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licensing and certification

 

California Department of Public Health

Field Operations Branch

Centralized Applications Branch

 

​ ​Branch Chief SSM III - Kelly Abel (916) 354-0326

​Main (916) 552-8632

CAB@cdph.ca.gov

CABRenewals@cdph.ca.gov

1615 Capitol Ave MS 3207

Sacramento C​A 95814-7402

PO Box 997377 MS 3207

Sacramento CA 95899-7377

 

 Licensing Certification & Policy

Vacant, SSM II Section Chief

​ ​Team LC&P1: Renewals / Issuing All Licenses / Tracking Surveys
​SSM I - Stephanie Devlin​(916) 319-9611
​Diana Ndubuisi​(916) 552-8645
​Kaimana Kaili​(916) 319-8089
​Oscar Montenegro​(916) 440-7652
​Vacant
​Team ​LC&P2: Policy / Training Unit
​SSM I - Vacant​(916) 552-8673
​Audrey Hakenewerth​(916) 650-6597
​Joshua Williams​(916) 552-8672
​Steven Lee​(916) 552-8760
​Vacant​(916) 552-8645
​Vacant​(916) 319-8089
​ ​Team LC&P3: Intake Unit
​SPT II - Ricky Eaddy​(916) 445-7369
​Jason Zakem​(916) 552-8960
​Kelli Russell​(916) 552-8643
​Rajesh Ratti​(916) 552-8756
​Vacant​(916) 552-8633
​Vacant

 

Team ROC1 - CHAD / CHOA / DPCS / DPCSD​ ​
​SSM I - Anessa Reyes​(916) 558-1780
​Arianna Duran​(916) 332-5424
​Brittany Foster​(916) 332-5424
​Candise Kirkpatrick​(916) 558-1782
​Markie Blaisdell​(916) 558-1782
​Satina Davis​(916) 552-9372
​ ​Team ROC2 - HHA Initial
​SSM I - Natasha McGee(916) 650-0358​
​Emily Widner​(916) 650-0442
​Jalisha Toomer​(916) 322-3898
​Kimberly Brady​(916) 650-0427
​Marcella Williams​(916) 650-0427
​Rajiv Bhatti​(916) 650-0427
​ ​Team ROC3 - CHAD / CHOA / DPCS / DPCSD
​SSM I - Vanessa Solis​(916) 552-9967
​Gwendolyn James​(916) 558-1723
​Gretchen Brooks​(916) 558-1723
​Joshua Armstrong​(916) 650-0341
​Mary Vang​(916) 650-0341
​Steven Amaral​(916) 322-5410
​ ​Team ROC4 - HHA Initial
​SSM I - Sheila Keechel​(916) 552-8751
​Ashley Hann​(916) 552-8911
​Ashley Miller​(916) 552-8871
​Carolina Hernandez​(916) 552-8595
​Dezi Contreras​(916) 552-8595
​Marianne Sanchez​(916) 552-8871

 

 Long Term Care Section

Vacant, SSM II Section Chief

​ ​Team LTC1: SNF / MC
​SSM I - Andrea Sanders(916) 552-8654​
​Jesse Burgard(916)​ 552-8668
​Mercedes Jones​(916) 324-2728
​Olga Botash​(916) 440-7287
​Rebecca Friesen​(916) 558-1822
​Stephanie Symonds​(916) 319-9355
​ ​Team LTC2: Hospice
​SSM I - Audrey Watkins(916)​ 440-7194
​Cristina Shantz​(916) 322-6221
​Gabriel Garcia​(916) 440-7195
​Jaspreet Kang​(916) 323-1726
​Matthew Stephens​(916) 440-7296
​Raquel Monteiro​(916) 440-7196
​ ​Team LTC3: ADHC / CLHF / ICF / PDHRC / Referral
​SSM I - Diana Yang​(916) 440-7131
​Derek Kaihara​(916) 440-7328
​Donald Mealor​(916) 323-1741
​Jaime Rodriguez​(916) 440-7171
​Maribel Dominguez Cruz​(916) 440-7250
​Sandy Vue​(916) 323-1737

​Team LTC4: CGSA / CHGB / CHIO / CHMA / CHMC / CHMD / CHOB / CHOL / CHON / CHOS / CHPO / ​CHST / CNPI / DON

(For the facility types process within this section)

