Last

Name

First
Name

Middle
Name

License
Type

License
Number

AOR
State

AOR
CountyName

MCCOURT

KATHY

MAUREEN

46539

CA

SAN MATEO

JAIN

SUPRABHA

67699

CA

CONTRA COSTA

CACIOPPO

DINO

29198

CA

ALAMEDA

BONNER

ERNEST

LINCOLN

30477

CA

ALAMEDA

BULLOCK

PETER

JOHN

31093

CA

SAN MATEO

HUTCHINS

MARY

JANE B

50634

CA

SANTA CLARA

CHO

KISUK

JAY

51445

CA

SANTA CLARA

JOHANNESSEN

HELGE

EDWARD

52478

CA

CONTRA COSTA

GAGGERO

DWIGHT

58937

CA

SAN MATEO

MADAN

SHERNA

43846

CA

SAN MATEO

DU

LEE

TIMOTHY

73859

CA

SANTA CLARA

VERGARA

FELIX

ANTONIO

74444

CA

CONTRA COSTA

SANDHU

SURINDER

38536

CA

ALAMEDA

LEON

RONALD

40420

CA

CONTRA COSTA

HARISH

GORLI

41095

CA

SANTA CLARA

MADANAHALLI

MALINI

63947

CA

SANTA CLARA

MOAYED

SEPIDEH

77967

CA

SANTA CLARA

REBONG

KENNETH

POMAR

45813

CA

SANTA CLARA

KIM

STEVEN

SUKHO

69347

CA

SAN MATEO

ROWELL

RAYMOND

JOSEPH

81772

CA

ALAMEDA

BERGER-DUJMOVIC

CATHERINE

ANTONIA

80123

CA

SANTA CLARA

KERR

DOUGLAS

PAUL

69670

CA

ALAMEDA

SREENIVASAN
HLAVA

PURNIMA
NICOLE

RAVI
BETH

A
A

82039
87960

CA
CA

CONTRA COSTA
SANTA CLARA

BUCKLEY

ROBERT

ARTHUR

73194

CA

CONTRA COSTA

ORENGO-MCFARLANE

MICHELLE

ANNE

108738

CA

CONTRA COSTA

HUANG

ALAN

WEN

111806

CA

ALAMEDA

AGOLIA

LINDSAY

ROSE

113193

CA

ALAMEDA

CHIU

KWANG

POUNG

37989

CA

CONTRA COSTA

FUJIMOTO

ALLEN

7287

CA

ALAMEDA

JOHNSON

WILLIAM

46239

CA

CONTRA COSTA

LEWIS

STEPHEN

BARNETT

20175

CA

CONTRA COSTA

LI

EVELYN

EVENS

48660

CA

ALAMEDA

HADLEY

JOHN

LINDSAY

40172

CA

CONTRA COSTA

VAN MEURS

DIRK

HENDRIK

40574

CA

ALAMEDA

RILEY

ANTHONY

BRUCE

62098

CA

ALAMEDA

LIU

SAMANTHA

LANDIE

77884

CA

SAN MATEO

STANDEFER

CHARLOTTE

BOBO

78053

CA

CONTRA COSTA

ZIKRIA

GUL

AHMED

54355

CA

SANTA CLARA

OSIAS

JOELLE

80476

CA

SAN MATEO

HEFFERNON

WANDA

81259

CA

ALAMEDA

AGUILAR

CHRISTOPHER

83131

CA

SANTA CLARA

STUBBLEFIELD

MATTHEW

72442

CA

SANTA CLARA

LAWRENCE

BHARADVAJ

JUNE

SINCLAIR

Name
Suffix

JR

Description

Effective
Date

PDL
Hyperlink

FIVE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. RESTRICTIONS: PROHIBITED FROM ENGAGING IN THE SOLO PRACTICE OF
MEDICINE AND SUPERVISING PHYSICIAN ASSISTANTS.

10/5/2001

A46539

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

9/17/2015

A67699

SEVEN YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. DURING PROBATION, DR. CACIOPPO SHALL HAVE A THIRD PARTY PRESENT
WHILE TREATING OR EXAMINING FEMALE PATIENTS.

10/24/1997

A29198

THREE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. DURING PROBATION, DR. BONNER IS PROHIBITED FROM SUPERVISING
PHYSICIAN ASSISTANTS.

