\ H1B CASE NUMBER I-200-21336-738957



CASE NUNBER: I-200-21336-738957

LCA CASE NUMBERI-200-21336-738957
STATUSCertified - Withdrawn
LCA CASE SUBMIT2021-12-02
DECISION DATE2022-02-07
ORIGINAL CERT DATE2021-12-09
VISA CLASSH-1B
LCA CASE JOB TITLEHematologist-Oncologist
SOC CODE29-1069.00
SOC TITLEPhysicians and Surgeons, All Other
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2022-01-01
END DATE2024-12-31
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT0
CONTINUED EMPLOYMENT0
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER1
AMENDED PETITION0
LCA CASE EMPLOYER NAMEPhysicians Network Medical Group, Inc.
EMPLOYER ADDRESS1One Adventist Health Way
EMPLOYER CITYRoseville
EMPLOYER STATECA
EMPLOYER POSTAL CODE95661
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE19164060082
NAICS CODE62111
EMPLOYER POC LAST NAMESchreiber
EMPLOYER POC FIRST NAMEChristy
EMPLOYER POC JOB TITLESenior Human Performance Advisor
EMPLOYER POC ADDRESS1One Adventist Health Way
EMPLOYER POC CITYRoseville
EMPLOYER POC STATECA
EMPLOYER POC POSTAL CODE95661
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE19164060060
EMPLOYER POC EMAIL[email protected]
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY LAST NAMEKelly
AGENT ATTORNEY FIRST NAMEDayna
AGENT ATTORNEY MIDDLE NAMEJo
AGENT ATTORNEY ADDRESS1250 E. Winmore Ave
AGENT ATTORNEY CITYChapel Hill
AGENT ATTORNEY STATENC
AGENT ATTORNEY POSTAL CODE27516
AGENT ATTORNEY COUNTRYUNITED STATES OF AMERICA
AGENT ATTORNEY PHONE19199697200
AGENT ATTORNEY EMAIL ADDRESS[email protected]
LAWFIRM NAME BUSINESS NAMELaw Offices of Dayna Kelly, PC
STATE OF HIGHEST COURTNC
NAME OF HIGHEST STATE COURTSupreme Court
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS12620 Chester Avenue
LCA CASE WORKLOC1 CITYBakersfield
WORKSITE COUNTYKERN
LCA CASE WORKLOC1 STATECA
WORKSITE POSTAL CODE93301
LCA CASE WAGE RATE FROM107162
LCA CASE WAGE RATE TO779859
LCA CASE WAGE RATE UNITYear
PREVAILING WAGE107162
PW UNIT OF PAYYear
PW WAGE LEVELII
PW OES YEAR7/1/2021 - 6/30/2022
TOTAL WORKSITE LOCATIONS3
AGREE TO LC STATEMENTTrue
H1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business