howto.kaiserpapers.org
Link for Translation of this Kaiser Papers page from Google Translation Service
Kaiser Permanente State Board listed Information on Some Disciplined Docs
The following list is only a small section of the Northern California Kaiser Permanente Doctors that I have researched. Many of the doctors that Kaiser lists with their organization are not registered with their respective states medical board. I have not included the non existent doctors names in this list of which there are many. I have also documented and reported to the California Medical Board several Physician Assistants that Kaiser Permanente has misrepresented as M.D.'s in their online database.
I urge the public to check out if their doctor is licensed with the respective medical board in the state they are practicing in because of this. Do not rely solely on any printed material from Kaiser advising you as to a physician's credentials. Contact your local medical board and ask then for the straight facts on the person in question.
The
following information has been
obtained from the medical board that these physician's have been
licensed
with.
By
clicking on the following names to see why they are on this list you
will better understand the reason for this admonition to verify,
verify, verify.
LORNA
C FAILANO-AGOO,MARIA
ANTOINETTE ACENAS,ALFREDO
ASUNCION JR,SHEKHAR
C CHATTERJEEMICHAEL
DAVID COLBURN,
MICHAEL
WARREN COLBURN,CYNTHIA
MARIE CARTER,HELEN
CHAN, JAMES
PAUL FAGAN,GRAHAM
ABDREW HAMILTON,
OWEN
MYUNG CHI LUM JOHN
C JENKINS, LAURI
LEE MCDANIEL,
LAWRENCE
EDWARD DENNEN,RICHARD
SAMUEL DLOTT,
DAVID
EDWARDS, LIONEL
SIDNEY FOSTER JR, LAURENCE
BRUCE GOLDMAN, PATRICIA
BELLE KAN ,ROBERT
C A KLEIN , PAUL
HING PING LEE , PAUL
BELTON MEYER,
BRADLEY
RICHARD ORVISANTHONY
ALLEN RAYNER, DANIEL
NERI OSBORN, JON
RANDAL RISSERSHANNON
M. RUSH, ENG
CHUAN SAW ,DAISY
LOUISE SUNDSTROM,SCOTT
A TAFURI
, Jay
Harold Tibbles,LORRAINE
DENA WEINSTEIN,
SHARON
MARIE WILES,TIMOTHY
KAY WONG,RAUL
GALINDO IXTLAHUAC,Steven
J. Masters,DANIEL
M SONNIER,JONATHAN
STANLEY
GREEN,JOHN
JOSEPH VOLLMERHAUSEN ,DAVID
LEE ODELL,MICHAEL
ALAN GIBBS, JONATHAN
STANLEY GREEN, Manuel
Reymundo Galaviz, BILL
MASTRODIMOS , MD
The Medical Board of California wants to revoke the license of a Kaiser Permanente doctor whom it accuses of negligence in the care of a cancer patient, it was reported Monday.
According to the accusation filed by the board, Jesus Gaytan didn't know he had prostate cancer because his doctor, Michele Lamantia, ignored the symptoms of the cancer for years and then failed to review test results that warned of the disease, The San Diego Union-Tribune reported.
http://www.kaiserpapaers.org/gaytan.html
Licensee Name LORNA
C FAILANO-AGOO
Primary License Status Code
RENEWED/CURRENT
Secondary License Status Code
ARBITRATION
AWD
License Number A46483
License Type A
Address 7373 WEST LANE
City State Zip STOCKTON CA
95210
Country USA
Original License Date 09/11/1989
License Expiration Date 03/31/2003
Medical School MANILA CENTRAL
UNIVERSITY
COLLEGE OF MEDICINE
Year Graduated 1980
Effective Date of Action 12/31/1997
Amount of Award $650000.00
Court Jurisdiction N/A - CONTRACTUAL
ARBITRATION AWARD
Docket Number N/A
Disclaimer: AN ARBITRATION AWARD IS
A
PAYMENT FOR DAMAGES
AND DOES NOT NECESSARILY REFLECT THAT THE PHYSICIAN'S MEDICAL
COMPETENCE
IS SUBSTANDARD. ALL SUCH REPORTED ARBITRATION AWARDS ARE REVIEWED BY
THE
MEDICAL BOARD AND PRACTICE ACT OCCURRED. THE MEDICAL BOARD IS
PROHIBITED
FROM RELEASING A COPY OF THE ARBITRATION AWARD REPORT OR ANY OTHER
INFORMATION.
