Precision Endocrinology for San Francisco Patients with Complex Hormone or Metabolic Needs
Finding a specialist in San Francisco who will spend real time on a complex hormone or metabolic condition can be a challenge for many patients. Dr. Chhaya Makhija is a triple board-certified endocrinologist offering unhurried, prevention-focused care to San Francisco patients, in-person
As Seen In:
Complex Hormone Conditions Require a Specialist
Many of our San Francisco patients come to us because their condition(s) have outgrown what a PCP can meaningfully manage — and because accessing a specialist who will actually spend time on the complexity of their case has proven harder than it should be.
San Francisco, Oakland, and Alameda patients are seen in person at our Lafayette office or via telehealth if unable to commute. Those further away across the bay area have the option of virtual appointments with secure telehealth tools.
Direct, Specialized Care for Residents of San Francisco
Endocrinology specialists are scarce in the Central Valley. Most patients with complex hormone or metabolic conditions are managed by primary care — not because that's the right level of care, but because there's no accessible alternative. Unified Endocrine & Diabetes Care was established in Fresno specifically to close that gap. Our direct access model means:
Extended 60–75 minute visits
In-depth lab review
Proactive prevention planning
Direct physician access
Coordination with your other specialists
No referral barriers. No insurance restrictions. No rushed care.
Precision Endocrine Care in San Francisco
San Francisco sets a high bar when it comes to health—people here are intentional about how they live and take care of themselves. But even here, accessing specialized endocrine care can mean waiting 4–6 months for an appointment, followed by a brief visit that leaves little room for meaningful discussion or follow-up.
Dr. Chhaya Makhija has built her practice around a different standard: longer, unhurried visits, direct access between appointments, and continuity with the same physician over time. As a triple board-certified endocrinologist and lifestyle medicine physician with nearly two decades of experience, she combines deep clinical expertise with a more personal, relationship-based approach to care.
Her work in the Bay Area includes teaching at UC Berkeley and leading education on metabolic health and prevention across the region. Many San Francisco patients choose to come to the Lafayette office—an easy trip by car or BART—and use telehealth when staying in the city is more convenient.
Invest in Yourself with Specialized Care
Initial Comprehensive Consultation
This appointment, held in-person in our Fresno office, gives us time to truly listen, connect the dots, and uncover the “why” behind your symptoms — not just treat the surface.
Communication to collaborate care with your other physicians.
Pre-review of records and prior labs, if any
Blood tests, referrals, and imaging orders if clinically necessary
Thyroid ultrasound included in the visit fee (as clinically necessary)
Prescriptions are case by case if clinically indicated.
Comprehensive, personalized plan and resources at the end of the visit
Total 2-3 hours of care
$850 one-time cost
Ongoing Care Membership
Your ongoing care is built on clarity, access, and prevention. We focus on the full picture of your health — hormones, metabolism, thyroid, and lifestyle — to guide lasting transformation.
Unlimited medical communication
Lifestyle counseling and coaching
Periodic Physician Visits
Free body composition & thyroid ultrasound
Personalized meal plans
Collaboration with your other providers
Access to discounted labs & supplements
6-Month Membership: $2,700
12-Month Membership: $5,000 (8% savings)
Insurance can still be used for labs, imaging, and prescriptions.
We Love Partnering With Our Fresno and Central California Patients…
What Fresno & Central Valley Patients Achieve Under Expert Endocrine Care
Many Central Valley patients arrive carrying conditions that have been undertreated for years — managed at the surface without a specialist ever connecting the full picture. Our expert care changes that trajectory.
Stabilized and optimized glucose levels
Prevention or delay of type 2 diabetes progression
Improved insulin sensitivity and metabolic control
Thoughtful, evidence-based reduction of medications when appropriate
Improved weight regulation, sustained energy, and stronger metabolic health
Preservation and improvement of bone density with proactive fracture prevention
Reclaim clarity, energy, and long-term health and confidence
Location & Serving Area
Serving Fresno, Clovis & Central Valley, CA
From our Fresno office, we also see patients from:
Clovis • Visalia • Madera • Hanford • Tulare
Can't make it in person? Patients from across the Central Valley and beyond — including Bakersfield, Merced, Modesto, and the Sierra foothills communities — are seen virtually via secure,HIPAA-compliant telehealth tools.
Unified Endocrine & Diabetes Care – Fresno, CA
7750 N. Fresno Street, Suite 101, Fresno, CA 93720
Frequently Asked Questions
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Yes, we are currently accepting new patients at our north Fresno office at 7750 N. Fresno Street. You can schedule directly without a referral from your primary care physician.
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Yes. We regularly see patients in person from throughout the Central Valley, including Clovis, Visalia, Madera, Hanford, and Tulare. Patients from further afield — including Bakersfield, Merced, Modesto, and Sierra foothills communities — are seen via telehealth.
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Yes. Telehealth appointments are available for follow-up care and for patients anywhere in California who are unable to visit the Fresno office in person.
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No referral is required. As a direct-care practice, you can schedule a consultation directly — though we do coordinate with your other providers as part of your care.
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We treat the full spectrum of hormone and metabolic conditions, including type 2 diabetes, prediabetes, insulin resistance, thyroid disease, PCOS, obesity, osteoporosis, adrenal disorders, and perimenopause. Given the Central Valley's high rates of diabetes and metabolic disease, these are among the most common conditions we manage — and among the most undertreated at the specialist level in this region.
© 2026 Unified Endocrine & Diabetes Care
NPI: 1265693477