SENIOR DOC CONNECTICUT, PC
NPI 1194575308
Family Medicine in Orange, CA
About Senior Doc Connecticut, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SENIOR DOC CONNECTICUT, PC (NPI 1194575308) is a healthcare organization registered as a family medicine in Orange, California and active in the NPI registry since March 2024. The organization lists Angelica Leyla Soto, Credentialing Specialist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Senior Doc Connecticut, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Senior Doc Connecticut, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 Senior Doc Connecticut, PC's NPI number?
The NPI number for Senior Doc Connecticut, PC is 1194575308. It was assigned to this organization in the NPPES registry on March 22, 2024.
Where is Senior Doc Connecticut, PC located?
Senior Doc Connecticut, PC is located at 2592 N Santiago Blvd, Orange, CA 92867. The listed phone number is (855) 434-7763.
What is Senior Doc Connecticut, PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Senior Doc Connecticut, PC enrolled in Medicare?
Yes. Senior Doc Connecticut, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Senior Doc Connecticut, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Senior Doc Connecticut, PC, in Emergency Medicine, Internal Medicine, Neurology and Nurse Practitioner. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Senior Doc Connecticut, PC was last updated on March 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Senior Doc Connecticut, Pc · NPI 1194575308
Family Medicine organization in Orange, California. Organization record, active in the CMS NPPES registry since March 22, 2024.
## Identity
- **NPI:** 1194575308 (Entity type: Organization)
- **Enumerated:** March 22, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Angelica Soto, CREDENTIALING SPECIALIST
## Practice location
- **Address:** 2592 N SANTIAGO BLVD, Orange, CA 92867-1862
- **Phone:** (855) 434-7763
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Emergency Medicine (1), Internal Medicine (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1194575308) · Data from the CMS NPPES public registry.