Executive Leadership

Nick Clay
Nick joined the Santa Clara County EMS Agency in July of 2024, as the Director. He leads the Agency's daily operations and strategic development, including budget administration, employee engagement, credential oversight, contract management, and policy formulation.

Michael Cabano
Mike has been with the EMS Agency since March of 2010 and currently serves as the Assistant EMS Director / Assistant Chief.

Ken Miller
Dr. Miller is a board-certified emergency physician with a subspecialty certification in Emergency Medical Services, has a Ph.D. in pharmacology and is a graduate of the Harvard Kennedy School of Government Senior Executives in State and Local Government fellowship.
Patricia Natividad
Patricia Natividad has worked as an Analyst with the EMS Agency since 2001.
Professional Standards Section
Ensures that all EMS System Providers, EMS Continuing Education Programs and/or Academic Training Institutions meet and maintain the standards pursuant to Federal, State, and local regulations, and investigates any deficiencies.

Daniel Franklin
Daniel manages the Investigations and Enforcement Unit. This includes investigations, enforcement actions, EMS policy management, and the EMS Agency's website.

Isaac Quevedo
Isaac manages the Credentialing Unit which includes accreditation, certification, criminal offender record information management and exclusion databases, and EMS system testing.

Gabriela Modglin
Gabriela manages the Training & Education Unit. This includes EMS System education and training oversight, public outreach and education, countywide education initiatives, and serves as the deputy public information officer (PIO) for the EMS Agency.

Evangelina Ortiz
Evangelina (Eva) is the Administrative Assistant for the Credentialing Unit assisting with the certification, credentialing and accreditation administrative process for all EMS personnel.
EMS Systems and Operations Section
Ensures the continuity of response standards and emergency preparedness within the EMS system.

John Blain
John manages the 911 Contracts and Compliance Unit which includes First Responder ALS Agreements, the Exclusive Operating Agreement Contract, and Response Time Compliance.

Jason Weed
Jason manages the System Provider Operations and Logistics Unit. His responsibilities include Provider Permitting, System Communications, Logistics Management, Private Provider Air and Ground Agreements, Designated Infection Control Officer Program Oversight, Compliance Support, and EMS Support Specialist Oversight

David Sullivan
David manages the Special Operations Unit. This unit is responsible for Disaster Preparedness / Readiness / Alerting Systems, Hospital Preparedness Program and Healthcare Coalition, State Homeland Security Grant Program Management, Special Events Management, Public Safety-First Aid Program Approval, Law Enforcement Programs Liaison, PAD Program Management, Compliance Support, and HPP LEMSA Coordinator Oversight.

Richard Alameda
Richard Alameda serves as an EMS Specialist – Extra help and has been with Santa Clara County EMS Agency since 2016.
Data and Clinical Quality Section
Oversees the clinical care and quality improvement efforts provided by Santa Clara County accredited EMS personnel and provider agencies. Administers the Santa Clara County EMS Patient Care Data system.

Chris Duncan
Chris manages the Data Systems Unit. His areas of responsibility include the ImageTrend System, Hospital Hub, Continuum, and serves as the EMS Agency Liaison to the Office of the Medical Examiner-Coroner.

John Sampson
John manages the System Quality Improvement and Clinical Investigations Unit. This unit includes System PCR review, Clinical Investigations, EQUIP, and Treatment Protocols.

Lisa Vajgrt-Smith
Lisa serves as the Specialty Programs Nurse Coordinator for the Santa Clara County EMS Agency. She oversees the coordination and quality improvement of the County's specialty EMS programs, including trauma, STEMI, stroke, and EMS for Children, and is a key liaison between the EMS Agency and local hospitals.

Dustin Gonzalez
Dustin is assigned to the Prehospital Specialty Programs Quality Improvement Unit. This includes Stroke Program PHQI, STEMI Program PHQI, Trauma Program PHQI, EMS-C Program PHQI, and Treatment Protocols.

Nikolaas Bechler
Nikolaas manages the Clinical Special Projects Unit which includes the Base Hospital / MICN Program, EMS High Utilizer Program, Nurse Navigator, 911 Receiving Center Contracts, EMS Core Measures, Data Systems Support, and Treatment Protocols.

Vaidehi Shah
Vaidehi joined the EMS Agency in 2023 and serves as the Senior Epidemiologist.
Business Services Section

Manuel Elias
Manuel Elias has been serving the EMS system since 2014 as an Office Specialist III, with administrative support roles.