Summary of Alternative Access Standards for Accessing Doctors

County	Provider Type	Maximum Approved Distance (Miles)	Median Approved Distance (Miles)	Number of Alternative Access Standards
Alameda	Dermatology	30	30	23
Alameda	Endocrinology	30	30	15
Alameda	General Surgery	30	30	1
Alameda	Hematology	30	30	24
Alameda	Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases	30	30	2
Alameda	Nephrology	30	30	1
Alameda	Neurology	30	30	1
Alameda	Oncology	30	30	23
Alameda	Ophthalmology	30	30	1
Alameda	Orthopedic Surgery	30	30	1
Alameda	Physical Medicine and Rehabilitation	30	30	52
Alameda	Primary Care Physician	30	30	2
Alameda	Psychiatry	30	30	2
Alameda	Pulmonology	30	30	2
Alpine	Endocrinology	160	160	1
Alpine	Hospital	35	35	1
Alpine	Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases	75	75	4
Alpine	Nephrology	75	68	4
Alpine	Obstetrics and Gynecology Primary Care Physician	35	35	1
Alpine	Pharmacy	30	30	1
Alpine	Primary Care Physician	35	35	2
Amador	Hospital	35	35	1
Amador	Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases	70	70	4
Amador	Nephrology	70	70	4
Amador	Obstetrics and Gynecology Primary Care Physician	55	48	12
Amador	Primary Care Physician	35	35	1
Butte	Hospital	30	30	1
Butte	Obstetrics and Gynecology Primary Care Physician	25	23	3
Butte	Pharmacy	30	30	1
Calaveras	Hospital	35	33	2
Calaveras	Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases	75	75	2
Calaveras	Nephrology	70	70	4
Calaveras	Obstetrics and Gynecology Primary Care Physician	45	35	13
Calaveras	Pharmacy	35	35	1
Calaveras	Primary Care Physician	35	35	4
Colusa	Hospital	26	26	2
Colusa	Obstetrics and Gynecology Primary Care Physician	36	36	3
Colusa	Pharmacy	30	30	1
Colusa	Primary Care Physician	35	35	1
Contra Costa	Obstetrics and Gynecology Primary Care Physician	25	25	3
Contra Costa	Physical Medicine and Rehabilitation	37	30	2
Del Norte	Hospital	30	30	1
El Dorado	Endocrinology	118	106	10
El Dorado	Hospital	30	30	1
El Dorado	Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases	75	75	24
El Dorado	Nephrology	75	75	24
El Dorado	Obstetrics and Gynecology Primary Care Physician	65	55	19
Fresno	Cardiology/Interventional Cardiology	75	73	2
Fresno	Dermatology	80	75	2
Fresno	Ear, Nose, and Throat (ENT) / Otolaryngology	80	78	2
Fresno	Endocrinology	75	70	3
Fresno	Gastroenterology	75	73	2
Fresno	General Surgery	75	73	2
Fresno	Hematology	75	70	3
Fresno	Hospital	60	35	25
Fresno	Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases	75	68	4
Fresno	Nephrology	85	83	2
Fresno	Neurology	75	73	2
Fresno	Obstetrics and Gynecology Primary Care Physician	46	31	14
Fresno	Oncology	75	75	3
Fresno	Ophthalmology	80	60	8
Fresno	Orthopedic Surgery	80	78	2
Fresno	Pharmacy	35	35	5
Fresno	Physical Medicine and Rehabilitation	80	70	3
Fresno	Primary Care Physician	35	35	4
Fresno	Psychiatry	75	75	1
Fresno	Pulmonology	75	73	2
Glenn	Pharmacy	30	30	1
Glenn	Primary Care Physician	35	35	1
Humboldt	Hospital	30	30	9
Humboldt	Physical Medicine and Rehabilitation	90	90	35
Imperial	Endocrinology	155	93	34
Imperial	Hospital	72	55	12
Imperial	Nephrology	160	100	18
Imperial	Obstetrics and Gynecology Primary Care Physician	85	62	14
Imperial	Pharmacy	71	40	5
Imperial	Physical Medicine and Rehabilitation	160	83	34
