Our Staff

Steven Chen, MD, Chief Medical Officer

Dr. Steven Chen

Dr. Steven Chen is Chief Medical Officer of Alameda County Recipe4Health, an award winning “food as medicine” model that intentionally brings together health care, food systems, and agriculture to improve food/nutrition insecurity, chronic conditions, and health/racial equity. While leading the scale and spread of Recipe4Health (R4H), Dr. Chen and his team successfully implemented one of California’s first Medically Supportive Food and Nutrition services as a covered Medi-Cal (Medicaid) service in California.  

His experiences as a son of immigrants and a 2nd generation Taiwanese American have informed his commitments to better serve vulnerable populations. He developed integrative medicine services to offer acupuncture and osteopathic manipulative medicine services in Federally Qualified Health Centers. As a former Medical Director at Alameda Health System trained in LEAN process improvement, he led the design of a state-of-the-art clinic replete with a teaching kitchen, group rooms to support group medical visits, and pod based care teams.  

Dr. Chen serves on the Board of Integrative Medicine for the Underserved (IM4US), is active on California’s Medically Supportive Food and Nutrition Steering Committee, has helped craft three bills for the California legislature, and has given testimony to the U.S. Congressional House Rules Committee Roundtable on Food as Medicine.  

A Phi Beta Kappa graduate of Stanford University and Stanford School of Medicine, Dr. Chen is a board-certified family medicine physician who completed his residency training at UCSF-San Francisco General Hospital. He completed additional fellowship training at the University of Arizona’s Andrew Weil Center for Integrative Medicine, leadership training through the California Health Care Foundation’s Leadership Program, acupuncture training through the UCLA-HMI Physicians’ Medical Acupuncture program, and advanced training in osteopathic manipulative medicine.  

Anna Clayton, Health Care Program Manager
Anna ClaytonAnna Clayton, MPH serves as the Health Care Program Manager for Recipe4Health Alameda County. She has over 10 years of experience working in healthcare and public health and is committed to improving health and racial equity.

Prior to joining Alameda County, Anna coordinated Health Programs in San Francisco County and the California Department of Public Health. Her areas of focus have included nutrition, oral health, maternal, child and adolescent health, infectious disease and immunization.  She has experience with community assessment, Trauma Informed Systems (TIS), Quality Improvement (QI)/LEAN principles, data analysis and public health program planning and evaluation.  Anna also has trained in organic agriculture and ecological horticulture and has a passion for gardening and nutrition and its intersections with health and well-being.

Anna received her BA in Community Studies from UC Santa Cruz and a Master’s in Public Health, Community Health Education from San Francisco State University.

Zalak Trivedi, MS, RDN, CDCES, Health Care Program Specialist

 

Zalak Trivedi is a Registered Dietitian Nutritionist (RDN), a Certified Diabetes Care & Education Specialist (CDCES), and a compassionate and versatile nutrition professional with extensive clinical, research, policy and teaching experience. Having worked at the front lines of healthcare as an RDN/CDCES for more than 10 years at a Federally Qualified Health Center (FQHC) in the outpatient setting, she has experienced firsthand how lack of access to healthy foods has led to many chronic diseases in the underserved patient population of the Alameda County. Hence, the mission of Recipe4Health is closely aligned with her core values of prevention and food equity.

In Zalak’s prior role at Hayward Wellness Center, a member of Alameda Health System, she provided evidence-based and culturally competent nutrition care to the patients across the lifespan using Medical Nutrition Therapy, Motivational Interviewing, and Diabetes Standards of Care to improve health outcomes. She was simultaneously an essential member of the team, led by Dr. Steven Chen, responsible for conception, co-creation, implementation, and continuous evolution of the Food As Medicine (FAM) Program, a blueprint that eventually led to the development of the Recipe4Health program at the Alameda County.

Zalak possesses a Bachelor’s Degree in Molecular & Cell Biology from University of California, Berkeley and a Master’s Degree in Human Nutrition from Columbia University’s Institute for Human Nutrition. She completed her Dietetic Internship at San Francisco State University, where she is now an annual Guest Lecturer on Motivation Interviewing. Additionally, Zalak has been volunteering for over a decade as a Legislative Ambassador for the California Academy of Nutrition & Dietetics lobbying local & federal lawmakers on a variety of nutrition topics. In fall 2023, she also became a Public Policy Chair on the executive board of the Bay Area District Dietetic Association.

