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Carlsbad – Orthopedic Specialist Team



No Appointment Necessary!

From children to adults, Direct Orthopedic Care physicians and orthopedic-specialty trained Physician Assistants offer fast, affordable treatment of all minor to urgent orthopedic injuries, as well as chronic orthopedic conditions. (see our full list of services).

Brian Jones PA

Brian Jones, PA-C

Brian is a California native, however has lived in multiple locations around the world as part of a military family. Brian first entered the healthcare field after serving in the United States Navy as a Hospital Corpsman for 7 years. He worked closely with physicians providing health care to both Navy and Marine service members. This is where his interest in becoming a Physician Assistant in orthopedics began.

After his service time, he worked as a nurse until graduating from Stanford University where he obtained his certification as a Physician Assistant. He later attended Arizona School of Health Sciences for further study where he obtained his Masters Degree.

He has worked with an Orthopedic Spine Surgeon for 5 years prior to working with Garrett Tallman MD for the past 5 years in general orthopedics. He has now joined the DOC family and we are happy to have him. In his off time he enjoys remodeling his home, time at the beach, travel and spending time with friends and family.


Julie Perry, PA-C

Julie grew up in Greendale, Wisconsin. She earned her undergraduate degree from the University of Wisconsin-La Crosse and her Physician Assistant degree from Midwestern University in Downers Grove, Illinois.

Julie has been practicing as a certified physician assistant for 18 years and specializing in orthopedics and orthopedic surgery for 15 years. She has also worked in occupational health, urgent care, and the emergency room prior to pursuing her interest in the orthopedic specialty. She is certified by the National Commission on Certification of Physician Assistants (NCCPA) and is a member of the American Academy of Physician Assistants and Physician Assistants in Orthopedic Surgery.

She recently moved to Encinitas, California, from Scottsdale, Arizona, with her boyfriend and two miniature dachshunds. She enjoys running, hiking, traveling, meeting new people, and spending time with her family and friends.


Keenan Carriero, D.P.M.

  • Undergraduate:Sonoma State University
  • Medical School:California College of Podiatric Medicine
  • Residency:Fountain Valley Regional Hospital

Dr. Carriero is dual-certified in foot and ankle surgery by the American Board of Podiatric Surgery and is a Fellow of the American College of Foot and Ankle Surgeons. He specializes in podiatric surgery, foot and ankle trauma, congenital deformities, and degenerative conditions.

Michael Skyhar, M.D.

  • Medical School:Oregon Health Sciences University
  • Residency:University of California
  • Fellowship:Hospital for Special Surgery, Sports Medicine

Dr. Skyhar provides comprehensive non-surgical care when possible and surgical precision when necessary, specializing in sports medicine, knee and shoulder arthroscopic surgery, rotator cuff surgery, and joint drainage.


Direct Orthopedic Care – Carlsbad
6125 Paseo Del Norte
Suite 110
Carlsbad, CA 92008

(760) 795-8900


Mon-Saturday: 10am-6pm
Sunday: 12Noon-6pm


Direct Orthopedic Care, Specialist Skills Without the High ER Bill!