​SSM I - Michelle Dunlap(916) 552-8689​
​Dwayne F Brown​(916) 552-9368
​Jenny Hai-Jew(916) 552-8734
​Nageena Khan​(916) 650-0412
​Robert Rivet​(916) 332-1161
​Wendy Miller​(916) 319-8284

 

 Non-Long Term Care Section

Nora Salazar, SSM II Section Chief (916) 552-8762

​ ​N-LTC1: HHA Unit
SSM I - Vanessa Casiano​
Bea Vue​​(916) 650-0366
​Christian Carvin(916)​ 650-6786
​Eileen Liu​(916) 322-5425
​Felicia Zamora​(916) 440-7273
​John Edwards​(916) 319-0684
​N-LTC2: Clinic Unit - ABC / CDC / CORF / CTC / ESRD / FQHC / OT / PCC / PSYCH / REHAB / RHC
SSM I - Jessica Rodriquez​(916)​ 552-8480
​Jose Lott​(916) 319-0439
​Katrina Ye​(916) 552-8679
​Lurena Cisco​(916) 552-8758
​Rita Brott​(916) 552-8501
​Vacant​(916) 440-7199

​ ​N-LTC3: GACH Unit - APH / ASC / CAH / CDRH / GACH / SPHOSP / SURGC

(also CHOB / CHOL / CHON / CHOS for GACHs only)

SSM I - Rose McDowall​(916)​ 440-7102
​Amy Avery​(916) 440-7093
​Kathleen Keating​(916) 319-9686
​Margaret Halbach​(916) 319-9689
​Marie Bachiller​(916) 445-1823
​Yvonne Barron​(916) 440-7301

​ ​N-LTC4: CGSA / CHGB / CHIO / CHMA / CHMC / CHMD / CHOB / CHOL / CHON / CHQS / CHPO / CHST / CNPI / DON

(For the facility types processed within this section - except CHOS / CHOB / CHOL / CHON for GACHs)

​SSM I - Lucero Garcia(916)​ 440-7097
​Alyssa Armstrong​(916) 440-7090
​Gwen Hunter-Williams​(916) 440-7299
​(Kyle) Richard Baker​(916) 440-7105
​Melinda Chan​(916) 440-7091
​Paolo Christian Tayros​(916) 440-7103

 

Facility Types

​ABC- Alternative Birth Center / ADHC - Adult Day Health Center / APH - Acute Psychiatric Hospital / ASC - Ambulatory Surgery Center /
CAH - Critical Access Hospital / CDRH - Chemical Dependency Recovery Hospital / CDC - Chronic Dialysis Clinic /
CLHF - Congregate Living Health Facility / CORF - Comprehensive Outpatient Rehabilitation Clinic / CTC - Correctional Treatment Centers /
ESRD - End Stage Renal Dialysis / GACH - General Acute Care Hospital / HHA - Home Health Agency /
HOFA - Hospice Facility / Hospice (provider) / ICF - Intermediate Care Facility / DD: Developmentally Disabled,
DD-CN: Developmentally Disabled - Continuous Nursing, DD-H: Developmentally Disabled-Habilitative,
DD-N: Developmentally Disabled-Nursing / MC- Management Company / OT/SP - Outpatient Physical Speech/Occupational Therapy /
PDHRC - Pediatric Day Health & Respite Care / PCC - Primary Care Clinic / PSYCHC - Psychology Clinic / REFRLAG - Referral Agency /
REHABC - Rehabilitation Clinic / RHC or (FQHC) - Rural Health Clinic (or Federally Qualified Health Center) / SNF - Skilled Nursing Facility / SPHOSP - Special Hospital / SURGC - Surgical Clinic

 

​​
Change Types
​CGSA - Change in Geographical Service Area / CHAD - Change in Administrator Designee /
CHGB - Change in Governing Board (Officers/Directors/Board Members/Trustees) / CHIO - Change in Indirect Ownership /
CHMA - Change in Mailing Address / CHMC - Change in Management Company / CHMD - Change in Medical Director /
CHOA - Change in Administrator / CHOB - Change of Bed / CHON - Change of Name / CHOS - Change of Service /
CHPO - Change in Property Owner / CHST - Change in Stock Transfer / CNPI - Change in National Provider Identifier /
DON - Change in Director of Nursing / DPCS - Change in Director of Patient Care Services (Only applies to HHA/Hospice) /
DPCSD - Change of Director of Patient Care Services Designee (Only applies to HHA/Hospice)

 

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