CEDE & PENS Team Members


Dr. Gnanagurudasan Prakasam or Dr “P”

Dr Gnanagurudasan Prakasam along with his wife who is a pediatrician in Roseville, CA Dr. Eswari Prakasam

In his own words, "It is a privilege for me to take care of the children who come to see us in our center. Every child who comes to our center should be by choice and not because there is no other choice!"

Gnanagurudasan Prakasam MD MRCP MHA, or Dr. "P"  is the founder and President of our center. He is board certified in Pediatrics from India and United Kingdom and also a board certified  Pediatric Endocrinologist in the US. In addition he has a Masters in Health Administration from University of Southern California. Along with practicing medicine, he is very involved in research in finding a cure for diabetes, type 2 diabetes in children, diabetes technologies and also in growth related hormones. Most recently, his interest is HAPPINESS and disease management

He has been invited to speak all over the world. He is also the Director of Pediatric Endocrinology and Diabetes at the Children's Center at Sutter Medical Center, Past President of Northern California Chapter of American Diabetes Association and a current board member of  Juvenile Diabetes Research Foundation.  He was also a past board member of American Heart Association.

He has been actively involved in many social projects locally, regionally and globally. His areas of interest involves happiness and disease management telemedicine, e-health, global health care delivery, pediatric diabetes, growth disorders, growth hormone deficiency, puberty, hormonal imbalances especially related to adrenal gland and pituitary gland, thyroid disease and mineral disorders.

He has been an invited speaker both nationally and internationally with active participation in cutting edge research in endocrinology and diabetes He also runs one of the biggest physician run support groups for diabetes and has a passion in enabling children and families to connect and be a part of this family to help each other.

Self-Financial Disclosure*: Dr. Prakasam is a paid consultant/advisor/speaker/researcher to multiple national and international pharmaceutical and device manufacturing companies.
*Dr Prakasam is a legally paid consultant, speaker and researcher for many for profit companies in the field of endocrinology and diabetes Dr.Prakasam continues to have the same relationship with many of the companies for several years. Many of the drugs and devices that my patients are prescribed are made by those companies. However, Dr. Prakasam always believes in providing the best professional advice and care for his patients and the business relationship does not influence his prescribing decisions. Dr. Prakasam believes in patient’s choices, formulary choices and cost for the payors and the patients when making medical decisions or suggestions. Many of the medicines and devices used in endocrinology do not have generic alternatives. If you ever have any questions on Dr. Prakasam's business interests, do not hesitate to ask him as he feels it is a privilege families give him to take care of their loved ones. Since he has a vast international and national experience along with his medical degrees from three continents and a Masters in Health Administration, it is natural that he is a sort-after consultant and speaker in the field of medicine. However, he has practiced medicine in the most ethical and honest way for over three decades just as his father advised him when he entered medical school in 1981.

Dr. Ulhas Nadgir 


Dr.Ulhas Nadgir is a board certified Pediatric Endocrinologist with over 2 decades of experience.

In his own words' it is a pleasure and a privilege to partner with the families and take care of the children who come to see us! 

Having finished his medical training in Karnataka, India in 1988, he trained in Bangalore Medical College, earning his board certification in Pediatrics from India.

He relocated to the USA in the early 1990 and earned his American Board Certification in Pediatrics from New York. Subsequently he trained under Professor. Margaret H. MacGillivray, one of the most distinguished endocrinologists in the world at University of Buffalo, NY from 1995 to 1998. He joined Dr. Prakasam in Sacramento in 2004 after becoming board certified in Pediatric Endocrinology and is  part of the team which built one of the biggest Pediatric Endocrine and Diabetes Services in the country.

Dr. Nadgir has immense experience in pediatric diabetes, childhood obesity, pubertal disorders, growth disorders, thyroid diseases and rare adrenal conditions. He along with Dr. Prakasam has been involved in multiple nationwide research projects including the prestigious TRIALNET.

Dr. Nadgir’s other interests include public policy in diabetes, photography and the outdoors.

His academic interests include use of new technologies in diabetes and current management of childhood growth disorders. He continues to teach residents and medical students about caring for children with endocrine disorders and current trends in pediatric endocrinology.

Dr.Nadgir stays active by walking or biking . His other passion is traveling with his camera in the hope of getting that 'once in a lifetime' photograph!

Dr. Niyati Skaria 
Dr. Skaria is board certified in Pediatrics and Pediatric Endocrinology.  She joined the practice in 2014.

Dr. Skaria received her medical degree from St. George’s University in Grenada, West Indies. She completed her pediatric residency at NYU Winthrop Hospital in Long Island, NY.  She continued her training in Long Island to complete a pediatric endocrinology fellowship at the State University of New York, Stony Brook. 
Dr. Skaria was raised in New Jersey and New York but moved to the west coast with her husband to be close to family and help children with diabetes and other endocrine conditions in the Sacramento Valley.

Dr. Skaria has research experience in diabetes care and has presented at several national conferences including the Endocrine Society and Pediatric Academic Society.  She is a member of several professional organizations including the Pediatric Endocrine Society, Endocrine Society, and the American Academy of Pediatrics. 

In addition to providing the best possible comprehensive clinical care for diabetes, her academic interests are also in treating disorders of puberty, growth, thyroid, and adrenal problems.

In her spare time, she enjoys biking and the theater.  She loves traveling with her family, and her goal is to visit a different country every year!

Carly J Hustrei, PA
Carly J Hustrei is a physician assistant who graduated from UC Davis in 2016. She has been practicing medicine in endocrinology since then.  She has focused on diabetes management and has extensive experience related to insulin pump therapy and continuous glucose monitors. If she is not in clinic, you can find her hiking with her husband and daughter, spending time with youth at church, or learning to cook.  Carly looks forward to assisting your child move toward better health and happiness.

Meredith Brady, NP

Meredith Brady is a Nurse Practitioner who graduated from University of Vermont in 2022 before moving to California. Meredith enjoys collaborating with patients and families to achieve healthier and happier lives. She focuses on thyroid, growth, puberty and adrenal disorders. Outside of work she enjoys playing sports, history and comedy.



"We as a team strive to give you the best of experiences when you come to see our doctors. If you have any problems do not hesitate to contact me. Together we will work to make your visits to our office a pleasant experience for ALL of us"





New Patients and New Referral Department: (916)570-2768
Authorization Coordinator's + Billing Clerk's line: (916)570-2762
Medical Assistant Main Line: (916)570-2761
Research Department: (916)570-2756
Growth Hormone Department: (916)570-2766
Medical Records Line: (916)570-2757
Appointment Confirmation/Cancellation Line: (916)570-2767 

PENS Team - Pediatric Endocrine and diabetes team - Click to learn about our special team!