A solo primary care office at 4311 Third Ave in Hillcrest, Anish A. Patel, MD serves adult patients from a small private practice a few blocks east of the Fourth Avenue hospital row. When routine visits uncover back pain, rotator cuff strain, or post-injury stiffness, outpatient physical therapy orders route to PRN Physical Therapy - San Diego, 4th Ave. a few blocks away. The Third Avenue suite accepts credit and debit card payments and keeps a restroom on the patient side of the office. Shared medication plans for depression and anxiety get co-managed with psychiatry groups such as Advanced Psychiatry Associates when SSRI titration or a second specialist opinion outgrows a generalist prescribing window. The most demanding visits here thread together hypertension, depression, and chronic pain in a single appointment - the polypharmacy reconciliation that solo primary care offices carry when patients can not afford a subspecialty chain.