Our Providers

Dr. Daniel Watrous


Dr. Watrous has practiced rheumatology in Visalia, California, since July of 1989. He obtained his Bachelor of Science and Doctor of Medicine degrees from Oral Roberts University in Tulsa, Oklahoma. He completed his internship, residency, and fellowship in Rheumatology at University of California, Irvine in Southern California before moving to Visalia in 1989. Dr. Watrous has maintained board certification in Internal Medicine and Rheumatology since then, and most recently passed the re-certification examination in rheumatology in 2016. Dr. Watrous loves to read and program computers. His wife Valerie is the administrator for the practice. Together they have seven children and eight grandchildren.

Dr. Frank Scott


Dr. Scott is the founder of Arthritis Medical Center in the Central Coast of California. The Center was founded in 1998 and specializes in the diagnosis and treatment of rheumatic auto-immune conditions such as rheumatoid arthritis, osteoarthritis, lupus, gout, vasculitis, spondyloarthropathies, and osteoporosis.

Dr. Scott received his BS degree from Baylor University and medical degree from the University of Health Sciences in Kansas City, Missouri. He completed his internal medicine residency also in Kansas City and rheumatology fellowship at Walter Reed Medical Center in Washington, DC. He is board certified in both internal medicine and rheumatology and is a founding fellow in the American College of Rheumatology. He has also attended patients at UC Davis Medical Center and Stanford Health Care. He has conducted clinical trials and participates in utilization review and immunology lab consultation.

Dr. Scott enjoys traveling with his wife and sailing on their sailboat “Vixen”.

Dr. Alicia Rodriguez-Pla


Dr. Rodriguez-Pla earned her medical degree from the University of Navarra in Spain and completed rheumatology training in Barcelona (Spain). She got her Ph.D. from the Universitat Autonoma de Barcelona, working on giant cell arteritis. Her interest in vasculitis led her to pursue post-doctoral training in the U.S. from 2003 to 2007, as a visiting post-doctoral research fellow at Johns Hopkins University. During her last two years at Johns Hopkins, she was funded through a Vasculitis Clinical Research Consortium (VCRC)/Vasculitis Foundation (VF) fellowship. She also received a Master’s in Public Health (MPH) degree at The Johns Hopkins Bloomberg School of Public Health. In addition, she worked in lupus research at Baylor Institute for Immunology Research in Dallas, before completing a clinical fellowship in rheumatology at Boston University, where her interest in scleroderma increased. She completed a residency in internal medicine at Lahey Hospital and Medical Center in Burlington, MA. She worked as an Assistant Professor in the Rheumatology Division at the University of Arizona in Tucson, and at Mayo Clinic Arizona, before becoming the Rheumatology Division Chief at UCSF Fresno in September 2022, where she was also an Assistant Professor of Clinical Medicine. While at the University of Arizona, she was the Director of the Vasculitis Center and the Co-Director of the Scleroderma Program. At Mayo Clinic Arizona, she was the Director of the Vasculitis Program. In May 2023, she joined Sierra Pacific Arthritis and Rheumatology Centers. She is a physician-scientist, and her main interests are vasculitis, scleroderma, and IgG4-related disease. She is interested in translational and clinical research.

Pamela Scott


Pamela Scott is a native Californian. She moved to Visalia about 35 years ago where she pursued the beginning of her nursing career at a College of Sequoias. After she graduated she worked in Oncology, doing chemotherapy and radiation treatment management. During her time in oncology she pursued her Bachelors Degree in Nursing from Fresno State. After about 17 years in Oncology she transitioned into Rheumatology. She started as an infusion nurse at Dr. Watrous’ office, then pursued her Master’s in Nursing as a Family Nurse Practitioner from Fresno State. She has been practicing as a Rheumatology NP since 2010. She is a member of American Association of Nurse Practitioners, California Rheumatology Alliance, American Women in Rheumatology, and Sigma Theta Tau, a Nursing Honor Society. Pam enjoys spending time with her two daughters, wine tasting, taking her dogs for long walks and just relaxing and reading a good book.

