Central California Faculty Medical Group (CCFMG) and its University Centers of Excellence are now Inspire Health Medical Group.

Inspire Health Medical Group – Specialty Kashian

(Formerly - University Gastroentrology & Hepatology Associates, University Medicine Associates, and University Rheumatology Associates)

Comprehensive, Accessible, and Compassionate Care is Only the First Step.

We offer the safest, most advanced treatments for a wide variety of ailments. You will always receive the highest-quality of health care available in the Central Valley.

At Inspire Health Medical Group – Gastroenterology and Hepatology you are our number one priority. Our staff members work to provide you with reasonable wait times and seamless interactions with other specialists and gastroenterologists. It is this type of collaboration and efficiency that allows our patients to have a wonderful patient experience.

You will be pleased with the professionalism and dedication shown by all of our team members.

Gastroenterology Clinic

Areas of Expertise

  • Celiac Disease
  • Gluten Related Disorders
  • Anemia evaluation
  • GI bleed evaluation
  • Swallowing disorders
  • Gastro Esophageal reflux disease (GERD)
  • Barrett’s esophagus
  • Cyclical vomiting syndrome
  • Abdominal pain evaluation
  • Inflammatory bowel disease (IBD)
  • Irritable bowel syndrome (IBS)
  • Diarrhea evaluation
  • Jaundice evaluation
  • Acute and chronic pancreatitis
  • Bile duct strictures
  • Bile duct stones
  • Diagnosis and staging of GI cancers
  • Screening for colon cancer

Procedural Expertise

  • Colonoscopy
  • Flexible Sigmoidoscopy
  • Endoscopic mucosal resection for large polyp
  • Hemorrhoids treatment
  • Upper Endoscopy
  • Variceal banding
  • Complex stricture dilation
  • High resolution Manometry
  • Bravo capsule
  • PEG tube
  • Push Enteroscopy
  • Single balloon enteroscopy
  • Double balloon enteroscopy
  • Capsule endoscopy
  • Radio frequency Ablation for Barrett’s Esophagus
  • Enteral stents
  • Endoscopic Ultrasound (EUS)
  • Pancreatic cyst treatment
  • Endoscopic Retrograde Cholangiopancreatography (ERCP)
  • Peroral endoscopic myotomy ( POEM)
  • Pneumatic dilation
  • Zenker’s diverticulectomy/myotomy
  • Trans oral incisionless fundoplication (TIF)
  • Liver biopsy

Hepatology Clinic


  1. To provide the highest level of care for patients with liver disease
  2. To teach future generations of physicians
  3. To educate our community about the importance of liver health
  4. To further the understanding of liver diseases through clinical research
  5. To advocate and promote liver health

Areas of Expertise

  • Hepatitis C diagnosis and management, including use of the newest advances in hepatitis C therapies.
  • Complete Hepatitis B care including cancer screening and assistance in management of hepatitis B in pregnancy and post-partum.
  • Cirrhosis evaluation and management: ascites, hepatic encephalopathy, non-invasive management of esophageal varices, referral for transplant evaluation and pre-transplant care.
  • Liver tumor evaluation
  • Autoimmune liver disease diagnosis and management including Autoimmune Hepatitis (AIH), Primary Biliary Cholangitis/Cirrhosis (PBC) and Primary Sclerosing Cholangitis (PSC).
  • Non-Alcoholic Fatty Liver Disease (NAFLD leading to NASH)
  • Alcohol induced liver disease.
  • Drug (prescription, dietary supplements) induced liver injury
  • Evaluation of abnormal liver function tests including arrangements for appropriate imaging modalities, serological testing, FibroScan and liver biopsy.

At Inspire Health Medical Group – Specialty, Kashian, we provide Central Valley patients access to world-class health care close to home. Our expert internists specialize in diagnosing and managing chronic conditions and multiple comorbidities, providing comprehensive care for each patient’s needs. Our team of infectious disease physicians provides the Valley with top-notch knowledge and care.

Outstanding medicine is rarely limited to simply caring for patients. It is driven by a passion for creating change and outcomes that benefit those who need it most. The clinicians at Inspire Health Medical Group – Specialty, Kashian are passionate about creating care plans as unique as each patient, ensuring patients thrive, and providing a comprehensive space for patients to receive the care they need.

Learn more about our internists and infectious disease specialists serving Fresno, Clovis, and the surrounding communities below.

The diseases treated by University Rheumatology Associates can affect muscles, bones, and joints, potentially leading to pain, swelling, deformity, and stiffness. Autoimmune conditions happen when the body’s immune system causes inflammation in targeted areas, creating pain and damage. Areas affected by autoimmune conditions include the eyes, skin, nervous system, and internal organs.