Pacific Integrative & Functional Medicine

About Pacific Integrative & Functional Medicine

What is Pacific Integrative & Functional Medicine?

Pacific Integrative & Functional Medicine is an integrative and functional medicine practice with offices in San Ramon, California, on Alcosta Drive, Porter Drive, and Bollinger Canyon Road. It is run by Nathalie Bera-Miller, MPH, who brings what the practice describes as 35 years of experience as a physician, including almost 20 years practicing integrative and functional medicine. The practice describes itself as hybrid, with in-person visits held Tuesdays and Wednesdays.

The core of the practice is root-cause, whole-person care: nutrition and herbs, acupuncture, homeopathy, mind-body medicine, Ayurveda, and energy medicine, along with a group program called HEAL. Hormone therapy is one piece of that broader approach, not a separate service line. In its own words: "She also can and does prescribe medications including hormones from accredited standard as well as accredited compounding pharmacies (thyroid hormone preparations, bioidentical hormones) if/as needed and desired." No weight loss, peptide, or longevity program is named.

This listing is for its San Ramon office at 12677 Alcosta Drive, Suite 372 - Bishop Ranch 15.

What does it cost?

Visits are billed by the hour rather than as a flat consultation fee. As of January 1, 2026, the rate for all new and follow-up patients is $585 per hour, for any type of visit, hormone-related or otherwise. Initial one-on-one visits typically run around two hours, with follow-up visits shorter, so the total for a first appointment would be a multiple of the hourly rate rather than a single published number. No separate price is given for hormone evaluation, testing, or prescribing itself.

The practice does not bill insurance directly. Patients are encouraged to submit itemized receipts to their own insurance for possible reimbursement, with the stated exception of Kaiser and Medicare, where reimbursement is not pursued. No mention is made of financing, memberships, or HSA payment.

What should you ask before you book?

Ask how many hours a hormone evaluation and follow-up are likely to take, since the fee is hourly and not a flat package price. Ask whether any hormone prescription would come from a standard retail pharmacy or a compounding pharmacy, since both are mentioned as options, and what that would mean for your out-of-pocket cost. Ask whether lab testing is billed separately from the hourly visit fee, and roughly what it tends to run. Since the practice has described a new patient waitlist, ask about current wait times before counting on a particular start date. If you are not local to San Ramon, ask whether a visit can be done by telehealth, since the practice calls itself hybrid but keeps in-person hours only two days a week.

Who is it a good fit for?

This is a good fit for someone looking for an ongoing, root-cause-oriented relationship with a single physician who treats hormone concerns as part of a wider evaluation, and who is comfortable with hourly, out-of-pocket billing rather than a flat program fee. It is probably not the right fit for someone who wants a dedicated weight loss, peptide, or longevity program, or a fast, low-cost path to a single hormone prescription.

Sources: pacificfunctionalmedicine.com/contact-us, pacificfunctionalmedicine.com/faq, pacificfunctionalmedicine.com/our-team

Services Offered