| LCA CASE NUMBER | I-200-21153-360532 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-01 |
| DECISION DATE | 2021-06-08 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician Assistant |
| SOC CODE | 29-1071.00 |
| SOC TITLE | Physician Assistants |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-01 |
| END DATE | 2024-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | BASS MEDICAL GROUP |
| EMPLOYER ADDRESS1 | 2637 Shadelands Dr. |
| EMPLOYER CITY | Walnut Creek |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94598 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16504502245 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Marcus |
| EMPLOYER POC FIRST NAME | Samuel |
| EMPLOYER POC JOB TITLE | Medical Doctor |
| EMPLOYER POC ADDRESS 1 | 2490 Hospital Dr. |
| EMPLOYER POC ADDRESS 2 | Suite 211 |
| EMPLOYER POC CITY | Mountain View |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94040 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16504502245 |
| EMPLOYER POC EMAIL | smarcus@marcusgi.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Fok |
| AGENT ATTORNEY FIRST NAME | Justin |
| AGENT ATTORNEY MIDDLE NAME | Gong |
| AGENT ATTORNEY ADDRESS1 | 100 Century Center Court |
| AGENT ATTORNEY ADDRESS2 | Suite 420 |
| AGENT ATTORNEY CITY | San Jose |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 95112 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14086068911 |
| AGENT ATTORNEY EMAIL ADDRESS | jfok@jfoklaw.com |
| LAWFIRM NAME BUSINESS NAME | Fok Immigration Law |
|
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | CALIFORNIA SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2490 Hospital Dr. |
| WORKSITE ADDRESS2 | Suite 211, 309 |
| LCA CASE WORKLOC1 CITY | Mountain View |
| WORKSITE COUNTY | SANTA CLARA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94040 |
| LCA CASE WAGE RATE FROM | 108867 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 108867 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |
