Plaintiff-Appellant, Jehan Zeb Mir, M.D., (Mir) appeals from the district court’s order dismissing this action after dismissal of his complaint without leave to amend, for failure to state a claim for which relief could be granted. Mir also appeals from the district court’s decision to grant $15,960.00 in attorneys’ fees and costs to defendant- appellee Little Company of Mary Hospital (Hospital).

We must answer the following questions:

I.

PROCEDURAL POSTURE

On May 17, 1976, Mir applied for staff privileges at the Hospital. He sought to practice cardiac, thoracic, vascular, and general surgery. Mir was denied all privileges. After exhausting the Hospital’s procedures for appeals, Mir filed a lawsuit in California Superior Court on May 5, 1978 seeking' damages and an injunction directing the Hospital to grant his application for surgery privileges.

In 1979, while his state court action was still pending, Mir filed a second application for surgery privileges at the Hospital. On July 3, 1979, the Hospital granted Mir’s request for general, vascular, and thoracic surgery privileges but denied his request to perform cardiac surgery because he had failed to complete fifty open heart surgeries in the preceding year.

In January 1982, Mir moved to amend his state court action for damages to include a petition for a writ of mandate. The Hospital opposed the motion, contending that Mir could not proceed with a damage action until a writ of mandate, reversing the Hospital’s decision to deny him privileges, had been granted by the state court. The state court denied the request to amend.

On March 1, 1983, Mir again filed an amended pleading in state court in which he petitioned for a writ of mandate to overturn the Hospital’s decision denying him cardiac surgery privileges. Mir claimed that the Hospital violated his due process rights when it denied him all surgery privileges in 1978 and when it denied him cardiac surgery privileges in 1979.

On August 23, 1983, the state court denied the petition. Mir appealed. The California Court of Appeal dismissed the appeal on December 10, 1985. The Court of Appeal found that Mir had been granted privileges in general, vascular and thoracic surgery, therefore his claim regarding those privileges was moot. In addition, the court found that Mir’s failure to produce evidence that he had exhausted the Hospital’s procedures for reviewing the second administrative decision denying cardiac privileges resulted in a waiver of his right to appeal from that decision. Mir took no further action in state court and made no additional requests to the Hospital to review the denial of cardiac surgery privileges.

On December 1, 1986, Mir filed this action in district court. In his complaint, Mir alleged federal antitrust, state antitrust, and common law causes of action. In an amended complaint filed on December 8, 1986, Mir added claims of violations of 42 U.S.C. §§ 1983 , 1985 and 1986.

On May 22, 1987, the Hospital filed a motion to dismiss the complaint for failure to state a claim for which relief could be granted. The Hospital argued that all of Mir’s claims were barred by the statute of limitations. In addition, the Hospital contended that one or two essential elements were missing from each of the claims and that the state common law claims were barred by res judicata. The Hospital also requested that the district court take judicial notice of Mir’s pleadings in the state court action, the Hospital’s answer to the initial complaint, and the decisions of the California Superior Court and the Court of Appeal. A motion for sanctions and attorneys’ fees was also filed. Following a hearing, the district court granted all three motions.

II.

MOTION TO DISMISS

The district court ruled that Mir’s First Amended Complaint failed to state a claim against the Hospital for which relief could be granted. We agree.

A. Standard of Review

We review de novo a dismissal for failure to state a claim under Fed.R.Civ.P. 12(b)(6). Ledesma v. Jack Stewart Produce, 816 F.2d 482 , 484 (9th Cir.1987). A complaint should not be dismissed unless it is clear that no set of facts in support of the plaintiffs claim would entitle him to relief. Mack v. South Bay Beer Distrib., 798 F.2d 1279, 1282 (9th Cir.1986). “In reviewing a motion to dismiss we presume that the facts alleged in the complaint are true.” McRorie v. Shimoda, 795 F.2d 780, 783 (9th Cir.1986). In addition to the complaint, it is proper for the district court to “take judicial notice of matters of public record outside the pleadings” and consider them for purposes of the motion to dismiss. MGIC Indem. Corp. v. Weisman, 803 F.2d 500, 504 (9th Cir.1986) (court took judicial notice of motion to dismiss filed in a separate suit and considered it in the motion to dismiss before them); see also Mack, 789 F.2d at 1282 (court took judicial notice of records in a state administrative proceeding and considered them in the motion to dismiss).

B. Federal Antitrust Claim

In his complaint, Mir alleges a conspiracy to restrain the free practice of cardiac vascular surgery in violation of the federal antitrust laws, 15 U.S.C. § 1 (1982). The Hospital contends that this claim is barred by the statute of limitations. 15 U.S.C. § 15b (1982) states that an antitrust action must be “commenced within four years after the cause of action accrued.” Mir commenced this action on December 1, 1986.