--------------------------------------------------------------------------------
Note: data current as of: 10/09/2001
Licensee Name
RICHARD
SAMUEL DLOTT
Primary License
Status Code
RENEWED/CURRENT
Secondary
License
Status Code
ARBITRATION AWD
License Number
G64611
License Type
G
Address
200 MUIR ROAD
City State Zip
MARTINEZ CA 94553
Country
USA
Original
License Date
11/21/1988
License
Expiration
Date
08/31/2002
Medical School
UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF
MEDICINE
Year Graduated
1987
Effective Date
of
Action
08/10/2000
Amount of Award
$125000.00
Court
Jurisdiction
CONCLUDED AS A CONTRACTUAL ARBITRATION CLAIM
Docket Number
N/A
Disclaimer: AN
ARBITRATION AWARD IS A PAYMENT
FOR DAMAGES AND DOES NOT
NECESSARILY
REFLECT
THAT THE PHYSICIAN'S
MEDICAL COMPETENCE IS
SUBSTANDARD. ALL SUCH REPORTED
ARBITRATION
AWARDS ARE
REVIEWED BY THE MEDICAL BOARD AND
PRACTICE ACT OCCURRED. THE MEDICAL
BOARD
IS PROHIBITED
FROM RELEASING A COPY OF THE ARBITRATION AWARD REPORT OR ANY OTHER
INFORMATION.
Note: data current as of: 09/25/2001
Licensee Name
PATRICIA
BELLE KAN
Primary License
Status Code
RENEWED/CURRENT
Secondary
License
Status Code
ARBITRATION AWD
License Number
G47084
License Type
G
Address
260 INTERNATIONAL CIRCLE
City State Zip
SAN JOSE CA 95119
Country
USA
Original
License Date
03/08/1982
License
Expiration
Date
07/31/2003
Medical School
ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA
UNIVERSITY
Year Graduated
1979
Effective Date
of
Action
01/09/2001
Amount of Award
$160000.00
Court
Jurisdiction
CONCLUDED AS A CONTRACTUAL ARBITRATION CLAIM
Docket Number
N/A
Disclaimer: AN
ARBITRATION AWARD IS A PAYMENT
FOR DAMAGES AND DOES NOT NECESSARILY REFLECT THAT THE PHYSICIAN'S
MEDICAL
COMPETENCE IS SUBSTANDARD. ALL SUCH REPORTED ARBITRATION AWARDS ARE
REVIEWED
BY THE MEDICAL BOARD AND
PRACTICE ACT OCCURRED. THE MEDICAL
BOARD
IS PROHIBITED
FROM RELEASING A COPY OF THE ARBITRATION AWARD REPORT OR ANY OTHER
INFORMATION
Licensee Name TIMOTHY
KAY WONG
Primary License Status Code FIN STMT
INADEQ | ENFORCEMENT
Secondary License Status Code ENF
AGREEMENT | PUBLIC
REP
License Number G61688
License Type G
Address 1150 VETERANS BLVD
City State Zip REDWOOD
CITY CA
94063
Country USA
Original License Date 10/26/1987
License Expiration Date 10/31/2001
Medical School UNIVERSITY OF
SOUTHERN
CALIFORNIA SCHOOL
OF MEDICINE
Year Graduated 1986
Effective Date of Agreement
04/01/1999
Description of Action: PUBLIC LETTER
OF
REPRIMAND ORDERED
ON 04/01/99.
PUBLIC LETTER OF REPRIMAND ISSUED ON
09/14/99.
