Medical Providers

Primary/Occupational/Pain Management:

Dr. Noralahi is the founder and CEO of NMCI Medical Clinic, Inc. He holds two different doctrines. One in allopathic medicine and another in complimentary medicine. This diverse background has allowed him to bring together a unique fusion of traditional and holistic care for an integrated approach to injury and illness. He has decades of experience in providing care for injured workers and musculoskeletal conditions. Dr. Noralahi’s philosophy is “Awareness of human dignity and respect for patients needs must be the visible quality of a doctor, coupled with teaching and empowering patients in taking an active role in the process of recovery, with an aim to promote functionality and well being”.

Dr. Noralahi is well known for his compassion and his sincere interest for the health of his patients. On a personal note, Dr. Noralahi lives locally in the bay area with his wife and two sons. When he isn’t working he loves spending time with his family. He enjoys meditation, writing, spiritual activities, and community volunteer work.

Dr. Noralahi is a state of California Qualified Medical Examiner. He is a diplomat of the American Academy of Pain Management. He is a clinical preceptor for the Stanford University School of Medicine PA Program. Dr. Noralahi was chosen as one of America’s Top Physicians in 2008 by the Consumers’ Research Council of America. He is currently serving on the board of directors of the California Society of Industrial Medicine and Surgery.

He is a member of the following medical organizations:

  • American College of Occupational and Environmental Medicine
  • American Academy of Pain Management
  • American Medical Association
  • California Society of Industrial Medicine and Surgery
  • Union of American Physicians Dentists
  • American College of Physicians


“My name is Scott Standage, MD. I received my medical degree from Tufts University in Boston. While there I served as the Class President all four years. Graduation honors included the Faculty Award to the Student Who Contributed the Most to the Medical Community. I completed my internship at University of Washington in Seattle. Lastly, I did my residency at Stanford University. I was Board Certified in specialty, Physical Medicine and Rehabilitation. Doctors who specialize in this field are referred to as Physiatrists.

I split my work life between seeing new patients (and followups) and electromyography (EMG’s). EMG’s are diagnostic studies that evaluate nerve and muscle function and are commonly used in evaluating patients with neck or low back pain, as well as problems like Carpal Tunnel Syndrome. My medical interests are primarily spine related.

Some will know that the word “doctor” is derived from the Latin word “docere” (to teach). I believe that it is imperative that doctors involve their patients in their own care, and the opportunity to educate should be a central focus of medical care. As such, I especially enjoy helping patients to understand their diagnosis, prognosis and treatment options.

I live on the peninsula, and primarily work out of our Santa Clara office, although I often travel to our other clinics to perform EMG’s.

Outside of my career work, I am especially interested in all types of sports (both spectator and participant), and my most recent focus has been on biking. Environmental issues and animal welfare are causes that are of particular interest to me. I also enjoy travel if given a chance. I am known to speak passable Spanish if encouraged to do so, although this is definitely a work in progress!”

– Scott Standage, MD


Dr. Dhanu J. Panchal, MD, PM&R is Board Certified in Physical Medicine and Rehabilitation Medicine. He has experience in the subspecialty field of non-interventional pain, electromyography, ultrasound guided peripheral joint injections and neurolytic injections. In addition, he has focused training with treating chronic pain illness within the workers compensation system. His interests are to maximize the function of individuals through managing a comprehensive, interdisciplinary and multidisciplinary approach. He utilizes interpersonal and communication skills, medical knowledge, and systems-based resources towards helping a community achieve access to the best medical care available.

He has been an active member of the Association of Academic Physiatrists, American Academy of Physical Medicine and Rehabilitation, American Association of Neuromuscular and Electrodiagnostic Medicine as well as the California Society of Physical Medicine and Rehabilitation, California Society of Industrial Medicine and Surgery, California Applicants’ Attorneys Association and California Medical Association.



Paul Nkadi, MD, PM&R grew up in Nigeria where he obtained his medical degree from the University of Benin. He completed a Surgical internship at Montefiore Medical Center, Bronx NY, followed by a residency in Physical Medicine and Rehabilitation at the same hospital. His interests include musculoskeletal, neurological and spine rehabilitation.

