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Last

Name

First
Name

Middle
Name

Name
Suffix

MCCOURT

KATHY

MAUREEN

JAIN

SUPRABHA

CACIOPPO

DINO

BONNER

ERNEST

LINCOLN

BULLOCK

PETER

JOHN

HUTCHINS

MARY

JANE B

CHO

KISUK

JAY

JOHANNESSEN

HELGE

EDWARD

GAGGERO

DWIGHT

MADAN

SHERNA

DU

LEE

TIMOTHY

VERGARA

FELIX

ANTONIO

SANDHU

SURINDER

LEON

RONALD

HARISH

GORLI

MADANAHALLI

MALINI

MOAYED

SEPIDEH

REBONG

KENNETH

POMAR

KIM

STEVEN

SUKHO

JR

License
Type

A
LAWRENCE

A
A

BHARADVAJ

A
A

ROWELL

RAYMOND

JOSEPH

BERGER-DUJMOVIC

CATHERINE

ANTONIA

KERR

DOUGLAS

PAUL

SREENIVASAN
HLAVA

PURNIMA
NICOLE

RAVI
BETH

A
A

BUCKLEY

ROBERT

ARTHUR

ORENGO-MCFARLANE

MICHELLE

ANNE

HUANG

ALAN

WEN

AGOLIA

LINDSAY

ROSE

CHIU

KWANG

POUNG

FUJIMOTO

ALLEN

JOHNSON

WILLIAM

LEWIS

STEPHEN

BARNETT

LI

EVELYN

EVENS

HADLEY

JOHN

LINDSAY

VAN MEURS

DIRK

HENDRIK

RILEY

ANTHONY

BRUCE

LIU

SAMANTHA

LANDIE

STANDEFER

CHARLOTTE

BOBO

ZIKRIA

GUL

AHMED

OSIAS

JOELLE

HEFFERNON

WANDA

AGUILAR

CHRISTOPHER

STUBBLEFIELD

MATTHEW

JUNE

SINCLAIR

License
Number

AOR
State

AOR
CountyName

46539

CA

SAN MATEO

67699

CA

CONTRA COSTA

29198

CA

ALAMEDA

30477

CA

ALAMEDA

31093

CA

SAN MATEO

50634

CA

SANTA CLARA

51445

CA

SANTA CLARA

52478

CA

CONTRA COSTA

58937

CA

SAN MATEO

43846

CA

SAN MATEO

73859

CA

SANTA CLARA

74444

CA

CONTRA COSTA

38536

CA

ALAMEDA

40420

CA

CONTRA COSTA

41095

CA

SANTA CLARA

63947

CA

SANTA CLARA

77967

CA

SANTA CLARA

45813

CA

SANTA CLARA

69347

CA

SAN MATEO

81772

CA

ALAMEDA

80123

CA

SANTA CLARA

69670

CA

ALAMEDA

82039
87960

CA
CA

CONTRA COSTA
SANTA CLARA

73194

CA

CONTRA COSTA

108738

CA

CONTRA COSTA

111806

CA

ALAMEDA

113193

CA

ALAMEDA

37989

CA

CONTRA COSTA

7287

CA

ALAMEDA

46239

CA

CONTRA COSTA

20175

CA

CONTRA COSTA

48660

CA

ALAMEDA

40172

CA

CONTRA COSTA

40574

CA

ALAMEDA

62098

CA

ALAMEDA

77884

CA

SAN MATEO

78053

CA

CONTRA COSTA

54355

CA

SANTA CLARA

80476

CA

SAN MATEO

81259

CA

ALAMEDA

83131

CA

SANTA CLARA

72442

CA

SANTA CLARA

Description

FIVE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. RESTRICTIONS: PROHIBITED FROM E
MEDICINE AND SUPERVISING PHYSICIAN ASSISTANTS.

CASE NO. 12-2009-197864 EFFECTIVE 04/07/14 THIRTY-FIVE (35) MONTHS PROBATION WITH VARIOUS
PROBATION, DR. JAIN IS PROHIBITED FROM SUPERVISING PHYSICIAN ASSISTANTS. EFFECTIVE 09/17/15
04/07/18 WITH VARIOUS TERMS AND CONDITIONS.

SEVEN YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. DURING PROBATION, DR. CACIOPP
WHILE TREATING OR EXAMINING FEMALE PATIENTS.

THREE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. DURING PROBATION, DR. BONNER
PHYSICIAN ASSISTANTS.

