Ridgeline Health Partners
Credential status report: Eastgate Family Care, Jefferson Park and Riverbend
As of Oct 7, 2026. 6 providers who work at Eastgate Family Care, Jefferson Park and Riverbend, 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. 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 |
| 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. 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 19 Monthly exclusion check, whole roster (6 providers)
- Oct 26 Dr. Rosa Delgado: CAQH attestation
- Nov 6 Dr. Rosa Delgado: Payer enrollment: Medicare
- Nov 6 Grace Liu: Malpractice insurance
- Nov 10 Dr. Ethan Cole: CAQH attestation
- Nov 16 Dr. Ethan Cole: Payer enrollment: State Medicaid
- Nov 16 Dr. Hannah Weiss: CAQH attestation
- Nov 20 Dr. Aisha Grant: CPR / BLS certification
- Nov 30 Dr. Ethan Cole: Payer enrollment: Medicare