Health services
VA Central California Healthcare System offers a wide range of health, support, and facility services for Veterans in Tulare, Kings, Fresno, Madera, Merced and Mariposa Counties. Click on a service below for more details like which clinic or medical center offers that service.
In the spotlight
Women Veteran care
VA Central California health care provides comprehensive health care to women Veterans of all ages.
Health care for LGBT Veterans
VA Central California health care provides compassionate care for transgender Veterans
The Mission Act
Find out how to get community care as a VA Central California health care patient
Primary care
Select a topic to learn more.
Advice nurse
Available at these locations
Care we provide at VA Central California health care
Reach out to the VA Health Connect Clinical Contact Center to speak with a Clinical Triage Nurse if you have questions about your care or for help in deciding whether you need an urgent or routine appointment.
The Clinical Triage Registered Nurses in our VA Health Connect Clinical Contact Center are available to provide you an evaluation of symptoms and concerns, and answers to many of your health care questions. Call anytime. We’re here 24 hours a day, 7 days a week. In addition, our nurses can:
- Help you manage many of your basic health care needs
- Answer questions about your current medications or medical condition
- Discuss your health care concerns and help you decide the best way to handle them
- Offer improved access to VA services
You can reach the 24-hour triage nurse line at 833-983-0487, option 3.
Emergency care
Available at these locations
Care we provide at VA Central California health care
We provide emergency medical care 24 hours a day, every day. Our emergency room staff can help you with:
- Life-threatening illnesses and injuries that require immediate attention
- Urgent medical issues that must be treated right away
- Psychiatric evaluations
Geriatrics
Common conditions: memory problems, sleep problems, falls, bone loss, weight loss
Available at these locations
Care we provide at VA Central California health care
We assess your situation and condition to decide which outpatient geriatric services are right for you or a senior Veteran in your care, and then we coordinate your care. Our team of specialists provides geriatric services that include:
- Medicine and nursing
- Psychology, psychiatry, and social work
- Physical and occupational therapy
Gynecology
Available at these locations
Care we provide at VA Central California health care
Our gynecologists focus on the female reproductive system and provide services that include:
- Mammograms for breast cancer, screenings for sexually transmitted disease, and Pap tests for cervical cancer
- Counseling and treatment for contraception, pregnancy, and infertility
- Osteoporosis screening for brittle bones
- Exams for abnormal uterine bleeding, pelvic pain, or various cancers
Pharmacy
Available at these locations
Care we provide at VA Central California health care
Our pharmacy provides you and other Veterans with convenient, efficient service to make it easy to get your medications and medical supplies. You can:
- Pick up new prescriptions in person
- Refill prescriptions online and by phone or mail
- Safely dispose of medicines
Primary care
Your VA primary care provider will work closely with you to plan for all the care you need to stay healthy and well throughout your life, including immunizations and vaccinations. They will also work with family members or caregivers who support you.
Available at these locations
Care we provide at VA Central California health care
A strong network of family and internal medicine specialists and services can offer you the best possible care. Internal medicine doctors (internists) prevent, diagnose, and treat adult diseases. Your primary care team can coordinate the many services you receive such as:
- Labs and blood work
- Mental health care
- Women's health care
- Radiology
- Social services
- Telehealth
Women Veteran care
Common conditions: women's primary care, mental health, obstetrics, gynecology, pap smear, mammogram
We offer women’s health services to meet your specific needs such as disease screenings, mental health treatment, recovery from military sexual trauma, maternity care and female-specific medical equipment.
Available at these locations
Care we provide at VA Central California health care
Our women's health program offers complete health care for women Veterans of all ages. Our primary care providers specialize in women’s health. They work closely with specialists in gynecology, obstetrics, female urology, oncology, medicine, radiology, surgery, and breast illness. Our services for women Veterans include:
- Ultrasounds, mammograms, Pap and HPV tests
- Mental health care and counseling
- Lifestyle wellness services
- Menopause treatment, including hormonal therapy
- Family planning, contraceptive care, and infertility evaluation
Mental health care
Select a topic to learn more.
