Founder and Medical Director


Founder and Medical Director
Dr. Farnaz Pirayesh is a board-certified family medicine physician. She is an Iranian native who grew up in Zambia and has called California home for over 20 years. She completed her undergraduate degree at La Sierra University in Riverside, CA with a BS in Biochemistry. She then completed her PhD in Biochemistry at Loma Linda University in Loma Linda, CA and went to medical school at Western University of Health Sciences in Pomona, CA. She moved to the Central Coast to train in Family Medicine and completed her residency at Marian Regional Medical Center in Santa Maria, CA. She is also certified in integrative medicine and is a certified life coach. She met her husband on the Central Coast and has two children.
Preventive medicine is important to me and I want to work with you to promote health, and to prevent and reverse chronic diseases. As a physician and life coach, I want to help you overcome barriers to promote a healthy lifestyle. My goal is to provide comprehensive care and wellness but the current insurance based practice model only allows for providing sick care and not health care due to limited access and short visits. This is why I started my Direct Primary Care (DPC) practice, which is a membership based model.
As my patient, you pay a monthly membership fee and eliminate insurance from meddling in how you should be medically treated, and you get access, value and time! Instead of waiting for months to come to see me, I guarantee you same day or next day appointments. As opposed to traditional insurance based practices, my patient panel is limited to 450 patients as opposed to 2500-3000 patients so that you have access to me and visits are 30-60 minutes long as opposed to a rushed 15 minutes visit. The goal is to optimize your health and reduce urgent care and emergency room visits and rate of hospitalizations and readmissions to the hospital. I hope to work together with you as a team to transform your health.
Dr. Noel Ales is a board-certified Internal Medicine physician and Certified Eating Disorder Specialist with nearly 20 years of experience in patient-centered care. Raised in Detroit, Michigan, she is excited to call California’s Central Coast home. She earned her Bachelor of Science in Biochemistry from Purdue University and her Doctor of Osteopathic Medicine degree from Des Moines University.
Dr. Ales completed her Internal Medicine residency and a fellowship in Allergy and Immunology at Walter Reed Army Medical Center while serving as an Army officer. She later practiced in private medical settings in Texas and Colorado, providing comprehensive, thoughtful care. Dr. Ales believes that there is no greater privilege than being entrusted with a patient’s care. She is committed to listening deeply, understanding each person’s unique story, and partnering with patients as they work toward health and healing. She believes in treating the whole person with compassion, empathy, and respect, honoring the physical, emotional, and human aspects of care. Her approach to healthcare, emphasizes deep patient–physician relationships and to give patients the individualized attention necessary to have a meaningful and lasting impact on their health. Outside of medicine, Dr. Ales’ greatest joy is her family—her husband, Gregg, and their three children. Together, they are enjoying exploring the Central Coast.
With over a decade of experience in nursing and a deep passion for aesthetic medicine, Renee blends clinical expertise with an exceptional eye for artistry. She is dedicated to helping patients look and feel their best, delivering results that are natural, refined, and thoughtfully tailored. Known for her warm presence and highly personalized approach, Renee takes the time to understand each client’s individual goals. Whether you’re seeking a subtle refresh or a more transformative result, she is committed to guiding you toward confidence, balance, and radiance.
With over a decade of experience in nursing and a deep passion for aesthetic medicine, Renee blends clinical expertise with an exceptional eye for artistry. She is dedicated to helping patients look and feel their best, delivering results that are natural, refined, and thoughtfully tailored. Known for her warm presence and highly personalized approach, Renee takes the time to understand each client’s individual goals. Whether you’re seeking a subtle refresh or a more transformative result, she is committed to guiding you toward confidence, balance, and radiance.

I believe in safely practicing medicine in a way that fits with my patients life and goals in order to keep them healthy.

Instead of waiting for months to come to see me, I guarantee you same day or next day appointments.

Preventive medicine is important to me and I want to work with my patients to promote health