About
Dr. Farnaz Pirayesh founded Monarch Primary Care and serves as its medical director. She holds board certification in family medicine and additional certifications in integrative medicine and life coaching. Her academic path began at La Sierra University in Riverside, where she earned a BS in Biochemistry. She then completed a PhD in Biochemistry at Loma Linda University before earning her medical degree at Western University of Health Sciences in Pomona. Her family medicine residency took place at Marian Regional Medical Center in Santa Maria, California.
An Iranian native who grew up in Zambia, Dr. Pirayesh has called California home for over 20 years. She met her husband on the Central Coast and raises two children there. Her clinical philosophy centers on addressing mental health, physical health, and lifestyle together to achieve better outcomes. She focuses on preventing and reversing chronic disease and leads monthly check-ins for weight loss program patients.
Education & Training
Undergraduate
La Sierra University, Riverside, CA — BS in Biochemistry
Medical School
Western University of Health Sciences, Pomona, CA
Residency
Family Medicine, Marian Regional Medical Center, Santa Maria, CA
Additional Training
PhD in Biochemistry, Loma Linda University, Loma Linda, CA; Certified in Integrative Medicine; Certified Life Coach
Certifications
Conditions Treated
Who is Dr. Pirayesh right for?
Dr. Pirayesh is a strong fit for adults seeking whole-person primary care. Patients managing chronic conditions like hypertension, diabetes, or obesity benefit from her preventive and integrative approach. She also sees patients for women's health, sports injuries, and urinary incontinence. Adults and teens looking for a physician who addresses lifestyle and mental health alongside physical health will find her philosophy a natural match.
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Frequently Asked Questions
Dr. Pirayesh treats a wide range of conditions including hypertension, diabetes, obesity, sports and back injuries, and urinary incontinence. She also provides women's health and men's health care, along with acute illness management. Her integrative approach means she addresses lifestyle and mental health factors alongside physical diagnoses.
Yes. Dr. Pirayesh holds board certification in family medicine. She is also certified in integrative medicine and holds a life coaching certification.
Dr. Pirayesh focuses on preventing and reversing chronic disease rather than simply managing symptoms. She considers a patient's mental health, physical health, and lifestyle together. Her goal is to help patients reduce reliance on urgent care and emergency services over time.
Yes. Dr. Pirayesh offers a structured weight loss program using FDA-approved medications Wegovy (semaglutide) and Zepbound (tirzepatide). She leads monthly in-person or telehealth check-ins for all weight loss program patients. The program includes labs to monitor progress.
Dr. Pirayesh earned a BS in Biochemistry from La Sierra University and a PhD in Biochemistry from Loma Linda University. She completed her medical degree at Western University of Health Sciences and her family medicine residency at Marian Regional Medical Center in Santa Maria, California.
Yes. Dr. Pirayesh performs osteopathic manipulation treatments. An initial treatment costs $300, and 30-minute follow-up sessions cost $90.
Yes. Teen and young adult care is a dedicated focus area at Monarch Primary Care. Membership tiers exist specifically for patients ages 14 to 20, and Dr. Pirayesh actively sees this population.
Doctor profile last updated June 11, 2026