San Francisco Concierge Medicine
Physicians who work only for you.
Independent of every institution. Connected to all of them. From proactive longevity medicine to the most complex illnesses, coordinated wherever it serves you best.

Concierge Medicine
The long game,
played with your physician
The best longevity plan is a physician who knows you well and has time to think. We learn your history, track the data that matters, and adjust as your life changes. Whatever you bring to the table, a clean bill of health or a long problem list, it gets taken seriously and optimized, nonjudgmentally, whichever decade you're in.
24/7 access to a physician who already knows you
Unhurried appointments, long enough to think together
A proactive plan built from your data and your goals
Specialist care coordinated when you need it
Special Expertise
One practice, one team, a deliberately wide range: the same physicians who plan your next decade are the ones you want when something interrupts it.
Executive Health
Comprehensive, data-driven evaluations for people whose health has to keep pace with their work.
Geriatrics & Elder Care
Steady, attentive care for older adults, with home visits and family kept informed at every step.
Second Opinions
A fresh, rigorous look at a diagnosis that does not sit right or an illness no one has named.
Privacy-Focused Addiction Treatment
Confidential and compassionate outpatient treatment for professionals.
Concierge Rheumatology
Complex autoimmune care in a concierge structure, led by Dr. Padula. Rare anywhere.
Physician-Owned
Independent by design.
Connected by relationship.
We are a physician-owned practice. Every clinical decision is made by your physician, answering to you. That independence comes with reach: when your care calls for a specialist or a major center, we expedite access and coordinate treatment wherever it serves you best. That has included Mayo Clinic and MD Anderson.
Arranging care for someone else? Spouses, adult children, and assistants who keep the calendar are welcomed into the conversation and kept informed, always at the patient's direction.
Care Coordination Partners
The Bay Area centers we coordinate with most often. Where you are treated is chosen by what your care needs.
When It's Serious
When it stops being simple, you're already in the right hands.
Member Story
The Clean Bill of Health That Wasn't
Fifteen years of normal annual physicals. Advanced testing still found significant coronary artery disease, silent, in a fit and busy executive. The difference between a clean report and a can't-miss finding.
Read the story“When I was diagnosed with a rare condition, MDMG navigated me through UCSF and Stanford specialists seamlessly. Their network connections are remarkable.”
Meet Your Team
A team of experienced specialists
Assembled around you, not around a system. A physician who knows your history is on call at every hour.

Paul Abramson, MD
Medical Director & Founder
MD UCSF · MS Electrical Engineering Stanford · Board Certified Family Medicine · Board Certified Addiction Medicine
Dr. Abramson comes from a multi-generational lineage of physicians. He combines rigorous medical training with a background in engineering from Stanford, bringing sophisticated, data-driven expertise to health optimization.

Anthony Padula, MD
Senior Physician
MD · Board Certified Rheumatology · Board Certified Internal Medicine · UCSF Trained
Double board-certified in internal medicine and rheumatology, Dr. Padula is a former competitive rower who brings a broad perspective on nutrition, exercise physiology, and performance psychology.

Michel Accad, MD
Cardiology Specialist Consultant
MD · Board Certified Cardiology
Dr. Accad brings deep expertise in cardiology to the practice. Known for his thoughtful approach to medical philosophy and patient care, he focuses on personalized management of cardiovascular health and general medical complexity.

Portia Barnblatt, DAOM, LAc
Chinese Medicine Specialist
DAOM · LAc · Doctor of Acupuncture & Oriental Medicine
Dr. Barnblatt integrates Traditional Chinese Medicine with modern medical care. She works collaboratively with our physicians to address chronic pain, stress, and complex symptoms through acupuncture and holistic therapies.
Membership
Two ways to belong to the practice
Not levels. Postures. Choose by how you want medicine to run, not by how healthy you are.
VIP
We Run Point
You hand us the whole thing: appointments, records, specialists, follow-through. We run point on all of it and keep you informed at every step, so your attention goes where you want it.
- Fully orchestrated care, 24/7 direct physician access
- Multi-specialty coordination, expedited whenever your care calls for it
- Family, assistants, or advisors kept in the loop, always at your direction
- The membership most of the practice lives in
Priority
You Drive, We Navigate
For the healthy and self-directed: you run the day-to-day, and we bring physician depth, current data, and a clear plan whenever you call on us.
- Annual comprehensive evaluation
- Quarterly follow-ups, drift caught early
- 24/7 triage access
- Step up to VIP whenever you want more taken off your plate
10% family discount for two or more adults from the same household
Home Care tier available for patients requiring primarily home-based care in San Francisco
Patient Perspectives
What our patients say
They coordinate everything for my mother. House calls, talking to specialists, medications, physical therapy. It is the peace of mind our family needed.
FL, San Francisco
Dr. Padula's willingness to dig for the root cause changed my life. His background in rheumatology was invaluable.
PW, San Francisco
Dr. Abramson's engineering background really shows. Finally, a doctor who looked at my data and didn't dismiss my desire for testing and optimization.
RG, Mill Valley
Board Certifications
Dr. Abramson
Dr. Abramson
Dr. Padula
Begin the Conversation
Ready to experience
medicine as it should be?
Reach out to learn how we can serve as your partner in health. We welcome the opportunity to understand your needs and explain our approach.
Location
450 Sutter Street, Suite 840
San Francisco, CA 94108
Hours
Monday – Friday: 9am – 5pm
24/7 access for members
