FMT in California
Medically reviewed by Jonathan Birch, ND, Licensed Naturopathic Doctor (CA)Last updated April 27, 2026
Considering fecal microbiota transplantation (FMT)? Everyone is welcome to contact us, regardless of diagnosis. Share your health history, symptoms, and goals with Dr. Jonathan Birch through an in-person or virtual case review.
Consultation and treatment without traveling. Eligible patients can complete both FMT consultation and treatment remotely, without traveling to our Santa Barbara clinic. Speak with Dr. Birch to confirm your eligibility and whether remote care is appropriate and permitted for your individual circumstances.
You will need to speak with Dr. Birch about FMT eligibility. He will review your individual circumstances and discuss the evidence, risks, alternatives, and applicable requirements. Contact us to discuss your questions and appropriate next steps; a case review does not guarantee treatment.
Why California Patients Choose Our Specialty FMT Program
Whatever brings you here, our case-review process gives you space to discuss your history, ask questions, and understand your options. Dr. Birch will discuss eligibility and help you understand the evidence, risks, and alternatives relevant to your situation.
Individual Case Review
Tell us about your situation and questions. A clinician reviews your history and discusses appropriate next steps without promising a particular treatment.
Multiple Delivery Methods
Learn about delivery methods such as capsules, enema, and colonoscopy. Dr. Birch will discuss suitability, risks, and alternatives as part of your individual review.
Virtual Case Reviews
Start with a telehealth consultation if travel is difficult. Discuss your questions, eligibility, and any next steps with Dr. Birch before making travel plans.
FMT Availability Across California
Click your area below for a city-specific page detailing how Purety Clinic serves your region — including drive times, local FMT options, and the in-person vs virtual pathway that fits your situation.
Central Coast
Our home base. Central Coast patients can contact our Santa Barbara clinic for an in-person case review. Travel time depends on your location and traffic.
Los Angeles Metro
LA-area patients are welcome to request an in-person or virtual case review with Dr. Birch to discuss their history, eligibility, and any travel needs.
San Francisco Bay Area
Bay Area patients can start with a virtual case review. Bring your questions to Dr. Birch and discuss your individual eligibility and appropriate next steps.
Sacramento Valley & Beyond
Sacramento and Northern California patients can ask about a virtual consultation before making travel plans.
San Diego & Orange County
San Diego and Orange County patients can request a virtual case review to discuss their history, questions, and next steps.
California FMT — Frequently Asked Questions
Where can I get FMT in California?
Eligible patients can complete both FMT consultation and treatment remotely, without traveling to our Santa Barbara clinic. Speak with Dr. Birch to confirm your eligibility and whether remote care is appropriate and permitted for your individual circumstances. See our fecal transplant program overview for information on delivery methods and cost.
Is FMT legal in California?
FDA enforcement discretion applies under specific conditions to FMT for C. difficile infection not responding to standard therapies, including informed consent. It is not blanket approval of FMT or of this clinic's protocols. Rebyota and Vowst have specific FDA-approved indications for preventing recurrent C. difficile after antibiotic treatment in adults; they are not the same as conventional FMT. Other indications are investigational and generally require an investigational new drug application. A clinician's license does not establish approval for those uses.
Does insurance cover FMT in California?
Coverage is inconsistent. Some California insurers cover colonoscopy-based FMT for recurrent C. difficile under the colonoscopy benefit. Most do not cover specialty outpatient FMT. We operate on a fee-for-service basis with full transparency on costs during the initial consultation.
How does virtual FMT consultation work for California patients?
Eligible patients can complete both FMT consultation and treatment remotely, without traveling to our Santa Barbara clinic. Speak with Dr. Birch to confirm your eligibility and whether remote care is appropriate and permitted for your individual circumstances.
Where in California is in-person FMT available?
Purety Clinic is located in Santa Barbara and welcomes in-person case reviews with Dr. Birch. Contact us to discuss your history, questions, and eligibility. Your gastroenterologist can also help you explore local hospital or outpatient referral options.
How long does it take to start FMT treatment?
