Clinical Services

California Oncology patients receive a higher level of care. From the attention to every detail of the cancer experience to the emphasis on individual wholeness, here are some of our services and distinctions.

  • chemo
  • lab
  • pharmacy
  • Chemotherapy

  • Onsite Laboratory

  • Onsite Pharmacy


California Oncology of the Central Valley is led by Christopher Perkins, MD, a board certified Medical Oncologist assisted by Nurse Practitioner, Lany Avakian, NP and Lori Kovacevich, NP who has advanced training in a holistic approach to cancer care. Our state-of-the-art cancer treatment facility provides the latest in chemotherapy medicine. Chemotherapy treatment is administered by our highly skilled nursing staff in environment that fosters healing of body, mind and spirit.

On-site Pharmacy

California Oncology provides Clinical Pharmacy services other prescriptions as requested by Dr. Perkins.

On-site Laboratory

Our on-site laboratory provides complete blood counts (CBCs), urinalysis and chemistry panels ordered by our physicians. If you have any abnormal lab results that require immediate attention, we will contact you. If additional tests are requested, they will be sent to another facility and you will be billed directly by that company.

Radiation Oncology

radiation-oncologyCalifornia Oncology is pleased to collaborate with the area’s premier radiation oncology facility, The Fresno Cancer Center. The facility is located near California Oncology, and houses the latest developments in radiation treatment and diagnostic imaging. In particular, the Fresno Cancer Center features the most advanced method of treating tumors with radiation, called Intensity Modulated Radiation Therapy or IMRT for short. IMRT allows a team of physicians, medical physicists and medical dosimetrists to use powerful computers to guide the shape and strength of the radiation beam. This new technique improves the effectiveness of therapy and is often the best method to protect healthy tissue. The treatment is focused precisely on the tumor itself, to minimize damaging surrounding healthy areas. 

If your treatment plan calls for radiation therapy, we will work closely with staff and physicians at The Fresno Cancer Center to ensure coordinated care for you. 

Lymphedema Therapy

Julie-lymphatic-therapistLymphedema is a condition of localized fluid retention and tissue swelling caused by a compromised lymphatic system which some times occurs in breast cancer patients. Symptoms include:

  • Fatigue
  • Swelling of the affected limb
  • Tightness of the skin and feeling of heaviness in the affected area
  • Discomfort or feeling of “pins and needles” in the affected area
  • Aching in the adjacent shoulder or hip due to the increasing weight of the swelling limb

Julie Cash, LANA, Certified Lymphatic Therapist works with our patients to teach them how to manage their Lymphedema while still maintaining a full quality of life. If you would like to schedule an appointment for lymphedema therapy, contact Julie at 559-285-1896.

  • Having breast cancer and experiencing the love and support at California Oncology reinforced the power, beauty and sharing of women. Thank you!
  • I received first class treatment in this beautiful office. The staff members genuinely care about my needs and I never felt like I was just a number.
  • I always feel like I am cared for both physically and emotionally when I come for an appointment. Dr. Perkin's takes his time with me and the employees treat me like I'm extended family. Thank you for caring.
  • My cancer experience taught me authentic concern for my health and recovery. I feel as though my caregivers were all family, even if I didn’t know them before.
  • Thank you for your kindness and care, and treating me like family. Dr. Perkins always took time to answer my questions.
  • Dr. Perkins is always caring and available and I learn so much from Lany and the others. I wouldn’t put my life in anyone else’s hands.