.O. Box 997413 Sacramento, CA 95899-7413 Front Desk ..440-7700 FAX (71.5.1B) …650-6868 ADMINISTRATIVE SUPPORT SERVICES & OOR Cordell, Lynette (SSM III) …………………………. 440-7848 ADMINISTRATIVE SUPPORT SERVICES Reed, Angela (SSM I) ……………………………… 323-1452 Grant, Christine (AGPA) ……………………………. 552-9309 Kocinsky-Kirkham, Maia (Office Tech.) ………… 440-7703 Lam, Jeanny (AGPA) .650-0179 McEuen, Michelle (SSA) . . 445-1282 Williams, Karen (AGPA) ……650-6804 Bittner, Pamela (P\/I OA – HCDS) 440-7394 Cummer, Tracy (SLT – HCDS) …………………… 327-4109 Ferrero, Carolyn (Legal Secretary – AdLit) …….. 440-7739 Ludovico, Angela (Legal Secretary AdLit) …445-2755 Maldonado Coss, Jeanette (Lead SLT – HCDS) 440-7704 Roper, Melissa (SLT – AdLit) 445-1307 OFFICE OF REGULATIONS (OOR) Regulations Desk ……………………………………….. 440-7695 Delacruz, Jasmin (SSM II) …………………………. 440-7688 Amiri, Abdul (Regs. Coordinator) ………………….. 552-9183 Cockcroft, Harry (MST) .440-7697 Drayton-Jebali, Erika (Privacy AGPA)……………440-7835 Espey, Jordan (Regs. Coordinator) ………………. 445-1514 Kim, David (Regs. Coordinator) …………………. 445-1503 Manieri, Lori (Regs. Coordinator) …………………. 650-6825 Moore, Kenneisha (Regs. Coordinator) ………… 440-7755 Rodriguez, Gregory (Regs. Coordinator) ……… 440-7766 E-FAX (71.5.123) ……………………………………….. 440-5748 HEALTH CARE FINANCING AND RATES Freeman, Patricia (Senior ACC) .. 440-7729 DeTrano, Denise (ACC) …………………………………… 552-9251 Aschenbrenner, Tami (Legal Analyst) ..552-9557 Gale, Matthew …………………………………………………. 440-7842 Holloway-Smith, Karen …552-9646 Klein, Chris (Senior Legal Analyst) …………………… 445-1406 Knaus, Joseph Sage (Office Tech.) …..445-2752 Love, Michael . ..552-9556 Medina, Johanne .319-9471 Mercado, Matthew (AGPA) ..324-8952 Nash, Carl ..552-9657 Pedersen, Elizabeth (SSA) ……………………………… 445-9276 Sullivan, Sarah .440-7844 Tucker, Olivia .552-9546 DEPUTY DIRECTOR and CHIEF COUNSEL Goldman, Jared …………………………………………….. 440-7745 Venegas, Josette (SSA to CC) ………………………….. 440-7747 DEPUTY CHIEF COUNSEL McGowan, (Benjamin) Ben ……………………………… 322-2894 FAX (71.5.23) ………………………………………………….. 440-7712 ADMINISTRATIVE LITIGATION Recchio, Judith (Senior ACC) …440-7332 Ackerman, Denise (ACC) ……………………………… 440-7787 Alton, Lana (Senior Legal Analyst) ………………….. 445-1348 Angelo, Anthony 558-1799 Aron, Donald …………………………………………………. 440-7814 Backus, Derek ………………………………………………. 440-7816 Chou, Iris .319-7903 Filippova, Tatiana ………………………………………….440-7692 Ghazarian, Talene …………………………………………440-7715 Hazlett, Summer (Legal Analyst) 445-1468 Jex, Brent …………………………………………………….. 440-7833 Kachagin, Irina ……………………………………………… 440-7781 Kinyanjui, Tamara …………………………………………. 445-1435 Konz, Katie 440-7738 Louie, Helen . 319-8227 Shaw, Brenda (Legal Asst.) .. 440-7860 Smith, Natalie . 445-2750 Terrell, Jami 440-7850 Yu, Leanne …………………………………………………….440-7817 FAX (71.5.7) …………………………………………………. 440-7711 HEALTH CARE BENEFITS and ELIGIBILITY Moreland, Donnata (Senior ACC) ………………. 440-7760 McCormick, Matthew (ACC) …440-7798 Cooper, Zabrina (Executive Assistant)……….. 552-9545 Alexander, Janet ………………………………………….. 440-7832 Bell, Roslyn …………………………………………………. 445-1432 Gottman, Pamela……………………………………………..341-6916 Harris, Alissa ……………………………………………….. 440-7753 Jefferson, Carolyn …………………………………………. 558-1801 Lemmen, Ketrina …………………………………………… 440-7809 Lobkov, Olga (Office Tech.) ………………………….. …324-0042 Marcigliano, Angelise …………………………………. 