Concierge Pediatric
Medicine

Pacific heights Pediatrics

Private Pediatric Care for San Francisco

We come to You.

Request Membership

San Francisco

Marin

Nationally Recognized for Pediatric Excellence.

Image of happy baby

We provide modern, evidenced-based, direct pediatric care to families seeking concierge medicine.

Image of girl at home reading book.

How We Care for You

Our model provides the pediatric care we would want our own loved one to receive: attentive, thoughtful, and truly connected to the needs of your family and children.

Image of Dr Natasha Agbai of Pacific Heights Pediatrics, a concierge medical practice in San Francisco, during a home visit with a child

Attentive Proactive Care

You receive the time and bandwidth to listen fully, notice the small things, and follow up personally

Image of Dr Natasha Agbai of Pacific Heights Pediatrics, a concierge medical practice in San Francisco during a home visit with a child

Thoughtful Medicine

Your physician. On call. In your corner. Always. From the newborn stage through adolescence, this is a relationship built over time with deep knowledge of your child, your family, and your values.

Cut out image of two happy children at Pacific Heights Pediatrics in San Francisco

Truly Connected

Trusted relationships with Stanford, CPMC and UCSF top specialists ensure seamless access to the region’s best care.

Your Membership

Enjoy direct, around-the-clock support with a full range of services designed to make pediatric care seamless, proactive, and personal

  • Immunization & Vaccine Guidance
  • Expert & Specialist Coordination
  • House Calls
  • Proactive Development Tracking
  • 24/7 Direct Physician Access
  • Personalized Nutrition Support
  • Travel and Urgent Care Support
  • Comprehensive Preventive Care
Image of San Francisco skyline with the painted ladies in the foreground

Areas we serve

  • Pacific Heights
  • Presidio Heights
  • Russian Hill
  • Noe Valley
  • Cow Hollow
  • Marina
  • Sea Cliff
  • Tiburon
  • Kentfield
  • Ross
  • Mill Valley
  • Learn More

Frequently Asked Questions

How do we support your children? It starts with understanding what good pediatric care looks like when combined with outstanding concierge medicine. Want to learn more? Inquire about our membership.

Hand drawn picture by child thanking Dr Agbai for being a great doctor.
  • Concierge pediatric medicine represents a return to the personalized, relationship-based healthcare that was once the hallmark of family medicine. In our practice, Dr. Agbai limits her patient panel to a select number of families, allowing her to provide unhurried, comprehensive care that goes far beyond the typical 15-minute appointment.

    Unlike traditional practices where pediatricians may manage 2,000-3,000 patients, our concierge model ensures she can truly know your child and family. This means appointments that last as long as needed, direct access to your pediatrician when concerns arise, and proactive health planning rather than reactive sick care. We focus on the whole child – not just treating illness, but optimizing wellness, development, nutrition, and mental health.

  • For busy San Francisco families, time is often the most precious commodity. Our concierge model eliminates the frustrations of modern healthcare – no more waiting weeks for appointments, sitting in crowded waiting rooms, or feeling rushed through important health discussions. Dr. Agbai limits her practice to approximately 200 families to ensure each child receives the attention they deserve.

    The value extends beyond convenience. With Dr. Agbai's direct cell phone number, you have peace of mind knowing expert pediatric guidance is always available – whether it's a midnight fever, a weekend injury, or questions while traveling abroad. Many families find they actually save money by avoiding unnecessary emergency room visits and urgent care centers. More importantly, the deep, continuous relationship Dr. Agbai builds with your child leads to better health outcomes through early detection of issues, personalized prevention strategies, and coordinated care that considers your family's unique needs and values.

  • Your membership includes unlimited office visits for both well-child checkups and sick visits, with no copays or additional charges. All appointments are unhurried and last as long as necessary. You'll have 24/7 direct access to her via phone, text, and email, plus same-day or next-day appointments when needed.

    The membership also covers comprehensive annual wellness assessments, developmental screenings, mental health support, nutrition counseling including Dr. Agbai's specialized weight management expertise, school and camp forms, travel health consultations, and care coordination with specialists. House calls within our service areas and virtual visits are included for established patients. We also provide a dedicated team to help navigate specialist referrals and coordinate your child's care across multiple providers.

    We understand that family circumstances change. After an initial 12-month commitment, memberships may be cancelled with 30 days written notice. This initial period allows us to establish a meaningful therapeutic relationship and provide the comprehensive, preventive care that forms the foundation of your child's long-term health.

  • Absolutely! We've found that grandparents, aunts, uncles, and family friends often want to contribute meaningfully to a child's wellbeing, and there's no better gift than exceptional healthcare and peace of mind. A membership to our practice is an investment in a child's lifelong health and development.

    We can arrange gift memberships for any duration and provide gift certificates for special occasions. Several of our families have grandparents who live outside the Bay Area but want to ensure their grandchildren have the best possible pediatric care. We're happy to work with gift-givers to set up payment arrangements and can provide regular health updates (with parental consent) to keep extended family involved in the child's care journey.

