The Sutter Pacific Medical Foundation Primary Care 350 Rhode Island is a 9,500-square-foot clinic located within a four-story office building in San Francisco’s Dogpatch neighborhood. The project expands access to primary care in the San Francisco market by seamlessly connecting a new clinic with an adjacent, fully operational location to function as one cohesive clinic. Reception and waiting were combined to create a centralized patient entry experience, and a new internal connection improves both staff circulation and patient flow. The expanded blood draw area includes two draw bays, one private draw room, and a specimen toilet, providing shared access to centralized lab processing.

Working within an existing office building required thoughtful coordination with structural elements essential to the building’s integrity, including a pre-stressed slab and exposed concrete structural columns. Rather than try to work around it, the design team incorporated this feature into the clinic’s interior environment. The exposed concrete introduces texture and visual interest while reinforcing the building’s original architectural character.

The primary care program includes 18 exam rooms, two exam-plus rooms designed to accommodate additional equipment and care team support, and one treatment room organized along intuitive patient corridors. This layout maximizes flexibility and supports a one-stop shop model of care. Standardized exam room layouts enable providers and care teams to efficiently share rooms throughout the day. Centralized reception and support spaces, along with strategically located med prep, clean and soiled utility rooms, support operational efficiency and team-based workflows. Through careful phasing and coordination, the expansion was integrated while maintaining continuous patient care. The result is a unified primary care and lab environment that increases provider capacity, improves patient access, and delivers a cohesive clinical experience within an existing urban building.