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Welcome to Doctor Search
In this search, we have many tools to help you:
Reporting Inaccuracies
To report inaccuracies of this online Provider & Pharmacy Directory, you can call the IEHP Member Services number on the back of your ID card or email us atmsdirectories@iehp.org
How does IEHP confirm your doctor and hospital facts?
1. Name
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The Provider name is taken from the new Provider application. These facts are reviewed, confirmed and updated by IEHP every six (6) months or sooner if an update is provided. The Provider may change this information without prior notice to IEHP. Once IEHP is informed of changes, the information is reviewed, confirmed and updated as needed.
2. Gender
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The Provider gender is taken from the new Provider application. This information is self reported and not confirmed. As the Provider self reports this every six (6) months, IEHP systems are updated as needed. The Provider may change this information without prior notice to IEHP. Once IEHP is informed of changes, the information is reviewed, confirmed and updated as needed.
3. Language
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The doctor, clinical staff, or a member of the office staff may speak the language listed in the search results. Those who offer language services proved they could meet the threshold language at the time they entered the IEHP network. This fact is reviewed, confirmed, and updated annually during the threshold language audit. This may be done sooner if an update is provided. Other languages are self reported and not confirmed. As the Provider self reports this every six (6) months, IEHP systems are updated as needed. The Provider may change this information without prior notice to IEHP. Once IEHP is informed of changes, the information is reviewed, confirmed and updated as needed.
4. Specialty
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The area of medicine in which your Doctor has been trained. For more details, please go to www.abms.orgor www.osteopathic.org depending on the Doctor’s specialty. The specialty is provided in Provider applications and IEHP verifies the Provider has the training required for this specialty. IEHP confirms this information every six (6) months. This may be done sooner if an update is provided.
5. Board Certification
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This shows a Doctor’s knowledge and skills in a certain area of medical practice. These facts are taken from each Doctor’s application and verified when the Doctor enters IEHP’s network. They are reviewed during the recredentialing cycle or when their board certification expires. To find out if a Doctor is Board Certified as of today, please click on www.abms.orgor www.osteopathic.org.
6. Office Address
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This is where the Doctor treats patients. These details are taken from the new Provider application. They are reviewed, confirmed and updated by IEHP every six (6) months. This may be done sooner if an update is provided. The Provider may change this information without prior notice to IEHP. Once IEHP is informed of changes, the information is reviewed, confirmed and updated as needed.
7. Accepting New Members
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This shows if a Provider is accepting new Members. Providers accept new Members, unless the Provider submits a request stating they are not accepting new Members. Also, Providers may not be able to accept new Members if the Provider has reached its maximum capacity of Members. IEHP reviews, confirms, and updates Provider status as it changes. This information may change without prior notice to IEHP. Once IEHP is informed of changes, the information is reviewed, confirmed and updated as needed.
8. IPA/ Medical Group Affiliations
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Your Doctor belongs to a medical group, otherwise referred to as an IPA. This is listed in the search results page. It is reported by the medical group and the Doctor. These details are reviewed, confirmed, and updated every six (6) months. This may be done sooner if an update is provided. This information may change without prior notice to IEHP. Once IEHP is informed of changes, the information is reviewed, confirmed and updated as needed.
9. Hospital Affiliations
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These are hospitals where the Doctor has hospital privileges to admit their Members for care or has an agreement with another Doctor or group to admit Members on their behalf. These details are obtained from new Provider applications. They are reviewed, confirmed, and updated every six (6) months. This may be done sooner if an update is provided. This information may change without prior notice to IEHP. Once IEHP is informed of changes, the information is reviewed, confirmed and updated as needed.
10. Facility Accrediation
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This means a facility meets certain U.S. service quality standards. The facility is also focused on delivering the most favorable health outcomes. The facility must meet the standards set by an IEHP recognized body. The accrediting associations are listed here. IEHP confirms if hospitals are in good standing with the state and federal regulatory bodies and reviewed by an accrediting body. IEHP conducts a site visit if there is no accreditation status. This status check occurs at least every three (3) years. This can be done sooner if an update is provided.