“A cause of action in antitrust accrues each time a plaintiff is injured by an act of the defendant and the statute of limitations runs from the commission of the act.” Pace Indus. v. Three Phoenix Co. (Pace), 813 F.2d 234 , 237 (9th Cir.1987). The Hospital contends that the last act that could have injured Mir occurred on July 3, 1979 when the Hospital again rejected his request for cardiac surgery privileges. Mir argues that the Hospital has engaged in continuing anticompetitive behavior since the 1979 denial. He contends that the fact that the Hospital has opposed his state court action seeking a mandate overturning their decision to deny him surgical privileges constitutes a continuing violation. Mir does not claim that the Hospital took any action other than defending itself in the state court action.

Assertion of a defense to a court action, without more, is not a sufficient act to constitute a continuing violation of the federal antitrust laws. See Brunswick Corp. v. Riegel Textile Corp., 752 F.2d 261, 272 (7th Cir.1984) (defending oneself in a proceeding brought by another is not an act actionable under the federal antitrust laws), cert. denied, 472 U.S. 1018 , 105 S.Ct. 3480 , 87 L.Ed.2d 615 (1985); cf. Pace, 813 F.2d at 238 (bringing a state court action to enforce a contract illegal under the antitrust laws is the last overt act and prosecuting the suit does not continue the violation; the statute of limitations runs from the date the suit is filed). A party “cannot start a suit ... and then sue the clefendant for refusing to default. Brunswick, 752 F.2d at 272 .

Mir also asserts that the state court proceedings tolled the statute of limitations. In Pace, we held that prior state court actions “ ‘do not toll the statute of limitations, no matter how close their relationship to the one at bar.’ ” 813 F.2d at 240 (quoting Ramirez de Arellano v. Alvarez de Choudens (Ramirez), 575 F.2d 315, 319 (1st Cir.1978)). The statute of limitations is tolled in antitrust actions only if the previous action was the case at bar and not merely a related action on the same facts. Id. at 241 (citing Ramirez, 575 F.2d at 320 ).

None of the complaints filed by Mir in the state court raised federal antitrust issues. Thus, under Pace, the statute of limitations applicable to the federal antitrust claims was not tolled pending resolution of the state court action.

Additionally, Mir argues that his federal antitrust claim is not barred by the statute of limitations because “even ignoring the continuing nature of defendant’s conspiracy or the tolling effect of the state court proceedings, plaintiffs future earnings and injury to good will would have been too speculative to have been awarded in a suit based upon the original exclusion in 1976.” Mir asserts that at the very least he should be able to maintain an action to recover damages that accrued during the four year period prior to bringing this federal action because the statute of limitations runs from the date that the damages accrue and are no longer speculative. Mir requested damages for the loss of past and future earnings and good will. He argues that until the state court action was completed, his damages were speculative because there was still the possibility that the Hospital would be required to allow him cardiac surgery privileges.

In Zenith Radio Corp. v. Hazeltine Research (Zenith), 401 U.S. 321, 339 , 91 S.Ct. 795, 806 , 28 L.Ed.2d 77 (1971), the Supreme Court held that when a court refuses to award antitrust damages because they are too speculative, “the cause of action for future damages, if they ever occur, will accrue only on the date they are suffered; thereafter the plaintiff may sue to recover them at any time within four years from the date they were inflicted.” Zenith did not change the criteria for determining whether damages are speculative. In re Multidistrict Vehicle Air Pollution, 591 F.2d 68, 73 (9th Cir.) (citing Charlotte Telecasters, Inc. v. Jefferson-Pilot Corp., 546 F.2d 570, 573 (4th Cir.1976)), cert. denied, 444 U.S. 900 , 100 S.Ct. 210 , 62 L.Ed.2d 136 (1979). Juries are allowed to use probable and inferential proof, as well as direct and positive proof, to make a reasonable and just estimate of the damage suffered by the plaintiff. Id. “Mere uncertainty as to the extent or amount of damage will not bar recovery under the antitrust laws.” Aurora Enter. v. Nat’l Broadcasting Co., 688 F.2d 689 , 694 (9th Cir.1982).

Pace, 813 F.2d at 240 (citations omitted).