Addiction and substance use care
Available at these locations
Care we provide at VA Central California health care
We help Veterans on their recovery journey through outpatient and inpatient services. Our residential facility helps Veterans deal with substance abuse, homelessness, mental health, and unemployment through its 24-hour therapeutic and educational programs like:
- Rehabilitation
- Health maintenance
- Community support
Mental health care
Common conditions: addiction, depression, anxiety, trauma, PTSD, bipolar disorder, schizophrenia, OCD
Available at these locations
Care we provide at VA Central California health care
Our medical center and clinics provide consultation, evaluation, and treatment for a range of issues that may impact your mental health or emotional well-being. Our confidential outpatient services include individual and group therapy for:
- Psychiatric disorders such as schizophrenia, bipolar disorder, and depression
- Marriage and relationship problems
- Post-traumatic stress disorder (PTSD)
- Anxiety, addictive behaviors, and personality disorders
- Aggressive or self-harming behaviors
Military sexual trauma care
Available at these locations
Care we provide at VA Central California health care
We offer care for military sexual trauma in our mental (behavioral) health clinics. Military sexual trauma refers to sexual assault, sexual harassment, or other threatening, offensive, or unwanted sexual advances, activities, or remarks that you experienced in the military. Our goal is to help you improve your quality of life with strategies to manage emotions and memories related to your military sexual trauma. Our services include:
- Counseling
- Psychiatric care
- Walk-in care
PTSD care
If you have symptoms of PTSD after a traumatic event, we can help. We offer assessment and treatment support such as private counseling, group therapy and medication. It’s never too late to get help.
Available at these locations
Care we provide at VA Central California health care
Post-traumatic stress disorder (PTSD) is a mental health problem that some people develop after experiencing or witnessing a life-threatening event, like combat, a natural disaster, a car accident, or sexual assault. It’s normal to have upsetting memories, feel on edge, or have trouble sleeping after this type of event. If symptoms last more than a few months, it may be PTSD. We can help you with effective treatments and support services, like:
- Psychiatric and psychological counseling
- Services for Veterans who are homeless
- Treatment for addictive disorders
- Transition and care management for post-9/11 combat Veterans of Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF), and Operation New Dawn (OND)
Psychiatry
If you’re struggling with a mental health problem—or just need to talk with someone—we can help. We offer treatment and support such as therapy, alternative treatments and medications when needed.
Available at these locations
Care we provide at VA Central California health care
Good mental health is a vital part of your overall wellness. Our psychiatry teams offer consultation, evaluation, and treatment to help you with a range of mental and behavioral health problems, including:
- Depression (including sadness and grief), anxiety (including worry and nervousness), and personality disorders
- Addictive behaviors and substance abuse
- Post-traumatic stress disorder (PTSD) and combat-related stress disorder
- Emotional issues like anger management and relationship challenges, confused thinking, memory problems, and invasive thoughts or ideas
- Aggressive or self-harming behaviors
Psychology
If you’re struggling with a mental health problem—or just need to talk with someone—we can help. We offer treatment and support such as therapy, alternative treatments and medications when needed.
Available at these locations
Care we provide at VA Central California health care
Our psychology teams offer consultation, evaluation, and treatment to help with a range of mental and behavioral health problems like:
- Depression (including sadness and grief), anxiety (including worry and nervousness), and personality disorders
- Addictive behaviors and substance abuse
- Post-traumatic stress disorder (PTSD) and combat-related stress disorder
- Emotional issues like anger management and relationship challenges
- Confused thinking, memory problems, and invasive thoughts or ideas
- Aggressive or self-harming behaviors
Suicide prevention
Available at these locations
Care we provide at VA Central California health care
We work with behavioral health providers and community organizations to help you and your family during times of crisis. We offer:
- Suicide prevention care coordinators
- Suicide prevention case managers
- Gun safety locks
Specialty care
Select a topic to learn more.
Anesthesia
Available at these locations
Care we provide at VA Central California health care
The registered nurses on our Nurse Advice Line provide you and your family with helpful medical advice and free, confidential answers to many of your health care questions. Call anytime. We’re here 24 hours a day, 7 days a week. In addition, our nurses can:
- Help you manage many of your basic health care needs
- Answer questions about your current medications or medical condition
- Discuss your health care concerns and help you decide the best way to handle them
- Offer improved access to VA services
Audiology and speech
Common conditions: tinnitus, vertigo, hearing loss, vestibular conditions, swallowing conditions
Available at these locations
Care we provide at VA Central California health care
Our Audiology and Speech Pathology clinic provides diagnostic and rehabilitative services, VA compensation and pension examinations, and screening for employee hearing conservation. We offer a full range of audiology and speech pathology services like:
- Hearing and balance evaluations
- Selection, management, and repair of hearing aids and assistive listening device assessments
- Evaluation, programming, and management of cochlear implants and bone-anchored implants
- Evaluation and treatment for auditory processing disorder
- Services that help with speech, language, fluency, voice, cognitive communication, swallowing, stuttering, and laryngectomy (surgical removal of the larynx, which contains your vocal cords)
COVID-19 vaccines
Common conditions: coronavirus, COVID-19
Available at these locations
Care we provide at VA Central California health care
- COVID-19 vaccines for eligible Veterans and staff
Cardiology
Common conditions: heart disease, high blood pressure, heart rhythm disorders, angina, vascular diseases
Available at these locations
Care we provide at VA Central California health care
We offer complete cardiovascular care and while we focus on prevention of heart disease, we have state of the art treatments available including coronary angioplasty, coronary artery stenting and pacemaker placement. We have complete services available to evaluate your heart and circulation. In addition to routine heart testing with EKGs, echocardiograms (ultrasound of your heart) and stress tests, we are also one of the few centers in all of Central California that offer advanced Cardiac imaging with Cardiac CT and Cardiac MRI.
