Faculty

Raul Ayala, MD, MHCM
Designated Institutional Official

Board-certified by the American Board of Family Medicine, Dr. Ayala serves as Designated Institutional Official (DIO) of the Hanford Family Medicine Residency program. He is the Market Medical Officer for Adventist Health in the Central Valley and sits on the networks’ governing boards.

Jyothi R Patri, MD, MHA, FAAFP, HMDC
Program Director

Board certified in Family Medicine and Hospice Medical Director Board. Dr. Patri has been practicing family medicine for the past ten years and has also served as faculty at University of California at San Francisco, Fresno. Dr. Patri is a champion in diversity, equity, and inclusion, and is in the process of completing a Leading Physician Well-being certificate program from American Academy of Family Physicians. She is also a fellow of American Academy of Family Physicians. Dr. Patri is a recipient of the “Top Physicians under 40” in 2019 from Pennsylvania Medical Society for her role in serving the underserved community as a Family Physician. She is the current President of California Academy of Family Physicians Fresno-Kings-Madera Chapter, a chapter with more than 300 members in the Central Valley, California.

Joshua Strunk, MD
Associate Program Director

Board Certified in Family Medicine. Dr. Struck provides procedure training and provides oversight and support for the family medicine experience.

Alisa Vance
Program Coordinator

Certified ACGME Coordinator and a member of the AFMA, Alisa supports the GME, Core Faculty and residents.

Randy Beddoe, MD
Core Faculty

Board-certified by the American Board of Family Medicine, Dr. Beddoe assists in providing oversight of the Hanford Family Medicine Residency program.

Jacqueline G. De Castro, MD
Core Faculty

Board-certified in Family Medicine, Dr. De Castro is a graduate of the Hanford Family Medicine Residency program. As a member of the Core Faculty, she provides support for the family medicine experience.

Shruti Javali, MD
Core Faculty

Board Certified in Family Medicine. Dr. Javali is a member of the Core Faculty for the Hanford Family Medicine Residency program. She provides education oversight and support for the family medicine experience.

John M. Kotler, PhD
Core Faculty

A licensed clinical psychologist, Dr. Kotler is part of the Core Faculty for the Hanford Family Medicine Residency program. He teaches behavioral health with an emphasis on a holistic approach to patient-centered care.

Michael Lloyd, MD
Core Faculty

Certified by the American Board of Family Medicine, Dr. Lloyd is a member of the Core Faculty for the Hanford Family Medicine Residency program. With his fellowship training into obstetrics, he supports residents with women’s health education.

Swapna Palav, MD
Core Faculty

A board-certified family medicine physician, Dr. Palav supports the Hanford Family Medicine Residency as a member of the Faculty. She provides Inpatient education and training to the residents.