Dr. Fujinaka was raised on a vegetable farm in Northern California. He studied Economics and Molecular Biology at Claremont McKenna College. He received his Medical Doctorate (M.D.) from the University of California, San Diego. Dr. Fujinaka completed his Internal Medicine Internship at the University of Hawaii in Honolulu. He then Specialized in Anesthesiology at the University of California, San Diego. Finally, he completed Sub-Specialty training in Pain Medicine at Stanford University. While at Stanford, the Faculty selected him to be Chief of his Fellowship class. During his time at Stanford, Dr. Fujinaka was involved in the training and teaching of Medical Students, Residents, and Fellows. He also gave lectures for other Physicians. Dr. Fujinaka served as full-time Faculty with the Department of Anesthesiology in the Division of Pain Medicine until he had the opportunity to help build Apex Pain and Wellness. He enjoys Brazilian Jiu Jitsu, Surfing, Tennis, and Traveling.


  • Medical School, M.D. – University of California, San Diego
  • Speciality Training: Anesthesiology Residency- University of California, San Diego
  • Sub-specialty Training: Interventional Pain Management Fellowship- Stanford University


  • Board Certification: Anesthesiology, American Board of Anesthesiology (2016)
  • Board Certification: Interventional Pain Medicine, American Board of Anesthesiology (2017)
  • F.I.P.P. certification, Fellow of Interventional (Minimally Invasive) Pain Practice – World Institute of Pain (2018)


  • Chief Fellow, Division of Pain Medicine – Stanford University
  •  Faculty, Pain Medicine Physician, Division of Pain Medicine and Department of Anesthesiology – Stanford University 2016-2018
  • Faculty, Anesthesiologist, Division of Pain Medicine and Department of Anesthesiology – Stanford University 2016-2018
  • Instructor, Lecturer, Trainer, and Supervisor of Medical Students, Residents, Fellows – Stanford University
  • Faculty, Instructor, Lecturer, Ultrasonography for Interventional Pain Procedures – World Academy of Pain Medicine Ultrasonography
  • Published Author of Medical Journal Articles
  • Lecturer for other Physicians for Continuing Education Credits

Dr. Sclafani strives to provide highly skilled and compassionate care to all patients. He has a particular interest in improving quality of life through individualized care plans that incorporate cutting edge technologies and research-supported medical therapies. Dr. Sclafani places great importance on listening to the concerns of his patients and works with them to both restore optimal function and achieve their goals.

Dr. Sclafani has undergone extensive training in his field. He graduated from the Stanford Pain Management Fellowship program, which is consistently ranked as one of the best fellowship programs in the country. Prior to Fellowship, he completed his residency training in Physical Medicine and Rehabilitation at Georgetown University/National Rehabilitation Hospital where he was named a Top Resident Physician in his final year of training.  He completed both medical school and Internship in General Surgery at the University of California, San Diego and graduated summa cum laude with Highest Departmental Honors and Phi Beta Kappa from the University of California, Los Angeles.

He is widely considered an expert in Clinical Research, having completed a dedicated research curriculum at the National Institutes of Health as well as 2 years of research focused on improving outcomes for patients with back and neck pain at the Spine Institute of San Diego. He is a Co-founder of the Minimally Invasive Spine Centers of Excellence (MIS-COE) and has authored over 60 publications and presentations. Additionally, he continues to serve as a reviewer for several influential scientific journals and participate as a member in multiple National Pain and Spine Societies.

Dr. Sclafani is Board Certified by the American Board of Physical Medicine and Rehabilitation.


My goal is to maximize the function of my patients from a sports prospective or everyday living prospective, depending on the patient’s needs. I do this through the use of medications, injections, exercise (such as Pilates, Yoga, etc.), therapy, acupuncture or chiropractic interventions (I don’t actually perform acupuncture or chiropractic interventions). I perform multiple non-surgical interventions to address issues related to the spine, such as disc herniations. In this regard, my goal is to bridge the gap between non-aggressive conservative management and surgical intervention. Through the use procedures such as X-ray guided steroid injections to various regions of the back and neck, I attempt to achieve this goal. I also perform multiple interventions to address joint problems throughout the body. My goal here is to bridge the gap between conservative management and surgical interventions. I perform steroid injections to most joints of the body (shoulders, knees and hips are my favorite joints to inject). I also perform various injections to nerves, tendons and muscles. With regard to muscles, I perform both steroid and Botox injections, as indicated. Lastly, I perform diagnostic tests with electrocardiography and nerve conduction studies for a variety of conditions such as carpal tunnel syndrome or nerve compression related syndromes.


Dr. Alexander Sable-Smith graduated from Colorado College with a degree in Neuroscience before receiving a Master in Public Health from University of Missouri. He obtained his Doctorate of Medicine from University of Missouri School of Medicine, and completed his residency at the University of Colorado Anschutz Medical Campus. He completed two Stanford University fellowships in Hospice and Palliative Medicine and Pain Management, and has worked in hospice care, urgent care, and as a clinical assistant professor at Stanford University School of Medicine. In addition, he has served as a Staff Physician at the VA in Palo Alto, California for over two years. His awards and accolades include the Family Medicine Advocacy Award, Master of Public Health Research Award, and the Ruby T. McVean Family Medicine Scholarship.


Dr. Lorenzo T. Hughes graduated from Indiana University in 2000 with Highest Distinction before obtaining his Doctorate of Medicine at the Indiana University Medical Center in Indianapolis in 2005. He completed his residency at the Virginia Mason Medical Center in Seattle, and has done fellowships in Seattle and London. As a Board Certified Physician in Anesthesiology with a subspecialty certification in Pain Medicine, he has been practicing pain medicine for over a decade at the Vanderbilt University Medical Center and NYU Langone. At these facilities, he was a professor of Pain Management and Clinical Anesthesiology as well as a Director of Pain Management.

Apex Pain and Wellness Values

Our Mission Is to Provide a Professional & Honest Approach to Health Care

The M.D. Physicians at Apex Pain and Wellness specialize in diagnosing and managing pain. The Doctors will individually tailor a treatment plan for your unique pain. In addition to using medications and therapies, the Doctors are double-board certified and are sub-specialized in micro-invasive surgical techniques to treat pain. Contact us today and let us help you control your pain!

The Apex team is passionate about resolving and managing the chronic suffering of others. We are dedicated to this task in large part because traditional medicine is largely dismissive of patient pain, which causes unnecessary human suffering. Our vision is to provide proper treatment through a multi-modal approach that utilizes individualized care in order to reduce the suffering of our community.

Apex is poised to fill a gap that is lacking within the pain management community. We have a distinct advantage due to low costs, patient experience, and high-quality care. Hospitals are expensive and lack the personal touch that patients crave, while smaller clinics lack resources and physician availability. Apex’s key goal is to reduce cost and provide a more comfortable experience for patients. We deeply care about a patient’s treatment experience and goes above and beyond standard Medicare required communication.

Contact us Call 650-667-2322

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