Sivaraman Gounder, MD practices internal medicine in Chula Vista's Otay Ranch district from the Sharp Rees-Stealy campus at 1400 East Palomar Street. The integrated Sharp Rees-Stealy model includes an on-site Sharp Rees-Stealy Otay Ranch Optical Shop where patients with diabetes-related vision changes receive comprehensive eye exams and corrective lens fittings without leaving the building. A graduate of the University of Puerto Rico School of Medicine, he completed his internal medicine residency at Rutgers Health/New Jersey Medical School and holds board certification in internal medicine. Patients with chronic musculoskeletal complaints or post-injury spinal dysfunction can access complementary chiropractic evaluation at Clear Chiropractic as part of an integrative treatment plan coordinated through the primary care office. The practice manages complex adult medical presentations including congestive heart failure staging, diabetes-associated nephropathy monitoring via GFR and microalbumin panels, and anticoagulation therapy titration using point-of-care INR testing.