Concierge Medicine

We offer two primary membership tiers. Priority membership provides comprehensive primary care with unhurried appointments and same-day access. VIP membership adds direct physician access, expedited specialist referrals, house calls, and hospital oversight. We are happy to discuss specific pricing during an inquiry call, where we can understand your needs and recommend the right tier.

We operate entirely outside of insurance networks. This independence is deliberate: it allows us to spend the time you need, order the tests that are clinically appropriate, and recommend specialists based solely on quality rather than network restrictions. Many of our patients submit claims to their insurance for reimbursement as an out-of-network provider, and we provide the documentation to facilitate that process.

The core difference is physician continuity and practice independence. Large membership practices like One Medical (now owned by Amazon) operate high-volume panels where you may see a different provider each visit. We are physician-owned with no corporate parent, maintain small patient panels, and your designated physician knows your history, your goals, and your preferences. We also offer capabilities that corporate practices cannot: hospital admitting privileges, direct specialist coordination across institutions, and house calls for members who need them.

Many of our members travel extensively for work. We provide telemedicine visits, coordinate care with providers in other cities when needed, and remain available by phone for urgent questions regardless of your time zone. In-person visits at our San Francisco office anchor the relationship, but continuity of care does not require you to be local at all times.

Yes. We care for individuals, couples, and families. For families with complex coordination needs, such as aging parents with multiple specialists or children with ongoing medical concerns, the practice can serve as a central hub ensuring nothing falls through the cracks.

Dr. Abramson and Dr. Padula maintain active admitting privileges at California Pacific Medical Center (CPMC), part of the Sutter Health system. For VIP and Home Care members, this means your own physician can oversee your inpatient care directly rather than handing you off to a hospitalist you have never met. This continuity is uncommon among concierge practices. We also actively supervise and coordinate inpatient care at other Bay Area hospitals, including UCSF and Stanford, and nationwide should you be hospitalized while traveling.

We are currently accepting new members at both tiers, though availability varies by physician. We recommend scheduling an inquiry call to discuss your needs and confirm availability. We intentionally keep our panels small, so we encourage prospective patients not to delay if this model of care is appealing.

Membership is annual. We find that the physician relationship and the value of coordinated care become most apparent over time, and most of our members have been with us for years. That said, we want the relationship to work for both sides, and we are happy to discuss how the first year typically unfolds during your inquiry call.

Absolutely. This is one of our core capabilities. Because we are independent and not affiliated with any single institution, we coordinate freely across UCSF, Stanford, CPMC, and any other providers involved in your care. We obtain records, communicate directly with your specialists, and ensure that your overall care plan is coherent rather than fragmented.

It begins with a brief inquiry call with our nursing team, followed by a conversation with your prospective physician. If we mutually agree on fit, we collect your medical records and prepare a thorough review. Your first in-person visit is a comprehensive evaluation at our 450 Sutter Street office, and from there, ongoing care begins. The entire onboarding process is designed to ensure your physician knows you well before the first clinical encounter.