SENIOR DOC UTAH PC
NPI 1760118673
Family Medicine in Santa Ana, CA
About Senior Doc Utah Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SENIOR DOC UTAH PC (NPI 1760118673) is a healthcare organization registered as a family medicine in Santa Ana, California and active in the NPI registry since July 2022. The organization lists John Mark Geiss, Ceo, 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 Utah Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Senior Doc Utah PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (11)
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 Utah PC's NPI number?
The NPI number for Senior Doc Utah PC is 1760118673. It was assigned to this organization in the NPPES registry on July 25, 2022.
Where is Senior Doc Utah PC located?
Senior Doc Utah PC is located at 5 Hutton Centre Dr Ste 950, Santa Ana, CA 92707. The listed phone number is (855) 434-7763.
What is Senior Doc Utah PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Senior Doc Utah PC enrolled in Medicare?
Yes. Senior Doc Utah PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Senior Doc Utah PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 4 Medicare specialties reassign their Medicare billing to Senior Doc Utah 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 (8), Family Practice (1) and Internal Medicine (1). Of these, 2 practice at this address and 6 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 Utah PC was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 Utah Pc · NPI 1760118673
Family Medicine organization in Santa Ana, California. Organization record, active in the CMS NPPES registry since July 25, 2022.
## Identity
- **NPI:** 1760118673 (Entity type: Organization)
- **Enumerated:** July 25, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** John Geiss, CEO
## Practice location
- **Address:** 5 HUTTON CENTRE DR STE 950, Santa Ana, CA 92707-8744
- **Phone:** (855) 434-7763 · **Fax:** (949) 281-5550
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (8), Family Practice (1), Internal Medicine (1); 2 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1760118673) · Data from the CMS NPPES public registry.