![]() Link for Translation of this Kaiser Papers page from Google Translation Service The following
list is only a small section of the Northern California Kaiser
Permanente
Doctors that has been researched. There are many errors found in the publized listings that Kaiser provides for the public on who their physicians are, their availability and other really important pieces of information. Kaiser Papers has 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. Kaiser Papers urges 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.
Click on the following names to see why they are on this list -
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 Listing of S. CA. Kaiser Permanente Physicians listed as Cardiovascular Disease Specialists that have State of California Medical Board Disciplinary Actions Listing of S. CA Kaiser Permanente Physicians listed as Urgent Care Specialists that have State of California Medical Board Disciplinary Actions Listing of S CA Kaiser Permanente Physicians Listed as Cardiology Specialists with California Medical Board Disciplinary Actions 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.info/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
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. --------------------------------------------------------------------------------
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. --------------------------------------------------------------------------------
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
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. -------------------------------------------------------------------------------- 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 |