SENIOR DOC ILLINOIS PC
NPI 1407621501
Family Medicine in Orange, CA

Q: What is Senior Doc Illinois PC's NPI number?

The NPI number for Senior Doc Illinois PC is 1407621501. It was assigned to this organization in the NPPES registry on November 17, 2023.

Q: What is Senior Doc Illinois PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since November 17, 2023

2592 N SANTIAGO BLVD, ORANGE, CA 92867(855) 434-7763(949) 281-5550 Get Directions Write a Review

NPPES record last updated: November 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Senior Doc Illinois Pc NPPES

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

SENIOR DOC ILLINOIS PC (NPI 1407621501) is a healthcare organization registered as a family medicine in Orange, California and active in the NPI registry since November 2023. The organization lists John M Geiss, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407621501

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSENIOR DOC ILLINOIS PC

Location Address2592 N SANTIAGO BLVDOrange, CA 92867-1862

Mailing Address2592 N Santiago BlvdOrange, CA 92867-1862 · (855) 434-7763 · Fax (949) 281-5550

Phone(855) 434-7763

Fax(949) 281-5550

Organization SubpartNo

Authorized OfficialJohn M GeissCeo · (855) 434-7763

Enumeration DateNovember 17, 2023

NPPES CertifiedNovember 17, 2023

✔ NPI 1407621501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2592 N SANTIAGO BLVD, Orange, CA 92867

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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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE PUKINI

Nurse Practitioner (Psychiatric/Mental Health)