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Fast Facts About Us

June 2025

Compassionate care, accessible to all, for a healthy community

Members: 242,140

Membership Growth

Fiscal Years 2015–2025

2024-25: 242,140; 2023-24: 246,838; 2022-23: 254,610; 2021-22: 238,477; 2019-20: 199,636; 2018-19: 193,646; 2017-18: 196,793; 2016-17: 201,454; 2015-16: 206,920

Membership by Supervisorial District

District 1: 34,650 Matt LaVere; District 2: 23,090 Jeff Gorell; District 3: 44,096, Kelly Long; District 4: 33,404, Janice Parvin; District 5: 99,674 Vianey Lopez; Other: 7,226

Membership by
Age

Ages 0-5: 10%; Ages 6-17: 23%; Ages 18-64: 56%; Ages 65+: 11%

Membership by
Spoken Languages

English: 60%, Spanish: 38%, Other: 2%

Membership by
Aid Category

Families: 52%; Adult Expansion: 33%; Duals (dually Eligible for Medicare and Medi-Cal): 10%; SPD (Seniors and Persons with Disabilities): 5%

Who We Serve

1 in 2
Ventura County children (ages 0–5)

1 in 3
Ventura County residents

1 in 6
Ventura County seniors

Our Provider Network*

488 Primary Care Providers
7,142 Specialists**
24 Hospitals
19 Acute Care Hospitals
5 Tertiary Hospitals
1,072 Behavioral Health Providers
483 Other Service Providers

*Most recent data approved by the state Department of Health Care Services (DHCS).

**Specialists who work in multiple locations are counted once.

Download the Fast Facts pdf

Quality Services

2024 Measurement Year (MY) Gold Coast Health Plan (GCHP) Performance Highlights

  • GCHP reported 39 quality of care measures to the state Department of Health Care Services (DHCS) and the National Committee for Quality Assurance (NCQA).
  • GCHP reported improvement in eight measures, most notably well-child visits in the first 15 months of life, follow-up after an emergency department visit for alcohol and other drug abuse and dependence, and child and adolescent well-care visits.
  • Of the 15 measures held to the minimum performance level (50th Medicaid HMO percentile ranking established by NCQA Quality Compass®), 11 measures met or exceeded the 50th NCQA percentile.
  • GCHP scored in the 90th NCQA percentile for the Timelines of Prenatal Care and Postpartum Care.
  • GCHP scored in the 75th NCQA percentile for the Hemoglobin A1C-Poor Control.
  • GCHP successfully passed the NCQA Health Effectiveness Data and Information Set (HEDIS®) Compliance Audit™ for the 11th consecutive year.

Governance

Gold Coast Health Plan Executive Leadership

Felix Nuñez, MD
Chief Executive Officer

Paul Aguilar
Chief of Human Resources and Organizational Performance

Theodore Bagley
Chief Diversity Officer

Erik Cho
Chief Policy and Program Officer

James Cruz, MD
Chief Medical Officer

Sara Dersch
Chief Finance Officer

Robert Franco
Chief Compliance Officer

Eve Gelb
Chief Innovation Officer

Alan Torres
Chief Information and System Modernization Officer

Marlen Torres
Chief Member Experience and External Affairs Officer

Ventura County Board of Supervisors

Matt LaVere
Chair of the Board, District 1

Jeff Gorell
Supervisor, District 2

Kelly Long
Vice Chair of the Board, District 3

Janice S. Parvin
Supervisor, District 4

Vianey Lopez
Supervisor, District 5

Ventura County Medi-Cal Managed Care Commission

Laura Espinosa Chair
Consumer Representative

Dee Pupa Vice Chair
Ventura County Health Care Agency

Anwar Abbas
Clinicas del Camino Real, Inc.

Allison Blaze, MD
Ventura County Health Care Agency

James Corwin
Community Memorial Health System

Jaime Duncan
Ventura County Human Services Agency

Vianey Lopez
Ventura County Board of Supervisors

Anna Monroy
Clinicas del Camino Real, Inc.

Timothy Myers
Los Robles Regional Medical Center

Sara Sanchez
County of Ventura

Scott Underwood, DO
Oceanview Medical Specialists

General Counsel

Scott H. Campbell
BB&K Law

Community Advisory Committee

Ruben Juarez Chairperson
Ventura County Health Care Agency, Whole Person Care

Pablo Velez Vice Chairperson
Amigo Baby, Inc.

Frisa Herrera
Casa Pacifica

Martha Johnson
Ventura County Health Care Agency

Laurie Hall Jordan
Rainbow Connection / Tri-Counties Regional Center

Rose MacKay

Elaine Martinez
Ventura County Human Services Agency

Juana Quintal

Rafael Stoneman
Gold Coast Veterans Foundation

Provider Advisory Committee

Masood Babaeian
Ventura Transit System, Inc.

Amelia Breckenridge, MD
Ventura County Health Care Agency

Molly Corbett
Livingston Memorial Visiting Nurse Association

Claudia Gallard
Clinicas del Camino Real, Inc.

Katy Krul
Oxnard Family Circle

Amanda Larson
Mission Healthcare

Sim Mandelbaum
Coastal View Health Care

Milad Pezeschki, MD
Adventist Health

Vincent Pillard
Slate Bistro

Josie Roemhild
Carelon Behavioral Health

Kristine Supple
Community Memorial Health System

Pablo Velez
Amigo Baby, Inc.