About John How, M.D.

John How, MD

John How, MD, a board-certified emergency medicine physician with over a decade of experience in the emergency department, now welcomes patients at The How Clinic in Encinitas, California. He specializes in treating an array of musculoskeletal and mental health conditions, with a special interest in healing the physical and mental problems that develop in people who work or live in high-stress jobs and environments.

As an emergency medicine provider, Dr. How shares a deep connection with others who thrive in high-stress environments. Emergency room doctors and nurses, EMS, first responders, athletes, and members of the military all share a bond defined by an intense approach to the way they live, work, and play. Everyone in these professions finds great fulfillment in their high-stress way of life. But they also face physical and mental challenges as a result of their passion.

Dr. How’s first-hand and medical experience with the health problems that develop from repeated exposure to stress motivated him to open The How Clinic. His goal is to provide effective therapies that help his patients find balance and heal from their physical, mental, and emotional stress, so they can stay active in their work and life activities.

Dr. How received his medical degree at Loma Linda University School of Medicine in Loma Linda, California. From there, he completed a residency in emergency medicine at Ascension St. John Hospital in Detroit, Michigan.

For much of his career, Dr. How has been fascinated with the power of modern ultrasound to diagnose and guide treatment for many different conditions. This passion leads him to regularly travel, seeking out thought leaders and mentors who share his enthusiasm. 

Through extensive training with doctors in a broad range of specialties, Dr. How developed exceptional skills in precision ultrasound-guided interventions for conditions ranging from peripheral nerve entrapment to tears and overuse injuries of soft tissues. He has also trained and continues to work with pioneers in the use of ultrasound-guided injections to treat PTSD.

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Mark Deaver, MD, MBA

 Dr. Deaver is a board-certified emergency medicine physician with additional specialized training in emergency ultrasound. He was born and raised in San Diego and has over 10 years of experience working in various emergency departments throughout Southern California.

 Dr. Deaver received both his Medical Degree and Master of Business Administration at the UC Irvine School of Medicine in Irvine, California. There he met his wife who is also a physician practicing in San Diego. Following medical school, he completed a residency in emergency medicine at Harbor-UCLA in Torrance, California. Dr. Deaver then completed an additional year of training in emergency ultrasound at Harbor-UCLA where he had the opportunity to further advance his skills working alongside the pioneers in the field of ultrasound.

Dr. Deaver now looks forward to the opportunity to begin working and collaborating with Dr. How at the How Clinic. Growing up as a competitive athlete and having trained and worked in some of the busiest and highest acuity emergency departments in the country, Dr. Deaver has both firsthand and medical experience with the multiple health problems that can occur with repeated exposure to stress. He looks forward to using his extensive ultrasound skills to diagnose and guide treatment for a broad variety of conditions so that his patients can thrive in their daily work and life activities.

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Keri London, MD

Born and raised in Marin County, Ca, I grew up in a family of women yet we never discussed women’s health or sexual health as my mom felt it was an “inappropriate” conversation. I want to change that culture and help women be aware of their own health as we age and not be afraid to talk about it.


I graduated from UC Davis with a BS in physiology and went on to Tulane University where I earned my medical degree. After finishing my residency in emergency medicine from UC Davis, I have spent the last 22 years working in emergency rooms. 


I am a 52-year-old perimenopausal woman. I want to encourage the discussion of what naturally happens as we women age and provide a solution to help you feel better.

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Adam Silberman, N.D.

Naturopathic Medicine

“If you are interested in living optimally, performing at your best, and maximizing your performance, I am the doctor for you. I have a passion for the ever-evolving field of anti-aging, longevity, and regenerative medicine and incorporate this research into all I do. I bring the same level of care I provide to Professional Athletes, CEOs, and Celebrities to every patient and family I have the honor of working with.”


Dr. Silberman’s work is inspired by the sudden loss of his father when he was 25 years old from improper management of his complex chronic disease. Since that point he has dedicated his life to empowering others to take charge of their health so that a tragedy like that will never happen again and has become a globally recognized force in the field of naturopathic, integrative, and functional medicine.

