The ExperienceA treatment day, start to finish

A concierge crosses the border with you,guides you the whole way,and has you back the same day.

You are picked up at home, at your hotel, or at the airport, treated in a private suite inside Hospital Angeles, Tijuana, and never once left on your own.

One team, the whole daySame-day return 32°32′N · 117°02′W
A single treatment day

The whole day, from the pickup to the drive back.

09:00 · Pickup 09:00 09:20 09:30 09:45 10:00 11 A.M. DISCHARGE RETURN SAN DIEGO
Driver collects you in the Escalade
  1. 09:00 · Pickup

    Driver collects you in the Escalade

    Your home, a San Diego hotel lobby, or the SAN airport curb, whichever your plan calls for.

  2. 09:20 · Border

    Southbound crossing, in the Escalade

    About 20 minutes from downtown San Diego or the airport. There is typically no stop on the way down.

  3. 09:30 · Hospital

    Arrival, Hospital Angeles Tijuana

    5 to 10 minutes from the border. You enter the main lobby on Paseo de los Héroes and go straight up: intake is already done.

  4. 09:45 · Suite

    Vitals, IV placement, baseline labs

    Nurse + physician both present. Imaging, if your case needs it, is done on site and read in-house the same day.

  5. 10:00 · Treatment

    Treatment begins

    An IV infusion runs about 45 minutes. A joint or spinal injection is done in the procedure room under imaging, and adds 60 to 90 minutes. Either way your dose was cleared before you arrived, and a physician is on the floor throughout.

  6. 11 a.m.

    Monitored rest period

    A physician monitors you. Coffee and food from the café. Your coordinator goes through aftercare, and the driver pulls up when you are cleared.

  7. Discharge

    Physician-authorized discharge

    You leave with the coordinator's mobile number. Once the attending physician has cleared you for travel, the driver pulls up.

  8. Return

    Northbound via the medical lane

    You stay in the Escalade. The medical lane keeps the crossing quick.

  9. San Diego

    Back where the day started

    Your coordinator checks in at 24 to 48 hours and again at 1 week, by text, email, or call. Scheduled follow-ups run through month 12.

The crossing

The border, from inside the car.

You never get out of the car at the border. Not into the pedestrian line you have seen in photographs. Your driver crosses with you both ways. It is 15 miles to the hospital doors, most of it still San Diego.

SOUTHBOUND NON-STOP NORTHBOUND MEDICAL LANE SAN YSIDRO YOU STAY IN THE ESCALADE
Southbound, then the medical lane home
SAN DIEGO SAN YSIDRO HOSPITAL ANGELES 20 MINUTES 5 TO 10 MINUTES 15 MILES, DOOR TO DOOR 32°32′N · 117°02′W
Where you are treated

A full hospital, not a wellness center.

Your suite is on Level 2 of Hospital Angeles Tijuana, part of the Angeles Health network. The emergency department is on Level 1 and the intensive care unit on Level 5, staffed around the clock. Most cell therapy in Mexico is delivered from standalone clinics. This is a hospital.

5LEVEL 5 · INTENSIVE CARE 4LEVEL 4 3LEVEL 3 2LEVEL 2 · YOUR SUITE 1LEVEL 1 · EMERGENCY ELEVATOR ONE FLOOR DOWN · THREE FLOORS UP
Hospital Angeles · Zona Urbana Río
If it were ever needed
Typical MX cell-therapy clinic
Celva · Hospital Angeles
Urgent care during treatment
911 call, city ambulance, unknown ER
Code team in your suite within minutes; ICU on Level 5
Imaging that needs a same-day read
Outside imaging center, 24 – 72h turnaround
Radiologist reads in-house, same-day report
A question once you're back at the hotel
Message the doctor's WhatsApp, hope for a reply
Direct line to the on-call physician on our floor
Sedation for a procedure
Rarely available on site
Board-certified anesthesiology in-house, 24/7
The rooms you'll be in

One room for the whole day,and a second if your treatment calls for it.

The suite is yours from arrival to discharge. Some treatments also use the procedure room, where the work is done under live imaging.