When he is not working, he loves to cook, play scrabble and spend time with his wife and daughters.


Dr. Yoshida joined NMCI in 2016. He is Board Certified in PM&R and completed his medical training through Stanford University and University of Virginia.

His medical degree is from Mie University, Japan, where he has prior residencies and board certifications as an orthopedic surgeon and physiatrist. His prior faculty appointments include Northwestern University, the Rehabilitation institute of Chicago and the Medical College of Wisconsin.



Dr. Brian Mitchell, DO is a physician employed at NMCI Medical Clinic, Inc. He provides care for patients suffering from work related injuries and musculoskeletal conditions. All of the providers at NMCI Medical Clinic work as a team with the goal of improving the patient’s overall health and well being.


“My name is David Kassel. I have been practicing medicine for 33 years. I received my medical degree from State University of New York. I completed my internship at Tacoma Family Medicine. I did my residency at Highland Hospital in Oakland, CA. I am Board Eligible in Emergency Medicine.

My medical interests are primarily Occupational Medicine, Musculoskeletal Medicine and Spine Care. I enjoy helping patients to get appropriate medical care and support. I live in Santa Cruz, CA. My philosophy for treating patients is to listen carefully to my patients and explain the treatment I propose.

My hobbies are traveling, hiking and live music. In addition to the English language, I am capable in Spanish.”

– David Kassel, MD

Dr. Monte Penner, MD is a physician employed at NMCI Medical Clinic, Inc. He provides care for patients suffering from work related injuries and musculoskeletal conditions. All of the providers at NMCI Medical Clinic work as a team with the goal of improving the patient’s overall health and well being.


Christa Bradley MPH, PA-C serves as the PA & NP Coordinator at NMCI Clinic Inc. Mrs. Bradley was raised in Alaska. She has traveled extensively and has intermediate Spanish speaking skills. Mrs. Bradley has a special interest in diabetes. She received her Physician Assistant training at Stanford School of Medicine, Primary Care Associate Program (PCAP) in 2003 and received her Master in Public Health in a joint program with Stanford School of Medicine and San Jose State University, 2005. Her BA in Latin American Studies was from the University of New Mexico, Albuquerque, 1993.

As well as working at NMCI Clinic Inc. Ms. Bradley is a part-time teacher at the Stanford School of Medicine, PCAP since 2007. She has also taught at the University of California San Jose.

At NMCI Clinic Inc. she provides the following services:

Treatment for patients with musculoskeletal complaints, trigger point injections, cortisone joint injections, electrical stimulation trials, depression & sleep hygiene screenings and treatment, biofeedback, exercise programs, weight screenings, evaluation for change in established sexual patterns secondary to pain, changes in activities of daily living, cervical traction trials, A&D of abscess, minor stitches.

Ms. Bradley also evaluates for: epidurals, EMG/NCV, MRI, acupuncture, spinal cord stimulator, & orthopedic evaluation referrals.

She has also procured funding and organized numerous diabetes and hypertension community screenings at NMCI Clinic Inc.

Ms. Bradley’s past medical experience has included: Peace Corps health care, and appropriate technology volunteer, São Tomé e Principe, Africa. Emergency Medical Technician-Paramedic training. Emergency Medical Technician San Jose, California. Home Health Care provider for Parkinson’s disease patient Atherton, California. Community Health Representative for the Indian Health Center of Santa Clara Valley, San Jose, California.

Published works: Age-Appropriate Guidelines for Self-Care of Children with Diabetes 8/04 Diabetes Society of Santa Clara Valley

Awards: Ministry of Health, São Tomé e Principe, Africa

Article written about Mrs. Bradley: PAs Caring for the Undeserved: Day Workers and Occupational Health by Margaret Allen, PA-C, CAPA News March/April, 2012


Lubov Patouga is a Certified Physician Assistant, she joined the NMCI team March of 2015. She graduated from the Masters Physician Assistant program at Samuel Merritt University, Oakland CA, and became certified by NCCPA in 2013. She holds a BA in Radiological Biological Sciences from Medical College of Georgia. Her prior experience includes specialties such as cardiology, sleep medicine and internal medicine. She holds the title for Miss Georgia United States 2011, contributing her time to local, state and national level philanthropy.

