We bring peace of mind to adults and their families.  Reach out to us and you will find a team that is exceptionally responsive and accountable. Whether our clients utilize us to regain their strength, maintain their independence or have some respite-they know they can count on us.

Our Unmatched Expertise supports you on the road to Aging in Peace. Our Care Management team ensures consistency through changing conditions and staff, overseeing our Home Care Aides (HCAs) in performance of their responsibilities.

We meet our Attendance Guarantee on 99.98% of our scheduled shifts. We strive for  punctuality and for HCAs who meet all your skill needs, though last-minute unavailability of scheduled HCAs is inevitable. It is rare when our replacement HCA does not meet most of your particular required skills. Our guarantee takes into consideration that our replacement HCA may not arrive at the scheduled time nor have all required skills for that shift. A registered and trained HCA will be available to attend your scheduled shifts. **If we are unable to attend a shift, the next shift will be provided at no cost. 

Our Continuity Guarantee goes a long way towards the excellence we provide and you  should expect your HCA team to be stabilized within the first 3 weeks of care. If we do not meet our Continuity Guaranty, then we will provide a 5% discount retroactively and until continuity is met. **Continuity will be negatively impacted and the guarantee will not apply in situations of: short shifts, less than 2 shifts per week, irregular shifts, personality mismatches, and remote locations.

Continuity Examples:

  1. With 2 to 5 shifts per week, 2 HCAs; and with 6 to 7 shifts, 3 HCAs.
  2. 24/7 Care: With stabilized 12-hour shifts 6-7 HCAs will rotate through the schedule, though it is possible to optimize to 4 or 5 HCAs. In the first couple of weeks, 12-15 HCAs may be on the schedule.
  3. Weekend-only shifts (Saturday, Sunday), 2 HCAs may be scheduled.

All of our HCAs receive training to assist with activities of daily living and with cognitive  impairment. Different cultural backgrounds of our staff result in different skill levels in household tasks such as cooking and housekeeping. As we settle into continuity of care, our staff will become more attuned to your needs.

Contact: Misty@coastcare.org

ABOUT THE DOCTOR:

Robert Afra, M.D.
Board Certified Orthopaedic Surgeon

Dr. Robert Afra is a San Diego-based orthopedic surgeon who is nationally renowned in sports medicine with expertise in treating shoulder, elbow, wrist, hip, knee and ankle conditions. As the former Chief of Sports Medicine at the University of California, San Diego, Dr. Afra has published extensively in professional journals and books and presented at conferences around the world, where he is considered a pioneer in the study of shoulder, knee, elbow and ankle injuries in athletes and active adults. Dr. Afra is also a specialist in cartilage issues and pain in knee cap disorders; he was named Co-Director of the International Patellofemoral Study Group Conference in San Diego in July 2011. As a sports medicine physician, he has managed and treated complex joint injuries and successfully guided patients back to peak performance levels.

Dr. Afra takes a customized approach to treat each of his patients. He provides comprehensive care to injured athletes, from sprain rehabilitation and muscle and ligament tear repairs to care for broken bones. He regularly cares for children and active adults with injuries to the upper extremities (shoulders, elbows, and wrists) and lower extremities (hips, knees, and ankles). His joint replacement practice consists of shoulder replacement, hip replacement, and knee replacement surgery, including minimally invasive surgery techniques and traditional joint replacement surgery when necessary.

Dr. Afra completed his fellowship training in sports medicine at Boston University, where he treated a variety of elite college athletes in ice hockey, soccer, basketball, field hockey and lacrosse. Dr. Afra was a researcher at University of Hawaii’s Queen Emme Medical Center in the field of muscle and nerve physiology, and was a surgical fellow at the world-renowned Barnard O’Brien Microsurgical Institute in Melbourne, Australia. He has studied microsurgical techniques and the art of plastic surgery. Dr. Afra studied medicine at UCLA, where he also completed his surgery internship. Prior to attending medical school, Dr. Afra worked at the Salk Institute on an NIH research stipend. In 2010, Dr. Robert Afra was selected by the Arthroscopy Association of North America, a premiere sports medicine society, as one of three surgeons to lecture to university faculty in the United States and Canada.

MARIO A. MANCINI, O.M.D., L.Ac, QME

Doctor of Oriental Medicine/
Licensed Acupuncturist

ABOUT THE DOCTOR

Driven by his passion for mind/body peak performance, Dr. Mancini strives to achieve excellence for his patients. As a doctor of Oriental medicine, he assists his patients with a variety of health issues including acute and chronic pain, healthy weight loss, and the impact of all forms of stress and strain on the body.

