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Dr. Jansen is Board Certified in Internal Medicine with over a decade of experience. Dr. Jansen was born and raised in Santa Barbara, California.

After graduating from medical school at the Ben-Gurion University of the Negev in Israel, Dr. Jansen returned to her hometown where she completed her Internal Medicine Residency at Santa Barbara Cottage Hospital and served as Chief Medical Resident during her third year. Following her residency, Dr. Jansen worked for ten years both in primary care at Sansum Clinic and in acute care as a rotating hospitalist at Santa Barbara Cottage Hospital.

Dr. Jansen completed her undergraduate degree in Microbiology at California Polytechnic State University, San Luis Obispo, where she was recognized on the Dean’s List, President’s Honors List, and the College of Science and Math Living/Learning Program Honor Society. During her undergraduate studies, she completed a research fellowship through the Ohio University Heritage College of Osteopathic Medicine, where she participated in tropical disease research including epidemiological, entomological, and clinical studies in rural communities in Ecuador.

During her research fellowship, she developed a passion for global health. This inspired her to attend Ben-Gurion University of the Negev Medical School for International Health, in Collaboration with Columbia University Medical Center, which incorporated global health as well as cross-cultural medicine into the coursework. This included an eight-week global health clerkship in Uganda where she studied in both rural and urban hospital settings. She spent several weeks in the HIV/TB ward at Mulago Hospital in Kampala and then traveled to Nkosi and studied in a small medical clinic and visited villages to promote health. In addition to her studies, she made time to serve as an English tutor to Bedouin children, and to play soccer for a women’s professional team.

Dr. Jansen is honored to care for the Santa Barbara community she grew up in and loves so much. She aspires to provide continued compassionate patient-centered care in her practice. Her professional interests include preventative medicine, women’s health, nutrition, and managing the chronic disease for longevity and quality of life.

Dr. Jansen attended Washington Elementary School, La Cumbre Junior High School, and San Marcos High School where she is a frequent guest-speaker for the San Marcos Health Academy to share her career path with aspiring young health professionals. She enjoys spending time with her husband and two children in the beautiful outdoors of Santa Barbara.

Dr. Jansen was certified by the American Board of Internal Medicine in 2012. She is an active member of the Medical Staff of Santa Barbara Cottage Hospital and Goleta Valley Cottage Hospital, Department of Internal Medicine.

Dr. Bryan is a specialist in Internal Medicine focusing on preventive medicine, women's health, hypertension treatment, osteoporosis, and healthy living.

Brittany Bryan, MD, is an Internal Medicine physician at Premium Care Internal Medicine, located in Santa Barbara, California. Dr. Bryan was born & raised in Vancouver, British Columbia. She earned her Bachelor of Science degree in Biochemistry from the University of Washington in Seattle, graduating on the Dean’s List. Following medical school at St. George’s University, she completed her Internal Medicine Internship at the University of British Columbia in Vancouver. She then went on to complete her Internal Medicine Residency at Santa Barbara Cottage Hospital. She served as Chief Medical Resident in her last year of residency. Following her residency, she completed an additional fellowship at Santa Barbara Cottage Hospital for further subspecialty training in Internal Medicine & Primary Care.

Following training, Dr. Bryan moved to Boston, Massachusetts where her husband was pursuing training in Diagnostic Radiology at Massachusetts General Hospital. She worked three years at Lahey Clinic Primary Care on the North Shore of Boston. She represented her Clinic as one of the Medical Directors for Lahey Health Primary Care. In 2015, her Clinic won the Lahey Clinic award for the highest Press Ganey scores, for the best “most likely to recommend” scores from patients.

Dr. Bryan then went on the work at Kaiser Permanente in Los Angeles. Dr. Bryan was an active member of the medical staff of Kaiser Permanente, West Los Angeles and practiced in Los Angeles for one year before moving to Santa Barbara.

Dr. Bryan is now returning to Santa Barbara and is eager to take excellent care of the members of the Santa Barbara community. She was certified by the American Board of Internal Medicine in 2013 and is a member of the American College of Physicians. Her professional interests include preventive medicine, women’s health, hypertension treatment, osteoporosis, and healthy living.

At Premium Care Internal Medicine, Dr. Bryan will work with you to come up with an individualized care plan & ensure all of your medical needs are met. She prides herself on responsiveness, fostering long term patient-doctor relationships, and quality care.

Dr. Bryan and her husband, Roy, have two young boys Roy and Thomas. When not caring for her patients, some of her favorite activities include spending time with her family, exercising, and maintaining a healthy lifestyle.

"I love Dr Bryan. She always listens very closely to my symptoms and looks at my history to figure out the best way to treat my problem." -Verified Patient on Healthgrades

Dr. Roxana Ledig is a board-certified internal medicine physician committed to delivering personalized, proactive, and relationship- centered care to the Santa Barbara community. Born in New York and raised in Ventura County, CA, she developed an early appreciation for science and service that shaped her path to medicine.

