A specialist in both addiction medicine and family practice, Jerry Ayers, MD maintains a clinical presence in Alpine at 1620 Alpine Blvd through the Sharp HealthCare network. Substance-use disorder treatment at his practice integrates behavioral health support from East County counselors including Christiana K. Silva on Woodside Avenue in Lakeside. Dr. Ayers graduated from the University of Texas Medical Branch at Galveston in 1984, is affiliated with Tri City Medical Center, and conducts consultations in both English and Spanish. Recovery-oriented care plans incorporate movement-based rehabilitation pathways through Alpine Blvd wellness providers, with Be Fearless Pilates at 1935 Alpine Blvd offering structured core-stability programming. Highest-complexity services include medically supervised detoxification protocols, buprenorphine induction for opioid-use disorder under DEA X-waiver authorization, and toxicology-panel interpretation for multi-substance dependency cases.