
Nephrology Consultations
Comprehensive kidney evaluations with board-certified nephrologists who take the time to listen, explain, and plan care together with you.
Dr. Roshini Yapa · Nephrology · Monterey
Nephrology, infusions, and CKD management close to home — from a team who knows you by name and takes the time to explain everything in language that makes sense.
Accepting new patients
In a patient's words
“I've never felt rushed. Dr. Yapa takes the time to explain everything until it makes sense.”
— Margaret R., patient since 2022
What we do
From early CKD planning to dialysis, infusions, and transplant — we coordinate your full kidney journey so you don't have to.

Care, with the time it deserves
Every visit ends with a written plan — in plain language, not jargon.

Comprehensive kidney evaluations with board-certified nephrologists who take the time to listen, explain, and plan care together with you.

Guidance through in-center hemodialysis, home hemodialysis, and peritoneal dialysis so you can choose what fits your life best.

On-site infusions for iron, IVIG, biologics, and supportive therapies in private suites with experienced infusion nurses.

Slow progression and protect kidney function with personalized plans covering blood pressure, diabetes, diet, and medications.

Pre-transplant evaluation, referral to UCSF and Stanford programs, and lifelong post-transplant follow-up close to home.

One-on-one sessions with a registered renal dietitian to build meals that protect your kidneys without giving up the foods you love.
Meet your doctor
Care led by empathy, dedication, and an unhurried interest in each patient's full picture.

Nephrologist · Kidney, Hypertension & Transplant Care
Dr. Yapa is a physician specializing in nephrology, with expertise in chronic kidney disease, hypertension, and the care of patients before and after kidney transplant. She completed her Internal Medicine training at the University of Washington and her Fellowship in Nephrology and Transplant Nephrology at the University of Colorado.
Dr. Yapa is passionate about empowering patients to take an active role in their health by increasing their knowledge of treatment options and medications. Her tenets for patient care are empathy, dedication, and a deep understanding of each patient's unique situation, enabling her to provide care that aligns with their individual health care goals.
She is committed to utilizing technology to better reach her patients, increase efficiency, and ultimately reduce health care costs. Dr. Yapa has championed a multispecialty approach to patient care and believes in practicing evidence-based medicine while favoring minimally invasive options to improve patients' quality of life.
Throughout her training and career as a practicing physician, Dr. Yapa has conducted and contributed to numerous research endeavors, with her work published in several medical journals. A highlight of her research includes serving as a contributing author for chapters in a nephrology textbook.
Dr. Yapa has volunteered on several occasions to provide free medical care in active combat areas and refugee camps. She steadfastly believes in equity of medical care regardless of circumstances.
Outside the clinic
In her free time, Dr. Yapa enjoys playing golf and tennis, hiking, biking, and walking her dogs. She is also an avid music lover who enjoys attending concerts and playing the electric guitar and piano.
Training
Internal Medicine at UW · Nephrology & Transplant fellowship at CU · Hypertension management
Research
Published in peer-reviewed journals and contributing author on a nephrology textbook
Service
Volunteer medical care in active combat zones and refugee camps
At heart
Golfer, hiker, dog lover, concertgoer, and electric-guitar player
Find us
One welcoming office on the central coast, with on-site infusion services and shared records across every visit.

Caring relationships, every visit
A familiar face, a familiar place — every time you walk in.

Resource hub

Knowledge is care
CKD stages
Stages describe how well your kidneys are filtering (your GFR). Many people live full lives at earlier stages, and even in later stages, the right care can slow things down and keep you feeling your best. Wherever you are, our job is to help you stay there as long as possible.

GFR 90+
Normal function, kidney damage present
Learn moreGFR 60–89
Mildly reduced function
Learn moreGFR 30–59
Moderately reduced — most common stage we see
Learn moreGFR 15–29
Severely reduced — planning for next steps
Learn moreGFR <15
Kidney failure — dialysis or transplant
Learn more
Education library
Short, plain-language guides — written by your care team.