4/18/2013

A30477

SIX YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS AND FORTY-FIVE (45) DAYS ACTUAL SUSPENSION. SUSPENSION SERVED 11/30/14
THROUGH 01/14/15. RESTRICTIONS: PROHIBITED FROM SUPERVISING PHYSICIAN ASSISTANTS AND SHALL HAVE A THIRD PARTY CHAPERONE
PRESENT WHILE CONSULTING, EXAMINING OR TREATING FEMALE PATIENTS.

11/14/2014

A31093

THREE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. DURING PROBATION, DR. HUTCHINS IS PROHIBITED FROM SUPERVISING
PHYSICIAN ASSISTANTS.

2/12/2016

A50634

FIVE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. DURING PROBATION, DR. CHO IS PROHIBITED FROM SUPERVISING PHYSICIAN
ASSISTANTS.

10/13/2014

A51445

THREE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. DURING PROBATION, DR. JOHANNESSEN IS PROHIBITED FROM SUPERVISING
PHYSICIAN ASSISTANTS.

6/28/2013

A52478

FIVE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. DURING PROBATION, DR. GAGGERO IS PROHIBITED FROM SUPERVISING PHYSICIAN 8/16/2013
ASSISTANTS, EXCEPT WHEN PRACTICING EMERGENCY MEDICINE IN A HOSPITAL SETTING.

G58937

FIVE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. RESTRICTIONS: PROHIBITED FROM EITHER PRACTICING AESTHETIC MEDICINE OR
PERFORMING COSMETIC PROCEDURES AND SUPERVISING PHYSICIAN ASSISTANTS.

7/6/2011

G43846

THREE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. DURING PROBATION, DR. DU IS PROHIBITED FROM SUPERVISING PHYSICIAN
ASSISTANTS.

3/4/2016

A73859

FIVE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. DURING PROBATION, DR. VERGARA IS PROHIBITED FROM SUPERVISING PHYSICIAN 6/26/2015
ASSISTANTS.

A74444

FIVE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. DURING PROBATION, DR. SANDHU IS PROHIBITED FROM SUPERVISING PHYSICIAN
ASSISTANTS.

9/19/2014

A38536

FIVE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. DURING PROBATION, DR. LEON IS PROHIBITED FROM SUPERVISING PHYSICIAN
ASSISTANTS.

6/19/2013

A40420

EFFECTIVE 10/21/10 CANNOT PRACTICE MEDICINE PENDING PASSING AN EXAMINATION OR COMPLETION OF A PHYSICIAN ASSESSMENT THROUGH
THE PHYSICIAN ASSESSMENT AND CLINICAL EDUCATION PROGRAM (PACE). ONE YEAR PROBATION WITH VARIOUS TERMS AND CONDITIONS.
DURING PROBATION, DR. HARISH IS PROHIBITED FROM SUPERVISING PHYSICIAN ASSISTANTS.

10/21/2010

A41095

FIVE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. DURING PROBATION, DR. MADANAHALLI IS PROHIBITED FROM SUPERVISING
PHYSICIAN ASSISTANTS.

2/20/2015

A63947

TWO YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. RESTRICTIONS: PROHIBITED FROM ENGAGING IN THE SOLO PRACTICE OF
MEDICINE AND SUPERVISING PHYSICIAN ASSISTANTS.

7/24/2015

A77967

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

10/9/2015

A45813

FIVE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. RESTRICTIONS: SHALL HAVE A THIRD PARTY CHAPERONE PRESENT WHILE
CONSULTING, EXAMINING OR TREATING FEMALE PATIENTS AND PROHIBITED FROM SUPERVISING PHYSICIAN ASSISTANTS.

7/10/2014

G69347

FIVE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. RESTRICTIONS: PROHIBITED FROM ORDERING, PRESCRIBING, DISPENSING,
ADMINISTERING, OR POSSESSING SCHEDULE II CONTROLLED SUBSTANCES OR ANY CONTROLLED SUBSTANCES DEFINED BY THE CALIFORNIA
UNIFORM CONTROLLED SUBSTANCES ACT EXCEPT FOR THOSE DRUGS LISTED IN SCHEDULES III, IV AND V, NOT TREAT PATIENTS WITH
INTRACTABLE PAIN, OR SUPERVISE PHYSICIAN ASSISTANTS.

