Pacific Rheumatology Associates

Prospective concierge patients can call 415-570-7054 to inquire about joining the practices of Dr. Aggarwal or Dr. Magnano. Both doctors limit their panel sizes, so availability may vary. Dr. Ruiz accepts patients through the traditional fee-for-service model; call the main office at 415-923-3060 to schedule with him.

Concierge members receive same-day or next business day appointments and visits lasting 30 to 60 minutes. The practice provides direct communication during business hours and an after-hours emergency number. Members also benefit from extended office hours when needed, personalized hospital care, and coordinated medication and testing management.

The practice accepts Medicare and many PPO plans. For HMO patients, the practice partners with the Brown and Toland Medical Group network. Concierge membership fees are separate; contact the practice for details on how membership works alongside your insurance.

Yes. Dr. Pedro Ruiz maintains a traditional fee-for-service practice. Patients who prefer this model can call 415-923-3060 to schedule an appointment. Drs. Aggarwal and Magnano practice exclusively in the concierge model.

Yes. Pacific Rheumatology Associates offers telehealth visits through the MyChart patient portal. Patients can contact the office to schedule a virtual appointment with their physician.

Concierge appointments typically run 30 to 60 minutes. The practice schedules appointments to minimize waiting room time. This allows each doctor to give thorough attention to diagnosis, treatment planning, and patient education.

The practice treats a broad range of conditions, including rheumatoid arthritis, lupus, psoriatic arthritis, osteoporosis, fibromyalgia, gout, vasculitis, ankylosing spondylitis, Sjogren's syndrome, giant cell arteritis, polymyalgia rheumatica, and osteoarthritis. The team also addresses metabolic bone disease, soft tissue rheumatism, and Raynaud's phenomenon.

Yes. Pacific Rheumatology Associates coordinates with nephrologists, dermatologists, hematologists, OB-GYNs, physical therapists, and orthopedic surgeons. The practice uses a sophisticated electronic health record linked to physicians and hospitals to support seamless coordination.

Yes. All three physicians serve on the medical staff at California Pacific Medical Center. The team participates in the training of internal medicine residents and rheumatology fellows at UCSF Medical Center.

Yes. Dr. Aggarwal holds certification from the Ultrasound School of North American Rheumatologists (USSONAR) and performs musculoskeletal ultrasound in the clinic. This technique supports earlier diagnosis and more accurate monitoring of disease activity. She also uses ultrasound guidance for joint and soft-tissue injections.