PACIFIC RHEUMATOLOGY MEDICAL CENTER, INC.
NPI 1205120375
Internal Medicine - Rheumatology in Tustin, CA

Active since June 06, 2011
1422 EDINGER AVE STE 130, TUSTIN, CA 92780(714) 628-9342(714) 628-9759 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pacific Rheumatology Medical Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACIFIC RHEUMATOLOGY MEDICAL CENTER, INC. (NPI 1205120375) is a healthcare organization registered as a rheumatology in Tustin, California and active in the NPI registry since June 2011. The organization lists Behnam Khaleghi, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1205120375
Entity TypeOrganization
Primary Taxonomy207RR0500X
Legal Business NamePACIFIC RHEUMATOLOGY MEDICAL CENTER, INC.
Location Address1422 EDINGER AVE STE 130Tustin, CA 92780-6298
Mailing Address1422 Edinger Ave Ste 130Tustin, CA 92780-6298 · (714) 628-9342 · Fax (714) 628-9759
Fax(714) 628-9759
Organization SubpartNo
Authorized OfficialBehnam KhaleghiMd/owner · (949) 292-4031
Enumeration DateJune 6, 2011
Last NPPES UpdateAugust 3, 2026
NPPES CertifiedAugust 3, 2026
✔ NPI 1205120375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in CA · C54349
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
1422 EDINGER AVE STE 130, Tustin, CA 92780

Other Identifiers 1

OtherC54349CA · Ca License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pacific Rheumatology Medical Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20111110000086Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Pacific Rheumatology Medical Center, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1235897190
1422 EDINGER AVE STE 130
Tustin, CA 92780
(714) 628-9342
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1144868050
1422 EDINGER AVE STE 130
Tustin, CA 92780
(714) 628-9342
✔ PECOSSame address
Rheumatology
NPI 1154306678
805 W LA VETA AVE SUITE 105
Orange, CA 92868
(714) 628-9342
✔ PECOS✔ Accepts Medicare4.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pacific Rheumatology Medical Center, Inc.'s NPI number?

The NPI number for Pacific Rheumatology Medical Center, Inc. is 1205120375. It was assigned to this organization in the NPPES registry on June 6, 2011.

Where is Pacific Rheumatology Medical Center, Inc. located?

Pacific Rheumatology Medical Center, Inc. is located at 1422 Edinger Ave Ste 130, Tustin, CA 92780. The listed phone number is (714) 628-9342.

What is Pacific Rheumatology Medical Center, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Pacific Rheumatology Medical Center, Inc. enrolled in Medicare?

Yes. Pacific Rheumatology Medical Center, Inc. is registered in the Medicare PECOS enrollment system.

When is Pacific Rheumatology Medical Center, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Pacific Rheumatology Medical Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Pacific Rheumatology Medical Center, Inc., in Nurse Practitioner and Rheumatology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pacific Rheumatology Medical Center, Inc. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and Ambetter from Buckeye Health Plan and 12 other insurers list Pacific Rheumatology Medical Center, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pacific Rheumatology Medical Center, Inc. was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.