Disclaimer: THE MEDICAL BOARD'S
PUBLIC
DISCLOSURE SCREENS
ARE UPDATED PERIODICALLYAS NEW INFORMATION BECOMES AVAILABLE. PLEASE
CONTACT
THE CENTRAL FILE ROOM AT (916) 263-2525 OR AT 1426 HOWE AVENUE, SUITE
54,
SACRAMENTO,
----------------------------------------------------------------------------
----
Note: data current as of: 09/25/2001
Licensee Name PAUL
BELTON MEYER
Primary License Status Code CE
RQD/NOT ADEQ
Secondary License Status Code NONE
License Number G78208
License Type G
Address 509 VALENCIA DRIVE
City State Zip LOS ALTOS
CA 94022
Country USA
Original License Date 01/05/1994
License Expiration Date 11/30/2001
Medical School UNIVERSITY OF
CALIFORNIA
SAN FRANCISCO
SCHOOL OF MEDICINE
Year Graduated 1992
Licensee Name ENG
CHUAN SAW
Primary License Status Code
RENEWED/CURRENT
Secondary License Status Code
ARBITRATION
AWD
License Number G18874
License Type G
Address 5457 TRUMPET COURT
City State Zip CASTRO
VALLEY CA
94552
Country USA
Original License Date 07/30/1970
License Expiration Date 05/31/2002
Medical School LOMA LINDA UNIVERSITY
SCHOOL OF MEDICINE
Year Graduated 1969
Effective Date of Action 03/20/2000
Amount of Award $130000.00
Court Jurisdiction CONCLUDED AS A
CONTRACTUAL ARBITRATION
CLAIM
Docket Number N/A
Disclaimer: AN ARBITRATION AWARD IS
A
PAYMENT FOR DAMAGES
AND DOES NOT NECESSARILYREFLECT THAT THE PHYSICIAN'S MEDICAL COMPETENCE
IS SUBSTANDARD. ALL SUCH REPORTED ARBITRATION AWARDS ARE REVIEWED BY
THE
MEDICAL BOARD ANDACTION TAKEN ONLY IF IT IS DETERMINED THAT A VIOLATION
OF THE MEDICAL PRACTICE ACT OCCURRED. THE MEDICAL BOARD IS PROHIBITED
FROM
RELEASINGA COPY OF THE ARBITRATION AWARD REPORT OR ANY OTHER
INFORMATION.
ARBITRATION AWARDS ARE SUBJECT TO APPEAL. EFFECTIVE 01/01/98
ARBITRA-TION
AWARDS ARE DISCLOSED TO THE PUBLIC.
Licensee Name SHEKHAR
C CHATTERJEE
Primary License Status Code
RENEWED/CURRENT
Secondary License Status Code
ARBITRATION
AWD
License Number C41225
License Type C
Address 260 INTERNATIONAL CIRCLE
City State Zip SAN JOSE CA
95119
Country USA
Original License Date 12/19/1983
License Expiration Date 08/31/2003
Medical School UNIVERSITY OF
CALCUTTA
MEDICAL COLLEGE
Year Graduated 1959
Effective Date of Action 03/19/1996
Amount of Award $50000.00
Court Jurisdiction MONTEREY COUNTY
SUPERIOR COURT
Docket Number M-18991
Disclaimer: AN ARBITRATION AWARD IS
A
PAYMENT FOR DAMAGES
AND DOES NOT NECESSARILYREFLECT THAT THE PHYSICIAN'S MEDICAL COMPETENCE
IS SUBSTANDARD. ALL SUCH REPORTED ARBITRATION AWARDS ARE REVIEWED BY
THE
MEDICAL BOARD ANDACTION TAKEN ONLY IF IT IS DETERMINED THAT A VIOLATION
OF THE MEDICAL PRACTICE ACT OCCURRED. THE MEDICAL BOARD IS PROHIBITED
FROM
RELEASINGA COPY OF THE ARBITRATION AWARD REPORT OR ANY OTHER
INFORMATION.
ARBITRATION AWARDS ARE SUBJECT TO APPEAL. EFFECTIVE 01/01/98
ARBITRA-TION
AWARDS ARE DISCLOSED TO THE PUBLIC.
--------------------------------------------------------------------------------
Note: data current as of: 11/06/2001
Licensee NamePAUL
HING PING LEE
Primary License Status Code
RENEWED/CURRENT
Secondary License Status Code
ARBITRATION
AWD
License Number G68537
License Type G
Address 27400 HESPERIAN BLVD
City State Zip HAYWARD CA
94545
Country USA
Original License Date 05/07/1990
License Expiration Date 05/31/2003
Medical School UMDNJ NEW JERSEY
MEDICAL
SCHOOL
Year Graduated 1983
Effective Date of Action 05/24/2000
Amount of Award $125000.00
Court Jurisdiction CONCLUDED AS A
CONTRACTUAL ARBITRATION
CLAIM
Docket Number N/A
Disclaimer: AN ARBITRATION AWARD IS
A
PAYMENT FOR DAMAGES
AND DOES NOT NECESSARILYREFLECT THAT THE PHYSICIAN'S MEDICAL COMPETENCE
IS SUBSTANDARD. ALL SUCH REPORTED ARBITRATION AWARDS ARE REVIEWED BY
THE
MEDICAL BOARD ANDACTION TAKEN ONLY IF IT IS DETERMINED THAT A VIOLATION
OF THE MEDICAL PRACTICE ACT OCCURRED. THE MEDICAL BOARD IS PROHIBITED
FROM
RELEASINGA COPY OF THE ARBITRATION AWARD REPORT OR ANY OTHER
INFORMATION.
