| LCA CASE NUMBER | I-200-22066-955190 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-03-07 |
| DECISION DATE | 2022-03-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Primary Care Advanced Practice Provider |
| SOC CODE | 29-1171.00 |
| SOC TITLE | Nurse Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-08-27 |
| END DATE | 2025-08-26 |
| 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 | WellSpace Health |
| EMPLOYER ADDRESS1 | 777 12th Street |
| EMPLOYER ADDRESS2 | Suite 250 |
| EMPLOYER CITY | Sacramento |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95814 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19163138455 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | Bera |
| EMPLOYER POC FIRST NAME | Janine |
| EMPLOYER POC JOB TITLE | Chief Medical Officer |
| EMPLOYER POC ADDRESS1 | 777 12th Street |
| EMPLOYER POC CITY | Sacramento |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95814 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19163138455 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Higuera |
| AGENT ATTORNEY FIRST NAME | Danja |
| AGENT ATTORNEY ADDRESS1 | 2645 Executive Park Drive |
| AGENT ATTORNEY ADDRESS2 | Suite 527 |
| AGENT ATTORNEY CITY | Weston |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 33331 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12164011602 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Higuera Immigration Law, LLC |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Ohio Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 5 Medical Plaza Dr. |
| WORKSITE ADDRESS2 | #170 |
| LCA CASE WORKLOC1 CITY | Roseville |
| WORKSITE COUNTY | SACRAMENTO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95661 |
| LCA CASE WAGE RATE FROM | 114999.84 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 105602 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Higuera |
| PREPARER FIRST NAME | Danja |
| PREPARER BUSINESS NAME | Higuera Immigration Law |
| PREPARER EMAIL | [email protected] |