IV start, suite 4-08
Room 01 · Private suite · Level 2

Where you spend most of the day.

A recliner, not a hospital bed. Whoever came with you takes the chair beside it. The infusion runs here, and the rest after, until a physician authorizes discharge. Oxygen and suction sit behind you, for a day that will not need them. One of eight suites.

ECG · SpO₂ · NIBP · TEMP · CONTINUOUS NURSE RATIO 1 : 2
Ultrasound-guided injection, proc. 4-02
Room 02 · Image-guided procedure room

The room you are moved to, if your treatment is an injection.

Walked down for that part of the day, and walked back. The needle goes in under live imaging, a GE LOGIQ ultrasound or the C-arm's fluoroscopy, not guessed from the surface. The orthopedic physician stays from first stick to last.

LIVE IMAGING TRACKED APPROACH US + FLUOROSCOPY · DUAL-MODALITY CLEANROOM · HEPA POSITIVE-PRESSURE
Who you'll meet, and when

Everyone you will meet, and what each one does.

Each of them by name, each with one job. Two of them are still on your phone after you go home.

09:0010:0011 A.M.AFTERNOON PATIENT COORDINATOR DEDICATED DRIVER ON-SITE COORDINATOR DR. CESAR AMESCUA, MD DR. ALEJANDRO CASTILLO, MD DR. ROCÍO AMBROSIO NUÑO, MD LEAD INFUSION NURSE TREATMENT FLOOR NURSE STEM CELL LAB TECHNICIAN TREATMENT MORNING BACK IN SAN DIEGO
01 · Concierge, patient processing & after care

Patient coordinator

They line up your appointments, hotel, driver, and pre-visit labs before you arrive, then keep your follow-ups on the calendar. Most of their work is done before you land.

Meets you · 09:00 & on phone thereafter
02 · Transport

Dedicated driver

Same driver both legs of the day. Car seats four, bottled water, phone charger. Knows the lanes, knows the letter.

Meets you · 09:00 lobby
03 · On-site support, patient coordinator

On-site coordinator

She meets you at the entrance and stays all day. What goes wrong in a foreign hospital is usually not knowing where to go, who to ask, or what a form says. She handles all of it.

Meets you · on arrival
04 · Medical Director

Dr. Cesar Amescua, MD

Heads the physician team. Reviews your case, designs your protocol, leads the procedures. He or someone he trained is in the building for yours.

Meets you · 09:45 · suite
05 · Imaging

Dr. Alejandro Castillo, MD

Interventional radiologist. He goes through your MRI with you, then guides the ultrasound or fluoroscopy. He also reads the literature, so the team does not drift into overclaiming.

Reviews your imaging · with you
06 · Sedation

Dr. Rocío Ambrosio Nuño, MD

Anesthesiology and safety. For targeted injections she runs your twilight sedation; during IV infusions she watches your vitals throughout. She trained directly under Dr. Amescua.

Meets you · in the suite
07 · Nursing

Lead infusion nurse

Takes your vitals, places the IV, stays on the floor for the full infusion and the observation window that follows it.

With you · through the infusion
08 · Nursing

Treatment floor nurse

Posted at the treatment-floor desk through your visit. When any part of your care needs an extra set of hands, she is already there.

On the floor · all day
00 · Cell processing

Stem cell lab technician

They prepare your dose on the morning of treatment and run the checks that clear it. Then they carry it into your suite themselves.

Lab to your suite · treatment morning
Everything else, in one ledger

The things you'd Google at 11pm the night before.

All of it at once, so you don't have to. If your question isn't here, ask your coordinator, they keep a living list and will add it.

