Primary Care, Cardiology, Orthopedics, Endocrine Surgery, and ENT
Primary Care & Specialty Care - Dignity Health Medical Group - Merced, CA
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Our experienced primary care providers, orthopedic surgeons, cardiologists, and specialists deliver quality care to the Central Valley.
Our experts offer compassionate, specialized care to every member of the family, putting you at the center of your health care and working with every member of the family to support healthy outcomes. Your time is important. When you’re with our care team, we want you to get the most out of your visit. Our multidisciplinary team of physicians is ready to serve when you need us most. With a combination of expert knowledge, compassionate care, and personalized treatment plans, you can count on us to work for you.
Comprehensive health care for your entire family
The family practice physicians at Dignity Health Medical Group - Merced, CA provide complete care for your entire family, diagnosing and treating a variety of health conditions and diseases for patients of all ages. In addition to diagnosing and treating acute and chronic illnesses, family practice physicians provide routine health screenings and preventive care to prevent illnesses before they develop. And, if a health condition arises that requires care from another specialist, your family physician will be there to guide you and to coordinate all aspects of your care.
- Family medicine
- Physicals
- Weight management
- Pre-Operative evaluations
- Preventive care, including nutritional counseling
- Assessment and referral to medical specialties
- Comprehensive treatment of infants, adults, and seniors
- Mental health counseling
- Cardiology
- Ear, Nose, and Throat
- Orthopedic surgery
- Hand and wrist surgery
- Sports medicine
- Women’s health
Comprehensive primary care
Our primary care physicians (PCPs) are committed to providing compassionate and comprehensive healthcare for all stages of life-starting at birth and carrying through to your more seasoned years. From prevention and screenings to diagnostics and medical treatment, we're here to help you live a healthier, happier life.
Our PCPs work alongside other specialists, coordinating advanced expertise in areas of medical specialty when you need it. The benefit to our patients is a full team of experienced care providers supporting you in health and wellness-all coordinated by your primary care doctor.
Family medicine services provided
Our team of family medicine physicians offers a full range of services to men, women, and children. Our services include:
Sick visits
- Physicals
- Women’s health
- Weight management
- Pre-Operative evaluations
- Preventive medicine
- Flu shots and immunizations
- Family medicine
- Assessment and referral to medical specialties when you need advanced medical care
Comprehensive treatment of infants, adults, and seniors
Follow-up after an in-patient hospital visit or out-patient surgery
Mental health counseling
Preventive care, including tips for staying healthy, nutritional counseling, and dialogue on creating achievable goals for movement and wellness
Treatment when you’re sick including sore throats, sinus infections, and more
Well-child care, including regular check-ups, physical exams, and immunizations
Well-woman care, including gynecological exams, pregnancy tests, and maternity care
ENT conditions treated
Otolaryngologists, commonly known as ear, nose, and throat doctors, evaluate and treat patients with problems of the head and neck area, including the ear, middle ear, nose, sinuses, oral cavity, and larynx. Otolaryngology is somewhat unique among other specialties, as its doctors receive training in both medicine and surgery, providing a wide range of clinical services. When you or your child comes to one of our clinics, rest assured, our friendly physicians offer family-centered care in a comforting facility, where you can expect to be treated with a high standard of care.
- Chronic ear infection
- Hearing loss
- Tinnitus (ringing in the ear)
- Tonsillitis or chronic sore throat
- Chronic sinusitis
- Speech problems
- Snoring
- Obstructive sleep apnea
- Balance disorders such as vertigo
- Voice, speech, and swallowing disorders
- Facial paralysis
Services provided
Our team of experienced ear, nose, and throat doctors posses extensive training and expertise to perform a wide variety of procedures, including:
- Ear tube placement for chronic ear infections or fluid buildup
- Sinus surgery to treat chronic sinusitis
- Head and neck cancer (including skin cancer) treatment
- Hearing aid consultations
- Throat surgery (tonsillectomy and adenoidectomy)
- Thyroid and parathyroid surgery
- Facial plastic surgery and reconstruction
Comprehensive endocrine surgery services
An endocrine surgeon cares for disorders of the endocrine system—the system of glands that produces hormones. At Dignity Health Medical Group – Merced, endocrine surgeons specialize in diagnosing and treating disorders of the glandular system — most commonly thyroid diseases.
