Concierge hormone and age management care using precision diagnostics to optimize how you look and feel.
8 Years of Experience
MD Led
MD Founded
8 Years of Experience
MD Led
MD Founded
Accepting new patients?
Last updated 5/16/2025 at 08:45 PM
Yes
Fontaine MD Aesthetics and Anti-Aging Medicine, located in San Diego, CA, specializes in personalized treatments that promote graceful aging and overall wellness. The clinic offers a comprehensive range of services, including aesthetic procedures like BOTOX®, dermal fillers, IPL Photofacial, and Laser Skin Resurfacing; men's health services such as testosterone therapy and men's sexual health treatments; and preventive services like Heart Attack and Stroke Prevention and Cancer Screening. Serving a diverse patient population, Fontaine MD is dedicated to helping individuals enhance their appearance and vitality through minimally invasive, science-backed therapies tailored to their unique needs.
Client satisfaction:
Extremely High
How we determine this score?
Every rating you see is the product of a two-step process that blends data
science with human clinical insight:
Comprehensive review sweep We
collect every publicly available patient review we can find—Google, Yelp,
Healthgrades, ZocDoc, Facebook, Instagram, TikTok, Reddit, forums, and more.
Duplicate or spam entries are filtered out, and each review is time-stamped
so that newer feedback carries more weight.
13-factor sentiment analysis + expert audit
A custom language-model pipeline scores each review across the 13 dimensions
patients care about most:
Friendliness | Professionalism | Responsiveness
| Accessibility | Clarity of Explanations | Willingness to Listen | Personalization of Treatment |
Billing Transparency | Value | Recurring Praise
| Recurring Complaints | Side-Effect Education | Diet/Nutrition Guidance
The algorithm converts raw language into numerical sentiment, flags
outliers, and spots consistent themes. Finally, a board-certified
clinician reviews the automated output to ensure medical-grade accuracy
and context.
The result is a single, easy-to-read satisfaction bar that reflects real
patient experience, not marketing copy. By combining transparent methodology,
physician oversight, and continuously updated data, we deliver a score you can
trust and that meets standards for authoritative health review content.
What people are saying
Fontaine MD pairs thorough diagnostics with step-by-step explanations, then fine-tunes hormones, weight and wellness plans to each lab profile. Same-day and telehealth visits, prompt follow-ups, and clear side-effect prep keep therapy running smoothly. Patients report big gains in energy, mood, weight control, and overall vitality that make the cash-pay fees feel worthwhile. The only recurring gripe is lack of upfront price quotes; once care begins, most say the outcomes justify the expense.
Request a consultation with Fontaine MD
Schedule your confidential consultation today by phone or in person—no commitment
required.
Have questions before scheduling a consultation?
Treatments and services
IPL Photofacial
Alma TED®
AndroGel®
Axiron®
BHRT
BOTOX®
Body Contouring
Cellulite Reduction
CoolSculpting®
Dermal Fillers
Fontaine MD - Cancer Screening
Fontaine MD - Healthy Aging Program
Fontaine MD - Heart Attack Prevention
Fontaine MD - Nutrition Coaching
Fortesta®
GAINSWave®
GLP-1s
HGH
HRT
Injectable TRT
JUVÉDERM®
Laser Hair Removal
Laser Skin Resurfacing
Ozempic®
P-Shot®
Phentermine
Rybelsus®
Sculptra®
Semaglutide
Semorelin
Sexual Health Enhancement
Skin Tightening
TRT
TRT Gel
TRT Patches
TRT Pellets
Testosterone Cypionate
Testosterone Enanthate
Testosterone Propionate
Testosterone Undecanoate
Transdermal TRT
Wegovy®
Symptoms treated
Anemia
Poor Memory
Poor Recovery
Decreased Stamina
Brain Fog
Anxiety
Joint Pain
Erectile Dysfunction
Fatigue
Hair Thinning
Hot Flashes
Insulin Resistance
Low Energy
Low Sex Drive
Memory Loss
Mood Change
Muscle Loss
Night Sweats
Osteopenia
Reduced Strength
Low Motivation
Trouble Concentrating
Weight Gain
Sleep Disturbances
Inflammation
Loose Skin
Rosacea
Cellulite
Slow Metabolism
High Cholesterol
High Blood Pressure
Stretch Marks
Acne
Sun Damage
Thyroid Dysfunction
Age Spots
Hyperpigmentation
Postpartum Weight Retention
Perimenopausal Symptoms
Wrinkles
Menopausal Symptoms
Reduced Exercise Performance
Autoimmune Issues
Hormonal Imbalances
Low Muscle Tone
Sleep Apnea
Uneven Skin Tone
Gut Health Issues
Blood Sugar Instability
Anxiety
Low Libido
Low Testosterone
Anemia
About Fontaine MD
