The principal of the practice
Dr. Alla Patish-Preobrazhenskaya, DMD, CLPF, CDP, NCG.
Dr. Alla Patish-Preobrazhenskaya is the founding principal of Fiduciary Continuum Management Services, a California fiduciary practice based in North County San Diego serving individuals, families, and professional advisors in San Diego County, southern Orange County and southwest Riverside County. The practice provides fiduciary services related to trust administration, conservatorship support, agency under powers of attorney, special needs trust administration, probate support, and care coordination, including matters involving out-of-state family members and beneficiaries.
Background.
Dr. Patish-Preobrazhenskaya earned her Doctor of Dental Medicine degree from Western University of Health Sciences and previously owned and operated private clinical practices in California. Her professional background combines clinical training, fiduciary education, and experience working with individuals and families during periods of medical, cognitive, financial, and personal transition.
Her fiduciary training included completion of the California Professional Fiduciary licensing requirements and the national guardianship certification program administered by the Center for Guardianship Certification. She is also a Certified Dementia Practitioner.
Her practice has a particular focus on the intersection of aging, cognitive change, healthcare transitions, fiduciary authority, and implementation. Drawing on her prior clinical career and fiduciary training, Dr. Patish-Preobrazhenskaya works with families and professional advisors when medical, residential, financial, and decision-making issues must be coordinated across multiple systems.
Her role is not to replace physicians, care managers, attorneys, placement professionals, or benefits specialists. Rather, the practice identifies the decisions that must be made, identifies the documented decision-maker and works within that authority, organizes the relevant information and professional recommendations, coordinates implementation of authorized decisions, and documents the process through stabilization and follow-through.
This work is particularly relevant during transitions involving hospitalization, skilled nursing or rehabilitation, return home, assisted living or memory care, caregiver breakdown, and cognitive decline — and when family members live at a distance or need professional support carrying out their responsibilities.
Areas of focus.
- Aging and cognitive decline
- The fiduciary and operational consequences of dementia
- Hospital and post-acute care transitions
- Home, assisted-living and memory-care transitions
- Healthcare decision-making and fiduciary authority
- Family and professional coordination
- Implementation of approved care and transition plans
- Vulnerable-adult and capacity-related matters
- Documentation, accountability and follow-through
Credentials.
- DMD — Doctor of Dental Medicine, Western University of Health Sciences.
- CLPF — California Licensed Professional Fiduciary (CLPF), License No. 1654 — verify on the DCA Public License Search.
- CDP — Certified Dementia Practitioner, National Council of Certified Dementia Practitioners (NCCDP).
- NCG — National Certified Guardian, certification number 16552, Center for Guardianship Certification.
Professional memberships.
- Professional Fiduciary Association of California (PFAC) — Full Member.
Approach.
Fiduciary Continuum Management Services approaches each matter with discretion, professionalism, careful organization, and respect for the dignity, autonomy, and individual circumstances of the people involved.
Consultations are by appointment and held in strict confidence.