L.A. Care Health Plan is proud to provide quality care to our members through our large network of providers located across Los Angeles County. The L.A. Care Provider Directory lists the participating providers and facilities who work with us to provide covered services to our members. A provider is a doctor or other health care professional that will see you or treat you. Facilities include clinics, hospitals, or urgent care centers where you go to receive care.
The provider directory includes providers' names, office locations, gender, specialty, hospital affiliation, medical group affiliation, new patient information and languages spoken. L.A. Care members can search the provider directory online using our Find a Doctor or Hospital tool or by signing into your member portal account. Members are encouraged to use the online provider directory search feature. If looking for a personalized search result, members can create and sort search results and turn them into a PDF document, which can be emailed or printed. Members can also view and download a PDF version of the provider directory. Please select your type of health plan to go to your online member materials:
The provider directory is available for free in other languages and different formats, including large print and audio. If you would like L.A. Care to mail you a print copy of the provider directory, please call Member Services for your type of health plan. Phone numbers by health plan are located in the Member Services sidebar.
Updates received from our network providers are generally added to the Find a Doctor or Hospital search tool once a week. This information is also subject to change at any time. Please always contact the provider directly to check their status and availability.
All members must select a Primary Care Provider (PCP) who is responsible to coordinate all of your care. You may need a referral or prior authorization to see a specialist or someone that is not your PCP. A referral means that your PCP must give you approval before you can see someone that is not your PCP. A prior authorization is an approval from L.A. Care before you can get a specific service or drug, or see an out-of-network provider. L.A. Care may not cover the service or drug if you don't get approval. You must get all your covered services, except for emergency services, from providers within our network that are affiliated with your PCP's medical group. If you go to providers outside the network, you may have to pay a bill.
Important Information
Some hospitals and other providers do not provide one or more of the following services that may be covered under your plan contract and that you or your family member might need: family planning; contraceptive services, including emergency contraception; sterilization, including tubal ligation at the time of labor and delivery; infertility treatments; or abortion.
Call your PCP, medical group, independent practice association, or clinic to ensure that you can obtain the health care services that you need. You can also call Member Services for your health plan for further assistance. Phone numbers by health plan are located in the Member Services sidebar
Additional Disclosures & Disclaimers
New members select a primary care physician or "PCP" when they first join L.A. Care. If you did not select a PCP, L.A. Care chose one for you based on where you live. The PCP will arrange most of your care unless it is an emergency. Your PCP's name and phone number are on your Member ID card.
1. Find your city. In this provider directory, go to the city of your choice to find a list of participating clinics, doctors, specialist, and other providers near you.
2. Check the list. To help you pick, we have listed doctor's office hours, specialties and the languages they speak. You may select this
3. Select a doctor, clinic, or medical group. You can pick a different doctor for each enrolled member. However, if you pick a different doctor for each member, we suggest that you pick doctors who work in the same clinic or office.
4. Call us when you have made your choice. Let us know the name and the provider ID shown in the provider directory for that doctor name or medical group. Call Member Services
5. If you are receiving care now from a doctor not listed in this provider directory and you want to continue getting care from that doctor, call us right away. We will work with you and your doctor to coordinate care.
- Oncologists care for patients with cancer.
- Cardiologists care for patients with heart conditions.
- Orthopedists care for patients with certain bone, joint, or muscle conditions
- The term providers also includes facilities such as hospitals, clinics, and other places that provide medical services, medical equipment, and long-term services and supports.
We are proud of our doctors and their professional training. If you have questions about the professional qualifications of network doctors and specialists, call L.A. Care Member Services for your health plan. We can tell you about the medical school they attended, their residency or board certification.
- Medi-Cal 1-888-839-9909 (TTY 711)
- L.A. Care Covered™ 1-855-270-2327 (TTY 711)
- L.A. Care Covered Direct™ 1-855-270-2327 (TTY 711)
- PASC-SEIU Plan 1-844-854-7272 (TTY 711)
In the provider directory, you will see that many doctors' offices and clinics have letters (P, EB, IB, B, W, E, T, or R) after their phone numbers. These letters mean the office or clinic has a certain type of access for people with disabilities. Member Services can also help you locate a doctor who can meet your special needs.
P = PARKING
Accessible ("Handicapped") parking spaces, curb ramps and cut between parking and offices.
B = WALKWAY & ACCESS TO BUILDING
Accessible walkway and entrance to the building where ramps and stairs have handrails; doors open wide enough, door handles are easy to use; elevators are easy to use.
