Our Story

Dr. James believes that integrity and hard work are critical to building customer loyalty. A visionary, he founded Diamond Physicians in 2012, a membership medicine practice that focuses on the patient-physician relationship. This healthcare niche has gained momentum in response to sprawling waste and frustrations with healthcare delivery systems. Diamond bypasses cumbersome and inefficient "middle men" to deliver personalized, high-quality medical care directly to their valued clients.

70% of Americans receive their health insurance through their employer. In order to truly make an impact on our healthcare system, Dr. James knew he had to create a model that would impact employer spending, which led him to Ascend PBM, a company founded by entrepreneur Mike Ochoa. Dr. James and Mr. Ochoa founded Transcend Onsite Care, the first direct primary care and PBM integrated model that dramatically bends the cost curve on the primary care and pharmaceutical components of an employer's health plan. Doctors, employees, and the formulary are all aligned to improve outcomes, increase engagement, and ultimately drive costs down.

Transcend Onsite Care


To disrupt the way patients utilize healthcare insurance today. We are focused on providing superior access to value-based medical care

with our direct primary care. Our model allows employers to lower costs, align incentives, and improves access to their employee population.


We strive to become a national leader in employer direct primary care by scalingour unique healthcare model. Transcend Onsite Care integrates the

drug management strategies of a PBM and a physician led direct medicine platform that leads to improved employee engagement and health outcomes.


  • Innovation

  • Integrity

  • Collaboration

  • Excellence

  • Reliability

  • Improved Access

More Control.

Better Healthcare.
Lower Costs.

Need More Information?

We would be happy to answer any questions you may have about our revolutionary approach to healthcare. We have office locations in California and Texas! We are here to help you enjoy and maintain excellent health, regardless of your stage in life.

If you would like to learn more about our concierge healthcare services, please give us a call today at 1-949-278-7464