Our Staff | Altamed

Our Staff

Cecilia A. Florio, MD, MPH

Program Director

Cecilia A. Florio, MD, MPH

Program Director

As the Program Director for AltaMed’s Family Medicine Residency Program, Dr. Cecilia Florio led a team of talented educators in establishing the health system’s first residency program. Her nearly two decades of expertise in the field guide her as both a teacher and administrator. In her role, she focuses on recruiting doctors who are committed to serving ethnically diverse communities – both by providing culturally sensitive care and developing programs that inspire minorities to pursue careers in health care.

Dr. Florio joined the AltaMed family after spending 17 years as a clinician educator at UC Irvine, and more recently, at UC San Francisco (UCSF). She is passionate about the specialty of Family Medicine and about caring for those with the greatest needs. With an emphasis on good communication, fostering compassion, and attention to the needs of others, she promotes humanism in medicine that benefits both patients and health care workers. Dr. Florio loves working alongside residents and strives to provide a supportive environment where learners can develop their skills and pursue their career objectives while preserving their love for the specialty and the joy of caring for others.

Dr. Florio spent her childhood in Mexico, first living in Cholula, Puebla, and then in Mexico City. She moved to the United States at age 17 to attend Smith College, where she majored in Biology and spent her junior year abroad in Paris. After graduating from the UCSF School of Medicine, she obtained a Master of Public Health at the Johns Hopkins School of Hygiene and Public Health and went on to complete her residency in Family Medicine at UC Davis.

At her first job at La Clinica de la Raza in the San Francisco Bay Area, she discovered the positive impact of the community clinic model, which provides care for the most vulnerable and complex patients while leading change to improve access and quality.. Because of the emphasis on service, accessibility and advocacy, she has continued to work at federally qualified health centers (FQHCs) throughout her 20-year career.

Dr. Florio loves spending time her two kids and her spouse. She has two cats and is an advocate for animal welfare. She enjoys going on walks and reading about international politics.

Education

Family Medicine Residency Program, University of California, Davis
M.P.H., Johns Hopkins School of Hygiene and Public Health
M.D., University of California San Francisco School of Medicine
B.A., Biology, Smith College

Ana Karina Melgar, MD

Associate Program Director

Ana Karina Melgar, MD

Associate Program Director

Dr. Karina Melgar serves as Associate Program Director of AltaMed’s Family Medicine Residency Program. In this role, she supports Program Director Dr. Cecilia Florio and the faculty to provide a safe and inclusive learning environment. Dr. Melgar is involved in curriculum building, rotation development, recruitment, scheduling, evaluation, and compliance policy. As a highly engaged resident mentor, she cultivates leadership in community engagement and health equity. In addition, she provides comprehensive and compassionate care to her patients while empowering them to continue to improve their health.

Prior to joining AltaMed, Dr. Melgar spent five years teaching kindergarten in South Los Angeles before returning to school to pursue her medical degree. Since then, she has focused on providing care to ethnically diverse communities, mentoring the next generation of health care professionals, and working to increase diversity in the medical field.

During her residency, she continued to teach and served as Academic Chief, a role in which she was actively involved in diversity advancements in the recruitment process. As Community Medicine Fellow, Dr. Melgar divided her time between teaching as junior faculty and collaborating with many community organizations. She successfully opened a new student-run clinic in collaboration with Lestonnac Free Clinic in Garden Grove. She also pioneered an interprofessional collaborative behavioral health clinic for uninsured patients.

Dr. Melgar went on to become faculty at the Long Beach Memorial Family Medicine Residency Program, where she was Director of Community Engagement and Diversity. She was the lead faculty for the Neighborhood Meed Mentoring Program and the onsite food pantry. During her time at Long Beach, she created a new integrative behavioral health clinic and community medicine concentration for the residents. In an effort to connect with the community, Dr. Melgar also started a Diversity and Health Equity Committee.

Dr. Melgar’s clinical interests include women’s health, behavioral health, public health/policy, global health, addressing social determinants of health, and community empowerment. Outside of work, she spends time with her large, extended family and volunteering at a student-run clinic. She also enjoys running, spin class, yoga, soccer, snowboarding, dancing, and shopping at vintage stores.

Education

Community Medicine Fellowship Program, Kaiser Permanente Orange County
Family Medicine Residency Program, Long Beach Memorial Medical Center
M.D., School of Medicine at University of California, Davis
B.S., Physiological Science, UCLA

Dr. Marco Angulo, MD, MSocSci

Family Medicine Residency Core Faculty

Dr. Marco Angulo, MD, MSocSci

Family Medicine Residency Core Faculty

As a core faculty member of AltaMed’s Family Medicine Residency Program, Dr. Marco Angulo brings an invaluable combination of experience and perspective, thanks to his background of working with and training residents in a Federally Qualified Health Center (FQHC) setting. He is committed to supporting and growing the program and helping create a strong workforce that is well prepared to serve the medically vulnerable areas of Southern California. His passion is personal since Dr. Angulo was raised there.

