| CASE NUMBER | I-200-25015-621542 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/15/2025 |
| DECISION DATE | 1/23/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Neonatologist |
| SOC CODE | 29-1221.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | N |
| BEGIN DATE | 7/1/2025 |
| END DATE | 6/30/2028 |
| 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 | VALLEY CHILDREN'S SPECIALTY MEDICAL GROUP, INC. |
| TRADE NAME DBA | N / A |
| EMPLOYER ADDRESS1 | 9300 VALLEY CHILDREN'S PLACE |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | MADERA |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 93636 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 15593535700 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 6211 |
| EMPLOYER POC LAST NAME | SKILLIN |
| EMPLOYER POC FIRST NAME | LOURDINE |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Physician Recruitment Liaison |
| EMPLOYER POC ADDRESS1 | 9300 VALLEY CHILDREN'S PLACE |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | MADERA |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 93636 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 15593535700 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | LSKILLIN@VALLEYCHILDRENS.ORG |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | PEDERSON |
| AGENT ATTORNEY FIRST NAME | JAN |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 6931 ARLINGTON ROAD |
| AGENT ATTORNEY ADDRESS2 | SUITE 450 |
| AGENT ATTORNEY CITY | BETHESDA |
| AGENT ATTORNEY STATE | MD |
| AGENT ATTORNEY POSTAL CODE | 20814 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | MD |
| AGENT ATTORNEY PHONE | 12405830003 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | jan@wcslaw.com |
| LAWFIRM NAME BUSINESS NAME | WRIGHT, CONSTABLE & SKEEN, L.L.P. |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF THE UNITED STATES |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Yes |
| SECONDARY ENTITY BUSINESS NAME | Valley Children's Hospital |
| WORKSITE ADDRESS1 | 9300 VALLEY CHILDRENS PLACE |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | MADERA |
| WORKSITE COUNTY | MADERA |
| WORKSITE STATE | CA |
| WORKSITE POSTAL CODE | 93636 |
| WAGE RATE OF PAY FROM | $161.05 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $67.01 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-07-01 |
