Provider Data Reporting Form

Have you found any inaccurate data on Find a Provider? Use this form to help us ensure that the Provider data on our Find a Provider tool is accurate.

If you would like to submit this information by phone or email, or if you have any questions please contact us at:

Phone: 1-877-658-0305. (For TTY, contact California Relay by dialing 711 and provide the 1-877-658-0305 number)
Email: CAProvData@cahealthwellness.com

If you need help finding a doctor, please contact Member Services at 1-877-658-0305. (For TTY, contact California Relay by dialing 711 and provide the 1-877-658-0305 number)

Required fields are marked with an asterisk (*)

Are you a Member or Other Party? *

What is the Provider's Name? *

What is the Provider's Phone Number? *

Find an error? Report it here. *

This field is for validation purposes and should be left unchanged.