The extent of Mir’s damages is not less speculative or more ascertainable today than it was in 1979. The injury occurred, if at all, in 1979. The mere fact that the extent of the injury may be uncertain would not have prevented recovery. Mir could have easily presented evidence of his projected lost income in 1979. This type of evidence is presented in court every day. In addition, Mir could have brought an antitrust suit in federal court without seeking a writ of mandate in the state court. Cf. Midland Telecasting Co. v. Midessa Television Co., 617 F.2d 1141, 1149 (5th Cir.) (“There is no requirement that an antitrust plaintiff exhaust administrative remedies as a prerequisite to bringing an antitrust suit.”), cert. denied, 449 U.S. 954 , 101 S.Ct. 361 , 66 L.Ed.2d 219 (1980).

The statute of limitations was not tolled during the pendency of the state court action. Mir’s federal antitrust cause of action was untimely.

C. State Antitrust and Common Law Violations

In his state common law claim, Mir alleged that the Hospital and the members of the review committee “conspired to deny plaintiff access to the hospital facilities which were necessary for plaintiff’s chosen field of cardiac surgery. This was done in order to deprive plaintiff of his practice and in order to benefit the competing members of the conspiracy.” He also alleged that the Hospital’s action was “an unlawful combination to prevent competition in violation of California Business and Professions Code Section 16726 et seq.”

The Hospital contends that these state claims are barred by Mir’s failure to obtain a writ of mandate before filing his complaint for damages. We agree.

In Westlake Community Hosp. v. Superior Court, 17 Cal.3d 465, 484 , 551 P.2d 410, 421 , 131 Cal.Rptr. 90, 101 (1976), the California Supreme Court held that before an action for damages can be brought, the quasi-judicial decision of the review committee to deny hospital privileges must be overturned by the grant of a writ of mandate. The court said “that so long as such a quasi-judicial decision is not set aside through appropriate review procedures the decision has the effect of establishing the propriety of the hospital’s action.” Id. Under California law, once a court determines in a mandamus proceeding that the quasi-judicial decision cannot stand, the prevailing party can institute an action against the hospital. 17 Cal.3d at 484 , 551 P.2d at 421-22 , 131 Cal.Rptr. at 101-02 . Mir’s state claims concern the hospital’s decision to deny him cardiac surgery privileges. Until the review committee’s decision is overturned by a writ of mandate, it is presumed correct and a damage action based on state law may not be maintained. Id.

Mir claims that Westlake is inapplicable because in that matter only tort claims were at issue. Westlake applies to all cases where a quasi-judicial decision is the basis of a cause of action. 17 Cal.3d at 484 , 551 P.2d at 421 , 131 Cal-Rptr. at 101. The principle announced in Westlake is not limited to cases that sound in tort. See Interior Sys. v. Del E. Webb Corp., 121 Cal.App.3d 312, 319 , 175 Cal.Rptr. 301, 306 (1981) (cannot distinguish Westlake on basis that it applies only to tort causes of action); cf. Logan v. S. California Rapid Transit Dist., 136 Cal.App.3d 116, 123 , 185 Cal.Rptr. 878, 882 (1982) (any action involving the substance of a hearing must be tested under a petition for writ of mandate whether it sounds in contract or tort). Thus, since Mir failed to set aside the review committee’s decision by means of a writ of mandate, he is barred from bringing a damage action based on a cause of action arising under California law.

D. Civil Rights Claims

In his complaint, Mir alleges violations of 42 U.S.C. §§ 1983 , 1985 and 1986 (1982). These claims are barred by the res judicata effect of the state court proceedings. “[A] federal court must give to a state-court judgment the same preclusive effect as would be given that judgment under the law of the State in which the judgment was rendered.” Migra v. Warren City School Dist. Bd. of Educ., 465 U.S. 75, 81 , 104 S.Ct. 892, 896 , 79 L.Ed.2d 56 (1984); 28 U.S.C. § 1738 (1982).

“Under California law, ‘[a] valid judgment on the merits in favor of a defendant serves as a complete bar to further litigation on the same cause of action.’ ” Takahashi v. Bd. of Trustees of Livingston Union School Dist., 783 F.2d 848 , 851 (9th Cir.) (quoting Slater v. Blackwood, 15 Cal. 3d 791, 795 , 543 P.2d 593, 594 , 126 Cal.Rptr. 225, 226 (1975)), cert. denied, 476 U.S. 1182 , 106 S.Ct. 2916 , 91 L.Ed.2d 545 (1986).

Trujillo v. County of Santa Clara, 775 F.2d 1359, 1366 (9th Cir.1985).

