Honest answers.
To honest questions.

That choice is yours. Some members transfer their care entirely; others keep an in-network physician on record. The introductory conversation is the place to talk it through.

Secure, encrypted messaging through Spruce is open and monitored through the day, and we reply same day to non-urgent messages. For anything urgent or after hours, Concierge members reach Dr. Sharma directly through the steps on their member card. In an emergency, call 911.

As often as your care requires. On the Concierge Membership, visits are unlimited with no per-visit fee and no copay, including typically same or next business day visits for active concerns. Menopause and Hormone Care and Weight Management include follow-up visits, telehealth and in person, as your treatment requires.

With Concierge, typically same or next business day for active concerns. Annual physicals are scheduled in advance. Concierge visits are scheduled for up to an hour, so the calendar holds real capacity.

Yes. Dr. Sharma is an internal medicine physician (a primary-care doctor), board certified by the American Board of Internal Medicine, and is enrolling founding members now. Founding spots are limited: 10 Concierge members, 10 Menopause and Hormone Care members, and 10 Weight Management members, filling on a first-come basis.

It is a membership, not insurance. You pay a flat monthly rate directly to the practice for your care here (complete primary care on Concierge; menopause and hormone care on Menopause and Hormone Care; weight care on Weight Management), and you keep your own insurance for hospitalizations, specialists, imaging, surgery, and prescriptions. The membership covers the relationship with your doctor; your insurance covers everything outside it.

Yes. Concierge members reach Dr. Sharma directly by message, phone, or video, and a same or next business day video visit is typically available for active concerns. Some things still need an in-person exam, and he will tell you plainly when that is the case.

No. The practice serves adults across the East Bay along the I-680 corridor, including Walnut Creek, Concord, Pleasant Hill, Lafayette, Alamo, Danville, Orinda, Moraga, Rossmoor, and San Ramon, plus the greater Contra Costa and nearby Alameda County area.

That depends on your membership. Menopause and Hormone Care ($199/month founding) includes estrogen, menopause, and perimenopause care, lab review, dose titration and side-effect management, direct messaging, and follow-up visits. Weight Management ($199/month founding) includes physician-managed GLP-1 weight loss, lab review, dose titration and side-effect management, direct messaging, and follow-up visits. Concierge ($499/month founding) includes all of that plus comprehensive primary care: unlimited visits, scheduled for up to an hour, with no per-visit fee, chronic disease management, specialist and hospital coordination, The Annual (typically a ninety-minute exam, lab review, and written plan), and labs and prescriptions ordered for you.

The Weight Management Membership is $199 a month at the founding rate (first 10 members; the rate rises after) and covers ongoing medical management: visits, prescribing when clinically appropriate, lab review, dose titration, and direct messaging. The medication itself is billed separately through your pharmacy, insurance, or manufacturer programs. GLP-1 medications (Wegovy, Zepbound) are prescribed to eligible candidates after a clinical evaluation, and not everyone is a candidate.

$199 a month at the founding rate under the Menopause and Hormone Care Membership, covering ongoing medical management: visits, lab review, dose adjustment, and direct messaging with Dr. Sharma. Treatment is individualized and not everyone is a candidate. Prescriptions are billed separately at your pharmacy.

Your membership includes Dr. Sharma’s care within its scope: visits, lab ordering and review, prescribing, and ongoing adjustments. Prescriptions are sent to the pharmacy, and you pay for the medication there. What you pay for it depends on the medication and whether your insurance covers it.

On Menopause and Hormone Care and Weight Management, primary care itself is not included, and medications are billed separately at the pharmacy. Beyond that, a few things sit outside the practice for every member, and we help you coordinate the right care for them: emergency care, urgent care needing imaging or procedures beyond office scope, OB and delivery, pediatric care under 18, and inpatient surgical services.

No. The price page is the price page. No upcharges, no add-ons, no surprise referral fees. Any future rate adjustments will be communicated to existing members with sixty days’ written notice. Founding rates are locked while your membership stays continuously active.

Founding members’ rates are locked while their membership stays continuously active: $499 per month for Concierge (first 10 members; the rate rises after), and $199 per month each for Menopause and Hormone Care and Weight Management (first 10 members in each; the rate rises after). There is no initiation fee. For Concierge, an introductory conversation reserves your spot.

If you want focused, physician-managed care for menopause and hormones, choose Menopause and Hormone Care; for medical weight loss, choose Weight Management. You can move up to Concierge whenever a spot is open.

Yes. The practice is open and accepting founding members now. Concierge begins with an introductory conversation.

Not at this time. We are a new practice and are still building the administrative and billing infrastructure required to accept Medicare patients. Medicare maintains a directory of physicians accepting new Medicare patients at Medicare.gov. We encourage you to check back with us as we grow.

Month-to-month, no long-term contract. You may cancel at any time; cancellation takes effect 30 days after we receive your notice, and any fee paid for days after that is refunded.

Yes. We welcome referrals. A friend or family member you refer starts with the same introductory conversation as everyone else. We do not offer credits, discounts, or other rewards for referrals.

Doctor of Medicine from Ross University School of Medicine. Internal Medicine residency at Saint Agnes Medical Center in Fresno, California. Board certified by the American Board of Internal Medicine. Training spanned the full spectrum of internal medicine: outpatient primary care in the clinic, caring for hospitalized patients on the wards and in the ICU, and specialty clinics.

As an internal medicine physician, Dr. Sharma is trained for the full range of adult medicine, and his hospital training caring for patients on the wards and in the ICU has prepared him to evaluate complex or serious presentations and to coordinate a higher level of care when it is needed. When hospitalization or a specialist is needed, Dr. Sharma coordinates the referral and stays involved.

The same physician, Dr. Sharma, at every visit. Now enrolling founding members. Direct access to Dr. Sharma, including his direct line on the Concierge Membership. Month-to-month membership with no long-term contract. Full-spectrum internal medicine for adults on Concierge; focused menopause and hormone care on Menopause and Hormone Care, and weight care on Weight Management. Pricing published on the site: Concierge is $499 a month founding (first 10 members; the rate rises after), and Menopause and Hormone Care and Weight Management are $199 a month founding each (first 10 members in each; the rate rises after).

Yes. Each adult family member enrolls as their own member at the same monthly rate. Each membership is its own physician relationship: separate chart, separate continuity. The practice serves adults; pediatric primary care is not offered.

Tax treatment of concierge medicine memberships varies by individual circumstance and changes with IRS rules. Please consult your accountant or tax advisor for guidance specific to your situation. The practice does not provide tax advice.