Dr. Alex De Moraes has been my physician for roughly six months. As a healthcare professional myself, and an executive focused on patient experience, I couldn't be happier with my decision to join his practice at Napa Valley Personalized Care. I initially decided to seek out a new physician because I was extremely frustrated with the amount of time my previous doctor spent with me during the appointment. If I spoke to him for more than five minutes I considered myself lucky. Add to that the frustration of multiple lengthy delays in the waiting room when I had arrived 15 minutes ahead of time as requested. The final straw was when my doctor read a lab results wrong. Fortunately, I had reviewed them myself before the visit, and was able to correct his mistake. It's scary to think of the mistakes that likely routinely happen and go unnoticed by less informed patients. Dr. De Moraes has been spectacular. He spends the time with me to talk about my holistic well-being, rather than the symptoms that brought me to the clinic that day. He is personable, thoughtful, thorough and when I leave his office, or speak to him on the phone, I don't worry that something might have been missed. On one occasion the pharmacy I go to made a mistake on a prescription late on a Friday evening. I was sure I'd have to wait until Monday, but he was available to correct the pharmacy's mistake while I waited and there was no issue. I think what I like most is that he remembers my name as patient, which is what prompted this review. I saw him in the grocery store weeks after I'd seen him and he remembered my name, and asked how I was doing. How crazy is that? My previous doctor wouldn't have known me if I was the only person in the room. Would your doctor know you? I'm extremely happy with my decision to choose Dr. De Moraes as my physician. As I mentioned, I'm a healthcare professional myself and can be very critical of the broken system we all have to endure. Dr. Moraes made has made my healthcare easy to manage and immensely less stressful. I would recommend him to all my friends and family and trust him with my well-being. Thank you Dr. De Moraes! read more

My mother was under the care of Dr. Alex De Moraes at The Meadows Of Napa Valley Skilled Nursing Facility while convalescing from surgery for a small bowel obstruction. While the most alarming incident -- involving verbal abuse -- occurred just before her discharge, there were other episodes of negligence during her stay there that can be attributed to Dr. De Moraes. During her stay at the facility, my mother was having very severe breathing problems related to chronic heart failure and post surgery complications. Dr. De Moraes was very resistant to input from both family and cardiologist regarding my mother's heart failure-related breathing issues that are relieved by diuresis. He was extremely upset that I was advocating for urgent attention to this matter and he complained vigorously when I consulted with my mother's cardiologist from UCSF and asked her to call him. The first time Dr. De Moraes spoke to my mother's cardiologist, he denied any signs of fluid overload in my mother and rejected the possibility that this could be causing her breathing issues. Based on my experience as her main caregiver and, seeing that her breathing continued to worsen, I contacted my mother's cardiologist once more and asked her to please call Dr. De Moraes again to try to get him to begin diuresis urgently. After speaking to the cardiologist the second time, Dr. De Moraes finally proceeded to prescribe a version of the recommended treatment. However, Dr. De Moraes refused to administer the medication in the correct dosage and manner and, had my mother complied with De Moraes' dosing, it would have been in great excess of what has been determined as the maximum dosage she can tolerate without experiencing acute kidney injury. My mother, knowing this, was able to refuse the quantities that Dr de Moraes had prescribed and instead she took the medication according to her cardiologist ongoing recommendation. Soon the diuresis began and within 24 hours, her breathing began to improve dramatically. After a few days at The Meadows Skilled Nursing, my concern was increasing about the care of my mother was receiving under Dr. De Moraes and so I began to make plans for her discharge early the following week. Beginning on Saturday afternoon, my mother began having painful spasms and cramping in her rectum and anus. After multiple telephone calls to the facility alerting them of the situation and suggesting that they evaluate her for a fecal impaction, the head of nursing examined her late Sunday afternoon and consulted with Dr. De Moraes. I assume they concluded she had hemorrhoids because De Moraes prescribed Hydrocortisone cream which was administered 16 hours later. All day Sunday, all day Monday and all morning Tuesday, my mother was experiencing waves of spasms and cramping every 15 to 20 minutes and would cry out in pain with each of these episodes. I continued to make contact Head Of Nursing by phone and was told that the doctor had decided the plan of treatment and that I should not continue to interfere. Finally, on Tuesday morning when she was about to be transferred back home, I insisted that they not release her without the doctor examining her. O was told he Had already seen her but actually that was before the fecal impaction symptoms emerged. So I insisted they allow me to speak to the doctor directly by phone. He became very upset with me, calling me the worst family member he had ever had to deal with and saying that I was creating a "barrier of care." I told him that I was acting out of love for my mother and that I was very concerned that she was suffering from a severe fecal impactation and did not think it was a good idea for them to release her from their care without addressing the acute condition and determining whether or not she was in any danger. At that time he made several threats about refusing to discharge her and cutting off our ability to communicate by FaceTime during the rest of her stay (this is all taking place during the Covid-19 crisis and visitors are not allowed into the facility). He finally agreed to examine her and within five minutes was in her room. Upon examination, my mother was found to be fecally impacted and the impaction was cleared. She was then discharged and transported home. The pain did not come back and has not come back since. Her 48 hour ordeal was now over. However during the process Dr. De Moraes proceeded to verbally abuse my mother calling her the worst patient he had ever had, a disgusting person and other such things, and saying that she "didn't deserve to be alive." My mother has been very upset in the time since she experienced this abuse. Her memory of the constant waves of excruciating pain, the negligence and the doctor's verbal abuse run through her head throughout the day causing her a great deal of PTSD-like distress. She has had several nightmares involving the doctor as well. read more

Dr. DeMoraes is the primary care physician for both my wife and I. We could not be more pleased. He is extremely knowledgeable, caring, and takes the time to really understand and know his patients. This is basically a concierge service, but worth every penny. We are so glad we joined his practice at Napa Valley Personalized Healthcare. read more

Where do I start? There are so many good things to say about Alex. We hired him to take care of my 90-year old dad and he has been fantastic. He has a great beside manner, really cares about his patients and has superior medical skills. But, it is all the other things he does that makes him so special. As a "concierge service" client, he really lives up to that promise. He has visited my dad evenings and weekends and seems to be always available when we need him. We had another concierge-level doctor before him and go nowhere near the level of help - at twice the price. if you need his kind of medical help, i would highly recommend you give him a call. David read more

Dr De Moraes became my doc in January 2018 after interviewing three (3) other docs in Berkeley and Napa soon after my prior primary care doc of about 38 years retired. I found exactly what I needed in Dr De Moraes. He is a concierge doc so an annual up front cost is part of the plant to get 24 hr by 365 day access. And, as I'm in complicated medical transitions the 24x7 access as well as his attentive interest and problem solving abilities have been a godsend find. In the first meeting I got the same form of guidance and help my previous doc gave me. Medications, diet, lifestyle, investigational procedures into my aliments and good clear interactive communications are excellent. As a retired biotech chem-e I am persistent and diligent in uncovering solutions to meet the needs, Dr De Moraes is my new partner in my healthy survival. I highly recommend him! read more