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Raul Ayala, MD, MHCM - Designated Institutional Official
Board-certified by the American Board of Family Medicine, Dr. Ayala serves
as Designated Institutional Official (DIO) of the Hanford Family Medicine
Residency program. He is the Market Medical Officer for Adventist Health
in the Central Valley and sits on the networks’ governing boards.
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Frank Gavini, MD, FACC – Program Director
As Board Certified Cardiologist Dr. Gavini has been with Adventist Health
for 35 years. He held many leadership roles at AH which include Chair-Department
of Medicine, Chief of Medical Staff, Chief Medical Officer, Director of
Cardiac Catheterization Lab, Director of AH Specialty Clinics. He is on
the faculty of Family Medicine residency programs at Hanford and Tulare.
He holds an academic position as an Associate Clinical Professor of Medicine
from Loma Linda University School of Medicine. He is also the Chair of
AH Medical Staff Well-being Committee and currently serves in the Administration
as Associate Chief Medical Officer.
He is passionate about serving underserved areas, improving access to care,
developing new modalities in delivery of care, teaching residents and
students, mentoring physicians in leadership. He is married to his wife
Nileema and have three children and lives in Hanford CA.
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Brenda Mendoza – Program Coordinator
One year of experience working in GME. Brenda supports the Tulare Internal
Medicine Residency program core faculty and residents. Brenda received
her undergraduate degree from Fresno Pacific University.
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Jerald Pelayo, MD – Core Faculty
Specializes in internal medicine, Dr. Pelayo is part of the Core Faculty
for the Tulare Internal Medicine Residency program. He is eager to serve
the community and educate his patients on improving their health.
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Prem Sahasranam, MD – Core Faculty
Board certified endocrinologist. Dr. Sahasranam is a member of the Core
Faculty for the Tulare Internal Medicine Residency program. He provides
education oversight and support for the internal medicine experience.
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James Simmons, DO - Core Faculty
Specializes in hospice and palliative care. Dr. Simmons is a member of
the Core Faculty for the Tulare Internal Medicine Residency program. He
provides education oversight and support for the internal medicine experience.
