Telehealth for adults in California and Nevada with migraine, recurring headaches, and selected outpatient headache concerns.
Expected launch: Q3 2026.
This website is not yet open for patient care and does not provide medical advice or emergency care.
Services
Luigi Mangiacotti, DO, is preparing a physician-led telehealth practice for adults in California and Nevada with migraine and other recurrent headache concerns. The model is built around outpatient telehealth visits, practical treatment planning, and continuity with the same physician when ongoing care is appropriate. Appointment scheduling is not yet open.
New Patient Visit
Comprehensive specialist telehealth evaluation for adults with migraine, frequent headaches, or recurring headache concerns. The visit is designed to review symptoms, prior treatments, medication use, and next steps.
Reserve Early AccessFollow-Up Visit
Ongoing headache care for established patients, including medication review, symptom follow-up, and treatment adjustments with continuity from the same physician.
Reserve Early AccessDirect-pay pricing. Physician-led care. No subscription.
Pre-launch Status
Appointment scheduling is not yet available. Expected launch is Q3 2026, though timing may change. Join the early-access list to be notified when booking opens.
Who This Practice Is Being Designed For
Emergency Care
Please seek urgent or emergency in-person care for:
How It Works
Submit basic contact information to be notified when booking opens.
You will receive an email when booking becomes available.
The form is for early-access notification only.
Booking will become available after launch.
Dr. Luigi Mangiacotti, DO, is a board-certified neurologist licensed in California and Nevada. He is preparing a direct-pay telehealth practice for adults with migraine and other primary headache disorders.
Dr. Mangiacotti completed his neurology training at Cedars-Sinai Medical Center in Los Angeles and earned his Doctor of Osteopathic Medicine degree from Western University of Health Sciences–COMP in Pomona, California.
In addition to his telehealth work, Dr. Mangiacotti currently practices as an inpatient neurohospitalist, caring for patients with a broad spectrum of acute neurologic conditions. He also serves in an academic teaching role, working with trainees and emphasizing careful bedside reasoning, diagnostic accuracy, and evidence-based care.
His approach to headache care is thoughtful and thorough, with a focus on careful listening, clear recommendations, and practical treatment plans tailored to each patient.
This practice is intended for adults with selected outpatient headache concerns when telehealth is appropriate. Visits are planned for patients physically located in California or Nevada at the time of future care.
These telehealth headache services are currently in pre-launch. Patients may join the early-access list before booking opens.
Physician
Luigi Mangiacotti, DOBoard Certification
NeurologyLicensed in
California and NevadaUpcoming visit model
Direct-pay telehealth after launchVisit types
New patient and follow-up visits after launchResources
Read clear, physician-led information about migraine telehealth, when to consider neurologist care, headache warning signs, and practical follow-up for adults with recurring headache concerns.
FAQ
Not yet. The practice is currently in pre-launch, with expected launch in Q3 2026. Timing may change, and you may join the early-access list to receive an email when booking becomes available.
This practice is intended for adults in California and Nevada seeking outpatient telehealth care for migraine and other primary headache disorders, when telehealth is appropriate.
No. This website does not provide emergency care or urgent medical advice. If you are experiencing sudden severe headache, new weakness or numbness, trouble speaking, seizure, fever with neck stiffness, or other urgent neurologic symptoms, seek emergency care right away.
No. The website is for general informational purposes and early-access notifications only. Submitting a form does not create a physician-patient relationship.
This practice is designed as a simple direct-pay telehealth service. By not billing insurance, I can offer transparent pricing, a more streamlined patient experience, and a direct physician-led approach without many of the administrative delays and restrictions that often come with insurance billing. If appropriate, patients may be able to use out-of-network benefits, but coverage and reimbursement vary by plan.
This practice is designed around continuity, focus, and clarity. Rather than a large telehealth platform where patients may see a different clinician each time, this is intended to be a physician-led practice centered on ongoing headache care. Follow-up visits are designed to build on prior visits, prior treatment decisions, and your individual history.
What that means in practice:
Follow-up timing depends on your symptoms, treatment plan, and how recently medications were started or changed. Many patients are seen again within about 4–8 weeks after an initial visit or medication adjustment.
Early Access
First 10 patients to sign up for early access will receive $30 off their first visit.
No spam. No commitment. Direct-pay only.