Imperial	Primary Care Physician	75	54	16
Inyo	Cardiology/Interventional Cardiology	239	100	17
Inyo	Dermatology	335	130	29
Inyo	Ear, Nose, and Throat (ENT) / Otolaryngology	343	170	30
Inyo	Endocrinology	313	158	32
Inyo	Gastroenterology	150	100	31
Inyo	General Surgery	123	95	18
Inyo	Hematology	195	150	25
Inyo	Hospital	120	46	12
Inyo	Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases	324	125	30
Inyo	Mental Health (non-psychiatry) Outpatient Services	83	83	3
Inyo	Nephrology	230	113	28
Inyo	Neurology	300	150	25
Inyo	Obstetrics and Gynecology	164	86	3
Inyo	Obstetrics and Gynecology Primary Care Physician	230	183	12
Inyo	Oncology	299	135	26
Inyo	Ophthalmology	81	79	4
Inyo	Orthopedic Surgery	164	105	20
Inyo	Pharmacy	90	30	9
Inyo	Physical Medicine and Rehabilitation	327	185	30
Inyo	Primary Care Physician	85	35	18
Inyo	Psychiatry	327	145	18
Inyo	Pulmonology	327	143	30
Kern	Cardiology/Interventional Cardiology	75	75	1
Kern	Dermatology	135	105	60
Kern	Ear, Nose, and Throat (ENT) / Otolaryngology	90	90	14
Kern	Endocrinology	85	70	34
Kern	Gastroenterology	90	70	28
Kern	General Surgery	140	85	48
Kern	Hematology	160	100	67
Kern	Hospital	65	45	27
Kern	Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases	165	100	73
Kern	Nephrology	160	100	66
Kern	Neurology	115	75	30
Kern	Obstetrics and Gynecology Primary Care Physician	65	55	19
Kern	Oncology	160	100	63
Kern	Ophthalmology	95	88	16
Kern	Orthopedic Surgery	115	85	58
Kern	Pharmacy	65	38	4
Kern	Physical Medicine and Rehabilitation	95	70	30
Kern	Primary Care Physician	40	35	10
Kern	Psychiatry	71	71	1
Kern	Pulmonology	85	85	2
Kings	Cardiology/Interventional Cardiology	75	75	1
Kings	Dermatology	80	80	1
Kings	Ear, Nose, and Throat (ENT) / Otolaryngology	80	80	1
Kings	Endocrinology	70	70	1
Kings	Gastroenterology	75	75	1
Kings	General Surgery	75	75	1
Kings	Hematology	70	70	1
Kings	Hospital	40	28	2
Kings	Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases	70	70	2
Kings	Nephrology	90	75	4
Kings	Neurology	70	70	1
Kings	Obstetrics and Gynecology Primary Care Physician	33	33	1
Kings	Oncology	70	70	1
Kings	Ophthalmology	75	63	4
Kings	Orthopedic Surgery	80	80	1
Kings	Physical Medicine and Rehabilitation	75	75	1
Kings	Pulmonology	75	75	1
Lassen	Hematology	165	120	16
Lassen	Hospital	45	30	7
Lassen	Oncology	120	90	16
Lassen	Ophthalmology	120	90	24
Lassen	Physical Medicine and Rehabilitation	120	90	18
Lassen	Primary Care Physician	45	30	12
Los Angeles	Cardiology/Interventional Cardiology	65	24	16
Los Angeles	Dermatology	65	25	287
Los Angeles	Ear, Nose, and Throat (ENT) / Otolaryngology	65	25	232
Los Angeles	Endocrinology	65	25	179
Los Angeles	Gastroenterology	70	30	43
Los Angeles	General Surgery	70	20	48
Los Angeles	Hematology	65	20	193
Los Angeles	Hospital	40	22	12
Los Angeles	Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases	75	25	180
Los Angeles	Mental Health (non-psychiatry) Outpatient Services	64	64	1
Los Angeles	Nephrology	70	25	186
Los Angeles	Neurology	70	21	56
Los Angeles	Obstetrics and Gynecology	65	35	5
Los Angeles	Obstetrics and Gynecology Primary Care Physician	45	35	16
Los Angeles	Oncology	65	20	186
Los Angeles	Ophthalmology	65	30	44
Los Angeles	Orthopedic Surgery	70	20	84
