Integrative General Medicine

Integrative General Medicine Doctor in San Diego, CA — Naturopathic Primary Care

Integrative general medicine in San Diego — naturopathic primary care, house calls, and root-cause approach to everyday health. By Dr. Joseph Dubroff, N.D.

Integrative general medicine doctor San Diego house calls
The Philosophy

The Primary Care You Wish You Had.

Modern primary care has been compressed into the shortest viable medical encounter. Fifteen-minute appointments. Rushed conversations. Doctors typing into laptops while you describe your symptoms. Phone trees, portal messages that take days to answer, and a primary care relationship that feels more like an insurance transaction than a healthcare partnership. Most patients have stopped expecting anything different — they accept the rushed visits as the cost of modern healthcare.

Dr. Dubroff built Holistic Solutions specifically as an alternative to that model. Initial appointments are two hours. Follow-up visits are unhurried. Phone calls on existing topics are always free. House calls cover San Diego and Orange County — Dr. Dubroff comes to you. There's no waiting room, no rushed intake, no 15-minute timer running in the background while you try to remember what you came in for.

"Real medicine takes time to understand a patient. The fifteen-minute appointment is an economic model, not a medical one — and it's the reason so many people feel like their primary care doesn't actually know them."

The integrative naturopathic approach also looks at health differently than conventional primary care. Standard medicine is excellent at acute interventions — diagnosing serious illness, treating infections, managing acute conditions. But it's calibrated to detect disease, not to maintain function. Integrative medicine asks different questions: why are these symptoms appearing? What's driving them at a systems level? How do we restore underlying function rather than just suppress the symptom? It's a more comprehensive frame — particularly for the chronic, multi-system, hard-to-categorize concerns that conventional 15-minute appointments often can't address.

What's Actually Different

The Practical Differences. Not Marketing Claims.

The differences from conventional primary care are concrete and structural, not just philosophical.

— Difference 01

House Calls

Dr. Dubroff sees patients at their homes throughout San Diego and Orange County. No traveling to a clinic, no waiting room, no parking, no scheduling around a clinic's availability. The medical visit comes to your living room. Particularly valuable for elderly patients, patients with mobility issues, busy professionals, parents with children at home, and anyone who finds clinic visits inconvenient.

— Difference 02

Two-Hour Initial Appointments

The first visit is two hours, not fifteen minutes. There's time to actually take a complete medical history, understand your symptoms in context, discuss what you've tried, what's worked, what hasn't, and develop a thoughtful plan. The depth that two hours allows is fundamentally different from what a rushed appointment can produce.

— Difference 03

Free Follow-Up Phone Calls

If you've already established care for a topic and need to ask a follow-up question, adjust dosing, or check in on progress — that conversation is free. You're not paying for every dose adjustment or check-in. This removes the friction that often keeps patients from getting timely guidance on conditions they're actively managing.

— Difference 04

Comprehensive Testing & Root-Cause Approach

Dr. Dubroff orders the comprehensive testing that conventional primary care often skips — full hormone panels, complete thyroid (with reverse T3), comprehensive metabolic markers, inflammation markers, gut testing when warranted. The protocol is built from what the data actually shows, not from a one-size template.

— Difference 05

Integrated Toolkit

One physician covering integrative primary care, hormone optimization, peptide therapy, regenerative medicine, weight loss, and gut health under one practice. No referral cycles between disconnected specialists. Your full health picture lives with one doctor who actually knows the entire history.

— Difference 06

Transparent Pricing

You know what each visit costs before you book it. No insurance billing surprises, no "we'll send you the bill" mystery. Initial visit $375, follow-ups $125-$175, free phone calls on existing topics. Pricing accessible enough that comprehensive medical care doesn't have to be a luxury reserved for high-income patients.

Conditions Managed

The Range of Everyday General Practice.

Beyond the specialty areas (hormones, peptides, regenerative, weight loss, digestive), Dr. Dubroff manages the broader range of general medicine for patients who want their primary care delivered through the same integrative lens.

