Continuing Care & Our Cleft Team

For years, families at the Saint John's Cleft Palate Center were cared for by an extraordinary multidisciplinary team of clinicians who worked together across the many stages of cleft care.

Although our team is no longer practicing together at Providence Saint John's Health Center, many of the clinicians who cared for our community continue to practice throughout Southern California. We're in the process of gathering their current information here so families can find members of their former care team, learn where they are practicing now, and, when appropriate, continue care with clinicians they already know and trust.

Our Surgical & Team Director

Reza Jarrahy, MD, FACS, FAAP
Surgical Director / Maxillofacial Surgeon

For nearly a decade, Dr. Jarrahy helped lead the Saint John's Cleft Lip and Palate Program, working alongside an extraordinary multidisciplinary team to provide highly personalized care to children and families throughout their cleft journey. As Surgical and Team Director, he guided surgical care and treatment planning while helping carry forward a program with more than 60 years of history in the Los Angeles community. During his leadership, the team cared for thousands of patients and families and extended its impact beyond the clinic through annual symposia that educated thousands of professionals and community members about comprehensive cleft care.

Dr. Jarrahy has described leading the program as one of the greatest joys and most rewarding experiences of his professional career and the privilege of caring for its patients and families as something for which he will always be grateful.

Our Nursing & Care Coordination Team

Our nursing and care coordination team has been at the heart of the Cleft Palate Center, helping families navigate care from their earliest visits through the many stages of treatment. Over the years, they have provided specialized nursing support, coordinated care across our many disciplines, helped families prepare for appointments and procedures, and served as a consistent and trusted point of connection for patients, families, and members of the team.

Although the clinic has closed, our nursing team remains available through the end of 2026 to help families during this transition, answer questions related to their previous care, and help connect them with appropriate resources and next steps when possible.

Natalie Ziegler, MSN, PNP-BC, RNFA
Clinical Program Manager/ Nurse Practitioner/ Registered Nurse First Assist
Ph: (310) 829-7792

Alma Avelar, RN
Registered Nurse, Clinic Coordinator
Ph: (310) 829-7792

Transition support will remain available through the end of 2026.

Our Cleft Team

Many of the team members you have come to know and trust continue to care for patients in their private practices, bringing with them years of specialized experience in cleft and craniofacial care. Below, you can find information about their practices and how to connect with them outside of the clinic.

Speech-Language Pathologists

Our speech-language pathologists supported families from early feeding through speech development, helping children communicate clearly and confidently as they grew.

Orthodontists

Our orthodontists followed dental development, jaw growth, and alignment from early childhood through adolescence and into adulthood, coordinating closely with the surgical team to plan treatment around each stage of care.

Pediatric Dentists

Our pediatric dentists supported oral health and dental development throughout childhood, helping families maintain healthy smiles and prepare for later stages of orthodontic and surgical care.

Psychology & Mental Health

I served as the team's psychologist and neuropsychologist, working alongside two therapists who provided ongoing therapeutic support. Together, we supported the emotional, social, and cognitive well-being of children and families throughout their cleft journey.

CDFC / Hospital-Based Community Resource: Located within the Providence Saint John’s hospital setting, this clinic continues to provide therapy/support services and accepts Medi-Cal, making it an important resource for families seeking accessible care options.

Pediatrician

Before stepping down at the end of 2025, our pediatrician co-directed the program for nearly a decade alongside Dr. Jarrahy, monitoring children's growth, health, and development throughout their cleft journey and coordinating closely with every discipline on the team.

Plastic & Maxillofacial Surgeons

Our plastic and maxillofacial surgeons provided surgical care across every stage of a child's cleft journey, from early lip and palate repair through later reconstructive procedures, working closely with the surgical director and the broader team to plan and coordinate treatment.

Otolaryngology (ENT) / Audiology

Otolaryngologists and audiologists monitor hearing and ear, nose, and throat health throughout a child's cleft journey, coordinating closely with the surgical and speech teams to support healthy hearing and development.

A Legacy of Care

More Than 60 Years of Cleft Care
Dr. Les Holve founded the program more than six decades ago and helped pioneer the multidisciplinary model of cleft care.

Dr. Janet Salmonson led it for nearly 30 years.

Dr. Henry Kawamoto, the renowned craniofacial surgeon, was an important part of its development and national reputation.

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