Creating healing environments worldwide from our Studio on the 33rd Parallel in San Diego.

We are a design studio focused on understanding the relationship between people and the built environment. Our collective expertise spans evidence-based architecture, interior and lighting design, branding, environmental graphics, and exhibit design for a wide variety of healthcare, retail, commercial, hospitality, and museum projects.

We assist our clients in achieving their mission and enhancing their brand. Our unique perspective and diverse design team allows us to view each project from multiple angles to create solutions that excite our clients and customers.

Design is more than philosophy; it’s creating spaces that support human needs and desires—our passion.


Creative Design & Management

Architectural Design
Interior Design
Space Planning
Design Concept Development
Construction Documentation
Project Implementation & Management
Visual Merchandising & Presentation
Creative Strategies
Image Analysis
Identity Development & Refinement
Graphic Design
Environmental Graphics
Art, Decor & Prop Selection


Joost Bende, AIA, EDAC
President | Principal Architect

Joost is a licensed architect and member of the American Institute of Architects. He is also accredited by the Center for Health Design as a practitioner of Evidence-based Design. More than 20 years experience in architecture, design and construction management of healthcare, retail, and commercial projects has led to the vision of PACIFIC 33 architects, Inc. Committed to community service, Joost is an active member of his local planning board and also volunteers his skills in providing leadership training to Scouts and Scouters.

Denise Burkett
Principal | Studio Director

Denise’s career has taken her to Chicago, San Francisco and now San Diego creating retail, hospitality, and a variety of healthcare projects nationwide. Denise has specialized in helping medical centers and retail groups enhance their brand as a designer, image and art consultant. Prior to joining PACIFIC 33 architects, Denise was previously with two Fortune 500 companies and a noted healthcare design firm.

Steve Crosley
Principal | Technical Director

Steve is a multi-certified information technology BIM/CAD professional with over 25 years of experience in the field of commercial and healthcare construction and documentation. Steve researches, implements and trains our team to ensure PACIFIC 33 architects is on the leading edge of technology.

Christie Mayer
Associate | Senior Project Designer

Christie brings a unique and diverse perspective to our design team. She has worked as an exhibit designer in Boston and Washington DC creating environments for world renowned museums and zoos. A degree in Industrial Design plus her many years as a senior project designer in healthcare illustrates her broad range of skills available to our clients.

Ana Mengoli, Affiliate IIDA
Senior Project Designer

Ana believes in responsible, patient-focused design. Dedicated entirely to healthcare design, Ana is an interior designer with a passion for Evidence-based Design, using research as the basis for creating beautiful spaces that heal and promote wellness. In her free time, Ana works as a volunteer to bring affordable healthcare to those in need through local fundraising activities.

Victoria Middleton, NCIDQ
Project Designer

For over 12 years, Victoria has enjoyed diverse exposure to a broad-range of Interior Design projects from healthcare to high-end residential and places-of-worship. As a result, she has an impressive understanding of finish materials and product knowledge. She received her NCIDQ certification in 2008.

Charles Clardy
Job Captain

Charly has over 20 years of experience in Architecture in the specialty of multi-family and residential design and construction in Texas. After relocating to San Francisco, his portfolio grew to include general commercial and healthcare tenant improvements.

Christina Mairhuber
Junior Project Designer

Christina moved coast-to-coast for design school earning her degree from the Design Institute of San Diego. As a child, she pursued ways to help people feel comfortable and happy in their environment, eventually seeking a career in Commercial Design. Christina is an innovative designer who cares deeply for the health and happiness of others, and the planet. She is most inspired when helping to create sustainable environments.


Project Photos

A collection of recent projects from our design staff portfolios.


Books & Industry Journals

Healthcare Design Magazine
Interiors & Sources
Hospitality & Design Identity
Retail Store Image
Display & Design Ideas
Store Planning Review
Stores of the Year / 7

Contact Us


5090 Shoreham Place, Studio 104, San Diego, CA 92122


(858) 457-4833