August 2018
County of Imperial
Substance Use Disorder Treatment Services
Provider Directory
This provider directory, along with information about SUD treatment services, is available online at
http://www.co.imperial.ca.us/behavioralhealth/otherpdfs/DMCODSProviderListJuly1.pdf or by request at (800) 817-5292.
http://www.co.imperial.ca.us/behavioralhealth/otherpdfs/DMCODSProviderListJuly1.pdf
August 2018
LANGUAGE ASSISTANCE
English ATTENTION: If you speak another language, language assistance services, free of charge, are available to you. Call 1-800-817-5292 (TTY: 1-800-539-8868).
ATTENTION: Auxiliary aids and services, including but not limited to large print documents and alternative formats, are available to you free of charge upon request. Call 1-800-817-5292 (TTY: 1-800-539-8868). Español (Spanish) ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-817-5292 (TTY: 1-800-539-8868). Tiếng Việt (Vietnamese) CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-800-817-5292 (TTY: 1-800-539-8868). Tagalog (Tagalog ̶ Filipino) PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-800-817-5292 (TTY: 1-800-539-8868).
한국어 (Korean)
주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-800-817-5292 (TTY: 1-800-539-
8868) 번으로 전화해 주십시오.
繁體中文(Chinese)
注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-800-817-5292 (TTY: 1-800-539-8868).
Հայերեն (Armenian)
ՈՒՇԱԴՐՈՒԹՅՈՒՆ՝ Եթե խոսում եք հայերեն, ապա ձեզ անվճար կարող են տրամադրվել լեզվական աջակցության
ծառայություններ: Զանգահարեք 1-800-817-5292 (TTY: 1-800-539-8868).
August 2018
Русский (Russian) ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-800-817-5292 (TTY: 1-800-539-8868). (Farsi) فارسی
کنید، تسهیالت زبانی بصورت رایگان برای شما: اگر به زبان فارسی گفتگو می توجه تماس بگیرید. (TTY: 1-800-539-8868) 5292-817-800-1فراهم می باشد. با
日本語 (Japanese)
注意事項：日本語を話される場合、無料の言語支援をご利用いただけます。1-800-817-5292 (TTY: 1-800-539-8868) まで、
お電話にてご連絡ください。 Hmoob (Hmong) LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau 1-800-817-5292 (TTY: 1-800-539-8868).
ਪੰਜਾਬੀ (Punjabi) ਧਿਆਨ ਧਿਓ: ਜੇ ਤੁਸੀਂ ਪੰਜਾਬੀ ਬੋਲਿ ੇਹੋ, ਤਾਂ ਭਾਸ਼ਾ ਧ ਿੱ ਚ ਸਹਾਇਤਾ ਸੇ ਾ ਤੁਹਾਡ ੇਲਈ ਮੁਫਤ ਉਪਲਬਿ ਹੈ। 1-800-817-5292 (TTY: 1-800-539-8868) 'ਤੇ ਕਾਲ ਕਰੋ। (Arabic) العربية
8868-539-800-1)رقم هاتف الصم والبكم: 5292-817-800-1ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل برقم
ह िंदी (Hindi) ध्यान दें: यदद आप ह िंदी बोलते हैं तो आपके ललए मुफ्त में भाषा सहायता सेवाएं उपलब्ध हैं। 1-800-817-5292 (TTY: 1-800-539-8868) पर कॉल करें। ภาษาไทย (Thai) เรยีน: ถา้คุณพดูภาษาไทยคุณสามารถใชบ้รกิารช่วยเหลอืทางภาษาไดฟ้ร ี โทร 1-800-817-5292 (TTY: 1-800-539-8868). ខ្មែរ (Cambodian) ប្រយ័ត្ន៖ ររ ស ើ ិនជាអ្នកន យាយ ភាសាខ្មែ , រ វាជំនួយមននកភាសា សោយម នគ ត្ិួ ិ្លន គឺអាចមាន ំោ ិ ិំររ អ្សិើ នក។ ចូ ទូ ័ព្ទ1-800-817-5292 (TTY: 1-800-539-8868)។
August 2018
ພາສາລາວ (Lao) ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວ ້ າພາສາ ລາວ, ການບໍ ລິ ການຊ່ວຍເຫ ຼື ອດ້ານພາສາ, ໂດຍບໍ່ ເສັຽຄ່າ, ແມ່ນມີ ພ້ອມໃຫ້ທ່ານ. ໂທຣ 1-800-817-5292 (TTY: 1-800-539-8868).
“Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory.”