ARBITRATION AWARDS ARE SUBJECT TO APPEAL. EFFECTIVE 01/01/98
ARBITRA-TION
AWARDS ARE DISCLOSED TO THE PUBLIC.
--------------------------------------------------------------------------------
Note: data current as of: 11/06/2001
Licensee Name BRADLEY
RICHARD ORVIS
Primary License Status Code
DELINQUENT
Secondary License Status Code NONE
License Number A40636
License Type A
Address 1541 FLORIDA AVENUE
#306
City State Zip MODESTO CA
95350
Country USA
Original License Date 02/06/1984
License Expiration Date 09/30/2001
Medical School UNIVERSITY OF IOWA
COLLEGE
OF MEDICINE
Year Graduated 1982
Licensee Name ROBERT
C A KLEIN
Primary License Status Code
RENEWED/CURRENT | ENFORCEMENT
Secondary License Status Code
CITATION
License Number G19180
License Type G
Address 2428 SANTA MONICA BLVD STE
301
City State Zip SANTA
MONICA CA
90404
Country USA
Original License Date 09/22/1970
License Expiration Date 12/31/2001
Medical School TEMPLE UNIVERSITY
SCHOOL OF
MEDICINE
Year Graduated 1969
Effective Date of Action 06/04/1998
Fine Amount $500.00
Description of Action: FAILURE TO
SUBMIT A
TRIPLICATE
PRESCRIPTION WITHIN 72 HOURS OF ORDERING AN EMERGENCY ORAL OR WRITTEN
PRESCRIPTION
FOR A SCHEDULE II 07271998
Comments: CONTROLLED SUBSTANCE.
Disclaimer: A CITATION AND/OR FINE
HAS
BEEN LEVIED PURSUANT
TO SECTION 125.9 OF THE BUSINESS AND PROFESSIONS CODE AND IS NOT A
DISCIPLINARY
ACTION. PAYMENT OF THE FINE AMOUNT REPRESENTS RESOLUTION OF THIS MATTER.
--------------------------------------------------------------------------------
Licensee Name ROBERT
C A KLEIN
Primary License Status Code
RENEWED/CURRENT | ENFORCEMENT
Secondary License Status Code
CITATION
License Number G19180
License Type G
Address 2428 SANTA MONICA BLVD STE
301
City State Zip SANTA
MONICA CA
90404
Country USA
Original License Date 09/22/1970
License Expiration Date 12/31/2001
Medical School TEMPLE UNIVERSITY
SCHOOL OF
MEDICINE
Year Graduated 1969
Effective Date of Action 10/29/2001
Description of Action: FAILED TO
REPORT
CHANGE OF ADDRESS
TO THE MEDICAL BOARD OF CALIFORNIA WITHIN 30 DAYS.
Disclaimer: A CITATION AND/OR FINE
HAS
BEEN LEVIED PURSUANT
TO SECTION 125.9 OF THE BUSINESS AND PROFESSIONS CODE AND IS NOT A
DISCIPLINARY
ACTION. PAYMENT OF THE FINE AMOUNT REPRESENTS RESOLUTION OF THIS MATTER.
Licensee NameLAURENCE
BRUCE GOLDMAN
Primary License Status Code
RENEWED/CURRENT
Secondary License Status Code
ARBITRATION
AWD
License Number G38865
License Type G
Address 2025 MORSE AVENUE
City State Zip SACRAMENTO
CA
95825
Country USA
Original License Date 03/05/1979
License Expiration Date 02/28/2003
Medical School WAYNE STATE
UNIVERSITY
SCHOOL OF MEDICINE
Year Graduated 1975
Effective Date of Action 02/17/2000
Amount of Award $190000.00
Court Jurisdiction CONCLUDED AS
CONTRACTUAL ARBITRATION
CLAIM
Docket Number N/A
Disclaimer: AN ARBITRATION AWARD IS
A
PAYMENT FOR DAMAGES
AND DOES NOT NECESSARILYREFLECT THAT THE PHYSICIAN'S MEDICAL COMPETENCE
IS SUBSTANDARD. ALL SUCH REPORTED ARBITRATION AWARDS ARE REVIEWED BY
THE
MEDICAL BOARD ANDACTION TAKEN ONLY IF IT IS DETERMINED THAT A VIOLATION
OF THE MEDICAL PRACTICE ACT OCCURRED. THE MEDICAL BOARD IS PROHIBITED
FROM
RELEASINGA COPY OF THE ARBITRATION AWARD REPORT OR ANY OTHER
INFORMATION.