Founded by Dr. James D. Fontaine, a board-certified physician with over 20 years of clinical experience, Fontaine MD is situated in the Torrey Hills community of Carmel Valley in San Diego, CA. Dr. Fontaine is a graduate of the University of Southern California’s Keck School of Medicine and specializes in anti-aging, aesthetics, and preventive medicine. The clinic's mission is to assist patients in achieving optimal health and wellness as they age, offering treatments that are both effective and personalized. The dedicated team at Fontaine MD includes experienced medical professionals who utilize cutting-edge technologies and stay abreast of the latest advancements in healthy aging techniques. Together, they provide comprehensive care that addresses the physical, emotional, and aesthetic aspects of aging, ensuring that patients receive the highest standards of care in a supportive environment.
What Makes Fontaine MD Unique
Fontaine MD distinguishes itself through its integrative approach to aging, combining aesthetic treatments with preventive and wellness services. The clinic offers specialized programs like the Healthy Aging Program, which includes bioidentical hormone replacement therapy, nutrition coaching, and Heart Attack and Stroke Prevention services utilizing the BaleDoneen Method. Additionally, Fontaine MD provides innovative treatments such as the P-Shot® for erectile dysfunction and Alma TED Hair Restoration, ensuring that patients have access to the latest non-invasive therapies tailored to their individual health goals.
Why Choose Fontaine MD
Patients choose Fontaine MD for its commitment to personalized, comprehensive care that addresses both aesthetic and health concerns. The clinic's emphasis on individualized treatment plans ensures that each patient receives therapies aligned with their specific needs and goals. Testimonials highlight significant improvements in quality of life, with patients reporting increased energy, enhanced appearance, and improved overall wellness. The clinic's experienced team, led by Dr. Fontaine, provides attentive care in a welcoming environment, making Fontaine MD a trusted choice for those seeking to age gracefully and healthily.
Philosophy of Care at Fontaine MD
Fontaine MD's philosophy centers on the belief that aging should be a graceful and empowering process. The clinic adopts a holistic approach to patient care, focusing on optimizing health through personalized treatment plans that encompass hormone balance, nutrition, preventive screenings, and aesthetic enhancements. By addressing the root causes of aging-related changes and promoting proactive wellness strategies, Fontaine MD aims to help patients maintain vitality, confidence, and a high quality of life throughout the aging process.
Meet the team
Owner & Lead Physician
Dr. James Fontaine, MD
Dr. James Fontaine is a board-certified physician and the founder of Fontaine MD Aesthetics and Anti-Aging Medicine in San Diego. After earning his medical degree from the Keck School of Medicine at USC in 1990, he completed a residency in Physical Medicine and Rehabilitation at UC Irvine. Over more than three decades in practice, he’s shifted his focus toward preventive, aesthetic, and anti-aging care—areas where he believes medicine can truly improve quality of life, not just extend it. His training includes an aesthetic fellowship through the American Academy of Anti-Aging Medicine, along with advanced study in bioidentical hormone therapy under Dr. Neal Rouzier. Patients come to Dr. Fontaine for his thoughtful, science-backed approach to health optimization. Raised in Southern California, he’s still happiest outdoors, especially when mountain biking or spending time with his wife, Julie, and their sons.
COO
Julie Fontaine
Julie runs the show behind the scenes at Fontaine MD—though she’d probably just call it “keeping things on track.” As office manager and chief operating officer, she’s the one making sure everything flows: consultations, scheduling, finances, patient prep—it all runs through her. Before this, she spent ten years managing a plastic surgery practice, so she knows aesthetic medicine inside and out, not just from a clipboard. Her experience with procedures, products, and people is part of what makes the clinic feel so well put-together without being uptight. Patients and staff lean on her not just for answers, but for clarity. She's organized, yes—but also approachable, which is its own kind of rare. Her role might be behind the curtain, but you’d definitely notice if she weren’t there.
