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CONCIERGE
PRIMARY CARE

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Elevated Primary Care for Adults Who Value Precision, Access, and Continuity

Crescendo MD offers adult primary care designed for individuals and families who expect a more attentive, clinically sophisticated approach to health. We care for patients across Portola Valley, Woodside, Atherton, Palo Alto, Los Altos Hills, throughout California, and internationally.


Your physician remains engaged, informed, and accessible—wherever life takes you.


Our care model emphasizes discretion, clarity, and consistent medical thinking.


Patients receive private visits, 24/7 access for urgent concerns, and comprehensive health planning tailored to individual goals.

Your Primary Care Team

Meet the physicians leading our Primary Care clinic, delivering personalized, compassionate care with tailored solutions that grow with you.

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Alan Gianotti, MD

Adult Primary Care

Dr. Gianotti, MD, ABEM approaches every patient as a unique individual and focuses on helping each of them reach their health and wellness goals. He is ideally suited to care for both urgent and long-term health issues.

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Erik Schraga, MD

Adult Primary Care

Erik Schraga, MD, ABEM has extensive experience in acute care medicine and has developed a highly personalized practice that transcends conventional boundaries.

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Hana Grobel, MD

Adult Primary Care

Hana Grobel, MD, ABFM is a board-certified family physician with a fellowship in integrative medicine who is dedicated to caring for individuals and whole families at every stage of life.

Concierge Primary Care at Crescendo is available by referral only.

We are not contracted with any insurance company. Learn more about us.

What You Can Expect

Concierge Adult Medicine Without Compromise

  • Direct access to your physician via phone, text, or email

  • Same-day or next-day appointments

  • Extended, unhurried visits in office or at home

  • Care coordination with top subspecialists regionally and nationally

  • Thoughtful, individualized medical guidance rooted in long-term relationships

Preventive & Longevity-Focused Care

Core Services

  • Comprehensive risk profiling and annual health reviews

  • Personalized health optimization plans

  • Year-over-year tracking of key metrics and goals

Cardiovascular & Metabolic Health

  • Advanced lipid analysis, calcium score interpretation, and prevention strategies

  • Glucose monitoring, body composition analysis, and nutrition planning

Executive Health & Performance Medicine

  • Structured annual evaluations with lab, imaging, and functional assessments

  • Fitness, mobility, and exercise physiology evaluations

  • Sleep and circadian rhythm optimization
     

Urgent & Acute Care Support

  • Immediate access for acute illness, injuries, or new symptoms

  • Physician-guided navigation of emergency events

  • Support after-hours and during travel

Chronic Condition Management

  • Personalized care for hypertension, diabetes, autoimmune disease, and more

  • Mental health support integrated with lifestyle and medical care

  • Medication review with a focus on safety and long-term impact
     

Diagnostics & Advanced Testing

  • Coordination of labs, imaging, and specialty diagnostics

  • Genetic and epigenetic testing when appropriate

  • Integration with continuous glucose monitors and wearable devices

In-Home & On-Site Medical Visits

  • Available locally and during travel

  • Designed for privacy, continuity, and convenience
     

Travel Medicine & Remote Support

  • Pre-travel planning and immunizations

  • Real-time support during domestic or international travel
     

Specialist Coordination & Navigation

  • Access to leading experts across Stanford, UCSF, Mayo Clinic, and more

  • Expedited referrals and follow-up coordination
     

Designed for Patients with Complex Lives

Whether you’re managing multiple homes, frequent travel, or demanding professional responsibilities, we maintain seamless continuity across geography and time zones.

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  • Individualized care plans

  • Proactive monitoring and check-ins

  • Rapid physician access, even when abroad

A Practice Built on Privacy, Precision, and Relationship

  • No waiting rooms

  • Direct communication with your physician

  • A calm, intelligent practice culture grounded in clinical excellence

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We serve individuals who could receive care anywhere—and who choose a model defined by discretion, clarity, and proactive support.
 

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