| CASE NUMBER | I-200-24295-420789 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/21/2024 |
| DECISION DATE | 10/28/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Clinical Coding Analyst, Principal |
| SOC CODE | 15-1211.00 |
| SOC TITLE | Computer Systems Analysts |
| FULL TIME POSITION | Y |
| BEGIN DATE | 4/10/2025 |
| END DATE | 4/9/2028 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | California Physicians' Service |
| TRADE NAME DBA | Blue Shield of California |
| EMPLOYER ADDRESS1 | 4203 Town Center Blvd |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | El Dorado Hills |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95762 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 19163507561 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Subido |
| EMPLOYER POC FIRST NAME | Linda |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | HR Operations Analyst, Sr. |
| EMPLOYER POC ADDRESS1 | 4203 Town Center Blvd. |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | El Dorado Hills |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95762 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 19166591397 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | linda.subido@blueshieldca.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Feldman |
| AGENT ATTORNEY FIRST NAME | Jason |
| AGENT ATTORNEY MIDDLE NAME | E |
| AGENT ATTORNEY ADDRESS1 | 2221 Camino del Rio S |
| AGENT ATTORNEY ADDRESS2 | Suite 201 |
| AGENT ATTORNEY CITY | San Diego |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 92108 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 16192999600 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | jason@feldmanfeldman.com |
| LAWFIRM NAME BUSINESS NAME | Feldman Feldman & Associates |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 4205 Town Center Blvd |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | El Dorado Hills |
| WORKSITE COUNTY | EL DORADO |
| WORKSITE STATE | CA |
| WORKSITE POSTAL CODE | 95762 |
| WAGE RATE OF PAY FROM | $146,431.27 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $132,475.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 2 |
| 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 | 2025-04-10 |