440-7853 Molander, Anna.. ……………………………………………. 440-7793 Pfeiffer, Neal ……………………………………………… 650-6824 Pitner, James…………………………………………………..440-7339 Robertson, Mary ………………………………………….. ….440-7687 Singh, Jasmeet ……………………………………………. 440-7846 Sossikian, Sevana 445-1458 Stein, Theresa .552-9337 E-FAX (71.5.21) 440-5103 DEPARTMENT of HEALTH CARE SERVICES OFFICE of LEGAL SERVICES 2 06\/18\/2018 V:\\1. DHCS Office of Legal Services\\OLS Administrative Support\\OLS Phone List HEALTH CARE DELIVERY SYSTEMS Donohue, Kevin (Senior ACC) ……………………….. 440-7735 Valcarenghi, Jon-Paul (ACC) .. …..440-7765 Camargo, Diane (Legal Asst.) 440-7852 Chavez, Joseph ……………………………………………. 445-1447 Chmura, Jennifer …………………………………………… 445-1263 Colbert, Lotte ………………………………………………….. 440-7675 Dayvault, Barbara …………………………………………….. 445-1281 Dryden, Maria ………………………………………………….. 440-7685 Granda, Sara ……………………………………………….. 440-7686 Harman, Holly …………………………………………………. 445-1150 Jones, Dennis ………………………………………………… 440-7840 Mackani, Elhahm …………………………………………………440-7672 Manchuk, Guy …………………………………………………. 445-1495 McClenning, Mark …….445-1433 McKaughan, Rachel (Legal Analyst) ……………………….440-7826 Ngo, Khoa 440-7777 Oldham, Steven ……………………………………………….. 341-7345 Park, Abigail ………………………………………………….. 324-8894 Pelaez, Josephine ………………………………………… 341-7347 Saud, Philipp ……………………………………………………. 319-9740 Sharifi, Jennifer ……………………………………………… 445-1411 Woodward, (Kimberly) Kim (Legal Analyst) …………. 440-7851 Zimmerman, Jill …………………………………………….. 552-9490 FAX (71.5.23) ………………………………………………….. 440-7712 MENTAL HEALTH & SUBSTANCE USE DISORDER Velazquez, Lisa (Senior ACC) …………………………. 445-2756 Corral, Melissa (ACC)……………………………….. .. 440-7731 Brownstein, Martin ……………………………………………. 445-1168 Hunter, Stacy ………………………………………………….. 445-1497 Keng, Timothy …445-1043 Kingsnorth, (Thalassa) Tally 445-1001 Krause, Jarol ……………………………………………………. 440-7825 Lendech, Katherine (Legal Analyst) ……………………. 445-1363 Link-Crosier, Matthew …………………………………….. 440-7827 Lyon, Katie ……………………………………………………… 440-7756 Mendoza-Riess, (Mariejoy) MJ ………………………….. 445-1018 Porto, Margaret ……………………………………………… 440-7854 Robledo, (Charles) Charlie (SSA) .. …445-1371 Wood, (Carleen) Carly ……………………………………. 440-7857 E-FAX (71.5013) ……………………………………………… 440-5090 PRIVACY OFFICE Staines, Morgan (ACC\/Privacy Officer) .445-5959 Bosco, Cynthia .445-1555 Lazarus, Eric .319-9445 Pechtel, Patricia 440-7768 COPY ROOM FAX 71.5015 ………………………………………………………. .440-7709 CONFERENCE ROOMS OLS (schedules posted outside of room) 71.5053………………………………………………………..445-1434 71.5085………………………………………………………..445-0146 71.5124………………………………………………………..440-7678 DHCS Conference Room Scheduling …..650-0150 Pine Room 71.1203 Video Conference Room 71.168 DHCS EEC Schedule through Outlook Elm Room 71.5095 Maple Room 71.5147 IN CASE OF AN EMERGENCY 1. DIAL 9 9 1 1 2. CALL Central Security Room: 445-3610 Emergency Coordinator Baca, Krista ………………………………………………….. 552-9496 Leanne Smith (alternate) 650-0183 Health & Safety (evacuations) .650-0150 NON-EMERGENCY CHP …………………………………………………………………… 445-2895 Security (Bldg. 171) ……………………………………………. 445-3154 Security (Bldg. 172) ……………………………………………. 445-3206 Security (Bldg. 173) ……………………………………………. 445-3370 Security (Bldg. 174) ……………………………………………. 445-3574 OTHER DHCS General Information .445-1248 CHHS Agency …………………………………………………….. 654-3454 EITS Help Desk ………………………………………………….. 440-7000 Loading Dock …650-0147 Mail Operations Center ..650-0167 ”

