Tsev > Rau Cov Kws Pab Kho Mob > Koom Nyob Hauv Peb Pab Pawg Koom Tes > Re-Credentialing

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 Phau Ntawv Teev Npe Cov Kws Kho Mob for a full comprehensive list of our provider network.

See the lists below of both groups and providers who received Approved Re-Credentialing

Updated: July 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
6/22/2023	6/22/2026	1245349349	APRIA HEALTHCARE SAN JOSE
6/22/2023	6/22/2026	1568857589	BONITA SPRINGS HOME HEALTH LLC
6/22/2023	6/22/2026	1932197258	COMMUNITY HOSPITAL THE MONTEREY PENINSULA
6/22/2023	6/22/2026	1821002007	FOUNTAIN VALLEY REGIONAL HOSPITAL
6/22/2023	6/22/2026	1598292450	GUARDIAN MOBILITY, INC
6/22/2023	6/22/2026	1063801488	HEALTHY LIVING AT HOME
6/22/2023	6/22/2026	1851787295	HI-DESERT MEDICAL CENTER
6/22/2023	6/22/2026	1831258326	HORSNYDER PHARMACY SANTA CRUZ
6/22/2023	6/22/2026	1477584993	JOHN F KENNEDY MEMORIAL HOSPITAL
6/22/2023	6/22/2026	1184655581	LAKEWOOD REGIONAL MEDICAL CTR
6/22/2023	6/22/2026	1568493922	LOS ALAMITOS MEDICAL CTR
6/22/2023	6/22/2026	1205364981	MERCED AMBULATORY SURGERY CENTER, LLC
6/22/2023	6/22/2026	1063696284	MERCED MEDICAL SUPPLY INC
6/22/2023	6/22/2026	1881152031	PACIFIC GROVE HEALTHCARE CENTER
6/22/2023	6/22/2026	1619607488	PAJARO VALLEY HEALTH CARE DISTRICT HOSPITAL CORPORATION
6/22/2023	6/22/2026	1700817756	PLACENTIA LINDA HOSPITAL
6/22/2023	6/22/2026	1932131489	SAN RAMON REGIONAL MEDICAL CTR
6/22/2023	6/22/2026	1700838471	SANTA CRUZ SURGERY CTR
6/22/2023	6/22/2026	1164563276	TURLOCK NURSING & REHAB CTR SNF
6/22/2023	6/22/2026	1689710048	WINDSOR SKYLINE CARE 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
6/22/2023	6/22/2026	1770593105	Ahmed, Mohammed MD
6/22/2023	6/22/2026	1033389903	Hylton, Diana MD
6/22/2023	6/22/2026	1861448029	Johnson, Shannon CNM
6/22/2023	6/22/2026	1750484101	Nease, Michael PT
6/22/2023	6/22/2026	1518282920	Reynolds, Kerisimasi DO
6/22/2023	6/22/2026	1427463140	Abraham, Jean-Philippe MD
6/22/2023	6/22/2026	1811210974	Alejandre, Hilda MD
6/22/2023	6/22/2026	1376547612	Ansel, David MD
6/22/2023	6/22/2026	1689606741	Apaydin, Aytac MD
6/22/2023	6/22/2026	1942261631	Baker, Reginald MD
6/22/2023	6/22/2026	1275821001	Benaka-Hebbar, Vaishali MD
6/22/2023	6/22/2026	1134299308	Bennet, Justin MD
6/22/2023	6/22/2026	1962452680	Berte, Larry MD
6/22/2023	6/22/2026	1427250752	Blum, Martha MD
6/22/2023	6/22/2026	1184739757	Centurion, Alejandro MD
6/22/2023	6/22/2026	1639376064	Chang, Steve MD
6/22/2023	6/22/2026	1447484225	Clement, Jincy MD
6/22/2023	6/22/2026	1700129525	Conly, Bethany MD
6/22/2023	6/22/2026	1265811475	Corvo, Matthew MD
6/22/2023	6/22/2026	1811253040	Crispin, Milene MD
6/22/2023	6/22/2026	1619068103	Dawson, Shelly MD
6/22/2023	6/22/2026	1578799193	Deldar, Salar MD
6/22/2023	6/22/2026	1740600972	Feidi, Rana MD
6/22/2023	6/22/2026	1811381734	Feria, Jorge MD
6/22/2023	6/22/2026	1689123879	Fotouhighiam, Alireza MD