She has also dedicated her time to Global Medical Brigades where she traveled to Panama to work with the native Kuna community, providing medical attention and public health education. Lubov is currently practicing pain management/occupational medicine at our Daly City office; utilizing her skills, knowledge and expertise to provided diligent and compassionate patient care. In addition to English, Lubov is also fluent in Russian.


“I was born and raised in South Korea until moving to California during college years. I received NP from Sonoma State University and worked as a nurse practitioner in family practice for few years before joining NMCI.

My goal is to develop long-term relationships with patients and their families. I love to educate and engage patients in managing pain, and I hope to continue helping them with maintaining health and quality of life. I feel very fortunate to be part of NMCI clinic at Santa Clara where I am surrounded by most friendly and competent colleagues in occupational medicine/pain management.

When I am not at work, I enjoy photography, gardening, cooking, music, snowboarding and jet skiing.”

– Joo-Hyung (Joshua) Yi, MSN, NP-C



Mary Dunning Garofalo is a Nurse Practitioner employed at NMCI Medical Clinic, Inc. She provides care for patients suffering from work related injuries and musculoskeletal conditions. All of the providers at NMCI Medical Clinic work as a team with the goal of improving the patient’s overall health and well being.

James D. Eskridge


“My job as a family nurse practitioner has been exciting and very rewarding. Being able to teach and help people improve their health and subsequent quality of life has been my primary goal as a family nurse practitioner.

My multiple experiences in trauma surgery, orthopedic, home care and workers comp has helped me provide excellent patient care in their attempts to improve, recover and deal with their health issues.

My educational background includes; surgical technician for the US Army, Registered Nurse, Bachelors’ in Science Nursing – graduated with honors at University of San Francisco, and Family Nurse Practitioner in a workers compensation facility.”

Tracey Fremd, NP, is a pain management and Work Comp specialist in the Stockton and Sacramento offices at NMCI. She has served her profession as Past President of California Association for Nurse Practitioners, one of the nation’s largest professional associations for nurse practitioners. She was recognized as California’s “Nurse Practitioner of Distinction” in 2007 for her contributions to the professional, economic and legislative developments of California’s NPs. She is the founding principal of a medical practice consulting firm. She resides on several national committees and counsels for pain management and safe opioid prescribing. She is a noted national speaker in her areas of expertise. She has nearly 25 years’ experience as a practicing NP in pain management and women’s health.

Dr. Steve Camenson has been a chiropractor in the bay area with over 25 years of experience.  He has extensive knowledge, training and experience and is committed to provide better health and wellness for his patients thru chiropractic treatment.   Those seeking treatment with Dr. Camenson are assured that their health is in great hands.

Dr. Camenson has lived in the bay area his whole live and has a wife and 3 children.  He spends his free time with his family and enjoys all the wonderful activities that the Bay Area has to offer.

Rasheda Sadler, a Certified Physician Assistant, joined the NMCI Medical Clinic, Inc. in August of 2017. She graduated from the Masters of Physician Assistant Studies program at Penn State University College of Medicine, Hershey, PA in May 2017. She then became certified by the National Commission on Certification of Physician Assistants in June 2017. Prior to this, she served on active duty in the U.S. Navy for 9.5 years where she worked as a Hospital Corpsman providing medical care to active military personnel and their families. During this time, she obtained a Bachelor of Science degree from Excelsior College. She now provides medical care for patients suffering from work-related injuries and musculoskeletal conditions as a member of the NMCI team.

I was born in Tehran, the capital of Iran. During my time in Iran, I became interested in science and mathematics. I wanted to know the scientific reason for everything. I studied General Biology at Teachers Training University of Tehran. I graduated with a Bachelor of Science in Biology in 1997. In 1999, I decided to move to the United States to further my education. I double majored in Molecular Biology with a minor in chemistry, and nursing. In 2008, I graduated in nursing and accepted a position at Cedars-Sinai Medical Center in West Los Angeles, CA as a registered nurse. I then finished my Post Baccalaureate in Molecular Biology.


