2019 Provider Directory Southern California

1 H0524_20 SCPD_C Kaiser Permanente Senior Advantage (HMO) and Senior Advantage Medicare Medi-Cal (HMO D-SNP) Plans Provider Directory This Directory is current as of October 1, 2019. This Directory provides a list of Kaiser Permanente s current network providers. This Directory is for our Southern California service area, which includes all of Orange County and parts of Kern, Los Angeles, Riverside, San Bernardino, San Diego, and Ventura counties. If you live in a partly covered county, please see the service area description inside for the ZIP codes that are in our service area. To access Kaiser Permanente s online Provider Directory , you can visit For any questions about the information contained in this Directory , please call our Member Service Contact Center at 1-800-443-0815, seven days a week, 8 to 8 TTY users should call 711. This document is available in a different format for the visually impaired by calling our Member Service Contact Center at the number listed above.

2 Table of Contents Section 1 Introduction .. 1 What is the service area for Kaiser Permanente Senior Advantage and Senior Advantage Medicare Medi-Cal? .. 2 How do you find Kaiser Permanente providers in your area? .. 4 Section 2 List of network providers .. 6 Kaiser Permanente Providers .. 6 Baldwin Park, Bellflower, and South Bay .. 6 Inland Empire & Coachella Valley .. 26 Kern County, Valleys, and WVC .. 48 Metropolitan Los Angeles .. 67 Orange County .. 81 San Diego .. 94 Affiliated Locations .. 110 Baldwin Park, Bellflower, and South Bay .. 110 Inland Empire & Coachella Valley .. 113 Kern County, Valleys, and WVC .. 117 Metropolitan Los Angeles .. 120 Orange County .. 123 San Diego .. 124 Affiliate Providers .. 128 Baldwin Park, Bellflower, and South Bay .. 128 Inland Empire & Coachella Valley .. 147 Kern County, Valleys, and WVC .. 168 Metropolitan Los Angeles .. 193 Orange County .. 215 San Diego.

3 234 HearUSA Centers .. 255 Durable Medical Equipment Suppliers .. 258 Chiropractic Provider Directory .. 262 Imperial County .. 262 Kern County .. 262 Los Angeles County .. 265 Orange County .. 291 Riverside County .. 304 San Bernardino County .. 312 San Diego County .. 317 San Luis Obispo County .. 330 Santa Barbara County .. 331 Ventura 333 1 Section 1 Introduction This Directory provides a list of Kaiser Permanente s network providers. To get detailed information about your health care coverage, please see your Evidence of Coverage (EOC). Your Primary Care Physician You will have to choose one of our network providers listed in this Directory to be your Primary Care Physician (PCP). The term PCP will be used throughout this Directory . Generally, you must get your health care services from your PCP. Your PCP meets state standards and is trained to give you primary medical care. He or she will usually practice general medicine, also called internal medicine or family practice.

4 Women may also choose specialists in obstetrics-gynecology whom the Medical Group designates as Primary Care Physicians. Your PCP will provide most of your care. If you need a specialist, your PCP will help you choose a doctor in that field and work with him or her as part of your health care team. You can choose your PCP from any of our available primary care network providers. Once you make your choice, it is effective right away. If you wish, you can change your PCP for any reason. Choosing or changing your doctor We believe that an important part of your total health is building a trusted relationship with your primary care doctor. He or she is your supporter for your health needs and goals, helping you with everything from preventive care exams and advice for healthier living to treating you when you re sick. Whether you re new to Kaiser Permanente or a longtime member looking for a change, choosing a personal doctor to coordinate your care is easy.

5 You can learn about each doctor s certifications, specialties, languages spoken, interests, and more on to help you find the right fit for you. If you want to make a switch, you can change your doctor at any time and for any reason. A doctor for your unique needs You can choose a personal doctor from one of the departments listed next. Adult or Internal Medicine (Internists) Family Medicine (Family practitioners) Obstetrics-Gynecology (Ob-Gyn) This department provides comprehensive gynecologic and obstetric care. Women 18 to 64 may choose an ob-gyn as well as a personal physician. We encourage sexually active teenage girls to also choose an ob-gyn. How to choose or change your doctor Online Search our Directory for primary care practitioners who are accepting new patients. Then browse their profiles to find the right doctor for you. Follow these steps: 1. Go to 2. Choose your area. 3. Narrow your search by city, doctor name, etc.

6 4. Click Search. 5. Read about the doctors and click Select me when you find a good match that is accepting new patients. Phone Call our physician selection service at 1-888-956-1616, weekdays from 7 to 7 We ll talk to you about your needs and help you make your choice. For TTY for the Deaf, hard of hearing, or speech impaired, call 711. Your family is free to choose different doctors at different locations. 2 Getting Covered Care You must use network providers except in emergency or urgent care situations or for out-of-area renal dialysis. If you obtain routine care from out-of-network providers, neither Medicare nor Kaiser Permanente will be responsible for the costs. The network providers listed in this Directory have agreed to provide you with your health care and vision services. You may go to any of our network providers listed in this Directory ; however, some services may require a referral.