6/22/2023	6/22/2026	1114913282	Gallardo, David MD
6/22/2023	6/22/2026	1447212691	Ginsburg, Jerry MD
6/22/2023	6/22/2026	1558411322	Gogna, Harjit MD
6/22/2023	6/22/2026	1174660450	Gray, Kelsey MD
6/22/2023	6/22/2026	1972761211	Helbig, Gregory MD
6/22/2023	6/22/2026	1194781294	Henry, Gerrit DO
6/22/2023	6/22/2026	1912918962	Heron, Kyle MD
6/22/2023	6/22/2026	1942469952	Heywood, Christian MD
6/22/2023	6/22/2026	1780654525	Hwang, Stanley MD
6/22/2023	6/22/2026	1699810697	Johnson, Jay MD
6/22/2023	6/22/2026	1396751889	Joye, James DO
6/22/2023	6/22/2026	1336159052	Katz, Toby MD
6/22/2023	6/22/2026	1912281783	Klassen, R. Bryan MD
6/22/2023	6/22/2026	1801981485	Knorr, Philip MD
6/22/2023	6/22/2026	1467744284	Kraushaar, Diana MD
6/22/2023	6/22/2026	1487896585	Kroopf, Lisa MD
6/22/2023	6/22/2026	1467797365	Lara, Raul MD
6/22/2023	6/22/2026	1295747152	Lopez Solorza, Juan MD
6/22/2023	6/22/2026	1093248254	Mathew, Rashmi MD
6/22/2023	6/22/2026	1255316931	Montijo, Sandra MD
6/22/2023	6/22/2026	1952309908	Mustoe, Thomas MD
6/22/2023	6/22/2026	1588005474	Osmani, Faraaz MD
6/22/2023	6/22/2026	1255560967	Paik, Aimee MD
6/22/2023	6/22/2026	1184730780	Pinto, Moneesha MD
6/22/2023	6/22/2026	1679541528	Remington, Benjamin MD
6/22/2023	6/22/2026	1861502239	Romero, Karen MD
6/22/2023	6/22/2026	1740477074	Rudrapatna, Vivek MD
6/22/2023	6/22/2026	1043574841	Saeb, Ghassan MD
6/22/2023	6/22/2026	1205994423	Smith, Scott DPM
6/22/2023	6/22/2026	1639189459	Swanson, Kathryn MD
6/22/2023	6/22/2026	1629022363	Trotter, Ruth MD
6/22/2023	6/22/2026	1740287978	Varma, Geetha MD
6/22/2023	6/22/2026	1063531291	Ward, Abner MD
6/22/2023	6/22/2026	1316972201	Wong, David MD
6/22/2023	6/22/2026	1942208848	Zetterlund, Patrik MD
6/22/2023	6/22/2026	1013953827	Cameron, Sharon PA
6/22/2023	6/22/2026	1477080869	Fiess, Matthew PA-C
6/22/2023	6/22/2026	1487963674	Galvan, Veronica PA-C
6/22/2023	6/22/2026	1457601676	Garza, Heather FNP-C
6/22/2023	6/22/2026	1457334096	Magana, Lorena PA-C
6/22/2023	6/22/2026	1821642968	McCabe, James FNP-C
6/22/2023	6/22/2026	1346773405	Merritt, D'Nesha FNP-C
6/22/2023	6/22/2026	1932737921	Morga, Jaime FNP-C
6/22/2023	6/22/2026	1821407248	Ratelle, Kimberly WHNP-C
6/22/2023	6/22/2026	1144858135	Salmeron-Bernal, Jorge FNP-C
6/22/2023	6/22/2026	1487190153	Yang, Xue FNP-C
6/22/2023	6/22/2026	1114481041	Zhang, Hongqing FNP-C
6/22/2023	6/22/2026	1528690120	Zimmerman, Andrea WHNP-C
6/22/2023	6/22/2026	1396041919	Byrd, Jacquelyn L.Ac
6/22/2023	6/22/2026	1790769248	Chang, Tru DC
6/22/2023	6/22/2026	1568585487	Chao, Joanna L.Ac
6/22/2023	6/22/2026	1477584902	Davis, Steven DC
6/22/2023	6/22/2026	1932227659	Friedman, Cary LAC
6/22/2023	6/22/2026	1649645003	Mendoza, Jena PT
6/22/2023	6/22/2026	1730613852	Moll, Diana L.Ac
6/22/2023	6/22/2026	1003028515	Norquist, Charlene PT
6/22/2023	6/22/2026	1104291871	Ruskin, Jeannine L.Ac

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