Primary & Preventive Medicine
What if your next checkup felt more like a conversation?
At our Parnassus Heights practice, you're never just a chart number. We pair thorough, evidence-based care with the time and attention you deserve — so every visit moves you closer to feeling your best.
About the Practice
Care that takes the time to listen
Medicine moves fast. Too often, patients leave a visit with more questions than answers — and a prescription instead of a plan. We built our practice around a different idea: that real health outcomes start with a genuine partnership between doctor and patient.
Located in San Francisco's Parnassus Heights neighborhood, our practice focuses on primary and preventive care for adults. We see patients for annual physicals, chronic condition management, preventive screenings, and the health questions that don't fit neatly into a fifteen-minute slot.
Every treatment decision is explained clearly. Every concern is heard. If something falls outside our scope, we'll help you find the right specialist — with a proper introduction, not a referral into the void.
Services
Comprehensive care for every stage of life
From routine screenings to long-term condition management, we offer the full spectrum of primary care in a setting that feels calm, not clinical.
Preventive Care & Annual Exams
Yearly wellness visits that go beyond the basics — blood work, risk assessments, immunizations, and a health roadmap tailored to your age and goals.
Chronic Condition Management
Ongoing support for hypertension, diabetes, thyroid disorders, cholesterol, and other conditions that need consistent monitoring and adjustment.
Acute Illness & Minor Injuries
Same-day or next-day appointments for infections, sprains, rashes, and other urgent but non-emergency health concerns.
Lab Work & Diagnostic Testing
On-site and reference lab draws, EKGs, and coordination of imaging — so you get answers faster and next steps clearly mapped out.
Pre-Operative Evaluations
Comprehensive health assessments before surgery, including risk stratification and optimization to support safer outcomes.
Health Screenings & Vaccinations
Age-appropriate cancer screenings, bone density tests, vision and hearing checks, and all recommended immunizations in one visit.
Our Approach
A different kind of medical visit
We've seen what happens when a doctor has time to look beyond the chief complaint — when they ask about sleep, stress, and what matters to you outside the exam room. That's the standard we hold ourselves to.
- Extended appointment slots — no clock-watching
- Results reviewed in plain language, not left to interpretation
- Collaborative decisions, not directives
- Coordinated referrals when you need a specialist
- Follow-up that feels like someone is paying attention
"For the first time in years, I left a doctor's appointment feeling like I actually understood my health — not just my numbers, but what they mean and what I can do about them. That's rare."
Patient, San Francisco
Location
In the heart of Parnassus Heights
Nisha Parmeshwar, MD513 Parnassus Ave
San Francisco, CA 94143-2205
Conveniently located near the UCSF Medical Center, with public transit access and street parking available on surrounding blocks.
Office Hours
513 Parnassus Ave
San Francisco, CA 94143
Get in Touch
Ready to schedule your visit?
We're accepting new patients. Call our office or fill out the form and we'll reach out within one business day to confirm your appointment.
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