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Meet Our Team

CIS Team

Carl H. Shin, MD

Chief Medical Officer
Dr. Carl H. Shin is a board-certified physiatrist specializing in interdisciplinary spine care, electromyography, and pain management. With over two decades of clinical experience and a fellowship in interventional spine from the University of Pennsylvania, Dr. Shin combines expert diagnostics with advanced therapeutic techniques to treat complex musculoskeletal conditions. He has served as medical director for the CIS Functional Restoration Program and previously held leadership roles in health recovery and independent medical review. Dr. Shin has contributed extensively to medical literature with publications in Spine, Pain Medicine, Archives of Physical Medicine and Rehabilitation, Pain Physician, Biomechanics, and the American Journal of Physical Medicine and Rehabilitation.

James Murphy, MD

Dr. James Murphy is a double board-certified specialist in Pain Medicine and Physical Medicine & Rehabilitation, with advanced fellowship training from Temple University Hospital. With over 15 years of clinical experience across practices including Spine Nevada and the Permanente Medical Group, he has held leadership roles such as Director of Non-Surgical Spine Care. Dr. Murphy is known for delivering personalized, non-operative solutions for musculoskeletal pain, spinal disorders, and workplace injuries. His expertise spans interventional procedures, rehabilitation, and evidence-based treatment strategies, all focused on restoring function and improving quality of life for his patients.

Tim Yoon, MD

Dr. Yoon graduated from Loma Linda University where he completed medical school and his post graduate training. Dr. Yoon is Board Certified in both Physical & Rehabilitation Medicine and Pain Medicine.

His goal is to promote the public’s awareness of physical medicine and rehabilitation for those suffering from pain.

In his spare time, Dr. Yoon enjoys music and watching team sports.

Christopher Brophy, MD, PM&R

Dr. Christopher Brophy is a double board-certified specialist in Pain Medicine and PM&R, trained at UC Davis and UCLA. He offers advanced interventional treatments, including image-guided injections, neuromodulation, and regenerative therapies. Known for his patient-centered approach and calm demeanor, he delivers expert care for complex pain conditions. Dr. Brophy Co-authored a book chapter on Geriatric Pain Management and is published in biomechanics in adolescent athletes.

Boik Chung, MD, Family Medicine

Dr. Boik Chung is a board-certified Family Medicine physician with over a decade of experience managing chronic conditions and providing compassionate care to diverse patient populations. Trained at Ross University and UCLA, he offers comprehensive primary care services with a focus on managing diabetes, hypertension, cardiovascular conditions, and internal medicine needs for injured workers. Dr. Chung combines clinical precision with a warm, patient-first approach—making him a trusted provider for both preventive care and complex medical management

Tyrell Simkins, DO, PhD, Neurology

Dr. Tyrell Simkins, DO, PhD, is a board-certified neurologist and accomplished neuroscientist with a robust clinical and academic background in neuroimmunology, traumatic brain injury, and neuromuscular disorders. He has held leadership and faculty roles at prestigious institutions including UC Davis and Oregon Health & Science University, and currently contributes to innovative clinical research as a medical director. Dr. Simkins has authored numerous peer-reviewed publications in high-impact journals such as Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration, Neuroradiology Journal, Current Neurology and Neuroscience Reports, Journal of Neuroimmune Pharmacology, Spine, Frontiers in Cell and Developmental Biology, Cell Death and Differentiation, and Neuroscience. His dedication to advancing neurologic care is reflected in both his research and compassionate patient care.

Jason Packer, DC, PA-C

Jason Packer DC, PA-C graduated from Palmer College of Chiropractic West in San Jose California in 2002.

He practiced as a Chiropractor in the Sacramento area for nine years. Wanting to further his education, he graduated from UC Davis FNP/PA school in 2013. Dr. Packer briefly worked in Orthopedic Surgery before specializing in pain management at CIS.

Dr. Packer enjoys spending time with his wife and four children. In the summertime he likes to water ski, and snow ski in the winter.

Karen Smith, PA-C

 Karen Smith, PA-C, is a board-certified Physician Assistant who earned her Master of Science in Physician Assistant Studies from University of Mary Hardin-Baylor. During her training, she completed comprehensive clinical rotations in behavioral and mental health, emergency medicine, internal medicine, general surgery, neurology, orthopedics, family medicine, and intensive care through programs with Baylor Scott & White Health and the U.S. Department of Veterans Affairs in the state of Texas.

In addition to her clinical work, she serves as an Associate Program Director for a supported living services agency, where she helps oversee programs that support adults with developmental disabilities and works to ensure high-quality, compassionate care for this community. Before entering the medical field, she proudly served in the United States Navy, an experience that shaped her dedication to service, teamwork, and leadership. Outside of work, she enjoys spending time with family, going to the gym, and working on DIY home improvement projects. 

