
Rheumatologist OnCall®
Quick Facts
| Membership Price Range | $749 one-time (Expert Diagnostic Consultation) | $499/month Personalized Care Membership (10% discount for annual plans, minimum 6 months) | $450 one-time (Non-Members Follow Up) | $299/month OASIS Weight Loss Program (10% discount for annual plans) |
| Practice Type | Concierge |
| Location | Irvine, CA, Costa Mesa, CA, AL, CA, FL, GA, ID, IL, IN, KY, MD, MI, MN, NV, OH, OK, PA, TX, AZ, WI, MT, OR |
| Doctors | Diana Girnita MD, PhD, FACR, Rheumatology, Mirela Titianu MD, Internal Medicine, Saumya Vinod Joshi MD, MS, RhMSUS, Pediatrics |
| Telehealth Type | Video visits and secure messaging via patient portal |
| Housecalls | Yes |
| Telehealth Available | Yes |
About
At Rheumatologist OnCall®, Dr. Diana Girnita leads a three-physician practice focused on complex autoimmune and arthritis care. The Irvine, California practice extends telehealth services across 20 states. Patients reach a specialist in days, not months. New patient appointments run a full hour, with records reviewed in advance. The team uses extended laboratory testing, including autoimmune panels, genetics, gut health, and precision medicine. Members receive biannual in-office injections and direct physician messaging.
Dr. Mirela Titianu brings internal medicine, obesity medicine, and menopause care to the practice. She and Dr. Girnita co-created the OASIS Program, which targets the inflammatory link between hormones, obesity, and autoimmune disease. Dr. Saumya Vinod Joshi joined as a partner in 2025, bringing double board-certified pediatric rheumatology expertise through Joshi Pediatric Rheumatology. The practice has earned coverage in the New York Times, KevinMD, the ACR, and HealthCentral. Rheumatologist OnCall® accepts patients using a cash pricing model, with fees eligible for HSA and FSA accounts.
Details
Address
19712 MacArthur Blvd, Suite 100, Irvine, CA 92612
Phone
(650) 525-4404Website
Visit websiteMembership
$499/monthly
Membership Details
Expert Diagnostic Consultation: $749 one-time. Personalized Care Membership: $499/month (10% discount for annual plans, minimum 6 months). Non-Members Follow Up: $450 one-time. OASIS Weight Loss Program: $299/month (10% discount for annual plans). HSA/FSA eligible.
Typical Appointment
60 minutes
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Frequently Asked Questions
The Personalized Care Membership costs $499 per month, with a minimum commitment of six months. Annual plans receive a 10% discount. A one-time Expert Diagnostic Consultation costs $749. Non-member follow-up visits run $450. All fees qualify for HSA and FSA accounts.
The practice uses a cash pricing model for membership and consultation fees. Patients can use their insurance for tests and medications. HSA and FSA funds cover membership costs. Members also receive deeply discounted cash pricing on laboratory testing, up to 80% off standard rates.
Rheumatologist OnCall® schedules new patients in days, not months. Members receive same-day or next-day telehealth access for urgent concerns. The practice reviews records up to two hours before each new patient appointment, so visits start with full context.
Yes. Rheumatologist OnCall® offers telehealth across 20 states: Alabama, Arizona, California, Florida, Georgia, Idaho, Illinois, Indiana, Kentucky, Maryland, Michigan, Minnesota, Montana, Nevada, Ohio, Oklahoma, Oregon, Pennsylvania, Texas, and Wisconsin. In-person visits take place at the Irvine, California office.
OASIS stands for Obesity and Autoimmune and Arthritis Integrated Solution. Dr. Diana Girnita and Dr. Mirela Titianu created the program to address the inflammatory link between obesity, hormones, and autoimmune disease. The program costs $299 per month with a 10% discount for annual plans. It currently serves patients in California, Oregon, Florida, Ohio, Indiana, Kentucky, Arizona, Montana, and Texas.
Members receive one-hour appointments, same-day or next-day telehealth access, direct messaging with their physician, biannual in-office injections, and deeply discounted laboratory testing. The practice also assists with medication preauthorization and provides access to the ROC Community patient portal through Elation Health.
Yes. The practice offers second opinion consultations for patients who want an expert review of their diagnosis or treatment plan. Peer-to-peer consultations for physicians seeking specialist input are also available.
Yes. Dr. Saumya Vinod Joshi partners with Rheumatologist OnCall® to provide pediatric rheumatology care through Joshi Pediatric Rheumatology. He treats children and teens with Juvenile Idiopathic Arthritis, lupus, Kawasaki disease, periodic fever syndromes, and other childhood autoimmune conditions.
Yes. Dr. Mirela Titianu runs the Women's Hormone and Autoimmune Balance Program for women navigating perimenopause or menopause alongside autoimmune disease. The program integrates hormone replacement therapy with autoimmune management and currently serves patients in California, Oregon, and Florida.
The practice selectively accepts patients based on whether the clinical team can meaningfully affect the patient's condition. This selective approach helps ensure each patient receives focused, effective care rather than a generic treatment plan.
Practice last updated August 17, 2026


