Our Providers

Luis Bautista, MD & interim CMO
Family Medicine
Location: All Sites
Dr. Bautista is Board Certified by the American Board of Family Medicine and has been in practice since 2006. In 2001, he graduated the University of San Diego with a Bachelor of Science in Biology with a minor in Chemistry. Dr. Bautista attended the New York Medical College, graduating in 2005 with a Doctor of Medicine. He completed his internship in Family Medicine in 2006 at the Naval Hospital, Camp Pendleton. Dr. Bautista is currently completing his residency in Family Medicine at the University of California San Diego. Dr. Bautista is affiliated with The American Academy of Family Physicians. He has a special interest in sports medicine, dermatology and diabetes. He speaks fluently in English and Spanish.

Jerry Ayers, MD
Family Medicine and Addiction Medicine
Location: Escondido Family Medicine
Dr. Ayers was Board Certified in Family Medicine by the American Board of Family Medicine in 1987 and re-certified in 1995. He holds an American Board of Addiction Medicine Certification since 2004. Dr. Ayers has been in Family Medicine practice in San Diego since 1987. In 1979, he graduated the University of California San Diego with a Bachelor of Science in Biology with a minor in Psychology. Dr. Ayers attended the University of Texas, graduating in 1984 with a Doctor of Medicine. He completed his internship in Family Practice in 1984 at the University of Louisville, Medical School and his residency in Family Medicine at the University of California San Diego, Medical School in 1987. He has a special interest in addiction medicine, family practice, preventative medicine, sports medicine and dermatology.

Firas Gorges, MD
Family Medicine
Location: Alpine Family Medicine
Dr. Gorges is Board Certified by the American Board of Family Medicine. He has been practicing as a Primary Care Physician since 2009. He attended Family Medicine Residency at Michigan State University in 2006 and completed his training in 2009. Dr. Gorges is affiliated with The American Academy of Family Physicians. He treats patients of all ages. He has a special interest in Geriatrics, Diabetes, preventative medicine, and healthy lifestyle changes. Dr. Gorges speaks fluently English, Aramaic and Arabic, and some medical Spanish.

Minu Sharma, MD
Family Medicine
Location: Escondido Family Medicine
Dr. Sharma is Board Certified in Family Medicine by the American Board of Family Medicine. Dr. Sharma is passionate about helping the community through volunteer work. She has a special interest in chronic conditions as well as geriatric medicine. Dr. Sharma speaks fluently English and Farsi.

Roula Adjan, MD
Pediatrics
Location: Alpine Family Medicine/Santee Family Medicine- Pediatrics Department
Dr. Adjan is Board Certified by the American Board of Pediatrics and has been practicing Pediatrics since 1996. In 1994, she completed her internship at the Henry Ford Hospital in Detroit. Dr. Adjan completed her residency at the Sinai Hospital of Baltimore in 1996. She has a special interest in obesity prevention. She speaks English, Arabic, Spanish and limited French.

Nurse Practitioners

Carol Lieber, NP-C
Location: Mountain Empire Family Medicine
Carol Lieber is a Board Certified Nurse Practitioner by the State of California Board of Registered Nursing and specializes in Family Medicine. She is also a Board Certified Registered Nurse by the State of Arizona Board Registered Nursing. Carol has been in practice since 1991. In 1991, Carol obtained an Associate Degree from Santa Rose Junior College in Nursing and in 2005 she graduated with honors from the University of Phoenix with a Bachelor of Science in Nursing. She attended the University of Arizona, graduating with honors in 2008 with a Master of Science in Nursing. She holds a National Certification for Family Nurse Practitioners by the American Academy of Nurse Practitioners (AANP). Also, she has a certification in Advances Rural Health. She has worked in a variety of settings ranging from surgical nursing, oncology, home health, to working in a migrant farm worker program. Carol speaks fluently in English and Spanish.

Pam Ferolie, FNP
Location: Alpine Family Medicine
Pam Ferolie is a Board Certified Nurse Practitioner by the State of California Board of Registered Nursing and specializes in Family Medicine as well as a Certified Nurse of the Operating Room. Pam has been in practice since 1980. In 1974, Pam obtained an Associate Degree from San Jacinto College in Nursing and in 1990 she graduated from the University of Redlands with a Bachelor of Science in Business Administration and Management. She attended the University of San Diego, graduating in 1997 with a Master of Science in Nursing- Family Health Nurse Practitioner. She holds a National Certification for Family Nurse Practitioners by the American Academy of Nurse Practitioners (AANP). Pam is affiliated with the American Association of Operating Room Nurses, American Nurses Association, American College of Nurses Practitioners, California Coalition of Nurse Practitioners, and Sigma Theta Tau, International Nursing Honor Society, Zeta Mu Chapter.