Los Angeles	Pharmacy	40	30	2
Los Angeles	Physical Medicine and Rehabilitation	70	30	262
Los Angeles	Primary Care Physician	70	65	3
Los Angeles	Psychiatry	65	26	13
Los Angeles	Pulmonology	70	25	85
Madera	Hospital	45	35	12
Madera	Obstetrics and Gynecology Primary Care Physician	50	35	9
Madera	Ophthalmology	55	55	1
Mariposa	Hospital	35	30	3
Mariposa	Obstetrics and Gynecology Primary Care Physician	75	42	16
Mariposa	Pharmacy	35	35	1
Mariposa	Primary Care Physician	50	38	8
Mendocino	Hospital	30	30	7
Mendocino	Physical Medicine and Rehabilitation	90	90	13
Merced	Dermatology	81	81	1
Merced	Ear, Nose, and Throat (ENT) / Otolaryngology	84	82	2
Merced	Hematology	81	81	1
Merced	Hospital	40	32	5
Merced	Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases	78	78	1
Merced	Nephrology	78	78	1
Merced	Ophthalmology	127	105	26
Merced	Orthopedic Surgery	84	82	2
Merced	Physical Medicine and Rehabilitation	94	94	1
Merced	Pulmonology	84	79	9
Modoc	Hematology	165	165	22
Modoc	Hospital	45	30	6
Modoc	Oncology	120	120	22
Modoc	Ophthalmology	120	120	20
Modoc	Physical Medicine and Rehabilitation	120	120	22
Modoc	Primary Care Physician	30	30	6
Mono	Dermatology	365	205	5
Mono	Ear, Nose, and Throat (ENT) / Otolaryngology	110	90	14
Mono	Endocrinology	225	148	10
Mono	Gastroenterology	90	90	5
Mono	Hematology	200	94	12
Mono	Hospital	45	35	11
Mono	Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases	105	94	23
Mono	Nephrology	140	123	16
Mono	Neurology	107	90	6
Mono	Obstetrics and Gynecology Primary Care Physician	110	75	8
Mono	Oncology	110	90	3
Mono	Pharmacy	50	34	12
Mono	Physical Medicine and Rehabilitation	110	90	13
Mono	Primary Care Physician	50	35	14
Mono	Pulmonology	130	90	16
Monterey	Cardiology/Interventional Cardiology	102	82	5
Monterey	Dermatology	121	90	31
Monterey	Ear, Nose, and Throat (ENT) / Otolaryngology	138	120	42
Monterey	Endocrinology	113	90	23
Monterey	Gastroenterology	99	81	13
Monterey	General Surgery	114	93	18
Monterey	Hematology	119	83	31
Monterey	Hospital	70	44	8
Monterey	Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases	116	79	31
Monterey	Nephrology	116	79	31
Monterey	Neurology	102	84	10
Monterey	Oncology	111	86	25
Monterey	Ophthalmology	157	82	37
Monterey	Orthopedic Surgery	138	121	35
Monterey	Pharmacy	40	39	2
Monterey	Physical Medicine and Rehabilitation	184	107	42
Monterey	Primary Care Physician	75	63	10
Monterey	Pulmonology	116	79	31
Nevada	Endocrinology	85	78	4
Nevada	Hospital	30	30	1
Nevada	Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases	85	77	10
Nevada	Nephrology	85	80	7
Nevada	Obstetrics and Gynecology Primary Care Physician	50	40	15
Nevada	Pharmacy	30	30	1
Nevada	Primary Care Physician	35	35	1
Placer	Cardiology/Interventional Cardiology	100	100	1
Placer	Endocrinology	85	73	10
Placer	Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases	80	70	29
Placer	Nephrology	85	75	16
Placer	Obstetrics and Gynecology Primary Care Physician	65	55	27
Plumas	Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases	90	90	2
Plumas	Obstetrics and Gynecology Primary Care Physician	40	40	1
Plumas	Pharmacy	25	25	1
Plumas	Primary Care Physician	40	35	6
Riverside	Cardiology/Interventional Cardiology	45	45	2
