CGA

What CGA does

California Gastroenterology Associates (CGA) is a private, physician-owned gastroenterology medical practice serving patients across Fresno and Madera counties in California's San Joaquin Valley. The practice operates two office locations in Fresno and Madera and an affiliated ambulatory endoscopy center that is separately licensed (under Sarbal-LLC) and certified by Medicare, the State of California, and all major insurance carriers. CGA offers diagnostic and therapeutic gastrointestinal services including colonoscopy, upper endoscopy (EGD), flexible sigmoidoscopy, ERCP, capsule endoscopy, liver biopsy, manometry, pH monitoring, breath testing for H. pylori and lactose intolerance, and advanced therapeutic endoscopy procedures such as EUS-guided biopsy, AXIOS stent placement, endoscopic suturing, and intragastric balloon insertion.

The clinical team comprises four providers: founder Dr. Naeem Akhtar, M.D. (over 19 years of private practice experience, Assistant Clinical Professor at UCSF), Dr. Ambreen Khurshid, M.D. (UCSF Fresno teaching faculty, specializing in women's GI disorders), Dr. Ehsaan Akhtar, MD, MPH (fellowship-trained in advanced endoscopy, joined July 2020), and Mikhail Alper, P.A.C. (specialized training in pre- and post-liver transplant care at Stanford). Academic affiliations with UCSF and Stanford support referral credibility and clinical knowledge transfer, while hospital affiliations with Saint Agnes Medical Center and Clovis Community Medical Center provide procedural and indirect referral pipelines.

CGA generates revenue through professional fees for physician services and separate facility fees for procedures performed at its licensed endoscopy center, billed primarily through Medicare and major commercial insurance carriers. The go-to-market model is sales-led and referral-driven: patients are acquired through primary care physician referrals, hospital affiliations, and direct appointment scheduling via phone or online request forms. The practice does not disclose pricing publicly and operates with traditional specialty-clinic economics rather than technology-platform or subscription-based monetization.

Name

CGA

Legal name

California Gastroenterology Associates

Website

https://cgafresno.com

Company type

Private

Operating status

Operating

Headcount range

11–50 employees

Short description

California Gastroenterology Associates is a private, physician-owned gastroenterology practice operating two offices and an ambulatory endoscopy center in Fresno and Madera, California, serving adult patients across the San Joaquin Valley with diagnostic, therapeutic, and advanced endoscopic GI services.

Ownership category

akta.pro rank

Product category

Gastroenterology Medical Practice

NAICS

Offices of Physicians (62111), Ambulatory Health Care Services (621)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

General Gastroenterology (HLAKAEAA)

akta.pro secondary industries

Advanced Endoscopy (ERCP/EUS/Interventional) (HLAKAEAC), Endoscopy & GI Procedure Centers (HLAFAIAE)

Keywords

• Gastroenterology practice
• Endoscopy services
• Colon cancer screening
• Digestive health care
• Liver disease treatment

Headquarters

HQ city

Madera

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D, Marketing or Sales

Revenue model

1. Physician Services: Professional fees for gastroenterology consultations, evaluations, and treatments provided by board-certified gastroenterologists and physician assistants.
2. Endoscopy/Facility Services: Facility fees for procedures performed at their licensed endoscopy center, separate from physician services. CGA's Endoscopy Center is owned separately by physicians with its own tax ID.
3. Medical Procedures: Revenue from diagnostic and therapeutic procedures including colonoscopy, EGD, flexible sigmoidoscopy, liver biopsy, polyp removal, and other GI procedures.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels4 records

Core offering

California Gastroenterology Associates is a physician-owned gastroenterology medical practice that diagnoses and treats gastrointestinal, liver, and pancreatic disorders. The practice delivers comprehensive GI care through office consultations and performs diagnostic and therapeutic endoscopic procedures at its licensed ambulatory endoscopy center, including colonoscopy, EGD, ERCP, capsule endoscopy, manometry, pH monitoring, and advanced therapeutic endoscopy. Patients in Fresno and Madera counties access care through physician referrals or direct appointment scheduling.