ARBITRATION AWARDS ARE SUBJECT TO APPEAL. EFFECTIVE 01/01/98
ARBITRA-TION
AWARDS ARE DISCLOSED TO THE PUBLIC.
--------------------------------------------------------------------------------
Licensee Name LAURENCE
BRUCE GOLDMAN
Primary License Status Code
RENEWED/CURRENT
Secondary License Status Code
ARBITRATION
AWD
License Number G38865
License Type G
Address 2025 MORSE AVENUE
City State Zip SACRAMENTO
CA
95825
Country USA
Original License Date 03/05/1979
License Expiration Date 02/28/2003
Medical School WAYNE STATE
UNIVERSITY
SCHOOL OF MEDICINE
Year Graduated 1975
Effective Date of Action 12/14/2000
Amount of Award $340000.00
Court Jurisdiction CONCLUDED AS A
CONTRACTUAL ARBITRATION
CLAIM
Docket Number N/A
Disclaimer: AN ARBITRATION AWARD IS
A
PAYMENT FOR DAMAGES
AND DOES NOT NECESSARILYREFLECT THAT THE PHYSICIAN'S MEDICAL COMPETENCE
IS SUBSTANDARD. ALL SUCH REPORTED ARBITRATION AWARDS ARE REVIEWED BY
THE
MEDICAL BOARD ANDACTION TAKEN ONLY IF IT IS DETERMINED THAT A VIOLATION
OF THE MEDICAL PRACTICE ACT OCCURRED. THE MEDICAL BOARD IS PROHIBITED
FROM
RELEASINGA COPY OF THE ARBITRATION AWARD REPORT OR ANY OTHER
INFORMATION.
ARBITRATION AWARDS ARE SUBJECT TO APPEAL. EFFECTIVE 01/01/98
ARBITRA-TION
AWARDS ARE DISCLOSED TO THE PUBLIC.
--------------------------------------------------------------------------------
Note: data current as of: 11/06/2001
Licensee Name JOHN C JENKINS
Primary License Status Code RENEWED/CURRENT
Secondary License Status Code ARBITRATION AWD
License Number G15507
License Type G
Address 39400 PASEO PADRE PARKWAY
City State Zip FREMONT CA 94538-2398
Country USA
Original License Date 10/02/1968
License Expiration Date 01/31/2003
Medical School UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE
Year Graduated 1967
Effective Date of Action 02/16/1999
Amount of Award $200000.00
Court Jurisdiction CONCLUDED AS A CONTRACTUAL ARBITRATION CLAIM
Docket Number N/A
Disclaimer: AN ARBITRATION AWARD IS A PAYMENT FOR DAMAGES AND DOES NOT NECESSARILYREFLECT THAT THE PHYSICIAN'S MEDICAL COMPETENCE IS SUBSTANDARD. ALL SUCH REPORTED ARBITRATION AWARDS ARE REVIEWED BY THE MEDICAL BOARD ANDACTION TAKEN ONLY IF IT IS DETERMINED THAT A VIOLATION OF THE MEDICAL PRACTICE ACT OCCURRED. THE MEDICAL BOARD IS PROHIBITED FROM RELEASINGA COPY OF THE ARBITRATION AWARD REPORT OR ANY OTHER INFORMATION. ARBITRATION AWARDS ARE SUBJECT TO APPEAL. EFFECTIVE 01/01/98 ARBITRA-TION AWARDS ARE DISCLOSED TO THE PUBLIC.
Licensee Name MARIA ANTOINETTE ACENAS
Primary License Status Code RENEWED/CURRENT | ENFORCEMENT
Secondary License Status Code ORDER VAC DEC | ACCUS W/DRAWN
License Number A46315
License Type A
Address 5755 COTTLE ROAD BLDG 4
City State Zip SAN JOSE CA 95123
Country USA
Original License Date 07/31/1989
License Expiration Date 01/31/2003
Medical School UNIVERSITY OF THE EAST, RAMON MAGSAYSAY MEMORIAL MEDICAL CENTER
Year Graduated 1979
Effective Date of Action 07/12/2001
Description of Action: ORDER VACATING DECISION EFFECTIVE 07/02/2001. ACCUSATION WITHDRAWN EFFECTIVE 07/12/2001.