Contact the clinic for current case-review availability. Start by discussing eligibility with Dr. Birch. If treatment is appropriate, the team will explain any required testing, preparation, and scheduling based on your individual care plan.
Have Questions About Your Care?
Tell us what you're dealing with and what you'd like to understand. Dr. Birch personally reviews every California inquiry so we can discuss your questions and next steps.
Considering FMT? Start with a conversation.
Your first step
Request a complimentary five-minute discovery call with Dr. Birch. Share your main questions and ask about the case-review process. Staff will confirm a time with you; submitting an inquiry does not book an appointment or establish treatment eligibility.
Eligibility and medical review
You are welcome to inquire whatever your diagnosis. Dr. Birch will need to review your history, prior treatment, and the evidence, risks, alternatives, and applicable requirements. A discovery call is an introduction, not a full medical assessment or a promise of treatment.
Understand the costs before deciding
The discovery call is complimentary; a formal consultation and any treatment are separate. Purety Clinic is fee-for-service for FMT. Ask staff about consultation fees and when an individualized treatment quote can be provided before making a commitment.
Consultation and treatment without traveling
Eligible patients can complete both FMT consultation and treatment remotely, without traveling to our Santa Barbara clinic. Speak with Dr. Birch to confirm your eligibility and whether remote care is appropriate and permitted for your individual circumstances.
Request a discovery call · Read about FMT costs and evidence · Meet Dr. Birch
FMT Research and Planning Resources
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Visit Our Santa Barbara Clinic
Purety Family Medical Clinic
2323 Oak Park Ln, Suite 102
Santa Barbara, CA 93105
Request a Complimentary 5-Minute Discovery Call
Eligible patients can complete both FMT consultation and treatment remotely, without traveling to our Santa Barbara clinic. Speak with Dr. Birch to confirm your eligibility and whether remote care is appropriate and permitted for your individual circumstances. Start with your initial questions. Staff will confirm call availability; there is no commitment to treatment. A formal consultation and any treatment are separate.
(805) 500-8300About the Author
Licensed Naturopathic Doctor (CA). Over 1,200 FMT protocols over the past 12 years. Protocol totals are not a count of unique patients or a measure of treatment success.
Read full bio →References & Further Reading
- van Nood E, et al. Duodenal Infusion of Donor Feces for Recurrent Clostridium difficile. NEJM, 2013.
- Quraishi MN, et al. Systematic review with meta-analysis: efficacy of FMT for recurrent and refractory C. difficile. Aliment Pharmacol Ther, 2017.
- Costello SP, et al. FMT on 8-Week Remission in Patients With Ulcerative Colitis: A Randomized Clinical Trial. JAMA, 2019.
- Kao D, et al. Oral Capsule– vs Colonoscopy-Delivered FMT on Recurrent C. difficile: A Randomized Clinical Trial. JAMA, 2017.
FMT using donor material is investigational. Risks, alternatives, and FDA-approved options are reviewed before treatment. Risks are reviewed in detail during consultation. This page provides education, not individualized medical advice. Everyone is welcome to ask questions, but treatment eligibility requires individual review and compliance with applicable requirements. Donor screening reduces but does not eliminate infection risk. Serious complications can occur, and results are not guaranteed.
Two Licensed Naturopathic Medical Doctors. One Practice.
The naturopathic medical doctors caring for our patients at Purety Family Medical Clinic.
Jonathan Birch, ND
Founder · Naturopathic Medical Doctor
Licensed Naturopathic Doctor (CA) and Registered in Musculoskeletal Sonography. Practicing root-cause integrative medicine since 2014. Areas of focus include FMT and microbiome restoration, hormone and thyroid optimization, autoimmune and Long COVID protocols, ozone and IV nutrient therapy, and PRP and regenerative injections.
Read Dr. Birch's full bioDr. Dena Birch, NMD
Naturopathic Medical Doctor · Women's Health & Pediatrics
Licensed Naturopathic Medical Doctor leading our women's health and holistic pediatric care. Areas of focus include perimenopause and bioidentical hormone therapy, PCOS and thyroid, fertility support, pediatric eczema, immune issues and recurrent infections, and gentle well-child care for families.
Read Dr. Dena's full bio