  • The membership fee may be eligible for tax benefits depending on your specific situation. Many of our families successfully use Health Savings Account (HSA) or Flexible Spending Account (FSA) funds to pay for their membership, as it covers medical services. We recommend checking with your HSA/FSA administrator about your plan's specific guidelines.

    For tax deduction purposes, portions of the membership fee that cover medical care may be deductible as medical expenses if you itemize deductions and your total medical expenses exceed the IRS threshold. We provide detailed receipts and documentation to support your tax filings. However, we always recommend consulting with your tax advisor or accountant to understand how the membership fee fits into your specific tax situation. We're also happy to provide any additional documentation your financial advisor may need.

  • Yes, we strongly recommend maintaining your health insurance alongside your concierge membership. While the membership fee covers unlimited visits, 24/7 access, and the enhanced services we provide, health insurance remains essential for services outside our office – including hospitalizations, emergency room visits, specialist care, surgeries, advanced imaging, and most medications.

    Think of it this way: your membership ensures exceptional primary pediatric care with unparalleled access and attention, while your insurance covers the unexpected and specialized care needs. The membership fee covers the "concierge" aspects – the time, availability, and personalized attention that insurance doesn't reimburse. Most of our families find this combination provides both comprehensive coverage and the elevated level of care they desire for their children.

  • Yes, we're committed to helping you maximize your insurance benefits. We may not be in-network with insurance plans, we provide comprehensive documentation and superbills that you can submit to your insurance company for out-of-network reimbursement. Many PPO plans offer out-of-network benefits that can help offset costs.

    Our administrative team is experienced in providing the detailed documentation insurance companies require, including proper coding, itemized services, and medical necessity information. We'll work with you to ensure you have everything needed for reimbursement claims. While we cannot guarantee what your specific plan will reimburse, many of our families successfully receive partial reimbursement for covered services. We're always available to provide additional documentation or clarification your insurance company may request.

  • When your child is sick or you're worried, waiting isn't an option. Dr. Agbai provides her personal cell phone number to all member families and typically responds to urgent concerns within minutes, not hours. For true emergencies, you must call Emergency services, such as 911. 

  • Sick children don't wait for convenient times, and neither should you. When your child needs to be seen, simply call or text Dr. Agbai directly, and she'll typically see you the same day – often within hours. There's no phone tree, no callback queue, and no need to explain your situation to multiple people. 

    Our streamlined scheduling means appointments start on time – no more juggling your work schedule around uncertain wait times. We maintain buffer time in our daily schedule specifically for sick visits and urgent concerns. Whether it's a persistent fever, a concerning rash, or behavioral changes that worry you, you'll never hear "our next available appointment is in two weeks." This immediate accessibility means problems are addressed quickly, often preventing minor issues from becoming major concerns.

  • Yes, house calls are included in your membership for our established patients throughout our service areas in San Francisco and Marin County. We regularly visit homes in Pacific Heights, Presidio Heights, Russian Hill, Noe Valley, Cow Hollow, Marina, and Sea Cliff in San Francisco, as well as Tiburon, Kentfield, Ross, and Mill Valley in Marin.

    House calls are particularly valuable for newborn visits in those precious first weeks, when leaving home feels overwhelming. They're also ideal when your child is too ill to travel comfortably, when you have multiple sick children, or simply when the convenience of home care better serves your family's needs. Dr. Agbai brings everything necessary for a comprehensive examination, and many children feel more comfortable being examined in their familiar environment. During flu season or when contagious illnesses are circulating, house calls also protect both your family and others from exposure in waiting rooms.

  • Distance doesn't diminish our commitment to your child's care. We offer secure video consultations through HIPAA-compliant platforms that work on any smartphone, tablet, or computer. These virtual visits are perfect for follow-ups, medication management, rash evaluations, behavioral concerns, and many acute illnesses. Dr. Agbai often finds that seeing your child in their environment provides valuable diagnostic information.

    For traveling families, Dr. Agbai remains available across time zones, providing peace of mind whether you're skiing in Aspen or vacationing in Europe. She can coordinate with local healthcare providers if in-person care is needed, and help navigate international health concerns. For college students, we continue care through young adulthood, offering a familiar medical home during a time of transition. Dr. Agbai regularly conducts virtual visits with our college patients, manages prescriptions, coordinates with university health services when needed, and provides a reassuring connection to home.

  • The newborn period is magical but can also be overwhelming, especially for first-time parents. Dr. Agbai provides comprehensive support that begins even before your baby arrives. Prenatal consultations help you prepare, covering everything from nursery safety to choosing feeding methods. Your baby's first exam can happen in the comfort of your home within 48 hours of hospital discharge – a time when many parents have countless questions but are exhausted from the hospital stay.

    Our newborn services include extended visits that thoroughly address feeding schedules, sleep patterns, proper latching techniques, weight gain monitoring, jaundice assessment, and cord care. She provides evidence-based guidance on safe sleep practices. Her approach combines medical expertise with practical parenting support, helping you distinguish between normal newborn behaviors and concerns requiring attention. She's available for those middle-of-the-night questions that all new parents have, providing reassurance and guidance when you need it most.

