Family Medicine · Confidential brokerage
Sell Your Family Medicine Practice in California
Health systems, FQHCs, value-based platforms, and young physicians all buy family medicine. The right process makes them bid.
- CVA Certified NACVA Valuation Analyst
- USPAP Compliant Appraisal Reports
- 500+ Valuations 45+ specialties
Don't Let the Practice Just "Wind Down"
The saddest outcome in family medicine isn't a low sale price — it's no sale: the physician retires, the panel scatters, and thirty years of patient trust evaporates as a charting transfer. It happens because owners assume no market exists and never test it. Our process tests it properly: a certified valuation establishes the realistic range, then confidential outreach to the four buyer categories that acquire California primary care — health systems building attribution, FQHCs expanding access, value-based platforms buying Medicare panels, and individual physicians with SBA financing.
Matching Practice to Buyer
- Commercial-heavy suburban panel? Systems and medical groups compete on referral value.
- Medi-Cal-significant panel? FQHC buyers bring mission alignment and real budgets — an exit path most brokers never call.
- Large Medicare panel with documented quality scores? Value-based platforms underwrite shared-savings potential and pay for it.
- Strong young associate in place? An internal sale, valuation-anchored and SBA-financed, often maximizes legacy and price together.
Transition Is the Deal
Every family medicine sale lives or dies on panel transfer. We negotiate transition periods, introduction protocols, and compensation for your transition months as core deal terms — not afterthoughts — because the buyer's price assumes the panel arrives, and your protections should assume the same.
From valuation to close — our three-step process
- 1
Confidential Consultation
A private, no-obligation conversation about your goals, your timeline, and what a successful exit looks like. We share an informed perspective on the current market for practices like yours, and you decide whether to move forward.
- 2
Valuation & Positioning
We perform a valuation of your practice, normalizing earnings and weighing real transaction data, to arrive at an asking price that reflects its fair market value. We then position the practice for the buyer types that fit your goals.
- 3
Confidential Marketing & Sale
We market the practice confidentially, under NDA, through our buyer network and targeted outreach to physician groups, hospital systems, private equity platforms, and FQHCs. We negotiate competing offers and structure the sale to protect your net proceeds.
Assuming nobody buys primary care?
Let us show you the four buyer types who do.
Trusted by physicians across California
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
Frequently asked questions
Two to three years is ideal: time to value, position, market, close, and complete a transition on your schedule. Twelve months is workable. Starting after you've mentally checked out — buyers can tell — costs real money.
California requires appropriate notice when records custody changes, and a good transition treats patient communication as retention strategy, not legal chore. We build the communication plan into the deal timeline you control.
FQHC transactions often combine asset purchase with post-sale employment and carry their own compliance and grant-related processes. Timelines run a bit longer; mission fit and panel continuity are often strongest. We've priced these dynamics and will walk you through them.
Retire With a Sale, Not a Shutdown
Your panel deserves a successor. Your equity deserves a price.
All inquiries are kept strictly confidential.