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Total Care Medical Group
Workers’ Compensation and Employer Integrated Healthcare Medicine
Most Medical Insurance Accepted | Call Us Today
Fresno CA: (559) 251-2225
Fresno CA: (559) 438-8900
Tulare CA: (559) 688-8080
Hanford CA: (559) 582-2684




Meet Our Team!


Jae Seob Kim, L.Ac., Ph.D.

Dr. Kim is a Licensed Acupuncturist who has been actively serving patients in California since 2005.

Dr. Kim received his M.S. in Acupuncture and Oriental Medicine in July of 2005, and went on to earn his Ph.D. inMay, 2007 from American Liberty University. From 2003-2005, Dr. Kim worked at the Acupuncture and Oriental Medicine Center in SBU as an Intern Acupuncturist. Dr. Kim went on to work at Balboa Medical and Wellness Center as a licensed Acupuncturist from 2005 until 2009. Next, Dr. Kim worked at Noah Medical Center from 2009-2017 not only as a licensedAcupuncturist but also as an owner. Dr. Kim currently works as a licensed Acupuncturist for us here at TotalCareMedical Group and we look forward to many more yearswith him.

With over 12 years of experience Dr. Kim has become well-versed in applying the right treatments and using practical applications to achieve optimal results for his patients. To Learn More About Acupuncture,
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Cindy Burgamy-Stevens

Nurse Practitioner
Cindy started out working as a Staff Nurse in the Cardiac SurgeryIntensive Care Unit in the University of Alabama Hospital in 1986.In 1987 Cindy worked as a Staff Nurse for the HollywoodMemorial Hospital and then moved on to be a nurse for theMedical and Surgical Emergency Room at the University of MiamiHospital. Cindy spent eleven years as a Trauma Nurse Specialist forthe University of Miami Hospital and has also worked in theIntensive Care Unit and as a Case Manager. She is now a NursePractitioner for TotalCare Medical Group.

Received Bachelor of Science in Nursing from Jacksonville University and Master of Science in Nursing from Florida International University

Dr. Cyndi Guerra, DNP, RN, MSN,FNP-C

Accreditations: Sigma Theta Tha Honor Society of Nursing at California State University, Fresno;
California State University, Fresno Dean’s List for BSN/MSN; Fresno City College Dean’s List four

Dr. Guerra received her Associates Degree in Liberal Studies from Fresno City College in 1993 and her Bachelor of Science in Nursing from California State University, Fresno in 1996. Dr. Guerra went on to receive her Masters of Science in Nursing from CSU Fresno in 2004. Continuing her education, Dr. Guerra then received her Doctor of Nursing Practice from The University of San Francisco in 2012. Dr. Guerra has spent her time as a Professor and a Nurse Practitioner, currently working as a Nurse Practitioner for TotalCare Medical Group.

Professional Memberships and Affiliations: National Association of Hispanic Nurses, California Association of Nurse Practitioners, CANP, American Academy of Nurse Practitioners, National School Nurse Organization, California School Nurse Organization

Lori Elmer

Certifications: Basic Life Support, Nurse Practitioner Furnishing
Lori Elmer worked as a Nurse Practitioner in Fresno from 1995-1997 for a women’s healthprovider. Lori also worked as a Nurse Practitioner for Kaiser Permanente from1997-2017 while also working in Coalinga as a Nurse Practitioner for Pleasant Valley State Prison from 2005-2007. Lori now works as a Nurse Practitioner for TotalCare Medical Group.

Attended Merced College and USF Satellite Program

Donald Lang, MSN, RN, FNP-C

Professional Memberships: Sigma Theta Tau, Mu Nu Chapter; American Association of Nurse Practitioners, California Association of Nurse Practitioners
Donald Lang attended the University of Texas where he received his Bachelor of Science in Nursing and later attended California State University, Fresno where he obtained his Master of Science in 2015. Donald Lang has worked as a Staff Nurse and Nurse Practitioner at Valley Medical Center, Saint Agnes Medical Center, Madera Community Hospital and for Dr. Michael Montgomery. Donald has been helping the people of the Fresno and Madera area since 1998 and continues helping the people with his work here at TotalCare Medical Group.

Certifications: Nurse Practitioner, Nurse Practitioner Furnishing,Certification as Family Nurse Practitioner, Registered Nurse, Paramedic, Certification as Occupational Health Nurse, Trauma Nursing Core Provider, and more.

Lynda A. Francis, MSN, FNP-BC

BSN, MSN and FNP from California State University, Fresno
Lynda started working as a Staff Nurse in the level I Trauma Center at Valley Medical Center from 1992-1998. From 1995-1998 she also worked as a Staff Nurse providing nursing care to acutely and critically ill patients. On top of that, Lynda also participated in an internship with Madera Community Hospital with emphasis on family health from 1997-1998. Lynda spent 1998-2000 working as a Sexual Assault Nurse Examiner for Central California Faculty Medical Group. She has spent the last 19 years working for the University Medical Center and has been working for TotalCare Medical Group since 2013.

Has worked at: ValleyMedical Center, SaintAgnes Medical Center,Madera CommunityHospital Dr. MichaelMontgomery, CentralCalifornia Faculty MedicalGroup, University Medical Center, Regional HandCenter, TotalCare Medical Group

John H. Emerzian, D.C., Q.M.E.

