Care from a past era, built for the modern lifestyle.

Pastera is a direct primary care practice in Arcadia, serving Pasadena and the San Gabriel Valley. One flat monthly membership gets you unlimited visits, same- or next-day appointments, and a direct line to your physician.

  • Unlimited visits
  • Text your doctor
  • Wholesale labs & meds
Dr. Trang Eng, smiling, with long wavy hair
Trang Eng, MD Internal Medicine · Menopause care
Unlimited visitsSame- or next-day appointmentsText your doctor directlyWholesale labsWholesale medicationsMenopause careIn person or virtualNo copays
A different kind of practice

Healthcare should feel like a partnership, not a transaction.

Direct primary care takes insurance billing out of the exam room. What's left is what matters: time, access, and a doctor who knows you.

The usual way

  • Wait months for an appointment
  • Rushed visits that end before your questions do
  • Copays, deductibles, and surprise bills
  • Phone trees and call centers that go nowhere
  • A different provider every time

The Pastera way

  • Same- or next-day appointments often available
  • Unhurried visits, in person or virtual
  • One flat monthly fee with no copays
  • Text, call, or message your doctor directly
  • The same trusted physician, every time
How it works

Three steps to a doctor who's there for you.

  1. Choose your membership

    Enroll online in a few minutes. Pick the plan for your age and there's nothing more to it: no networks, no pre-authorizations.

  2. Meet Dr. Eng

    Your first visit is a long, unhurried conversation about your history, your goals, and what good health looks like for you.

  3. Stay connected

    Text when something comes up, book same- or next-day visits, and get labs and medications at wholesale prices.

Learn how direct primary care works
Every membership includes

Everything you need from primary care, and more time.

Unlimited visits

See your doctor as often as you need, in the office or by video, without per-visit fees.

Same- or next-day care

When you're sick, you shouldn't have to wait. Prompt appointments are available.

Direct communication

Text, call, or message Dr. Eng directly. No call centers, no gatekeepers.

Wholesale labs

Routine bloodwork at wholesale prices, so you know exactly what you'll pay.

Wholesale medications

Many common prescriptions available at wholesale prices.

Virtual visits

Can't make it in? Many concerns can be handled by secure video from home or work.

A focus of the practice

Menopause care, with time to listen.

From perimenopause through the years after, Dr. Eng offers evidence-based menopause care for women in Arcadia, Pasadena, and across the San Gabriel Valley, including hormone and non-hormonal options.

  • Hot flashes & night sweats
  • Sleep
  • Mood & brain fog
  • Hormone therapy
  • Non-hormonal options
  • Vaginal & urinary health
  • Bone health
  • Heart health
  • Perimenopause
Portrait of Dr. Trang Eng
Meet your physician
After more than a decade practicing within the insurance system, I'm building the practice I always wanted to work in: one where healthcare feels like a trusted partnership.
Trang Eng, MDBoard-certified in Internal Medicine
Read Dr. Eng's story
Simple, transparent membership

One monthly fee. No surprises.

Designed for adults 18 and older. No copays, no per-visit fees.

Adult

Ages 18–64

$125/ month

Founding rate $99/month for the first 25 members

See what's included

Senior

Ages 65+

$150/ month

Founding rate $99/month for the first 25 members

Medicare patients: enrollment opens January 2027

See what's included

One-time $100 enrollment fee and a three-month initial commitment. Membership is not insurance; we recommend pairing it with a health plan for emergencies and specialty care.

Founding membership

Be one of our first 25.

Our founding members help shape the practice from day one. In return, the first 25 members to join receive a promotional membership rate.

$99 / month

25 founding memberships, available on a first-come basis.

Common questions

Good questions, straight answers.

Where is Pastera located?

Pastera is at 150 N Santa Anita Ave, Suite 628, Arcadia, CA 91006, just east of Pasadena. We care for adults from Arcadia, Pasadena, and across the San Gabriel Valley, and virtual visits are available for patients anywhere in California. Coming from Pasadena?

Is this health insurance?

No. Direct primary care is a membership with your doctor for primary care services. We recommend keeping insurance, such as a high-deductible or catastrophic plan, for emergencies, hospital stays, specialists, and imaging.

Can I use my HSA?

We accept HSA and FSA cards. Please confirm with your HSA/FSA plan administrator or tax advisor.

I have Medicare. Can I join?

Starting in January 2027. Due to Medicare regulations, we're unable to see Medicare patients before then. Our Senior membership is designed for patients 65 and older. The membership fee is paid directly to the practice, and you keep your Medicare coverage for hospital care, specialists, and other services outside primary care.

How quickly can I be seen?

Same- or next-day appointments are available for members, in person or by video. For quick questions, you can message Dr. Eng directly.

See all questions
Arcadia, California

Primary care, the way it should feel.

Founding memberships are limited. Reserve yours and start building a real relationship with your doctor.