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” Name Phone # @dhcs.ca.gov Agyeman, Kate 345-8463 Kate.Agyeman Alani Jackson Brookins, Carolyn 345-8628 Carolyn.Brookins Mike Potter Caesar, Donald 345-8464 Donald.Caesar Callahan, Heidi 345-8615 Heidi.Callahan Chan, Percy 345-8459 Percy.Chan Main Line Number 464-3888 Chavarin-Rivas, Jesus 345-8483 Jesus.Chavarin-Rivas Cypress Conference Room 464-5595 Chin, Ryan 345-8485 Ryan.Chin MDSD Fax Number 464-3783 Fong, Jeanette 345-8470 Jeanette.Fong Alani’s Fax Number 552-9997 Goodpaster, Gina 345-8482 Gina.Goodpaster BDE Fax Number (916) 464-3783 Hardin, Diane 345-8477 Diane.Hardin Ikyurav, Isaac 345-8658 Isaac.Ikyurav ITSD Staff On Site Jackson, Alani 345-8629 Alani.Jackson Ashcroft, Katrina 464-3795 Jacobs, Shilishia 464-0381 Shilishia.Jacobs Barnhurst, Maryrose 464-0212 Kennedy, Brian (EEO) 345-8630 Brian.Kennedy Chan, Shirley 464-0210 Kennedy, Brian (Rancho) 410-5287 Brian.Kennedy Chenumalla, Praveena 464-0379 Kern, Kevin 345-8471 Kevin.Kern Chiu, Penny 464-0377 King, Traci 345-8660 Traci.King Gjura, Maria 464-0370 Leguizamo, Alex 345-8465 Alejandro.Leguizamo Halloran, Mitch 464-2629 Luu, Jason 345-8455 Jason.Luu Johnson III, Leonard 464-3791 Marquez, Darri 440-7722 Darri.Marquez Johnson, Terri 464-3794 Martinez, Monica 464-0373 Monica.Martinez Nelson, Roxane 464-3790 Mata, Francisco 345-8462 Francisco.Mata Ramirez, Cesar 464-3782 Mooney, Liz 464-0375 Elizabeth.Mooney Salimi, Arjan 464-0391 Nasarro, Janice 345-8468 Janice.Nasarro Scordakis, Michael 464-3788 Paul, Zachary 345-8460 Zachary.Paul Vincent, Doug 464-0209 Reynaga, Kristal 552-8553 Kristal.Reynaga Yeigh, William (Bill) 464-0390 Sandoval, Patricia 345-8461 Patricia.Sandoval Warp, Henning 464-3784 Sanchez, Eva 345-8484 Eva.Sanchez Enriquez, Maria 464-0371 Savolainen, Shawn 345-8472 Shawn.Savolainen Shergill, Ashneil 345-8456 Ashneil.Shergill Shih, Annie (EEO) 345-8631 Annie.Shih Beneficiary Dental Exception (BDE) 855-347-3310 Shih, Annie (Rancho) 464-2126 Annie.Shih Beneficiary Cust Service 800-322-6384 Stevens, Rana 345-8479 Rana.Stevens Provider Customer Service 800-423-0507 Telmo, Ramona 345-8661 Ramona.Telmo State Hearing Setup 800-952-5253 Thiara, Preeti N.A. Preeti.Thiara State Hearing Update \/ Cancel 855-266-1157 Troung, Bich 345-8614 Bich.Troung MDSD State Hearing Fax 916-464-0382 Vang, Mai Lee 464-2120 MaiLee.Vang Rehearing Fax 916-552-9477 Watts, Emily 345-8467 Emily.Watts Weinberg,Yuwei N.A. Yuwei.Weinberg HCO Enrollment -GMC & PHP Bene 800-430-4263 Wilson, Venicia 345-8454 Venicia.Wilson Main Line 853-7373 White, Allison 345-8466 Allison.White Delta Security Desk 861-2598 Xiong, Chia 345-8476 Chia.Xiong Help Desk 631-1199 Yuhre, Roberta 345-8480 Roberta.Yuhre Delta Secretary: Marsha Carlson 861-2453 Delta Photo Department 861-2304 Conlan\/Reimbursement Claims (916) 403-2007 EITS Help Desk (916) 440-7000 Medi-Cal Provider Help Desk (800) 541-5555 (916) 636-1960 DHCS Directors Office (916) 440-7400 DHCS Help Desk (916) 445-4171 (916) 636-1100 DHCS HIPAA-Privacy Office (916) 255-5259 Medi-Cal Eligibility (916) 552-9200 (800) 952-5294 Managed Care Ombudsman (888) 452-8609 rev. 5\/24\/2018 Index 1480 PCA 21210 DGS Billing Code 85086 Division Conference Line Participant Passcode: MDSD Resources Medi-Cal Dental Services Division (MDSD) EEC: 1501 Capitol Ave., Sacramento CA 95814 Delta Dental of California Management Cell Phone Numbers Mail address: MS 4900, PO Box 997413, Sacramento, CA 95899-7413 11155 International Drive, Bldg C Rancho Cordova, CA 95670, MS 4708 DHCS Resources MDSD Phone Numbers Resources ”

