I was at this practice for a couple of years and lost two great providers to high turnover. The office staff is also a high turnover. I've been trying to get a refund for copays they kept collecting for six months for a year now and they will not communicate with me about my account or provide the refund owed to me. Make sure you track your copays and stop paying them when you know you've met your out of pocket because you won't get a refund. This issue has been through the hands of 5 people at the Sierra College office and still no refund for copays overpaid back in 2024. I have found after leaving the clinic for a new place how much more other clinics care about their patients.