SIX YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS AND FORTY-FIVE (45) DAYS ACTUAL S
THROUGH 01/14/15. RESTRICTIONS: PROHIBITED FROM SUPERVISING PHYSICIAN ASSISTANTS AND SH
PRESENT WHILE CONSULTING, EXAMINING OR TREATING FEMALE PATIENTS.

THREE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. DURING PROBATION, DR. HUTCHIN
PHYSICIAN ASSISTANTS.

FIVE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. DURING PROBATION, DR. CHO IS PR
ASSISTANTS.

THREE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. DURING PROBATION, DR. JOHAN
PHYSICIAN ASSISTANTS.

FIVE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. DURING PROBATION, DR. GAGGERO
ASSISTANTS, EXCEPT WHEN PRACTICING EMERGENCY MEDICINE IN A HOSPITAL SETTING.

FIVE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. RESTRICTIONS: PROHIBITED FROM E
PERFORMING COSMETIC PROCEDURES AND SUPERVISING PHYSICIAN ASSISTANTS.

THREE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. DURING PROBATION, DR. DU IS PR
ASSISTANTS.
FIVE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. DURING PROBATION, DR. VERGARA
ASSISTANTS.

FIVE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. DURING PROBATION, DR. SANDHU IS
ASSISTANTS.

FIVE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. DURING PROBATION, DR. LEON IS P
ASSISTANTS.

EFFECTIVE 10/21/10 CANNOT PRACTICE MEDICINE PENDING PASSING AN EXAMINATION OR COMPLETI


THE PHYSICIAN ASSESSMENT AND CLINICAL EDUCATION PROGRAM (PACE). ONE YEAR PROBATION W
DURING PROBATION, DR. HARISH IS PROHIBITED FROM SUPERVISING PHYSICIAN ASSISTANTS.

FIVE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. DURING PROBATION, DR. MADANAH
PHYSICIAN ASSISTANTS.
TWO YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. RESTRICTIONS: PROHIBITED FROM
MEDICINE AND SUPERVISING PHYSICIAN ASSISTANTS.

THREE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. RESTRICTIONS: PROHIBITED FROM
PROCEDURES AND SUPERVISING PHYSICIAN ASSISTANTS.

FIVE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. RESTRICTIONS: SHALL HAVE A THIR
CONSULTING, EXAMINING OR TREATING FEMALE PATIENTS AND PROHIBITED FROM SUPERVISING PHYS

FIVE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. RESTRICTIONS: PROHIBITED FROM
ADMINISTERING, OR POSSESSING SCHEDULE II CONTROLLED SUBSTANCES OR ANY CONTROLLED SUB
UNIFORM CONTROLLED SUBSTANCES ACT EXCEPT FOR THOSE DRUGS LISTED IN SCHEDULES III, IV AN
INTRACTABLE PAIN, OR SUPERVISE PHYSICIAN ASSISTANTS.

FIVE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. RESTRICTIONS: PROHIBITED FROM E
MEDICINE AND SUPERVISING PHYSICIAN ASSISTANTS.

FIVE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. RESTRICTIONS: SHALL HAVE A THIR
CONSULTING, EXAMINING OR TREATING FEMALE PATIENTS AND PROHIBITED FROM SUPERVISING PHYS

FIVE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS.


EFFECTIVE 08/27/15 FIVE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. RESTRICTIONS:
PRACTICE OF MEDICINE AND SUPERVISING PHYSICIAN ASSISTANTS. EFFECTIVE 01/14/16 CEASE PRACT
01/17/16.

EFFECTIVE 02/28/14 CANNOT PRACTICE MEDICINE UNTIL A WORKSITE MONITOR IS APROVED BY THE
VARIOUS TERMS AND CONDITIONS AND SIXTY (60) DAYS ACTUAL SUSPENSION. SUSPENSION SERVED
PROHIBITED FROM ENGAGING IN THE SOLO PRACTICE OF MEDICINE AND SUPERVISING PHYSICIAN ASS

THREE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. DURING PROBATION, DR. ORENGO
SUPERVISING PHYSICIAN ASSISTANTS.