Kristin Hopper


Kristin Hopper has lived here in the Central Valley with her family for years. She joined our office in 2016. Kristin has worked as a Nurse Practitioner in Visalia since graduation with experience in Family Practice and Urgent Care Setting. She started as a Registered Nurse over 25 years ago after finishing the College of Sequoias nursing program. After several years of working in both the hospital and outpatient setting, completed a Bachelor Degree in Nursing from California State University of Bakersfield. More recently completed her Masters Degree in Nursing with Family Nurse Practitioner focus at California State University of Fresno in 2010. She is certified with the American Association of Nurse Practitioners and has memberships with Sigma Theta Tau Nursing Honor Society and American Women In Rheumatology. In her free time, Kristin enjoys traveling with her husband and spending time with family.

Cynthia Shipp-Rowell


Cindy Rowell has lived here in the Central Valley with her family for years. She joined our office in 2019. Cindy has worked as a Nurse Practitioner in Visalia since graduation with experience in Emergency room, Family Practice and Urgent Care Setting. She started as a Registered Nurse over 30 years ago after finishing the College of the Sequoias nursing program. After several years of working in both the hospital and outpatient setting, she attended Stanford University where she attended the Nurse Practitioner/ Physician Assistant program, completed her studies December 1999. She is certified with the American Association of Nurse Practitioners and has membership with American Women In Rheumatology. In her free time, Cindy enjoys traveling with her family and spending time with her two grandchildren.

Grisell Ramirez


Grisell Ramirez joined the practice in 2021. She attended California State University, Fresno where she obtained a Bachelor’s of Science in Nursing.  After graduation she worked at Community Regional Medical Centers in the Intensive Care Unit as a registered nurse for 5 years. She then continued her education at the University of California, San Francisco where she obtained her Master’s of Nursing with an emphasis of Family Nurse Practitioner. She has been practicing as a Nurse Practitioner since 2012, has experience in Family Practice and Internal Medicine.  In her spare time she enjoys traveling to Mexico City where she was born and raised. She also enjoys reading, playing sports and spending time with her family.

Brandon Giullian


Brandon Giullian moved to Visalia in 2017 and started practicing as a Physician Assistant in family medicine.  He joined the practice in 2021.  After serving a 2 year service mission in Bolivia and Peru he earned a Bachelor’s Degree in Health Science with an emphasis in Public Health from BYU-Idaho.  He later earned his Master’s Degree and Physician Assistant certification from Barry University in Miami, Florida.  Brandon enjoys spending time with his wife and 3 children, exploring national parks, and playing sports-growing up outside of Chicago he is a diehard Bulls fan.

Angelica Gutierrez


Maria Angelica Gutierrez, FNP-C joined SPARC in 2022. She has experienced nursing from the ground up, earning the titles of certified nursing assistant, licensed vocational nurse and registered nurse. She obtained her master’s in nursing at Fresno State University of Fresno where she completed her Family Nurse Practitioner program. She has a wide range of experience through her 9 years of service in the Emergency Department at Community Regional Medical Center. She also has served the Kerman, CA, community as primary care provider for 3 years through Adventist Health. Angelica Gutierrez is first generation of migrant workers, born in Jalpa, Zacatecas, Mexico and raised in Fresno. She enjoys family gatherings and trips to Mexico.

Colleen Gleason


Colleen Gleason grew up in Tulare county and has more than 30 years of experience in healthcare. After working at Kaweah Delta hospital for many years, she graduated with a masters degree from UC Davis School of Medicine as both a nurse practitioner and physician assistant in 1999. She has worked with Dr. Charles Boniske and Dr. Watrous since then in rheumatology and really enjoys the patients she has been able to help over the years. She enjoys traveling, cooking, and her family.

Jordan Daniels


Jordan Daniels has lived in the Central Valley with his family since 2017. He graduated from BYU-Idaho with his Bachelor’s degree in Health Sciences with an emphasis in Public Health and later earned his Master’s degree in Physician Assistant studies at A.T. Still University in Mesa, Arizona. Prior to specializing in Rheumatology he served the community in both Family Practice and Urgent Care settings. 

Jordan enjoys playing sports, traveling, fishing, hiking, running and skiing with his wife, two children, and two dogs. Having previously worked in construction, he also enjoys working on projects in his home. He is fluent in English and Spanish. 

Sandeep Bhangoo


Sandeep Bhangoo is a board certified Nurse Practitioner with experience in Family practice, Physical medicine and Rehab and Infusion therapy. She received her bachelor’s degree in Nursing from UD Mercy, Detroit and her Master’s degree from Fresno State. She is certified with American Association of Nurse Practitioners. She is fluent in English, Punjabi and Hindi. In her free time Sandeep enjoys cooking Indian food, traveling and spending as much free time as possible with her family and friends.