1/19/2012

G81772

FIVE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. RESTRICTIONS: PROHIBITED FROM ENGAGING IN THE SOLO PRACTICE OF
MEDICINE AND SUPERVISING PHYSICIAN ASSISTANTS.

4/5/2013

A80123

FIVE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. RESTRICTIONS: SHALL HAVE A THIRD PARTY CHAPERONE PRESENT WHILE
CONSULTING, EXAMINING OR TREATING FEMALE PATIENTS AND PROHIBITED FROM SUPERVISING PHYSICIAN ASSISTANTS.

8/7/2015

G69670

FIVE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS.

EFFECTIVE 08/27/15 FIVE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. RESTRICTIONS: PROHIBITED FROM ENGAGING IN THE SOLO
PRACTICE OF MEDICINE AND SUPERVISING PHYSICIAN ASSISTANTS. EFFECTIVE 01/14/16 CEASE PRACTICE ORDER ISSUED-NO PRACTICE BEGINS
01/17/16.

11/16/2015
1/14/2016

A82039
A87960

EFFECTIVE 02/28/14 CANNOT PRACTICE MEDICINE UNTIL A WORKSITE MONITOR IS APROVED BY THE BOARD. SEVEN YEARS PROBATION WITH
VARIOUS TERMS AND CONDITIONS AND SIXTY (60) DAYS ACTUAL SUSPENSION. SUSPENSION SERVED 03/16/14 UNTIL 05/16/14. RESTRICTIONS:
PROHIBITED FROM ENGAGING IN THE SOLO PRACTICE OF MEDICINE AND SUPERVISING PHYSICIAN ASSISTANTS.

2/28/2014

G73194

THREE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. DURING PROBATION, DR. ORENGO-MCFARLANE IS PROHIBITED FROM
SUPERVISING PHYSICIAN ASSISTANTS.

8/7/2015

A108738

EFFECTIVE 06/05/15 CANNOT PRACTICE MEDICINE UNTIL PASSING AN EVALUATION. FIVE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS 6/5/2015
AND SIXTY (60) DAYS ACTUAL SUSPENSION. SUSPENSION HAS BEEN SERVED. RESTRICTIONS: SHALL NOT PRESCRIBE, AUTHORIZE, ORDER,
DISPENSE, ADMINISTER, OR PROVIDE ANY DANGEROUS DRUGS OR CONTROLLED SUBSTANCES TO ANY MEMBER OF HIS FAMILY, DR. HUANG'S
ABILITY TO PRESCRIBE, AUTHORIZE, ORDER, DISPENSE, ADMINISTER, OR PROVIDE ANY DANGEROUS DRUGS OR CONTROLLED SUBSTANCE IS
LIMITED TO A HOSPITAL SETTING, SHALL NOT ISSUE AN ORAL OR WRITTEN RECOMMENDATION OR APPROVAL TO A PATIENT OR A CAREGIVER FOR
THE POSSESSION OR CULTIVATION OF MARIJUANA FOR PERSONAL MEDICAL PURPOSES, PROHIBITED FROM ENGAGING IN THE SOLO PRACTICE OF
MEDICINE AND SUPERVISING PHYSICIAN ASSISTANTS.

A111806

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

5/29/2015

A113193

TEN YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. DURING PROBATION, DR. CHIU IS PROHIBITED FROM PRACTICING OBSTETRICS.

3/6/2002

C37989

FIVE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS AND THIRTY (30) DAYS ACTUAL SUSPENSION. SUSPENSION SERVED 10/07/12 UNTIL 9/21/2012
11/06/12. DURING PROBATION, DR. FUJIMOTO IS PROHIBITED FROM SUPERVISING PHYSICIAN ASSISTANTS.

G7287

FIVE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. DURING PROBATION, DR. JOHNSON IS PROHIBITED FROM SUPERVISING PHYSICIAN 6/29/2012
ASSISTANTS.

G46239

FIVE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. DURING PROBATION, DR. LEWIS IS PROHIBITED FROM SUPERVISING PHYSICIAN
ASSISTANTS.

10/5/2012

G20175

FIVE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. DURING PROBATION, DR. LI IS PROHIBITED FROM SUPERVISING PHYSICIAN
ASSISTANTS.

7/8/2011

G48660

SEVEN YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. RESTRICTIONS: PROHIBITED FROM ENGAGING IN THE SOLO PRACTICE OF
MEDICINE AND SUPERVISING PHYSICIAN ASSISTANTS.

