Primary care
Family medicine in Fresno.
Personalized, unhurried primary care from a licensed physician you'll actually get to know. Annual physicals, preventive screenings, and chronic care — all in one Fresno clinic.
Comprehensive care, in one place.
Inside Out Medical Center is a Fresno-based primary care practice led by Dr. Oscar Hernandez, MD. We deliver longer visits, direct physician access, and the kind of relationship-based medicine that's increasingly hard to find — care designed around you, not around a 7-minute appointment block.
- Annual physical exams and wellness visits
- Preventive screenings and lab work
- Chronic condition management (hypertension, diabetes, cholesterol, thyroid)
- USCIS Form I-693 immigration physical exams
- Acute and same-day care for established patients
- Coordinated referrals to trusted specialists
Meet your physician
Dr. Nidia Payan, MD
Family Medicine & Aesthetic Medicine
Dr. Payan leads primary care at Inside Out Medical Center with a holistic, patient-centered approach — combining preventive medicine and chronic disease management with the kind of unhurried attention that's increasingly rare in modern healthcare.
Read full bio →
What makes us different
Medicine the way it should feel.
You'll see the same physician every visit. We schedule longer appointments by design, return your messages personally, and remember the details that matter to your care.
Longer visits
45–60 min for new patients. 20–30 min for established. No assembly line.
Same physician
You'll see Dr. Hernandez every time. Continuity is the foundation of good care.
Proactive prevention
Screening calendars built around your age, family history, and risk factors.
One coordinated team
Primary care, aesthetics, immigration, and hair restoration — all under one roof.
Conditions we manage
A full-spectrum primary care practice.
From annual physicals to chronic disease management, we handle the everyday medicine that keeps you out of the ER and on your feet.
- Hypertension (high blood pressure)
- Type 2 diabetes & pre-diabetes
- High cholesterol & metabolic syndrome
- Thyroid disorders (hypo/hyperthyroidism)
- Annual physicals & preventive screening
- Anxiety & depression screening
- Men's health & testosterone management
- Women's health & wellness exams
- Weight management & lifestyle counseling
- Acute care (colds, infections, minor injuries)
- Vaccinations & travel medicine
- USCIS Form I-693 immigration physicals
What to expect
Call our Fresno office or request an appointment online. New-patient visits are usually available the same week.
A 45–60 minute physical with full history review, exam, and a personalized care plan with Dr. Hernandez.
Same-day acute visits, lab follow-up, medication management, and proactive screenings as you age.
Frequently asked questions
Do you accept new primary care patients in Fresno?+
Yes. Inside Out Medical Center accepts new adult primary care patients across Fresno, Clovis, Madera, and Visalia. Call our office to confirm scheduling and insurance details.
What does an annual physical include?+
A full medical history review, vitals, head-to-toe exam, age-appropriate preventive screenings, lab work when indicated, and a personalized prevention plan with Dr. Hernandez, MD.
Can you manage chronic conditions like high blood pressure or diabetes?+
Yes. We manage hypertension, type 2 diabetes, high cholesterol, thyroid disorders, and other common chronic conditions, with follow-up labs and medication management.
Do you offer same-day visits?+
Established patients can usually be seen same-day or next-day for acute concerns. New patients are typically scheduled within the same week.
Do you complete USCIS Form I-693 immigration physicals?+
Yes — Dr. Hernandez is a USCIS-designated civil surgeon. Learn more on our immigration physical exam page.
Do you accept insurance?+
We accept most major commercial insurance plans for primary care visits. Call our Fresno office and we'll verify your benefits before your first appointment.
How long are appointments?+
New-patient physicals are scheduled for 45–60 minutes. Established follow-up visits are 20–30 minutes. We don't run a 7-minute clinic.
Do you do telehealth?+
Yes — established patients can request telehealth follow-ups for medication management and routine concerns. New patients are seen in person first.
Looking for a primary care doctor in Fresno?
Schedule a visit with Dr. Hernandez and experience medicine the way it should be — unhurried, personal, and proactive.