Fiscal Year

2021

Case Number

A-20189-73706

Case Status

Certified

Received Date

2020-11-09

Decision Date

2021-05-19

Refile

N

Original File Date

2021-01-01 09:24:48

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

PHYSICIANS NETWORK MEDICAL GROUP, INC.

Employer Name Slug

physicians-network-medical-group-inc

Employer Address 1

ONE ADVENTIST HEALTH WAY

Employer Address 2

Employer City

ROSEVILLE

Employer City Slug

roseville

Employer State

CALIFORNIA

Employer State Slug

california

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

95661

Employer Phone

916-406-0082

Employer Number of Employees

330

Employer Year Commenced Business

2011

NAICS Code

621111

FW Ownership Interest

N

Employer Contact Name

Kim Drizen

Employer Contact Address 1

One Adventist Health Way

Employer Contact Address 2

Employer Contact City

Roseville

Employer Contact State/Province

CALIFORNIA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

95661

Employer Contact Phone

916-406-0082

Employer Contact Email

drizenkm@ah.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

P10020090445435

PW SOC Code

29-1063

PW SOC Title

Internists, General

PW Skill Level

Level I

PW Wage

165000.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-07-07

PW Expiration Date

2021-06-30

Wage Offer From

165006.00

Wage Offer To

408154.00

Average Salary

286580.00

Wage Unit of Pay

Year

Worksite Address 1

1939 S Academy Avenue

Worksite Address 2

Worksite City

Sanger

Worksite City Slug

sanger

Worksite State

CALIFORNIA

Worksite Postal Code

93657

Job Title

Physician

Job Title Slug

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 36month Internal Medicine residency training program or 36month Family Medicine residency training program. Board certified BC or board eligible BE in Internal Medicine, or board certified BC or board eligible BE in Family Medicine. Physician is considered board eligible upon completion of residency training program. Able to obtain California medical license prior to commencement of employment. Meet hospitals medical staff credentialing standards.

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

2020-05-29

SWA Job Order End Date

2020-06-30

Sunday Edition Newspaper

Y

First Newspaper Name

The Fresno Bee

First Advertisement Start Date

2020-06-21

Second Newspaper Ad Name

The Fresno Bee

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-06-28

Employer Website From Date

2020-06-04

Employer Website To Date

2020-06-12

Professional Organization Ad From Date

2021-01-01 09:24:48

Professional Organization Advertisement To Date

2021-01-01 09:24:48

Job Search Website From Date

2020-06-05

Job Search Website To Date

2020-06-12

Employee Referral Program From Date

2021-01-01 09:24:48

Employee Referral Program To Date

2021-01-01 09:24:48

Local Ethnic Paper From Date

2021-01-01 09:24:48

Local Ethnic Paper To Date

2021-01-01 09:24:48

Radio/TV Ad From Date

2021-01-01 09:24:48

Radio/TV Ad To Date

2021-01-01 09:24:48

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

HONDURAS

Foreign Worker Birth Country

JAPAN

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2012

Foreign Worker Institution of Education

NATIONAL AUTONOMOUS UNIVERSITY OF HONDURAS

Foreign Worker Education Institution Address 1

CALLE DE LA SALUD

Foreign Worker Education Institution Address 2

EDIFICIO DE LA FACULTAD DE CIENCIAS MEDICAS

Foreign Worker Education Institution City

TEGUCIGALPA

Foreign Worker Education Institution State/Province

FRANCISCO MORAZON

Foreign Worker Education Institution Country

HONDURAS

Foreign Worker Education Institution Postal Code

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

Kimberly Drizen

Employer Information Declaration Title

Human Performance Director