Disclaimer: THE MEDICAL BOARD'S PUBLIC DISCLOSURE SCREENS ARE UPDATED PERIODICALLYAS NEW INFORMATION BECOMES AVAILABLE. PLEASE CONTACT THE CENTRAL FILEROOM AT (916) 263-2525 OR AT 1426 HOWE AVENUE, SUITE 54, SACRAMENTO, CA 95825, TO OBTAIN A COPY OF PUBLIC DOCUMENTS AT A MINIMAL CHARGE.
Licensee Name OWEN MYUNG CHI LUM
Primary License Status Code RENEWED/CURRENT
Secondary License Status Code ACCUS DISMISSED
License Number C37864
License Type C
Address 5755 COTTLE ROAD #4
City State Zip SAN JOSE CA 95123
Country USA
Original License Date 03/07/1978
License Expiration Date 02/28/2002
Medical School UNIVERSITY OF KANSAS SCHOOL OF MEDICINE
Year Graduated 1972
Effective Date of Action 12/22/2000
Description of Action: ACCUSATION DISMISSED.
Disclaimer: THE MEDICAL BOARD'S PUBLIC DISCLOSURE SCREENS ARE UPDATED PERIODICALLYAS NEW INFORMATION BECOMES AVAILABLE. PLEASE CONTACT THE CENTRAL FILEROOM AT (916) 263-2525 OR AT 1426 HOWE AVENUE, SUITE 54, SACRAMENTO, CA 95825, TO OBTAIN A COPY OF PUBLIC DOCUMENTS AT A MINIMAL CHARGE.
Licensee Name SCOTT
A TAFURI
Primary License Status Code
RENEWED/CURRENT
Secondary License Status Code
CITATION
License Number E3729
License Type E
Address 39400 PASEO PADRE PARKWAY
City State Zip FREMONT CA
94538
Country USA
Original License Date 12/20/1990
License Expiration Date 08/31/2002
Podiatric College PENNSYLVANIA
COLLEGE OF
PODIATRIC MEDICINE
Year Graduated 1988
Effective Date of Action 11/20/1998
Fine Amount $100.00
Description of Action: PRACTICED
MEDICINE
WITH A DELINQUENT
LICENSE FROM 8/31/98 THROUGH 10/14/98. HE ALSO FAILED TO REPORT AN
ADDRESS
CHANGE WITHIN 30 DAYS. 12301998
Disclaimer: A CITATION AND/OR FINE
HAS
BEEN LEVIED PURSUANT
TO SECTION 125.9 OF THE BUSINESS AND PROFESSIONS CODE. A CITATION IS
NOT
A DISCIPLINARY ACTION.
Licensee Name LAURI LEE MCDANIEL
Primary License Status Code CANCELED
Secondary License Status Code NONE
License Number EL415
License Type EL
Address 2376 FULTON
City State Zip SAN FRANCISCO CA 94118
Country USA
Original License Date 06/30/1987
License Expiration Date 07/31/1988
Year Graduated 1986
Licensee Name LAURI
LEE MCDANIEL
Primary License Status Code
RENEWED/CURRENT
Secondary License Status Code NONE
License Number E3520
License Type E
Address 27400 HESPERIAN BLVD
City State Zip HAYWARD CA
94545
Country USA
Original License Date 07/01/1988
License Expiration Date 04/30/2002
Licensee NameJAMES
PAUL FAGAN
Primary License Status Code
RENEWED/CURRENT
Secondary License Status Code
ARBITRATION
AWD
License Number E2313
License Type E
Address 280 WEST MACARTHUR BLVD
City State Zip OAKLAND CA
94611
Country USA
Original License Date 06/29/1978
License Expiration Date 12/31/2001
Podiatric College CALIFORNIA COLLEGE
OF
PODIATRIC MEDICINE
Year Graduated 1978
Effective Date of Action 01/26/2001
Amount of Award $61489.00
Court Jurisdiction CONCLUDED AS A
CONTRACTUAL ARBITRATION
CLAIM
Docket Number 1119
Disclaimer: AN ARBITRATION AWARD IS
A
PAYMENT FOR DAMAGES
AND DOES NOT NECESSARILYREFLECT THAT THE PODIATRIST'S MEDICAL
COMPETENCE
IS SUBSTANDARD. ALL SUCH REPORTED ARBITRATION AWARDS ARE REVIEWED BY
THE
BOARD OF PODIATRIC MEDICINE AND ACTION TAKEN ONLY IF IT IS DETERMINED
THAT
A VIOLATION OF THE MEDICAL PRACTICE ACT OCCURRED. THE BOARD IS
PROHIBITED
FROM RELEASING A COPY OF THE ARBITRATION AWARD REPORT OR ANY OTHER
INFORMATION.