We perform a broad spectrum of noninvasive and minimally invasive tests and procedures that evaluate your heart. We’ll work with you to develop a personalized treatment plan and treat you with the most effective medications. We also offer invasive procedures to treat heart disease. Our cardiology specialists are here to help you live your best life possible. Our services include:
- Evaluating you for heart disease such as coronary heart disease, high blood pressure, heart failure, heart-valve disease, arrythmias, and heart defects
- Determining how well blood flows through your heart and vessels or find the cause of your heart failure
- Treating your heart vessels with nonsurgical or minimally invasive operations that open and support them through balloon angioplasty or stent placement
- Noninvasively evaluate your heart with electrocardiograms (EKGs or ECGs), wearable Holter monitors, echocardiography (ultrasound of your heart), stress testing, nuclear perfusion imaging
- Advanced Cardiac Imaging with Cardiac CT and Cardiac MRI
- Minimally invasive implantable loop recorder placement
- Performing surgical treatments like pacemaker implants
- Minimally invasive diagnostic right and left cardiac catheterization (inserting a long, thin tube into an artery or vein)
Critical care
Available at these locations
Care we provide at VA Central California health care
Doctors in our intensive care units (ICUs) treat patients with serious illnesses or injuries, such as life-threatening infections, severe burns, brain injuries, and organ failure. Our critical care doctors (called intensivists) and nurses provide you with a full range of services, like:
- Monitor your heart rate, blood pressure, and breathing with cardiac and oxygen telemetry
- Help your lungs work using a mechanical ventilator
- Provide nutrition through a feeding tube in your vein, nose or mouth
- Drain urine from your bladder using a catheter
- Give fluids and medicine through your vein using an IV pump
- Help prevent blood clots in your legs by using inflatable compression wraps and boots
Dental/oral surgery
Common conditions: teeth cleaning, fillings, restorations, root canal, bridges, dental implants, dentures
Available at these locations
Care we provide at VA Central California health care
If you’re eligible for VA dental care, we offer a full range of quality dental services like:
- Routine exams and teeth cleaning
- Restorative procedures, including fillings and crowns
- Comprehensive surgical care, including extractions (pulling teeth) and oral cancer screening
- Routine and advanced prosthodontic care, including bridges, dentures, and dental implants
- Routine and advanced periodontal care, including root canals, gum treatments, and supporting bone care
- Oral and facial reconstruction surgery to repair damage from traumatic injury or serious illness
Dermatology
Common conditions: psoriasis, eczema, skin cancer, acne, rosacea, allergic skin diseases, ulcers
Available at these locations
Care we provide at VA Central California health care
We provide care for many medical and surgical skin conditions. Our dermatology services include:
- Medically necessary treatments for skin conditions like skin cancer and rashes
- Specialized treatments for acute (short-term) and chronic (long-lasting) skin conditions, like psoriasis, eczema, warts, and fungal illnesses
- Evaluation, biopsy, and treatment of cancerous or pre-cancerous skin conditions, like abnormal moles and lesions.
- Referrals for complex conditions
- Teledermatology (a telehealth resource), which gives patients quick access to expert opinions
Diabetes care
Common conditions: Diabetes type 1, Diabetes type 2
Available at these locations
Care we provide at VA Central California health care
We offer many medical and support services to help you manage your diabetes, like:
- Self-management, education, and support classes
- Insulin therapy and blood-glucose monitoring training
- Diabetes survival skills that include sick-day management, lifestyle changes, nutrition advice, and cooking classes
Gastroenterology
Common conditions: acid reflux, fatty liver, irritable bowel syndrome, inflammatory bowel disease, diarrhea, cancer screening
Available at these locations
Care we provide at VA Central California health care
Our gastroenterology department provides services, including:
- Colonoscopy, esophagogastroduodenoscopy (EGD), and endoscopic retrograde cholangiopancreatography (ERCP). These procedures use an endoscope, which is a long, flexible tube with a camera, to examine and treat your digestive system.
- Esophageal Manometry study, which assesses the function of your esophagus to help diagnose swallowing problems.
- Fibroscan, which is a noninvasive test that measures stiffness of the liver and fatty deposits in the liver.
