| LCA CASE NUMBER | I-200-23101-923166 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-04-11 |
| DECISION DATE | 2023-04-18 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Application Developer, Consultant |
| SOC CODE | 15-1211.00 |
| SOC TITLE | Computer Systems Analysts |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-10-02 |
| END DATE | 2026-10-01 |
| 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 | California Physician's Service |
| TRADE NAME DBA | Blue Shield of California |
| EMPLOYER ADDRESS1 | 4203 Town Center Blvd. |
| EMPLOYER CITY | El Dorado Hills |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95762 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19163507561 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | Subido |
| EMPLOYER POC FIRST NAME | Linda |
| EMPLOYER POC JOB TITLE | Sr. HR Analyst, People Operations |
| EMPLOYER POC ADDRESS1 | 4203 Town Center Blvd. |
| EMPLOYER POC CITY | El Dorado Hills |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95762 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19163507561 |
| EMPLOYER POC EMAIL | linda.subido@blueshieldca.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Hertel |
| AGENT ATTORNEY FIRST NAME | Mark |
| AGENT ATTORNEY ADDRESS1 | 2221 Camino del Rio South |
| AGENT ATTORNEY ADDRESS2 | Suite 201 |
| AGENT ATTORNEY CITY | San Diego |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 92108 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16192999600 |
| AGENT ATTORNEY EMAIL ADDRESS | mark@feldmanfeldman.com |
| LAWFIRM NAME BUSINESS NAME | Feldman Feldman & Associates, PC |
| STATE OF HIGHEST COURT | VA |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 4203 Town Center Boulevard |
| LCA CASE WORKLOC1 CITY | El Dorado Hills |
| WORKSITE COUNTY | EL DORADO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95762 |
| LCA CASE WAGE RATE FROM | 148000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 121805 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |