Dr. Miles is great! He is caring and listens to you and then helps come up with a solution. The…read moreoffice staff is friendly and attentive as well. I highly recommend Dr. Matthew Miles for any infection related diagnosis and treatments!

The Front office changed my appointment time without my permission, and said I will have to…read morereschedule when I showed up for my original time when it was only a 15 min difference. And both front desk gals were very rude about it. Super dissappointing

I would say they are 99% on time and they care for the vets. If you are eligible for this service…read moresign up now

This mainly covers my recent appointment with Nurse Practitioner James at the outpatient clinic on…read moreConcord and Bruce Road in Chico, California, my wife at the appointment with me. Nurse/Mr. James (James is his last name) was one of the most professional, knowledgeable nurses I have ever been seen by; he was more like a medical doctor in how he sorted through the complicated nature of this particular visit; on par with a truly great doctor though not having the additional formal medical doctorate training. Though Nurse James was initially somewhat blunt, that some make take as a little testy, he got right to the point. That is, asking for the main, general reason for my visit. On a side note here, my wife is my unofficial caregiver so she was heavily involved at my side in the exam room, as she always is in my overall healthcare. On that, briefly, we applied for her to become my VA approved caregiver quite some time ago (just over 5 years ago; our application on that is still awaiting approval, as the VA is backlogged and still very slow to act, re: big government healthcare bureaucracy found in huge federal institutions. Anyway, I digress, but, it is basically "apply then die" waiting in line, pretty much literally; so the visit we had with Nurse James deserves a perfect rating with the reason(s) why my wife and I are doing that in this forum. So, this visit with Nurse James was a welcome surprise as Nurse James listened carefully to my wife explaining my status, recent changes in my condition, as well as getting verbal input while he collected my vital signs. My wife is herself a doctor; a surgeon, doctor of dental surgery with many years working in both emergency rooms tending to trauma victims, triage, while maintaining her private practice in general dentistry/dental surgery across from a med-surge hospital and its emergency services division. The visit was amazingly productive as a new treatment plan, revision and adjustment of the one I was already on, that was a real life saver (literally actually), as I had been in and out of ER's for a couple of weeks prior/ongoing. Now, because of Nurse James' remarkable abilities, producing a comprehensive path forward that covered decades of health care going way back to the Vietnam war era (many, many injuries), my service in the US Marines, right up to the present, as if he were almost, somehow, a futuristic medical computer/robot (but of course a genuine/caring human being at the same time): Conclusion: Nurse James literally saved my life at this visit: To be fair to the VA overall, other doctors and nurses, various staff, at the VA outpatient Chico clinic had recently done over the past few weeks, the clinic, calling 911 on my behalf, interacting carefully with my wife prior, then, ongoing, her status as a dental surgeon and vast/decades of dental/medical/emergency experience; nurse James synchronized all of these variables to great effect. You join the Marines literally as a child as I did in 1973 at age 17, volunteered to go to Vietnam to fight for the American way of life, as well as go wherever they would send me, after the war finally ended in 1975, made it home alive beat up so bad nearly dead, recover a few years later, go back into the service, do it all again in the Army; my injury waivers were too extreme for the Marines standards needing something akin to superhuman physical condition to re-enter service. Nurse James made things happen that no one else could do till this visit with him. The VA, I dare say, should interview him, clone him in the sense of picking his mind, seeing how he ticks, ask him to give a presentation to other staff at all levels; it is hard to get the right words, but he is just different. Others at the Chico are as well, but Nurse James is, well, different. I was called in one time by a gigantic corporation after my Marine Corps and later Army service, asked by management and executives how I scored 100% on a certain licensing exam that no one had ever done: verbal questions/interviews, performing actions). The same should, I think, as does my wife that saw it herself in this visit, should be done with Nurse James. Now if we can just get my wife approved as my official Vietnam war era family caregiver program caregiver, where she is officially recognized as such, and the same done for many other Vietnam war era veterans in similar disabled condition as mine needing a full-time caregiver, that would be a great goal fulfilled for the necessary benefit of America. You fight for America, get horribly disabled, you get the care, including caregiver, that you earned, that sets America apart from healthcare programs other countries, especially America's enemies. When potential new, recruits in perfect health, consider joining the military, or face prospects of a future draft, they need to know a Nurse James, and your own life-saving family caregiver, America herself, will have your six. Semper Fi, an unknown United States marine