- Small bowel capsule endoscopy, which uses a tiny wireless camera in the shape of a pill to examine your small intestine.
- pH study, which measures the severity of stomach acid reflux in the esophagus.
Hematology/oncology
Available at these locations
Care we provide at VA Central California health care
We offer a range of hematology and oncology services. You can arrange appointments and consultation through your primary care provider. Our hematology and oncology services include:
- Chemotherapy and Immunotherapy
- Blood and platelet transfusions
- Mediport flushes to clean and maintain the small medical appliance inserted under your skin, making it easier to inject drugs and draw blood
- Evaluation and treatment of blood disorders and cancer
- Dedicated outpatient infusion center, working closely with radiation oncology, interventional radiology, general surgery, diagnostics, palliative care, and social services
- Bone marrow biopsies, to see whether your bone tissue is healthy and making a normal number of blood cells
- We participate in several cancer clinical trials
Infectious disease
Available at these locations
Care we provide at VA Central California health care
We test for, evaluate, and treat many infectious diseases. We offer:
- Testing and screening for hepatitis C, HIV/AIDS, tuberculosis, and other infectious diseases
- Prevention strategies and treatment
- Compassionate care and counseling for people who are living with infectious diseases
Laboratory and pathology
Available at these locations
Care we provide at VA Central California health care
Our laboratories provide a full range of clinical and diagnostic testing services. Our laboratory and pathology services include:
- Study of blood, urine, and other bodily fluids for illness management
- Testing for infectious diseases
- Cytopathology (study of unusual cells) and surgical pathology (study of tissue removed during surgery)
- Autopsy services
MOVE! weight management
Common conditions: overweight, obesity, diabetes, high blood pressure
Available at these locations
Care we provide at VA Central California health care
MOVE! is a weight-management program designed to help you live a longer, healthier life. With the help of your MOVE! care team, you can eat a healthier diet, get more exercise, reduce your health risks, and improve your quality of life. The MOVE! program offers:
- Weight-loss support groups to help you lose weight and keep it off
- Healthy eating tips and cooking classes
- Behavioral change strategies to help you live a healthier lifestyle
Nephrology
Common conditions: Dialysis, kidney disease, high blood pressure, hypertension
Available at these locations
Care we provide at VA Central California health care
Our team of kidney doctors (nephrologists) actively manage all aspects of adult kidney disease, kidney and bladder stones, renal hypertension (high blood pressure caused by kidney disease), and mineral and bone disorders. We provide inpatient and outpatient services, like:
- Dialysis preparation and referral
- Inpatient dialysis
- Kidney transplant evaluation
- Kidney disease education
Neurology
Common conditions: cognitive disorders, epilepsy, headache, motor neuron diseases, movement disorders, multiple sclerosis, stroke
Available at these locations
Care we provide at VA Central California health care
We provide inpatient and outpatient services for chronic diseases and disorders that affect your brain, spine, and the nerves that connect them. Our neurologists read electroencephalogram (EEG) recordings, which measure the electrical impulses brain cells use to communicate with each other. We evaluate and treat many neurological illnesses and disorders such as:
- Neuropathy (nerve damage), myelopathy and other spinal cord injuries, and radiculopathy (pinched nerves)
- Parkinson’s disease, epilepsy, and multiple sclerosis
- Stroke, dementia, and degenerative diseases
- Other neurological conditions
Nutrition, food, and dietary care
Available at these locations
Care we provide at VA Central California health care
Our registered dietitians can help you maintain or improve your health with good nutrition tailored to your needs. Through group, individual, and telehealth sessions, we provide nutrition education and counseling in areas such as:
- Cardiovascular and heart health
- Chronic kidney disease
- Diabetes (including gestational diabetes)
- Eating disorders and digestive health
- Pregnancy and postpartum nutrition
- Weight management
Ophthalmology
Common conditions: cataracts, glaucoma, macular degeneration, diabetic eye disease
Available at these locations
Care we provide at VA Central California health care
We offer comprehensive evaluation, diagnosis, and treatment for eye-related illnesses, injuries, and other issues. Our ophthalmology services include:
- Medical care for glaucoma, eye infections, and other conditions
- Surgery for cataracts, traumatic eye injuries, and other problems
- Treatment for eye conditions related to illnesses like diabetes or arthritis
- Plastic surgery to repair droopy eyelids, clear blocked tear ducts, and perform eyelid and facial reconstruction (oculoplastics)
Optometry
Common conditions: vision exams, prescription eyeglasses, contact lenses
Available at these locations
Care we provide at VA Central California health care
