SENIOR DOC ARIZONA PC
NPI 1700477627
Family Medicine in Phoenix, AZ
About Senior Doc Arizona Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SENIOR DOC ARIZONA PC (NPI 1700477627) is a healthcare organization registered as a family medicine in Phoenix, Arizona and active in the NPI registry since February 2021. 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 Arizona Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
34Medicare enrollment records show 34 clinicians reassign Medicare billing to Senior Doc Arizona PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 7 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 34Source: 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 Arizona PC's NPI number?
The NPI number for Senior Doc Arizona PC is 1700477627. It was assigned to this organization in the NPPES registry on February 2, 2021.
Where is Senior Doc Arizona PC located?
Senior Doc Arizona PC is located at 14631 N Cave Creek Rd Ste 104, Phoenix, AZ 85022. The listed phone number is (855) 434-7763.
What is Senior Doc Arizona PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Senior Doc Arizona PC enrolled in Medicare?
Yes. Senior Doc Arizona PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Senior Doc Arizona PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 34 clinicians in 5 Medicare specialties reassign their Medicare billing to Senior Doc Arizona PC. 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. The largest specialties are Nurse Practitioner (27), Family Practice (4) and Emergency Medicine (1). Of these, 2 practice at this address and 7 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 Arizona PC was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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 Arizona Pc · NPI 1700477627
Family Medicine organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since February 2, 2021.
## Identity
- **NPI:** 1700477627 (Entity type: Organization)
- **Enumerated:** February 2, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Angelica Soto, CREDENTIALING SPECIALIST
## Practice location
- **Address:** 14631 N CAVE CREEK RD STE 104, Phoenix, AZ 85022-4100
- **Phone:** (855) 434-7763 · **Fax:** (949) 281-5550
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 34 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (27), Family Practice (4), Emergency Medicine (1); 2 practice at this address and 7 within 10 miles; [full list](https://npiprofile.com/npi/1700477627/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 27, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1700477627) · Data from the CMS NPPES public registry.