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CCRMC residency program has over 50 faculty members that are directly involved with resident teaching. The faculty shown below are members of the Faculty Leadership Group, a diverse committee of teachers representing many disciplines throughout the residency program whose job is to assist the Residency Director in designing an ideal teaching curriculum.

Program faculty are full-time employees of Contra Costa County. Our "staff model" allows maximal teaching, avoids conflicts observed in programs where faculty salaries are largely derived from patient care revenues.

  • 60 faculty teach residents at least one half-day per week.
  • Each service has "registrars" - most are family physicians with additional training and experience such that they function as another specialist, whether OB, pediatrics, or surgery.
  • Registrar system allows for teaching always through the eyes of a family physician.
  • Simultaneously the resident gets "expert" knowledge through the eyes of the "specialist."
  • Faculty is culturally diverse.
  • Most specialties are represented at CCRMC.

Jeremy Fish, MD

I came to Contra Costa as a resident in 1991, did a one year OB fellowship at Contra Costa, and joined the Internal Medicine Registrar group in the summer of 1995. I recently shifted over to being a full-time inpatient Family Medicine Surgery Registrar and continue to actively teach in the inpatient setting.

I am deeply grateful for many things—most importantly my wife Susan and son Benjamin, having a rich and rewarding career in a Family Medicine-strong environment with amazing teachers and more amazing residents, and running and reading which fill my energy tank every day.

I was asked this year by CAFP leadership to facilitate an exciting collaboration across all CA Family Medicine Residency programs to establish a new CAFP Residency Leadership Commission. We had our kick-off workshop / session attended by nearly 40 CA Program Directors, establishing our initial Strategic Priorities for 2011 - 2012 and beyond.

I do my best to respond personally to personal emails sent to me by interested medical students. We are a very active and energetic full-spectrum Family Medicine Residency, and I look forward to talking/ emailing with many of you in the future. My email address is:

Tai Roe, MD, Ph.D.
Associate Program Director and Lead Preceptor

I stayed here at Contra Costa county after graduating from this residency in 2005. My greatest joy at work is teaching residents, and I have been a Lead Preceptor since October of 2007. In spring of 2010, I became the Associate Program Director and will lead our new Ambulatory Curriculum Group. Before becoming a doctor, I studied physics in college, got a Ph.D. in molecular and cellular biology, did postdoctoral research and then worked at a genome database project. Outside of work, my beautiful wife and my darling son, born in December, 2008, are the center of my life.

Pyra Aarden, MD
Emergency Medicine

I graduated from University of Nebraska Medical School and did residency in Emergency Medicine at state Medical Center in Syracuse, NY. I started working in NYC, and following my husband's job change, moved to California and joined CCRMC. My interests include wilderness/rescue and international medicine, and I am a partner in Global Medical Rescue Services, which teaches Wilderness Rescue and Remote Medicine and holds village/expedition medical clinics around the world. I enjoy spending time with my family, traveling, and playing outdoors in the great California weather.

Karen Alingog, MD
Assistant Program Director
Family Medicine

I completed my Family Medicine residency training at CCRMC in 2008. I have always wanted to teach especially at the Pittsburg Health Center (PHC) which has been my primary clinic site since 2005. I started precepting at PHC in 2009 and have enjoyed tremendously the opportunity to work closely with our amazing residents. In 2010, I became a member of the Residency Leadership Group (RLG), which has allowed me to learn various leadership, communication & interpersonal skills. I am currently the co-chair of the Ambulatory Curricular Group and in 7/2011, became one of the Assistant Program Directors with a focus on faculty and resident development and support. I love spending time with family & friends especially with my husband and our 2 guinea pigs. I enjoy reading, dancing, hiking and became a certified instructor for women's kickboxing last year.

