Fiscal Year

2022

Case Number

A-21124-81690

Case Status

Certified-Expired

Received Date

2021-06-02

Decision Date

2021-11-16

Refile

N

Original File Date

2022-01-01 10:26:27

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

549

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 1149

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

P10020321913903

PW SOC Code

29-1063

PW SOC Title

Internists, General

PW Skill Level

Level I

PW Wage

115918.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-04-01

PW Expiration Date

2021-06-30

Wage Offer From

208000.00

Wage Offer To

290700.00

Average Salary

249350.00

Wage Unit of Pay

Year

Worksite Address 1

7981 State Hwy 99 East

Worksite Address 2

Worksite City

Los Molinos

Worksite City Slug

los-molinos

Worksite State

CALIFORNIA

Worksite Postal Code

96055

Job Title

Internal Medicine Physician

Job Title Slug

internal-medicine-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

2020-12-11

SWA Job Order End Date

2021-01-29

Sunday Edition Newspaper

Y

First Newspaper Name

Chico Enterprise Record Oroville MercuryRegister

First Advertisement Start Date

2020-12-13

Second Newspaper Ad Name

Chico Enterprise Record Oroville MercuryRegister

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-12-20

Employer Website From Date

2020-12-14

Employer Website To Date

2021-03-30

Professional Organization Ad From Date

2022-01-01 10:26:27

Professional Organization Advertisement To Date

2022-01-01 10:26:27

Job Search Website From Date

2020-12-14

Job Search Website To Date

2021-01-08

Employee Referral Program From Date

2022-01-01 10:26:27

Employee Referral Program To Date

2022-01-01 10:26:27

Local Ethnic Paper From Date

2022-01-01 10:26:27

Local Ethnic Paper To Date

2022-01-01 10:26:27

Radio/TV Ad From Date

2020-12-16

Radio/TV Ad To Date

2020-12-27

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

INDIA

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

UNIVERSITY OF RAJASTHAN JAIPUR

Foreign Worker Education Institution Address 1

SARDAR PATEL MEDICAL COLLEGE

Foreign Worker Education Institution Address 2

PBM HOSPITAL

Foreign Worker Education Institution City

BIKANER

Foreign Worker Education Institution State/Province

RAJASTHAN

Foreign Worker Education Institution Country

INDIA

Foreign Worker Education Institution Postal Code

334001

Foreign Worker Experience with Employer

N

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

CEO