He received his Doctorate in Oriental Medicine (O.M.D.) from South Baylor University. As a graduate of the first professional California approved Doctor of Oriental Medicine, Dr. Mancini practices with the highest standards of Oriental medicine making a complete integration into the present health care system. Using evidence-based treatment guidelines in standard scientific and medical terminology, he is able to communicate and integrate with the medical community. As a primary care doctor, Dr. Mancini is trained to determine when referrals are necessary.

PRACTICE SPECIALTIES

ABOUT THE DOCTOR:

Choll W. Kim, M.D., Ph.D
Board Certified Orthopaedic Spine Surgeon

Dr. Choll Kim graduated cum laude from Harvard Medical School and completed his fellowship training in complex spine surgery at the Mayo Clinic. In addition, he is double board certified by the American Board of Orthopedic Surgeons and the American Board of Spine Surgery.

Dr. Kim is an internationally recognized expert in the field of computer-assisted minimally invasive spine surgery. He has trained and continues to train specialists throughout the country on the safe and effective application of state-of-the-art techniques using image guidance and navigation technologies.

Dr. Kim utilizes a broad range of minimally invasive treatments to effectively treat all aspects of complex spinal disorders, including herniated disks, spinal stenosis, adult scoliosis, spondylolisthesis, traumatic injuries, tumors, and infections throughout the entire spine from the neck to the low back. He is one of only a handful of surgeons in the world to master laser endoscopic spine surgery (LESS), a state-of-the-art minimally invasive procedure that effectively treats herniated disks, radiculopathy and sciatica. The LESS procedure can be performed under local anesthesia, in a same day setting and with a small stab incision that is covered with a band aid.

A leader in his field, Dr. Kim is the founder and past-president of the Society for Minimally Invasive Spine Surgery (SMISS), the founder of Minimally Invasive Spine Centers of Excellence (MIS-COE), the chair of the MIS Committee for the International Society for the Advancement of Spine Surgery (ISASS), the director of the Advanced Spine & Joint Institute at Alvarado Hospital and an associate clinical professor at the University of California, San Diego.

Furthermore, Dr. Kim is a Qualified Medical Evaluator and a past voting member of the FDA Orthopedic Devices Panel, which reviews all new spinal technologies. He has designed minimally invasive instrumentation used by surgeons around the world. Dr. Kim is an active member of the North American Spine Society (NASS) and the American Academy of Orthopedic Surgeons (AAOS), and a fellow of the Scoliosis Research Society. Dr. Kim has over 200 publications and presentations.

PRACTICE SPECIALTIES

Headaches, chronic pain, TMJ disorder, sports injuries, chiropractic services, massage therapy and acupuncture.

ABOUT THE DOCTOR

Dr. Garrett graduated from Life Chiropractic College West in 1986 and has been practicing in Downtown San Diego for over 28 years. Garrett Downtown Chiropractic offers rehabilitative care for injury patients in the San Diego, Hillcrest and neighboring areas. Patients looking for a doctor who can treat these types of injuries, without drugs or surgery, should contact our chiropractic office to make an appointment. Dr. Brian Garrett employs the most recent, cutting-edge techniques in auto injury rehab to help patients get back on their feet after they have suffered an injury. Available for phone consultations and complimentary consultation at the office.

Board Certified Diplomate:

Certified Chiropractic Sports Physician:

American Chiropractic Association Council on Sports Injuries and Physical Fitness

Max MRI is committed to providing state-of-the-art outpatient imaging services, by using the latest technology advances, such as the filmless digital PACS system. Max MRI’s true commitment is to our patients and referring physicians. We ensure the process is seamless from the moment the patient is referred until the report is completed. At Max MRI we have a dedicated staff that ensures this process by offering same day appointments, MRI reports within 24 hours and board-certified radiologists who are readily available for consultations.

Max MRI centers feature:

*Service areas include San Diego County, Orange County and L.A. County. See locations to find a Max MRI facility to serve you.

For over 20 years, Max MRI has been providing patients, medical professionals, and personal injury and worker’s compensation attorneys with the convenience of available appointment times, state-of-the-art diagnostic equipment, quick and accurate reporting, highly trained and certified staff members and board certified radiologists. Personal injury liens, worker’s compensation liens, medicare and most major insurance accepted. Located throughout Southern California, Max MRI continues to grow in San Diego, Orange County and L.A. County to best serve your needs.

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