Our optometrists offer you routine eye exams, preventive vision testing and treatment for conditions like glaucoma, macular degeneration, and diabetic retinopathy. We also provide prescriptions for eyeglasses and other assistive devices. Our optometrists provide many eye-related services and treatments like:
- Treatment for diseases and injuries of the retina, cornea, and other parts of your eye
- Low-vision services for conditions like macular degeneration that can’t be corrected by glasses, surgery, or medication
- Special eye exams for diabetic patients
Orthopedics
Common conditions: arthritis, musculoskeletal disorders, tendon repair, ligament repair, joint replacement
Available at these locations
Care we provide at VA Central California health care
We use surgical and nonsurgical means to treat illnesses and disorders of the musculoskeletal system, which includes your bones, muscles, joints, cartilage, tendons, ligaments, and other connective tissue. We treat conditions like:
- Musculoskeletal trauma
- Degenerative illnesses
- Sports injuries
Otolaryngology
Common conditions: balance issues, sinusitis, difficulty swallowing, obstructive sleep apnea, head tumors, neck tumors
Available at these locations
Care we provide at VA Central California health care
We evaluate, diagnose, and treat a wide range of ear, nose, and throat conditions, like:
- Nasal and sinus problems
- Obstructive sleep apnea
- Throat, lymph node, thyroid, and parathyroid tumors and other conditions
- Voice and swallowing disorders
Palliative and hospice care
Available at these locations
Care we provide at VA Central California health care
Our palliative and hospice care services support you and your family as you cope with a life-threatening or terminal illness. Palliative care works to provide comfort, reduce suffering, and improve the quality of life for patients being treated for serious illnesses. Hospice care focuses on helping patients with terminal illnesses to manage the final stages of their lives. Our palliative and hospice care services include:
- Pain and symptom management
- Emotional, spiritual, and psychosocial support for you and your family
- Help with practical issues that include an advance directive (living will), health care power of attorney, funeral arrangements, and applying for VA death and burial benefits
- Education to help you and your family make informed health care decisions and know what to expect as your health declines
- Bereavement care to help surviving family members during the grieving process
Physical medicine and rehabilitation
Common conditions: pain, stroke, brain injury, neuromuscular disorders, musculoskeletal problems, sports injuries, spinal cord injuries
Available at these locations
Care we provide at VA Central California health care
Physical Medicine & Rehabilitation Service (PM&R) provides comprehensive physical medicine and rehabilitation services across the continuum of care to improve health care outcomes, optimize functional abilities, and improve quality of life. At Fresno VA, the Pain Management and Whole Health programs are aligned under PM&R Service.
Common conditions: Musculoskeletal disorders, arthritis, back pain, neck pain, joint pain, trigger finger, carpal tunnel syndrome. Neurologic conditions that may benefit from PM&R Services include: stroke, multiple sclerosis, Parkinson’s disease. We also offer post-surgical rehab after joint replacement, rehab for cardiac conditions, pulmonary conditions, pelvic floor rehab.
Pain Management Specialty offers comprehensive and multi-disciplinary pain management including pharmacologic and non-pharmacologic management options, clinical pain pharmacist services, behavioral health, rehab therapies, complementary, and whole health approaches to care.
- Programs available include:
- Physical Therapy
- Pelvic PT
- Occupational Therapy
- Certified Hand Therapist
- Speech-Language Pathology Services
- Recreational Therapy
- Whole Health Program
- Seated Tai Chi
- Modified Yoga
- Chiropractic Care
- Massage Therapy
- Acupuncture
- PM&R - General Physiatry
- PM&R - Interventional Pain Management/Physiatry
- Pain Management Specialty
- Whole Health Coaching
- TBI/Polytrauma Interdisciplinary Rehab/Recovery
- Amputee Care
- Employee Wellness
Plastic and reconstructive surgery
Plastic and reconstructive surgery can restore function and appearance after damage from disease, burns, traumatic injuries, congenital and developmental conditions and other causes.
Available at these locations
Care we provide at VA Central California health care
Our plastic and reconstructive surgeons perform surgery to improve body function, or correct facial and body abnormalities caused by birth defects, injury, disease, or aging. We also perform cosmetic surgery to create a more normal appearance and improve self-esteem. Our services include:
- Surgical repair of congenital deformities such as cleft lips and palates
- Skin cancer surgery to remove malignant moles, lesions, and tumors from your skin
- Breast reduction and reconstruction surgery
- Skin grafts to treat burns, injuries, or illnesses, which involves removing skin from one part of your body and grafting it to another
- Nasal reconstruction surgery to change the shape of your nose
Podiatry
Common conditions: arthritis, bunions, diabetic foot care, foot deformities, skin conditions, nail conditions
Our podiatry specialists evaluate and treat a wide range of injuries, diseases and disorders that affect your feet and ankles—from ingrown toenails to inflammation to diabetic foot ulcers.
