Pacific Rheumatology Medical Center, Inc.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

C54349 Issued in CA

Legal business name

PACIFIC RHEUMATOLOGY MEDICAL CENTER, INC.

Practice address

1422 Edinger Ave Ste 130
Tustin, CA 92780-6298

Phone

(714) 628-9342

Fax

(714) 628-9759

NPI assigned

Jun 6, 2011

Last updated

Aug 3, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Behnam Khaleghi, MDNPI 1154306678

Title

MD/Owner

Phone

(949) 292-4031

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3282/brand/1/csg/1/fhir/r4

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Behnam Khaleghi, MD

  • Rheumatology Physician
  • Orange, CA
  • NPI 1154306678
  Medicare reassignment Care Compare group NPD Authorized official
• Jennifer N/a Luong, NP

  • Family Nurse Practitioner
  • Tustin, CA
  • NPI 1235897190
  Medicare reassignment Care Compare group
• Janet Ma, (MSN, FNP)

  • Family Nurse Practitioner
  • Tustin, CA
  • NPI 1144868050
  Medicare reassignment NPD
• Mark Jason, M.D

  • Specialist
  • Laguna Hills, CA
  • NPI 1629179536
  NPD
• Charles Chulho Baik, DPM

  • Podiatrist
  • Orange, CA
  • NPI 1871604314
  NPD (past)
• Tina Khosravi

  • Medical Physician Assistant
  • Orange, CA
  • NPI 1609301506
  NPD (past)
• Kelly Ann Portnoff, M.D.

  • Rheumatology Physician
  • Portland, OR
  • NPI 1255422481
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1205120375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 EDINGER AVE STE 130",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806298",
            "telephone_number": "714-628-9342",
            "fax_number": "714-628-9759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 EDINGER AVE STE 130",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806298",
            "telephone_number": "714-628-9342",
            "fax_number": "714-628-9759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC RHEUMATOLOGY MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-06",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "KHALEGHI",
        "authorized_official_first_name": "BEHNAM",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "949-292-4031",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "C54349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "C54349",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cesar A Pacheco, LMFT
• Pacific Anesthesiology a Medical Corporation
• Pacific Chiropractic & Wellness Center
• Pacific Chiropractic & Wellness Center Inc
• Pacific Neurocare
• Pacific Total Health Acupuncture, Inc.
• Jasen Pacis, OTR/L
• Allison Renee Pade
• David Anthony Padilla, RADT-I
• Elsa Padilla

• Rheumatology Physician in Tustin, CA
• Providers in Tustin, CA by specialty
• Rheumatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.