EB = EXTERIOR BUILDING
Curb ramps and other ramps to the building are wide enough for a wheelchair or scooter user. Handrails are provided on both sides of the ramp. There is an "accessible" entrance to the building. Doors open wide enough to let a wheelchair or scooter user enter, and have handles that are easy to use.
IB = INTERIOR BUILDING
Doors open wide enough to let a wheelchair or scooter user enter, and have handles that are easy to use. Interior ramps are wide enough and have handrails. Stairs, if present, have handrails. If there is an elevator, it is available for public/patient use at all times the building is open. The elevator has easy to hear sounds and Braille buttons within reach. The elevator has enough room for a wheelchair or scooter user to turn around. If there is a platform lift, it can be used without help.
A = RECEPTION/WAITING AREA
Reception and waiting areas have wide aisles with enough room to turn around.
E = ACCESSIBLE EXAM ROOM & TABLE
Clear path to exam room, doors open wide, are easy to open, and have enough room to turn around. Exam tables move up and down.
S = Scales
Scale has handrails and is accessible for people who use wheelchairs.
L = Lifts
Lifts are available to assist with patient.
T = HEIGHT ADJUSTABLE EXAM TABLE & ACCESSIBLE SCALE
Exam table moves up and down; scale has handrails and is accessible for people who use wheelchairs.
R = RESTROOM
Doors are wide enough, doors are easy to open; enough room to turn around and close door; grab bars; sink is easy to get to; faucets, soap and toilet paper are easy to reach and use.
W = Wheelchair Access
You can get more information about accessibility by calling Member Services for your health plan.
- Medi-Cal 1-888-839-9909 (TTY 711)
- L.A. Care Covered™ 1-855-270-2327 (TTY 711)
- L.A. Care Covered Direct™ 1-855-270-2327 (TTY 711)
- PASC-SEIU Plan 1-844-854-7272 (TTY 711)
L.A. Care's physician provider network is based on specific criteria that determines the selection of the Participating Physician Groups (PPGs) and other physician providers.
Physician providers are selected to provide members' access to multiple specialties, including but not limited to: Allergy, Cardiology, Ophthalmology, Gastroenterology, General Surgery, Nephrology, Neurology, Obstetrics and Gynecology, Orthopedics, Pulmonology, and Urology. This design ensures members have access to a large number of physicians in different fields/ specialties within a 15-mile radius or 30 minute driving time from their residence. If L.A. Care is not able to provide care to you within these travel time and distance standards, a different standard called an Alternative Access Standard (AAS) may be used.
All physician providers, including specialists, must meet L.A. Care's applicable credentialing requirements.
L.A. Care evaluates, on an ongoing basis, physician providers in its network for quality measures and requires physician providers, such as primary care physicians, to meet minimum clinical quality measures in many areas of care including preventive services (e.g. childhood immunizations and health screenings), managing chronic diseases (e.g. diabetes and asthma), and Prenatal and Postpartum Care.
Certain physician providers are also evaluated on Member experience measures, such as getting timely appointments and how timely Members' questions are answered when they contact the physician provider's office.
In designing its criteria, L.A. Care reviews and incorporates nationally recognized measures, including those developed by the National Committee for Quality Assurance and the National Quality Forum.
L.A. Care does not use cost-related measures to select physician providers for its network. L.A. Care uses the same physician criteria for all networks for all plans.
L.A. Care's hospital network is selected based on specific criteria in compliance with applicable regulations and incorporating nationally recognized measures. These criteria also include meeting certain member needs, including a hospital's proximity to a member's residence (generally, within a 15-mile radius of the member's home); admitting privileges of physician providers who care for members; and licensure and accreditation status, including being accredited by The Joint Commission, an independent, nationally recognized not-for-profit body whose accreditation/certification is recognized as a symbol of quality that reflects a hospital's commitment to meeting certain performance standards.
L.A. Care does not directly use quality measures, member experience measures, patient safety measures or cost-related measures prior to selecting a hospital for its network. However, L.A. Care generally requires its network hospitals to be accredited by The Joint Commission which may include patient satisfaction surveys as part of its accreditation standards.
L.A. Care uses the same hospital criteria for all networks for all plans.
L.A. Care Health Plans comply with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. L.A. Care Health Plans do not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
L.A. Care Health Plans:
- Provide free aids and services to people with disabilities to communicate effectively with us, such as:
- Qualified sign language interpreters
- Written information in other formats (large print, audio, accessible electronic formats and other formats)
- Provide free language services to people whose primary language is not English, such as:
- Qualified interpreters
- Information written in other languages
If you believe that L.A. Care Health Plan has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with:
Civil Rights Coordinator
L.A. Care Health Plan
1200 West 7th Street
Los Angeles, CA 90017
Phone: 1-213-694-1250 ext. 6759 (TTY 711)
Fax: 1-213-689-3257
Email: civilrightscoordinator@lacare.org
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, the Civil Rights Coordinator is available to help you.
