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Today, we provide access to provider-supervised wellness and weight management services for eligible patients in multiple states. Our network of licensed healthcare providers is committed to delivering individualized care through telehealth evaluations and ongoing clinical oversight when appropriate.
Every patient undergoes a medical evaluation to determine whether treatment is appropriate based on their medical history, health goals, and applicable clinical considerations. Prescription decisions are made solely by licensed healthcare providers, and not all patients will qualify for treatment. We work with licensed pharmacies to help patients access prescribed medications and support services in a convenient and efficient manner. Our goal is to provide a professional, transparent, and patient-focused experience while helping individuals make informed decisions about their health and wellness. We are committed to maintaining high standards of patient care, compliance, and customer service, while supporting patients throughout their treatment journey.
Dr. Reuben Lakshmanan
Medical Director (MD)
Dr. Reuben Lakshmanan is an experienced physician with a background in patient care, wellness, and medical oversight. Throughout his career, he has worked with patients across a variety of healthcare settings and has developed a strong interest in preventive health, wellness, and aesthetic medicine. As an Emergency Medicine physician and medical director, Dr. Lakshmanan is committed to delivering high-quality patient care and supporting innovative approaches to health and wellness. He continues to stay current with advances in medicine and focuses on helping patients achieve their health and wellness goals through evidence-based care and individualized treatment plans.
Marjan Neyestanki
Chief Operating Officer
Dr. Jon Snipes attended Clemson University as an undergraduate before pursuing his medical education at the Medical University of South Carolina in Charleston, SC. Remaining at MUSC, he completed a residency in psychiatry, where he was selected as chief resident in his final year. Following this, in 2013 he became the inaugural graduate of the United States' first fellowship in brain stimulation for treatment-resistant depression and brain stimulation focusing on ECT, TMS, DBS, VNS, and ketamine treatments. Over the ensuing decade, Dr. Snipes practiced psychiatry while serving as the Medical Director at the Carolina Center for Behavioral Health and program director of their brain stimulation service. Concurrently, he oversaw a 36-bed inpatient chemical dependency unit, outpatient CDIOP/PHP, and an outpatient MAT service. With this extensive experience he was approved for board eligibility for Addictionology. In 2018, his professional interests began expanding into IV nutrition and bioidentical hormone replacement therapy (HRT), anti-aging medicine and regenerative medicine. Having undergone extensive training in the use of neurotoxin, dermal fillers, peptides and weight management, PRP, laser treatment and multiple other aesthetic procedures, he was granted board eligibility with both the American Academy of Aesthetic Medicine and achieved full board certification in 2024. In 2023, after having extensive involvement in regenerative medicine he became more involved with stem cell treatments and ultimately completed a fellowship in Stem Cell Treatment and Exosomes with the Stem Cell Institute in Las Vegas, NV. After working in the field at multiple clinics he moved into a role serving as the medical director for Amplified Wellness. Today he continues to expand his studies and is currently board eligible in the field of anti-aging medicine through the American Academy of Anti-Aging Medicine.
Nishi Patolia
Chief Compliance Officer (DNP, FNP-C)
A seasoned healthcare professional with over 10 years of experience, Nishita Patolia has a diverse background spanning reproductive health, aesthetics, and regulatory compliance. As Chief Compliance Officer, she leverages her expertise to uphold industry regulations, streamline medical processes, and maintain the highest standards of patient safety.
Gohar Yasakhanian
Pharmacy Operations Manager
Gohar oversees logistics and operational coordination, ensuring that day-to-day processes run smoothly and efficiently. She works closely with providers, pharmacies, and internal teams to support patient care, streamline workflows, and maintain operational excellence across the organization.
Elizabeth Delgado (RN)
Clinical Operations Nurse
Hi, I'm Elizabeth, and I've had the pleasure of working with Spade for the past 5 years. I'm passionate about aesthetics and thoroughly enjoy helping others enhance their natural beauty.
Breana Reyes (RN)
Clinical Operations Nurse
I have a passion for helping people in their hardest times. I love spending my free time outdoors and being with my fur babies.