Conditions treated
- Adrenal Conditions: Benign tumors and functional tumors (Conn's, Cushing's, pheochromocytoma)
- Appendicitis
- Digestive Disorders: Acid reflux, peptic ulcers, and bowel obstructions
- Gallbladder Disease: Gallstones, biliary colic, biliary dyskinesia, gallbladder polyps, and gallbladder cancer
- Hernias
- Multiple Endocrine Neoplasia (MEN)
- Neuroendocrine Tumors
- Thyroid & Parathyroid Disease: Benign conditions and cancer
Procedures performed
Thyroid Surgery
- Thyroidectomy (partial or total)
- Central and lateral neck dissection (to remove lymph nodes)
- Thyroid Ultrasound: Imaging to evaluate thyroid nodules and structure
- Fine Needle Aspiration (FNA) / Biopsies: Diagnostic tool for assessing thyroid nodules
- Molecular Testing: Advanced testing on biopsy samples to guide treatment decisions
Parathyroid Surgery
- Parathyroidectomy
- Focused parathyroidectomy
Adrenal Surgery
- Adrenalectomy (open, laparoscopic, or robotic-assisted)
- Transabdominal and posterior approach
Gallbladder Surgery
- Cholecystectomy (gallbladder removal, open, laparoscopic, or robotic-assisted)
- Surgery for gallbladder cancer
Hernia Repair
- Inguinal hernia repair (open, laparoscopic or robotic-assisted)
- Umbilical hernia repair (open, laparoscopic or robotic-assisted)
- Ventral/incisional hernia repair (open, laparoscopic or robotic-assisted)
Appendectomy
- Laparoscopic appendectomy (robotic-assisted available)
- Open appendectomy (for complicated cases)
Gastroesophageal Reflux Disease (GERD) Surgery
- Nissen fundoplication (laparoscopic or robotic-assisted)
Surgery for Peptic Ulcer Disease
- Ulcer repair (laparoscopic or robotic-assisted)
- Partial gastrectomy (robotic-assisted in complex cases)
Bowel Obstruction Surgery
- Adhesiolysis (removal of adhesions, laparoscopic or robotic-assisted)
- Resection (if obstruction is due to a mass or other blockage, laparoscopic or robotic-assisted)
Soft Tissue Tumor Removal
- Excision of benign and malignant soft tissue tumors
Multiple Endocrine Neoplasia (MEN) Surgeries
- Tailored surgical procedures depending on specific tumors
- Tailored surgical procedures depending on specific tumors
Thyroglossal Duct Cyst Removal
I emphasize a holistic approach, integrating advanced surgical techniques with compassionate patient care. I believe in empowering patients through collaborative decision-making and ensuring that they are well-informed to achieve the best possible outcomes for their overall health and well-being. Learn more
I emphasize a holistic approach, integrating advanced surgical techniques with compassionate patient care. I believe in empowering patients through collaborative decision-making and ensuring that they are well-informed to achieve the best possible outcomes for their overall health and well-being. Learn more
Orthopedic Surgery in Merced, CA
At Dignity Health Medical Group, our highly trained team delivers comprehensive care for injuries and diseases affecting the bones, joints, ligaments, tendons, muscles and nerves. From diagnosis to treatment and rehabilitation, our orthopedic surgeon works in concert with other specialists to restore a patient's strength, flexibility and function. Integration with our rehabilitation specialists helps deliver smooth transition from surgery to recovery, resulting in lower complications rates, more successful outcomes and shorter stays in a hospital setting for the majority of our patients.
Advanced Treatment
With expert guidance on diet, exercise, medication and orthopedic surgery options, our orthopedic doctors can give you long-lasting solutions to your aches and pains. At Dignity Health Medical Group, our orthopedic physician offers:
- Hip replacement surgery
- Joint arthroplasty
- Joint replacement surgery
- Joint resurfacing
- Knee replacement surgery
- Knee arthritis treatment
- Knee surgery
- Reconstruction procedures
- Shoulder surgery
- Surgical and nonsurgical care of fractures
- Sports medicine
- Total joint replacement
Orthopedic Surgical Techniques
ACL reconstruction is one of the most common knee surgeries. “ACL” stands for anterior cruciate ligament. It connects your thighbone to your shinbone with a twist in the middle and helps stabilize your knee. Most injuries happen during sports and activities in which sudden stopping, pivoting or landing causes the ACL to tear.
