A practice founded on a single conviction.
That the years at the end of life should be lived in genuinely good health, and that medicine, practiced thoughtfully and early, can make that possible.
Concierge Longevity Medicine · La Jolla, California
A ten to fourteen year truth.
Modern medicine has done extraordinary things to extend lifespan. Improvements in nutrition, immunization, and sanitation have given us decades that earlier generations never had.
But for most adults, the final ten to fourteen years of life are shaped by chronic illness, including heart disease, dementia, cancer, and debilitating arthritis. Not by choice. We call this gap between living and living well the healthspan gap, and closing it is the reason Essenza exists.
We do not wait for symptoms to become diagnoses. We combine preventive screening, risk stratification, and targeted intervention to protect your healthspan, not just for today, but across the decades ahead.
The difference between how long we live
and how long we live well.
Prevention is more powerful than intervention. Symptoms are not destinies. The mind and body cannot be cared for apart.
Care that treats the whole person.
Essenza Mind & Body Longevity Clinic delivers compassionate, patient-centric concierge care designed to extend healthspan and elevate quality of life. Through a multidisciplinary team of board-certified clinicians spanning integrative health, neurology, psychiatry, addiction medicine, women's health, and intimate health, we treat the whole person, mind and body, with the time, attention, and dignity every patient deserves.
A future where exceptional, compassionate, multidisciplinary care is the standard for how people age, not the exception.
Four principles that shape every visit.
How we work is as deliberate as what we treat. Every appointment, every recommendation, every plan is built on the same foundation.
Prevention‑first
We look for risk before it becomes diagnosis. Early screening, biomarker analysis, and risk stratification let us intervene before disease takes hold.
Root‑cause thinking
Instead of treating symptoms in isolation, we work like investigators, examining the upstream biology, environment, and patterns shaping how you feel.
Evidence‑based, always
From advanced biomarkers to FDA-cleared TMS and Spravato, every intervention is chosen because the science supports it, and because it serves your long-term wellness.
Time as a clinical tool
Unhurried visits. Direct access to your care team. Proactive coordination of labs, imaging, and referrals. Concierge care measured in attention, not minutes.
Care that moves with you.
Hormones drive migraine. Mood shapes metabolism. Sleep alters cognition. The conditions that define modern healthspan do not respect the boundaries between specialties, so neither do we.
Our four practices share charts, coordinate plans, and meet as one team. Addiction medicine care, led by Dr. Starikov, runs alongside all four, so recovery and long-term health are treated as one plan. You are not handed back a checklist of referrals. You are guided through a single, unified path of care, all under one roof in La Jolla.
-
01Longevity & Internal Medicine Root-cause assessment of the biological processes of aging, including advanced biomarkers, pharmacogenomics, body composition, biological age, and hormone optimization.
-
02Women’s Health Unhurried, evidence-based gynecology and preventive care across every life stage, built around early screening, hormonal nuance, and long-term cardiovascular and cognitive health.
-
03Neurology Comprehensive evaluation and advanced treatment for migraine, chronic headache, and pain disorders, including second-opinion care for patients who have not found relief elsewhere.
-
04Psychiatry Thoughtful psychopharmacology paired with advanced interventions for treatment-resistant depression, including FDA-cleared TMS and Spravato.
Four specialists. One shared conviction.
Essenza was built by physicians who believe medicine is more than a fifteen-minute appointment, and that the patients they trained to serve deserve more than that.
Dr. Aboo Nasar
Founding Physician, LongevityDr. Nasar focuses on extending the years patients live in good health, addressing the root causes of aging through advanced diagnostics, personalized strategy, and a coordinated approach to chronic disease prevention.
View ProfileDr. Maya Vaysbrot
Founding Physician, NeurologyDr. Vaysbrot practices neurology and sleep medicine, caring for patients with migraine, chronic headache, and sleep disorders, with a focus on those who have not found relief through prior treatment.
View ProfileDr. Roman Starikov
Founding Physician, Addiction MedicineDr. Starikov is board certified in Addiction Medicine through the American Board of Preventive Medicine, caring for patients with opioid use disorder, chronic pain, and other substance use concerns, working alongside our psychiatry and longevity teams so that care is coordinated rather than divided across specialties.
View ProfileDr. Peyman Tashkandi
Founding Physician, PsychiatryDr. Tashkandi practices thoughtful, evidence-based psychiatry for adults, paired with advanced interventions for treatment-resistant depression, including FDA-cleared TMS and Spravato, delivered in a closely monitored clinical setting.
View ProfileMany women feel rushed through visits, or told their symptoms are “normal.”
At Essenza, we practice differently. From hormones and heart health to migraine, mood, and menopause, our team treats the questions women have been asking for years, with the time, science, and respect those questions deserve.
Concierge care that works with your insurance.
Essenza is in-network with Aetna, UnitedHealthcare, Cigna, and CHAMPVA, and our team handles the claims for you. Additional plans, including Anthem Blue Cross, Blue Shield, and Medicare, are in the credentialing process. For plans where we are out of network, we can bill your insurance benefits on your behalf, so you do not have to file claims yourself. Coverage varies by plan, and we review your benefits before your first visit. Most concierge practices do not work with insurance at all. We think that is a barrier worth removing.
Logos shown are plans where Essenza is in-network today. We verify your benefits before your first visit so costs are clear in advance.
Your health deserves a proactive plan.
Schedule a consultation with our team in La Jolla, or learn more about Essenza membership.