Leadership Team

The people leading the way forward

Leading the way forward in patient care starts with a strong foundation. Our healthcare industry experience and insights have helped Brown & Toland create solutions that allow our doctors to do what they do best — care for patients.

Meet the team that is leading us forward.

Neal Birnbaum, M.D.,
Chairman of the Board

Chairman Neal Birnbaum, M.D., is chief of rheumatology at California Pacific Medical Center (CPMC), where he was twice-elected chief of staff. Dr. Birnbaum is a clinical professor of medicine at the University of California, San Francisco and a past president of the American College of Rheumatology. A graduate of the Ohio State University College of Medicine, Dr. Birnbaum completed his residency in internal medicine and fellowship in rheumatology at the University of Pittsburgh School of Medicine.

Joel Klompus, M.D.,

Dr. Klompus took the helm as president of Brown & Toland after serving on the company’s board of directors for 17 years. Previously, he was vice chairman of the Department of Medicine at California Pacific Medical Center (CPMC) and head of the CPMC outpatient teaching clinic. Dr. Klompus has been in private practice with Pacific Internal Medicine Associates Medical Group for 30 years. Dr. Klompus earned his undergraduate degree from Brown University, his medical degree from the University of Pennsylvania and completed his residency at CPMC, where he was the chief resident in internal medicine his last year. Dr. Klompus also serves on the executive committee of Pan Med Physicians in San Francisco.

Richard Fish,
Chief Executive Officer

A healthcare expert with more than 23 years of industry experience, Fish became CEO of Brown & Toland Physicians in 2010. Before becoming CEO, he was senior vice president of New Business Development for Brown & Toland. Fish also has served in senior management roles for Heritage Development Organization, Talbert Medical Group, Pacific Cardiovascular Associates/Pacific Hospitalist Associates and FHP International. He holds a Bachelor of Science degree from the University of California at Davis and an MBA from the University of Washington.

Delia Peterson

Delia Peterson,
Chief Operations Officer

A healthcare professional with more than 20 years’ experience in the industry, Delia Peterson first joined Brown & Toland in 2001 and has held a number of positions within the organization, including Director of Physician Services and Performance Improvement, and Vice President of Network Contracting and Physician Services, before being named Chief Operations Officer in February 2017. The San Francisco native studied locally at San Francisco State University and is active in several industry initiatives designed to support the independent practice model of care.  

Michael Gam,
Chief Financial Officer

A specialist in healthcare finance, Gam joined Brown & Toland in 2010 from Talbert Medical Group in Southern California where he was chief financial officer. Earlier positions at Talbert included director of finance and vice president. He also has served as director of finance for the City of Hope Hospital in Los Angeles and controller for MedPartners in Southern California. Gam was born and raised in Denmark where he completed his education and earned certification in accounting and taxation.

Pamela S. Laesch M.D.,
Chief Medical Officer

Pamela Laesch, M.D., joined Brown & Toland Physicians in July 2014. She previously was the Northern California regional medical director for Health Net, Inc., and, prior to that, was a senior medical director for Executive Health Resources, a Medicare compliance company.  Dr. Laesch also was assistant medical director for Berkeley Emergency Medical Group.  Board certified in Emergency Medicine and a fellow in the American College of Emergency Physicians, Dr. Laesch earned her undergraduate degree from the University of Illinois and her medical degree from Texas A&M University College of Medicine.  She completed her residency in Emergency Medicine at Christ Hospital and Medical Clinic in Oak Lawn, Illinois.  

Fiona Wilson, M.D.

Fiona Wilson, M.D.,
Senior Vice President and Chief of Clinical Transformation

An advocate for transforming primary care, Dr. Wilson was a member of the Brown & Toland Board of Directors from 1996 to 2007. She joined the organization as vice president of quality in July 2007. Dr. Wilson earned her medical degree from Harvard Medical School and completed her residency and chief residency in internal medicine at the University of California, San Francisco. A former leadership fellow with the California HealthCare Foundation, she practiced Internal medicine at UCSF for 19 years before joining the executive team at Brown & Toland.