Available at these locations
Care we provide at VA Central California health care
After years of walking, running, marching, jumping, rappelling, and parachuting, many Veterans experience trouble with their feet and ankles. We can help treat those problems so you can continue to enjoy an active lifestyle. Our podiatry services include:
- Arthritis care for inflamed, swollen, or damaged joints
- Foot and ankle fracture treatment; repair of cartilage, torn tendons and ligaments
- Injections to reduce pain and swelling
- Joint arthroplasty (surgical repair or reconstruction) and replacement
- Minimally invasive surgery and post-surgical rehabilitation
- Foot health maintenance procedures (bunion removal, resurfacing, and nail trimming)
Polytrauma and traumatic brain injury
Available at these locations
Care we provide at VA Central California health care
Our specialized rehabilitation program network serves severely injured Veterans and service members who have multiple combat- or civilian-related traumatic injuries. We offer:
- Physical, visual, and cognitive rehabilitation
- State-of-the-art prosthetics
- Psychological and psychosocial services
- Ongoing case management services
Prosthetics and rehabilitation
We provide and help you use medical aids, hearing aids, state-of-the-art adaptive home equipment and other equipment to help you preserve and increase your mobility and independence.
Available at these locations
Care we provide at VA Central California health care
The mission of the Prosthetic & Sensory Aids Service (PSAS) is to provide comprehensive support to optimize health and independence of the Veteran. Our vision is to be the premier source of prosthetic and orthotic services, sensory aids, medical equipment, and support services for Veterans.”
Available at these locations: Fresno VA Medical Center, Merced CBOC, Oakhurst CBOC, Tulare CBOC
VA is the world’s largest and most comprehensive provider of Prosthetic & Sensory aid devices. Veterans enrolled in the VA health care system may be eligible for a full range of medical equipment and services, including:
- Prosthetic limbs and orthotic devices
- Wheelchairs, walkers, and other mobility devices
- Home Oxygen
- Service Dog insurance
- Automobile adaptive equipment
- Home Improvement Structural Alteration benefits (HISA)
- Low vision and hearing devices
- Adaptive medical equipment to improve day to day activity
- Medical equipment for home use to improve daily independence
Pulmonary medicine
Common conditions: tuberculosis, respiratory conditions, sleep apnea, sleep problems
Our pulmonary medicine team treats diseases and conditions that affect the lungs and breathing, including asthma, tuberculosis, chronic obstructive pulmonary disease, acute respiratory distress syndrome and sleep apnea.
Available at these locations
Care we provide at VA Central California health care
If you find it difficult to breathe or sleep, our pulmonary (lung) specialists can help. We offer education, exercises, and treatments like:
- Oxygen therapy to help you stay active and breathe better
- Pulmonary rehabilitation to build your strength and increase lung capacity
- Healthy diets to help you manage your weight and improve energy
- Strategies to help you increase your feelings of control, optimism, and self-esteem
- Tests to measure your lung function, lung volume, and blood gas
We evaluate patients with breathing trouble from various causes and do cardiopulmonary exercise testing to find the cause of breathing difficulty in complex cases. We also have a Lung Cancer Screening Program/ Lung Nodule Program. We perform screening for early diagnosis of lung cancer by using Low Dose CT scan of chest in current and ex-smokers. The Lung Nodule Program detects lung nodules, performs diagnostic testing including biopsies using bronchoscopy and endobronchial ultrasound (EBUS) guided bronchoscopy. Based on these studies, we treat lung nodules of cancer, valley fever, lung infection and other non-cancer causes. The lung nodule program also does long term follow up of all lung cancers treated previously. Our specialists also drain fluid collection in chest cavity due to various causes.
Radiology
Available at these locations
Care we provide at VA Central California health care
We offer radiology and imaging services to diagnose and treat many medical conditions. Our services include:
- X-ray
- Ultrasound
- Computer tomography (CT)
- Magnetic resonance imaging (MRI)
- Nuclear Medicine Imaging
Our direct Imaging scheduling phone line is 559-225-6100, ext. 5025
Rehabilitation and extended care
Available at these locations
Care we provide at VA Central California health care
We provide long-term care to help you and your family when you’re dealing with a disability, chronic (long-lasting) illness, terminal illness, or serious health issues related to aging. Our long-term health care services include:
- 24/7 nursing and medical care
- Physical therapy
- Help with daily tasks like bathing, dressing, making meals, and taking medicine
- Pain management and palliative care to relieve suffering and improve quality of life for people with serious illnesses
- Hospice care to provide comfort and compassionate care for people in the last phases of an incurable illness
- To learn more about the different types of extended care that VA provides, see our guide to long-term services and support.
