Your Craniofacial Team Consists of: a group of physicians and medical professionals working together to evaluate and treat children and adults with a variety of abnormalities of the face, head, and neck, especially those of congenital origin.

The craniofacial team at Loma Linda University Children's Hospital has been seeing patients for more than twenty years. The team has evaluated and treated more than 1,800 patients in 2014. During weekly meetings the members of the team evaluate new and return patients.

Each year one in 600-700 babies are born with cleft lip and/or palate. Children with this condition make up a majority of the craniofacial team patient population. Approximately 70 percent of the patients we see each year are children with cleft lip and/or palate. The team offers various services for these children such as: surgery; dental and orthodontic care; speech therapy; genetic evaluation and counseling; feeding instructions; pediatric evaluation; assessment of psychosocial needs; eye, ear, nose, and throat examination; nursing evaluation; and coordination of care.

Children who have other craniofacial anomalies are also evaluated by the team. Included are children who have hemifacial microsomia, craniosynostosis, and other genetic and congenital syndromes such as Apert syndrome, Crouzon syndrome, Pierre Robin sequence, and Velo-Cardio-Facial syndrome.

The objective of the team is to examine all children and develop a patient-specific treatment plan that may be implemented in coordination with local community resources. A copy of this plan is sent to the child and family as well as appropriate health-care providers.

There are approximately seventeen members on the craniofacial team ranging from a pediatrician to a geneticist. Patients who are new to the team or reestablishing with the team usually meet with our Craniofacial core team members on a Tuesday or Friday which may include our Pediatrician, Speech Pathologist, Social Worker, Nurse Clinician/Coordinator, Registered Dietitian and Genetic Counselor.  Patients being evaluated for a head shape anomaly such as Craniosynostosis, may first meet our Neurosurgeon and Plastic Surgeon at our once a month Monday morning clinic.  Your Craniofacial Pediatrician, Plastic Surgeon, Neurosurgeon, Otolaryngologist or Geneticist may provide the initial diagnostic evaluation, necessary referrals within our team and develop your individualized treatment care plan. Annual visit and interim follow up appointments are on Monday and may start in the morning and extend into the afternoon. These appointments are made to facilitate evaluations by the appropriate team members on the same day. At the end of the day, there is a team conference when each child is discussed separately and the treatment plans are recommended by the entire team. Each specialist provides professional advice for the final team report. Parents and primary care providers play an important role in scheduling and approving follow-up testing, surgeries, and other interventions.

The craniofacial team meets every Monday, Tuesday and Friday and accepts most insurance including: Medi-Cal, CCS, PPOs and HMOs with prior authorization.

Location
2195 Club Center Drive, Suite G
San Bernardino, CA 92408

Your Craniofacial Team Consists of:

  • Daniel Lamb, MD, FAAP, general pediatrics, medical director of the Craniofacial Team Clinic
  • Allyssa Dann, MD, general pediatrics
  • William Hamra, MD, general pediatrics
  • Nanci Choi, RN, BSN, registered nurse, clinical coordinator of the Craniofacial Team Clinic
  • Lisa Emerson, RN, BSN, registered nurse, clinical coordinator of the Craniofacial Team Clinic
  • Monique Bergquist, LVN, licensed vocational nurse
  • Esli Serafin, MA, PCA, patient care assistant
  • Katie Kosareff, MA, PCA, patient care assistant
  • Laura Herrera, MA, PCA, patient care assistant
  • Kenia Pineda, MSW, social work
  • Chloe Renee Castro, MS, CCC-SLP, speech-language pathology
  • Jasmine Aguilar, MS, CCC-SLP, speech-language pathology
  • Kathlyn Fortune, MS, CCC-SLP, speech-language pathology
  • Andrea Ray, MD, craniofacial surgery and pediatric plastic surgery
  • Mark C. Martin, MD, DMD, FRCSC, craniofacial surgery, pediatric plastic surgery, microsurgery
  • Tanya Minasian, DO, FACOS, Pediatric Neurosurgery
  • Robin Clark, MD, genetics
  • Subhadra Ramanathan, MS, genetic counseling
  • Gabriella E. Garcia, DDS, MS, orthodontics
  • Jung-Wei Chen, DDS, MS, PhD, dentistry
  • Pauline Fletcher, MPH, RD, CDE, registered dietician
  • Kiti Freier, PhD, pediatric neurodevelopmental psychology
  • Jamie A. Pivonka-Jones, PhD, pediatric neurodevelopmental psychology

Contact information

Craniofacial Team Center
Loma Linda University Children’s Hospital

Appointment scheduling and general questions
(909) 835-1819 or (909) 835-1817

Nurse Coordinator or medical questions
(909) 835-1818

Fax
(909) 835-1858

Mailing Address
Loma Linda Craniofacial Team Center
2195 Club Center Drive, Suite G
San Bernardino, CA 92408