Riverside	Dermatology	45	45	2
Riverside	Ear, Nose, and Throat (ENT) / Otolaryngology	45	45	4
Riverside	Endocrinology	100	65	22
Riverside	Gastroenterology	45	45	2
Riverside	Hematology	45	45	4
Riverside	Hospital	45	38	6
Riverside	Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases	55	50	9
Riverside	Nephrology	50	45	3
Riverside	Neurology	50	48	4
Riverside	Obstetrics and Gynecology	45	45	1
Riverside	Obstetrics and Gynecology Primary Care Physician	100	50	56
Riverside	Oncology	45	45	4
Riverside	Ophthalmology	45	43	4
Riverside	Orthopedic Surgery	40	40	2
Riverside	Pharmacy	25	20	5
Riverside	Physical Medicine and Rehabilitation	45	45	4
Riverside	Primary Care Physician	25	20	9
Riverside	Psychiatry	45	43	2
Riverside	Pulmonology	45	45	4
Sacramento	Cardiology/Interventional Cardiology	30	25	15
Sacramento	Dermatology	30	28	2
Sacramento	Ear, Nose, and Throat (ENT) / Otolaryngology	44	20	60
Sacramento	Endocrinology	35	25	21
Sacramento	Gastroenterology	35	24	11
Sacramento	General Surgery	35	25	25
Sacramento	Hematology	40	25	21
Sacramento	Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases	65	55	137
Sacramento	Nephrology	85	75	145
Sacramento	Neurology	35	30	14
Sacramento	Obstetrics and Gynecology	32	32	1
Sacramento	Obstetrics and Gynecology Primary Care Physician	32	28	6
Sacramento	Oncology	35	30	9
Sacramento	Ophthalmology	28	28	3
Sacramento	Orthopedic Surgery	35	24	36
Sacramento	Physical Medicine and Rehabilitation	60	50	152
Sacramento	Psychiatry	35	28	9
Sacramento	Pulmonology	65	38	7
San Benito	Hospital	15	15	1
San Benito	Obstetrics and Gynecology Primary Care Physician	15	15	1
San Benito	Pharmacy	15	15	1
San Bernardino	Cardiology/Interventional Cardiology	70	68	4
San Bernardino	Dermatology	115	100	10
San Bernardino	Ear, Nose, and Throat (ENT) / Otolaryngology	115	100	10
San Bernardino	Endocrinology	120	78	18
San Bernardino	Gastroenterology	115	100	10
San Bernardino	General Surgery	70	70	4
San Bernardino	Hematology	140	95	19
San Bernardino	Hospital	70	33	16
San Bernardino	Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases	120	78	16
San Bernardino	Nephrology	115	75	7
San Bernardino	Neurology	85	70	6
San Bernardino	Obstetrics and Gynecology	135	103	2
San Bernardino	Obstetrics and Gynecology Primary Care Physician	140	45	60
San Bernardino	Oncology	140	95	19
San Bernardino	Ophthalmology	100	100	8
San Bernardino	Orthopedic Surgery	75	73	4
San Bernardino	Pharmacy	70	30	13
San Bernardino	Physical Medicine and Rehabilitation	115	100	10
San Bernardino	Primary Care Physician	70	30	39
San Bernardino	Psychiatry	105	80	8
San Bernardino	Pulmonology	85	70	7
San Diego	Cardiology/Interventional Cardiology	89	39	141
San Diego	Dermatology	73	38	182
San Diego	Ear, Nose, and Throat (ENT) / Otolaryngology	83	40	149
San Diego	Endocrinology	79	40	225
San Diego	Gastroenterology	72	40	151
San Diego	General Surgery	84	37	209
San Diego	Hematology	98	38	238
San Diego	Hospital	85	45	59
San Diego	Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases	84	38	337
San Diego	Mental Health (non-psychiatry) Outpatient Services	40	40	7
San Diego	Nephrology	135	40	217
San Diego	Neurology	72	41	154
San Diego	Obstetrics and Gynecology	62	41	35