  • Breastfeeding support is one of Dr. Agbai's special passions, born from her own challenging journey as a mother of two. She offers comprehensive lactation support that goes far beyond what traditional pediatric practices provide. Dr. Agbai takes a practical, judgment-free approach. She provides evidence-based strategies while respecting your personal goals, whether that's exclusive breastfeeding, combination feeding, or formula feeding.

    Her training in infant nutrition allows her to identify issues like tongue-tie or oral restrictions that may affect feeding. She coordinates with lactation consultants when specialized support would help. Most importantly, she's available for real-time support because breastfeeding questions don't wait for office hours. Many mothers report that her practical tips and emotional support made the difference in achieving their feeding goals.

  • We believe choosing a pediatrician is one of the most important decisions you'll make for your child, and we want to ensure we're the right fit for your family. The process begins with a complimentary meet-and-greet consultation, either in-person at our office or virtually. This relaxed, no-pressure conversation allows you to meet, discuss your child's health needs, ask questions about our concierge model, and get a feel for our practice philosophy.

    During this consultation, she will learn about your family, your healthcare priorities, and any specific concerns or conditions requiring special attention. You'll tour our facilities if meeting in person, understand exactly what membership includes, and discuss how we can best support your family's health journey. If you decide to join, we'll handle the enrollment process seamlessly, including transferring medical records from your previous pediatrician. Most families can schedule their first official appointment within days of joining. For expecting parents, we encourage meet-and-greets during pregnancy so we can establish care before your baby arrives.

  • To maintain our exceptional level of personalized care, we do limit enrollment. When we reach capacity, we establish a waiting list for families interested in joining. Being on the waiting list requires no commitment or payment. Our waitlist simply ensures you'll be notified as soon as a membership spot becomes available.

    We typically see openings as families relocate or children age out of pediatric care. Priority on the waiting list is generally first-come, first-served, though we give special consideration to siblings of current patients and newborns of expecting families who've connected with us during pregnancy. If you're on our waiting list, we're happy to provide periodic updates about anticipated availability and can often give you a realistic timeframe. We encourage interested families to reach out even if we're at capacity as circumstances can change, and we want to accommodate families who value the level of care we provide.

  • We understand the unique demands on the families we care for in San Francisco and Marin. Your time is valuable, your privacy is paramount, and you expect excellence in every aspect of your life – especially your children's healthcare. Our practice is designed around these realities. We offer meetings via video when you're traveling for business, and can see your child at home when your nanny notices concerning symptoms.

    Dr. Agbai's training and connections ensure your child has access to the Bay Area's top specialists when needed. Her prior experience with diverse, sophisticated patient base prepared her to address the complex health questions educated parents bring. We coordinate seamlessly with your family's other healthcare providers, manage prescription needs across multiple homes, and provide detailed documentation for any necessary insurance claims or health savings accounts. Our location and house call services cover your neighborhoods comprehensively, whether you're in San Francisco or Marin.

  • Privacy and confidentiality are fundamental to our practice. We understand that many of our families are prominent in business, technology, entertainment, or civic life, and discretion is essential. All communications can use encrypted, HIPAA-compliant channels. House calls provide the ultimate privacy, eliminating public waiting rooms entirely.

    Our small practice model means your information is handled by a limited, trusted team who understand the importance of confidentiality. We never discuss our patient families with others and maintain strict protocols about information sharing, even within the medical community. Records are secured with enterprise-level encryption, and we can accommodate special requests for additional privacy measures. For families requiring coordination with security teams or special scheduling considerations, we work discreetly to meet your needs. Many high-profile families choose us precisely because our concierge model offers the privacy and personalized attention that large practices simply cannot provide.

two young girls in a hammock overlook a river

Dr. Agbai is knowledgeable, thoughtful, trustworthy, and super reliable. She takes the time to listen to and answer our questions and gives great care to our child.

We were so happy with Dr Agbai's knowledge, attentiveness and care that we have since switched our two older children over to her. The kids love her and having at home visits has made my life 100x easier and keeps our kids out of germ filled doctors offices.

Dr. Agbai has been taking care of our son for the past 3 years - since he was a month old. She is not only a talented medical professional, but she is also a Mom. This was particularly helpful to me in the newborn phase, when she could relate to all of the things I was thinking and feeling.

Incredibly succinct and caring. Very knowledgable and remains curious. An incredible balance to strike as a physician.

Dr. Agbai goes above and beyond. Thorough explanations every time we speak and catches things that wouldn’t have crossed my mind. We are 100 percent pleased and wouldn’t want to be in this without her.

Dr. Agbai is an incredible doctor and one we are very grateful to get to work with. She made our children comfortable from their first meeting, with a mix of reassurance, confidence, and clear communication about the visit. Our daughter now even looks forward to pediatrician visits.