Marisha Chilcott, MD
Emergency Medicine

I attended medical school at UC Davis as an orthogonal career change from economic consulting for public utilities. I graduated from UC Davis in 2003 and was lucky to be directed to CCRMC for residency by a friend who knew that she wanted comprehensive family medicine training. After finishing residency in 2006, I was enticed into the Emergency Department by the charismatic and influential Dr. Mark Stinson. I now split my time between the ER in Martinez, my private family practice, and my medical aesthetics practice in Santa Rosa. Outside of medicine, I enjoy mountain biking, road cycling, SCUBA diving, and kite boarding.

Krista Farey, MD, MS
Faculty, Department of Family Medicine
Preceptor, Richmond Health Center and North Richmond Center for Health

I have been happily working for CCRMC and Richmond Health Center since 1989, long enough to enjoy growing up with a generation of continuity patients, and to have had the opportunity to provide obstetrical care for young women I have been caring for since before they were born. I graduated from the UCB-UCSF Joint Medical Program in 1984, and the UMass Worcester Family Practice Residency in 1987. My interests include single-payer health care policy reform, group medical visits and integrative medicine. I've served as president of the medical staff, and of California Physician's Alliance. I train residents in group prenatal and group pediatric care. I live and play with my husband Vishu, our two teenaged daughters, Usha and Anuradha, a black cat, a backyard labyrinth, and world music flutes and drums.

Anni Hansen, MD

After graduating from UCLA School of Medicine in 2003, I chose to go to CCRMC for Family Medicine residency because of its broad and well-rounded training with a focus on working with the underserved. I loved my time in residency and decided to stay on at CCRMC as faculty with a focus on outpatient family medicine. In 2009 I joined the Lead Preceptor group and became Director of Ambulatory Rotations. I enjoy precepting in Family Medicine Clinic and developing our ambulatory curriculum. In my free time I love spending time with my husband and two beautiful daughters.

Ann Harvey, MD
Family Medicine
Preceptor, Richmond Health Center

I came to Richmond Health Center in 1994 from the UCSF-SFGH Family Practice residency program. I love precepting the fantastic residents that this program attracts and serving our patients alongside my dedicated coworkers. I divide my time between Richmond Family Practice Clinic, HIV clinics in Richmond and Martinez, and precepting. Outside of work, I like gardening, cooking, walks, seasonal biking to work, what little political involvement I can fit in, and life with my partner Francesca and her 94-year old mother. Email me at

Patty Hennigan, Ph.D.
Clinical Psychologist, Behavioral Medicine Faculty
Residency Leadership Group Member

I started with CCRMC as a psychology intern and joined the staff in 2001. I attended the University of Virginia as an undergraduate and completed a doctoral program at California School of Professional Psychology. My current interests include Integrative Medicine and developing group medical visits for Chronic Pain. I am also involved in resident education as a member of the Residency Leadership Group and have a strong interest in resident well-being at CCRMC. Outside of work, I love being a mom, spending time with family and friends, camping and reading novels.

Estela Hernandez, MD
Family and Emergency Medicine

I have been a fulltime faculty in the ED since graduating residency in 2001. I came to CCRMC because of its strong procedural teaching and patient population. I also do occasional OB shifts backing up the intern. Between January 2005 to January 2007, I was a member of the Residency Leadership Group as the Associate Residency Director. I continue to work with the Residency Leadership Group, heading the Interview and Ranking Committee for the last four years. I was born in Mexico and immigrated to the US at 11 years of age settling down in Santa Ana, California. I attended Smith College in Massachusetts and then UC Davis Medical School. I enjoy spending time with my family, including my little boy, husband, and dogs. I also love to cook and dance particularly salsa, cumbia, and rancheras.

Brian Johnson, MD
Internal Medicine Registrar, Residency Leadership Group

A native of Seattle, Washington, and graduate of UW Schoolof Medicine,I did my training at the University of New Mexico completing my family medicine residency in 2009. In 2010 I joined the Department of Internal Medicine at CCRMC to become one of the medicine registrars where I have had the great opportunity to work with and train our dynamite residents. My broader interests in medicine include Global Health and HealthProfessionalEducation. I joined the Residency Leadership Group in 2011 and currently assist the Global Health and Inpatient Transitional Care Curricular Groups. Beyond CCRMC, my wife and I spend ourevenings and weekendswith Rainier, our daughter, and Cassie, our patient chocolate lab, on long slow walks around the block.