Even before he became a physician, Dr. Angulo knew his life’s work was to serve these communities. He graduated from the University of California, Berkeley, with a degree in Chicano Studies. He entered medical school at University of California, Irvine (UCI), and participated in the Program in Medical Education for the Latino Community (PRIME-LC), which was created to develop physician leaders to address health disparities in the United States and beyond. Dr. Angulo stayed on as a faculty member at the UCI Family Medicine Department, where he served as the Director of Diversity and Inclusion for the medical school and as the Director of the PRIME-LC Residency Program. Prior to joining AltaMed in 2014, Dr. Angulo also served as Chief Medical Officer of an FQHC in Santa Ana.

In 2016, UCI Health awarded Dr. Angulo the prestigious ARIISE Award for creating an innovative health navigation program focused on the needs of FQHCs. As a resident, he was awarded the AAFP/Bristol-Meyer Squibb Award for Excellence for Graduate Medical Education. He was also inducted into the Gold Humanism Honors Society as a medical student and faculty member at UCI.

Throughout his career, Dr. Angulo has challenged the next generation of physician leaders to chip away at health disparities and develop solutions that lower barriers to patient care. In 2012, Dr. Angulo created the Health Scholars Program, one of the largest volunteer/clinical experience programs in Orange County dedicated to closing gaps in care and helping patients more effectively navigate the health care system.

Dr. Angulo is an avid baseball fan (go Dodgers!), and his goal is to watch a baseball game in every major league baseball stadium. Currently, he’s made it to 11 stadiums, with 19 more to go.

Education

Family Medicine Residency Program, University of California, Irvine
M.D., University of California, Irvine
M.Soc.Sci., University of California, Irvine
B.A., Chicano Studies, University of California, Berkeley

Efrain Talamantes, MD, MBA, MSHPM

Designated Institutional Officer and Director of the AltaMed Institute for Health Equity

Efrain Talamantes, MD, MBA, MSHPM

Designated Institutional Officer and Director of the AltaMed Institute for Health Equity

Dr. Efrain Talamantes is the Designated Institutional Officer and Director of the AltaMed Institute for Health Equity (AIHE) and Medical Education. Since joining AltaMed in 2018, he has led health services and community-partnered research and training to advance health equity and medical education. Under Dr. Talamantes’ leadership, the Institute received patient-centered outcomes research funding, enabling a community partnership that has informed AltaMed’s research priorities. Dr. Talamantes also serves as the inaugural Designated Institutional Officer (DIO) for the AltaMed Graduate Medical Education committee.

Dr. Talamantes has been critical in redesigning all of AltaMed’s medical education programs, including the Health Resource Services Administration and the Health Careers Opportunity Program. In 2019, in partnership with the Charles R. Drew University of Health Sciences and the National Medical Foundation Primary Care Leadership Program, AIHE trained 43 aspiring physicians to conduct health-equity-focused research projects. Students from all over the country attended a six-week leadership program at AltaMed designed to develop the next generation of physicians committed to helping ethnically diverse and medically vulnerable communities.

As DIO, Dr. Talamantes led the application process for Accreditation Council for Graduate Medical Education (ACGME) accreditation. He is also involved in curriculum design and faculty training for AltaMed’s Family Medicine Residency Program. In addition, he is focused on developing methods to best support evidence-based practice, including the implementation of AltaMed’s electronic medical records system, EPIC. Dr. Talamantes, the Institute and AltaMed’s Medical Education teams are dedicated to creating provider training tools, workshops, and modules to eliminate health disparities.

Dr. Talamantes previously served as the Associate Director for the UC Davis Center for Reducing Health Disparities, and the Associate Program Director for the Internal Medicine Residency Program. He also co-directed the Center for a Diverse Healthcare Workforce (CDHW). He is the co-founder of MiMentor.org and leads initiatives throughout the country to enhance leadership and diversity in the health care workforce.

Dr. Talamantes is married to a primary care and infectious disease physician who is also very active in Medicine. They have two children who are their bedrock and joy. Together, they enjoy going to family parties where the children can dance and have fun.

