I would suggest Oakland as your best bet. I'm in Manteca, when I asked a similar question a few years back, a friend took me to "NORCAL HEALTHCARE SYSTEM-Medical Clinic, Inc. 1504 Franklin Street, Suite 101 Oakland, Ca. 94612. Dr. Hany Assad, M.D. You will have a consultation with the Dr. and will tell him what medical condition and symptoms you have. If your not sure what to tell him, I believe there are other threads for that. Cost, I believe is about $100 for The physician recommendation. You then take that about 3 or 4 blocks over to the "Patient ID Center" where you pay something like $25 to have your picture taken and recieve your #ID card. Dr. Assad office (510)839-0723. Don't be in a rush, process takes 3hrs on the average.