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District 1 Commissioners

David Hurst

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David Hurst is a Livermore resident joining the Public Health Commission with nearly 30 years of healthcare leadership experience including overseeing strategy development and community engagement for a large Medi-Cal health plan serving over 350,000 program participants in California's Central Valley. His work has engaged him in community and public health initiatives and substantial work with public agencies, nonprofit and grassroot organizations. He has a passion for developing community partnerships that promote health access and equity, increase stakeholder engagement, and improve social determinants of health. A resident of the Tri-Valley since 2015, he serves on the board for a regional food bank, United Way, and Livermore Pride. In his free time, David enjoys spending time with his dogs, reading, walking/hiking and is completing certification for health and wellness coaching.


Rajiv Narayan

Rajiv Narayan represents District 1 of Alameda County, which includes parts of Fremont, Dublin, Livermore, and Pleasanton, as well as unincorporated portions of the Amador Valley and Sunol. Rajiv, who has resided in Alameda County for more than 20 years, attended public schools in the area before completing his undergraduate studies at UC Davis, where he was a Regents Scholar, his masters at the University of Oxford, where he was a Rotary Ambassadorial Scholar, and his law degree at Harvard Law School, where he was a member of the Harvard Law Review. Prior to law school, Rajiv was a Special Assistant to the Commissioner of Health for the New York City Health Department. Rajiv is currently a Deputy County Counsel for Santa Clara County, and before that was a law clerk for the Honorable Leondra R. Kruger of the California Supreme Court, and a fellow in the Community Lawyering and Civil Rights Unit of the Oakland City Attorney's Office. Rajiv is also a member of the Board of Directors for the Roosevelt Institute. 

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Harsha Ramchandani

Chief medical officer Bay Area Community Health.

Dr. Harsha Ramchandani joined Bay Area Community Health, then called Tri-City Health Center, in April 2015. Dr. Ramchandani is certified by the American Board of Internal Medicine, with more than a decade of experience working in community and outpatient healthcare. At Bay Area Community Health (BACH), Dr. Ramchandani manages clinical teams in both Santa Clara and Alameda counties. As the Chief Medical Officer, Dr. Ramchandani works with neighboring hospitals and medical teams to improve care continuity, helping BACH become a leading patient-centered medical home in the Bay Area. Believing in health care equity, Dr. Ramchandani has improved healthcare access by utilizing mobile clinics for the area’s most vulnerable patients.



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