7 Your PCP will refer you to a Plan specialist when he or she believes that you require specialty care. Some specialists, such as specialists in surgery, orthopedics, cardiology, oncology, dermatology, and physical, occupational, and speech therapies require a referral. However, you do not need a referral to get specialty care from network providers in Ob-Gyn, optometry, psychiatry, and chemical dependency. Bills from out-of-network providers If you receive a bill from an out-of-network Provider , you should not pay the bill. Send it to our Claims Department and they will let you know how much you have to pay. Claims Department Box 7004 Downey, CA 90242-7004 Emergency and urgent care If you have an emergency medical condition, call 911 or go to the nearest hospital. When you have an emergency medical condition, we cover emergency care anywhere in the world. For ease and continuity of care, we encourage you to go to a Plan hospital Emergency Department if you are inside our service area, but only if it is reasonable to do so, considering your condition or symptoms.

8 If you have an emergency, we will talk with the doctors who are giving you emergency care to help manage and follow up on your care. The doctors who are giving you emergency care will decide when your condition is stable and the medical emergency is over. After the emergency is over, you are entitled to follow-up care to be sure your condition continues to be stable. Your follow-up care will be covered by our Plan. If your emergency care is provided by out-of-network providers, we will try to arrange for network providers to take over your care as soon as your medical condition and the circumstances allow. It is very important that your out-of-network Provider call us to get authorization for post-stabilization care before you receive the care from the out-of-network Provider . You will only be held financially liable if you are notified by the out-of-network Provider or us about your potential liability. You must use network providers except in emergency or urgent care situations, or for out-of-area renal dialysis or other services.

9 If you obtain routine care from out-of-network providers, neither Medicare nor Kaiser Permanente will be responsible for the costs. What is the service area for Kaiser Permanente Senior Advantage and Senior Advantage Medicare Medi-Cal? The counties and parts of counties in our service area are listed below. Our service area includes all of Orange County and parts of Kern, Los Angeles, Riverside, San Bernardino, San Diego, and Ventura counties. If you live in a partly covered county, you are in our service area if your home ZIP code appears here: Kern County: 93203, 93205-06, 93215-16, 93220, 93222, 93224-26, 93238, 93240-41, 93243, 93250-52, 93263, 93268, 93276, 93280, 93285, 93287, 93301-09, 93311-14, 93380, 93383-90, 93501-02, 93504-05, 93518-19, 93531, 93536, 93560-61, 93581. Los Angeles County: 90001-84, 90086-91, 90093-96, 90099, 90134, 90189, 90201-02, 90209-13, 90220-24, 90230-33, 3 90239-42, 90245, 90247-51, 90254-55, 90260-67, 90270, 90272, 90274-75, 90277-78, 90280, 90290-96, 90301-12, 90401-11, 90501-10, 90601-10, 90623, 90630-31, 90637-40, 90650-52, 90660-62, 90670-71, 90701-03, 90706-07, 90710-17, 90723, 90731-34, 90744-49, 90755, 90801-10, 90813-15, 90822, 90831-35, 90840, 90842, 90844, 90846-48, 90853, 90895, 90899, 91001, 91003, 91006-12, 91016-17, 91020-21, 91023-25, 91030-31, 91040-43, 91046, 91066, 91077, 91101-10, 91114-18, 91121, 91123-26, 91129, 91182, 91184-85, 91188-89, 91199, 91201-10, 91214, 91221-22, 91224-26, 91301-11, 91313, 91316, 91321-22, 91324-31, 91333-35, 91337, 91340-46, 91350-57, 91361-62, 91364-65, 91367, 91371-72, 91376, 91380-87, 91390, 91392-96, 91401-13, 91416, 91423, 91426, 91436, 91470, 91482, 91495-96, 91499, 91501-08, 91510, 91521-23, 91526, 91601-12.

10 91614-18, 91702, 91706, 91711, 91714-16, 91722-24, 91731-35, 91740-41, 91744-50, 91754-56, 91759, 91765-73, 91775-76, 91778, 91780, 91788-93, 91801-04, 91896, 91899, 93243, 93510, 93532, 93534-36, 93539, 93543-44, 93550-53, 93560, 93563, 93584, 93586, 93590-91, 93599. Riverside County: 91752, 92201-03, 92210-11, 92220, 92223, 92230, 92234-36, 92240-41, 92247-48, 92253, 92255, 92258, 92260-64, 92270, 92276, 92282, 92320, 92324, 92373, 92399, 92501-09, 92513-14, 92516-19, 92521-22, 92530-32, 92543-46, 92548, 92551-57, 92562-64, 92567, 92570-72, 92581-87, 92589 93, 92595 96, 92599, 92860, 92877 83. San Bernardino County: 91701, 91708-10, 91729-30, 91737, 91739, 91743, 91758-59, 91761-64, 91766, 91784-86, 91792, 92305, 92307-08, 92313-18, 92321-22, 92324-25, 92329, 92331, 92333-37, 92339-41, 92344-46, 92350, 92352, 92354, 92357-59, 92369, 92371-78, 92382, 92385-86, 92391-95, 92397, 92399, 92401-08, 92410-11, 92413, 92415, 92418, 92423, 92427, 92880.