Larsen, Lance

Phone: 559-290-7055
Fax: 559-436-4715

1630 E. Herndon Avenue
Fresno, CA 93720


As a fellowship-trained pain management specialist, Dr. Lance Larsen has dedicated his practice to providing evidence-supported treatments for patients experiencing chronic pain due to conditions such as complex regional pain syndrome and migraine disorders. He specializes in taking a multidisciplinary approach that includes interventions, non-opioid medications, physical therapy, pain psychology, and complementary and alternative treatments, like yoga and acupuncture as well as home exercise programs.

After graduating from the University of Notre Dame with his Bachelor of Science degree, Dr. Larsen earned his medical degree at the American University of the Caribbean School of Medicine in St. Maarten, Netherlands Antilles. He completed his residency in anesthesiology at Penn State Health Milton S. Hershey Medical Center in Hershey, Pennsylvania. Following his residency training, Dr. Larsen underwent additional training in pain management through a fellowship at Stanford University Medical Center in Palo Alto, California.

Dr. Larsen has extensive experience in performing spinal injections; peripheral nerve blocks, ablation, and stimulation; spinal cord stimulation; and sympathetic nerve blocks. He is committed to working with each patient to develop a personalized treatment plan that meets their individual needs and goals and gets them back to their highest quality of life.

In addition to his medical commitments, Dr. Larsen enjoys reading, fantasy baseball, and spending time with his family as well as playing tennis, chess, guitar, and recreational softball and basketball.

Sison, Mark

Phone: 256-5200
Fax: 256-5376

1630 E. Herndon Ave.
Fresno, CA 93720

Dr. Mark Sison specializes in Pain Management.

von Kaenel, William

Phone: 435-1846
Fax: 435-0127

6121 N. Thesta Ave., Suite #106
Fresno, CA 93710

Dr. William von Kaenel is board certified in Pain Management and Anesthesiology. He trained in pain management at the Cleveland Clinic and Johns Hopkins University.

Dr. von Kaenel specializes in diagnosis and the interventional treatment of painful spine disorders. His patients receive a detailed and comprehensive evaluation. Procedures include epidural steroid injection, discography, percutaneous discectomy, spinal cord stimulation, and radiofrequency denervation.

Ky, Paul Kuy-Seang

Phone: 559-435-1757
Fax: 559-228-9969

6169 N. Thesta Ave.
Fresno, CA 93710

Dr. Paul Kuy-Seang Ky specializes in Pain Management.

Dr. Ky earned his osteopathic medical degree in 2004 from the Touro University College of Osteopathic Medicine, Vallejo, CA. In 2008, he completed his residency in Physical Medicine and Rehabilitation at Johns Hopkins University School of Medicine. In 2009, Dr. Ky was granted acceptance to the Johns Hopkins Pain Fellowship Program in the Department of Anesthesiology – Pain Medicine to advance his skills and knowledge in interventional pain management. Dr. Ky earned his undergraduate degree from California State University, Fresno and also completed a program in Acupuncture Medicine at Xiamen University TCM in Xiamen, Fujian, China.

Kasturi, Gopi

Phone: 256-5200
Fax: 256-5376

1630 E. Herndon Ave.
Fresno, CA 93720


Gopi Kasturi, M.D., is a board-certified physiatrist specializing in pain management and physical medicine and rehabilitation. After receiving his medical degree from Armed Forces Medical College in Pune, India, Dr. Kasturi completed his residency in physical medicine and rehabilitation at William Beaumont Hospital in Royal Oak, Michigan. He then went on to complete a research fellowship at Virginia Commonwealth University and Hunter Holmes McGuire VA Medical Center in Richmond, Virginia.

In addition to neuromusculoskeletal rehabilitation and pain management, Dr. Kasturi has a keen interest in osteoporosis. He has written and lectured extensively on this topic.

Before joining Sierra Pacific Orthopedics, Dr. Kasturi was on staff at the VA Hospital in Fresno, California, where he served as Chair of the Interdisciplinary Chronic Pain Committee and was instrumental in advancing pain management and rehabilitation services to our country’s brave soldiers.

Dr. Kasturi is an associate editor of PM&R, the official scientific journal of the American Academy of Physical Medicine and Rehabilitation (AAPM&R).

Education, Training, and Affiliations:

  • Medical Degree, Armed Forces Medical College
  • Residency, Physical Medicine and Rehabilitation, William Beaumont Hospital
  • Research Fellowship, Virginia Commonwealth University and Hunter Holmes McGuire VA Medical Center
  • Board-Certified, American Board of Physical Medicine and Rehabilitation
  • Board-Certified, American Board of Pain Medicine
  • Member, American Academy of Physical Medicine and Rehabilitation
  • Member, North American Spine Society
  • Member, International Society for Clinical Densitometry

Goswami, Amitabh

Phone: 478-4757

7235 N. 1st St., Suite #103
Fresno, CA 93720


Dr. Amitabh Goswami specializes in Pain Medicine and Anesthesiology. He is Board Certified for Pain Medicine and Anesthesiology. Dr. Goswami has also earned inclusion on the Healthgrades Honor Roll.

Dr. Goswami earned his osteopathic medical degree in 2003 from the Des Moines University College of Osteopathic Medicine & Surgery. He completed an internship at Illinois Masonic Medical Center in 2004, and a residency the University of California, Los Angeles in 2007. In addition, Dr. Goswami completed a fellowship at the University of California, Davis in 2013.

Amireh, Rasheed

Phone: 447-1432

1642 E. Herndon Avenue, Suite #106
Fresno, CA 93720


Dr. Rasheed Amireh specializes in Pain Medicine. He is Board Certified for Pain Medicine and Anesthesiology. Dr. Amireh has also earned inclusion on the Healthgrades Honor Roll.

Dr. Amireh earned his medical degree in 1981 from the University of Cairo Faculty of Medicine. He completed residencies at Rush-Presbyterian St. Luke’s Medical Center in 1999 and his intervential pain management at Cook County Hospital in 2000. Dr. Armireh was the Chief Resident during his residency and was one of the top graduates in the history of the Cook County fellowship program.

Dr. Amireh employs the latest techniques and modalities available in the field of interventional pain management using state-of-the-art, minimally invasive treatment.