Ken Katzman, MD
Educational Director Martinez Family Medicine Center
Residency Leadership Group

I graduated from the UCSF - Fresno Family Medicine Residency in 1995 and served an additional year on faculty before moving to Contra Costa in 1996. I completed the UCSF Faculty Development Fellowship in 1997 while working at the Richmond Health Center, then moved my primary care site to Martinez Health Center in 1998. I serve on the Residency Leadership Group as the Educational Director of the Martinez Family Medicine Center. I supervise the Family Medicine staff inpatient services, coordinate the Health Systems Management curriculum, direct the Martinez Health Center Pregnancy Centering Groups, and staff weekly prenatal clinics in Martinez. My passions are Maternal/Child and Adolescent Health. My wife Lisa is a Pediatric Physical Therapist, Early Intervention Specialist and Certified Instructor of Infant Massage. Our two children Zachary and Ariella were born at CCRMC in 1998 and 2000. Email me at

John Lee, MD
Family Medicine Registrar

I came here to CCRMC as a resident in 1972. I coordinate the Problem Based Learning program, and teach prevention, evidence-based medicine, dermatology and computer-assisted learning. I majored in social sciences at Stanford and graduated from medical school at UCSF. I spent two years in the Indian Health Service on the Navajo Reservation (Tuba City). I enjoy films, history, singing/guitar, and basketball.

Elise Lewis, MD
Department of Family Medicine, Educational Director

I graduated from Tulane University School of Medicine in 2001. I have been with Martinez since starting my residency here in 2001. After graduating from this program, I took a position in the Department of Family Medicine working in our small eastern-most clinic in the county in Brentwood, CA. I enjoy ambulatory medicine and intend to continue to focus on outpatient management of common illnesses and preventive medicine. I was the Associate Program Director from 2007 until early 2010. Since then, I have been the Educational Director of the Department of Family Medicine. When not at work, I enjoy spending time with my husband and sons.

Linda Nakell, Ph.D.
Coordinator of Behavioral Medicine

I have watched the CCRMC Residency grow since 1988. While in graduate school at the University of California at San Francisco, I trained in the Family Practice Residency Program in Santa Rosa. My goal at CCRMC is to support residents as they learn how to do a challenging job better, and to facilitate their learning to incorporate tools of working with families, motivational interviewing, and a chronic care perspective. In addition to working at CCRMC, I enjoy hiking and camping with my family, swimming, watching circus arts, and playing Renaissance music.

David Pepper, MD
Lead Preceptor

A San Franciscan by birth, I attended UCB before moving to the midwest (MD-PhD program) in Iowa which introduced me to Family Practice and primary care. After a FP Residency closer to home (UCSF-Fresno) I joined the UCSF Faculty and stayed in the heart of California for a dozen years teaching and practicing full spectrum family medicine (OB, ER, Inpatient, Clinics, Procedures and Adminstration).

In 2005 I returned to San Francisco to help run a Community Clinic (Mission Neighborhood Health Center), before joining the CCRMC Faculty as a Lead Preceptor in 2007. My academic passions are decision making, computers/graphics/tough cases/PBL and MAPping (ask me.....) and learning. Outside work I enjoy backpacking, hiking, bicycle riding and gardening as well as music, cooking, my four (mostly grown) children, family and friends.

Rajiv Pramanik, MD
Emergency Medicine & Informatics

I attended Univ. of Hawaii, Oahu, for medical school and trained at CCRMC and continued on as I love the place. I am also a Medical Team Manager at FEMA Urban Search and Rescue and a Director at a nonprofit that promotes literacy in the developing world ( Outside of work, I love spending time cooking and eating with my wife and two kids, and I am trying to learn basic Japanese. Lately, I have become involved in informatics and am part of a team leading the effort here at CCRMC and Health Centers.