Product overview

California Gastroenterology Associates (CGA) is a gastroenterology medical practice offering a comprehensive range of diagnostic and therapeutic gastrointestinal services. The practice operates endoscopy centers in Fresno and Madera, California, providing procedures including colonoscopy, upper endoscopy (EGD), flexible sigmoidoscopy, ERCP, capsule endoscopy, liver biopsy, and advanced endoscopy services. Additional diagnostic capabilities include manometry, pH monitoring, and breath testing for H. pylori and lactose intolerance. The practice also offers non-surgical hemorrhoid management, ulcer diagnosis and treatment, polyp removal, feeding tube placement, and intragastric balloon insertion for weight loss. CGA treats conditions such as GERD/acid reflux, hepatitis, IBS, Crohn's disease, colitis, and colorectal diseases.

Differentiator

Problem solved

Functional benefit

Products and services

• Colonoscopy A diagnostic and therapeutic procedure in which a flexible tube with a powerful light source is passed through the rectum into the large bowel for direct examination, including biopsy, polyp or tumor removal, foreign body removal, or bleeding control. Available for adult patients needing colon evaluation.
• Colon Cancer Screening Cancer screening service using colonoscopy to detect colorectal cancer and precancerous polyps in the large intestine. Targeted at adult patients due for colorectal cancer screening.
• Upper Endoscopy (EGD) Esophagogastroduodenoscopy procedure where a flexible lighted tube is passed through the mouth into the esophagus, stomach, and upper small intestine for direct examination. May include biopsy, foreign body removal, polyp removal, balloon dilation, or bleeding control.
• Flexible Sigmoidoscopy A procedure in which a flexible lighted tube is passed through the anus into the rectum and lower part of the large bowel for direct examination.
• Endoscopic Retrograde Cholangiopancreatography (ERCP) Advanced endoscopic procedure for diagnosis and treatment of biliary tract and pancreatic diseases.
• Capsule Endoscopy Endoscopic examination using a capsule camera for detection of small bowel abnormalities.
• Manometry Diagnostic testing for esophageal and anorectal motility disorders.
• pH Monitoring Acid reflux monitoring test to diagnose gastroesophageal reflux disease (GERD).
• Breath Testing Non-invasive breath testing for Helicobacter pylori infection and lactose intolerance.
• Liver Biopsy Tissue sampling procedure for diagnosis of liver diseases.
• Non-Surgical Hemorrhoid Management Non-surgical treatment options for hemorrhoid management.
• Ulcer Diagnosis and Treatment Diagnosis and treatment of peptic ulcers including H. pylori infection management.
• Polyp Removal Endoscopic removal of abnormal growths (polyps) from the colon or upper GI tract.
• Feeding Tube Placement Endoscopic placement of feeding tubes for nutritional support.
• Intragastric Balloon Insertion Endoscopic non-surgical weight loss solution using an intragastric balloon for weight management.
• Advanced Endoscopy Services Advanced procedures including EUS-guided pancreatic mass biopsy, cancer staging, AXIOS stent placement, celiac block, trans-gastric liver biopsy, ERCP and Spyglass, endoscopic suturing, stent placement, pneumatic dilation for achalasia, and endoscopic mucosal resection.

Segments1 record

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Twelve partnerships are on record, tiered core and minor.