In his claim filed in the district court, Mir alleges the same factual matters which were presented to the California courts. His federal civil rights claims relate to the same “primary right” — the “right”, or more precisely the privilege, to practice cardiac surgery at the Hospital — presented in his petition for a writ of mandate. The violation of one primary right gives rise to only one claim for relief. By invoking the Constitution and sections 1983, 1985 and 1986, Mir has merely presented a new legal theory upon which he seeks recovery. See Takahashi, 783 F.2d at 851 (section 1983 action barred when it merely asks to look at contractual right of employment from a different angle). The state court judgment is final. Thus, Mir is precluded from relit-igating issues that were raised or could have been raised in his state court action. Federated Dep’t Stores v. Moitie, 452 U.S. 394, 398 , 101 S.Ct. 2424, 2427 , 69 L.Ed.2d 103 (1981).

Ill

SANCTIONS

The district court awarded sanctions to the Hospital in the amount of $15,960.00. In so doing, the court stated the following on the record:

Mir contends that sanctions were inappropriate in this case because his moving papers and his complaint were “both legally reasonable and factually well founded” and they were “made in ‘good faith’ and devoid of ‘improper' purpose.’ ”

Fed.R.Civ.P. 11 provides that

“Sanctions are mandatory if the court concludes that Rule 11 has been violated.” Hudson v. Moore Business Forms, Inc., 827 F.2d 450, 453 (9th Cir.1987).

Greenberg v. Sala, 822 F.2d 882, 885 (9th Cir.1987).

The “frivolous filing” sanction is judged by an objective standard. Zaldivar v. City of Los Angeles, 780 F.2d 823, 829 (9th Cir.1986). The party filing the paper

Id. at 831 . However, a court must be careful to remember that

Hurd v. Ralphs Grocery Co., 824 F.2d 806, 810-11 (9th Cir.1987) (quoting Fed.R.Civ.P. 11 advisory committee’s note, 1983 Amendment, reprinted in 97 F.R.D. 165 , 199 (1983)). An “argument need not be correct to be considered made in good faith.” In re Yagman, 796 F.2d 1165, 1187 (9th Cir.1986), modified, 803 F.2d 1085 (9th Cir.1987).

The question we must answer is whether Mir presented good faith arguments to justify pursuing these claims against the Hospital since 1976.

None of the cases cited by Mir support the argument that the federal antitrust claims are not barred by statutes of limitations, that the civil rights claims are not barred by res judicata, or that the state law claims are not barred by state exhaustion requirements. Mir does not assert that we should extend existing law to cover the circumstances of his case. Cf. Hurd, 824 F.2d at 811 (counsel’s creative theory that had not yet been recognized by any court was not sanctionable). Mir argues instead that existing case law supports his arguments. No competent lawyer would believe that the cases he relies upon support his argument.

In Unioil, Inc. v. E.F. Hutton & Co., 809 F.2d 548, 557 (9th Cir.1986), cert. denied, — U.S. —, 108 S.Ct. 83 , 98 L.Ed.2d 45 (1987), we held that it is significant that the allegations filed

Mir has sought to recover over $27,000,000 in damages for the Hospital’s decision not to accord him privileges. A prayer for this amount of money forces an opposing party to mount a “vigorous and costly defense.” Id. We are persuaded that Mir acted unreasonably in bringing an action for $27,-000,000 in the face of clear authority that each claim was barred by procedural limitations.

Finally, Mir has been contending for over nine years that the Hospital’s decision to deny him cardiac surgery privileges was improper. In every forum that he has raised this issue he has either been defeated on the merits or his action has been barred for failure to overcome obvious procedural requirements. We agree with the district court that his continued pursuit of this matter is a blatant attempt to harass the Hospital into granting him the privileges they denied him nine years ago. Accordingly, we affirm the district court’s sanction award.

IV

COSTS ON APPEAL

The Hospital requests, pursuant to Fed. R.Civ.P. 11 and Fed.R.App.P. 38 and Circuit Rule 39-1.6, that we award it attorney’s fees for defending an appeal asserting “wholly meritless and groundless arguments.” Fed.R.App.P. 38 states that “[i]f a court of appeals shall determine that an appeal is frivolous, it may award just damages and single or double costs to appel-lee.” “Sanctions are appropriate when the result of an appeal is obvious and the arguments of error are wholly without merit.” Grimes v. Commissioner, 806 F.2d 1451, 1454 (9th Cir.1986) (per curiam).

Because the original complaint is without merit, the appeal is without merit. Therefore, we award attorney’s fees and double costs to the Hospital.

AFFIRMED.

. In his complaint, Mir identifies the statutes as being in Title 18. It is obvious, however, that he is referring to the civil rights statutes in Title 42 and he uses the correct title in his briefs.