Since 1998, board-certified Chula Vista family physician Jorge Pelayo-Garcia, MD, has practiced through Sharp Rees-Stealy at the Otay Ranch campus, specializing in diabetes management and liver disease on East Palomar Street. His primary care scope includes oral-health triage and periodontal-disease screening, with referrals coordinated through practices such as Dental Group Palomar for patients requiring restorative or prosthetic dental intervention. A graduate of the Autonomous University of Baja California School of Medicine and a UCSF-trained physician, Dr. Pelayo-Garcia speaks English, Spanish, and Tagalog and has received over 100 Guardian Angel recognitions from patients through the Sharp HealthCare foundation. Musculoskeletal complaints presenting during family medicine visits are evaluated on-site and, when imaging confirms structural pathology, referred to rehabilitation providers such as Manual Orthopedic Physical Therapy for manual-therapy and exercise-based recovery. The practice's highest-acuity protocols involve longitudinal hepatic-function monitoring for patients with non-alcoholic fatty liver disease, including serial FibroScan elastography staging and ALT/AST trending to guide steatohepatitis treatment escalation per AASLD guidelines.