San Francisco II

The Embarcadero

MD2 San Francisco II
MD2 San Francisco II

The second MD² San Francisco practice opened its doors in January 2024.

At MD2 San Francisco II, you'll be cared for by Dr. Nicholas Fleming and Dr. Terrelea Wong, two physicians who have earned superlative reputations in the medical community and long-standing ties with the top specialists in the area. The philosophy that guides their medical practice is that cultivating strong, familial relationships with their patients is critical to delivering the finest care and achieving the best outcomes. 

Professional photograph of Dr. Nicholas Fleming

Dr. Nicholas Fleming

Dr. Nicholas Fleming, a highly sought-after primary care physician for over 25 years, strives to care for his patients as he would for her own family. His steadfast commitment to individualized, humanized, and patient-centered care has been the foundation of his practice of medicine. For this reason, he has earned a superlative reputation among peers and patients alike.

He graduated Phi Beta Kappa and magna cum laude from Duke University with his Bachelor of Arts in Art History. He then earned dual graduate degrees at Harvard University: a Doctorate of Medicine at Harvard Medical School and a Master’s of Public Policy focused on Health Care policy at Harvard’s Kennedy School of Government. Dr. Fleming stayed in Boston for his internship and residency at Massachusetts General Hospital.

After completing his residency, he joined Carolina Medical Affiliates as an internist, practicing medicine alongside his father for ten years. He was also deeply engaged in community and hospital organizations and held numerous medical staff posts. He was Chief of Staff at the Spartanburg Hospital for Restorative Care, was elected to the Medical Executive Committee for Spartanburg Regional Medical Center, and served as Chairman of the Spartanburg Regional Foundation’s Heart Board.

For the decade prior to joining MD², Dr. Fleming practiced as a partner in the UCSF Executive Health Practice, serving as the Medical Director for the last six years. He also achieved the rank of Clinical Professor of Medicine in the Division of General Internal Medicine at UCSF. During his esteemed career at UCSF, Dr. Fleming rediscovered a passion for teaching and was twice nominated for the Division of General Medicine Crede Award for teaching.

Dr. Fleming is board-certified in Internal Medicine and affiliated with UCSF Health-UCSF Medical Center.

Professional photograph of Dr. Terrelea Wong

Dr. Terrelea Wong

Dr. Terrelea Wong, a trusted and sought-after physician for over 20 years, is best known for her unwavering commitment to delivering compassionate, personalized care. Combined with her dedication to preventive medicine and meticulous management of chronic conditions, she has consistently been recognized and celebrated by her peers and patients alike.

After completing her undergraduate degree at Brown University, she earned her Doctorate of Medicine at Penn State College of Medicine. While in medical school, Dr. Wong was selected to participate in the American Medical Students Association's Washington Health Policy Fellowship. A San Francisco native, she returned to San Francisco to complete her internship and residency at California Pacific Medical Center. During her residency, she trained in many of UCSF's specialty departments.

After 15 years in general primary care, Dr. Wong was recruited to join UCSF's Executive Health Practice, where she could focus on helping her patients achieve their health and wellness goals. Concurrently, she fulfilled her love of teaching and mentoring doctors-in-training as a Clinical Professor of Medicine at UCSF's Division of General Internal Medicine.

While at UCSF, Dr. Wong also served as a Clinical Advisor to the Quantitative Biosciences Institute, a consortium of UCSF, UC Berkeley, and UC Santa Cruz that collaborates on projects to both deepen our understanding of biologic problems and develop new treatments.

Dr. Wong is board-certified in Internal Medicine and affiliated with UCSF Health-UCSF Medical Center.

For Your Consideration

There is a purity to MD2 you will not find elsewhere. At the heart of it, you are 1 of just 50 families who retain the services of a personal physician who knows you as well as their own family. The annual fee is $25,000 for an individual, paid on a monthly basis, and we do not bill insurance or Medicare. Additional family members can be added at an additional cost. The MD2 fee ensures absolute, unlimited access to your physician, as well as their physician partner, and covers all care and services provided by the office.

Is there an annual contract for services?

We believe medical care should be based on a deeply meaningful relationship between a physician and a patient that ideally lasts a lifetime – not a contract. The only contract we use reflects our promise to you. It binds us to you, not the other way around. There is no obligation on your part. If for any reason you wish to depart MD2, you can cancel your services at any time without any financial commitment. Your doctor will graciously work with you to establish care with another physician of your choosing.

What services are included?

Simply put, every primary care service is included. There is no additional billing. To help you understand the term “primary care,” think of it as all the care and services required when you “go to your doctor.” But in this case, your doctor is a star internist who graduated at the top of their class and is regarded as the master diagnostician – an art that can be lost today, but never at MD2.

This includes such things as an extensive annual physical, unlimited visits, house and workplace calls, x-rays, routine lab tests and diagnostics indicated by your age, health, and conditioning status. These tests may include blood panels, cardiovascular screening, cancer evaluations, and whatever else your physician believes will promote your healthiest lifestyle. When you leave an MD2 office, you are never handed a bill for our services.

With unlimited time, your MD2 physician will go beyond the customary. They will guide you to appropriate consultants, specialists, and surgical services as needed and often accompany you to those appointments to ensure complete continuity of care. Your care is thorough and extensive yet always custom tailored.

Will my physician manage my care while I am traveling?

MD2 was explicitly designed to accommodate families who travel frequently and often live in a second residence for at least part of the year. Caring for highly mobile families is our specialty. Your physician will always remain your primary contact when you or your family travels; they will be your first call if you have a medical need and are prepared to care for you, regardless of your location. In addition, prepping for travel and planning your care while you are away will be a key element of your care. Should you fall ill or need medical attention while in another city with an MD2 office, your physician will coordinate care for you with their MD2 partner in that city. Lastly, as an MD2 patient, you are enrolled in a worldwide medical evacuation service, should you ever need it.

What if my physician goes on vacation?

We've set up each MD2 practice so that your physician or their partner will always be available to you. You will have direct access to both physicians’ private cell phones, which you can call anytime, day or night. If your physician is unavailable, you will have direct access to their MD2 partner physician. You will never have to go through a front desk, an obscure exchange service or even a nurse to get to your physician or their partner, even if they are on vacation.

What if I need to go to the hospital?

At MD2, you will never be left alone in your time of need. Shockingly, it has become customary today that physicians no longer follow patients during hospitalization. Instead, they leave their patients in the hands of hospitalists. At MD2 we believe this is unacceptable. MD2 physicians visit their patients while in the hospital and orchestrate care with medical specialists in any field. Should you require a hospital stay, your physician will be at your side as your advocate and quarterback.

Furthermore, if specific health services would be best provided at a medical center in another city, your MD2 physician will make all the arrangements for your stay and continue to be involved in overseeing your care.

Can my children join MD2?

As internists, we specialize in the care of adult patients, however, the age at which children transition out of pediatric care varies by individual. It’s a wonderful discussion to have with your MD2 physician. Please know that even when your child is under the care of their pediatrician, we welcome being involved and receiving questions. Multi-generational care is our specialty.

Transform Everything You Thought was Possible

We welcome your inquiry by giving us a call at 425-658-0959, or completing the form.