Peter Shields, Senior Data Lead

Peter Shields serves as the Senior Data Consultant for Recipe4Health. Peter is a highly organized and skilled healthcare technology professional with over 20 years of experience in both private and public sectors, primarily in project and program management. Peter analyzes complex datasets, identifies trends, and uncovers actionable insights. He develops data-driven strategies and recommendations to improve program performance. Peter works closely with Recipe4Health partners and stakeholders to understand program needs, translates them into technical solutions, and then leads projects to ensure timely delivery of those solutions. He is proud to apply his passion for healthcare technology to Alameda County to improve health outcomes and support food equity.

Prior to joining Recipe4Health, Peter served as Senior Program Manager for Alameda County’s Social Health Information Exchange (SHIE). His work at Alameda County has been marked by leadership in managing complex projects and driving operational excellence. Thanks to a deep understanding of electronic health records and clinical information systems, Peter’s teams have executed key implementations and integrations that enhance patient care and streamline provider workflows. Peter brings strong communication and analytical skills to Recipe4Health to enable the development of effective technology and process improvements, as well as impactful analytics and reporting. Collaborating across multiple departments, Peter delivers solutions that align with strategic objectives, demonstrating an unwavering commitment to improving healthcare delivery through technology.

Peter received his B.S. degree in Psychology and certificate of Applied Ethics from Oregon State University. He completed his post graduate studies in Biomedical Informatics at Oregon Health and Sciences University. Peter is also a proud father that contributes to his community as a youth football and basketball coach, a first responder, and a certified rescue diver.

Nat Irwin, Health-Cubed Equity (H3E) Project Manager

Nat joins the team as Project Manager for our Health-Cubed Equity (H3E) work, focused on evaluating the human health, economic health, and climate/soil health impact of our equity-centered sourcing strategy. He is an experienced program and project manager in the regenerative agriculture innovation sector, and has a passion for supporting collaborative efforts through the development of impactful cross-organizational collaborations.

Prior to joining the team, Nat managed programs for a community-based entity creating open source technology for farm data. His focus was on fostering partnerships and leading collaborations to build more modular, customizable, and usable technologies for farmers implementing regenerative practices. He brings a background in qualitative studies with farmers, and spent years working on innovations to create lower-burden avenues for measuring and demonstrating the efficacy of agricultural practices improving soil health. Nat is committed to building a more equitable, farmer-benefitting, and (socially, economically, and ecologically) regenerative food system, and sees Recipe4Health and the broader Food as Medicine movement as a way to do that.

Nat received his BA in Environmental Studies with a focus on Food & Agriculture Systems from Yale University.

 

Janice Espanol, Financial Services Specialist

Janice is Recipe4Health’s Financial Services Specialist. She completed her Bachelor of Science in Accountancy in the Philippines where she also received her license as a Certified Public Accountant and has more than 20 years of experience in government and private accounting.

Prior to joining Recipe4Health, Janice was the lead of the Alameda County Health Accounting Team and was instrumental to the process improvement & documentation and training of AC Health program staff on claims process and compliance with the Alameda County Manual of Accounting Policies and Procedures.  She also played a vital role in accomplishing the AC Health Finance Department’s year-end goals for three consecutive years.

Photo by Zoe Schaeffer of a box of produce, on Unsplash

Our Story

 

In 2017, ALL IN Alameda County (ALL IN), which was spearheaded by Supervisor Wilma Chan and adopted as an initiative of the Board designed to address issues at the intersection of poverty and health, launched a series of food as medicine pilot programs intended to address these high levels of food and nutrition insecurity and chronic health conditions. Following the success of these pilot programs, ALL IN created the Recipe4Health (R4H) program in 2019 to provide medically supportive foods to low-income residents experiencing food insecurity and/or are diagnosed with, or at risk of developing, nutrition-responsive chronic health conditions such as high blood pressure, diabetes, depression, heart disease, and many others. As of July 1, 2022, Recipe4Health was transferred to Alameda County Health to ensure support and alignment of its current programs with other services. 

Our Partners

in honor of the late supervisor wilma chan

Recipe4Health reflects Supervisor Chan’s vision of a County without poverty where everyone thrives in healthy, vibrant, and resilient communities.