Configured to the practice
Every practice gets a program designed around panel mix, specialty protocols, and what you want owned in-house. Software, devices, and care are modular.
About
Physician-founded medical technology for continuous care.
TOCA Health was founded by nephrologist Dr. Dayan Gandhi. Chronic conditions change between visits, and a fifteen-minute encounter is too short to reconstruct what happened at home. The company exists to make those minutes count — with clinically integrated software, cellular devices, and a care team designed around the practice. Programs serve nephrology, cardiology, primary care, pulmonology, and value-based care organizations.
“Those few minutes together become more meaningful when you’re not guessing what happened in between.”
The founding view
Built from the exam room out.
Dr. Gandhi’s clinical career has focused on patients with chronic kidney disease — people whose numbers move at home, who face real barriers to frequent in-person visits, and who are nonetheless trying to stay engaged. That gap between the exam room and daily life is where TOCA was built.
The model is simple on purpose: connected devices for measurement in familiar environments, software that organizes the signal, and care managers who interpret, educate, and escalate. Data alone does not create clarity. Interpretation, communication, and clinical context do.
TOCA remains a physician-led company. We specialize in nephrology, cardiology, primary care, and pulmonology because that is where continuous connection changes the conversation — hypertension, diabetes, CKD, heart failure, and the conditions that travel with them.
The team
The people who run the program.
Serena Gandhi
CHRO & General Counsel
Holly Lemp, RN
Manager of Clinical Operations
Devon Gaur, MS
Manager of Business Operations
Rahul Kohli
Technical Lead
Lesli Gutierrez
Onboarding Specialist
Tiffany Pappan, RN
Nurse
Maria Ciana, RN
Nurse
Lina Ayala
Administrative Assistant
- Serena Gandhi — CHRO & General Counsel
- Holly Lemp, RN — Manager of Clinical Operations
- Devon Gaur, MS — Manager of Business Operations
- Rahul Kohli — Technical Lead
- Lesli Gutierrez — Onboarding Specialist
- Tiffany Pappan, RN — Nurse
- Maria Ciana, RN — Nurse
- Lina Ayala — Administrative Assistant
By the numbers
Results from the programs we operate.
- Patients managed
0+
Patients managed
- Customer retention
0%
Customer retention
- Patient engagement
0%
Patient engagement
- Avg. annual revenue / patient
$0
Avg. annual revenue / patient
How we work
Professional, accountable, built for clinical trust.
Guideline-grounded
Care pathways follow ACC/AHA, ADA, KDIGO, GOLD, and NKF guidelines. Safety you can point to — not a model you cannot inspect.
Aligned economically
No long-term contracts. No minimums. Net-30, so you collect first. Unreimbursed charges are credited. Quarterly profitability reviews with a named account specialist.
Careers
We are hiring.
Open roles: Care Manager (on-site, Woodland Hills) and Sales (hybrid, travel). Spanish-speaking care managers are prioritized for immediate hire.