Experienced office-based care
With thousands of patients cared for in dental offices, our service has been built around the demands of safe office-based anesthesia.
Pacific Vista Anesthesia provides support across pediatric dentistry, endodontics, restorative dentistry, oral surgery, All-on-X implants, and much more.
With thousands of patients cared for in dental offices, our service has been built around the demands of safe office-based anesthesia.
Use our online booking portal to quickly view available dates and request the day that works for your office.
Our office coordinates the entire perioperative process including scheduling, payment, and recovery.
The goal is simple: physician led anesthesia care where patients need it most, with as little added burden on the dental office as possible.

View real time availability and book an anesthesia day online. Recurring block days are available for offices with regular needs.
Our team contacts the patient before treatment, reviews the anesthesia plan, and coordinates payment directly. A physician meets with the patient prior to surgery to address any additional questions.
We bring all equipment and medications needed for the case. A physician anesthesiologist provides care from the start of treatment through recovery.
We confirm safe recovery after the visit and provide an invoice for insurance reimbursement to the patient upon request.
Our schedule feels calmer when Pacific Vista is in the office. The prep is clear, patients know what to expect, and our team can focus on dentistry.
The physician-led model gives families confidence. The pre-op call and day-of handoff make complex pediatric days feel organized.
They bring the equipment, the workflow, and the recovery standards. It feels like an OR mindset adapted carefully for the dental office.
Payment, scheduling, and patient questions are handled before the visit, which removes a surprising amount of friction for our front desk.
For longer restorative cases, having a physician anesthesiologist in the room changes the level of trust for everyone involved.
Post-case follow up is one of the details we appreciate most. It helps the patient feel cared for after they leave our office.
Dr. Nirmal Gosalia is a board certified physician anesthesiologist and Diplomate of the American Board of Anesthesiology. After earning his M.D., he completed his anesthesiology training at Harvard Medical School through Mass General Brigham in Boston, Massachusetts.
Outside of the dental office setting, Dr. Gosalia has cared for patients across a wide range of surgical specialties. His experience includes cardiac surgery, neurosurgery, orthopedics, pediatrics, obstetrics and more.
His work is grounded in a simple goal: to bring hospital level anesthesia care into the office setting, where patients and families need it most.
Dr. Gosalia is known for his calm and compassionate approach. He works closely with dental teams to make each anesthesia day safe, organized, and comfortable for patients, families, and staff.
Share a few details and Pacific Vista Anesthesia will follow up with your practice about scheduling, case fit, and next steps.