| LCA CASE NUMBER | I-200-21005-995359 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-05 |
| DECISION DATE | 2021-01-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist Physician |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-01 |
| END DATE | 2024-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | NorthBay Hospital Based Specialists, Inc. |
| EMPLOYER ADDRESS1 | 1200 B. Gale Wilson Blvd |
| EMPLOYER ADDRESS2 | Suite 1559 |
| EMPLOYER CITY | Fairfield |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94533 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17078166932 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Pravin, MD |
| EMPLOYER POC FIRST NAME | Paresh |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS 1 | 1200 B Gale Wilson Blvd |
| EMPLOYER POC ADDRESS 2 | Suite 1559 |
| EMPLOYER POC CITY | Fairfield |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94533 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17078166932 |
| EMPLOYER POC EMAIL | drpravn1@hotmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Peterson |
| AGENT ATTORNEY FIRST NAME | Sarah |
| AGENT ATTORNEY MIDDLE NAME | K. |
| AGENT ATTORNEY ADDRESS1 | 1300 Lagoon Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 210 |
| AGENT ATTORNEY CITY | Minneapolis |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55408 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16123518100 |
| AGENT ATTORNEY EMAIL ADDRESS | sarah@spsimmigration.com |
|
| LAWFIRM NAME BUSINESS NAME | SPS Immigration PLLC |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | NorthBay Medical Center |
| WORKSITE ADDRESS1 | 1200 B Gale Wilson Blvd |
| LCA CASE WORKLOC1 CITY | Fairfield |
| WORKSITE COUNTY | SOLANO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94533 |
| LCA CASE WAGE RATE FROM | 328500 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 122886 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
