Randall Metsch, MD, FAAP in Encinitas provides pediatric and adolescent medicine through Children's Primary Care Medical Group at 499 N El Camino Real, continuing a multigenerational tradition in pediatrics. Developmental milestone assessments and sensory-processing referrals connect to occupational therapy providers including Believe Pediatric Therapy for children presenting with fine-motor or self-regulation delays. A University of Arizona College of Medicine graduate (1989) who completed residency at UCSD in 1992, he brings special expertise in pediatric infectious disease management and trauma evaluation to the Rady Children's Hospital network. Multilingual care in English, Spanish, German, and Arabic serves the diverse North County population, and asthma-management protocols coordinate controller-medication titration with pulmonary function testing referrals to Allergy & Asthma Medical Group in Encinitas. Hospital privileges at Scripps Memorial Hospital Encinitas and Scripps Memorial Hospital La Jolla support inpatient management of dehydration, respiratory distress, and complex febrile illness requiring IV fluid resuscitation and continuous pulse oximetry monitoring.