SENIOR DOC NORTH DAKOTA PC
NPI 1760237093
Family Medicine in Orange, CA

Active since April 19, 2024
2592 N SANTIAGO BLVD, ORANGE, CA 92867(855) 434-7763 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Senior Doc North Dakota Pc NPPES

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

SENIOR DOC NORTH DAKOTA PC (NPI 1760237093) is a healthcare organization registered as a family medicine in Orange, California and active in the NPI registry since April 2024. The organization lists John Mark Geiss, Ceo, as its authorized official.

NPPES Registry Identity

NPI1760237093
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSENIOR DOC NORTH DAKOTA PC
Location Address2592 N SANTIAGO BLVDOrange, CA 92867-1862
Mailing Address2592 N Santiago BlvdOrange, CA 92867-1862 · (855) 434-7763
Organization SubpartNo
Authorized OfficialJohn Mark GeissCeo · (855) 434-7763
Enumeration DateApril 19, 2024
NPPES CertifiedApril 19, 2024
✔ NPI 1760237093 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

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

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 North Dakota Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Senior Doc North Dakota PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Internal Medicine
NPI 1932337136
2592 N SANTIAGO BLVD
Orange, CA 92867
(855) 434-7763
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1306340831
151 N KRAEMER BLVD STE 100
Placentia, CA 92870
(949) 209-1563
✔ PECOS✔ Accepts Medicare3.3 mi
Osteopathic Manipulative Medicine
NPI 1053651497
5 HUTTON CENTRE DR STE 950
Santa Ana, CA 92707
(855) 434-7763
✔ Accepts Medicare5.6 mi
Nurse Practitioner
NPI 1871185686
219 1/2 MARGUERITE AVE
Corona Del Mar, CA 92625
(949) 209-1563
✔ PECOS✔ Accepts Medicare16 mi

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 North Dakota PC's NPI number?

The NPI number for Senior Doc North Dakota PC is 1760237093. It was assigned to this organization in the NPPES registry on April 19, 2024.

Where is Senior Doc North Dakota PC located?

Senior Doc North Dakota PC is located at 2592 N Santiago Blvd, Orange, CA 92867. The listed phone number is (855) 434-7763.

What is Senior Doc North Dakota PC's specialty?

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

Is Senior Doc North Dakota PC enrolled in Medicare?

Yes. Senior Doc North Dakota PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Senior Doc North Dakota PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Senior Doc North Dakota PC, in Internal Medicine, Nurse Practitioner and Osteopathic Manipulative Medicine. 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 3 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 North Dakota PC was last updated on April 19, 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.