ARBITRATION AWARDS ARE SUBJECT TO APPEAL. EFFECTIVE 01/01/98
ARBITRATION
AWARDS ARE DISCLOSED TO THE PUBLIC.
Licensee Name GRAHAM
ABDREW HAMILTON
Primary License Status Code
DELINQUENT
Secondary License Status Code NONE
License Number EL1066
License Type EL
Address 2940 HUFF AVENUE, #5
City State Zip SAN JOSE CA
95128
Country USA
Original License Date 07/01/1996
License Expiration Date 06/30/1997
Podiatric College CALIFORNIA COLLEGE
OF
PODIATRIC MEDICINE
Year Graduated 1996
Licensee Name GRAHAM ANDREW HAMILTON
Primary License Status Code
RENEWED/CURRENT
Secondary License Status Code NONE
License Number E4101
License Type E
Address KAISER PERMANENTE
280 WEST
MACARTHUR_BLVD
City State Zip OAKLAND CA
94611
Country USA
Original License Date 11/26/1997
License Expiration Date 01/31/2003
Podiatric College CALIFORNIA COLLEGE
OF
PODIATRIC MEDICINE
Year Graduated 1996
Licensee Name DAISY
LOUISE SUNDSTROM
Primary License Status Code
RENEWED/CURRENT
Secondary License Status Code NONE
License Number E4151
License Type E
Address 884 FOERSTER ST
City State Zip SAN
FRANCISCO CA
94127
Country USA
Original License Date 06/22/1998
License Expiration Date 10/31/2003
Podiatric College CALIFORNIA COLLEGE
OF
PODIATRIC MEDICINE
Year Graduated 1996
Name: Daisy Sundstrom
, DPM
Gender: Female
Other Languages Spoken: Spanish
Start Date: 10/16/99
Facility: San Francisco Medical
Center
2425 Geary Blvd. Licensee Name DAISY
LOUISE SUNDSTROM
Primary License Status Code
DELINQUENT
Secondary License Status Code NONE
License Number EL1099
License Type EL
Address 3790 CORONADO WAY
City State Zip SAN BRUNO
CA 94066
Country USA
Original License Date 07/01/1996
License Expiration Date 06/30/1999
Podiatric College CALIFORNIA COLLEGE
OF
PODIATRIC MEDICINE
Year Graduated 1996
San Francisco, CA 94115
Licensee Name JON RANDAL RISSER
Primary License Status Code CANCELED
Secondary License Status Code NONE
License Number EL358
License Type EL
Address 20800 HOMESTEAD RD #39C
City State Zip CUPERTINO CA 95014
Country USA
Original License Date 07/01/1987
License Expiration Date 06/30/1988
Year Graduated 1987
Licensee Name JON RANDAL
RISSER
Primary License Status Code
RENEWED/CURRENT
Secondary License Status Code NONE
License Number E3545
License Type E
Address 908 LANEWOOD DRIVE
City State Zip SAN JOSE CA
95125-2930
Country USA
Original License Date 08/08/1988
License Expiration Date 12/31/2001
Podiatric College CALIFORNIA COLLEGE
OF
PODIATRIC MEDICINE
Year Graduated 1987
Licensee Name SHARON MARIE WILES
Primary License Status Code CANCELED
Secondary License Status Code NONE
License Number EL456
License Type EL
Address 800 POLHEMUS ROAD APT 2
City State Zip SAN MATEO CA 94402
Country USA
Original License Date 07/01/1988
License Expiration Date 06/30/1990
Podiatric College CALIFORNIA COLLEGE OF PODIATRIC MEDICINE
Year Graduated 1988
Licensee Name SHARON MARIE
WILES
Primary License Status Code
RENEWED/CURRENT
Secondary License Status Code NONE
License Number E3655
License Type E
Address 2091 PINERCREST DRIVE
City State Zip SANTA ROSA
CA
95403
Country USA
Original License Date 03/12/1990
License Expiration Date 05/31/2003
Podiatric College CALIFORNIA COLLEGE
OF
PODIATRIC MEDICINE
Year Graduated 1988
401 Bicentennial Way
Santa Rosa, CA 95401
Name CYNTHIA MARIE CARTER
Primary License Status Licensee Code DELINQUENT
Secondary License Status Code NONE