Sarah Morin, RN
Sarah is a Registered Nurse who brings both clinical skill and a deep sense of empathy to her role at Fontaine MD. Born in San Diego and raised in Southwest Florida, she earned her Bachelor of Science in Nursing from the University of Central Florida. Before transitioning into aesthetics, Sarah spent over four years in bedside nursing, where she developed a strong foundation in patient care. Her interest in aesthetics grew from her understanding of how feeling good in one's own skin can impact overall well-being. Prior to joining Fontaine MD, she worked at one of California's largest medical and cosmetic dermatology practices, collaborating with board-certified dermatologists and honing her expertise in injectables, lasers, and cosmetic procedures. Sarah is known for her commitment to achieving natural-looking results and for her perfectionist tendencies that ensure each patient receives personalized, results-oriented care. Outside of work, she enjoys spending time with friends and family, being outdoors, and engaging in activities related to the ocean or water.
Louise Bisby, RN, PHN, BSN
Louise brings a rare mix of creative instinct and clinical care to Fontaine MD. She began her professional life with a degree in art from Humboldt State, designing window displays for brands like Bloomingdale’s and Levi’s—work that demanded a sharp eye and attention to detail. Later, feeling drawn to something more hands-on and personal, she earned her Bachelor of Science in Nursing from Samuel Merritt University. For the past four years, she’s focused on aesthetic nursing, where that same eye for balance and proportion now helps patients look refreshed without looking “done.” She’s known for being thoughtful and careful—someone who takes time to understand what each patient hopes to see in the mirror. Whether guiding someone through a subtle enhancement or a bigger change, Louise approaches it with both warmth and precision.
Client Satisfaction Analysis
We’ve collected every publicly available patient review we can find and analyzed
them across 13 dimensions.
Select to learn more
Fontaine MD pairs thorough diagnostics with step-by-step explanations, then fine-tunes hormones, weight and wellness plans to each lab profile. Same-day and telehealth visits, prompt follow-ups, and clear side-effect prep keep therapy running smoothly. Patients report big gains in energy, mood, weight control, and overall vitality that make the cash-pay fees feel worthwhile. The only recurring gripe is lack of upfront price quotes; once care begins, most say the outcomes justify the expense.
Overall Hormones.org score for this clinic
97
The Overall Hormones.org Score of Fontaine MD places it in the
top 84.0%
of all hormone optimization clinics in the San Diego area.
What this means
Clinic scores follow a bell curve: most clinics cluster near the middle, while
very low or very high scores become progressively rarer toward the edges.
How we determine this?
Category
Description
Weight
Review Sentiment Quality
Tone and trust language in the most recent 10-20 reviews
25%
The tone of patient feedback is overwhelmingly positive. Recent reviews consistently praise the caring staff, personalized attention, and life-changing results. Trust and satisfaction are evident in nearly every comment, with only a rare isolated complaint. Overall sentiment is exceptionally high, reflecting strong patient trust and happiness.
Review Sentiment + Rating
Adjusted for inflation; not linear
10%
Fontaine MD has amassed a robust number of reviews across platforms (100+ on Google and dozens on Yelp) with an average rating near 5 stars. This combination of high volume and stellar ratings indicates broad patient satisfaction. The consistency of top-tier scores across multiple sites underscores an excellent reputation.
MD-Led Practice
Is the clinic led by a visible MD or board-certified physician?
10%
This clinic is clearly physician-led. Dr. James Fontaine, a board-certified MD, is the founder and visible face of the practice. He is directly involved in patient care (often personally responding to reviews), ensuring an expert medical presence guides all treatments. The strong MD leadership adds credibility and personalized oversight beyond a typical med spa.
Estimated Years in Business
Based on site language, domain age and review timeline
10%
Based on the clinic’s online footprint and corporate records, Fontaine MD was established around 2017 – roughly 8 years in operation. While not decades old, it is fairly well-established in the community. Dr. Fontaine’s 25+ years of medical experience further bolster the clinic’s stability and expertise despite its moderate tenure.