You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, or by mail or phone at:
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-368-1019, 1-800-537-7697 (TDD)
The Office for Civil Rights also offers different complaint forms online.
If you think there is an error with the information in this provider directory, please let us know.:
By Mail
1200 W. 7th Street
Los Angeles, CA 90017
By Phone
Member Services: 1-888-452-2273 (TTY 711) (1-888-4LA-CARE)
Our representatives are available 24 hours a day, 7 days a week
Online
If you are an L.A. Care member, please email us from your member account in L.A. Care Connect.
If you are not an L.A. Care member, please fill out our Report a Provider Inaccuracy form.
As a reminder, the information in this directory is updated weekly. If you are an L.A. Care member and you feel that you reasonably relied upon the information published in this Online Provider Directory and you feel it was inaccurate, incomplete or misleading, you may file a grievance or complaint by contacting Member Services at the same toll free number and address listed above, marked Attention: Appeals & Grievances.
You can also fill out and submit our Grievance Form online.
We offer no-cost interpreting services, including American Sign Language, 24 hours a day, 7 days a week. An interpreter can help you talk with your doctor during the health visit. You should never use friends, family, or children as interpreters.
Call L.A. Care at 1-888-452-2273 (TTY 711) (1-888-4LA-CARE) at least 10 business days before the doctor visit to request an interpreter.
For more information regarding your particular L.A. Care Health Plan, please refer to your Member Handbook or Evidence of Coverage. You can view these materials online:
Enhanced Care Management (ECM) is a Medi-Cal benefit available to select members with complex needs. Enrolled members receive comprehensive care management from a single lead care manager who coordinates all their health and health-related care, including physical, mental, and dental care, and social services. Enhanced Care Management is available to specific groups (called “Populations of Focus”).
Justice Initiative (ECM JI) - Justice Initiatives offers targeted Medicaid services to Medi-Cal-eligible youth and adults in state prisons, county jails, and youth correctional facilities up to 90 days before their release. This initiative seeks to improve health outcomes, reduce care gaps, and promote health equity for individuals transitioning back into their communities.
Community Supports are services provided to address Medi-Cal members’ health-related social needs, help them live healthier lives, and avoid higher, costlier levels of care.
Please refer to Medi-Cal Evidence of Coverage/Handbook and Provider Manual, or call Customer Solution Center for details about member eligibility requirements, access rules, referrals, and prior authorization process for Enhanced Care Management and Community Supports.
| ECM Population of Focus | Adults | Children & Youth |
|---|---|---|
| 1. Individuals experiencing homelessness | X | X |
| 2. Individuals at risk for Avoidable Hospital or ED Utilization (Formerly called "High Utilizers") | X | X |
| 3. Individuals with serious mental health and/or substance use disorder needs | X | X |
| 4. Individuals transitioning from incarceration | X | X |
| 5. Individuals living in the community and at risk for LTC institutionalization | X | |
| 6. Adults nursing facility residents transitioning to the community | X | |
| 7. Children and youth enrolled in California Children's Services (CCS) or CCS Whole Child Model (WCM) with additional needs beyond the CCS condition | X | |
| 8. Children and youth involved in child welfare | X | |
| 9. Birth Equity Population of Focus | X | X |
| ECM JI Description of Service | |
|---|---|
| JI001 | Medi-Cal FFS Provider |
| JI002 | Contracted with Correctional Facilities |
| JI003 | Pre-Release Care Management Services |
| JI004 | Post-Release Warm Handoffs |
| Community Support Services |
|---|
| Asthma Remediation |
| Community Transition Services/Nursing Facility Transition to a Home |
| Day Habilitation Programs (as of 07/01/24) |
| Environmental Accessibility Adaptations (Home Modifications) |
| Housing Deposits |
| Housing Tenancy and Sustaining Services |
| Housing Transition Navigation Services |
| Medically Tailored Meals/Meals as Medicine |
| Nursing Facility Transition/Diversion to Assisted Living Facilities |
| Personal Care and Homemaker Services |
| Recuperative Care (Medical Respite) |
| Respite Services |
| Short-term Post-hospitalization Housing (as of 07/01/24) |
| Sobering Centers |