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Carlsbad – Orthopedic Specialist Team



No Appointment Necessary!

From children to adults, Direct Orthopedic Care physicians and orthopedic-specialty trained Physician Assistants offer fast, affordable treatment of all minor to urgent orthopedic injuries, as well as chronic orthopedic conditions. (see our full list of services).


Julie Perry, PA-C

Julie grew up in Greendale, Wisconsin. She earned her undergraduate degree from the University of Wisconsin-La Crosse and her Physician Assistant degree from Midwestern University in Downers Grove, Illinois.

Julie has been practicing as a certified physician assistant for 18 years and specializing in orthopedics and orthopedic surgery for 15 years. She has also worked in occupational health, urgent care, and the emergency room prior to pursuing her interest in the orthopedic specialty. She is certified by the National Commission on Certification of Physician Assistants (NCCPA) and is a member of the American Academy of Physician Assistants and Physician Assistants in Orthopedic Surgery.

She recently moved to Encinitas, California, from Scottsdale, Arizona, with her boyfriend and two miniature dachshunds. She enjoys running, hiking, traveling, meeting new people, and spending time with her family and friends.


Neville Alleyne, M.D.

  • Undergraduate:Columbia University
  • Medical School:Mount Sinai School of Medicine
  • Residency:Yale University School of Medicine
  • Fellowship:Spine Surgery, New England Baptist Hospital

Dr. Alleyne is a fellowship-trained orthopedic surgeon specializing in the diagnosis and treatment of neck and back problems with medical and surgical remedies.

Keenan Carriero, D.P.M.

  • Undergraduate:Sonoma State University
  • Medical School:California College of Podiatric Medicine
  • Residency:Fountain Valley Regional Hospital

Dr. Carriero is dual-certified in foot and ankle surgery by the American Board of Podiatric Surgery and is a Fellow of the American College of Foot and Ankle Surgeons. He specializes in podiatric surgery, foot and ankle trauma, congenital deformities, and degenerative conditions.

Andrew Hartman, M.D.

  • Medical School:Medical University of South Carolina
  • Residency:Medical University of South Carolina College of Medicine
  • Fellowship:University of California

Dr. Hartman believes the combination of surgical expertise and mastery of state-of-the-art techniques are essential to optimal patient outcomes and improving the quality of life. He specializes in surgery of the shoulder, elbow and hand.

James Helgager, M.D.

  • Undergraduate:Augustana College Sioux Falls, South Dakota
  • Medical School:Northwestern University
  • Residency:Northwestern University

Dr. Helgager is one of the few physicians in San Diego who performs the clinically proven Birmingham Hip Resurfacing procedure. He specializes in hip, knee, and shoulder surgery and arthroscopic surgery of the knee and shoulder.

Norman Kane, M.D.

  • Undergraduate:Carmel College Day School Durban, South Africa
  • Medical School:University Witwatersrand Medical School Johannesburg, South Africa
  • Residency:Stanford Medical Center

Dr. Kane is an orthopedic surgeon, specializing in joint replacement, arthroscopic surgery, and sports medicine. He is a Fellow of the Royal College of Surgeons, Orthopedics, Canada.

Payam Moazzaz, M.D.

  • Undergraduate:University of California
  • Medical School:University of California Davis School of Medicine
  • Residency:University of California
  • Fellowship:San Diego Spine Fellowship

Dr. Moazzaz specializes in orthopedic spine surgery, minimally invasive spine surgery, and spinal deformity.

Michael Skyhar, M.D.

  • Medical School:Oregon Health Sciences University
  • Residency:University of California
  • Fellowship:Hospital for Special Surgery, Sports Medicine

Dr. Skyhar provides comprehensive non-surgical care when possible and surgical precision when necessary, specializing in sports medicine, knee and shoulder arthroscopic surgery, rotator cuff surgery, and joint drainage.


Direct Orthopedic Care – Carlsbad
6125 Paseo Del Norte
Suite 110
Carlsbad, CA 92008

(760) 795-8900


Mon-Saturday: 10am-6pm
Sunday: 12Noon-6pm


Direct Orthopedic Care, Specialist Skills Without the High ER Bill!