My Approach


I believe our bodies are self healing entities. The blockages that prevent our internal healing responses from working optimally can be multilayered like our existence itself. They can be structural, physical, nutritional, emotional etc. In my practice I try to tune into many different layers, and work with the whole person.

I look at each patient through the lens of my Medical training and through the eyes of an Acupuncturist, Chiropractor and Herbalist. I bring together elements of each of these knowledge fields to make an individually tailored health plan for you. Your prescription may include one or more of these modalities; Acupuncture, Chiropractic, Herbal Medicine, exercise prescriptions, dietary modifications and nutritional supplementation. This multilayered approach often not only helps in resolution of symptoms but also strengthens the constitution internally to prevent recurrence of the problem and enhances vitality.

Patient education is an integral part of these wellness programs; it empowers you to take care of yourself. Though I may recommend a series of treatments, there is no obligation to do a program. I am always glad to work with you at the pace that suits you best.

Dr. Tirtha Mendake provides integrative treatments to patients from throughout San Francisco from her practice, Avaya Wellness Center, located in the SoMa neighborhood. She provides a combination of acupuncture, Chinese herbs, chiropractic, and nutritional wellness consultations. She treats a variety of conditions including GERD, whiplash, headaches, insomnia, and bloating. Patients benefit from her holistic approach to achieve their health and wellbeing.

Dr. Mendake grew up in India, where she was exposed to traditional healing methods from an early age. These experiences directed her training, leading her to study in the fields of conventional medicine, acupuncture, yoga, herbs and traditional Chinese medicine. Dr. Mendake completed her medical training at the Mahatma Gandhi Memorial Medical College in Indore, India and practiced there before emigrating to the United States. She obtained a Doctor of Chiropractic from Life Chiropractic College West in the San Francisco Bay area in 2001. In 2009, she went back to school for a Master of Science in Traditional Chinese Medicine at the American College of Traditional Chinese Medicine, where she also studied herbology. Dr. Mendake holds certifications from the California Acupuncture Board and National Board of Chiropractic examiner. She is also a licensed acupuncturist and a yoga alliance certified instructor.

At her office, Avaya Wellness Center in the SoMa area of San Francisco, Dr. Mendake offers a wide range of therapies to help people heal. Her specialties include integrative management of musculoskeletal pain presentations, primary health care, digestive disorders and chronic diseases. Her unique background and training allow her to bring a broad range of therapeutic options to each case and to tailor care to the individual patient. Her therapeutic recommendations could include anything from Acupuncture to yoga to the use of herbs or nutritional supplements. She also has a strong commitment to both patient and professional education, and regularly conducts patient education lectures and professional seminars on integrated pain management.

What we offer


Major Insurance Providers Accepted

At Avaya Wellness Center, we accept most insurance plans. We accept United health care, Aetna and Blue Shield PPO plans. We are in network for Cigna and Blue Shield. If you don’t see your insurance on the list, we are happy to check your benefits for you. Please enter your insurance information in the online request for appointment to get details on your benefits.

Blue Shield of California
Coventry Worker's Compensation
Prime Health Services
United Health Care

Words from our patients

  • Yelp

    "I highly recommend her. If it weren't for her, I would still be suffering - now my shoulder is almost pain free!"

    Suji C.
  • Yelp

    "She is more then a skillful chiropractor, but a good teacher that taught me exercises for my body and a great listener."

    June L.
  • Yelp

    "Can't say enough about Dr. Tirtha as she is an acupuncturist and a chiropractor. She has helped me with a lot of neck and low back pain. Check her out!"

    Alex F.
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Email Address
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Avaya Wellness Center
650 5th Street
Suite 502
San Francisco, CA 94107