While working as an RN in an acute care setting, I realized that bedside nursing was not enough. I wanted to advance my education to better serve my patients. I knew that as an advanced practice provider, I will have more knowledge and expertise to help patients get better. I knew at that time that I wanted to further my education to become a nurse practitioner.


In 2013, I was accepted into the nurse practitioner program and finished my education in May of 2016 with a nurse practitioner degree specializing in adult gerontology acute care, by which I can work in a variety of medical specialties.


In 2016, my family and I moved to Northern California, San Jose area, to be closer to our relatives. I have been working for NMCI Medical Center since October of 2017. I enjoy working with work injury patients who come to NMCI. I have learned a lot from my patients, coworkers, and medical team. I am looking forward to working with NMCI Medical Clinic’s patients and hope I can make a positive difference in their lives.

Dr. Marsha Bluto received her medical doctorate from Penn State College of Medicine and subsequent specialty training in Physical Medicine and Rehabilitation from Stanford University Hospital.


As well as being a Board-Certified Physiatrist, she obtained her Registered Nursing from the Adelaide Women’s & Children’s Hospital in Australia and worked as an operating room scrub nurse for many years.  Dr. Bluto also has a Business Degree from the University of Technology in Sydney, Australia, and was the COO for various medical device companies, the Medical Director of the Musculoskeletal Department of a large county hospital and has her own private practice specializing in non-operative, orthopedics, and pain management in the Bay Area.


Through her years caring for patients she learned how to truly listen to the individual needs of each patient.  With a collaborative style, her holistic approach to wellness goes beyond treatment methods with a dedication to ensure patients feel educated, understood, and empowered to make the choices that are right for them.

Michelle Park is a nurse practitioner in the San Jose office.  She grew up in San Jose and is happy to be practicing back in her hometown.  Michelle completed her nurse practitioner training at the University of California, San Francisco, with a minor in diabetes, and is nationally board certified in family practice. 


Prior to joining NMCI, she worked as a primary care provider in a community clinic.  Michelle’s focus is on evidence-based care and patient engagement.  She believes in shared decision making and that the best care comes from the collaboration between provider and patient. 

Clinical Neuropsychology/Psychiatry:

Robert J. Balaban, M.D. is a physician with years of experience in the field of psychiatry, both as a psychotherapist and psycopharmacologist. He has obtained a post graduate degree in psychology from the New School for Social Research, where he studied personality theory. Dr. Balaban has been a clinician and teacher including being on the clinical faculty of the Harvard Medical School and the University of Wisconson. Dr. Balaban integrates several healing psychotherapies which he has learned through intensive training with some of the most influential and skilled therapists in the United States and Europe.

Dr. Balaban’s philosophy is to address various aspects of a person’s well being including physical, psychological and spiritual dimensions. Dr. Balaban has been trained in many approaches to psychotherapy including psychodynamic, mind/body medicine, EMDR, neurolinguistic programming, focusing, meditation, and guided imagery. In addition to psychotherapy, Dr. Balaban provides medication evaluation and management.

Having the option of integrating numerous techniques that facilitate healing, allows Dr. Balaban to collaboratively address each individual’s unique needs. Gene Gendlin, Ph.D., the founder of Focusing, states that each person knows their “own forward direction”. It is important to respect the deep knowledge and intuition that each person holds within their being. Dr. Balaban believes in approaching therapy collaboratively, respecting the personal history and specific goals of each person.

I was born in raised in rural upstate New York. After high school I attended the State University of New York at Buffalo, graduating in 1967 with a BA in psychology. From there I moved slightly west, to Indiana University in the Clinical Psychology program. As part of that program I completed a one year internship at the University of Washington Hospital, loved Seattle, and moved there after completing my Ph.D. program in 1972. After work at outpatient clinics, in 1975 I began private practice and worked in that capacity until I moved to the Bay Area in 2007.  I have been a Staff Psychologist at San Quentin prison since then have also worked at NMCI for 4 years now.

