Re-Credentialing
Re-credentialing is the review process for determining the continued eligibility of an Alliance participating provider. Providers are required to recredential every 36 months. A re-credentialing application is sent to the provider approximately 5 months prior to the expiration of the last credentialing date. The application must be completed and submitted to the Alliance Credentialing Department before the expiration date along with all supporting documentation. Failure to comply with the recredentialing requirement may result in immediate termination as an approved Alliance network provider.
Effective 5/1/2023, this is a list of the providers that are credentialed directly by the Alliance staff. The Alliance has many delegated providers in which we delegate and oversee credentialing, but would not be listed below. Please refer to the Provider Directory for a full comprehensive list of our provider network.
See the lists below of both groups and providers who received Approved Re-Credentialing
Updated: June of 2023
| Approved Date | Next Re-Cred Date | NPI# | Group/Business Name |
|---|---|---|---|
| 3/21/2023 | 3/21/2026 | 1871742114 | ADOBE HOME HEALTH |
| 3/21/2023 | 3/21/2026 | 1720195753 | APRIA HEALTHCARE MODESTO |
| 3/21/2023 | 3/21/2026 | 1740397793 | APRIA HEALTHCARE MONTEREY |
| 3/21/2023 | 3/21/2026 | 1629084942 | CAPSTONE ORTHOPEDIC |
| 3/21/2023 | 3/21/2026 | 1093733776 | CARMEL HILLS CARE CTR SNF |
| 3/21/2023 | 3/21/2026 | 1316027709 | CLOVIS COMMUNITY MEDICAL CENTER |
| 3/21/2023 | 3/21/2026 | 1104906569 | COMMUNITY REGIONAL MEDICAL CENTER |
| 3/21/2023 | 3/21/2026 | 1467859900 | CONTINUUM CARE HOSPICE LLC |
| 3/21/2023 | 3/21/2026 | 1043249196 | GENERAL HOME MEDICAL SUPPLY |
| 3/21/2023 | 3/21/2026 | 1699965012 | GEORGE L MEE MEMORIAL HOSPITAL |
| 3/21/2023 | 3/21/2026 | 1649413022 | HOVEROUND CORPORATION |
| 3/21/2023 | 3/21/2026 | 1306921929 | KINDRED HOSPITAL SAN FRANCISCO BAY AREA |
| 3/21/2023 | 3/21/2026 | 1306952908 | LAS VENTANAS SURGERY CENTER |
| 3/21/2023 | 3/21/2026 | 1881626943 | LATARA ENTERPRISE |
| 3/21/2023 | 3/21/2026 | 1417994864 | MAXIM HEALTHCARE SERVICES, INC. |
| 3/21/2023 | 3/21/2026 | 1992857999 | MERCED NURSING & REHABILITATION CTR SNF |
| 3/21/2023 | 3/21/2026 | 1932251808 | MODESTO POST ACUTE CTR SNF |
| 3/21/2023 | 3/21/2026 | 1831152594 | SALINAS PATHOLOGY SERVICES |
| 3/21/2023 | 3/21/2026 | 1750375846 | SAN LUIS CARE CENTER |
| 3/21/2023 | 3/21/2026 | 1639101116 | SIERRA VISTA REGIONAL MEDICAL CTR |
| 3/21/2023 | 3/21/2026 | 1902863202 | SUPER CARE INC |
| 3/21/2023 | 3/21/2026 | 1396778197 | TWIN CITIES COMMUNITY HOSPITAL |
| 3/21/2023 | 3/21/2026 | 1578615464 | WATSONVILLE NURSING CTR LTC |
| 3/21/2023 | 3/21/2026 | 1346392321 | WATSONVILLE POST ACUTE CTR SNF |
| Approved Date | Next Re-Cred Date | Provider NPI | Full Name |
|---|---|---|---|
| 3/21/2023 | 3/21/2026 | 1073956231 | Adams, Zachary MD |
| 3/21/2023 | 3/21/2026 | 1629338603 | Anjelly, David MD |
| 3/21/2023 | 3/21/2026 | 1699848580 | Balch, Christa MD |
| 3/21/2023 | 3/21/2026 | 1881613545 | Barroga-Schlegel, Mariedel DO |
| 3/21/2023 | 3/21/2026 | 1053613711 | Bashir, Muhammad MD |
| 3/21/2023 | 3/21/2026 | 1114923307 | Baz, Malik MD |
| 3/21/2023 | 3/21/2026 | 1205045192 | Berk, David MD |
