Certified & Defensible
Every appraisal is prepared by a Certified Valuation Analyst and complies with USPAP standards. It holds up in front of the IRS, a judge, an SBA lender, or a private equity diligence team.
Certified · Strictly Medical · California
Medical Practice Valuation & Brokerage Services in California
Most doctors don’t know what their practice could sell for. We deliver certified valuations and confidential brokerage services, so you know exactly what your practice is worth and sell it with confidence.
- CVA Certified NACVA Valuation Analyst
- USPAP Compliant Appraisal Reports
- 500+ Valuations 45+ specialties
Know What Your Practice Is Worth
For most California physicians, the practice is the single largest asset they own — and the only one they’ve never had professionally appraised. Nechay Advisors exists to close that gap. Led by Alexey Nechay, CVA, we provide certified, USPAP-compliant appraisals of medical practices and ambulatory surgery centers, and full brokerage representation when it’s time to sell. With more than 500 valuations completed across 45+ specialties, we know what physician groups, hospital systems, private equity platforms, and FQHCs actually pay — and why two practices with identical revenue can sell for very different prices.
Whether you’re planning an exit, admitting a partner, responding to a PE offer, or facing a divorce or shareholder dispute, the process starts the same way: a defensible number you actually understand. Based in Newport Beach, serving physicians statewide.
Why physicians choose Nechay Advisors
Most doctors don’t know what their practice could sell for. We exist to change that, with certified valuations and one accountable advisor.
500+ Valuations Completed
We have valued practices and surgery centers across 45+ medical specialties and 35+ states. You get conclusions grounded in real transaction data, not rules of thumb.
Valuation to Close, One Advisor
Certified appraisal, confidential marketing, buyer negotiation, and exit structuring under one roof. No handoff between an appraiser who doesn’t sell and a broker who doesn’t value.
Strictly Medical
We value and sell medical practices and ASCs exclusively. Not dental, not home health, not Main Street businesses. That focus means we understand your buyer pool, your payer dynamics, and how your specialty actually trades.
What we do
Certified appraisal, confidential marketing, negotiation, and closing — all under one roof, exclusively for medical practices and surgery centers.
Valuation
Practice Valuation
Certified opinions of value for medical practices: sales, buy-ins, divorce, disputes, SBA loans, and gift & estate tax. Three report tiers matched to your purpose and budget.
Learn moreValuation
ASC Valuation
Surgery center appraisals that look past headline multiples to payer mix, physician concentration, and control premiums.
Learn moreBrokerage
Selling Your Practice
Confidential sale representation from CVA-set pricing through marketing, negotiation, and closing.
Learn moreBrokerage
Selling Your ASC
Sell your surgery center to operators, private equity, or health systems through a managed, confidential process priced by a Certified Valuation Analyst.
Learn moreValuation
Litigation Support
Detailed, court-ready valuation reports, expert testimony, and rebuttal analysis for divorce and shareholder disputes.
Learn moreBrokerage
Buyer Advisory
Buying in or acquiring a practice? Independent analysis and second opinions so you never overpay for a medical practice or ASC interest.
Learn moreHow a Valuation Works
From first call to certified opinion of value — typically one to two weeks.
- 1
Discovery Call
A confidential conversation about your practice, your timeline, and the purpose of the valuation. We scope the right report tier before you commit to anything.
- 2
Financial Analysis & Interviews
We interview you and normalize your financials. Owner compensation, one-time expenses, and related-party leases all get restated. Typical turnaround: 1–2 weeks.
- 3
Certified Opinion of Value
You receive a defensible, USPAP-compliant conclusion of value, walked through line by line. The report is documented to withstand scrutiny from a buyer, a court, a partner, or a lender.
Why the Number Matters
Headline multiples mislead. A “practice sold for 6x EBITDA” tells you almost nothing until you know whose EBITDA, normalized how, for what level of interest, under what deal structure. We apply all three valuation approaches — asset, market, and income — and reconcile them into a single supportable conclusion. That rigor is the difference between a number a buyer respects and one they dismantle in diligence.
Trusted by California Physicians
Real Google reviews from physicians and practice owners we have served. Read them on Google
“As a physician with partnership transaction of medical practice, he was an exceptional to guide me and advise me. He showed not only professionalism but also his eagerness to help and guide me through. Highly recommend him for any business valuation and transaction.”
Dr. Kyong Kim
Partnership transaction
“Fantastic valuation/appraisal specialist. I reached out to Alexey to help me evaluate a medical practice buy-in on short notice. He was able to work me into his schedule and accommodate my timeline despite how busy he was and provided crucial insight into helping me decide my next steps.”
Dr. Xuan Cao
Medical practice buy-in
“They get 5 stars across the board. Alexey was extremely thorough and detailed oriented. He did a deep dive into my practice’s financials, coding and practice history. He was easily approachable and prompt in answering questions and in completing the Appraisal. I am confident in the results and I would highly recommend him to any physician/practice for an appraisal.”
