Pediatric · Confidential brokerage
Sell Your Pediatric Practice in California
The families will follow a well-planned transition. The price will follow a well-run process. We handle both.
- CVA Certified NACVA Valuation Analyst
- USPAP Compliant Appraisal Reports
- 500+ Valuations 45+ specialties
Who Buys Pediatric Practices in California
More buyers than most pediatricians expect: health systems anchoring their pediatric networks and feeding their children's service lines; growing pediatric groups buying panel scale for payer contracting; FQHCs expanding children's access, particularly for Medi-Cal-significant panels; and younger pediatricians — often your own associate — financing a purchase through SBA channels at valuation-anchored pricing. Our process starts with the certified valuation, then approaches the buyer categories that fit your panel's actual profile, under NDA throughout.
The Pediatric-Specific Deal Points
- Panel transition design. Pediatric families respond to continuity signals — retained staff, introduced successors, unchanged access. We negotiate transition periods and introduction protocols as priced deal terms.
- Seasonality-aware diligence. A buyer reviewing only winter months overvalues; only summer, undervalues. Our multi-year presentation prevents both — and prevents the retrade that follows surprise.
- Vaccine inventory at close. Real money sits in your refrigerators. Working capital and inventory terms get negotiated explicitly, not discovered at closing.
- Associate retention. Buyers price your clinical team's continuity. Quietly securing key staff intentions — without breaching confidentiality — is part of our process design.
Internal Sales Deserve a Real Look
Pediatrics has medicine's strongest tradition of associate succession. An internal sale at certified-valuation pricing, SBA-financed, often nets within range of external offers while preserving everything you built. We model both paths before you choose.
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.
Planning your exit from practice?
Start with the number, then choose the successor.
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
Attrition follows poor transitions, not transactions. Sales with retained staff, a present successor, and well-timed communication routinely hold the overwhelming majority of the panel — and the deal terms we negotiate make the buyer invested in exactly that outcome.
Rarely. SBA 7(a) financing regularly funds practice purchases with modest buyer equity, supported by an independent valuation — which we also prepare for SBA purposes. Seller notes can bridge remaining gaps on negotiated terms.
Most pediatric sales run six to twelve months from going to market to closing; once an offer is accepted, diligence to close typically takes two to four months, with transition periods of 3–12 months negotiated to your retirement timeline.
Hand the Practice to the Right Hands
At the right price, on your timeline.
All inquiries are kept strictly confidential.