Dr. Abramov earned a PhD in clinical psychology from Sofia University with a specialization in creative expressions (doctorate level).  She completed post-doctoral training in San Mateo Medical Center specializing in pain management and functional restoration.


Dr. Abramov has been working in the medical field for more than 25 years.  Before becoming a clinical psychologist Dr. Abramov worked as a registered nurse specializing in management of chronic illnesses and hospice care.  As a clinical manager she was involved in providing clinical direction to a multidisciplinary team ensuring high quality outcome-focused care and team compliance with state and federal laws.  Many years of clinical experience equipped Dr. Abramov to deal effectively with chronic pain and mental health issues related to chronic pain. 


Dr. Abramov considers herself a health psychologist.  Her specialty is psychosomatic illnesses, trauma and trauma-related disorders, post-traumatic stress disorder, and grief.  Her passion is patient empowerment and education.  She advocates integrative approaches and utilizes the biopsychosocial model in treatment of her patients. Her focus is on whole-person health and wellness.  She helps her clients to understand the importance of mind-body-spirit interplay in restoring their sense of well-being and recovering health.


Throughout her career Dr. Abramov also taught classes on caregiving, end-of-life-care, nutrition, and mindfulness meditation and relaxation.  She is trained in Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), guided imagery, hypnotherapy, mindfulness meditation, and creative expressions.  Currently, Dr. Abramov is an Adjunct Faculty in Notre Dame de Namur University teaching neurophysiology and psychopharmacology course to graduate students. 


Dr. Abramov enjoys yoga, meditation, hiking, and painting.

Orthopedic Surgery:

Dr. Hughes holds an undergraduate degree in Physics from UCLA where he graduated Summa Cum Laude with a Distinction as First in his Class. He attended medical school at USC Keck School of Medicine where he served as Student Body President. He completed his Orthopedic Surgery training in Washington D.C. where he was Chief Resident at George Washington University Medical School. Dr. Hughes was awarded the top research paper by The Washington D.C. Orthopedic Society. He received additional fellowship training in Sports Medicine at one of the leading medical centers and teaching institutions in the country, Washington University, in St. Louis, Missouri. It was here that he was the Team Physician for The St. Louis Rams (National Football League), The Blues (National Hockey League) and The St. Louis Cardinals (Major League Baseball).

Dr. Hughes provides his patients with an unparalleled expertise in minimally invasive arthroscopic surgery of the hip, shoulder, knee, ankle, elbow and wrist. At the forefront in early-diagnosis and non-operative for effective hip pain treatment, he has helped many patients live pain free without surgery. Dr. Hughes has instructed other surgeons on hip replacements, hip arthroscopy and computer assisted surgical techniques. Dr. Hughes holds faculty appointments at Mills-Peninsula Hospital in San Mateo and Burlingame, Sequoia Hospital in Redwood City and Campus Surgery Center in Daly City, California.

More recently, Dr. Hughes has been involved in the research and development of medical devices. He also serves in an advisory capacity to the news media, The College of San Mateo and several medically oriented companies. He is a consultant for ConforMIS. Dr. Hughes remains a lifetime member of the USC Honor Society. Like many philanthropists in the medical field, he dedicates part of his time to volunteer for the underserved and less fortunate. Dr. Hughes is an active member of Operation Access and community advocacy of the uninsured. He has been known to make local house calls to 100-year-old patients and special needs children as young as six. Dr. Hughes’ international surgery cases have increased, taking him to Australia in 2012 and Hong Kong in 2013.

Dr. Hughes has published numerous scientific articles in sports medicine and orthopedic journals on preventing childhood sports injuries and is a frequently invited presenter at sports medicine and orthopedic meetings. His commitment to quality care, patient education, injury prevention, joint preservation and patient wellness is unmatched. He works with each patient to establish an individualized treatment plan for joint preservation and sees his patients personally at every appointment to ensure continuity and quality of care.