| 3/21/2023 | 3/21/2026 | 1902979644 | Bradley, Thomas MD |
| 3/21/2023 | 3/21/2026 | 1548238108 | Bybee, David MD |
| 3/21/2023 | 3/21/2026 | 1619089943 | Castellanos, Edgar MD |
| 3/21/2023 | 3/21/2026 | 1477594406 | Chandler, Peter MD |
| 3/21/2023 | 3/21/2026 | 1366411548 | Chang, Gary MD |
| 3/21/2023 | 3/21/2026 | 1477504405 | Chang, Margaret MD |
| 3/21/2023 | 3/21/2026 | 1881702645 | Chillar, Ram MD |
| 3/21/2023 | 3/21/2026 | 1619149416 | Dehkordi, Roya MD |
| 3/21/2023 | 3/21/2026 | 1497864664 | Equi, Robert MD |
| 3/21/2023 | 3/21/2026 | 1114964764 | Gollogly, Sohrab MD |
| 3/21/2023 | 3/21/2026 | 1285600403 | Greene, David MD |
| 3/21/2023 | 3/21/2026 | 1144470162 | Hamidi, Reyhaneh MD |
| 3/21/2023 | 3/21/2026 | 1114937927 | Hell, Richard MD |
| 3/21/2023 | 3/21/2026 | 1407926009 | Helman, Dale MD |
| 3/21/2023 | 3/21/2026 | 1124058805 | Hubbard, Kavitha MD |
| 3/21/2023 | 3/21/2026 | 1316388325 | Huber, Andrew MD |
| 3/21/2023 | 3/21/2026 | 1255659181 | Hurtado, Ariel MD |
| 3/21/2023 | 3/21/2026 | 1356428205 | Inserra, Michelle MD |
| 3/21/2023 | 3/21/2026 | 1275791881 | Jain, Priyanka MD |
| 3/21/2023 | 3/21/2026 | 1720032808 | Javadi, Omid MD |
| 3/21/2023 | 3/21/2026 | 1174508865 | Johnson, Alfred MD |
| 3/21/2023 | 3/21/2026 | 1265481949 | Kaufmann, John MD |
| 3/21/2023 | 3/21/2026 | 1639272750 | Keet, Robert MD |
| 3/21/2023 | 3/21/2026 | 1548291156 | Khalid, Yasmeen MD |
| 3/21/2023 | 3/21/2026 | 1710961552 | King, Phillip DO |
| 3/21/2023 | 3/21/2026 | 1194708412 | Kraus, Susan MD |
| 3/21/2023 | 3/21/2026 | 1316231954 | Kucharski, Jaclyn MD |
| 3/21/2023 | 3/21/2026 | 1811917305 | Limbach, Charles MD |
| 3/21/2023 | 3/21/2026 | 1669735916 | Louisell, James MD |
| 3/21/2023 | 3/21/2026 | 1790786002 | Luba, Daniel MD |
| 3/21/2023 | 3/21/2026 | 1730182510 | Luder, Michael DO |
| 3/21/2023 | 3/21/2026 | 1104046887 | Magana, Hector MD |
| 3/21/2023 | 3/21/2026 | 1093714511 | Martinez, Roy MD |
| 3/21/2023 | 3/21/2026 | 1679682769 | Massih, Maliheh MD |
| 3/21/2023 | 3/21/2026 | 1609989417 | Maw, Jennifer MD |
| 3/21/2023 | 3/21/2026 | 1609083369 | McHugh, Kevin MD |
| 3/21/2023 | 3/21/2026 | 1679780712 | McLaughlin, Kimberly MD |
| 3/21/2023 | 3/21/2026 | 1316207129 | Mhaskar, Aditi MD |
| 3/21/2023 | 3/21/2026 | 1568472298 | Moonan, Isabelle MD |
| 3/21/2023 | 3/21/2026 | 1821043654 | Moreno, Cecilia MD |
| 3/21/2023 | 3/21/2026 | 1902942535 | Nacamuli, Randall MD |
| 3/21/2023 | 3/21/2026 | 1275761785 | Nguyen, Linh MD |
| 3/21/2023 | 3/21/2026 | 1730384876 | Patel, Sarju MD |
| 3/21/2023 | 3/21/2026 | 1154430460 | Pearlman, Joel MD |
| 3/21/2023 | 3/21/2026 | 1710084835 | Perez-Lopez, Minerva MD |
| 3/21/2023 | 3/21/2026 | 1871528638 | Rana, Naeem MD |
| 3/21/2023 | 3/21/2026 | 1144274184 | Reddy, Gundala MD |
| 3/21/2023 | 3/21/2026 | 1528177706 | Reed, John MD |
| 3/21/2023 | 3/21/2026 | 1710245824 | Richardson, Zachary MD |
| 3/21/2023 | 3/21/2026 | 1043392335 | Rodriguez, Orlando MD |
| 3/21/2023 | 3/21/2026 | 1578970463 | Romero, Eloy MD |
| 3/21/2023 | 3/21/2026 | 1467555474 | Rosenbaum, Lawrence MD |
| 3/21/2023 | 3/21/2026 | 1003980947 | Rubin, Nancy DO |
| 3/21/2023 | 3/21/2026 | 1427443738 | Ryan, Martha MD |
| 3/21/2023 | 3/21/2026 | 1093167520 | Temple, Daniel MD |
| 3/21/2023 | 3/21/2026 | 1619921103 | Thondapu, Ramakrishna MD |
