About
Dr. Justin Altschuler founded Sequoia MD, Sacramento's first direct primary care practice, and serves as its lead physician. He focuses on family medicine, preventive care, chronic disease management, and outpatient addiction treatment. His clinical work spans Type 1 diabetes care, gender-affirming care, and mental health conditions including depression, anxiety, and PTSD.
Dr. Altschuler approaches addiction as a chronic disease rather than a moral failing. He uses evidence-based, individualized treatment plans that combine medication management with group counseling and long-term support. His interest in behavioral health runs deep. He writes a weekly newsletter called Doc's Thoughts, exploring topics like radical acceptance, honesty, gratitude, and human psychology. Every patient at Sequoia MD works directly with Dr. Altschuler, and he personally reviews all clinical content the practice publishes.
Conditions Treated
Who is Dr. Altschuler right for?
Dr. Altschuler works well with adults and families seeking ongoing primary care without insurance involvement. Patients managing chronic conditions like Type 1 diabetes or those navigating mental health challenges such as anxiety, depression, or PTSD find his approach thorough and personal. He is a strong fit for individuals seeking outpatient addiction treatment for opioids, alcohol, or benzodiazepines. Patients who want a direct, long-term relationship with a single physician tend to thrive in his practice.
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Frequently Asked Questions
Dr. Altschuler treats a broad range of conditions across primary and behavioral health. His clinical focus includes Type 1 diabetes, chronic disease, depression, anxiety, PTSD, and substance use disorders. He also provides gender-affirming care and preventive medicine. Patients with opioid, alcohol, benzodiazepine, heroin, meth, cocaine, and other substance use disorders can receive outpatient treatment through his practice.
Dr. Altschuler treats addiction as a chronic disease requiring long-term, individualized care. He uses a bio-medical, evidence-based approach that combines medication management with group counseling. Treatment plans focus on each patient's strengths and overall wellness. He prescribes buprenorphine (Suboxone, Subutex, Sublocade) and naltrexone (Vivitrol) depending on patient needs.
No, Dr. Altschuler does not prescribe methadone. Sequoia MD offers buprenorphine-based treatments including Suboxone, Subutex, and Sublocade injections, as well as naltrexone in the form of Vivitrol. Patients who require methadone should seek a licensed opioid treatment program.
Yes, Dr. Altschuler accepts new patients at Sequoia MD. The process starts with a free call with the doctor. You can also sign up directly through the practice website. New members pay the first three months of their non-substance abuse membership upfront.
Yes, Dr. Altschuler offers telehealth visits in addition to in-office appointments. Patients can also reach him by phone, text, and email. This flexibility makes it easier to get timely care without an in-person visit for every concern.
Yes, Sequoia MD includes house calls as a service option. Patients who have difficulty traveling or prefer care at home can arrange visits with Dr. Altschuler.
Dr. Altschuler provides outpatient mental health services for conditions including depression, anxiety, and PTSD. His interest in behavioral psychology and human nature informs his clinical approach. He integrates mental and physical health rather than treating them as separate concerns.
Yes, Dr. Altschuler offers specialty care for Type 1 diabetes management. Sequoia MD's membership structure gives patients regular access to their physician, which supports closer monitoring and more responsive management of complex conditions like Type 1 diabetes.
Doctor profile last updated April 2, 2026