County-Operated Substance Use Disorders (SUD) Treatment
Authorization or referral may be required to access some providers.
Outpatient Office Based
Provider: Adult ODF – Recovery Center
Address: 2695 S. 4th St., 2nd Floor El Centro, CA 92243
Website: http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=adultalc
Phone: (442) 265-1525 or 1-800-817-5292
Accessible to people with physical disabilities: Yes
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal
Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
Bushra Ahmad, Physician Medical License #A73057 NPI# 1043356850 Specialty: State of California Medical Board of California Certified
Adults Non-Perinatal – Outpatient Drug Free (ODF)
Yes *Sign Language upon request *Other languages upon request
American, Hispanic, Asian/Pacific Islander, Pakistani, Alaskan/Native American, African American, Older Adult, LGBT, Mental Health Client, Family of Mental Health Client, Disabled
Yes
Aimee Ang, Physician Medical License #A129729 NPI# 1134350572 Specialty: State of California Medical Board of California Certified
Adults Non-Perinatal – Outpatient Drug Free (ODF)
Yes *Sign Language upon request
*Other languages upon request
Hispanic, Asian/Pacific Islander, Pakistani, Older Adult, Mental Health Client, Disabled
http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=adultalc
“Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory.”
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence Training
Rakesh Bhansali, Physician Medical License #A119352 NPI# 1740444777 Specialty: State of California Medical Board of California Certified
Adults Non-Perinatal – Outpatient Drug Free (ODF)
Yes *Sign Language upon request
*Other languages upon request
American, Hispanic, Asian/Pacific Islander, Pakistani, Alaskan/Native American, African American, Older Adult, LGBT, Mental Health Client, Family of Mental Health Client, Disabled
Manjusha Ilapakurti, Physician Medical License #A132203 NPI #1154671980 Specialty: State of California Medical Board of California Certified
Adults Non-Perinatal – Outpatient Drug Free (ODF)
Yes *Sign Language upon request *Other languages upon request
American, Hispanic, Asian/ Pacific Islander, Pakistani, Alaskan/Native American, African American, Older Adult, LGBT, Mental Health Client, Family of Mental Health Client, Disabled
Laura Lugo, LMFT License #105228 NPI #1699922104 Specialty: CA Board of Behavioral Science-Licensed Marriage and Family Therapist
Adults Non-Perinatal – Outpatient Drug Free (ODF)
Yes *Sign Language upon request *Other languages upon request
American, Hispanic, African American, LGBT, Mental Health Client, Family of Mental Health Client, Disabled
Yes
“Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory.”
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence Training
Anna San Pedro, LMFT License #83033 NPI #1548536501 Specialty: CA Board of Behavioral Science-Licensed Marriage and Family Therapist
Adults Non-Perinatal – Outpatient Drug Free (ODF)
Yes Spanish *Sign Language upon request *Other languages upon request
American, Hispanic, African American, Older Adult, LGBT, Mental Health Client, Family of Mental Health Client, Disabled
Yes
Carlos Tapia, LCSW License #79937 NPI #1083929566 Specialty: CA Board of Behavioral Science-Licensed Clinical Social Worker
Adults Non-Perinatal – Outpatient Drug Free (ODF)
Yes Spanish *Sign Language upon request *Other languages upon request
American, Hispanic, African American, Older Adult, LGBT, Mental Health Client, Family of Mental Health Client, Disabled
Yes
“Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory.”
Outpatient Office Based
Provider: Adolescent Outpatient Drug Free
Address: 1295 W. State Street Suites 101-106 El Centro, CA 92243
Website: http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodf
Phone: (442) 265-1525 or 1-800-817-5292
Accessible to people with physical disabilities: Yes
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal
Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
Bushra Ahmad, MD Medical License #A73057 NPI# 1043356850 Specialty: State of California Medical Board of California Certified
Adolescents Non-Perinatal – Outpatient Drug Free (ODF)
Yes *Sign Language upon request *Other languages upon request
American, Hispanic, Asian/Pacific Islander, Pakistani, Alaskan/Native American, African American, Older Adult, LGBT, Mental Health Client, Family of Mental Health Client, Disabled
Yes
Maricruz Bermudez, LMFT License #: 86414 NPI# 1851584478 Specialty: CA Board of Behavioral Science-Licensed Marriage and Family Therapist
Adolescents Non-Perinatal- Outpatient Drug Free (ODF)
Yes Spanish *Sign Language upon request *Other languages upon request
American, Hispanic, African American, Older Adult, LGBT, Mental Health Client, Family of Mental Health Client, Disabled
Yes
http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodf
“Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory.”