Fatigue & Low EnergyWorkup for hormonal, thyroid, gut, anemia, sleep, mitochondrial, and lifestyle drivers of chronic fatigue.
Sleep IssuesInsomnia, poor sleep quality, hormone-related sleep disruption — addressed through comprehensive workup rather than just sleep medication.
Allergies & Sinus IssuesChronic allergies, recurrent sinus issues, food sensitivities — addressed through immune support and identifying triggers.
Skin ConditionsEczema, psoriasis, rosacea, chronic acne — often gut-driven and addressed through systemic protocols rather than topical-only care.
Joint & Body PainChronic non-injury joint pain, body aches, fibromyalgia-pattern symptoms — root-cause workup beyond NSAIDs.
Mood & Cognitive IssuesBrain fog, mood instability, anxiety, depression — assessed for underlying hormonal, gut, nutritional, and lifestyle drivers.
Recurrent InfectionsChronic UTIs, frequent colds, recurrent yeast infections — addressed by examining immune function and underlying patterns.
Headaches & MigrainesChronic headaches, recurrent migraines — workup beyond standard triggers including hormonal, gut, and nutritional drivers.
Cardiometabolic HealthHigh blood pressure, lipid management, blood sugar dysregulation, metabolic syndrome — addressed through comprehensive lifestyle and targeted medical interventions.
Autoimmune PatternsHashimoto's, RA, lupus, psoriasis, MS — supportive integrative care alongside any specialist treatment you're receiving.
Annual Physical & Preventative CareComprehensive annual physicals with full panel testing and personalized health optimization recommendations.
Acute ConcernsFor established patients, acute issues can be addressed via phone or house call — illness, injury, urgent questions, and follow-up needs.
Pricing

Transparent. Accessible.

The pricing is what allows comprehensive integrative medicine to be available to more than just high-income patients. Compare these numbers to typical functional medicine clinic pricing.

$375

Initial Visit

Two-hour comprehensive intake at your home. Full medical history, exam, lab orders, and initial treatment plan.

$175

Standard Follow-Up

In-home follow-up visit for ongoing care, lab review, treatment adjustment, and new concerns.

$125

Brief Follow-Up

Shorter in-home visit for established patients on existing protocols who need a check-in.

Free

Phone Calls (Prior Topics)

If you've already established care for the topic, follow-up phone calls are free. No paywall on continuity.

Common Questions

Integrative General Medicine FAQs

Can Dr. Dubroff be my primary care doctor?+
Yes. Dr. Dubroff serves as primary care physician for many of his patients in California. As a licensed primary care physician, he can manage the range of general medical concerns, order labs and imaging, prescribe medications when appropriate, and coordinate care with specialists when needed. Some patients use Dr. Dubroff as their main care; others use him alongside a conventional primary care relationship for specific concerns. Either model works.
Does Dr. Dubroff take insurance?+
Holistic Solutions is a fee-for-service practice and does not bill insurance directly. The pricing is structured to keep care accessible without insurance involvement. Superbills are available for possible reimbursement depending on your insurance plan. Labs ordered through major commercial labs (LabCorp, Quest) can often be partially covered by insurance even though the office visit isn't.
What's a naturopathic doctor (N.D.)?+
A naturopathic doctor (N.D.) is a primary care physician trained in both conventional medical sciences and integrative/functional approaches. Naturopathic doctors complete a four-year accredited medical program covering anatomy, physiology, pharmacology, diagnostics, and clinical training — alongside training in integrative therapies, nutrition, botanical medicine, and lifestyle medicine. Dr. Dubroff is a licensed N.D. in California with primary care physician status, and graduated from National University of Natural Medicine (NUNM) in 2002.
What areas does Dr. Dubroff cover for house calls?+
Dr. Dubroff makes house calls throughout San Diego County and Orange County. Specific service areas include San Diego, La Jolla, Del Mar, Rancho Santa Fe, Carlsbad, Encinitas, Solana Beach, Coronado, Newport Beach, Mission Viejo, Irvine, Brea, and surrounding areas. For locations further out, additional travel arrangements may apply — easiest to ask during the free consultation.
Can Dr. Dubroff prescribe medications?+
Yes. As a licensed primary care physician in California, Dr. Dubroff has full prescriptive authority — including conventional medications, compounded medications from licensed pharmacies, and hormones, peptides, and other integrative interventions. Patients receive whatever medication is clinically appropriate for their situation, whether that's a conventional pharmaceutical or a compounded specialty preparation.
How long do appointments take?+
Initial visits run two hours. Standard follow-ups typically 45-60 minutes. Brief follow-ups for established patients 30 minutes. Phone calls on existing topics vary based on what's needed. The point of the unhurried structure is to actually have time to address what's going on — which is fundamentally different from the standard 15-minute appointment.
What if I have a serious illness — would Dr. Dubroff still treat me?+
Yes, with appropriate coordination. For serious conditions requiring specialist care (active cancer, complex cardiac disease, specific surgical needs), Dr. Dubroff works alongside the relevant specialists rather than replacing them. Many patients use him as their primary care physician alongside oncology, cardiology, or other specialist relationships — providing the comprehensive integrative care and ongoing relationship that specialist appointments don't typically include. He'll tell you honestly which conditions he's the right primary doctor for and which ones need a different setup.
Get Started

Primary Care That Actually Knows You.

Book a free consultation. Dr. Dubroff will tell you whether his practice is a good fit for your situation — and what comprehensive integrative care could look like for you.