• 650-360-9309

  • 101 S. San Mateo Drive, Suite 102, San Mateo, CA

Compassionate Care Delivered-Safe@Home

Concierge palliative focused primary care house calls

Personalized, convenient palliative focused primary care appointments from the comfort of your home. In-person or virtual, offering well and sick visits tailored to your needs.

Concierge Medicine Perks!
Complimentary Meet & Greet with the physician(s)
Text 650-360-9309 to schedule		✓
Convenience of Video, Phone & E-Visits✓
Home Visits (House calls)✓
Same or next day care✓
HIPAA compliant secure texting for follow up questions✓
Priority and direct access to your physician & team✓
24/7 access to electronic medical records✓
Non-rushed, quick access appointments✓
Individualized care and attention✓
Social visit (not a medical appointment)
During the holidays or if you are away from your loved one for an extended time.		✓
Invitation to educational programs and Compassionate Community Building events
Compassionate and mindfulness-based practices and webinars, nutrition focus lectures, cooking classes, recipes, invitation to community events such as Walk-With-A-Doc.		✓

Member benefits subject to change without notice and based on availability. In addition to the convenience of primary care doctor house calls, Chronic Conditions management (CCM opt-in), coordination and continuity of care, goals of care discussions, referrals to medical specialists, mental-health specialists, home care services, in-home x-ray, in-home blood work, home health, hospice, etc. Our concierge members receive additional convenient and access benefits otherwise not available or covered by medicare. Concierge fee is an out of pocket expense not covered by insurance.

House Call or Telehealth Visit – Examples

In-home and virtual preventive care, sick visits, chronic illness management, and wellness assessments. Personalized health care you need and where you need it.

  • 602-A form completion – for placement
  • Advance Care Planning, Goals of Care Discussions, Advance directive, POLST completion
  • Capacity evaluation
  • Change in condition or change in mental status
  • Chronic Illness Management and Care Coordination 
  • Cognitive impairment evaluation
  • Disability placard evaluation
  • Establish with a Primary Care doctor
  • Evaluation and treatment of non-emergent illness
  • Evaluation for placement
  • Evaluation for Durable Medical Equipment (DME)
  • Evaluation of symptoms such as cough, depression, managing diabetes, high blood pressure, cholesterol, dementia, urinary tract infection, failure to thrive, debility and decline, fall(s), allergies, bruising, bed sores, diarrhea, constipation, sore throat, conjunctivitis, rash, weight loss, constipation, ear wax impaction etc.
  • Follow up after discharge from the emergency room or the hospital
  • Referral to:
    • Home health (physical therapy, occupational therapy, speech therapy)
    • Hospice
    • In-home x-ray
    • In-home blood work
    • Medical and mental health specialists
  • Medicare Annual Wellness Visit
  • Medication refills, Medication reconciliation and addressing polypharmacy
  • Palliative care consult
  • Routine physicals
  • Suture or staple removal

Triage and Referrals

We triage your concern to determine which course of action may be recommended for you.  For example, symptoms such as for cough or bladder infections can usually be evaluated and work up can be initiated at home. There may be symptoms for which we need to refer you to urgent care or the emergency room. 

Some conditions and symptoms such as chest pain, shortness of breath, severe abdominal pain, intractable vomiting, high fever, dehydration, lethargy or change in mental status, sudden weakness are a few examples of life threatening conditions which may need an evaluation in the Emergency Room or need to call 911.

In collaboration with your specialists and therapists, we routinely treat Diabetes, High Blood Pressure, High Cholesterol, Obesity, Dementia, Bed Sores and other chronic diseases to name a few. We coordinate with your providers to help manage your care. Many chronic illnesses can be augmented with lifestyle changes to include activity, nutrition, addressing mental health challenges, stress management and socialization. Our whole person approach treats the person and not just the disease in a non-judgmental and a compassionate way.

Care Coordination may include connecting our clients with community resources and mobilize additional qualifying services. When appropriate, we can refer to non-emergency mobile services such as mobile x-ray (comes to where you live), laboratory for blood work or urine samples, wound care, durable medical equipment (hospital bed, portable oxygen etc), refer and coordinate with specialists and other services (home health, palliative care, hospice) as needed. With the addition of CCM services, we are able to provide even enhanced care to coordinate your care, help communicate the plan of care and care plan oversight.

At your appointment time, click here to enter the Zoom waiting room for Dr. Padam

Our whole person approach empowers individuals and families with skills, tools and resources to employ services otherwise inaccessible to them. Clients have direct access to the healthcare team and 24/7 access to the UCSF Health patient portal. Based on triage, our team can provide same or next day appointments (home visits, video or office visits, e-visits) as needed. We use secure texting to allow for easy communication:

Flexible care access and communication options-Telehealth/Virtual Care via Video and phone:

We leverage technology and digital health to augment your care with virtual visits via phone and video to supplement your care and follow ups.

We help facilitate discussions regarding your medical and home care based on your goals and wishes and to help advocate for consistent treatment options based on your preferences. We believe that the Goals of Care discussions are a part of treatment plan and therefore we review them from time to time to reflect your expressed treatment intensity.

This may include Advance Directive and Physicians Orders for Life Sustaining Treatment (POLST) review, update, discussion and completion. Our goal is to help you receive medical treatment and care that is consistent with your wishes. We can also help facilitate discussions regarding difficult topics to include other team or family members.