Education

Robert Wood Johnson Clinical Scholars Fellowship, UCLA
M.S.H.P.M., UCLA Fielding School of Public Health
M.D., David Geffen School of Medicine at UCLA
M.B.A., Emory University Goizueta School of Business
B.S., Psychobiology, UCLA

Roger Liu, PhD

Director of Medical Education

Roger Liu, PhD

Director of Medical Education

Dr. Roger Liu serves as the Director of Medical Education for the Institute for Health Equity at AltaMed. In this role, he oversees all educational program and curriculum development including pre-health pipeline programs, new AltaMed residencies in family medicine, and continuing medical education (CME) for providers. Dr. Liu also develops faculty training and support, as well as evaluations and assessments for all programs and activities. He also oversees any grant-funded programs that include an educational component.

Dr. Liu’s day-to-day responsibilities include everything from building curricula to teaching leadership, clinical, and research skills to overseeing the establishment of a program to train current AltaMed physicians to become leaders and researchers in Quality Improvement projects.

Prior to joining AltaMed, Dr. Liu was a professor in the Department of Family Medicine at the UC Irvine School of Medicine, where served as Director of the Program for Medical Education for the Latino Community (PRIME-LC) Residency Track, as well as the Director of Research and Resident Scholarship. Dr. Liu supported students committed to serving the most vulnerable populations, and was involved in the development of programs, curriculum and research focused on the training and mentoring of the next generation of faculty and health practitioners from diverse backgrounds.

For more than two decades, Dr. Liu has been involved in bringing equity to science education. Dr. Liu was a director and instructor in the Departments of Molecular and Cell Biology and Integrative Biology at the University of California, Berkeley, where he taught and mentored thousands of students, from every grade level, socioeconomic background, and location from around the country.

Dr. Liu is focused on establishing AltaMed and the Institute as leaders in the recruitment, training, and development of physician leaders devoted to serving medically vulnerable populations. By developing the AltaMed Scholars program, he’s continuing his dedication to creating projects that will improve patient care.

In his free time, Dr. Liu practices the contemporary Chinese martial art of Wushu, and he’s a two-time national collegiate Wushu team champion. He also enjoys spending time with his family, listening to music, and keeping an eye out for insects, amphibians, reptiles, birds, and mammals.

Education

Ph.D., Integrative Biology with an emphasis in Comparative
Endocrinology/Herpetology, University of California, Berkeley
B.A., Integrative Biology, University of California, Berkeley

Sandra Pisano, PsyD

Director of Behavioral Health

Sandra Pisano, PsyD

Director of Behavioral Health

Sandra Pisano, PsyD, is AltaMed’s Director of Behavioral Health. She’s a clinical health psychologist whose mission is to provide early intervention and prevention behavioral health services in order to reduce health disparities in underserved communities. 

Dr. Pisano’s work experience is centered on providing services to vulnerable, culturally diverse populations. For more than years 20, Dr. Pisano has specialized in integrating behavioral health services into primary care and/or specialty clinics. She has worked at a number of high-profile, high-volume facilities, including LAC/USC Medical Center, California Hospital Medical Center Family Residency Program, Planned Parenthood, and Regional Center for Persons with Developmental Disabilities, in addition to serving as a consultant for various health plans and hospitals. 

In order to achieve successful implementation of behavioral health services at AltaMed, Dr. Pisano currently uses a team-based approach, working alongside departments such as women’s health, STOMP Childhood Obesity Program, youth services, pediatrics, dental, and testing and diagnostics. She also oversees several HRSA grants. 
 

Sabrina Kosok, MPH

Manager of Medical Education

Sabrina Kosok, MPH

Manager of Medical Education

Sabrina Kosok joined AltaMed in 2018 to help launch the Medical Education Department. As AltaMed’s Manager of Medical Education, she supports all Undergraduate Medical Education (UME), Graduate Medical Education (GME) and Continuing Medical Education (CME) programs. Her current projects include the development and implementation of two summer pipeline programs for aspiring physicians, and AltaMed’s first Family Medicine Residency Program, as well as the creation of high-quality CME opportunities for AltaMed providers.

Ms. Kosok began her medical education career at Kaiser Permanente of Southern California (KPSC), where she managed the Community Medicine Fellowship, a year-long fellowship for primary care residents dedicated to community medicine and public health. She also managed a two-week intensive health policy elective for KPSC residents. Additionally, Ms. Kosok volunteered with the LGBTQ Care Committee and developed an innovative cross-specialty student rotation in LGBTQ care that was later replicated for residents.

Ms. Kosok‘s passion for community medicine and public health began when she was living in Southern Chile with her extended family and working at Hospital Makewe, a rural hospital and community center run by and serving the indigenous Mapuche population. This experience motivated her to pursue a Master of Public Health, which included a three-week field study of the Chilean health system with the Harvard School of Public Health.