With ACL reconstruction, a surgeon replaces the damaged ACL with another piece of similar tissue, typically taken from another part of the patient’s knee or thigh. Surgeons make a small incision in the front of the knee, usually less than a centimeter, and inserts an arthroscope, which is a thin tube attached to a video camera. This allows doctors to see inside the knee while surgery is underway. There are newer techniques that have been developed over the last 10 years that allow surgeons to better reconstruct the ACL in a more “anatomic” fashion, including anteromedial portal drilling. This better restores the natural anatomy and is why it’s important to see a sports-fellowship trained surgeon.
Through the anterior approach to hip replacement, the hip joint is accessed from the front of the hip rather than from the side or back of the hip. The benefits of anterior hip replacement include:
- Shorter time in surgery
- Decreased hospital stay
- Shortened recovery time
- Reduced post-operative pain
- Less scarring
- Rapid return to normal activities
- Full weight-bearing after surgery
- A natural fit for long-term success
The last several decades have seen significant advances in arthroscopic surgery, a minimally invasive technique used to diagnose and treat joint problems. Dignity Health Medical Group - Merced's orthopedic surgeon repairs and reconstructs joints using highly specialized instruments inserted through small incisions about half an inch long. Arthroscopic surgical procedures are used to lessen pain, reduce recovery time and allow a patient to regain the full use of the joint. Some arthroscopic procedures are also used in conjunction with open procedures to make the overall procedure less invasive.
For those suffering from moderate or advanced arthritis, joint replacement surgery restores freedom of movement and brings dramatic pain relief. These procedures require an orthopedic surgeon to remove the arthritic or damaged joint and replace it with an artificial composite usually made of titanium, surgical steel and polyethylene—a high-density plastic that is strong, durable and smooth. After recovery, patients are usually able to walk and resume their prior level of daily activities without pain or stiffness.
Meet Ray DeLorenzi, MD | Sports Medicine and Orthopedic Surgery
Dr. Ray DeLorenzi is a board-certified orthopedic surgeon who goes the extra mile to help you get back to doing what you love as quickly as possible. Dr. DeLorenzi will be with you all the way—from the first consultation to your post-op visit.
Sports medicine near you
Sports injuries shouldn't keep you on the sideline. Our team at Dignity Health Medical Group - Merced, CA wants to help you get back out and do the things you love. From weekday walkers to weekend warriors and everything in-between, our sports medicine specialists are ready to care for you.
Conditions we treat
We treat a variety of sports medicine conditions, including:
- Ankle pain and injuries
- Concussions
- Foot pain and injuries
- Hip pain and injuries
- Knee pain and injuries
- Lower back pain
- Shoulder pain and injuries
Services we provide
Quality and compassionate care. You deserve it, so we provide it. Our sports medicine team takes a tailored approach to your care. We offer a number of sports medicine services such as:
- Imaging and diagnostics
- Injury prevention
- Orthopedic surgery
- Physical therapy
- Sports nutrition
- Strength and conditioning
Meet Ricardo Pyfrom, MD, FAAOS | Hand Surgery and Orthopedic Surgery
Dr. Ricardo Pyfrom is a board-certified orthopedic surgeon. He specializes in hand surgery and has over 30 years of experience. Dr. Pyfrom understands the importance of tailoring a treatment plan and provides his patients with ample information and guidance for their injury or diagnosis.
Hand surgery near you
Hand surgery is an orthopedic procedure that treats conditions affecting the hand, wrist, and forearm. Our hand surgeon at Dignity Health Medical Group, Merced, CA is highly trained and experienced in treating a wide range of hand conditions. Whether you are suffering from acute hand pain or have a chronic hand condition, our surgeon can provide you with the care and treatment you need.
Hand and wrist conditions treated
Hand surgery may be beneficial if you have any of the following conditions:
- Arthritis. When one or more of your joints is inflamed due to wearing away of cartilage.
- Carpal tunnel syndrome, a condition caused by pressure on the medial nerve in the wrist. Symptoms include pain, numbness in the fingers, weakness, or tingling, and it is associated with repetitive motion, overuse, rheumatoid arthritis, injury, and fluid retention during pregnancy.
- Dupuytren’s contracture, which is a hand disorder where thick tissue bands form in the palm and extend toward the fingers, causing severely restricted movement.
