\ H1B CASE NUMBER I-200-25122-931366



CASE NUNBER: I-200-25122-931366

LCA CASE NUMBERI-200-25122-931366
STATUSCertified
LCA CASE SUBMIT2025-05-02
DECISION DATE2025-05-09
VISA CLASSH-1B
LCA CASE JOB TITLESenior Software Engineer
SOC CODE15-1252
SOC TITLESoftware Developers
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2025-05-05
END DATE2028-05-04
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 ADDRESS111155 International Drive
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 PHONE18587931600
AGENT ATTORNEY EMAIL ADDRESSNBAHNAN@FRAGOMEN.COM
LAWFIRM NAME BUSINESS NAMEFRAGOMEN, DEL REY, BERNSEN & LOEWY, LLP
STATE OF HIGHEST COURTCA
NAME OF HIGHEST STATE COURTSUPREME COURT
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS11333 Broadway
WORKSITE ADDRESS2Suite 800
LCA CASE WORKLOC1 CITYOakland
WORKSITE COUNTYALAMEDA
LCA CASE WORKLOC1 STATECA
WORKSITE POSTAL CODE94612
LCA CASE WAGE RATE FROM162014.4
LCA CASE WAGE RATE UNITYear
PREVAILING WAGE155605
PW UNIT OF PAYYear
PW WAGE LEVELII
PW OES YEAR7/1/2024 - 6/30/2025
TOTAL WORKSITE LOCATIONS2
AGREE TO LC STATEMENTTrue
H 1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business
PREPARER LAST NAMEBAHNAN C#9370152
PREPARER FIRST NAMENadine
PREPARER MIDDLE INITIALK
PREPARER BUSINESS NAMEFragomen, Del Rey,Bernsen&Loewy,LLP
PREPARER EMAILnbahnan@fragomen.com