11. Facility Name
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This is obtained from contract forms. It is reviewed, verified, and updated by IEHP every month. This may be done sooner if an update is provided. This information may change without prior notice to IEHP. Once IEHP is informed of changes, the information is reviewed, confirmed and updated as needed.
12. Facility Location
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The location is where the Doctor provides medical or surgical services. The facility address is provided through contract forms. It is reviewed, confirmed, and updated by IEHP every month. This may be done sooner if an update is provided. This information may change without prior notice to IEHP. Once IEHP is informed of changes, the information is reviewed, confirmed and updated as needed.
13. Hospital Quality Score
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The Leapfrog Hospital Survey evaluation is a free yearly survey for hospitals designed to measure safety, quality and efficiency so that patients and families can make the best choices in their hospital care.
Participation in The Leapfrog Group is verified online on an annual basis by the health plan. Information is updated by Leapfrog semi-annually. The health plan does not evaluate the actual quality data results. However, the health plan does validate new information received from hospitals.
A Hospital quality score of “not available” indicates the Hospital either doesn’t have enough patient cases to report in order to support accurate quality and safety scores or does not offer some specialty services that would be included in the Leapfrog Hospital Survey evaluation. In some case where scores are not available, the Hospital has chosen not to participate in the Leapfrog Hospital Survey Evaluation.
Important Note
IEHP's Provider network is subject to ongoing changes. Also, some hospitals and other Providers do not provide one or more of the services that may be covered under your plan contract and that you or your family member might need. Some of these excluded services might be family planning; contraceptive services (such as emergency contraception). Plus, other services may be excluded like sterilization, (i.e., tubal ligation at labor and delivery). Infertility treatments or abortion may also be excluded. Both Enhanced Care Management and Community Supports require prior authorization and are limited to Members who meet specific eligibility criteria.
All network providers listed within this directory have received cultural competency training as of the Directory's date of publication.
For the most current information regarding the Providers listed on this website or to request a printed copy, call the IEHP Member Services number on the back of your ID card. To view a copy of the Provider Directories, click on the Plan (Line of Business) below:
We value your opinion. If you have any ideas on how we can improve our Doctor Search, email us at MemberServices@iehp.org.
*Clinical Staff includes: Doctors, Nurses, Medical Assistants and Therapists. IEHP confirms the Doctor details on a regular basis. See below for more facts on how often.
Time and Distance Standards
IEHP must follow time and distance standards to make sure you get the care you need without having to travel too far or for too long. Please note that time and distance standards may vary based on the county you live in. Please click on the link below to learn more about IEHP’s time and distance standards.
MEDI-CAL Time and Distance Standards expand_more
IEHP has identified some zip codes and Provider types that do not meet the required time and distance standards. IEHP is required to request approval from the Department of Health Care Services for alternative access standards for these zip codes and Provider types. To see a list of approved zip codes, please see the zip code lists. The zip codes are listed by county to make it easier for you to search for your zip code.
You can call the IEHP Member Services number on the back of your ID card to ask for help with access to a Provider closer to your home.
RIVERSIDE COUNTY ELIGIBLE ZIP CODES expand_more
SAN BERNARDINO COUNTY ELIGIBLE ZIP CODES expand_more
Remember, IEHP Medi-Cal and DualChoice members are covered for transportation to medical and behavioral health appointments. Please call the IEHP Member Services 1-800-440-IEHP (4347), TTY(711), Monday-Friday, 8am-5pm for more information.
Transportation Services is not applicable for IEHP Covered.
Vision Benefits will only be available for IEHP Covered members who are under 19 years old.
Timely Access To Care
You are entitled to full and equal access to covered services, including if you have a disability, as required under the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973.
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