- Hand and wrist sprains, or serious injuries to the ligaments and tendons in your hand, wrist, or forearm.
- Nerve injuries are generally characterized by loss of sensation in a particular area.
- Trigger finger, also called “stenosing tenosynovitis,” trigger finger is characterized by pain, stiffness, and the feeling of locking or catching when you try to bend or straighten your finger. It is most common in the ring finger and thumb.
- Severe trauma-related injuries, such as compound fractures or dislocations in your fingers or the carpal bones in your hand.
Cardiology care near you
When you visit Dignity Health Medical Group - Merced, CA for cardiology care, you receive quality care that meets humankindness. Our board-certified cardiologist is dedicated to helping you keep your heart strong and healthy. Our team works together with other local area specialists to help manage your care, including cardiac rehabilitation specialists, and specially trained nurses, all bringing care with compassion to your unique case.
Conditions treated:
- Atrial fibrillation
- Aneurysms
- Angina (chest pain)
- Arrhythmias
- Arterial diseases
- Atherosclerosis
- Bradycardia
- Blood clots
- Cardiac arrest
- Cardiomegaly
- Cardiomyopathy
- Heart attacks*
- Heart failure
- Heart valve problems
- High blood pressure
- High cholesterol
- Limb ischemia
- Mesenteric artery stenosis
- Occlusions
- Pericardial effusion
- Pericarditis
- Pulmonary embolism
- Pulmonary arterial disease
- Stroke and TIA*
- Varicose veins
- Venous problems
*If you’re experiencing a medical emergency, call 911 immediately.
Treatments offered:
- Arrhythmia care
- Cardiac catheterization (diagnostic and interventional)
- Cardiac peripheral interventions
- Cardiac resynchronization therapy
- Echocardiograms and cardiac stress testing
- Pacemaker and defibrillator implants
- Radial artery access cardiac catheterization
Schedule a consultation with a cardiologist:
"I am passionate about a care philosophy emphasizing prevention, patient education, and advanced treatment options. My approach emphasizes building strong patient relationships, fostering open communication, and ensuring everyone feels supported and understood. I prioritize prevention and education, equipping patients with the knowledge they need to make informed decisions about their health. When treatment is necessary, I focus on minimally invasive techniques to provide effective solutions with quicker recovery times. My approach is rooted in delivering up-to-date, evidence-based medicine, integrating the latest advancements in cardiology with personalized care to achieve the best possible outcomes for each patient."
"I am passionate about a care philosophy emphasizing prevention, patient education, and advanced treatment options. My approach emphasizes building strong patient relationships, fostering open communication, and ensuring everyone feels supported and understood. I prioritize prevention and education, equipping patients with the knowledge they need to make informed decisions about their health. When treatment is necessary, I focus on minimally invasive techniques to provide effective solutions with quicker recovery times. My approach is rooted in delivering up-to-date, evidence-based medicine, integrating the latest advancements in cardiology with personalized care to achieve the best possible outcomes for each patient."
Meet Sung Lee, DO, FACC | Interventional Cardiology
"I’m dedicated to delivering high-quality, compassionate care through a patient-centered approach that reflects my commitment to addressing each patient’s unique needs and circumstances. My job is to ensure that my patients are fully informed and comfortable with my recommendations by collaborating closely with them through a shared decision-making process that reflects their values and preferences."
Women's health care
From annual well-woman exams to testing and treatment; from perimenopause to menopause, our specialists are committed to delivering high-quality care.
Our women’s health specialists care for all aspects of your reproductive care. Our providers are dedicated to providing an integrated approach to women’s health, evaluating and treating patients in a comfortable and trusted environment, with access to the latest in medical techniques and surgical technologies. Our team also works together with other local area specialists to help manage your care.
Gynecological care offered:
- Abnormal bleeding and urinary issues
- Complex menopause symptoms
- Pelvic health
- Sexual dysfunction
Complex Conditions we treat:
- Cervical insufficiency
- Cystocele
- Endometrial polyp
- Endometriosis
- Isthmocele (uterine niche)
- Menstrual disorders
- Ovarian cyst
- Rectocele
- Urinary incontinence
- Uterine adenomyosis
- Uterine anomalies
- Uterine fibroids (leiomyomas)
Care when you need it
With clinics throughout California, a Dignity Health Medical Foundation physician is right around the corner, waiting to assist you along your wellness journey.
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