Sodium, potassium, phosphorus — what they mean and the foods we actually recommend.
Read guide
GFR, creatinine, albumin/creatinine ratio — what to track and why it matters.
Read guide
Which over-the-counter drugs to avoid, and how to talk with other doctors about your kidneys.
Read guide
Exercise, sleep, and mental health resources tailored for people living with CKD.
Read guideKidney-friendly nutrition
Snapshots from our dietitian's kitchen — proof that low-sodium and low-potassium can still mean delicious.
Patient portal
Securely message your care team, view results as soon as they post, and manage refills from anywhere.
Prepare for your visit
A few simple things to bring, and a clear picture of what to expect, so your appointment feels easy from start to finish.

When you walk in
A warm hello, a short wait, and a check-in that takes minutes — not paperwork hours.

Friendly check-in, brief intake, and updated vitals. We confirm insurance once a year — no surprises.
An unhurried conversation, exam, and review of labs. You'll leave with a written plan in language that makes sense.
Most labs are drawn on-site so you don't need a second trip. Infusions are scheduled when convenient for you.
We accept most major insurance plans, including Medicare, Medi-Cal, Anthem Blue Cross, Blue Shield, Aetna, Cigna, UnitedHealthcare, Tricare, and Central California Alliance for Health.
If you don't see your plan listed, please call us — we'll verify your coverage before your visit.

Infusion walkthrough
A nurse stays with you start to finish. You're never alone in the chair.
Your infusion day
We call to confirm your appointment, review medications, and answer questions ahead of time.
Check in, settle into your private recliner, and meet your infusion nurse for the day.
A quick set of vitals, IV start, and a review of how you've been feeling.
Most treatments take 1–3 hours. WiFi, warm blankets, snacks, and good company are on us.
Brief monitoring, then home. We follow up the next day to make sure you're doing well.
Our centers
We built our centers around what patients told us mattered most: light, quiet, privacy, and a sense of welcome.

Modern care
Sixteen private recliners with room to recline, work, or rest comfortably.
Floor-to-ceiling windows in every patient area — no fluorescent-lit basements here.
Quiet, fully private rooms designed for unhurried conversation.
Comfortable seating, complimentary coffee, and a quiet corner for those who need it.
Most labs drawn during your visit — no second trip, faster results.
Ground-level parking at every location, with handicap-accessible spaces near the entrance.

Located on the second floor with ADA-accessible elevators, plus wide hallways, accessible exam tables, and reserved parking at the entrance. Mobility aids always welcome.
Need additional accommodations? Let our front desk know when you book — our staff can accommodate most needs, and we'll have everything ready before you arrive.
Patient stories

Beyond the chart

Family first
Bring whoever helps you remember the questions.
“After my diagnosis I felt completely lost. Dr. Yapa drew a picture of my kidneys on her notepad and explained everything until I understood. Three years later I'm still here, still stable, and I never feel rushed.”
“Dr. Yapa actually sits down and listens. At every appointment she takes the time to explain my labs, answer every question, and make sure I leave understanding the plan. That kind of attention is rare — and it's why I trust her with my kidneys.”
“Dr. Yapa explained my diagnosis with such patience, gave me a plan I could actually follow, and called me herself a week later to see how I was doing. I've never felt so seen by a physician.”
Frequently asked
If you have a question that isn't here, please call us — we'd rather hear from you than have you wonder.
CKD means your kidneys aren't filtering as well as they should. Most patients we see have CKD that progresses very slowly — sometimes not at all — when managed well. The earlier we see you, the more options you have. We focus on protecting the kidney function you have, not just reacting to lab numbers.
From the blog
Practical, evidence-based reading — written by the doctors, nurses, and dietitians you'll meet at your visit.

Living well with CKD
Practical writing about the small choices that add up to a long, full life.
NutritionFive simple swaps to recommend most often — from how you season chicken to choosing the right bread.
Read more
EducationA plain-language guide to the most important number on your lab report, and why a single result isn't the whole story.
Read more
Treatment OptionsDr. Yapa on the realities of home hemodialysis and peritoneal dialysis — the freedom, the trade-offs, and how families decide.
Read more
Living with CKDA short script and a one-page summary you can bring to dentist, surgeon, and urgent-care visits so your kidneys stay protected.
Read more
Ready when you are
Whether you have a new diagnosis, a referral in hand, or just questions you'd like answered — we'd be glad to hear from you.