Crescendo MD
Quick Facts
| Practice Type | Concierge |
| Location | Portola Valley, Woodside, Atherton, Palo Alto, Los Altos Hills, San Francisco Bay Area, Silicon Valley |
| Doctors | Alan Gianotti MD, MS, ABEM, Primary Care, Alan Greene MD, FAAP, Pediatrics, Hana Grobel MD, ABFM, Family Medicine + 5 more |
| Year Founded | 2021 |
| Panel Size | 100 patients per doctor |
| Telehealth Type | Virtual visits with digital medical instruments for remote assessments |
| Housecalls | Yes |
| Telehealth Available | Yes |
About
At Crescendo MD, a team of eight physicians delivers concierge care for adults and children. Dr. Janesta Noland and Dr. Alan Greene co-founded the Portola Valley practice in 2021. Their model is built on the belief that exceptional care begins with knowing each patient as a whole person. Each physician limits their panel to just 100 members. This ensures every patient receives thorough, unhurried attention. The practice provides primary care, pediatrics, and in-house specialty services. These specialties include ophthalmology and allergy and immunology. Crescendo MD emphasizes preventive medicine and longevity across all ages. The team uses advanced diagnostics and genetic testing to create personalized health plans. The practice serves local and international patients, including leaders in technology, finance, and the arts.
Details
Address
3130 Alpine Road, Suite 200, Portola Valley, CA 94028
Phone
(650) 850-5323Website
Visit websiteMembership Details
Membership fee covers direct access and services provided by the practice. Laboratory testing is billed to insurance. Prescriptions, radiology studies and any services performed outside the office are billed through insurance or paid directly to the specialty clinic. Crescendo is considered out of network for all insurance plans.
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Frequently Asked Questions
Each physician at Crescendo MD cares for no more than 100 members. The practice deliberately keeps its patient panels small. This ensures doctors have ample time for thoughtful visits and same-day scheduling for urgent needs.
The annual membership fee covers all services the practice provides directly. This includes direct physician access, a comprehensive annual evaluation, and expert care coordination. It also covers in-office blood draws, vaccinations, a travel medication kit, and annual medical evacuation coverage through MedJet.
Crescendo MD is an out-of-network provider for all insurance plans. The practice does not bill insurance for its membership fee. Members may use their insurance for services outside the practice, such as laboratory tests, prescriptions, and specialist visits.
Yes, Crescendo MD has in-house specialists for pediatric ophthalmology, adult strabismus, and pediatric allergy and immunology. The practice offers these specialty services to the public. You do not need to be a primary care member to see these specialists.
Primary care services at Crescendo MD are available by referral only. This applies to both adult primary care and pediatrics. You can submit an inquiry through the practice website for more information.
Yes, the practice offers several convenient ways to receive care. Physicians provide in-home medical visits for members. Secure telemedicine appointments are also available for remote consultations. The practice even supplies digital medical tools for accurate assessments during travel.
Crescendo MD views longevity as a continuum that spans all ages. The physicians use advanced screening, genetic testing, and wearable device data to create proactive health plans. The goal is to optimize healthspan through managed fitness, sleep, and nutrition.
Practice last updated June 11, 2026