• Saint Agnes Medical CentercoreStrategic or Co-development PartnerCGA is affiliated with Saint Agnes Medical Center in Madera, Fresno and Clovis Community hospitals for patient care coordination and procedures.
• University of California, San Francisco (UCSF)coreStrategic or Co-development PartnerClose working relationship with UCSF providing academic referrals and the best of care possible. Dr. Naeem Akhtar serves as Assistant Clinical Professor at UCSF.
• Stanford MedicineminorStrategic or Co-development PartnerClose working relationship with Stanford provides additional academic and clinical support for patient care.
• Stanford Medical CenterminorStrategic or Co-development PartnerMikhail Alper received specialized training in pre- and post-liver transplant care at Stanford.
• UCSF Fresno Department of GastroenterologyminorStrategic or Co-development PartnerDr. Ambreen Khurshid is affiliated with UCSF Fresno department of gastroenterology as teaching faculty.
• American Gastroenterological AssociationminorOthersProfessional membership organization for gastroenterologists. Dr. Naeem Akhtar is a member.
• American College of GastroenterologyminorOthersProfessional membership organization. Dr. Ehsaan Akhtar is affiliated with this association.
• American Society for Gastrointestinal EndoscopyminorOthersProfessional organization for GI endoscopy. Dr. Ehsaan Akhtar is affiliated with this association.
• California Medical AssociationminorOthersState medical association for California physicians. Dr. Ehsaan Akhtar is affiliated.
• Fresno Madera Medical SocietyminorOthersLocal medical society for Fresno and Madera counties. Dr. Ehsaan Akhtar is affiliated.
• American Association for the Study of Liver DiseasesminorOthersProfessional organization focused on liver diseases. Mikhail Alper is a member.
• Northern California Society for Clinical GastroenterologistsminorOthersRegional professional society for gastroenterologists in Northern California. Mikhail Alper is a member.

Scale indicators2 records

Recent moves6 records

Expansion highlights4 records

Direct peers

• Capital Digestive Care: Large independent gastroenterology practice in the Mid-Atlantic operating multiple endoscopy centers with advanced procedural capabilities. Closely mirrors CGA's structure of board-certified gastroenterologists running a separately licensed endoscopy suite.
• United Digestive: PE-backed GI practice management platform operating across the Southeast. Comparable in offering physician services, infusion, and pathology alongside endoscopy centers — a likely consolidator peer for independent practices like CGA.
• Gastro Health: PE-backed GI platform operating physician practices and endoscopy centers across multiple states. Directly comparable business model to CGA: independent GI physicians with affiliated ASCs, advanced procedure offerings, and referral-driven GTM.
• GI Alliance: Largest PE-backed gastroenterology practice management platform in the US, operating independent GI practices with affiliated ASCs — directly comparable to CGA's independent-practice-with-endoscopy-center model, but at national scale.
• Digestive Health Associates of Texas (DHAT): Large independent gastroenterology practice operating multiple endoscopy centers across North Texas. Comparable physician-owned model with affiliated ASCs and a similar procedural mix including advanced endoscopy.
• Borland Groover: One of the largest independent gastroenterology practices in the Southeast, operating multiple endoscopy centers with advanced procedural offerings. Directly comparable to CGA in physician-ownership, ASC operation, and referral-driven patient acquisition.
• Peak Gastroenterology Associates: Independent regional GI practice in Colorado operating multiple office locations and endoscopy centers with advanced procedures. Closely comparable to CGA in scale (similar employee headcount band), specialty focus, and ASC-driven business model.
• Pinnacle GI Partners: PE-backed GI platform in the Midwest that partners with independent gastroenterology practices. Mirrors CGA's specialty focus and physician-ownership model, illustrating the consolidation pathway available to independent groups.

Broad incumbents

• The Oregon Clinic: Large multi-specialty physician-owned practice with a substantial gastroenterology department offering advanced endoscopy, hepatology, and GI oncology. Comparable specialty capabilities but operates within a broader multi-specialty structure rather than as a pure-play GI practice.

Others

• Saint Agnes Medical Center: Local hospital system in Fresno where CGA physicians hold admitting privileges and perform procedures. Functions as a referral partner and partial substitute for outpatient GI services in the same market — adjacent rather than directly competitive, but a constraint on CGA's independent expansion.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights7 records

Customer concentration

• Xx.com/fresnocga
• Facebookfacebook.com/cgafresno
• LinkedInlinkedin.com/company/california-gastroenterology-associates

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about CGA