Physician Assistants

Shawn Baisley, PA-C
Location: 25th Street Family Medicine
Shawn Baisley is Board Certified with the National Commission on Certification for Physician Assistants (NCCPA). In 2008, he graduated from the University At Buffalo with a Bachelors of Science in Exercise Science. Shawn attended Touro College of Health Sciences, graduating in 2015 with a Master of Physician Assistant Studies. He is affiliated with American Academy of Physician Assistants. Shawn has a special interest in primary care as well as physical & rehabilitative medicine.

Jillian Spallina, PA-C
Location: Santee Family Medicine
Jillian Spallina is Board Certified with the National Commission on Certification for Physician Assistants (NCCPA). Jillian has been in practice since 2014 starting her career practicing hospital medicine at New York Presbyterian Hospital - Columbia until moving to California to practice Family Medicine with Mountain Health. In 2011, she graduated from Northeastern University with a Bachelor of Science in Biology with a minor in Psychology. Jillian then attended Arcadia University, graduating in 2014 with a Master of Medical Science in Physician Assistant Studies. She is affiliated with the California Academy of Physician Assistants and the American Academy of Physician Assistants. Jillian has a special interest in promoting health education and preventative medicine.

Jay Cool, PA
Location: Mountain Empire Family Medicine Jay Cool is Board Certified with the National Commission on Certification for Physician Assistants (NCCPA). Jay graduated from Pennsylvania State University Physician Assistant Program in 1979. Served as a corpsman in the USN 1971 – 1975. He has worked in a variety of settings and spent a number of years working for the Department of Veterans Affair.

Psychologists

Jennifer Kugel Fritz, Psy. D
Location: All sites via Telemedicine
Dr. Jennifer Kugel Fritz graduated from Boston College with a degree in Philosophy in 1999 and took additional undergraduate coursework in Psychology at Rutgers University in NJ. She obtained her Masters of Arts in Clinical Psychology in 2004 and her Doctorate of Psychology in Clinical Psychology in 2010 from Alliant International University. She has been licensed as a Clinical Psychologist since 2011. Dr. Fritz has experience facilitating men’s groups for California’s Domestic Violence Recovery Program, providing psychotherapy at a college counseling center, and working as a Program Coordinator in a dual-diagnosis, psychiatric residential facility. She has been working at Mountain Health and Community Services, providing outpatient individual psychotherapy services to children and adults since 2011. Dr. Fritz’s office is located in Alpine, but she also sees students on-site at Mountain Empire High School. She works with patients who are struggling with mild mental health difficulties such as stress or mild depression, as well as, more serious and persistent mental health disorders. She particularly enjoys incorporating mindfulness-based and experiential techniques into therapy to increase its effectiveness.

Dara Reyes, Psy.D
Location: Alpine Family Medicine
Dr. Dara Reyes is a Clinical Psychologist licensed through the California Board of Psychology. Dr. Reyes began working in the mental health field in 2005. In 2004, she received her Bachelor of Arts in Psychology from Alliant International University and in 2006 she graduated from Alliant International University with a Masters of Arts in Psychology. She continued her education by obtaining a Doctorate in Clinical Psychology with an emphasis in Marriage and Family Relationships in 2010 from Alliant International University. During the course of her career, Dr. Reyes has gained experienced working in both outpatient and inpatient, community and private psychiatric settings. Dr. Reyes has worked with individuals who have diagnoses of Mood, Anxiety, Psychotic, and Personality Disorders. Dr. Reyes currently works with patients in individual outpatient psychotherapy who have mild, moderate and serious persistent mental illnesses.

Paula Maness, Psy. D
Location: Alpine Family Medicine & Mountain Empire Family Medicine
Dr. Maness is a clinical psychologist licensed by the California Board of Psychology. She is alumna from San Diego State University and the California School of Professional Psychology obtaining her doctorate degree in 2007. During her career, Dr. Maness has worked as both as a provider and as a director in Native and rural communities, correctional and detention facilities, residential, and sub-acute programs. Dr. Maness has well-demonstrated expertise and interest in forensic populations, Trauma Focused Therapy, and Co-occurring Disorders within rural practices.