License Number EL1016
License Type EL
Address 3309 MILDRED LANE
City State Zip LAFAYETTE CA 94549
Country USA
Original License Date 07/01/1995
License Expiration Date 06/30/1997
Podiatric College CALIFORNIA COLLEGE OF PODIATRIC MEDICINE
Year Graduated 1995
Licensee Name CYNTHIA MARIE CARTER
Primary License Status Code RENEWED/CURRENT
Secondary License Status Code NONE
License Number E4096
License Type E
Address 6600 BRUCEVILLE ROAD
KAISER/DEPT OF PODIATRY
City State Zip SACRAMENTO CA 95823
Country USA
Original License Date 10/15/1997
License Expiration Date 04/30/2003
Podiatric College CALIFORNIA COLLEGE OF PODIATRIC MEDICINE
Year Graduated 1995
Licensee Name MICHAEL WARREN COLBURN
Primary License Status Code RENEWED/CURRENT
Secondary License Status Code CITATION
License Number E2942
License Type E
Address 2008 HILL MEADOW PLACE
City State Zip DANVILLE CA 94526
Country USA
Original License Date 06/07/1982
License Expiration Date 12/31/2001
Podiatric College CALIFORNIA COLLEGE OF PODIATRIC MEDICINE
Year Graduated 1982
Effective Date of Action 12/30/1996
Fine Amount $500.00
Description of Action: AS A RESIDENCY PROGRAM DIRECTOR, HE ALLOWED A STUDENT TO PARTICIPATE AND PRACTICE PODIATRIC MEDICINE WITHOUT A LIMITED LICENSE. 01291998
Disclaimer: A CITATION AND/OR FINE HAS BEEN LEVIED PURSUANT TO SECTION 125.9 OF THE BUSINESS AND PROFESSIONS CODE. A CITATION IS NOT A DISCIPLINARY ACTION.
Licensee Name MICHAEL DAVID COLBURN
Primary License Status Code SURRENDER
Secondary License Status Code SURRENDER
License Number G65614
License Type G
Address 502 BIRDIE COURT
City State Zip ONALASKA WI 54650
Country USA
Original License Date 05/09/1989
License Expiration Date 05/31/1999
Medical School NORTHWESTERN UNIVERSITY MEDICAL SCHOOL
Year Graduated 1987
Effective Date of Action 07/05/2000
Description of Action: SURRENDER OF LICENSE.
Disclaimer: THE MEDICAL BOARD'S PUBLIC DISCLOSURE SCREENS ARE UPDATED PERIODICALLYAS NEW INFORMATION BECOMES AVAILABLE. PLEASE CONTACT THE CENTRAL FILEROOM AT (916) 263-2525 OR AT 1426 HOWE AVENUE, SUITE 54, SACRAMENTO, CA 95825, TO OBTAIN A COPY OF PUBLIC DOCUMENTS AT A MINIMAL CHARGE.
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Note: data current as of: 11/06/2001
Licensee Name SHANNON M. RUSH
Primary License Status Code DELINQUENT
Secondary License Status Code NONE
License Number EL1335
License Type EL
Address 40 ANZA VISTA #6
City State Zip SAN FRANCISCO CA 94115
Country USA
Original License Date 10/01/1999
License Expiration Date 09/30/2000
Podiatric College CALIFORNIA COLLEGE OF PODIATRIC MEDICINE
Year Graduated 1997
Licensee Name ALFREDO ASUNCION JR
Primary License Status Code RENEWED/CURRENT | ENFORCEMENT
Secondary License Status Code CITATION
License Number A68010
License Type A
Address 8157 GRISHAM WAY
City State Zip ELK GROVE CA 95758
Country USA
Original License Date 04/09/1999
License Expiration Date 04/30/2003
Medical School LYCEUM NORTHWESTERN, DR. FRANCISCO Q. DUQUE MEDICAL FOUNDATION
Year Graduated 1997
Effective Date of Action 03/20/2001
Description of Action: FAILED TO REPORT CHANGE OF ADDRESS TO THE MEDICAL BOARD OF CALIFORNIA WITHIN 30 DAYS. 04022001
Disclaimer: A CITATION AND/OR FINE HAS BEEN LEVIED PURSUANT TO SECTION 125.9 OF THE BUSINESS AND PROFESSIONS CODE AND IS NOT A DISCIPLINARY ACTION. PAYMENT OF THE FINE AMOUNT REPRESENTS RESOLUTION OF THIS MATTER.