8/29/2013

G40172

THREE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS AND THIRTY DAYS ACTUAL SUSPENSION. THIRTY DAYS SUSPENSION HAS BEEN
SERVED. DURING PROBATION, DR. VAN MEURS IS PROHIBITED FROM SUPERVISING PHYSICIAN ASSISTANTS.

7/19/2010

G40574

EFFECTIVE 07/03/01 SURRENDER OF LICENSE; EFFECTIVE 03/15/10 LICENSE REINSTATED; SEVEN YEARS PROBATION WITH VARIOUS TERMS AND
3/15/2010
CONDITIONS. RESTRICTIONS: DURING PROBATION, DR RILEY IS PROHIBITED FROM PRACTICING AS AN ANESTHESIOLOGIST, ENGAGING IN THE SOLO
PRACTICE OF MEDICINE AND SUPERVISING PHYSICIAN ASSISTANTS.

G62098

EFFECTIVE 04/09/07 LICENSE REVOKED; EFFECTIVE 12/18/15 LICENSE REINSTATED AND PLACED ON SEVEN YEARS PROBATION WITH VARIOUS
TERMS AND CONDITIONS. CANNOT PRACTICE MEDICINE UNTIL SUCCESSFUL COMPLETION OF A CLINICAL TRAINING OR EDUCATION PROGRAM.
RESTRICTIONS: PROHIBITED FROM ENGAGING IN THE SOLO PRACTICE OF MEDICINE AND SUPERVISING PHYSICIAN ASSISTANTS.

12/18/2015

G77884

THREE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. DURING PROBATION, DR. STANDEFER IS PROHIBITED FROM SUPERVISING
PHYSICIAN ASSISTANTS.

4/7/2016

G78053

FOUR YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. RESTRICTIONS: PROHIBITED FROM SUPERVISING PHYSICIAN ASSISTANTS AND
SHALL PERFORM SURGICAL PROCEDURES ONLY IN ACCREDITED FACILITIES AND SHALL UTILIZE THE SERVICES OF A BOARD CERTIFIED
ANESTHESIOLOGIST IN ANY PROCEDURE UTILIZING OTHER THAN LOCAL ANESTHESIA OR NERVE BLOCKS.

4/25/2014

G54355

FIVE YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. RESTRICTIONS: PROHIBITED FROM PERFORMING ANY AND ALL COSMETIC
1/2/2013
SURGERIES, PROHIBITED FROM PERFORMING ANY AND ALL SURGERIES OUTSIDE OF A HOSPITAL SETTING AND PROHIBITED FROM SUPERVISING
PHYSICIAN ASSISTANTS, EXCEPT WHEN DR. OSIAS IS PRACTICING OBSTETRICS AND GYNECOLOGY IN A HOSPITAL SETTING OR ANOTHER SETTING SO
LONG AS THE PHYSICIAN ASSISTANT IS UNDER THE SUPERVISION OF ANOTHER PHYSICIAN.

G80476

EFFECTIVE 06/14/01 LICENSE SURRENDERED; EFFECTIVE 10/31/2014 LICENSE REINSTATED AND PLACED ON FIVE YEARS PROBATION WITH VARIOUS 10/31/2014
TERMS AND CONDITIONS. RESTRICTIONS: PROHIBITED FROM ENGAGING IN THE SOLO PRACTICE OF MEDICINE AND SUPERVISING PHYSICIAN
ASSISTANTS.

G81259

EFFECTIVE 06/19/07 LICENSE SURRENDERED; EFFECTIVE 09/09/11 LICENSE REINSTATED; FIVE YEARS PROBATION WITH VARIOUS TERMS AND
CONDITIONS. RESTRICTIONS: PROHIBITED FROM ENGAGING IN THE SOLO PRACTICE OF MEDICINE, SUPERVISING PHYSICIAN ASSISTANTS AND MUST
HAVE A THIRD PARTY CHAPERONE PRESENT WHILE CONSULTING OR TREATING TEENAGE FEMALE PATIENTS.

9/9/2011

G83131

TWO YEARS PROBATION WITH VARIOUS TERMS AND CONDITIONS. DURING PROBATION, DR. STUBBLEFIELD IS PROHIBITED FROM SUPERVISING
PHYSICIAN ASSISTANTS.

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,
MURGUIA 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, D
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