Specialization in Hormone Therapy
Is hormone optimization a core offering or a secondary add-on?
10%
Hormone replacement and optimization appear to be core offerings at Fontaine MD. The clinic advertises “Healthy Aging and Hormone Optimization” programs prominently, and multiple patient testimonials highlight improvements in menopause, thyroid issues, and low libido. This focus indicates that HRT is not a side service but a central specialty of the practice.
Provider Relationship Model
Small, consistent provider model vs high-volume or anonymous feel
10%
Patients enjoy a consistent, personalized relationship with their provider team. Reviews frequently mention that Dr. Fontaine and his staff take ample time to listen and tailor treatments. With a small, dedicated team (e.g. a long-term RN noted by name in many reviews), clients see familiar faces and receive continuity of care. The experience feels very one-on-one and concierge-level, not a rotating-door clinic.
Unique Differentiators
TRT + HRT + GLP-1s + peptides = strong depth
10%
Fontaine MD stands out through its integrated approach and special services. It combines a medical wellness clinic with a full med spa, offering advanced features like in-house body composition scans, genetic risk assessments, and regenerative therapies (PRP/stem-cell based treatments). Being physician-run in the anti-aging space is itself a differentiator. While these features are leading-edge, a few similar clinics offer comparable concierge wellness models, so it’s distinctive but not entirely one-of-a-kind.
Treatment Breadth
TODO: Add my description to this part
10%
Fontaine MD stands out through its integrated approach and special services. It combines a medical wellness clinic with a full med spa, offering advanced features like in-house body composition scans, genetic risk assessments, and regenerative therapies (PRP/stem-cell based treatments). Being physician-run in the anti-aging space is itself a differentiator. While these features are leading-edge, a few similar clinics offer comparable concierge wellness models, so it’s distinctive but not entirely one-of-a-kind.
Billing and Insurance
Billing
Fontaine MD is committed to transparency in its billing practices.
Insurance
Fontaine MD does not operate within traditional insurance networks. This model allows the clinic to offer more personalized and comprehensive care without the constraints of insurance guidelines.
What New Patients Can Expect at Fontaine MD
New patients at Fontaine MD can anticipate a thorough and personalized intake process. The initial consultation includes a comprehensive review of medical history, body composition analysis, review of comprehensive lab panel, and carotid ultrasound to determine carotid intima-media thickness (CIMT). Based on this assessment, Dr. Fontaine and his team develop a customized treatment plan that may encompass hormone optimization, nutrition coaching, and aesthetic procedures. The clinic emphasizes open communication and patient education, ensuring that individuals are well-informed and comfortable with their care journey from the outset.
FAQs about Fontaine MD
What is bioidentical hormone replacement therapy (BHRT) at Fontaine MD?
BHRT at Fontaine MD involves using hormones structurally identical to those naturally produced by the body to address hormonal imbalances. This therapy aims to improve energy, mood, sexual desire, mental clarity, and overall well-being in both men and women experiencing symptoms related to aging or hormonal deficiencies.
Who is a candidate for BHRT?
Individuals over 40 experiencing symptoms such as fatigue, weight gain, decreased libido, mood changes, or cognitive decline may benefit from BHRT. Women undergoing menopause or perimenopause and men with low testosterone levels are typical candidates for this therapy.
What are the benefits of testosterone therapy offered at Fontaine MD?
Testosterone therapy can help alleviate symptoms of low testosterone, including reduced libido, fatigue, decreased muscle mass, mood changes, and weight gain. Treatment options include injections, pellets, creams, and patches, tailored to individual needs.
Does Fontaine MD provide hormone therapy for women?
Yes, Fontaine MD offers hormone therapy for women, including BHRT, to address symptoms associated with menopause and hormonal imbalances. Benefits may include improved sleep, mood stabilization, increased energy, and enhanced sexual health.
What is the Healthy Aging Program at Fontaine MD?
The Healthy Aging Program is a comprehensive approach combining BHRT, nutrition optimization, exercise guidance, and preventive strategies to support longevity and quality of life. It aims to address age-related issues such as weight gain, fatigue, and risk of chronic diseases.
How does Fontaine MD approach weight loss?