The foundation of his practice is based on a personalized approach to health care that recognizes the biological uniqueness of each patient. Naturopathic medicine is an evidence-based field of health care that views the body as an interconnected whole and recognizes the importance of these connections in health and disease. In contrast to a conventional care model, which is almost entirely drug based and focused on suppressing symptoms, Dr. Silberman works to eliminate symptoms by addressing the underlying causes of a problem. Alongside comprehensive genetic, lab, and imaging analysis, he incorporates Botanical, Nutritional, Exercise, Mind-Body, Intravenous, Prolotherapy, Platelet Rich Plasma, Hormone Replacement, and Pharmacologic interventions as needed to maximize vitality at every point in the aging process.

Integrative | Functional | Holistic | Regenerative

The terms holistic, integrative, functional, and natural are tossed around a lot in our world, so much so that they sometimes lose their meaning when it comes to patient care. Having been trained by the Leading Physicians in the Functional Medical Community, Dr. Silberman not only has a philosophy of integrative medicine but also a tried and tested manner in which to implement his approach that time and time again yields successful outcomes. His practice focuses on anti-aging and regenerative medicine, encompassing the management of:

  • Acute and Chronic Disease
  • Complex Auto-Immune Conditions
  • Musculoskeletal Injury
  • Hormone Imbalance
  • Hormone management using Bio-Identical Hormone Replacement Therapy
  • Weight Loss Management
  • Pre-Post Operative Care
  • Supportive Cancer Care for Thrivers
  • Cognitive Decline Prevention



Medical Degree
Naturopathic Medical Doctor – Bastyr University – San Diego, California – 2016

Undergraduate Studies
Master of Business Administration – Murdoch University – Perth, Australia – 2006

Bachelor of Arts in Psychology – University of California, Los Angeles – 2003

Professional Affiliations
Rotary Club of San Diego and Rotary International

NAPCP – Naturopathic Academy of Primary Care Physicians

CNDA – California Naturopathic Doctors Association

AANP – American Association of Naturopathic Physicians

NMSA – Naturopathic Medical Student Association

NDAB – Naturopathic Doctors Advisory Board to AMSA (Chair)

NDI – Natural Doctors International

ENDO-ANP – Endocrinology Association of Naturopathic Physicians

PED-ANP – Pediatric Association of Naturopathic Physicians

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Nicholas Miniel, MD

I am a board-certified Emergency Medicine physician with over a decade of experience in the Emergency Department treating a broad spectrum of patients. After working many years in the ER, I began to see needs arise that I wasn’t able to address in the acute care setting. Two main areas being Mental Health and Wounds. To meet these needs, I have chosen to expand my scope of practice by joining the How Clinic.

I received my medical degree from Charles Drew University and University of California Los Angeles. I went on to train in Emergency Medicine residency at the University of California Los Angeles. After training, I worked as part-time faculty teaching residents through UCLA and in the communities of Los Angeles county and most recently San Diego.

Here at the How Clinic, I provide Stellate Ganglion Blocks to those seeking relief from symptoms of severe PTSD. I consider it my privilege to be part of a patients care and have honed my skills using precise ultrasound techniques to assist patients using this procedure.

I am also a Certified Wound Care Physician Specialist recognized by the American Board of Wound Management. At the How Clinic, we invite patients to trust us with their wound care needs. I seek to treat the patient as a whole person, not just the wound affecting them. I hold myself accountable to the highest standards of wound care and integrate cutting edge practices that can address the specific needs of each patients wound. My hope is that you arrive at our clinic feeling welcome and valued. My goal is that you leave feeling care for, heard, and confident that your wound is on the path to healing.


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Meet The Team

  • Anne  Quinn, RN
    Anne Quinn, RN
    Clinical Nurse Manager
  • Garret   Brown, Paramedic
    Garret Brown, Paramedic
    Clinical Care Coordinator
  • Taylor  Roldan, EMT
    Taylor Roldan, EMT
    Office staff
  • Jocelyn   How
    Jocelyn How
    Practice Manager

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The How Clinic
285 N El Camino Real, Suite 211
Encinitas, CA 92024
Phone: 877-381-4115
Fax: 858-901-1461

Office Hours

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