Ridgeline Health Partners
Credential status report: East Region, Eastgate Family Care, Jefferson Park, Riverbend and Stonebridge
As of Oct 8, 2026. 12 providers who work at East Region, Eastgate Family Care, Jefferson Park, Riverbend and Stonebridge, sorted by provider, Z to A. Worst status per category; letters read without color.
On a narrow screen the table scrolls sideways; the provider column stays in place.
| Provider | License | DEA / CSR | Board | Malpractice | CAQH | Payers | Privileges | CPR | OIG |
|---|---|---|---|---|---|---|---|---|---|
| Dr. Nora WhitfieldInternal Medicine. Starts Nov 22 | C Current | C Current | C Current | C Current | C Current | M Missing0 of 3 current | M Missing | C Current | M Missing |
| Dr. Hannah WeissObstetrics and Gynecology | C Current | C Current | C Current | C Current | C Current | P Pending3 of 4 current | C Current | C Current | C Current |
| Dr. Priyanka RaoDermatology | C Current | n/a | C Current | C Current | C Current | C Current3 of 3 current | n/a | A Action due | L Lapsed |
| Theo RamirezUrgent Care | C Current | C Current | C Current | E Expiring | C Current | C Current2 of 2 current | n/a | C Current | C Current |
| Dr. Samuel OrtizCardiology | C Current | C Current | C Current | C Current | C Current | C Current4 of 4 current | C Current | C Current | C Current |
| Dr. Lena OkaforInternal Medicine | C Current | C Current | C Current | C Current | C Current | A Action due3 of 4 current | C Current | C Current | C Current |
| Grace LiuFamily Medicine | C Current | E Expiring0 of 2 current | C Current | C Current | C Current | C Current3 of 3 current | n/a | C Current | C Current |
| Dr. Owen HaleFamily Medicine | C Current | E Expiring | C Current | C Current | C Current | C Current3 of 3 current | n/a | C Current | C Current |
| Dr. Aisha GrantPediatrics | L Lapsed1 of 2 current | C Current3 of 3 current | C Current | C Current | C Current | C Current3 of 3 current | n/a | C Current | C Current |
| Dr. Rosa DelgadoFamily Medicine | C Current2 of 2 current | C Current3 of 3 current | C Current | C Current | C Current | L Lapsed2 of 3 current | n/a | C Current | C Current |
| Dr. Ethan ColePsychiatry | C Current | C Current | C Current | C Current | C Current | C Current4 of 4 current | n/a | C Current | C Current |
| Nadia BrooksFamily Medicine | A Action due | C Current | C Current | C Current | L Lapsed | C Current3 of 3 current | n/a | C Current | C Current |
Key: L Lapsed, M Missing, E Expiring, P Pending, A Action due, C Current. n/a means not required for that provider. Columns: DEA / CSR is the federal DEA registration and the state controlled substance registration (CSR); CAQH is the shared credentialing profile payers read (Council for Affordable Quality Healthcare); Payers covers every payer enrollment; CPR is the CPR / BLS (Basic Life Support) card; OIG is the monthly search of the federal exclusion list kept by the Office of Inspector General. In the OIG column, L Excluded is a confirmed match on the exclusion list and E Possible match is one still being confirmed.
Held back today
- Dr. Aisha Grant cannot see patients at Riverbend.
- Dr. Hannah Weiss visits cannot be billed to Larkspur Health Plan.
- Dr. Rosa Delgado visits cannot be billed to State Medicaid.
Due to start in the next 60 days
- Oct 20 Monthly exclusion check, whole roster (12 providers)
- Oct 23 Dr. Priyanka Rao: CAQH attestation
- Oct 27 Dr. Rosa Delgado: CAQH attestation
- Nov 2 Dr. Samuel Ortiz: Payer enrollment: Larkspur Health Plan
- Nov 4 Dr. Nora Whitfield: CPR / BLS certification
- Nov 4 Dr. Samuel Ortiz: CAQH attestation
- Nov 6 Dr. Rosa Delgado: Payer enrollment: Medicare
- Nov 9 Grace Liu: Malpractice insurance
- Nov 11 Dr. Ethan Cole: CAQH attestation
- Nov 17 Dr. Ethan Cole: Payer enrollment: State Medicaid
- Nov 17 Dr. Hannah Weiss: CAQH attestation
- Nov 23 Dr. Aisha Grant: CPR / BLS certification
- Nov 27 Dr. Nora Whitfield: CAQH attestation
- Nov 30 Dr. Priyanka Rao: Malpractice insurance
- Dec 1 Dr. Ethan Cole: Payer enrollment: Medicare
- Dec 2 Dr. Owen Hale: CAQH attestation