In Chula Vista's Eastlake district, internist Jose A. Pelayo, MD, delivers adult primary care from the third floor of the Sharp Rees-Stealy Otay Ranch complex on East Palomar Street. His evidence-based approach to chronic-disease management includes coordinated prescription fulfillment through local dispensaries such as Chula Vista Pharmacy for maintenance medication regimens requiring 90-day supply optimization. A graduate of the Autonomous University of Baja California School of Medicine with an internal medicine residency at Kaiser Permanente Northern California in Santa Clara, Dr. Pelayo has been in practice since 1996 and is board-certified by the American Board of Internal Medicine. Chronic musculoskeletal pain presenting during primary care visits is evaluated and, when conservative management is indicated, referred to providers such as American Chiropractic Services for spinal manipulation and soft-tissue mobilization. The practice's most intensive protocols involve secondary renovascular hypertension workup including renal artery duplex ultrasonography and captopril-stimulated renography, coordinating nephrology referrals when imaging confirms hemodynamically significant stenosis.