Our Team
Meet Our Team

Emmet W. Lee, MD, FAAHPM
Dr. Lee holds Bachelor of Science degree from the University of Texas at Austin, and an MD from the University of Texas Medical School at Houston. He is certified by the American Board of Internal Medicine in both Internal Medicine and Hospice and Palliative Medicine. Dr. Lee’s hospital affiliations include Palomar Medical Center and Pomerado Hospital.
Dr. Lee was first drawn to the field of hospice and palliative medicine by a desire to provide his patients with the best possible continuity of care. He is committed to treating each of his patients as a whole person, a process that includes involving their families as active participants in the patient’s care. Dr. Lee draws from both his experience and his continuing education in hospice and palliative medicine as he works to help other physicians and patients’ families who are supporting patients faced with life-threatening diseases or who are dealing with severe symptoms from their diseases.

Nayana M. Trivedi, MD
Nayana M. Trivedi was inspired to become doctor seeing her physician father teaching medical students. She graduated as valedictorian from the University in India. She did her residency in Internal medicine at Mount Sinai Medical Center in Miami Beach and became a board certified Internist. Dr. Trivedi is also certified in Geriatrics and Integrative and Holistic Medicine.
For the past twenty-years Dr. Trivedi has been serving the North County Coastal community providing comprehensive & preventive medical care. For the past ten-years, she has not only cared for patients in her medical office, but in hospitals, nursing homes and in home hospice settings. Dr. Nayana Trivedi subscribes to the World Health Organization’s motto that health is a balanced state of physical, mental, social and spiritual well-being.

Barbara Smith, FNP
Barbara Smith-Gercke holds a Bachelor of Science in Nursing from Rush University in Chicago, and an MSN/FNP from the University of San Diego. Barbara is certified through the American Nurses Credentialing Center and has over twenty years of experience as a Nurse Practitioner.
When asked about her interest in Palliative medicine, Barbara shares the experience of helping her brother-in-law deal with the failing health of his father, and of being able to help them move toward patient-directed care. She speaks of the importance of being able to empower people to direct their own care by helping them to articulate their wishes and preferences for the direction of their treatment.

Arianna M. Villa, MSN, FNP-C, Palliative Care Program Director
Arianna spent the first thirteen years of her career as a Registered Respiratory Therapist before deciding to pursue her nursing degree. Eleven of these years were spent at UCSD Medical Center working with patients with chronic lung disease, pre/post lung transplant patients, and performing clinical research. She holds a Master’s Degree in Nursing from Azusa Pacific University and is a Certified Family Nurse Practitioner. She has spent the last four years of her career devoted to hospice and palliative care, both in frontline patient care and in management, serving in such roles as RN Case Manager, Clinical Manager, and Director of Patient Care Services. Arianna has always focused on serving individuals experiencing chronic illness, complex disease or life limiting conditions. She uses her clinical skills to work with patients and their families to help them enhance quality of life, explore their priorities, clarify what is important in their lives and thus help them both clinically and emotionally address their heart desires. She believes that it is truly an honor to be a professional in palliative and hospice care.