Rheumatology
Common conditions: arthritis, Crohn's disease, gout, lupus
Available at these locations
Care we provide at VA Central California health care
Our doctors treat inflammation, stiffness, or pain in your muscles, joints, and tendons. Common rheumatic illnesses include:
- Juvenile idiopathic and infectious arthritis
- Osteoarthritis and rheumatoid arthritis
- Lupus; gout; and scleroderma
Smoking and tobacco cessation
If you are trying to quit smoking or want to stop using tobacco, we can help you with support, resources and programs.
Available at these locations
Care we provide at VA Central California health care
You can quit smoking or chewing tobacco. Our goal is to provide support and strategies to enhance success with tobacco cessation. These include:
- FDA-approved medications to manage nicotine withdrawal and the urge to smoke.
- Counseling in person or by phone
- Tobacco Cessation Quitline for individual counseling and strategies
- SmokefreeVET text message program for daily advice and interactive support
- Stay Quit Coach mobile app to help you quit smoking and stay smoke-free
Surgery
If you are having surgery, we make sure that your procedure and follow-up care are safe and high-quality.
Available at these locations
Care we provide at VA Central California health care
We provide a wide range of surgical services, like:
- General surgery
- Anesthesia
- Cardiac surgery (heart and major blood vessels)
- Orthopedic surgery (bones, muscles, ligaments, joints, and tendons)
- Interventional radiology
- Robotic surgery
- Gastroesophageal reflux disease, or acid reflux, which occurs when stomach acid frequently flows back into your esophagus and irritates the lining
Thoracic surgery
Common conditions: esophageal conditions, lung conditions, lung cancer, mesothelioma
We perform chest surgery (also known as thoracic surgery) to treats conditions involving your chest, airway and esophagus.
Available at these locations
Care we provide at VA Central California health care
Our thoracic surgeons provide state-of-the-art surgical techniques and cancer therapies that focus on your lungs and other organs of the chest. Many of our thoracic treatments also address problems with your esophagus (the tube that connects your mouth and stomach), your trachea (airway), and your chest wall (rib cage and breastbone). We treat a variety of conditions that include:
- Lung cancer and cancer of the esophagus
- Benign chest and lung tumors
- Pleural illnesses, like pneumothorax (collapsed lung) and infections of the pleura (the thin membrane that lines the chest wall and covers the lungs)
- Achalasia, which occurs when nerve damage prevents your esophagus from pushing food into your stomach)
- Diseases of the thymus, a small organ beneath your breastbone that produces cells that support your immune system and fight cancer
Urology
Common conditions: prostate cancer, erectile dysfunction, urinary disorders
Available at these locations
Care we provide at VA Central California health care
We evaluate, diagnose, and treat a wide range of urology diseases and conditions that include kidney stones, erectile dysfunction, urinary incontinence, prostate cancer, and more. We provide you with medical care, surgery, and minimally invasive procedures for health issues that affect:
- Kidneys
- Bladder
- Ureter and urethra
- Male reproductive organs
Vascular surgery
Common conditions: vascular conditions, varicose veins
Our expert team diagnoses and treats diseases and conditions that affect arteries, veins and blood circulation.
Available at these locations
Care we provide at VA Central California health care
Our vascular surgeons treat illnesses of your arteries and veins. Our surgeons can treat these problems with medication and exercise. Vascular illness causes include:
- Arteriosclerosis and/or atherosclerosis (caused by the buildup of plaque in your arteries that restricts blood flow to your organs and tissues)
- Aortic aneurysm and aortic valve disease
- Deep vein thrombosis and blockage by a blood clot or fatty deposit
- Varicose veins
- Vasculitis (inflammation of your blood vessels)
- Varicose veins
- Trauma or injury
Wound care and ostomy
We provide thoughtful, compassionate diagnosis and treatment for Veterans with acute or chronic wounds or those who need ostomy care.