Fontaine MD offers a structured weight loss program focusing on sustainable results through personalized plans that may include nutritional counseling, hormone optimization, and lifestyle modifications to support long-term weight management.
What aesthetic treatments are available at Fontaine MD?
Fontaine MD provides various aesthetic services, including BOTOX®, dermal fillers, laser skin resurfacing, skin tightening, CoolSculpting® Elite, and cellulite reduction, aiming to rejuvenate the skin and enhance appearance without surgery.
Can BHRT improve sexual health?
BHRT can address hormonal imbalances that affect sexual health, such as low libido and erectile dysfunction in men, and decreased sexual desire and vaginal dryness in women. By restoring hormone levels, BHRT may enhance sexual function and satisfaction.
What is the P-Shot® offered at Fontaine MD?
The P-Shot® is a treatment involving the injection of platelet-rich plasma (PRP) derived from the patient's blood to enhance sexual performance and address erectile dysfunction by promoting tissue growth and improved blood flow.
What is GAINSWave therapy?
GAINSWave is a noninvasive treatment using acoustic wave therapy to improve blood flow and nerve sensitivity, aiming to enhance sexual performance and treat erectile dysfunction.
How does Fontaine MD assist with heart health?
Fontaine MD utilizes the BaleDoneen Method for heart attack and stroke prevention, focusing on identifying and treating arterial inflammation and other risk factors to support cardiovascular health.
What cancer screening services are available at Fontaine MD?
Fontaine MD offers cancer screenings through blood tests designed for early detection, enabling timely intervention and management of potential health issues.
Does Fontaine MD provide hair restoration treatments?
Yes, Fontaine MD offers hair restoration using the Alma TED system, a noninvasive technology that promotes hair growth by delivering acoustic sound waves and air pressure to stimulate the scalp.
What financing options does Fontaine MD offer?
Fontaine MD provides financing options through CareCredit and Advance Care, offering patients flexible payment plans to make treatments more accessible.
Who leads the medical team at Fontaine MD?
Dr. James D. Fontaine, a board-certified physician specializing in anti-aging, aesthetics, and preventive medicine, leads the team at Fontaine MD, bringing expertise in hormone therapy and wellness care.
James Fontaine - California Medical Board Certification
Issuer: Medical Board of California
License No: G 72697
Medical School Name: University of Southern California Keck School of Medicine
Name: James D Fontaine
License Type: Physician and Surgeon G
Graduation Year: 1990
Primary Status: Active
Clinic Registrations
National Provider Identifier
NPI Number:
1013913755
Provider Registrations
James Fontaine - National Provider Identifier
NPI Number:
1013913755
Numeration Date:
2005-06-27
NPI Type:
NPI-1 Individual
Status:
Active
Louise Bisby - National Provider Identifier
NPI Number:
1700348190
Numeration Date:
2019-04-03
NPI Type:
NPI-1 Individual
Status:
Active
Clinic location
Fontaine MD is ideally located at 4765 Carmel Mountain Road, Suite 207B, San Diego, CA, near the intersection of Carmel Mountain Road and Carmel Country Road. Situated in Carmel Valley, the clinic is close to landmarks like Torrey Hills Center and Del Mar Highlands Town Center. Upon arrival, look for the clearly marked building entrance labeled "4765," then proceed upstairs to Suite 207B.
Fontaine MD in San Diego offers ample, free patient parking in a private lot directly outside the building. Handicap-accessible spaces are conveniently located near the main entrance. No validation is required. For easiest access, park close to the main lobby entrance clearly marked "4765," and take the elevator or stairs directly up to Suite 207B on the second floor.
Clinic Hours
Mon 8:30 AM - 5:00 PM
Tue 8:30 AM - 5:00 PM
Wed 8:30 AM - 5:00 PM
Thu 8:30 AM - 5:00 PM
Fri 8:30 AM - 2:00 PM
Sat Closed
Sun Closed
Fontaine MD Aesthetics and Anti-Aging Medicine at a glance
Location
San Diego, California
Specialty
Aesthetics/Longevity/Cardiovascular
Accepting New Patients
Yes
Offers in Person Care
Yes
Offers Telehealth
Yes
Language Spoken
English
Ask Fontaine MD a question
Request a consultation with Fontaine MD
Schedule your confidential consultation today by phone or in person—no commitment
required.