Meet the Providers

Homayoun Siman, M.D.

Dr. Homayoun Siman is a dedicated and knowledgeable physician from Southern California.   Dr. Siman completed his Bachelor of Science in General Biology from the University of California, San Diego (UCSD) and Doctorate of Medicine at Chicago Medical School, Rosalind Franklin University.

Upon completion of his medical schooling, Dr. Siman entered a residency program in General Surgery at Mount Sinai Hospital in New York and then went on to train in Orthopaedic Surgery at New York Presbyterian.  He was and continues to be passionate about new and developing medical research, and has participated and authored a number publications during a research fellowship in adult reconstruction orthoapedic surgery at Mayo Clinic in Rochester, Minnesota.

Dr Siman currently practices in the Coachella Valley as well as in Los Angeles.  He is passionate about patient care and truly takes time to listen to patient concerns.  Dr. Siman is thorough and thoughtful in his practice.  His unique training background allows Dr. Siman to address a wide range of specialized concerns such as dermatology, non-surgical orthopaedic issues, pain management and endocrinology.

Dr .Sara Rismiller, DMSc, PA-C,

Dr .Sara Rismiller, DMSc, PA-C,  received her Bachelor of Science with distinction from the University of Texas at Austin, her Masters of PA Studies with distinction from NYIT in 2021 and her Doctor of Medical Science from RMUHS in 2023. Her education has allowed her to possess advanced knowledge and skills in patient care, diagnosis, and treatment. 

She is a dedicated healthcare professional with a passion for primary care and preventative healthcare. Throughout her career, she has demonstrated a strong dedication to fostering meaningful connections with patients, understanding their individual needs and empowering them to take proactive steps towards better health outcomes. She is deeply committed to staying abreast of the latest developments in medicine and continually seeks opportunities for professional growth and development. 

One of Sara’s many passions, besides the sciences, includes traveling. She lived in France for two years in her youth and is fluent in the language. Her other interests include golf, sailing and hiking with her dog, Bogey. 

Jannel Ram, PA-C

Meet Jannel Ram, a Physician Assistant (PA) with a diverse academic and professional background. She embarked on her academic path at San Francisco State University, where she pursued her undergraduate studies. With a keen interest in biology, she chose to emphasize her studies in physiology, laying a strong foundation for her future medical career.​

Following her undergraduate degree, Jannel pursued her PA education at the San Juan Bautista School of Medicine in Puerto Rico, where she was part of the first Spanish immersion PA program. This unique experience equipped her with not only medical expertise but also cultural understanding and linguistic abilities, preparing her to serve a diverse patient population


Currently, Jannel applies her diverse background and skills at Healing Hands Primary Care in Indio, California, where she provides compassionate and comprehensive medical care. With her blend of education, experience, and dedication, she continues to make a meaningful impact in primary care.

James Hansler, PA-C

James Hansler, PA-C, began his medical career in rural North Carolina's Emergency Medical Services. Looking to expand his community impact and knowledge, James pursued pre-med studies at UNC Wilmington, laying the foundation for his future in medicine. His passion for patient care led him to Jefferson School of Health Sciences in southwest Virginia, where he completed his Physician Assistant studies.

With experience gained from working in internal medicine in Virginia and NYC, James now brings his expertise to the Palm Springs area. He is dedicated to patient-centered care, focusing on the individual needs and preferences of each patient.

James has a particular interest in sports medicine and mental health, recognizing the importance of both physical and psychological well-being in overall health. He is committed to providing comprehensive and compassionate care to his patients, integrating his passion for sports medicine and mental health into his practice.