About Us

James F. Van Natta, M.D.

James F. Van Natta, M.D. is a U.C. Berkeley, St. George’s University School of Medicine, and University of Southern California trained board certified anesthesiologist. He served as Chairman of the Anesthesiology department at the Hilo Medical Center and also held a part-time faculty position at the University of Southern California.

Dr. Van Natta is a U.S. Army veteran having served three years during peacetime as a Russian Linguist Interrogator. He has had a life long interest in nature conservation and completed a Master of Science degree in Ecology as well as an Internship at the Marine Mammal Center in Sausalito, CA.


Malia Van Natta, RN, BSN

Originally from Hilo, Malia has over 20 years of nursing experience, starting as a nurse’s aide and working while pursuing her Bachelors of Science Degree. She held several positions at Hilo Medical Center including nurse manager of the Operating Room. Malia is the now the RN Practice Manager of Maui Pain Clinic and Kaloko Pain Center and makes every attempt to be available to answer questions and concerns. Currently a member of the American Academy of Pain Management.


Renee Fabrizi-Piel

Renee Fabrizi-Piel, PA-C.

Renee will be joining our staff in September and offers several treatment options for pain management:

  • Botox for Migraine
  • Shoulder injections ( subacromial bursa )
  • Knee injections with both steroid or Supartz/Synvisc.
  • Trigger point injections for Fibromyalgia or myospasm
  • ITP refills and management.

Sue Worrell

Licensed Massage Therapist


Our staff at Kaloko

Kaloko Staff

Our fantastic staff at Kaloko Pain Center.


Our staff in Maui

Maui Staff

Our wonderful staff at Maui Pain Center