Ryan Wagner, PA

Ryan Wagner is a physician assistant who brings both warmth and expertise to every patient relationship. A proud graduate of Loma Linda University — where he earned his degree with honors — he also brings a rich background in family medicine that shaped his whole-person approach to care. 

He is passionate about seeing patients on an ongoing basis, building lasting relationships, and guiding them toward better health through lifestyle-based interventions and rehabilitation. His goal is not just to treat, but to partner with patients on their long-term wellness journey. Outside the clinic, he enjoys time with his wife, young child, and their dog. 

 

Erik Smith, PA

Erik Smith graduated with honors from Utah Valley University, and later from Brigham Young University, majoring in Exercise Science. He then received dual Masters Degrees in Physician Assistant Studies, as well as Public Health, at Touro University-California. He possesses several advanced certifications, which includes training in the field of Addiction Medicine.
He has worked in Family Practice, Emergency Medicine, Urgent Care, as a Sub-Investigator in Clinical Trials, administered Stem Cell Treatments, and has found his calling in Chronic Pain Management. He has trained and mentored Medical Students, including the time when he was an Associate Professor of Family Medicine at California Northstate University College of Medicine. Erik is bilingual with the ability to speak Spanish in addition to English.
Outside of work, he enjoys being outdoors, fishing, hunting, skiing, playing sports, and being with his wife and 4 children.

Todd Jefferson-Meadows, FNP-BC

Todd Jefferson-Meadows, FNP-BC, graduated from Samuel Merritt University (Family Nurse Practitioner) in 2022 and University of Phoenix (Registered Nurse) in 2013
 
He served in the United States Navy from 1986 till 2009 as a Hospital Corpsman and National Guard from 2018 till 2024. He performed COVID testing and administered immunizations for state and foreign dignitaries. He also treats Veteran’s primary and mental health disorders.
 
His goal is to promote well-being and Mental Health to both veterans and family.
 
In his spare time, he enjoys spending time with his family. He also enjoys auto mechanics and light home repair

Kelli Grisham, RN, MSN, AGPCNP-BC

Kelli graduated from Sierra College with her nursing degree in 2002 and worked as a Registered Nurse for over 22 years. Wanting to further her education, she pursued her master's degree in nursing at Spring Arbor University. After obtaining board certification from the American Nurses Credentialing Center in Adult Gerontology Primary Care, she joined the CIS team in December of 2024.  
 
Kelli’s experience lends her to be a strong patient advocate through the challenges of the healthcare system. Her goal is to educate patients on pain and physical medicine.  
In her free time, Kelli loves to spend time with her husband and 3 children.  
Kelli belongs to the American Nursing Association and California Nursing Association.  

Keystone Team

Timothy Gilliland, PsyD

As the Program Director for CIS Keystone Functional Restoration Program, Dr. Gilliland has over 48 years of experience in health care and human services as both a direct care provider and an administrator of contracts, grants, programs and services in Ohio, Colorado, Nevada, New Mexico, Hawaii, and California.

For nearly 20 years, Dr. Gilliland has incorporated the new discoveries in neuroscience into his work educating patients, their families and staff on how the brain is significantly involved in the development of the presenting problems as well as the solutions.

While not at school and work, Dr. Gilliland has enjoyed traveling in Asia, Europe. Latin American, and most of the United States playing golf, earning a scholarship to play football at the University of Oregon, telemark skiing the slopes of Western Colorado, and forming and playing guitar in a rock ‘n roll band (The Stupid Band) in 1985.

Phil Hixson PT, MSPT, DPT, TPS

Dr. Hixson graduated with his Bachelor of Science degree in Kinesiology from California State University, Sacramento, in 2001. He later completed both his Master of Science and Doctorate in Physical Therapy at the University of the Pacific in 2004.

With over 20 years of clinical experience, Dr. Hixson has worked at St. Joseph’s Hospital in Stockton and Kaiser Permanente in Sacramento, specializing in orthopedic care. He has completed extensive advanced training in cervical, thoracic, and lumbar spine evaluation and treatment through long-term orthopedic courses.

Dr. Hixson has trained in multiple evidence-based techniques, including the Graston Technique (IASTM), Selective Functional Movement Assessment (SFMA), and McKenzie Method of Mechanical Diagnosis and Therapy (MDT). He has also earned a certification in Therapeutic Pain Science, dedicating his career to helping individuals overcome chronic pain and improve their quality of life.

