Encinitas – 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.



Patrick J. Padilla, M.D.

  • Undergraduate: Pepperdine University
  • Medical School: UCLA
  • Residency: Duke University

As a competitive athlete himself, Dr. Padilla understands how his patient’s well-being is a crucial component to their quality of life. He treats all types of orthopedic conditions with a special interest in sports medicine. Dr. Padilla has been recognized by the Consumers Research Council of America as one of “America’s Top Surgeons.”



Ryan C. Meineke, M.D.

  • Undergraduate: University of California Los Angeles
  • Medical School: University of Cincinnati College of Medicine
  • Residency: Loma Linda University Medical Center
  • Fellowship: Oakland Bone and Joint Specialists

Dr. Meineke is very involved in his patient’s recovery and treatment planning. Growing up in North County San Diego, he is grateful to be practicing in the community that he was raised in. His special interests are in total ankle replacement surgery for patients with end-stage ankle arthritis.



(Please Note: Scheduling an appointment in advance can help reduce your overall visit time.)
Direct Orthopedic Care – Encinitas

351 Santa Fe Drive Suite #100,

Located: just off Interstate 5 at Santa Fe Drive. We are convenient to Rancho Santa, San Marcos, La Costa, Leucadia, Cardiff, Solana Beach, Del Mar, Rancho Santa Fe, Carmel Valley and North San Diego communities, typically less than a 15-20 min. drive.

Fax: 760.633.3546


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


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