7 DAYS PRIORNSAIDS HELD 48 H PRIORCOORDINATOR CONFIRMS TREATMENT DAY09:00 TO AFTERNOON 24 TO 48 HOURSCHECK-IN 1 WEEKCHECK-IN MONTH 12SCHEDULED FOLLOW-UPS
Travel & stay
Do I need to stay overnight in Mexico?No. Most patients stay in San Diego and return the same day as treatment.
Where should I stay in San Diego?Most patients pick The Pendry, Hotel del Coronado, The Lodge at Torrey Pines, or the Omni in Gaslamp. Your coordinator can book it.
Can I fly out the same evening?Yes, in most cases. Evening departures from SAN are most common, once the attending physician has authorized discharge. We don't recommend driving back to LA same-day.
Pet / service animal policyService animals welcomed in the suite. Pets cannot cross with you.
Do I need to speak any Spanish?No, the medical team is bilingual, English-speaking. Your coordinator will be there to support you as well.
Medical & clinical
What do I eat / drink that morning?Normal hydration. Light breakfast unless a sedated procedure, the coordinator confirms 48 h prior.
Which medications do I hold?Typically NSAIDs for 7 days prior, blood thinners per your cardiologist. Individualized list sent with your itinerary.
What labs are required beforehand?CBC · CMP · HIV / HCV / HBV. We can draw on-site at the clinic.
Will I be sedated?IV days: no. Joint & spinal days: local ± light conscious sedation, patient preference.
Privacy & records
Will my medical insurance be notified?No, we protect your privacy. Your records are only released directly to you, upon request.
Is my data shared with anyone else?No third parties, ever. Aggregate outcomes data is de-identified and only with opt-in.
Real questions

What patients actually ask, first.

Composed from the first three questions every patient asks on an intake call. If your real question is "should I even be doing this," start on Proof or the evaluation page.

Q · 01 Is Tijuana actually safe?

Zona Urbana Río, where Hospital Angeles sits, feels like San Diego's Mission Valley. Your day is a lobby, a lane, a hospital floor, and a lane home. You are never on the street on your own.

We have run this route every week since 2009. If we thought it was unsafe we would say so. When advisories shift, we cancel the day and rebook you.

Q · 02 What if something goes wrong mid-infusion?

A crash cart on the floor, the ICU three floors up, the ER one down, an anesthesiologist in the building 24/7. Reactions to allogeneic MSC infusions are rare (we publish our rate on the Proof page), and most resolve with a pause and an antihistamine. Anything more is handled by the hospital you are standing in.

Q · 03 How is this different from a U.S. stem-cell clinic?

Dose and regulation. Most MSC products legal to market in the U.S. hold a few hundred thousand cells, largely unproven at that concentration. Infusions here are weight-adjusted, consistent with the major published trials. Celva coordinates care performed by the physician team at Hospital Angeles, a licensed practice regulated by COFEPRIS. The U.S. has no approved pathway for most of these protocols, so "easier" there is not the same as "legal."

Q · 04 Will my primary care doctor freak out?

Some do, some don't. The physician team publishes its protocols, lot release data, and adverse event rate, and will speak with your doctor on request. A minority stay unconvinced. That is their right.

Q · 05 Can I bring my spouse / kid / translator?

One or two companions in the suite for the full day; additional family wait in the guest lounge on Level 2. Nobody has to come, with one exception: sedation requires someone to take you out. Translators are unnecessary. Every clinical staff member on the floor is bilingual.

Q · 06 What if I need to reschedule the week of?

A medical-necessity change carries no penalty. Your coordinator rebooks the hospital day and the lab slot. Tell us early if you can: the dose is ordered and the lab scheduled in the final days before treatment.

Journey guide

The crossing,
in your pocket.

  • 01Before you flyp. 2
  • 02The morning ofp. 3
  • 03Border & hospitalp. 4
  • 04Going homep. 5
  • 05Contacts & codesp. 7
Celva · Patient edition Pg. 01 / 07
Take it with you

A 7-page guide you can hand to whoever's planning it for you.

Everything on this page, cut down to what you actually use on the day. The coordinator's direct line, the Hospital Angeles address in both languages, and what to pack.

Ready to planthe actual day?

A patient coordinator collects your details and passes them to Celva's medical team for independent review. No day is scheduled until that review is done and you have decided to go ahead.

Book a call →
These therapies are not FDA-approved. Treatments are performed in Mexico by licensed physicians in a hospital setting. Individual results may vary. Not medical advice.