In his free time, he enjoys spending quality time with his wife and teenage children. Together, they enjoy exploring distant destinations abroad or taking local trips to scenic spots such as Lake Tahoe, Reno, San Francisco, and Napa.

Brandon Schaffer, PT, DPT

Dr. Schaffer is a Physical Therapist who graduated from Sacramento State getting his undergraduate degree in Sociology and Kinesiology before attending the University of St Augustine for his doctorate. He has a well-rounded background practicing since 2020 in diverse setting with experience that spans across inpatient rehab, skilled nursing, neurological rehab, and outpatient orthopedics, with a treatment approach emphasizing movement and exercise based functional interventions along with manual therapy. 

Recently, Brandon has focused on chronic pain and pain neuroscience education. He is passionate about using a multidisciplinary approach to address chronic pain to empower patients to regain control of their lives and return to the activities they love. He is also a functional capacity evaluator, helping to ensure that patients' true capacity is noted for a safe return to work.

In his free time Dr. Schaffer enjoys being outdoors, golfing, hiking, music and traveling as much as possible.

Bob Fender, CPT

Robert Fender is a highly experienced fitness professional with over 20 years of expertise as a NASM and AFAA Certified Personal Trainer. Specializing in functional conditioning, corrective exercise, and group fitness, he is passionate about helping clients achieve their wellness goals. Robert's education includes an Introduction to Physical Therapy program at Sacramento City College, enhancing his knowledge of movement and injury prevention. An avid outdoorsman, he enjoys golf, mountain biking, and fly fishing, reflecting his dedication to an active and healthy lifestyle

Liane Quirk, MPH

Liane Quirk is an energetic and experienced health educator. Committed to helping individuals regain control of their lives, she empowers patients with the tools, knowledge, and strategies needed to navigate the complexities of chronic pain effectively.

She holds a BA from UC Davis and Master’s in Public Health (MPH) from San Jose State University. She has also pursued additional coursework in mindfulness-based stress reduction (MBSR) and weight management. Liane has extensive expertise in creating personalized, evidence-based education programs tailored to diverse populations, focusing on holistic wellness and blending education with practical strategies. 

Liane began her work in functional restoration in 2017, providing individual and group support in nutrition, stress management, sleep optimization, mindfulness practices, creative art, and professional development. Outside of work, Liane is artistically inclined, an avid reader, outdoor recreationalist, and world traveler.  

Andrea Adams, CEP, CES, IFS

Andrea Adams is a CEP (Certified Exercise Physiologist), CES (Cancer Exercise Specialist), and IFS (Inclusive Fitness Specialist).

She holds a BA in PE from CSUS and is certified in STOTT Pilates, cardio kickboxing, and aqua aerobics.

After an initial career as a professional dancer and choreographer, Ms. Adams has been in the fitness industry for almost 30 years working with chronic pain, special populations, pre- and post-rehab, and cancer survivors.

She enjoys the outdoors from hiking to working on her property, a good book, a glass of wine, and the San Francisco Giants.

Dr. Brynn Honrada, PT, DPT

Dr. Brynn Honrada, PT, DPT, is a licensed physical therapist who has been working within a multidisciplinary chronic pain clinic for several years and recently started working in the home health setting too. She has experience treating chronic pain, orthopedic, and post-acute diagnoses.

Dr. Honrada is passionate about helping her patients improve their functional mobility, independence with activities of daily living, and overall quality of life. In her spare time, she enjoys being with her daughter and family, watching all types of sporting events, and traveling anywhere with a beach.  

 

Dr. Jeannine McAdams, PsyD

Dr. Jeannine McAdams, PsyD, is a licensed clinical psychologist with a depth-oriented, psychodynamic approach to care, currently working within a multidisciplinary pain clinic setting.

She has experience in trauma-informed treatment and specializes in supporting individuals living with chronic pain, injury, and stress-related conditions. Her clinical work integrates insight-oriented therapy with evidence-based modalities, including CBT and mindfulness-based strategies, to address the complex relationship between psychological and physical health.

Dr. McAdams is passionate about helping patients cultivate self-understanding, restore functioning, and improve overall quality of life.

Dr. Ilhyung Kim, Boutique Acupuncture

Dr. Ilhyung Kim is a licensed acupuncturist who completed both his formal professional education and doctoral training in acupuncture and East Asian medicine. With over 15 years of experience in the field, he received a Best Paper Award during his doctoral studies and a top award in 2025 while completing a year-long advanced program in Acupuncture & Eastern Medicine.

He also serves as an executive member of the Association of Korean Asian Medicine & Acupuncture of California and is committed to delivering high-quality, patient-centered care while continually refining his clinical skills. 

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