| 3/21/2023 | 3/21/2026 | 1306112677 | Tray, Nancy MD |
| 3/21/2023 | 3/21/2026 | 1548294101 | Tsai, Tony MD |
| 3/21/2023 | 3/21/2026 | 1235234634 | Wendel, Robert MD |
| 3/21/2023 | 3/21/2026 | 1942304977 | Williams, Jeffrey MD |
| 3/21/2023 | 3/21/2026 | 1316972201 | Wong, David MD |
| 3/21/2023 | 3/21/2026 | 1912349291 | Arbo, Ma Ana FNP |
| 3/21/2023 | 3/21/2026 | 1316509193 | Cohen, Kyle PA-C |
| 3/21/2023 | 3/21/2026 | 1265096101 | Eltagunde, Carlos FNP-C |
| 3/21/2023 | 3/21/2026 | 1851574099 | Estrada, Maricela PA-C |
| 3/21/2023 | 3/21/2026 | 1407206956 | Ewing, Annette FNP-C |
| 3/21/2023 | 3/21/2026 | 1417971987 | Farsi, Behrouz PA-C |
| 3/21/2023 | 3/21/2026 | 1154861409 | Faytaren, Sheila AGACNP-C |
| 3/21/2023 | 3/21/2026 | 1164997573 | Frensley, Joseph FNP-C |
| 3/21/2023 | 3/21/2026 | 1053423608 | Gehringer, Sharon PA-C |
| 3/21/2023 | 3/21/2026 | 1801334230 | Greenwood, Julia CPNP-C |
| 3/21/2023 | 3/21/2026 | 1316451099 | Han, Mi-Hyun FNP-C |
| 3/21/2023 | 3/21/2026 | 1003048620 | Heck, Tina PA-C |
| 3/21/2023 | 3/21/2026 | 1225371925 | Johal, Manmeet FNP-C |
| 3/21/2023 | 3/21/2026 | 1396217220 | Liu, Danielle PA-C |
| 3/21/2023 | 3/21/2026 | 1306957634 | Michaelis-Ow, Gail NP |
| 3/21/2023 | 3/21/2026 | 1942776935 | Millan, Marjorie FNP-C |
| 3/21/2023 | 3/21/2026 | 1447563705 | Orozco, M. Dolores PA-C |
| 3/21/2023 | 3/21/2026 | 1134445745 | Park, Sunny FNP-C |
| 3/21/2023 | 3/21/2026 | 1134470479 | Ramaekers, Lindsay FNP-C |
| 3/21/2023 | 3/21/2026 | 1447328869 | Ratliff, Mpho NP |
| 3/21/2023 | 3/21/2026 | 1033484191 | Reyes, Wilibaldo PA-C |
| 3/21/2023 | 3/21/2026 | 1194358309 | Sablok, Varinder FNP-C |
| 3/21/2023 | 3/21/2026 | 1699006130 | Stevens, Julia NP |
| 3/21/2023 | 3/21/2026 | 1285707653 | Stewart, Martha PA |
| 3/21/2023 | 3/21/2026 | 1134224223 | Westberg, Lara PA-C |
| 3/21/2023 | 3/21/2026 | 1760816763 | Whalen, Heather FNP-C |
| 3/21/2023 | 3/21/2026 | 1720041494 | Whitaker, Anita NP |
| 3/21/2023 | 3/21/2026 | 1023555992 | Whitehead, Allison FNP-C |
| 3/21/2023 | 3/21/2026 | 1659936854 | Butler, Griffin SLP |
| 3/21/2023 | 3/21/2026 | 1871637249 | Caylor, Philip L.Ac |
| 3/21/2023 | 3/21/2026 | 1770866295 | Havrilko, Carey-Leah PT |
| 3/21/2023 | 3/21/2026 | 1982024121 | Morgan, Mary L.Ac |
| 3/21/2023 | 3/21/2026 | 1255487104 | Pike, Adam PT |
| 3/21/2023 | 3/21/2026 | 1396759049 | Roemke, Anne DC |
| 3/21/2023 | 3/21/2026 | 1184705857 | Smith, Thomas DC |
| 3/21/2023 | 3/21/2026 | 1306118047 | Stack, Justin HA |
| 3/21/2023 | 3/21/2026 | 1063766608 | Stewart, Kathryn AUD |
| 3/21/2023 | 3/21/2026 | 1255405270 | Tang, Ren HA |
| 3/21/2023 | 3/21/2026 | 1174698013 | Teering, Mario PT |
| 3/21/2023 | 3/21/2026 | 1881019701 | Van Sunder, Talli PT |
| 3/21/2023 | 3/21/2026 | 1497176242 | Weitzman, Jenna PT |
| 3/21/2023 | 3/21/2026 | 1073763785 | Yamamoto, Kayoko L.Ac |
Contact Provider Services
| General | 831-430-5504 |
| Claims Billing questions, claims status, general claims information |
831-430-5503 |
| Authorizations General authorization information or questions |
831-430-5506 |
| Authorization Status Checking the status of submitted authorizations |
831-430-5511 |
| Pharmacy Authorizations, general pharmacy information or questions |
831-430-5507 |
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