| LCA CASE NUMBER | I-200-23191-177707 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-07-10 |
| DECISION DATE | 2023-07-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist |
| SOC CODE | 29-1229.02 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2024-01-01 |
| END DATE | 2026-12-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Providence Medical Group, Northern California |
| EMPLOYER ADDRESS1 | 185 Sotoyome Street |
| EMPLOYER CITY | Santa Rosa |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95405 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17075475437 |
| NAICS CODE | 6211 |
| EMPLOYER POC LAST NAME | Layher |
| EMPLOYER POC FIRST NAME | Ellen |
| EMPLOYER POC JOB TITLE | Regional Director Physician Relations, Northern CA |
| EMPLOYER POC ADDRESS1 | 185 Sotoyome Street |
| EMPLOYER POC CITY | Santa Rosa |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95405 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17073873934 |
| EMPLOYER POC EMAIL | Ellen.Layher@providence.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Salter |
| AGENT ATTORNEY FIRST NAME | Michelle |
| AGENT ATTORNEY ADDRESS1 | 215 Don Knotts Blvd. |
| AGENT ATTORNEY ADDRESS2 | Suite 310 |
| AGENT ATTORNEY CITY | Morgantown |
| AGENT ATTORNEY STATE | WV |
| AGENT ATTORNEY POSTAL CODE | 26501 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13042251426 |
| AGENT ATTORNEY EMAIL ADDRESS | michelle.salter@dinsmore.com |
| LAWFIRM NAME BUSINESS NAME | Dinsmore & Shohl LLP |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | Washington Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Petaluma Valley Hospital |
| WORKSITE ADDRESS1 | 400 N. McDowell Blvd. |
| LCA CASE WORKLOC1 CITY | Petaluma |
| WORKSITE COUNTY | SONOMA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94954 |
| LCA CASE WAGE RATE FROM | 145 |
| LCA CASE WAGE RATE TO | 190 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 55.13 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 5 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
