• 650-360-9309

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

Compassionate Care Delivered-Safe@Home

Concierge palliative care focused primary care house calls

  • Physician Home and Virtual appointments
  • Longer appointments/Shorter wait times
  • Same/next business day appointments available
  • Priority and direct access to your care team
  • Referrals to specialists, home care services, in-home x-ray, labs etc.
  • 24/7 access your medical chart through UCSF MyChart
  • Behind the scenes care coordination to ensure continuity of care
  • Chronic Care Management (CCM)
  • Invitation to educational programs and community building events

You get the convenience of a medical doctor evaluation in the comfort of your home with direct access to your care team.

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.

At your appointment time, click here to enter the Zoom waiting room for Dr. Padam
  • Palliative care consult
  • Establish with a Primary Care doctor
  • Routine physicals and Medicare Annual Wellness Visits
  • Physician face-to-face visit for Home Health or other qualifying service
  • Sick care visits
  • Medication refills, Medication reconciliation and addressing polypharmacy
  • Chronic Illness Management and Care Coordination 
  • Evaluation and treatment of non-emergent illness
  • 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.
  • Evaluation for a referral to:
    • Specialists
    • Blood work
    • In-home xray
    • Home health (physical therapy, occupational therapy, speech therapy)
    • Hospice
  • Form completion
  • Evaluation for placement
  • Change in condition or change in mental status
  • Disability placard evaluation
  • Capacity evaluation
  • Cognitive impairment evaluation
  • Follow up after discharge from the emergency room or the hospital
  • Suture 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 specialist(s), therapist(s) and other service 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 mobilize 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.

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.