Affiliations: California Chiropractic Association, American Chiropractic Association,National Board of Chiropractic Examiners, International Chiropractic Association, CCABill Review Committee, Cleveland Chiropractic College Alumni Association, ClevelandChiropractic College Ambassadors Society, Landmark Health of California, Pacific Chiropractic Resources, Central Valley Safety Society and more.
In 1978 Dr. Emerzian completed his Pre-Medrequirements at Fresno State University as well as Fresno City College. He received a Bachelor of Sciencein Human Biology from the Cleveland Chiropractic College in 1982 where he went on to receive his Doctorate of Chiropractic in that same year.In 1983 Dr. Emerzian introduced his private practice as Emerzian Chiropractic Offices which specializes in occupational health, personal injury and traumatic sports injury. In 1993 Dr. Emerzian wouldcontinue on to create San Joaquin TotalCare, nowcalled TotalCare Medical Group. TotalCare MedicalGroup is a facility providing integrated delivery of medical and chiropractic healthcare with an emphasison Worker’s Compensation. During Dr. Emerzian’s 36 years in the field, he has seen many successes and continues to grow that success each day with TotalCare Medical Group.

Certificates and Achievements: CCA/CCF CertifiedDisability Evaluator, CCA/CCF Certified Independent Medical Examiner, QualifiedMedical Examiner, D.I.A.Certified Disability Evaluator,Appointed to California StateBoard of Chiropractic Examiners, Member of the National Board of Chiropractic Examiners and more.

Manpreet Sandhu

Bachelor of Science in Biology and Chemistry from Punjab University Chandigarh, Bachelor of Science in Nursing and Master of Science in Nursing from California State University, Fresno
Manpreet started as a Registered Nurse for the Kaweah Delta Hospital in Visalia from 2003-2006. After that, Manpreet worked as a Registered Nurse for the Community Regional Medical Center from 2006-2015. From 2012, she has continued to work for Madera Family Health Services and has also worked for Dr.David Palmore since 2013. Manpreet in bilingual, speaking English, Punjabi and Hindi languages.

Certifications: Basic Life Support, Advanced Cardiac LifeSupport, Registered Nurse,Family Nurse Practitioner, American Academy of NursePractitioners Certification

William N. Foxley, MD

Member of: American Medical Association, American College of Obstetricians and Gynecologists, American Association of Gynecological Laproscopists and Arizona Medical Association
Dr. Foxley attended Brigham Young University in 1971 where he studied Geology. He later went on to earn a Bachelor of Science in Geology from Boise State University and continued his education there while studying Earth Science. Dr. Foxley studied at Universadad de Monterray in Monterray, Mexico and the University of Utah where he earned his Medical Degree in 1983. After graduating from the University of Utah, Dr.Foxley trained in Obstetrics and Gynecology at the Hurley Medical Center from 1983-1994.Starting out as a Respiratory Technician in multiple hospitals throughout Idaho and Utah, Dr. Foxley has over 40 years of experience and is now practicing Occupational Medicine at TotalCare Medical Group where he has worked since 2012.

Professional Certifications: Oral Boards, Specialty Boards, National Board of Medical Examiners and Advanced Cardiac Life Support

Michael J. Houston, D.C.

Professional Experience: TotalCare Medical Group, Visalia Industrial Medicine, Tulare IndustrialMedicine, Community Chiropractic, Houston Chiropractic, Central Valley ComprehensiveCare
Michael J. Houston started in the practice of Chiropracticin December of 2000. Dr. Houston’s practice parameters include examination, education and care of patients with varying arrays of musculoskeletal injuries. Other duties include instruction of patients on diet, exercise and rehabilitative techniques. A large portionof Dr. Houston’s career has been dedicated to working in conjunction with medical doctors and medical personnel for the treatment and rehabilitation of work injuries. Dr. Michael J. Houston is proficient in Workers Compensation treatment parameters and guidelines as this has been his predominant practice history, however hecontinues to see a wide variety of private and maintenanceoriented patients for general health. His private practice scope includes differential diagnosis and treatment ranging from the mild musculoskeletal sprain/strain to morecomplex disorders including; herniated discs, rotator cuffinjuries, large and small joint injuries, and headaches. Dr. Houston is always looking for new experiences, techniques, knowledge and points of view that will allow him to treat his patients for optimal recovery.

Awards and Certifications:Award for Clinical Excellence from Palmer College of Chiropractic,Industrial Disability Evaluator/Qualified Medical Evaluator Certification, X-RAY Owner/Operator Licensure

We Accept Cash & Most Insurance Plans
Jae Seob Kim
Location 1: Fresno
5361 E Kings Canyon Rd Ste 101, Fresno CA 93727
Tel: (559) 251-2225 • Fax: (559) 251-9575
Location 2: Tulare
1901 E Tulare Ave Tulare, CA 93274
Tel: (559) 688-8080 • Fax: (559) 688-6960
Location 3: Hanford
1080 N. Irwin Street Hanford, CA 93230
Tel: (559)528-2684 • Fax: (559) 582-9275
Location 4: Fresno
4678 N First St, Fresno, CA 93726
Tel: (559) 438-8900 • Fax: (559) 227-7701