As a graduate student, her thesis project focused on analyzing health equity initiatives within the Oregon Health Authority. With her research, she established a baseline assessment of racial and ethnic health disparities awareness, documented health equity initiatives in each department, and reported on departmental barriers to health equity.

Ms. Kosok grew up in Oregon but has lived in Los Angeles for the past eight years with her wife and her son. Her family enjoys road trips, camping, eating good food, and spending time with their friends.

Education

M.P.H., Health Policy and Management, Hatfield School of Government, Portland State University
B.A., International Studies, Global College of Long Island University

Erick Leyva

Undergraduate and Graduate Medical Education Coordinator

Erick Leyva

Undergraduate and Graduate Medical Education Coordinator

As Undergraduate and Graduate Medical Education Coordinator, Erick Leyva is responsible for creating and strengthening the infrastructure of AltaMed’s summer medical education programs. This includes the Health Careers Opportunity Program (HCOP), which aids aspiring health professionals, and the Primary Care Leadership Program (PCLP), which supports current health graduate students. Both programs require year-round preparation, and because they often serve as an introduction to AltaMed Health Services, Mr. Leyva consistently engages with students to provide professional development opportunities and build support networks.

Mr. Leyva’s responsibilities extend to the recruitment and selection of the students, known as AltaMed Scholars, for both summer programs. Through his work, Mr. Leyva strives to create a community of individuals who understand the needs of AltaMed’s patient population and have a sincere interest in serving these communities as future providers.

Before joining AltaMed’s Medical Education Department, Mr. Leyva was a program manager for Pre-Health Dreamers. This national nonprofit supports undocumented immigrants entering health professional programs by ensuring these students have access to institutional support from universities and state and national government agencies. Throughout his professional career, Mr. Leyva has worked to create inclusive pathways and policies for first-generation students entering the field of medicine.

Mr. Leyva – himself an immigrant to the United States – is a dedicated community activist who has advocated for equity and inclusivity at the state and national levels. He has focused on access to health care and higher education for communities that have historically been underrepresented.

Mr. Leyva grew up in Southern California and graduated from UCLA with a bachelor’s degree in anthropology and ethnic studies. As an aspiring physician, Mr. Leyva’s own lived experiences will allow him to better understand the needs of diverse communities, which often include immigrants, monolingual speakers, and individuals facing socioeconomic barriers that affect their health outcomes.

When Mr. Leyva is not at work, he enjoys being outdoors, hiking, and off-roading. He is passionate about social justice and likes to read biographies and books about history. He also enjoys spending time with his family and friends, and attending concerts, plays and musicals.
 

Education

B.A., Anthropology, Chicana/o Studies, UCLA

Kia Hill

Continuing Medical Education Coordinator

Kia Hill

Continuing Medical Education Coordinator

Kia Hill joined AltaMed’s Medical Education department in 2018 as Continuing Medical Education Coordinator and program administrator. In this role, she focuses on building and managing the CME program infrastructure and the continuing education (CE) accreditation process. She’s also involved in program facilitation from inception to evaluation.

Ms. Hill supports AltaMed’s medical leadership and executives, as well as organizational program initiatives and needs assessments for academics and scholarly activity. Her purview includes addressing adult learning theories, instructional design, CME compliance and accreditation, project management, and technology. She has successfully managed CME joint-providership (institutional partnerships) and teams to get AltaMed educational programs accredited for CE units. She was also instrumental in the launch of the CME Executive Planning Committee.

Ms. Hill came to AltaMed with a well-established career in academics and health care. Previously, Ms. Hill worked with the Purdue Military Family Research Institute’s Family Journeys Longitudinal Project, where they studied service members and their families through deployment and reintegration. She also worked in administration for the Purdue College of Science Diversity department, assisting the program director in the facilitation and evaluation of the Women in Science programs. She discovered her professional passion for medical education by working in the academic affairs department for Community Health Network, where she honed her skills as a CME associate and led the implementation of the learning management system project as the project lead and system administrator.

Ms. Hill is an active member of her community and is passionate about giving back through volunteering. For more than five years, Ms. Hill has volunteered as a science fair judge for the Lafayette Science and Engineering County Fair—she’s dedicated to inspiring the future generations of scientists. She intends to join the LA County Science Fair Planning Committee in the spring of 2020.

Ms. Hill is an Indianapolis native who enjoys healthy living and exercise -- with hiking, skiing, and Brazilian jiu-jitsu being a few of her favorite activities. One of 13 siblings, she’s considered the trailblazer of her family as a first-generation college graduate with intentions to continue her education.

Education

M.Ed., Learning Design Technology, University of Southern California, expected 2021
B.S., Interdisciplinary Biology, Purdue University