Biography Credit: Dr. Paul E. Hughes, accepted from website:

Ancillary Services:

Dr. Jacobs DC, QME, has been providing care in the Bay Area and the Valley since 1997. As a Chiropractor, Dr. Jacobs has managed a multitude of injuries to the spine and extremities, and has helped thousands of patients to restore their health and well-being. To be a part of his patients’ recovery from injury, restoring function, participating in the healing process from the beginning to the end, and watching the joy that patients’ experience from being whole again is the reason Dr. Jacobs began his health care career.

Being a former Competitive athlete, and suffering injuries which lead to visits to a Chiropractor, Dr. Jacobs understands the importance of health and function in its fullest form. He wants for his patients to experience a pain free, maximum capacity life. Dr. Jacobs has helped patients with Acute, Sub-Acute and Chronic Conditions, weight loss, and Neurologic Injury.

Of note, Dr. Jacobs lives in the area with his wife and two children. He competes actively in several sports and his other hobbies include meditation, reading; although most of his free time is spent watching his children participate in their athletic events.

Dr. Jacobs is a State Appointed Qualified Medical Examiner and has lectured in colleges throughout the Bay Area.

Dennis M. Sosine, D.C., Q.M.E.


Dr. Sosine has been in practice since January 1, 1982.  His practice is devoted to treating patients with musculoskeletal conditions.  He also performs medical-legal evaluations in the workers’ compensation system to help facilitate resolution of work injury cases.  His practice also includes training physicians of all specialties to perform medical-legal evaluations in the State of California and he is an independent medical evaluator for the State, determining employment abilities for individuals on State Disability.  


Robert Froh, DC is a Chiropractor employed at NMCI Medical Clinic, Inc. He provides care for patients suffering from work related injuries and musculoskeletal conditions. All of the providers at NMCI Medical Clinic work as a team with the goal of improving the patient’s overall health and well being.


“My name is Wu Zhao. I have been practicing medicine for 30 years. I received my medical degree from Chong Qing Medical University – China. I completed my internship at Chong Qing Medical University. I did my residency at Chong Qing Medical University. I am Board Certified in Acupuncture LAc.

My medical interests are primarily pain management through natural healing methods. I enjoy helping patients to alleviate pain and improve their quality of life. I live in San Jose. My philosophy for treating patients is to understand appreciate the multi-discipline approach in medicine and applying it to the treatment I provide to my patients.

I enjoy spending time with my family and my dogs. In addition to the English language, I am fluent in Chinese.”

– Wu Zhao, LAc

Miral Patel is the Lead Physical Therapy at NMCI Functional Restoration Program. She received Physical Therapy Degree (Honors) from SNDT University, Mumbai, India.

Ms. Patel is a seasoned physical therapist with years of experience working primarily with musculoskeletal injuries. She has special interest in occupational medicine, Functional Restoration Program, Hand Therapy and ergonomics.

She strongly believes that “Healing comes from within” and teaches patients to develop a self-care program including stretching, strengthening, postural correction and injury prevention. Her passion is to help patients to be able to do what they love and to maintain a healthy lifestyle.

At NMCI’s FRP program, Miral utilizes many tools and techniques to guide patients/FRP students. With proper education and specific exercises, the participants are empowered to assume responsibility for increasing their functional capacity along with regaining control over their musculoskeletal symptoms.


Dr. Maryam Kalami LAc, DAOM, is a licensed acupuncturist and a doctor of oriental medicine. She started her career in medicine as a registered midwife and gradually transitioned into oriental medicine several years later. Dr. Kalami is also certified in Pain Management & Sports Medicine, Clinical Nutrition & Weight Management, Cosmetic Acupuncture and Medical Qi Gong.

In addition to her private practice in the Bay Area, Dr. Kalami teaches Advanced Clinical Nutrition at the University of East West Medicine, where she also supervises acupuncture students performing their clinical rounds.

Dr. Kalami lives in the Bay Area with her husband, daughter, and her adorably feisty 11 year old Pomeranian! In her spare time, she enjoys meditating, swimming, and hiking in nature. Dr. Kalami’s philosophy in both life and patient care can be encompassed by the follow George Elliot quotation: “What do we live for if it is not to make life less difficult for each other?”