If at all possible, consider switching your health insurance to Kaiser during the next open enrollment for Obamacare -- or immediately if you have a qualifying event. I am with Kaiser. Kaiser does a two session gender assessment with an LCSW (more sessions if necessary) and then you get your hormone letter, go to the endo, and get your hormones -- as long as Kaiser has current health information about you in their system from your primary care physician.
Although I am in Orange County, Kaiser has offices everywhere, including a hospital and two other offices in Bakersfield. And if you have to drive long distance to see a therapist, with Kaiser you may only need to do it a few times, since they work on a modified informed consent approach. They also have a weekly support group, at least in my neck of the woods.
I was told by one of the heads of Kaiser's transgender support program in Southern California that the bean counters at Kaiser had figured out that it cost less for Kaiser to help people transition because it kept them healthier. When people weren't transitioning, Kaiser was spending more money treating stress related chronic illnesses.
So if you want a fully integrated approach, and a supportive environment, and a place where you can dress however you like and use whatever restroom you are comfortable with, Kaiser fills the bill.