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal
Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
Dalia Pesqueira, LMFT License # 92688 NPI# 1437290533 Specialty: CA Board of Behavioral Science-Licensed Marriage and Family Therapist
Adolescents Non-Perinatal- Outpatient Drug Free (ODF)
Yes Spanish *Sign Language upon request *Other languages upon request
American Indian/Alaskan Native, Black/ African American, Hispanic/Latino, Older Adults, LGBTQ, White, Mental Health Clients, Family Members of Mental Health Clients, Substance Use Disorder Clients, Family Members of Substance Use Disorder Clients, Disabled
Yes
John Carl Grass, LMFT License # 20535 NPI# 1821137746 Specialty: CA Board of Behavioral Science-Licensed Marriage and Family Therapist
Adolescents Non-Perinatal- Outpatient Drug Free (ODF)
Yes *Sign Language upon request *Other languages upon request
American Indian/Alaskan Native, Asian/Pacific Islander, Black/African American, Hispanic/Latino, Older Adults, LGBTQ, Mental Health, White, Family of Mental Health Clients, Disabled, Substance Use Disorder Clients, Family members of
Yes
“Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory.”
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal
Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
Substance Use Disorders Clients
Outpatient School Based
Provider: Adolescent Outpatient Drug Free – Calexico High School
Address: 1030 Encinas Ave., Calexico, CA 92231
Website: http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodf
Phone: (442) 265-1525 or 1-800-817-5292
Accessible to people with physical disabilities: Yes
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal
Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
No licensed substance use disorder services providers assigned to this program.
Outpatient School Based
Provider: Adolescent Outpatient Drug Free – Calexico High School 9th Grade
Address: 824 Blair Ave., Calexico, CA 92231
Website: http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodf
Phone: (442) 265-1525 or 1-800-817-5292
Accessible to people with physical disabilities: Yes
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal
Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
No licensed substance use disorder services providers assigned to this program.
http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodfhttp://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodf
“Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory.”
Outpatient School Based
Provider: Adolescent Outpatient Drug Free – Aurora High School
Address: 1391 Kloke Ave., Calexico, CA 92231
Website: http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodf
Phone: (442) 265-1525 or 1-800-817-5292
Accessible to people with physical disabilities: Yes
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal
Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
No licensed substance use disorder services providers assigned to this program.
Outpatient School Based
Provider: Adolescent Outpatient Drug Free – Calexico Academy School
Address: 813 Andrade Ave., Calexico, CA 92231
Website: http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodf
Phone: (442) 265-1525 or 1-800-817-5292
Accessible to people with physical disabilities: Yes
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal
Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
No licensed substance use disorder services providers assigned to this program.
http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodfhttp://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodf
“Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory.”
Outpatient School Based
Provider: Adolescent Outpatient Drug Free – Central Union High School
Address: 1001 W. Brighton Ave., El Centro, CA 92243
Website: http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodf
Phone: (442) 265-1525 or 1-800-817-5292
Accessible to people with physical disabilities: Yes
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal
Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
Maricruz Bermudez, LMFT License #: 86414 NPI# 1851584478 Specialty: CA Board of Behavioral Science-Licensed Marriage and Family Therapist
Adolescents Non-Perinatal- Outpatient Drug Free (ODF)
Yes Spanish *Sign Language upon request *Other languages upon request
American, Hispanic, African American, Older Adult, LGBT, Mental Health Client, Family of Mental Health Client, Disabled
Yes
Dalia Pesqueira, LMFT License # 92688 NPI# 1437290533 Specialty: CA Board of Behavioral Science-Licensed Marriage and Family Therapist
Adolescents Non-Perinatal- Outpatient Drug Free (ODF)
Yes Spanish *Sign Language upon request *Other languages upon request
American Indian/Alaskan Native, Black/ African American, Hispanic/Latino, Older Adults, LGBTQ, White, Mental Health Clients, Family Members of Mental Health Clients, Substance Use Disorder Clients, Family Members of Substance Use Disorder Clients, Disabled
Yes
http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodf
“Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory.”
