\ H1B CASE NUMBER I-200-25260-316216



CASE NUNBER: I-200-25260-316216

LCA CASE NUMBERI-200-25260-316216
STATUSCertified
LCA CASE SUBMIT2025-09-17
DECISION DATE2025-09-24
VISA CLASSH-1B
LCA CASE JOB TITLESenior Applications Analyst
SOC CODE15-1299.00
SOC TITLEComputer Occupations, All Other
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2025-11-08
END DATE2028-11-07
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT0
CONTINUED EMPLOYMENT0
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION1
LCA CASE EMPLOYER NAMEDelta Dental Of California
EMPLOYER ADDRESS1560 Mission Street
EMPLOYER ADDRESS213th Floor
EMPLOYER CITYSan Francisco
EMPLOYER STATECA
EMPLOYER POSTAL CODE94105
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE19168612740
EMPLOYER FEIN94-1461312
NAICS CODE524114
EMPLOYER POC LAST NAMELE
EMPLOYER POC FIRST NAMEERIC
EMPLOYER POC JOB TITLEPeople Services Program Manager
EMPLOYER POC ADDRESS13241 Kilgore Rd.
EMPLOYER POC CITYRancho Cordova
EMPLOYER POC STATECA
EMPLOYER POC POSTAL CODE95670
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE19168612740
EMPLOYER POC EMAILele@delta.org
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY LAST NAMEBAHNAN
AGENT ATTORNEY FIRST NAMENADINE
AGENT ATTORNEY MIDDLE NAMEKHAMIS
AGENT ATTORNEY ADDRESS15355 Mira Sorrento Place
AGENT ATTORNEY ADDRESS2Suite 750
AGENT ATTORNEY CITYSAN DIEGO
AGENT ATTORNEY STATECA
AGENT ATTORNEY POSTAL CODE92121
AGENT ATTORNEY COUNTRYUNITED STATES OF AMERICA
AGENT ATTORNEY PHONE14152638460
AGENT ATTORNEY EMAIL ADDRESSNBAHNAN@FRAGOMEN.COM
LAWFIRM NAME BUSINESS NAMEFragomen - San Diego
LAWFIRM BUSINESS FEIN13-2726464
STATE OF HIGHEST COURTCA
NAME OF HIGHEST STATE COURTSUPREME COURT
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS120481 E Silver Creek Ln
LCA CASE WORKLOC1 CITYQueen Creek
LCA CASE WORKLOC1 STATEAZ
WORKSITE POSTAL CODE85142
LCA CASE WAGE RATE FROM126496.36
LCA CASE WAGE RATE UNITYear
PREVAILING WAGE118851
PW UNIT OF PAYYear
PW WAGE LEVELIII
PW OES YEAR7/1/2025 - 6/30/2026
TOTAL WORKSITE LOCATIONS1
AGREE TO LC STATEMENTTrue
H 1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business
PREPARER LAST NAMEBAHNAN C#9690203
PREPARER FIRST NAMENadine
PREPARER MIDDLE INITIALK
PREPARER BUSINESS NAMEFragomen - San Diego
PREPARER EMAILnbahnan@fragomen.com