EFFECTIVE 06/05/15 CANNOT PRACTICE MEDICINE UNTIL PASSING AN EVALUATION. FIVE YEARS PROBA
AND SIXTY (60) DAYS ACTUAL SUSPENSION. SUSPENSION HAS BEEN SERVED. RESTRICTIONS: SHALL N
DISPENSE, ADMINISTER, OR PROVIDE ANY DANGEROUS DRUGS OR CONTROLLED SUBSTANCES TO AN
ABILITY TO PRESCRIBE, AUTHORIZE, ORDER, DISPENSE, ADMINISTER, OR PROVIDE ANY DANGEROUS D
LIMITED TO A HOSPITAL SETTING, SHALL NOT ISSUE AN ORAL OR WRITTEN RECOMMENDATION OR APP
THE POSSESSION OR CULTIVATION OF MARIJUANA FOR PERSONAL MEDICAL PURPOSES, PROHIBITED F
MEDICINE AND SUPERVISING PHYSICIAN ASSISTANTS.

FIVE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. RESTRICTIONS: SHALL NOT ISSUE A
APPROVAL TO A PATIENT OR A CAREGIVER FOR THE POSSESSION, USE OR CULTIVATION OF MARIJUANA
PROHIBITED FROM ENGAGING IN THE SOLO PRACTICE OF MEDICINE AND SUPERVISING PHYSICIAN ASS

TEN YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. DURING PROBATION, DR. CHIU IS PR

FIVE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS AND THIRTY (30) DAYS ACTUAL SUSP
11/06/12. DURING PROBATION, DR. FUJIMOTO IS PROHIBITED FROM SUPERVISING PHYSICIAN ASSISTAN
FIVE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. DURING PROBATION, DR. JOHNSON
ASSISTANTS.

FIVE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. DURING PROBATION, DR. LEWIS IS P
ASSISTANTS.

FIVE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. DURING PROBATION, DR. LI IS PROH
ASSISTANTS.

SEVEN YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. RESTRICTIONS: PROHIBITED FRO
MEDICINE AND SUPERVISING PHYSICIAN ASSISTANTS.

THREE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS AND THIRTY DAYS ACTUAL SUSPEN
SERVED. DURING PROBATION, DR. VAN MEURS IS PROHIBITED FROM SUPERVISING PHYSICIAN ASSISTA

EFFECTIVE 07/03/01 SURRENDER OF LICENSE; EFFECTIVE 03/15/10 LICENSE REINSTATED; SEVEN YEAR
CONDITIONS. RESTRICTIONS: DURING PROBATION, DR RILEY IS PROHIBITED FROM PRACTICING AS AN
PRACTICE OF MEDICINE AND SUPERVISING PHYSICIAN ASSISTANTS.

EFFECTIVE 04/09/07 LICENSE REVOKED; EFFECTIVE 12/18/15 LICENSE REINSTATED AND PLACED ON S
TERMS AND CONDITIONS. CANNOT PRACTICE MEDICINE UNTIL SUCCESSFUL COMPLETION OF A CLINIC
RESTRICTIONS: PROHIBITED FROM ENGAGING IN THE SOLO PRACTICE OF MEDICINE AND SUPERVISING

THREE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. DURING PROBATION, DR. STANDE
PHYSICIAN ASSISTANTS.

FOUR YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. RESTRICTIONS: PROHIBITED FROM
SHALL PERFORM SURGICAL PROCEDURES ONLY IN ACCREDITED FACILITIES AND SHALL UTILIZE THE SE
ANESTHESIOLOGIST IN ANY PROCEDURE UTILIZING OTHER THAN LOCAL ANESTHESIA OR NERVE BLOC

FIVE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. RESTRICTIONS: PROHIBITED FROM P
SURGERIES, PROHIBITED FROM PERFORMING ANY AND ALL SURGERIES OUTSIDE OF A HOSPITAL SETT
PHYSICIAN ASSISTANTS, EXCEPT WHEN DR. OSIAS IS PRACTICING OBSTETRICS AND GYNECOLOGY IN A
LONG AS THE PHYSICIAN ASSISTANT IS UNDER THE SUPERVISION OF ANOTHER PHYSICIAN.

EFFECTIVE 06/14/01 LICENSE SURRENDERED; EFFECTIVE 10/31/2014 LICENSE REINSTATED AND PLAC
TERMS AND CONDITIONS. RESTRICTIONS: PROHIBITED FROM ENGAGING IN THE SOLO PRACTICE OF M
ASSISTANTS.

EFFECTIVE 06/19/07 LICENSE SURRENDERED; EFFECTIVE 09/09/11 LICENSE REINSTATED; FIVE YEARS
CONDITIONS. RESTRICTIONS: PROHIBITED FROM ENGAGING IN THE SOLO PRACTICE OF MEDICINE, SUP
HAVE A THIRD PARTY CHAPERONE PRESENT WHILE CONSULTING OR TREATING TEENAGE FEMALE PATIE

TWO YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. DURING PROBATION, DR. STUBBLEF
PHYSICIAN ASSISTANTS.

