Cardiologist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Chiropractor providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Dentist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Dermatologist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Family Physician providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
OB-GYN providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Ophthalmologist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Orthopedic Surgeon providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Pediatrician providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Physical Therapist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Podiatrist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Psychiatrist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
First Valley Medical Group is excited to introduce Julia Granese, FNP to our team of providers. Julia is an AANP certified Family Nurse Practitioner, fluent in English and Spanish who was awarded an ADN scholarship from the National Association of Hispanic Nurses. She received her associate degree in nursing from Antelope Valley College and both her bachelor’s and master’s degree from California State University, Bakersfield.
Julia’s scope of practice is focused on Family Practice, Acute and Chronic Care and her medical background includes over 20 years of experience in various fields of nursing including acute care facilities, assisting in cardiology, the emergency department, respiratory care, senior care facilities, medical surgical, stroke and telemetry units.
Julia’s life-long passion and desire has been to help in the community, providing compassionate care to patients while simultaneously educating her patients on maintaining a healthy lifestyle. She brings with her a wealth of experience and quality evidence-based care and considers it a privilege to be able to channel her passion for nursing through her work as a Family Nurse Practitioner as well as serving in the community and church, helping those who are less fortunate.
Joanna Ayala, MD, is a board-certified physician with over a decade of experience in family medicine. She proudly leads the team at Murrieta Primary Care Clinic in Murrieta, California.
Dr. Ayala earned her medical degree from the University of Guadalajara School of Medicine in Jalisco’s capital city of Guadalajara in Mexico. She served the community of Guadalajara for four years before completing a three-year residency in family medicine at the University of Texas Health Science Center in Houston.
After completing her residency in 2011, Dr. Ayala gained experience practicing in Texas and New Mexico. She moved to Southern California in 2017 and established Murrieta Primary Care Clinic.
Dr. Ayala is proud to offer comprehensive health care services to adults and children over the age of 5. The team takes an open, personalized approach to wellness. Dr. Ayala specializes in primary care and managing chronic conditions, while also offering skin treatments and the latest cosmetic services.
To better serve the Murrieta, California, community, Dr. Ayala is fluent in Spanish and English. She is affiliated with Temecula Valley Hospital in California and prioritizes patient comfort at every stage of the health care journey.
Schedule a consultation online or on the phone to meet Dr. Ayala and the team at Murrieta Primary Care Clinic.
“Dr. Wertz and her ENTIRE staff are amazing. I was having extreme pain and they were able to get me right in. I would highly recommend her to anyone I know.”
Tyler Ryan, PA-C, is a board-certified Physician Assistant at Pearl Cardio-Vascular of Inland Empire in Chino and Pomona, California. He has a strong passion for providing quality health care to all patients he encounters.
Tyler earned his Bachelor of Arts in Communication from the University of California in San Diego, followed by his Master of Science in Physician Assistant Studies from the Western University of Health Sciences in 2016.
Immediately after receiving his degree, Tyler joined A Plus Urgent Care, where he practiced as a Physician Assistant. He practiced at TLK Medical Group concurrently, where he was able to focus specifically on Vascular patients. He continued his practice as a PA at Kaiser Permanente, where he served, and continues to serve, in Urgent Care.
In 2020, Tyler joined West Regional Vascular in Los Angeles, California, where he further focused his efforts as a Vascular Specialist. In just 3 years, he performed over 1000 endovenous ablation procedures and, additionally, over 1000 foam sclerotherapy procedures. He has also earned board certification from California as well as from the National Commission of Certification of Physician Assistant (NCCPA).
Tyler has an incredible work ethic and a strong dedication to his patients. With his excellent understanding of lower extremity vascular screening and treatment, he offers first-rate care to all patients at Pearl Cardio-Vascular of Inland Empire.
“Dr. Wertz and her ENTIRE staff are amazing. I was having extreme pain and they were able to get me right in. I would highly recommend her to anyone I know.”
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