Medical Staff

Nidia C. Payan, MD - Medical Director

Medical Director – Hello, my name is Dr. Nidia Cristal Payan Izabal. I graduated from the School of Medicine at Autonomous University in Sinaloa, Mexico. After I graduated in 2003, I moved to the United States and studied through the International Medical Graduate Program at UCLA. The program was designed to educate and train international medical students with the same rigorous standards applied to US doctors. Through the Community Medicine Residency program, I completed my residency at the University of California in San Francisco, Fresno. After my graduation in 2012, I worked in the medical field for many years. It was in this environment that help me to reshape and develop my leadership skills, now I have the privilege of representing FAIHP as Medical Director to lead our Clinical team. I am so happy working on this wonderful organization

Richa Kaushal, MD FAAP - Deputy Medical Director

Deputy Medical Director, Pediatrician – Dr. Richa Kaushal is a board-certified pediatrician. Dr. Kaushal’s journey into medicine began in India, where she completed her basic medical education, after which she moved to the United States to do her residency training in Pediatrics at the William Beaumont Pediatric Residency Program in Royal Oak, Michigan. After graduating, Dr. Kaushal worked as full-time faculty in the Department of Pediatrics at University of California in San Francisco, Fresno.
As a teaching doctor at UCSF Fresno,Dr. Kaushal further refined her skills as a pediatric clinician, and as importantly, gained a lot of exposure to the relevance and importance of advocating for and counselling children and their families.
As a fellow of the American Academy of Pediatrics (FAAP), Dr. Kaushal actively advocates on issues close to her heart such as immigrant child health, vaccine hesitancy, climate change and clean air, child nutrition, LGBTQ health and health care access and coverage.
Dr. Kaushal considers herself both privileged and honored to have this opportunity to serve the Native American Community through the Fresno American Health Project, as Deputy Medical Director.

Karen Wammack, MD

It’s a great pleasure to have Dr. Wammack here with us. Dr. Wammack has many years of experience as a Family Practice MD and has worked in various hospitals, doctor’s practices, and both Tribal and FQHC clinics including Central Valley Indian Health.

Stella Okeke, Family Nurse Practioner

Stella Okeke, a compassionate and dedicated healthcare professional has joined FAIHP as our Family Nurse Practitioner (FNP). With a wealth of experience and a commitment to excellence,  Stella brings a high level of care to our community, rooted in empathy and integrity. Her diverse background coupled with her genuine concern for women’s well-being, enables her to provide comprehensive and personalized care tp individuals of all ages. We are excited to welcome Stella and confident that her expertise will greatly enhance our ability to deliver patient-centered healthcare.

Tiffany Noyes - Licensed Vocational Nurse

Gracie Walker - Site Manager

Bianca Tristan - Family Nurse Practioner

Nora Reyes - Medical Assistant

Janet Cabrera - Medical Assistant

Catalina Garcia - Medical Assistant

Hello, my name is Catalina. I also go by Cat. I am a bilingual medical assistant with 8 years of medical experience. My focus areas in my  career stretch from family practice, internal medicine, phlebotomy, and urgent care. In my spare time I like to go shopping, running, spending time with my significant other and going on hikes with friends, my partner or just going alone on hikes. I look forward to working within this community and organization! 

Lisa Hernadez - Medical Assistant