Dr. Ledig graduated from UCLA in 2013 with an undergraduate degree in Biochemistry. Before beginning medical school, she spent two years in biomedical sciences at Thermo Fisher Scientific, contributing to the development of diagnostic products used in organ transplant testing. She went on to earn her medical degree with Highest Honors from Ross University School of Medicine in 2018. During her training, she participated in the Salybia Mission Project in Dominica and served as Director of the student-run clinic, providing free medical care to underserved village communities.

She completed her clinical rotations at Kern Medical Center in Bakersfield, followed by a three-year Internal Medicine residency at Santa Barbara Cottage Hospital, finishing in 2022. Her residency experience provided a strong foundation in inpatient medicine and hospital-based care. After residency, Dr. Ledig practiced outpatient primary care at Sansum Clinic for three and a half years, where she developed a deep commitment to preventive care and long-term patient wellness.

Dr. Ledig’s professional interests include preventive medicine, healthy lifestyle, women’s health including menopause care, and proactive management of chronic disease. She is board-certified in Internal Medicine and is a member of the medical staff at Santa Barbara Cottage Hospital. Dr. Ledig’s goal as a concierge physician is to provide exceptional, compassionate care while building trusted, enduring doctor-patient relationships that support long-term health and well-being.

Outside of medicine, she enjoys spending time with her husband and young daughter, practicing yoga and pilates, and exploring the outdoors and beaches.

Christopher James Brana was born and raised in the Inland Empire of Southern California. During high school and college years he worked in his family’s Biomedical Engineering Company specializing in servicing renal replacement technology/equipment.

Tessa Shuler, FNP-C, is a Family Nurse Practitioner and former Registered Nurse; she worked in the Intensive Care Unit for 7 years. She received her BSN from the University of Hawaii, Manoa and her MSN, Family Nurse Practitioner from California State University, Channel Islands.  Her experience as an RN in the high intensity environment of critical care gave her the ability to assess and prioritize patient needs, as well as to care for the whole patient and their families.  Caring for critically ill patients gave her the understanding of the importance of overall health maintenance and preventative care. She strives to deeply educate patients and families about their health, diagnoses, and medications in order to optimize their health.  She values patients’ ideas and knowledge of their own health, and works to empower them to live as healthfully as possible. 

When not working, she strives to be outside as often as possible: hiking, biking, and chasing after her two young sons among all the nature we have available in our county.  

Tessa Shuler, FNP-C, is a Family Nurse Practitioner and former Registered Nurse; she worked in the Intensive Care Unit for 7 years. She received her BSN from the University of Hawaii, Manoa and her MSN, Family Nurse Practitioner from California State University, Channel Islands.  Her experience as an RN in the high intensity environment of critical care gave her the ability to assess and prioritize patient needs, as well as to care for the whole patient and their families.  Caring for critically ill patients gave her the understanding of the importance of overall health maintenance and preventative care. She strives to deeply educate patients and families about their health, diagnoses, and medications in order to optimize their health.  She values patients’ ideas and knowledge of their own health, and works to empower them to live as healthfully as possible. 

When not working, she strives to be outside as often as possible: hiking, biking, and chasing after her two young sons among all the nature we have available in our county.  

Christopher James Brana was born and raised in the Inland Empire of Southern California. During high school and college years he worked in his family’s Biomedical Engineering Company specializing in servicing renal replacement technology/equipment.

Tessa Shuler, FNP-C, is a Family Nurse Practitioner and former Registered Nurse; she worked in the Intensive Care Unit for 7 years. She received her BSN from the University of Hawaii, Manoa and her MSN, Family Nurse Practitioner from California State University, Channel Islands.  Her experience as an RN in the high intensity environment of critical care gave her the ability to assess and prioritize patient needs, as well as to care for the whole patient and their families.  Caring for critically ill patients gave her the understanding of the importance of overall health maintenance and preventative care. She strives to deeply educate patients and families about their health, diagnoses, and medications in order to optimize their health.  She values patients’ ideas and knowledge of their own health, and works to empower them to live as healthfully as possible. 

When not working, she strives to be outside as often as possible: hiking, biking, and chasing after her two young sons among all the nature we have available in our county.  

Christopher James Brana was born and raised in the Inland Empire of Southern California. During high school and college years he worked in his family’s Biomedical Engineering Company specializing in servicing renal replacement technology/equipment.

Tessa Shuler, FNP-C, is a Family Nurse Practitioner and former Registered Nurse; she worked in the Intensive Care Unit for 7 years. She received her BSN from the University of Hawaii, Manoa and her MSN, Family Nurse Practitioner from California State University, Channel Islands.  Her experience as an RN in the high intensity environment of critical care gave her the ability to assess and prioritize patient needs, as well as to care for the whole patient and their families.  Caring for critically ill patients gave her the understanding of the importance of overall health maintenance and preventative care. She strives to deeply educate patients and families about their health, diagnoses, and medications in order to optimize their health.  She values patients’ ideas and knowledge of their own health, and works to empower them to live as healthfully as possible. 

When not working, she strives to be outside as often as possible: hiking, biking, and chasing after her two young sons among all the nature we have available in our county.  

Christopher James Brana was born and raised in the Inland Empire of Southern California. During high school and college years he worked in his family’s Biomedical Engineering Company specializing in servicing renal replacement technology/equipment.