Outpatient School Based
Provider: Adolescent Outpatient Drug Free – Valley Academy School
Address: 253 E. Ross Ave., El Centro, CA 92243
Website: http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodf
Phone: (442) 265-1525 or 1-800-817-5292
Accessible to people with physical disabilities: Yes
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal
Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
Maricruz Bermudez, LMFT License #: 86414 NPI# 1851584478 Specialty: CA Board of Behavioral Science-Licensed Marriage and Family Therapist
Adolescents Non-Perinatal- Outpatient Drug Free (ODF)
Yes Spanish *Sign Language upon request *Other languages upon request
American, Hispanic, African American, Older Adult, LGBT, Mental Health Client, Family of Mental Health Client, Disabled
Yes
Dalia Pesqueira, LMFT License # 92688 NPI# 1437290533 Specialty: CA Board of Behavioral Science-Licensed Marriage and Family Therapist
Adolescents Non-Perinatal- Outpatient Drug Free (ODF)
Yes Spanish *Sign Language upon request *Other languages upon request
American Indian/Alaskan Native, Black/ African American, Hispanic/Latino, Older Adults, LGBTQ, White, Mental Health Clients, Family Members of Mental Health Clients, Substance Use Disorder Clients, Family Members of Substance Use
Yes
http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodf
“Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory.”
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal
Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
Disorder Clients, Disabled
Outpatient School Based
Provider: Adolescent Outpatient Drug Free – Brawley Union High School
Address: 480 N. Imperial Ave., Brawley, CA 92227
Website: http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodf
Phone: (442) 265-1525 or 1-800-817-5292
Accessible to people with physical disabilities: Yes
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal
Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
No licensed substance use disorder services providers assigned to this program.
Outpatient School Based
Provider: Adolescent Outpatient Drug Free – Del Rio Academy School
Address: 1501 I Street, Brawley, CA 92227
Website: http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodf
Phone: (442) 265-1525 or 1-800-817-5292
Accessible to people with physical disabilities: Yes
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal
Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
No licensed substance use disorder services providers assigned to this program.
http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodfhttp://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodf
“Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory.”
Outpatient School Based
Provider: Adolescent Outpatient Drug Free – Desert Valley High School
Address: 104 Magnolia Street, Brawley, CA 92227
Website: http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodf
Phone: (442) 265-1525 or 1-800-817-5292
Accessible to people with physical disabilities: Yes
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal
Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
No licensed substance use disorder services providers assigned to this program.
http://www.co.imperial.ca.us/behavioralhealth/index.asp?fileinc=yayaodf
“Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory.”
Contracted Substance Use Disorders (SUD) Treatment Providers
For referrals and verification that the contracted SUD treatment providers listed below are accepting new Medi-Cal
beneficiaries, please contact the Access Unit at 1-800-817-5292.
Narcotic Treatment Providers
Provider: Imperial Valley Medical Clinic, Inc.
Address: 535 W. Cesar Chavez Blvd., Calexico, CA 92231
Website:
Phone: (760) 357-6566
Accessible to people with physical disabilities: Yes
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal
Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
Bernardo Ng, Physician License # A48774 NPI # 1598780736 Specialty: State of California Medical Board of California Certified
Perinatal, Adults
Narcotic Treatment
Program (NTP)
Yes
Spanish American Veterans, older Adults, LGBTQ, Indian/Alaskan Native, Black/African Hispanic/Latino Substance Use Disorder Clients
Yes
Rita Elain Starritt, Physician License # C54648 NPI # 1548225964 Specialty: State of California Medical Board of California Certified
Perinatal, Adults
Narcotic Treatment
Program (NTP)
Yes Spanish American Veterans, older Adults,
LGBTQ, Indian/Alaskan
Native, Black/African
Hispanic/Latino Substance Use Disorder Clients
Yes
“Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory.”
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal
Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
Freddy Carreno, Nurse Practitioner License # 14151 NPI # 1144420928 Specialty: Nurse Practitioner
Perinatal, Adults
Narcotic Treatment
Program (NTP)
Yes Spanish American Veterans, older Adults,
LGBTQ, Indian/Alaskan
Native, Black/African
Hispanic/Latino Substance Use Disorder Clients
Yes
Chip Booher, Nurse Practitioner License # 95000248 NPI # 1841617529 Specialty: Nurse Practitioner
Perinatal, Adults
Narcotic Treatment
Program (NTP)
Yes Spanish American Veterans, older Adults,
LGBTQ, Indian/Alaskan
Native, Black/African
Hispanic/Latino Substance Use Disorder Clients
Yes
Angel Vanni Rodriguez, Licensed Vocational Nurse License # 293403 NPI # 1710464698 Specialty: Vocational Nurse
Perinatal, Adults
Narcotic Treatment
Program (NTP)
Yes Spanish American Veterans, older Adults,
LGBTQ, Indian/Alaskan
Native, Black/African
Hispanic/Latino Substance Use Disorder Clients
Yes
“Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory.”