Effective
Date

PDL
Hyperlink

10/5/2001

A46539

9/17/2015

A67699

10/24/1997

A29198

4/18/2013

A30477

11/14/2014

A31093

2/12/2016

A50634

10/13/2014

A51445

6/28/2013

A52478

8/16/2013

G58937

7/6/2011

G43846

3/4/2016

A73859

6/26/2015

A74444

9/19/2014

A38536

6/19/2013

A40420

10/21/2010

A41095

2/20/2015

A63947

7/24/2015

A77967

10/9/2015

A45813

7/10/2014

G69347

1/19/2012

G81772

4/5/2013

A80123

8/7/2015

G69670

11/16/2015
1/14/2016

A82039
A87960

2/28/2014

G73194

8/7/2015

A108738

6/5/2015

A111806

5/29/2015

A113193

3/6/2002

C37989

9/21/2012

G7287

6/29/2012

G46239

10/5/2012

G20175

7/8/2011

G48660

8/29/2013

G40172

7/19/2010

G40574

3/15/2010

G62098

12/18/2015

G77884

4/7/2016

G78053

4/25/2014

G54355

1/2/2013

G80476

10/31/2014

G81259

9/9/2011

G83131

11/20/2015

G72442

Last
Name

First
Name

Middle
Name

Name
Suffix

License
Type

LITWIN

JOSH

PETER

RADHAKRISHNA

ROHAN

SWAN

EMMA

CLAIRE RIED

MURGUIA

BRANDON

OSCAR ROMERO

FRUSHA

JOHN

DOUGLAS

SUTHERLAND

ELIZABETH

ANNE

TANAKA

PEDRO

PAULO

ARATANI

ASHLEY

KAZUKO

License
Number

AOR
State

AOR
CountyName

129207

CA

ALAMEDA

126307

CA

ALAMEDA

127396

CA

CONTRA COSTA

126303

CA

CONTRA COSTA

55530

CA

CONTRA COSTA

40463

CA

CONTRA COSTA

125808

CA

SANTA CLARA

138414

CA

SANTA CLARA

Description

PROBATIONARY LICENSE ISSUED; THREE YEARS PROBATION BEGINS 03/21/2014. RESTRICTIONS: PROH
INDEPENDENTLY PERFORMING OPHTHALMOLOGY AND COSMETIC SURGERY UNTIL COMPLYING WITH TE
CONDITIONS AND SUPERVISING PHYSICIAN ASSISTANTS.

PROBATIONARY LICENSE ISSUED; THREE YEARS PROBATION BEGINS 06/28/2013. DURING PROBATION,
RADHAKRISHNA IS PROHIBITED FROM SUPERVISING PHYSICIAN ASSISTANTS.

PROBATIONARY LICENSE ISSUED; THREE YEARS PROBATION BEGINS 09/19/2013. DURING PROBATION,
PROHIBITED FROM SUPERVISING PHYSICIAN ASSISTANTS.

PROBATIONARY LICENSE ISSUED; THREE YEARS PROBATION BEGINS 06/28/2013. DURING PROBATION,
IS PROHIBITED FROM SUPERVISING PHYSICIAN ASSISTANTS.

PROBATIONARY LICENSE ISSUED; THREE YEARS PROBATION BEGINS 10/03/2012. DURING PROBATION,
IS PROHIBITED FROM SUPERVISING PHYSICIAN ASSISTANTS.

PROBATIONARY LICENSE ISSUED; FIVE YEARS PROBATION BEGINS 08/08/2014. DURING PROBATION, D
SUTHERLAND IS PROHIBITED FROM SUPERVISING PHYSICIAN ASSISTANTS.

PROBATIONARY LICENSE ISSUED; THREE YEARS PROBATION BEGINS 05/15/2013. DURING PROBATION,
IS PROHIBITED FROM SUPERVISING PHYSICIAN ASSISTANTS.

PROBATIONARY LICENSE ISSUED; THREE YEARS PROBATION BEGINS 09/24/15. DURING PROBATION, DR
PROHIBITED FROM SUPERVISING PHYSICIAN ASSISTANTS.

Effective
Date

PDL
Hyperlink

3/20/2014

C129207

6/28/2013

A126307

9/18/2014

A127396

6/28/2013

A126303

10/2/2012

C55530

8/7/2014

G40463

5/10/2013

A125808

9/24/2015

A138414

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