San Diego	Obstetrics and Gynecology Primary Care Physician	67	41	66
San Diego	Oncology	90	40	220
San Diego	Ophthalmology	150	42	134
San Diego	Orthopedic Surgery	90	40	171
San Diego	Physical Medicine and Rehabilitation	75	30	256
San Diego	Primary Care Physician	55	40	26
San Diego	Psychiatry	74	41	120
San Diego	Pulmonology	95	40	196
San Joaquin	Ear, Nose, and Throat (ENT) / Otolaryngology	30	30	2
San Joaquin	Hematology	75	55	35
San Joaquin	Oncology	70	55	35
San Joaquin	Ophthalmology	245	225	43
San Joaquin	Orthopedic Surgery	40	40	13
San Joaquin	Physical Medicine and Rehabilitation	105	105	43
San Joaquin	Pulmonology	55	40	33
San Luis Obispo	Cardiology/Interventional Cardiology	155	105	31
San Luis Obispo	Endocrinology	155	110	32
San Luis Obispo	Hospital	50	50	1
San Mateo	Endocrinology	32	32	1
Santa Barbara	Cardiology/Interventional Cardiology	70	70	1
Santa Barbara	Hospital	75	75	1
Santa Barbara	Pharmacy	80	80	1
Santa Clara	Gastroenterology	45	45	6
Santa Clara	Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases	50	50	7
Santa Clara	Neurology	45	45	6
Santa Clara	Physical Medicine and Rehabilitation	50	45	7
Santa Cruz	Dermatology	62	61	2
Santa Cruz	Ear, Nose, and Throat (ENT) / Otolaryngology	161	138	23
Santa Cruz	Hematology	62	61	2
Santa Cruz	Hospital	40	35	4
Santa Cruz	Oncology	62	61	2
Santa Cruz	Ophthalmology	62	60	5
Santa Cruz	Orthopedic Surgery	129	129	1
Santa Cruz	Physical Medicine and Rehabilitation	89	77	23
Shasta	Hospital	30	30	10
Sierra	Endocrinology	75	75	2
Sierra	Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases	90	90	4
Sierra	Nephrology	90	90	4
Sierra	Obstetrics and Gynecology Primary Care Physician	55	45	9
Sierra	Primary Care Physician	35	35	3
Siskiyou	Hematology	165	165	12
Siskiyou	Hospital	45	30	13
Siskiyou	Oncology	90	90	12
Siskiyou	Physical Medicine and Rehabilitation	90	90	12
Siskiyou	Primary Care Physician	30	30	6
Sonoma	Hospital	30	30	3
Stanislaus	Endocrinology	50	50	1
Stanislaus	Hematology	70	70	2
Stanislaus	Hospital	30	28	6
Stanislaus	Neurology	55	50	2
Stanislaus	Obstetrics and Gynecology Primary Care Physician	25	25	3
Stanislaus	Oncology	70	70	2
Sutter	Obstetrics and Gynecology Primary Care Physician	31	26	5
Tehama	Obstetrics and Gynecology Primary Care Physician	60	40	16
Tehama	Pharmacy	35	30	5
Tehama	Primary Care Physician	35	35	1
Trinity	Hospital	35	30	9
Trinity	Primary Care Physician	30	30	2
Tulare	Dermatology	95	88	2
Tulare	Ear, Nose, and Throat (ENT) / Otolaryngology	75	68	4
Tulare	General Surgery	140	140	1
Tulare	Hematology	105	75	20
Tulare	Hospital	45	35	7
Tulare	Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases	105	75	20
Tulare	Obstetrics and Gynecology Primary Care Physician	29	29	1
Tulare	Oncology	80	80	1
Tulare	Ophthalmology	60	60	1
Tulare	Orthopedic Surgery	85	85	1
Tulare	Pulmonology	150	150	1
Tuolumne	Endocrinology	193	155	2
Tuolumne	Hospital	40	33	10
Tuolumne	Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS), Infectious Diseases	95	88	4
Tuolumne	Nephrology	80	75	8
Tuolumne	Obstetrics and Gynecology Primary Care Physician	35	25	18
Tuolumne	Pharmacy	35	33	2
Tuolumne	Primary Care Physician	35	35	7
Yolo	Hospital	30	30	2
Yuba	Hospital	35	35	1
Yuba	Obstetrics and Gynecology Primary Care Physician	35	35	7