Christina Endo (RN)
Clinical Operations Nurse
Christina is an experienced aesthetic nurse at Spade Skin Care, specializing in advanced skin treatments and non-surgical rejuvenation. With a passion for enhancing natural beauty and a commitment to patient-centered care, we are dedicated to providing safe, effective, and personalized aesthetic solutions. Now expanding into GLP-1 treatments, we are excited to help clients achieve their wellness goals through innovative and science-backed therapies
Nicole Hanson
Patient Success Team
With over seven years of experience, Nicole is committed to delivering exceptional service and building lasting relationships with patients. Driven by a passion for patient care and a results-oriented approach, she excels in understanding patient needs, providing expert guidance, and ensuring a seamless, supportive experience. With professionalism, empathy, and meticulous attention to detail, Nicole consistently enhances the patient journey.
Omar Nosseir
Patient Success Team
A seasoned healthcare professional with over 10 years of experience, Nishita Patolia has a diverse background spanning reproductive health, aesthetics, and regulatory compliance. As Chief Compliance Officer, she leverages her expertise to uphold industry regulations, streamline medical processes, and maintain the highest standards of patient safety.
With years of expertise and a dedicated team of professionals, we have remained at the forefront of medical aesthetics, patient well-being, and regulatory compliance. Embracing innovation, we have developed a cutting-edge telehealth platform, enabling seamless access to healthcare services while maintaining the highest standards of quality and compliance. Our commitment to excellence ensures that every treatment, evaluation, and consultation is backed by advanced technology, expert care, and a patient-first approach. By integrating experience, knowledge, and technology, we continue to enhance beauty, wellness, and healthcare accessibility, always prioritizing peace of mind, satisfaction, and success.
IMPORTANT MEDICAL AND TELEHEALTH DISCLOSURE
The information provided on this website is for informational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. Individual results may vary. Always consult with a licensed healthcare provider before beginning any treatment, wellness program, weight management program, or medication.
Spade RX, PC provides access to telehealth services and provider-directed treatment programs for eligible patients. Treatment recommendations, prescriptions, and all clinical decisions are made solely by licensed healthcare providers based on medical necessity, patient eligibility, applicable standards of care, and state and federal laws.
Submission of a medical questionnaire, payment, participation in a telehealth consultation, or completion of a Good Faith Exam (GFE) does not guarantee that a prescription will be issued. Not all individuals qualify for treatment, and treatment decisions are made solely by the evaluating provider.
Compounded medications are prepared by licensed compounding pharmacies pursuant to a valid prescription issued by a licensed healthcare provider. Compounded medications have not been evaluated or approved by the U.S. Food and Drug Administration (FDA) for safety, effectiveness, or quality and may differ from FDA-approved medications in quality, safety, efficacy, risks, and side effects.
Novo Nordisk Inc. and Eli Lilly and Company are the only U.S. manufacturers of FDA-approved semaglutide (Rybelsus®, Ozempic®, Wegovy®) and tirzepatide (Zepbound®, Mounjaro®), respectively. These manufacturers do not supply their medications for compounding purposes.
Prescriptions, when issued, are filled and dispensed by independent licensed pharmacies. Spade RX, PC does not manufacture medications, compound medications, operate a pharmacy, or control pharmacy operations.
Weight loss, wellness, and treatment outcomes vary among individuals. No specific result, amount of weight loss, improvement, or treatment outcome is guaranteed. Individual results depend on many factors, including medical history, adherence to treatment, lifestyle factors, and provider recommendations.
Spade RX, PC does not prescribe, dispense, distribute, or facilitate the prescribing of controlled substances. All treatment recommendations and prescription decisions are made solely by licensed healthcare providers based on medical necessity, patient eligibility, and applicable state and federal laws.
Services, providers, medications, and treatment options may not be available in all states. Availability is subject to provider licensure, pharmacy restrictions, clinical appropriateness, and applicable state laws and regulations.
This website and its services are not intended for medical emergencies. If you are experiencing a medical emergency, call 911 or seek immediate medical attention immediately.
For convenience and branding purposes, this website may refer to “SpadeRX” or “Spade Rx.” Unless otherwise indicated, all references to “SpadeRX,” “Spade Rx,” “we,” “us,” or “our” refer to Spade RX, PC, the professional medical corporation responsible for providing medical services through this platform.
SpadeRX PC currently provides these services only to patients located in the State of California. Services are not currently available in any other state.
By using this website, you acknowledge and agree that any medical services are provided by licensed healthcare providers exercising independent medical judgment and that treatment recommendations and prescriptions are subject to provider evaluation and approval.
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