| CASE NUMBER | I-200-24290-412189 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/16/2024 |
| DECISION DATE | 10/23/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Hospitalist |
| SOC CODE | 29-1229.02 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 3/28/2025 |
| END DATE | 3/27/2028 |
| 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 | H.M. Providers, Inc. |
| TRADE NAME DBA | Community Hospitalist Physician Group |
| EMPLOYER ADDRESS1 | 45 River Park Place West |
| EMPLOYER ADDRESS2 | Suite 507 |
| EMPLOYER CITY | Fresno |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 93720 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 15593244784 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Tierney |
| EMPLOYER POC FIRST NAME | Nina |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Associate General Counsel |
| EMPLOYER POC ADDRESS1 | 45 River Park Place West |
| EMPLOYER POC ADDRESS2 | Suite 507 |
| EMPLOYER POC CITY | Fresno |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 93720 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 15593244001 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | chplegal@communitymedical.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Rosenthal |
| AGENT ATTORNEY FIRST NAME | Clifford |
| AGENT ATTORNEY MIDDLE NAME | Evan |
| AGENT ATTORNEY ADDRESS1 | 1416 2nd Street |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Santa Monica |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90401 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 13105704088 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | crosenthal@wolfsdorf.com |
| LAWFIRM NAME BUSINESS NAME | Wolfsdorf Rosenthal LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Yes |
| SECONDARY ENTITY BUSINESS NAME | Clovis Community Medical Center |
| WORKSITE ADDRESS1 | 2755 Herndon Avenue |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Clovis |
| WORKSITE COUNTY | FRESNO |
| WORKSITE STATE | CA |
| WORKSITE POSTAL CODE | 93611 |
| WAGE RATE OF PAY FROM | $326,049.36 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $239,200.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | N/A |
| 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 | Kim |
| PREPARER FIRST NAME | Jean |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Wolfsdorf Rosenthal LLP |
| PREPARER EMAIL | jkim@wolfsdorf.com |
| BEGIN DATE CONVERTED | 2025-03-28 |
