Now accepting Telehealth appointments. Click to request a virtual visit.

June 2020: The Office is fully re-opening soon!

We are excited to move closer to fully re-opening by having more patients coming in-office for routine physicals and regular office visits.  In doing so, it is important for us that you feel safe and comfortable.  We are anticipating an increase of in-office visits to start towards the end of June. 

If you are planning to schedule your physical, please contact and inform office Staff if routine labs are requested and/or needed and we can coordinate paper work in advance. 

Note: New research has shown that performing NON-fasting routine labs will equally predict cholesterol values compared to fasting (1), so hopefully this allows you to get your blood drawn done at a time that is most convenient for you rather than first thing in the morning.  

If it is necessary for you to have fasting labs performed, our Staff will provide you proper instructions of no food or drinks, with the expectation of water, for 8-10 hours prior. 

Your health and safety remains our number one priority, so we are taking all of the necessary precautions. We are following the CDC guidelines for ambulatory facilities when seeing patients.

We ask if you are feeling ill with symptoms, such as: fever, cough, shortness of breath, wheezing, other respiratory illness symptoms or if you have traveled to communities heavily stricken with the corona virus in the 14 days prior to your visit that you utilize our telemedicine options.  This will help prevent potential spread to our Patients and Staff. 


If conducting a Telemedicine visit you will need to set up an account with Updox in advance of the call.  Updox is the platform we have adopted to conduct a HIPPA compliant video call. You will need a tablet or smartphone to conduct the visit. When scheduling your telemedicine appointment our Staff will direct and guide you in setting up an Updox account. 

Getting start with Updox video chat:


If you are still sick and having symptoms of fever, cough, wheezing, shortness of breath, and you feel the need to come in-office please call the office at 858.450.1212 and Staff will determine the safest and best way to get the care you need in-person.  If you have a medical emergency, please call 911. 

For any in-office visits, the Scripps/XiMED Medical center building is performing triage of every patron entering the building with a temperature check and ensuring a mask is worn at all times. No one will be allowed to enter the building with a temperature above 100.4 or without wearing a cloth face covering or facemask.

We recommend you continue to protect yourself by: washing your hands frequently, staying at home if you feel sick and cleaning & disinfecting high touch objects & surfaces regularly. 

For the latest information on the Coronavirus (COVD-19) please refer to the CDC website:


Stay well,

Dr. Ryan Dominguez, Colleen Trimlett, PA-C, and the rest of the Office Staff


  1. Mora S, Chang CL, Moorthy MV, et al. Association of nonfasting vs fasting lipid levels with risk of major coronary events in the Anglo-Scandinavian Cardiac Outcomes Trial–lipid lowering arm. JAMA Intern Med. 2019; 179(7): 898-905.

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Getting your lab work/blood work

We no longer require you fast prior to your lab work. If you are scheduled for an annual exam/physical our providers will review your health history and order labs accordingly.