Dr. Robert Sacks
Ophthalmology practice
“I called Nechay as I was navigating the potential of selling my practice, and I had a lot of questions about my various offers for sale. Nechay was so responsive, methodical, and educational. He really allowed me to understand the landscape of selling my practice. He is an effective communicator, very patient on the phone and obviously extremely knowledgeable. I will be hiring him to help complete my transactions!”
Dr. Garima Lal
Evaluating sale offers
“I hired Nechay Appraisals to value my ophthalmology practice last year and couldn’t have been more impressed. From start to finish, Alexey was fantastic to work with. The end result was a highly professional and polished valuation report that provided valuable insights on the current state of my business.”
Dr. David Salvay
Ophthalmology practice valuation
“Alexey has been an excellent asset in evaluating our practice. His experience and practice suggestions have helped us tremendously. His working knowledge of medical practice evaluation and application of these skills is second to none. He is always readily available at a moment’s notice.”
Dr. Elio Vento
Practice evaluation
“Very attentive. Quick to respond. Knowledgeable.”
Dr. Betty Daniels
“Very professional, responsive and creates an excellent report and is accessible. Thank you!”
Dr. Daniel Laroche
“Alexey is very professional and a pleasure to work with. I was under time constraints and he completed his review on time despite those additional pressures.”
Dr. Charles Jackson
“Nechay listened carefully and provided objective feedback tailored to my specific situation. His honest communication and expertise made a complex process much easier. I highly recommend him.”
Dr. Maria Soledad Romero
“Highly recommend! From start to finish, he demonstrated expertise, professionalism, and genuine care. Not only did he deliver a thorough, well-researched valuation report, but he also took the time to explain key findings, offer strategic advice, and answered all our questions — even talked to our accountant and bookkeeper to dig deep into our situation.”
Dr. Alicia Sanchez
Medical practice valuation
“We hired Nechay Appraisals to value our ophthalmology practice the year before last and couldn’t have been more impressed. From start to finish, Alexey was fantastic to work with. He was very organized and very patient with us as we gathered what he needed. Every week he would check in to make sure everything was on track. We are getting ready to utilize his services again and are looking forward to working with him.”
Jenna Keller
Ophthalmology practice valuation
“I greatly appreciate the help from Alexey. The process was easy and the information was invaluable. The data provided was comprehensive and gave me perspective of my company that I was not aware of. I highly recommend Alexey and his company.”
Dr. Linh Ngo
Medical practice valuation
Wondering what your practice is worth?
A 20-minute confidential call is the fastest way to find out which report you need — and what buyers would likely pay.
Serving physicians across California
Based in Newport Beach, working statewide — with deep experience in every major California market.
Southern California · Home base
Orange County
Our home market — Newport Beach based, serving physicians across all of Orange County.
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Los Angeles
Serving physicians from Downtown LA to the Valley, the Westside, and the South Bay.
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San Diego
Certified valuations and confidential practice sales across San Diego County.
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Inland Empire
Certified valuations and confidential practice sales across Riverside and San Bernardino counties.
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San Francisco
Serving physicians across San Francisco and the greater Bay Area.
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Sacramento
Certified valuations and confidential practice sales across the Sacramento region.
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What’s Your Practice Worth?
Free guide: Valuing a Medical Practice Using EBITDA Multiples — a step-by-step walkthrough of calculating EBITDA, applying the right multiple, and estimating your equity value.
Your Practice Is Your Largest Asset. Treat It Like One.
Join the 500+ physicians who’ve trusted us with their valuation.
All inquiries are kept strictly confidential.
Questions physicians ask us first
It depends on the purpose. We offer three tiers: hourly consulting (ideal for a second opinion on a PE offer), a Summary Report for exit planning and sales, and a Detailed Report, the gold standard required for divorce, shareholder disputes, and gift & estate tax filings. Summary Reports start at $3,950 and Detailed Reports at $7,500. We’ll recommend the right tier on a free discovery call so you never pay for more report than you need.
Most engagements run 1–2 weeks from the time we receive your financials. Expedited timelines are possible — several clients have come to us under court or deal deadlines and we delivered on time.
Sophisticated buyers price practices on normalized EBITDA, not collections. Two practices with identical revenue can differ in value by 2x or more once owner compensation, one-time expenses, and related-party agreements are adjusted. That normalization is the core of our work.
No. We’re based in Newport Beach but serve physicians across all of California — Los Angeles, San Diego, San Francisco, Sacramento, and everywhere between — and have valuation experience across 35+ states.
No. Every inquiry is strictly confidential. When we take a practice to market, buyers sign NDAs before learning the identity of the practice, and we control what information is released at each stage.
Both — deliberately. The valuation establishes a defensible price; the brokerage gets you paid that price. Keeping them under one roof means the person negotiating your sale is the same person who can defend every line of the number.