About
A small practice
in San Rafael.
The Dose Clinic is a boutique medspa in San Rafael. One service at launch, with more to follow.

Founder
Janyll Birmingham, RN
Hi, I’m Janyll. I’ve spent twenty years as a registered nurse, with clinical experience across oncology, orthopedics, medical-surgical nursing, and adult family medicine. I also taught as a clinical instructor at Dominican University here in San Rafael, helping student nurses learn the hands-on skills that define our work.
The parts of nursing I love most are IV starts, injections, central lines, and wound care. All of them come down to precise technique and the relationship I build with the person in front of me. Neuromodulators are a natural extension of those skills, and I’m bringing the same patience and attention to detail to The Dose.
If you’re considering Botox, Xeomin, or Letybo for the first time, or coming back after a break, I’d love to meet you. The goal is honest consultations and conservative dosing. You, well-rested.
Medical Director
Vinson DiSanto, DO
Dr. DiSanto is a board-certified Family Physician with over 35 years of experience in the medical field. He practices both conventional and alternative medicine with a focus in systems biology and lifestyle medicine. With a broad educational background he earned his Doctor of Osteopathic Medicine degree from the Philadelphia College of Osteopathic Medicine in 1986. After completing his internship at Phoenix General Hospital in 1987, he went on to complete his residency in Family Medicine at the University of California, San Francisco Medical Center.
An expert in his field, he is board certified in family medicine, clinical nutrition and anti-aging medicine by the American Osteopathic Board of Family Physicians. This organization certifies qualified Osteopathic Physicians who specialize in delivering comprehensive primary care for patients of all ages and genders, addressing all parts of the body.