SENIOR DOC OHIO PROFESSIONAL CORPORATION
NPI 1720838931
Family Medicine in Orange, CA
About Senior Doc Ohio Professional Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SENIOR DOC OHIO PROFESSIONAL CORPORATION (NPI 1720838931) 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 Ohio Professional Corporation 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 Ohio Professional Corporation, which bills Medicare for the services they deliver. Of these, 2 practice 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 Ohio Professional Corporation's NPI number?
The NPI number for Senior Doc Ohio Professional Corporation is 1720838931. It was assigned to this organization in the NPPES registry on March 22, 2024.
Where is Senior Doc Ohio Professional Corporation located?
Senior Doc Ohio Professional Corporation is located at 2592 N Santiago Blvd, Orange, CA 92867. The listed phone number is (855) 434-7763.
What is Senior Doc Ohio Professional Corporation's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Senior Doc Ohio Professional Corporation enrolled in Medicare?
Yes. Senior Doc Ohio Professional Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Senior Doc Ohio Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Senior Doc Ohio Professional Corporation. 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, 2 practice 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 Ohio Professional Corporation was last updated on July 23, 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 Ohio Professional Corporation · NPI 1720838931
Family Medicine organization in Orange, California. Organization record, active in the CMS NPPES registry since March 22, 2024.
## Identity
- **NPI:** 1720838931 (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 (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1720838931) · Data from the CMS NPPES public registry.