Our Providers

Carlos Paz MD, PhD

Dr. Carlos Paz is a board-certified dermatologist and fellowship-trained dermatologic surgeon. He received his bachelors of science degree from Yale and both his MD and PhD degrees from Harvard. Following an internship in General Surgery at the University of California San Francisco (UCSF), Dr. Paz completed residency in dermatology at the University of Chicago, and then pursued specialized training in Mohs Micrographic Surgery, lasers, and cosmetic surgery in Miami, Florida. He completed an ACGME-approved Procedural Dermatology fellowship under the tutelage of Dr. Eli Saleeby, a Mohs Surgeon who trained directly with Dr. Fredrick Mohs, the physician for whom Mohs Micrographic Surgery is named.

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During his fellowship, Dr. Paz also gained extensive experience in various cosmetic procedures including liposuction, hair transplantation, mini face-lifts, blepharoplasty (eye lid surgery), sclerotherapy (vein treatment), and the use of lasers, Botox, and fillers. Dr. Paz has also received specialized training by Dr. Jeffrey Klein, the physician who invented the Tumescent Liposuction method.

Dr. Paz has published numerous journal articles, written book chapters, and given presentations at national meetings. He is a fellow of the American Academy of Dermatology, American Society of Dermatologic Surgery, American College of Mohs Surgery, and is a member of the California Medical Association and the Fresno-Madera Medical Society.

Dr. Paz enjoys traveling, fishing, reading, and art collecting. He and his wife, Vivian, are natives of Fresno County.

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Melissa Manriques, FNP-C

Melissa Manriques is a board-certified nurse practitioner. She is a graduate of California State University, Fresno with a Bachelors of Science and Masters of Science in Nursing. Melissa is a vital part of our team and loves working with our patients on an individual basis and educating them about skincare regimens that promote optimal skin health. She is a member of The American Academy of Dermatology. Melissa enjoys fitness and spending time and sports activities with her three sons and husband.

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Gabriel Zapata, PA-C, MMSC

Gabriel Zapata is a board-certified Physician Assistant at Paz Dermatology. He is a graduate of California State University, Fresno with a Bachelor of Science in Health Sciences and Masters of Medical Sciences from Saint Francis University of Pennsylvania. He is also a member of the American Academy of Dermatology and a Diplomat Fellow of The Society of Dermatology Physician Assistants. Gabriel enjoys music, boating and spending time with his wife and two daughters.

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Clarissa Alvarado, MSN, FNP-C

Clarissa Alvarado is a board-certified nurse practitioner. She is a graduate of California State University, Bakersfield with a Bachelors of Science and graduated with a Masters in nursing from Fresno Pacific University. She is a member of the American Academy of Dermatology. In her spare time, Clarissa enjoys traveling, spending time with her friends, family and her dog Koby.

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Amal Muthana, MSN, FNP-C

Amal is a board-certified Nurse Practitioner specializing in dermatology, with a passion for delivering high-quality, patient-centered care. With a strong foundation in both medical and cosmetic dermatology, Amal is skilled in diagnosing and managing a wide range of skin conditions, including acne, eczema, psoriasis, rosacea, and skin cancer. She also performs skin exams and minor procedures such as biopsies and cryotherapy.

Known for her compassionate and thorough approach, Amal takes the time to educate patients and develop personalized treatment plans that align with their unique needs and lifestyles.

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She stays current with the latest advancements in dermatological treatments and evidence-based practices to ensure the best outcomes. Amal is committed to fostering trust, promoting skin health, and empowering patients to feel confident in their skin.

Amal is a board-certified Nurse Practitioner specializing in dermatology, with a passion for delivering high-quality, patient-centered care. With a strong foundation in both medical and cosmetic dermatology, Amal is skilled in diagnosing and managing a wide range of skin conditions, including acne, eczema, psoriasis, rosacea, and skin cancer. She also performs skin exams and minor procedures such as biopsies and cryotherapy.

Known for her compassionate and thorough approach, Amal takes the time to educate patients and develop personalized treatment plans that align with their unique needs and lifestyles. She stays current with the latest advancements in dermatological treatments and evidence-based practices to ensure the best outcomes. Amal is committed to fostering trust, promoting skin health, and empowering patients to feel confident in their skin.

Joanne Gloria, PA-C

Joanne is a board-certified Physician Assistant based in our Visalia office. She is an alumna of the Stanford University School of Medicine. Driven by a strong passion for medicine and a commitment to providing exceptional patient care, Joanne began her career in nursing before pursuing a career as a Physician Assistant, graduating in 2014.

Before specializing in dermatology, Joanne spent eight years working in emergency medicine. She also worked as a registered nurse in family and pediatric medicine for six years prior to becoming a PA. Joanne joined Paz Dermatology as a lateral provider in May 2025, bringing over three years of experience in general and procedural dermatology to the practice. She is fluent in Tagalog.

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Outside of work, Joanne enjoys traveling, cooking, painting, and spending time with her family, including her newborn baby boy.

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Office Information

Office Hours

Mon - Fri: 8:00am - 5:00pm
Closed Weekends

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