| CASE NUMBER | I-200-25021-632380 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/21/2025 |
| DECISION DATE | 1/28/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Occupational Therapist |
| SOC CODE | 29-1122.00 |
| SOC TITLE | Occupational Therapists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/30/2025 |
| END DATE | 1/29/2028 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | FRESNO COMMUNITY HOSPITAL & MEDICAL CENTER |
| TRADE NAME DBA | Community Health System |
| EMPLOYER ADDRESS1 | 126 N. FRESNO ST. |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | FRESNO |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 93710 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | CALIFORNIA |
| EMPLOYER PHONE | 15593244821 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Milton |
| EMPLOYER POC FIRST NAME | Carla |
| EMPLOYER POC MIDDLE NAME | N/A |
| EMPLOYER POC JOB TITLE | SVP Chief Human Resources Officer |
| EMPLOYER POC ADDRESS1 | 126 N. FRESNO ST. |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | FRESNO |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 93710 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 15593244401 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | JPehanick@communitymedical.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Doyle |
| AGENT ATTORNEY FIRST NAME | Christine |
| AGENT ATTORNEY MIDDLE NAME | L. |
| AGENT ATTORNEY ADDRESS1 | 650 Town Center Drive |
| AGENT ATTORNEY ADDRESS2 | 10th Floor |
| AGENT ATTORNEY CITY | Costa Mesa |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 92626 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 17144242853 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | cdoyle@sheppardmullin.com |
| LAWFIRM NAME BUSINESS NAME | Sheppard Mullin Richter & Hampton LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court of California |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 2823 Fresno St. |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Fresno |
| WORKSITE COUNTY | FRESNO |
| WORKSITE STATE | CA |
| WORKSITE POSTAL CODE | 93721 |
| WAGE RATE OF PAY FROM | $48.88 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $43.34 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Lee |
| PREPARER FIRST NAME | Lana |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Sheppard Mullin Richter & Hampton LLP |
| PREPARER EMAIL | llee@sheppardmullin.com |
| BEGIN DATE CONVERTED | 2025-01-30 |