Available at these locations
Care we provide at VA Central California health care
Healing your wounds is an important step in your recovery and rehabilitation. Our wound care team will assess your wound, determine where you are in the healing process, and provide a treatment plan for your care. If you’ve had ostomy surgery and are living with either a temporary or permanent stoma (a surgical opening to allow urine, feces, or body fluids to exit your body), we can help you manage the care of your stoma, make good product choices, and cope with the effects of ostomy surgery. We provide care and support for:
- Open, non-healing, and hard-to-heal wounds
- Localized incisions and infected or draining wounds
- Bedsores (also known as pressure injuries or decubitus ulcers)
- Amputations
- Wounds or leaking seals around your stoma
- Skin irritation
Social programs and services
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Caregiver support
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Care we provide at VA Central California health care
If you’re a caregiver for a Veteran, you can get support by contacting one of our caregiver support coordinators. If the Veteran you care for was injured post-9/11, you may be eligible for even more services, including a stipend to help with expenses, training, and medical coverage if you aren’t already covered. For all caregivers, we can:
- Help you get caregiver assistance available through VA
- Provide progressive needs planning to help you manage degenerative conditions
- Match you with services and benefits
- Connect you with local resources and programs
- Listen to you when you struggle
Homeless Veteran care
Available at these locations
Care we provide at VA Central California health care
We help Veterans who are homeless or at risk of becoming homeless due to financial hardship, unemployment, addiction, depression, or transition from jail. Contact one of our care coordinators to get help with:
- Immediate food and shelter needs, including both transitional and permanent housing
- Job training, life skills development, and education
- Justice system navigation and community reentry from jail
- Financial support to prevent homelessness
- Addiction and depression treatment
- Health and dental care
Intimate partner violence support
Available at these locations
Care we provide at VA Central California health care
Intimate partner violence (IPV) is when a current or former intimate partner (like a boyfriend, girlfriend, or spouse) stalks, harms, or threatens to harm their partner. Intimate partner violence can be emotional, physical, or sexual. It can also lead to short-term and long-term health problems, and a wide range of mental health issues. If you or someone you know is in a potentially abusive or violent relationship, we can help. We offer:
- Intimate partner violence care coordinators
- Links to community-based support groups, and advocacy and legal services
- Referrals to and coordination with other VA treatment providers
- Connection to domestic violence shelters
- Homeless Veteran services
- Interventions for Veterans who use violence in their intimate relationships
LGBTQ+ Veteran care
Available at these locations
Care we provide at VA Central California health care
We promote the health, welfare, and dignity of Veterans who identify as lesbian, gay, bisexual, transgender, queer/questioning (LGBTQ+) or a related identity. We focus on ensuring a safe, welcoming, and affirmative environment when providing you with sensitive and high-quality health care services like:
- Hormone therapy
- Substance use and alcohol treatment
- Testing and treatment for HIV and sexually transmitted infections (STI)
- Mental health care
- Psychosocial assessments for gender-confirming surgeries and hormone therapy
Minority Veteran care
Available at these locations
Care we provide at VA Central California health care
If you’re a minority Veteran, we can help you get the services and benefits you need. Our Minority Veterans Program serves all Veterans who are Black American, Asian American, Hispanic American, and Native American (including American Indians, Alaska Natives, Native Hawaiians, and Pacific Island Americans). We work to:
- Help the medical center address minority Veterans’ needs
- Meet minority Veterans’ needs in the local community
- Identify barriers and create a more accessible environment for minority Veterans
- Inform minority Veterans of VA benefits, services, and programs
Patient advocates
Available at these locations
Care we provide at VA Central California health care
Our patient advocates work hard to make sure you receive the best possible care at our health care facilities. They can:
- Help you get answers or address concerns with your care team
- Advocate for patient and family rights
- Serve as advocates for minority Veterans, women Veterans, and Veterans with disabilities
- Offer specialized help to former prisoners of war and Veterans transitioning from Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF), and Operation New Dawn (OND)
Returning service member care
If you’re returning from military service, we can help you readjust to civilian life and get started with VA health care. We can also help connect you with programs like mental health services and education and career counseling.
Available at these locations
Care we provide at VA Central California health care
At VA Central California health care, we can help you readjust to civilian life if you’re returning from military service, on active duty, or an activated National Guard or Reserve member. Talk to one of our care coordinators about how to best use your health care benefits.
- Polytrauma care (if you have multiple traumatic injuries)
- Counseling and rehabilitation
- Mental and behavioral health services
- Family benefits counseling and assistance
- Referral assistance
Social work
Available at these locations
Care we provide at VA Central California health care
Social work is integral to health care. We can help you and your family manage stress-related problems due to injury or illness, and find VA community resources to meet your needs like:
- Home Health Services
- Advanced Care Planning
- Advanced Directives
- Caregiver Support Services
- Employment
- Legal Services
- Transportation
- Housing
- Community Living
Other services
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Veteran readiness and employment programs
Available at these locations
Care we provide at VA Central California health care
We help Veterans with physical and mental health challenges find and keep jobs. We help you find jobs through our long-term partnerships with business, industry, and government agencies. We offer 3 services:
- Transitional Work Program matches Veteran’s skills with a specific job and provides supervision to help them gain work experience
- Supported Employment provides long-term support for Veterans with serious mental illnesses or physical disabilities to help them compete for jobs in their communities
- Vocational Assistance trains Veterans living at our residential facility to improve their job-search and career development skills