” EMPLOYEE NAME CUBICLE \/ OFFICE NUMBER PHONE NUMBER EMPLOYEE NAME CUBICLE \/ OFFICE NUMBER PHONE NUMBER Aaron Toyama 449-5086 La Teshia Paggett 449-5017 Abdul Latona 449-5073 Lee Saengsavang 449-5078 Aita Romain 552-8386 Leisa Schuette 440-7682 AJ (Anthony Jason) Martinez 552-8716 Leslie Holzman 449-5024 Amy Moehlman TBA Liliana Ortiz 449-5254 Amy Voong 552-8342 Liqin Liu 445-4065 Angela Romero 449-5080 Lisa Albers 324-0986 Anna Lee Amarnath 449-5039 Lisa Dahlquist 449-5042 Ariana Hader-Smith 319-8519 Lyubov Poonka 552-8797 Arlene Silva 552-9473 Madelyn Clyburn 449-5145 Ashley Leaphart 449-5086 Maria Calderon-Romero 449-5113 Bambi Cisneros 449-4161 Marshaun Tate 558-1797 Brad Aust 449-5239 Martin Adolf 552-8502 Brian Keefer 445-4274 Matthew Steinwert 449-5040 Carrie Allison 552-9375 Maureen Farrell 552-9518 Cassandra Lashmett 449-5097 Melanie Rothfuss 449-5298 Catherine Premo 449-5063 Melchor Abelardo 324-0720 Christina Viernes 552-8765 Michael Bay 650-0216 Corine Gant 319-9714 Michael Gonzalez 449-5105 Corley Murray 445-4062 Michael McLatchey 552-8070 Cortney Maslyn 440-7757 Michael Pank 552-8945 Crissy Montgomery 449-5061 Michael Rowe 552-8659 Cristina Almeida 449-5013 Michael Wen 449-5081 Dana Durham 449-5138 Michel Huizar 440-7691 Dani Zape 324-7499 Mike Gray 449-5042 Daniel Rodda 650-6809 Molly Baker 449-5015 Daniel Thorne 440-7535 Monica Handley 299-0220 David Merritt 449-5106 Muhammad Nawaz 322-3964 Devki Patel 650-0202 Natalia Nash 440-7543 Donna Kurtz 445-3589 Nathan Nau 552-9373 Emil Lumbang 449-5103 Nikki Fogarty 449-5058 Estelle Champlain 449-5076 Oksana Meyer 319-9707 Eugene Stevenson 319-8517 Pang Moua 449-5133 Farhad Senzai TBA Phoebe Sadler 319-9708 Farzaneh Aflatooni 319-8298 Renee Espinoza 449-5255 Gabriel Jauregui 449-5085 Ricky Saini 449-5937 Gina Connors 449-5534 Robby Singh 449-5042 Gina Gee-Wong 341-7031 Rosalyn Mar 552-8030 Gloria Petrul 552-8004 Sabrina Younger 552-9497 Guoyong Wang 449-5334 Salvador Garcia 650-6831 Hannah Robins 552-8946 Sarah Reed 449-5108 Harvey Goldberg 552-9485 Sean Mulvey 342-6346 Ian Pulka 319-9607 Srimathy Raghuraman 449-5057 Jeff Neithercutt 552-9221 Stephen LeFebre 319-8052 Jian Wang 449-5117 Tami Dux 449-5007 Jillian Clayton 445-9363 Tatyana Zozulya 319-8486 Jennifer Janos 449-5219 Teddi Akers 449-5347 Updated 6\/7\/18 Managed Care Quality & Monitoring Division (MCQMD) EMPLOYEE NAME CUBICLE \/ OFFICE NUMBER PHONE NUMBER EMPLOYEE NAME CUBICLE \/ OFFICE NUMBER PHONE NUMBER Joshua Hunter 440-7587 Terri Reid 449-5062 Juanita Williams 324-9850 Thuy Tran 324-1240 Julia Zuo 324-0261 Tyler Brennan 323-6409 Kami Olarte 449-5093 Tyson Wright 319-8487 Karen Thalhammer 552-9465 Valerie Marde 552-9380 Kathi Dobrinen 449-5233 Vaneesha Krishnan 440-7583 Ken Jones 449-5012 Venus Benavidez 445-4642 Kim Tran 445-9364 Vicki Fanoele 445-2102 Kimberly Swift 552-9343 Vivian Szeto 319-9671 Kristen Borth 449-5104 Wajeeha Young 449-5079 Kristina Bon 341-6921 Zyra Baron TBA ”

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