Fiscal Year

2021

Case Number

A-20128-51687

Case Status

Certified

Received Date

2020-05-11

Decision Date

2021-04-12

Refile

N

Original File Date

2021-01-01 09:12:12

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

AMPLA HEALTH

Employer Name Slug

ampla-health

Employer Address 1

935 MARKET STREET

Employer Address 2

Employer City

YUBA CITY

Employer City Slug

yuba-city

Employer State

CALIFORNIA

Employer State Slug

california

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

95991

Employer Phone

530 674-4261

Employer Number of Employees

512

Employer Year Commenced Business

1973

NAICS Code

621498

FW Ownership Interest

N

Employer Contact Name

Teresa Thornton

Employer Contact Address 1

935 Market Street

Employer Contact Address 2

Employer Contact City

Yuba City

Employer Contact State/Province

CALIFORNIA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

95991

Employer Contact Phone

530 674-4261

Employer Contact Email

tthornton@amplahealth.org

Agent Attorney Name

Dayna Kelly

Agent Attorney Firm Name

Law Offices of Dayna Kelly, P.C.

Agent Attorney Phone

(919) 969-7200

Agent Attorney Address 1

250 E Winmore Avenue

Agent Attorney Address 2

Agent Attorney City

Chapel Hill

Agent Attorney State/Province

NORTH CAROLINA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

27516

Agent Attorney Email

info@dkelly.com

PW Track Number

P10019114895651

PW SOC Code

29-1063

PW SOC Title

Internists, General

PW Skill Level

Level I

PW Wage

107723.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2019-08-27

PW Expiration Date

2020-06-30

Wage Offer From

187300.00

Wage Offer To

281000.00

Average Salary

234150.00

Wage Unit of Pay

Year

Worksite Address 1

1000 Sutter Street

Worksite Address 2

Worksite City

Yuba City

Worksite City Slug

yuba-city

Worksite State

CALIFORNIA

Worksite Postal Code

95991

Job Title

Internal Medicine Staff Physician

Job Title Slug

internal-medicine-staff-physician

Minimum Education

Other

Major Field of Study

Medicine

Required Training

Y

Required Experience

N

Required Experience Months

Accept Alternative Field of Study

N

Accept Alternative Major Field of Study

Accept Alternative Combination

N

Accept Alternative Combination Education

Accept Alternative Combination Education Years

Accept Foreign Education

Y

Accept Alternative Occupation

N

Accept Alternative Occupation Months

Accept Alternative Job Title

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

Medical degree or foreign equivalent. Complete Internal Medicine residency training program. Able to obtain California medical license and DEA registration prior to commencement of employment.

Combination Occupation

N

Offered to Applicant Foreign Worker

Y

Foreign Worker Live on Premises

N

Foreign Worker Live in Domestic Service

N

Foreign Worker Live in Domestic Service Count

Professional Occupation

Y

Application for College/University Teacher

N

SWA Job Order Start Date

2019-12-04

SWA Job Order End Date

2020-01-03

Sunday Edition Newspaper

Y

First Newspaper Name

Chico Enterprise Record

First Advertisement Start Date

2019-10-06

Second Newspaper Ad Name

Chico Enterprise Record

Second Advertisement Type

Newspaper

Second Ad Start Date

2019-10-13

Employer Website From Date

2020-02-25

Employer Website To Date

2020-03-16

Professional Organization Ad From Date

2021-01-01 09:12:12

Professional Organization Advertisement To Date

2021-01-01 09:12:12

Job Search Website From Date

2019-10-07

Job Search Website To Date

2019-11-04

Employee Referral Program From Date

2021-01-01 09:12:12

Employee Referral Program To Date

2021-01-01 09:12:12

Local Ethnic Paper From Date

2021-01-01 09:12:12

Local Ethnic Paper To Date

2021-01-01 09:12:12

Radio/TV Ad From Date

2019-10-11

Radio/TV Ad To Date

2019-10-17

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

CANADA

Foreign Worker Birth Country

INDIA

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2002

Foreign Worker Institution of Education

GOVERNMENT MEDICAL COLLEGE, BABA FARID UNIVERSITY OF MEDICAL SCIENCES

Foreign Worker Education Institution Address 1

SANGROOR ROAD

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

PATIALA

Foreign Worker Education Institution State/Province

PUNJAB

Foreign Worker Education Institution Country

INDIA

Foreign Worker Education Institution Postal Code

147001

Foreign Worker Experience with Employer

N/A

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

Dayna Kelly

Preparer Title

Attorney

Preparer Email

info@dkelly.com

Employer Information Declaration Name

Benjamin H Flores, M.P.H.

Employer Information Declaration Title

PresidentCEO