Ken Saffier, MD
Lead Preceptor

As a family physician with an interest in addiction medicine, I joined Contra Costa Health Services in 1987. After completing my family medicine residency at Cook County Hospital, and more recently a faculty development fellowship at USC, I've been enthusiastic about teaching, especially experiential learning and enjoy exploring ways to make medical education more effective. Despite the challenges of working in our publicly underfunded health care system, l see our county as being a prototype for a future, desperately needed, national health insurance. When not working, I enjoy fishing, hiking and learning from my grandson.

Nishant Shah, MD
Family Medicine Physician

I came to Martinez from Emory University and completed my residency at Contra Costa Regional Medical Center in 2008. Martinez allowed me to pair my medical and public health trainingwith the skills to be a full-spectrum family physician. Since graduating from residency, I have continuously provided care in Family Medicine Clinic in Richmond and North Richmond. I participate in group prenatal visits andcontinue towork on Labor and Delivery and in the Emergency Department. My public health training has been essential as I provide support to many of the community and public healthprograms. I am medical director of Healthcare for the Homeless, I work with WIC and Maternal and Child Health programs, and I providetuberculosis treatment for patientsthroughout Contra Costa County. I am excited to find opportunities to provide health care from a global perspective. I am inspired to work in Haiti, Tanzania and Sudan, but also provide service locally for our most vulnerable patients. My hobbies keep me busy gardening in Martinez and hiking throughout the Bay Area.

Alan Siegel, MD
Family Medicine Registrar

I joined the CCRMC faculty after working in private practice and locum tenens for a few years. I graduated from Emory University School of Medicine in 1994 and completed my residency at the University of Virginia in 1997. I recently completed the Faculty Development Fellowship at UCSF. I have always had an interest in residency education and resident wellbeing and this fellowship was a great opportunity to pursue these skills. I am also interested in evidence based medicine & information mastery, which were emphasized in my own residency program, and I am helping to expand the EBM focus at CCRMC. Other interests within medicine include gastroenterology and obstetrics. Outside of work, I play guitar, am involved in a community leadership program, participate in triathlons and century bike rides, and enjoy being outdoors as much as possible. Email me at

Cindy Su, MD
Family Medicine, OB, and Residency Leadership Group

After receiving all my education in Massachusetts, I decided I wanted more sunny days and so I came out to Santa Rosa for my family medicine residency. The three years of learning to become a family doctor in wine country was then followed by an OB fellowship year in Santa Clara Valley Medical Center. Delivering babies has always been my passion, and I've been thrilled to be able to provide full-spectrum obstetric care at CCRMC! My other professional interests include ambulatory care, international health (I just got back from the Himalayas!), evidence-based medicine, and resident education. Outside of the hospital or clinic, I can usually be found climbing in the gym, skiing in Tahoe, taking a Southeast Asian cooking class, or planning my next big trip to somewhere far away. If you have any suggestions, let me know!

Sonia Sutherland, MD
Past Medical Staff President

I joined the staff in 1994 because of my interest in working with the underserved along with my commitment to resident education. My residency training was completed in Internal Medicine at Alameda County Medical Center in Oakland, California. My undergraduate studies were completed at Stanford University and I attended the Drew/UCLA School of Medicine. My primary duties on staff at CCRMC are teaching on the Inpatient Medicine Service, Primary Care at the Richmond Health Center, and am actively involved in Medical Staff and Quality Improvement. I am also one of two Northern California Regional Physicians for Hansen's Disease and work in our Hansen's Disease Clinic. Outside of work, I enjoy travel, music and spending time with family and friends. Email me at

Ori Tzvieli, MD, MS
Family Medicine Registrar

I joined the faculty in 2003 after graduating from our residency. I work as an inpatient registrar on the Internal Medicine service, and as an outpatient registrar in the Family Medicine department in Concord, and I have a growing medical acupuncture practice. I really enjoy working in a place where people are friendly, kind and compassionate. My other interests include motivational interviewing, meditation, and finding connection and meaning in every moment.