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal
Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
Frances Diaz Carvajal, Licensed Vocational Nurse License # 84562 NPI # 1861865164 Specialty: Vocational Nurse
Perinatal, Adults
Narcotic Treatment
Program (NTP)
Yes Spanish American Veterans, older Adults,
LGBTQ, Indian/Alaskan
Native, Black/African
Hispanic/Latino Substance Use Disorder Clients
Yes
Karla Marlene Rubio-Ayala, Licensed Vocational Nurse License # 697628 NPI # 1609353572 Specialty: Vocational Nurse
Perinatal, Adults
Narcotic Treatment
Program (NTP)
Yes Spanish American Veterans, older Adults,
LGBTQ, Indian/Alaskan
Native, Black/African
Hispanic/Latino Substance Use Disorder Clients
Yes
“Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory.”
Narcotic Treatment Providers
Provider: Medical Treatment Center
Address: 200 S. 5th St., El Centro, CA 92243
Website:
Phone: (760) 482-0864
Accessible to people with physical disabilities: Yes
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal
Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
Bernardo Ng, Physician License # A48774 NPI # 1598780736 Specialty: State of California Medical Board of California Certified
Perinatal, Adults
Narcotic Treatment
Program (NTP)
Yes
Spanish American Veterans, older Adults, LGBTQ, Indian/Alaskan Native, Black/African Hispanic/Latino Substance Use Disorder Clients
Yes
Rita Elain Starritt, Physician License # C54648 NPI # 1548225964 Specialty: State of California Medical Board of California Certified
Perinatal, Adults
Narcotic Treatment
Program (NTP)
Yes Spanish American Veterans, older Adults,
LGBTQ, Indian/Alaskan
Native, Black/African
Hispanic/Latino Substance Use Disorder Clients
Yes
“Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory.”
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal
Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
Freddy Carreno, Nurse Practitioner License # 14151 NPI # 1144420928 Specialty: Nurse Practitioner
Perinatal, Adults
Narcotic Treatment
Program (NTP)
Yes Spanish American Veterans, older Adults,
LGBTQ, Indian/Alaskan
Native, Black/African
Hispanic/Latino Substance Use Disorder Clients
Yes
Chip Booher, Nurse Practitioner License # 95000248 NPI # 1841617529 Specialty: Nurse Practitioner
Perinatal, Adults
Narcotic Treatment
Program (NTP)
Yes Spanish American Veterans, older Adults,
LGBTQ, Indian/Alaskan
Native, Black/African
Hispanic/Latino Substance Use Disorder Clients
Yes
Isidro A Murillo Santillan, Licensed Vocational Nurse License # 258969 NPI # 1043683295 Specialty: Vocational Nurse
Perinatal, Adults
Narcotic Treatment Program (NTP)
Yes Spanish American Veterans, older Adults, LGBTQ, Indian/Alaskan Native, Black/African Hispanic/Latino Substance Use Disorder Clients
Yes
“Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory.”
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal
Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
Joseph Gilbert Gomez, Licensed Vocational Nurse License # 696036 NPI # 1376020156 Specialty: Vocational Nurse
Perinatal, Adults
Narcotic Treatment
Program (NTP)
Yes Spanish American Veterans, older Adults,
LGBTQ, Indian/Alaskan
Native, Black/African
Hispanic/Latino Substance Use Disorder Clients
Yes
“Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory.”
Contracted Substance Use Disorders (SUD) Treatment Providers
For referrals and verification that the contracted SUD treatment providers listed below are accepting new Medi-Cal
beneficiaries, please contact the Access Unit at 1-800-817-5292.
Residential Treatment Providers
Provider: Whiteside Manor
Address: 2743 Orange St., Riverside, CA 92501-2538
Website: www.whitesidemanor.com
Phone: (951) 788-9515 Fax: (951) 686-2303
Accessible to people with physical disabilities: Yes
Provider Name and Specialty
Population Served
Service Category
Accepting New Medi-Cal
Beneficiaries
Non-English Language(s)
Cultural Capabilities
Cultural Competence
Training
Thomas Eby Eldon, LCP License # 9067 NPI # 1114086956 Specialty: Licensed Clinical Psychologist
Adults Residential Treatment Services
Yes Spanish
*Sign Language upon request
*Other languages
upon request
Unknown, Not Hispanic,
Mexican/Mexican American, Cuban,
Puerto Rican, Other
Hispanic/Latino
Yes
http://www.whitesidemanor.com/
